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KLS Medical Services

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

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

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
45-2756663 Corporation Unconditional Exemption PO BOX 1664, SOUTHAVEN, MS, 38671-0018 2012-07
In Care of Name % KATRICIA L SMITH
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, 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)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2022-12
Asset 0
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 0
Income Amount 316932
Form 990 Revenue Amount 316932
National Taxonomy of Exempt Entities Health Care: Nursing, Convalescent Facilities
Sort Name -

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)

Form 990-N (e-Postcard)

Organization Name KLS MEDICAL SERVICES
EIN 45-2756663
Tax Year 2013
Beginning of tax period 2013-01-01
End of tax period 2013-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address P O Box 1667, Southaven, MS, 38671, US
Principal Officer's Name Katricia Smith
Principal Officer's Address P O Box 1664, Southaven, MS, 38671, US
Organization Name KLS MEDICAL SERVICES
EIN 45-2756663
Tax Year 2012
Beginning of tax period 2012-01-01
End of tax period 2012-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address P O Box 1664, Southaven, MS, 38671, US
Principal Officer's Name Katricia Smith
Principal Officer's Address P O Box 1664, Southaven, MS, 38671, US

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name KLS MEDICAL SERVICES
EIN 45-2756663
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name KLS MEDICAL SERVICES
EIN 45-2756663
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name KLS MEDICAL SERVICES
EIN 45-2756663
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name KLS MEDICAL SERVICES
EIN 45-2756663
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name KLS MEDICAL SERVICES
EIN 45-2756663
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name KLS MEDICAL SERVICES
EIN 45-2756663
Tax Period 201612
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2730658401 2021-02-04 0470 PPS 13220 Old Locke Rd, Olive Branch, MS, 38654-6777
Loan Status Date 2022-03-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 42215
Loan Approval Amount (current) 42215
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Olive Branch, DESOTO, MS, 38654-6777
Project Congressional District MS-01
Number of Employees 12
NAICS code 621610
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Non-Profit Organization
Originating Lender ID 529113
Originating Lender Name Kabbage, Inc.
Originating Lender Address Atlanta, GA
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 42494.89
Forgiveness Paid Date 2021-10-06
9449797303 2020-05-02 0470 PPP 13220 Old Locke Road, Olive Branch, MS, 38654
Loan Status Date 2022-03-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 43364
Loan Approval Amount (current) 43364
Undisbursed Amount 0
Franchise Name -
Lender Location ID 456756
Servicing Lender Name Cross River Bank
Servicing Lender Address 885 Teaneck Rd, TEANECK, NJ, 07666-4546
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Olive Branch, DESOTO, MS, 38654-0001
Project Congressional District MS-01
Number of Employees 12
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 529113
Originating Lender Name Kabbage, Inc.
Originating Lender Address Atlanta, GA
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 43644.64
Forgiveness Paid Date 2021-02-16

Date of last update: 24 Mar 2025

Sources: Mississippi Secretary of State