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  5. THIES LOMBARD PHARMACY INC.

THIES LOMBARD PHARMACY INC.

Headquarter

Company Details

Entity Name: THIES LOMBARD PHARMACY INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 19 Apr 1971
Company Number: CORP_49818424
File Number: 49818424
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of THIES LOMBARD PHARMACY INC., ALASKA 10276663 ALASKA
Headquarter of THIES LOMBARD PHARMACY INC., ALABAMA 000-536-922 ALABAMA
Headquarter of THIES LOMBARD PHARMACY INC., NEW YORK 4994942 NEW YORK

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THIES-LOMBARD PHARMACY 401(K) PLAN 2023 362710982 2024-05-23 THIES-LOMBARD PHARMACY, INC. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 211 S. MAIN ST., LOMBARD, IL, 60148

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 2024-05-23
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
THIES-LOMBARD PHARMACY 401(K) PLAN 2022 362710982 2023-08-11 THIES-LOMBARD PHARMACY, INC. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 211 S. MAIN ST., LOMBARD, IL, 60148

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 2023-08-11
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
THIES-LOMBARD PHARMACY 401(K) PLAN 2021 362710982 2022-09-18 THIES-LOMBARD PHARMACY, INC. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 211 S. MAIN ST., LOMBARD, IL, 60148

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 2022-09-18
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2020 362710982 2021-09-01 THIES-LOMBARD PHARMACY, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 211 S MAIN ST., LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2021-09-01
Name of individual signing CLARKE KUELTZO
Valid signature Filed with authorized/valid electronic signature
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2019 362710982 2020-10-14 THIES-LOMBARD PHARMACY, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 211 SO. MAIN ST, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing CLARKE KUELTZO
Valid signature Filed with authorized/valid electronic signature
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2018 362710982 2019-10-12 THIES-LOMBARD PHARMACY, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 211 SO. MAIN ST, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2019-10-12
Name of individual signing CLARKE KUELTZO
Valid signature Filed with authorized/valid electronic signature
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2017 362710982 2018-09-30 THIES-LOMBARD PHARMACY, INC. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 211 SO. MAIN ST, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2018-09-30
Name of individual signing CLARKE KUELTZO
Valid signature Filed with authorized/valid electronic signature
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2016 362710982 2017-10-14 THIES-LOMBARD PHARMACY, INC. 16
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 805 S. MAIN STREET, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing CLARKE KUELTZO
Valid signature Filed with authorized/valid electronic signature
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2015 362710982 2016-10-17 THIES-LOMBARD PHARMACY, INC. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 805 S. MAIN STREET, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing CRAIG KUELTZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing CRAIG KUELTZO
Valid signature Filed with authorized/valid electronic signature
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2014 362710982 2015-10-10 THIES-LOMBARD PHARMACY, INC. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 6304952333
Plan sponsor’s address 805 S. MAIN STREET, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing CRAIG KUELTZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-09
Name of individual signing CRAIG KUELTZO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CLARKE A KUELTZO, 211 S MAIN STREET, LOMBARD, 60148, DU PAGE Agent 2021-02-02

President

Name and Address Role
CLARKE KUELTZO 14239 WEST ETHEL STREET MANHATTAN IL, 60442 President

Secretary

Name and Address Role
CLARKE KUELTZO 14239 WEST ETHEL STRET MANHATTAN IL, 60442 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054019671 No data No data LICENSED PHARMACY No data 2016-02-26 2024-03-14 2026-03-31
PHARMACY 054004487 No data No data LICENSED PHARMACY No data 1997-01-01 2014-02-26 2016-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LOMBARD PHARMACY Assume Name 2022-08-06 2021-09-01 No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 10000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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