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CHANNAHON RANCH PHARMACY, INC.

Company Details

Entity Name: CHANNAHON RANCH PHARMACY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 11 Oct 1972
Date of Dissolution: 10 Mar 2017
Company Number: CORP_50107426
File Number: 50107426
Date Status Change: 10 Mar 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2023 362751862 2024-09-12 CHANNAHON RANCH PHARMACY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 15930 S. LEWOOD DRIVE, PLAINFIELD, IL, 60586

Signature of

Role Plan administrator
Date 2024-09-11
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-11
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2022 362751862 2023-09-27 CHANNAHON RANCH PHARMACY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 15930 S. LEWOOD DRIVE, PLAINFIELD, IL, 60586

Signature of

Role Plan administrator
Date 2023-09-27
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-27
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2021 362751862 2022-10-10 CHANNAHON RANCH PHARMACY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 15930 S. LEWOOD DRIVE, PLAINFIELD, IL, 60586

Signature of

Role Plan administrator
Date 2022-10-07
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-07
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2020 362751862 2021-09-19 CHANNAHON RANCH PHARMACY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 15930 S. LEWOOD DRIVE, PLAINFIELD, IL, 60586

Signature of

Role Plan administrator
Date 2021-09-18
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-18
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2019 362751862 2020-09-05 CHANNAHON RANCH PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 15930 S. LEWOOD DRIVE, PLAINFIELD, IL, 60586

Signature of

Role Plan administrator
Date 2020-09-05
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-05
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2018 362751862 2019-10-02 CHANNAHON RANCH PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 15930 S. LEWOOD DRIVE, PLAINFIELD, IL, 60586

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-02
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2017 362751862 2018-07-20 CHANNAHON RANCH PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 15930 S. LEWOOD DRIVE, PLAINFIELD, IL, 60586

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-18
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2016 362751862 2017-09-25 CHANNAHON RANCH PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 15930 S. LEWOOD DRIVE, PLAINFIELD, IL, 60586

Signature of

Role Plan administrator
Date 2017-09-23
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-23
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2015 362751862 2016-10-15 CHANNAHON RANCH PHARMACY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 15930 S. LEWOOD DRIVE, PLAINFIELD, IL, 60586

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-15
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
CHANNAHON RANCH PHARMACY, INC. 401(K) PLAN 2014 362751862 2016-10-03 CHANNAHON RANCH PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-01
Business code 446110
Sponsor’s telephone number 8154676090
Plan sponsor’s address 24715 WEST EAMES, CHANNAHON, IL, 60410

Signature of

Role Plan administrator
Date 2016-10-01
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-01
Name of individual signing LOUIS KADUCAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WILLIAM T KAPLAN, 111 N OTTAWA ST, JOLIET, 60432, WILL Agent 2000-10-17

President

Name and Address Role
LOUIS KADUCAK, 15930 S LEWOODPLAINFIELD 60544 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 200000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State