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DECATUR FAMILY DRUG STORE, INC.

Company Details

Entity Name: DECATUR FAMILY DRUG STORE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 31 Aug 1981
Date of Dissolution: 16 Aug 2000
Company Number: CORP_52496217
File Number: 52496217
Type of Business: Business Corporations
Date Status Change: 16 Aug 2000
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD. 401(K) PROFIT SHARING PLAN 2011 371067092 2012-07-03 SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-04-17
Business code 621111
Sponsor’s telephone number 6182354883
Plan sponsor’s address 340 W LINCOLN ST, BELLEVILLE, IL, 62226

Plan administrator’s name and address

Administrator’s EIN 371067092
Plan administrator’s name SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD.
Plan administrator’s address 340 W LINCOLN ST, BELLEVILLE, IL, 62226
Administrator’s telephone number 6182354883

Signature of

Role Plan administrator
Date 2012-07-03
Name of individual signing VENTRAPRAGADA MOHAN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD. 2010 371067092 2011-10-14 SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-04-17
Business code 621111
Sponsor’s telephone number 6182354883
Plan sponsor’s address 340 W LINCOLN ST, BELLEVILLE, IL, 62226

Plan administrator’s name and address

Administrator’s EIN 371067092
Plan administrator’s name SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD.
Plan administrator’s address 340 W LINCOLN ST, BELLEVILLE, IL, 62226
Administrator’s telephone number 6182354883

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing VENTRAPRAGADA MOHAN, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD. 2009 371067092 2010-10-04 SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-04-17
Business code 621111
Sponsor’s telephone number 6182354883
Plan sponsor’s address 340 W LINCOLN ST, BELLEVILLE, IL, 62226

Plan administrator’s name and address

Administrator’s EIN 371067092
Plan administrator’s name SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD.
Plan administrator’s address 340 W LINCOLN ST, BELLEVILLE, IL, 62226
Administrator’s telephone number 6182354883

Signature of

Role Plan administrator
Date 2010-10-04
Name of individual signing VENTRAPRAGADA MOHAN, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEVEN K CHASTAIN, 280 W FIRST DRIVE, DECATUR, 62521, MACON Agent 1998-12-03

President

Name and Address Role
STEVEN K CHASTAIN, 934 STEVENS CREEK CIRCLE FORSYTH 62535 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 100000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State