| Entity Name: | DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 04 Oct 2017 |
| Company Number: | LLC_06532489 |
| File Number: | 06532489 |
| Type of Management: | Manager Managed |
| Date Status Change: | 17 Sep 2024 |
| Address | 5832 N. KNOXVILLE AVENUE, PEORIA, 61615, IL |
| Place of Formation: | ILLINOIS |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY, LLC, NEW YORK | 6758798 | NEW YORK |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOLAN CENTRAL IL COMPOUNDING PHARMACY 401K | 2023 | 822988793 | 2024-06-11 | DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY | 13 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-11 |
| Name of individual signing | COREY DOLAN |
| 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 | 3093697883 |
| Plan sponsor’s address | 5832 N KNOXVILLE AVE STE E, PEORIA, IL, 61614 |
Plan administrator’s name and address
| Administrator’s EIN | 822988793 |
| Plan administrator’s name | DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY |
| Plan administrator’s address | 5832 N KNOXVILLE AVE STE E, PEORIA, IL, 61614 |
| Administrator’s telephone number | 3093697883 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-14 |
| Name of individual signing | COREY DOLAN |
| 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 | 3093697883 |
| Plan sponsor’s address | 5832 N KNOXVILLE AVE STE E, PEORIA, IL, 61614 |
Plan administrator’s name and address
| Administrator’s EIN | 822988793 |
| Plan administrator’s name | DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY |
| Plan administrator’s address | 5832 N KNOXVILLE AVE STE E, PEORIA, IL, 61614 |
| Administrator’s telephone number | 3093697883 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-05 |
| Name of individual signing | COREY DOLAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BENCKENDORF REGISTERED AGENT,, 101 NE RANDOLPH AVE, PEORIA, 61606 | Agent | 2017-10-04 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DOLAN, COREY, 5832 N. KNOXVILLE AVENUE, PEORIA, IL, 61615 | Manager | 2021-11-02 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| CBD PHARM | Assumed name | 2019-04-25 | No data | No data | 2020-09-17 |
Date of last update: 23 Dec 2024
