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EVERS PHARMACY, INC.

Company Details

Entity Name: EVERS PHARMACY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 15 Apr 1977
Company Number: CORP_51140427
File Number: 51140427
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVERS PHARMACY, INC SAVINGS PLAN 2023 371025772 2024-10-08 EVERS PHARMACY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 16 E. MAIN ST., MASCOUTAH, IL, 62258

Signature of

Role Plan administrator
Date 2024-10-08
Name of individual signing WILLIAM WHITWORTH
Valid signature Filed with authorized/valid electronic signature
EVERS PHARMACY, INC SAVINGS PLAN 2022 371025772 2023-04-06 EVERS PHARMACY, INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 415 WEST MAIN STREET, SUITE 5, COLLINSVILLE, IL, 62234

Signature of

Role Plan administrator
Date 2023-04-06
Name of individual signing TODD EVERS
Valid signature Filed with authorized/valid electronic signature
EVERS PHARMACY, INC SAVINGS PLAN 2021 371025772 2022-07-13 EVERS PHARMACY, INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 415 WEST MAIN STREET, SUITE 5, COLLINSVILLE, IL, 62234

Signature of

Role Plan administrator
Date 2022-07-13
Name of individual signing TODD EVERS
Valid signature Filed with authorized/valid electronic signature
EVERS PHARMACY, INC SAVINGS PLAN 2020 371025772 2021-07-12 EVERS PHARMACY, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 415 WEST MAIN STREET, SUITE 5, COLLINSVILLE, IL, 62234

Signature of

Role Plan administrator
Date 2021-07-12
Name of individual signing TODD EVERS
Valid signature Filed with authorized/valid electronic signature
EVERS PHARMACY, INC SAVINGS PLAN 2019 371025772 2020-04-28 EVERS PHARMACY, INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 415 WEST MAIN STREET, SUITE 5, COLLINSVILLE, IL, 62234

Signature of

Role Plan administrator
Date 2020-04-28
Name of individual signing TODD EVERS
Valid signature Filed with authorized/valid electronic signature
EVERS PHARMACY, INC SAVINGS PLAN 2018 371025772 2019-07-02 EVERS PHARMACY, INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 415 WEST MAIN STREET, SUITE 5, COLLINSVILLE, IL, 62234

Signature of

Role Plan administrator
Date 2019-07-02
Name of individual signing TODD EVERS
Valid signature Filed with authorized/valid electronic signature
EVERS PHARMACY, INC SAVINGS PLAN 2017 371025772 2018-07-18 EVERS PHARMACY, INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 415 WEST MAIN STREET, SUITE 5, COLLINSVILLE, IL, 62234

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing TODD EVERS
Valid signature Filed with authorized/valid electronic signature
EVERS PHARMACY, INC SAVINGS PLAN 2016 371025772 2017-05-08 EVERS PHARMACY, INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 415 WEST MAIN STREET, SUITE 5, COLLINSVILLE, IL, 62234

Signature of

Role Plan administrator
Date 2017-05-08
Name of individual signing TODD EVERS
Valid signature Filed with authorized/valid electronic signature
EVERS PHARMACY, INC SAVINGS PLAN 2015 371025772 2016-05-17 EVERS PHARMACY, INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 415 WEST MAIN STREET, SUITE 5, COLLINSVILLE, IL, 62234

Signature of

Role Plan administrator
Date 2016-05-17
Name of individual signing TODD EVERS
Valid signature Filed with authorized/valid electronic signature
EVERS PHARMACY INC 401 K PROFIT SHARING PLAN TRUST 2014 371025772 2015-06-04 EVERS PHARMACY INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 446110
Sponsor’s telephone number 6183432525
Plan sponsor’s address 415 W MAIN ST, SUITE 5, COLLINSVILLE, IL, 62234

Signature of

Role Plan administrator
Date 2015-06-04
Name of individual signing TODD M. EVERS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JESSI L WHITWORTH, 16 E MAIN ST, MASCOUTAH, 62258, ST. CLAIR Agent 2024-02-27

President

Name and Address Role
JESSI L WHITWORTH 9663 WINNEBAGO WAY MASCOUTAH IL 62258 President

Secretary

Name and Address Role
WILLIAM CODY WHITWORTH 9663 WINNEBAGO WAY MASCOUTAH IL 62258 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054022745 No data No data LICENSED PHARMACY No data 2024-04-12 2024-04-12 2026-03-31
PHARMACY 054014644 No data No data LICENSED PHARMACY No data 2001-09-20 2024-01-16 2026-03-31
PHARMACY 054006168 No data No data LICENSED PHARMACY No data 1997-01-01 No data 1996-03-31
PHARMACY 054013077 No data No data LICENSED PHARMACY No data 1995-08-16 2010-03-05 2012-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
DAUBER PHARMACY Assume Name 2014-01-27 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 25000 100

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State