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KLS Medical Services

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Company Details

Name: KLS Medical Services
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 26 Jul 2011 (14 years ago)
Business ID: 986642
ZIP code: 38654
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 13220 OLD LOCKE RDOLIVE BRANCH, MS 38654

Agent

Name Role Address
Katricia Lynette Smith Agent 13220 Old Locke Rd, Olive Branch, MS 38654

Incorporator

Name Role Address
Katricia Smith Incorporator 5802 Chance Drive North Apt A, Horn Lake, MS 38637

President

Name Role Address
Katricia Smith President 13220 Old Locke Road, Olive Branch, MS 38654

Vice President

Name Role Address
Kanisha Mims Vice President 4790 Joshua Drive, Olive Branch, MS 38654

Treasurer

Name Role Address
Avery Mims Treasurer 4790 Joshua Drive, Olive Branch, MS 38654

Secretary

Name Role Address
Karlon Dotson Secretary 5484 Lake Vernell Drive, Memphis, TN 38109

Chairman

Name Role Address
Calvin Vallier Chairman 10502 Fireweek Lane, Collierville, TN 38017

National Provider Identifier

NPI Number:
1194065227

Authorized Person:

Name:
KATRICIA L SMITH
Role:
CEO/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2024-05-15 Status Report For KLS Medical Services
Non-Profit Status Report Filed 2023-02-16 Status Report For KLS Medical Services
Non-Profit Status Report Filed 2022-03-08 Status Report For KLS Medical Services
Non-Profit Status Report Filed 2021-02-25 Status Report For KLS Medical Services
Non-Profit Status Report Filed 2020-04-20 Status Report For KLS Medical Services
Non-Profit Status Report Filed 2019-03-14 Status Report For KLS Medical Services
Non-Profit Status Report Filed 2018-04-04 Status Report For KLS Medical Services
Non-Profit Status Report Filed 2017-04-17 Status Report For KLS Medical Services
Non-Profit Status Report Filed 2016-07-07 Status Report For KLS Medical Services
Non-Profit Status Report Filed 2015-04-28 Status Report For KLS Medical Services

USAspending Awards / Financial Assistance

Date:
2021-02-04
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:
42215.00
Total Face Value Of Loan:
42215.00
Date:
2020-05-21
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:
500000.00
Date:
2020-05-02
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:
43364.00
Total Face Value Of Loan:
43364.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
45-2756663
In Care Of Name:
% KATRICIA L SMITH
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, 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)
Ruling Date:
2012-07
National Taxonomy Of Exempt Entities:
Health Care: Nursing, Convalescent Facilities
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2021-02-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
42215
Current Approval Amount:
42215
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
42494.89
Date Approved:
2020-05-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
43364
Current Approval Amount:
43364
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
43644.64

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Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website