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DOUGLAS & OGDEN MEDICAL CENTER PHARMACY, INC.

Company Details

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

form 5500

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
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 2024-05-16
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
MAIN STREET PHARMACY 401(K) PLAN 2022 363318520 2023-05-27 DOUGLAS & OGDEN MEDICAL CENTER PHARMACY INC 5
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
MAIN STREET PHARMACY 401(K) PLAN 2021 363318520 2022-06-01 DOUGLAS & OGDEN MEDICAL CENTER PHARMACY INC 0
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

Agent

Name and Address Role Appointment Date
CLARKE KUELTZO, 24 W FIRST ST, MANTENO, 60950, DU PAGE Agent 2021-01-31

President

Name and Address Role
CLARKE KUELTZO 24 W FIRST STREET MANTENO IL, 60950 President

Secretary

Name and Address Role
CLARKE KUELTZO 24 W FIRST STREET MANTENO IL, 60950 Secretary

License

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

Assumed Names

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

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