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  5. URBAN REHAB INC

URBAN REHAB INC

Company Details

Name: URBAN REHAB INC
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 16 Apr 2009 (16 years ago)
Business ID: 948078
ZIP code: 39209
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 5345 Highway 18 WJackson, MS 39209-244

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
URBAN REHAB 401(K) PLAN 2023 264668224 2024-05-13 URBAN REHAB INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6019270188
Plan sponsor’s address 5345 HIGHWAY 18 W, JACKSON, MS, 39209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-13
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
URBAN REHAB 401(K) PLAN 2022 264668224 2023-05-27 URBAN REHAB INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6019270188
Plan sponsor’s address 5345 HIGHWAY 18 W, JACKSON, MS, 39209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
URBAN REHAB 401(K) PLAN 2021 264668224 2022-07-16 URBAN REHAB INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6019270188
Plan sponsor’s address 5345 HIGHWAY 18 W, JACKSON, MS, 39209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
URBAN REHAB 401(K) PLAN 2020 264668224 2021-09-30 URBAN REHAB INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6019270188
Plan sponsor’s address 5345 HIGHWAY 18 W, JACKSON, MS, 39209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Philip Massey Agent 109 Heatherlynn Circle, Clinton, MS 39056

Incorporator

Name Role Address
Philip Massey Incorporator 109 Heatherlynn Circle, Clinton, MS 39056

Vice President

Name Role Address
Leon Seals Jr Vice President 304 Monterey Drive, Clinton, MS 39056

Treasurer

Name Role Address
Flynn Wallace Treasurer 1750 Northwood Circle, Jackson, MS 39213

Secretary

Name Role Address
Jackie Fleming Secretary 574 Spryfield Rd, Jackson, MS 39212

Assistant Secretary

Name Role Address
Jun Lyons Assistant Secretary 316 Conti Rd, Jackson, MS 39213
Patricia Cruz Assistant Secretary PO Box 321383, Flowood, MS 39232

Other

Name Role Address
Jun Lyons Other 316 Conti Rd, Jackson, MS 39213

Member

Name Role Address
Rodney Phillips Member 212 Northbrook Circle, Jackson, MS 39212
Samuel West Member 101 Woodway Court, Clinton, MS 39056

Chairman

Name Role Address
Ronald Kyzar Chairman 2 Northwood Pl, Clinton, MS 39056

Director

Name Role Address
H Fariss Crisler III Director 840 E River Place, Jackson, MS 39202

Chief Executive Officer

Name Role Address
Philip Massey Chief Executive Officer 109 Heatherlynn Circle, Clinton, MS 39056

Assistant Treasurer

Name Role Address
Patricia Cruz Assistant Treasurer PO Box 321383, Flowood, MS 39232

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2023-05-06 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2022-05-10 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2020-07-04 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2018-03-14 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2016-04-16 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2011-04-15 Non-Profit Status Report
Amendment Form Filed 2010-01-07 Amendment
Formation Form Filed 2009-04-16 Formation

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
26-4668224 Corporation Unconditional Exemption 5345 HIGHWAY 18 W, JACKSON, MS, 39209-9421 2011-08
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 100,000 to 499,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 410924
Income Amount 770050
Form 990 Revenue Amount 770050
National Taxonomy of Exempt Entities Crime & Legal-Related: Half-Way House for Offenders, Ex-Offenders
Sort Name URBAN REHAB

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name URBAN REHAB INC
EIN 26-4668224
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name URBAN REHAB INC
EIN 26-4668224
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name URBAN REHAB INC
EIN 26-4668224
Tax Period 202012
Filing Type E
Return Type 990EZ
File View File
Organization Name URBAN REHAB INC
EIN 26-4668224
Tax Period 201912
Filing Type E
Return Type 990EZ
File View File
Organization Name URBAN REHAB INC
EIN 26-4668224
Tax Period 201812
Filing Type E
Return Type 990EZ
File View File
Organization Name URBAN REHAB INC
EIN 26-4668224
Tax Period 201712
Filing Type E
Return Type 990EZ
File View File
Organization Name URBAN REHAB INC
EIN 26-4668224
Tax Period 201612
Filing Type E
Return Type 990EZ
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7772307003 2020-04-08 0470 PPP 901 HWY 80E, CLINTON, MS, 39056
Loan Status Date 2021-07-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 27400
Loan Approval Amount (current) 27400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 40010
Servicing Lender Name Renasant Bank
Servicing Lender Address 209 Troy St, TUPELO, MS, 38804-4827
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CLINTON, HINDS, MS, 39056-0500
Project Congressional District MS-02
Number of Employees 3
NAICS code 623220
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 40010
Originating Lender Name Renasant Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 27716.62
Forgiveness Paid Date 2021-06-17
8432218702 2021-04-07 0470 PPS 901 Highway 80 E, Clinton, MS, 39056-5244
Loan Status Date 2021-12-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 16845
Loan Approval Amount (current) 16845
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Clinton, HINDS, MS, 39056-5244
Project Congressional District MS-02
Number of Employees 3
NAICS code 621420
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Professional Association
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 16927.35
Forgiveness Paid Date 2021-11-10

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Related by address

No related companies by address

Date of last update: 23 Mar 2025

Sources: Mississippi Secretary of State

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