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121 Medical Place, Inc

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Company Details

Name: 121 Medical Place, Inc
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 25 Apr 2016 (9 years ago)
Business ID: 1091412
ZIP code: 39114
County: Simpson
State of Incorporation: MISSISSIPPI
Principal Office Address: 820 Mangum AveMendenhall , MS 39114

Agent

Name Role Address
Shelley Leach Agent 211 East Laurel Ave, Mendenhall, MS 39114

Incorporator

Name Role Address
Shelley Leach Incorporator 3434 Simpson Hwy 28 w, Mendenhall, MS 39114

President

Name Role Address
Shelley Smith Leach President 820 Mangum Ave, Mendenhall, MS 39114

National Provider Identifier

NPI Number:
1588106553

Authorized Person:

Name:
SHELLEY LEACH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report Filed 2024-06-20 Annual Report For 121 Medical Place, Inc
Annual Report Filed 2023-07-06 Annual Report For 121 Medical Place, Inc
Annual Report Filed 2022-05-09 Annual Report For 121 Medical Place, Inc
Annual Report Filed 2021-05-18 Annual Report For 121 Medical Place, Inc
Amendment Form Filed 2021-03-18 Amendment For 121 Medical Place, Inc
Annual Report Filed 2021-03-18 Annual Report For 121 Medical Place, Inc
Annual Report Filed 2020-09-08 Annual Report For 121 Medical Place, Inc
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-04-01 Annual Report For 121 Medical Place, Inc
Annual Report Filed 2018-08-22 Annual Report For 121 Medical Place, Inc

USAspending Awards / Financial Assistance

Date:
2021-02-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
38259.00
Total Face Value Of Loan:
38259.00
Date:
2020-08-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
42200.00
Total Face Value Of Loan:
36900.00

Paycheck Protection Program

Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
38259
Current Approval Amount:
38259
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
38468.64
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
42200
Current Approval Amount:
36900
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
37131.51

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Date of last update: 17 May 2025

Sources: Company Profile on Mississippi Secretary of State Website