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  5. HERRIN DRUG, INC.

HERRIN DRUG, INC.

Company Details

Entity Name: HERRIN DRUG, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 15 Jul 1981
Company Number: CORP_52449642
File Number: 52449642
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2022 311115487 2024-01-17 HERRIN DRUG, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2024-01-17
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-01-17
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2021 311115487 2023-04-04 HERRIN DRUG, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2023-04-04
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-04
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2020 311115487 2022-01-06 HERRIN DRUG, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2022-01-06
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-06
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2019 311115487 2021-03-23 HERRIN DRUG, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2021-03-23
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-23
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2018 311115487 2020-01-06 HERRIN DRUG, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2020-01-06
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-06
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2017 311115487 2019-01-24 HERRIN DRUG, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2019-01-24
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-24
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2016 311115487 2018-01-25 HERRIN DRUG, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2018-01-25
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-25
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2015 311115487 2017-02-08 HERRIN DRUG, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2017-02-08
Name of individual signing MELINDA NEAL
Valid signature Filed with authorized/valid electronic signature
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2014 311115487 2016-03-31 HERRIN DRUG, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2016-03-31
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature
HERRIN DRUG, INC. 401(K) PROFIT SHARING PLAN 2013 311115487 2015-04-02 HERRIN DRUG, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-12-01
Business code 446110
Sponsor’s telephone number 6189425315
Plan sponsor’s address 116 N. PARK AVENUE, HERRIN, IL, 62948

Signature of
Role Plan administrator
Date 2015-04-02
Name of individual signing DAVID A. MATTINGLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID MATTINGLY, 116 N PARK AVENUE, HERRIN, 62948, WILLIAMSON Agent 1986-10-16

President

Name and Address Role
DAVID MATTINGLY, 116 N PARK AVE HERRIN 62948 President

Secretary

Name and Address Role
DAVID MATTINGLY, 116 N PARK AVE HERRIN 62948 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 004005361 No data No data LICENSED WHOLESALE DRUG DISTRIBUTOR No data 2023-10-05 2023-10-05 2024-12-31
HME AND SERVICES PROV 203000393 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2002-08-22 2024-01-04 2027-03-31
PHARMACY 054007687 No data No data LICENSED PHARMACY No data 1997-01-01 2024-01-12 2026-03-31

Historical Names

Name Change Date
HERRIN HEALTH MART, INC. 2012-07-11
HERRIN REXALL DRUGS, INC. 1999-01-25

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COM No data Voting Rights 10000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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