Entity Name: | DOUGLAS & OGDEN MEDICAL CENTER PHARMACY, INC. |
Jurisdiction: | Illinois |
Entity Type: | Corporation - Domestic BCA |
Status: | Goodstanding |
Date Formed: | 03 Jul 1984 |
Company Number: | CORP_53516106 |
File Number: | 53516106 |
Type of Business: | Mercantile (sales only, no service) |
Place of Formation: | ILLINOIS |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MAIN STREET PHARMACY 401(K) PLAN | 2023 | 363318520 | 2024-05-16 | DOUGLAS & OGDEN MEDICAL CENTER PHARMACY INC | 7 | |||||||||||||||||||||||||||||||
|
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2024-05-16 |
Name of individual signing | QIAN LIU |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-01-01 |
Business code | 446110 |
Sponsor’s telephone number | 6309690036 |
Plan sponsor’s address | 24 W FIRST STREET, MANTENO, IL, 60950 |
Plan administrator’s name and address
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2023-05-27 |
Name of individual signing | CHRISTINE RIMER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-01-01 |
Business code | 446110 |
Sponsor’s telephone number | 6309690036 |
Plan sponsor’s address | 24 W FIRST STREET, MANTENO, IL, 60950 |
Plan administrator’s name and address
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2022-06-01 |
Name of individual signing | CHRISTINE RIMER |
Valid signature | Filed with authorized/valid electronic signature |
Name and Address | Role | Appointment Date |
---|---|---|
CLARKE KUELTZO, 24 W FIRST ST, MANTENO, 60950, DU PAGE | Agent | 2021-01-31 |
Name and Address | Role |
---|---|
CLARKE KUELTZO 24 W FIRST STREET MANTENO IL, 60950 | President |
Name and Address | Role |
---|---|
CLARKE KUELTZO 24 W FIRST STREET MANTENO IL, 60950 | Secretary |
License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
---|---|---|---|---|---|---|---|---|
PHARMACY | 054020598 | No data | No data | LICENSED PHARMACY | No data | 2018-08-31 | 2024-03-14 | 2026-03-31 |
Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
---|---|---|---|---|---|
MAIN STREET PHARMACY | Assume Name | 2023-04-26 | 2020-12-01 | No data | No data |
DOUGLAS-MAIN PHARMACY | No data | 2009-08-26 | 2020-12-01 | Involuntary Cancellation | No data |
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