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Prolific Health & Wellness, PA

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Company Details

Name: Prolific Health & Wellness, PA
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 21 Sep 2017 (8 years ago)
Business ID: 1128508
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 605 Chickasaw Dr., NFlowood, MS 39232

Agent

Name Role Address
Kimberly M. Smash MD Agent 605 Chickasaw Drive North, Flowood, MS 39232

Incorporator

Name Role Address
Kimberly M Smash MD Incorporator 605 Chickasaw Drive North, Flowood, MS 39232

Director

Name Role Address
Jerriot Smash Director 605 Chickasaw Dr., N, Flowood, MS 39232
Kimberly M. Smash Director 605 Chickasaw Dr., N, Flowood, MS 39232

Secretary

Name Role Address
Jerriot Smash Secretary 605 Chickasaw Dr., N, Flowood, MS 39232

Chief Executive Officer

Name Role Address
Kimberly M. Smash Chief Executive Officer 605 Chickasaw Dr., N, Flowood, MS 39232

National Provider Identifier

NPI Number:
1962913541

Authorized Person:

Name:
DR. KIMBERLY MCCULLOUGH SMASH
Role:
FOUNDER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: Tax: Prolific Health & Wellness, PA
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: Tax: Prolific Health & Wellness, PA
Annual Report Filed 2024-02-02 Annual Report For Prolific Health & Wellness, PA
Reinstatement Filed 2023-03-24 Reinstatement For Prolific Health & Wellness, PA
Admin Dissolution Filed 2021-11-29 Action of Intent to Dissolve: Tax: Prolific Health & Wellness, PA
Annual Report Filed 2021-10-02 Annual Report For Prolific Health & Wellness, PA
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: Tax: Prolific Health & Wellness, PA
Annual Report Filed 2020-05-16 Annual Report For Prolific Health & Wellness, PA
Annual Report Filed 2019-05-01 Annual Report For Prolific Health & Wellness, PA
Annual Report Filed 2018-07-27 Annual Report For Prolific Health & Wellness, PA

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
21100.00
Total Face Value Of Loan:
21100.00
Date:
2018-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
65000.00
Total Face Value Of Loan:
65000.00
Date:
2018-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
-65000.00
Total Face Value Of Loan:
0.00
Date:
2018-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
77400.00
Total Face Value Of Loan:
77400.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
21100
Current Approval Amount:
21100
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
21252.97

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Date of last update: 18 May 2025

Sources: Company Profile on Mississippi Secretary of State Website