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  5. CAPITOL MEDICAL SUPPLY, INC.

CAPITOL MEDICAL SUPPLY, INC.

Company Details

Name: CAPITOL MEDICAL SUPPLY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 01 Oct 1981 (44 years ago)
Business ID: 404197
ZIP code: 39213
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 218 W. Lorenz Blvd.Jackson, MS 39213

Agent

Name Role Address
BEVERLY SUMRALL Agent 8 CARTER'S GROVE, JACKSON, MS 39211

Secretary

Name Role Address
Janet K Sumrall Secretary 4125 Tanyard Rd, Crystal Springs, MS 39059

President

Name Role Address
Beverly Sumrall President 8 Carters Grove, Jackson, MS 39211

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-01-05 Action of Intent to Dissolve: AR: CAPITOL MEDICAL SUPPLY, INC.
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: CAPITOL MEDICAL SUPPLY, INC.
Amendment Form Filed 2022-04-13 Amendment For CAPITOL MEDICAL SUPPLY, INC.
Annual Report Filed 2022-04-12 Annual Report For CAPITOL MEDICAL SUPPLY, INC.
Annual Report Filed 2021-02-01 Annual Report For CAPITOL MEDICAL SUPPLY, INC.
Annual Report Filed 2020-02-13 Annual Report For CAPITOL MEDICAL SUPPLY, INC.
Annual Report Filed 2019-01-28 Annual Report For CAPITOL MEDICAL SUPPLY, INC.
Annual Report Filed 2018-02-01 Annual Report For CAPITOL MEDICAL SUPPLY, INC.
Annual Report Filed 2017-02-23 Annual Report For CAPITOL MEDICAL SUPPLY, INC.
Annual Report Filed 2016-03-24 Annual Report For CAPITOL MEDICAL SUPPLY, INC.

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD VA25612P2348 2012-09-06 2012-10-30 2012-10-30
Unique Award Key CONT_AWD_VA25612P2348_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title AIR COMPRESSOR
NAICS Code 333912: AIR AND GAS COMPRESSOR MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
PO AWARD VA586A11169 2011-09-16 2011-09-17 2011-11-30
Unique Award Key CONT_AWD_VA586A11169_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EMERGENCY PURCHASE&INSTALL TO REPLACE EXISITN FAILED AIR COMPRESSOR SYSTEM.
NAICS Code 333912: AIR AND GAS COMPRESSOR MANUFACTURING
Product and Service Codes 4310: COMPRESSORS AND VACUUM PUMPS

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
PO AWARD VA586A10140 2011-03-31 2011-03-31 2011-03-31
Unique Award Key CONT_AWD_VA586A10140_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EMERGENCY PROCUREMENT TO PROVIDE AND INSTALL 2 VACUUM PUMPS TO REPLACE EXISTING FAILING UNITS
NAICS Code 333911: PUMP AND PUMPING EQUIPMENT MANUFACTURING
Product and Service Codes 4310: COMPRESSORS AND VACUUM PUMPS

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
PO AWARD VA586C00440 2010-08-30 2010-08-30 2010-08-30
Unique Award Key CONT_AWD_VA586C00440_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SICU MEDICAL GAS UPGRADE
NAICS Code 333912: AIR AND GAS COMPRESSOR MANUFACTURING
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
PO AWARD AG44UKP10AA05 2009-08-05 2009-09-05 2009-09-05
Unique Award Key CONT_AWD_AG44UKP10AA05_12H2_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Description
Title PART AND LABOR TO REPLACE COMPRESSOR
NAICS Code 238990: ALL OTHER SPECIALTY TRADE CONTRACTORS
Product and Service Codes 4310: COMPRESSORS AND VACUUM PUMPS

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
PO AWARD V586P93028 2009-01-29 2009-03-15 2009-03-15
Unique Award Key CONT_AWD_V586P93028_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes R499: OTHER PROFESSIONAL SERVICES

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
PO AWARD V520U8L158 2008-09-24 2008-10-04 2008-10-04
Unique Award Key CONT_AWD_V520U8L158_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 4120: AIR CONDITIONING EQUIPMENT

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
PO AWARD V586C80585 2008-09-22 2008-11-03 2008-11-03
Unique Award Key CONT_AWD_V586C80585_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes R499: OTHER PROFESSIONAL SERVICES

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
PO AWARD V520P84136 2008-09-19 2008-10-19 2008-10-19
Unique Award Key CONT_AWD_V520P84136_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
PO AWARD V586A81130 2008-09-17 2008-09-22 2008-09-22
Unique Award Key CONT_AWD_V586A81130_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V520P84057_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V586A81131_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V5868P0074_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V586P89904_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V520P83925_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V586P89819_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V586P89418_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V586U84141_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V520P83730_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES
Unique Award Key CONT_AWD_V520P83700_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SMALL PURCHASE DATA
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient CAPITOL MEDICAL SUPPLY, INC
UEI FJVLA65Y3KB8
Legacy DUNS 180677718
Recipient Address 218 W LORENZ BLVD, JACKSON, 392137058, UNITED STATES

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8364768308 2021-01-29 0470 PPS 218 W Lorenz Blvd, Jackson, MS, 39213-7058
Loan Status Date 2021-12-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 65000
Loan Approval Amount (current) 65000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Jackson, HINDS, MS, 39213-7058
Project Congressional District MS-02
Number of Employees 6
NAICS code 423450
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 65486.16
Forgiveness Paid Date 2021-11-03
3180137303 2020-04-29 0470 PPP 218 West Lorenz Blvd, Jackson, MS, 39213
Loan Status Date 2021-04-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 23000
Loan Approval Amount (current) 23000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Jackson, HINDS, MS, 39213-2100
Project Congressional District MS-02
Number of Employees 6
NAICS code 423450
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Veteran
Forgiveness Amount 23186.52
Forgiveness Paid Date 2021-02-25

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Related by address

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Date of last update: 18 Apr 2025

Sources: Mississippi Secretary of State

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