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TED & DIANE INC.

Company Details

Entity Name: TED & DIANE INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 08 May 1980
Date of Dissolution: 11 Oct 2013
Company Number: CORP_52040248
File Number: 52040248
Date Status Change: 11 Oct 2013
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE PHARMACIE SHOPPE INC PROFIT SHARING PLAN 2011 371083339 2012-08-08 THE PHARMACIE SHOPPE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 446110
Sponsor’s telephone number 2179324004
Plan sponsor’s mailing address 202 W. EDGAR, CASEY, IL, 62420
Plan sponsor’s address 202 W. EDGAR, CASEY, IL, 62420

Plan administrator’s name and address

Administrator’s EIN 371083339
Plan administrator’s name THEODORE J. PERILLO
Plan administrator’s address 202 W. EDGAR, CASEY, IL, 62420
Administrator’s telephone number 2179324004

Number of participants as of the end of the plan year

Active participants 14
Other retired or separated participants entitled to future benefits 5
Number of participants with account balances as of the end of the plan year 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of

Role Plan administrator
Date 2012-08-08
Name of individual signing ERIC BRADHAM
Valid signature Filed with authorized/valid electronic signature
THE PHARMACIE SHOPPE INC PROFIT SHARING PLAN 2010 371083339 2011-10-24 THE PHARMACIE SHOPPE INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 446110
Sponsor’s telephone number 2179324004
Plan sponsor’s mailing address 202 W. EDGAR, CASEY, IL, 62420
Plan sponsor’s address 202 W. EDGAR, CASEY, IL, 62420

Plan administrator’s name and address

Administrator’s EIN 371083339
Plan administrator’s name THEODOREJ. PERILLO
Plan administrator’s address 202 W. EDGAR AVE., CASEY, IL, 62420
Administrator’s telephone number 2179324004

Number of participants as of the end of the plan year

Active participants 14
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 14

Signature of

Role Plan administrator
Date 2011-10-24
Name of individual signing ERIC BRADHAM
Valid signature Filed with authorized/valid electronic signature
THE PHARMACIE SHOPPE INC PROFIT SHARING PLAN 2009 371083339 2010-09-01 THE PHARMACIE SHOPPE INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-10-01
Business code 446110
Sponsor’s telephone number 2179324004
Plan sponsor’s mailing address 202 W EDGAR, CASEY, IL, 62420
Plan sponsor’s address 202 W EDGAR, CASEY, IL, 62420

Plan administrator’s name and address

Administrator’s EIN 371083339
Plan administrator’s name THEODORE J. PERILLO
Plan administrator’s address 202 W EDGAR AVE., CASEY, IL, 62420
Administrator’s telephone number 2179324004

Number of participants as of the end of the plan year

Active participants 10
Other retired or separated participants entitled to future benefits 5
Number of participants with account balances as of the end of the plan year 13
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of

Role Plan administrator
Date 2010-09-01
Name of individual signing ERIC BRADHAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role
THEODORE J PERILLO, 202 W EDGAR ST, CASEY, 62420, CLARK Agent

President

Name and Address Role
THEODORE J PERILLO, 10700 N HICKORY LANE CASEY 62420 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MARTINSVILLE PHARMACY No data 2006-08-31 2012-10-12 Voluntary Cancellation No data

Historical Names

Name Change Date
THE PHARMACIE SHOPPE, INC. 2012-10-10

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State