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  5. MARTIN AVENUE PHARMACY, INC.

MARTIN AVENUE PHARMACY, INC.

Company Details

Entity Name: MARTIN AVENUE PHARMACY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Mar 1973
Company Number: CORP_50211916
File Number: 50211916
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARTIN AVENUE PHARMACY 401(K) PROFIT SHARING PLAN 2014 362770689 2015-10-13 MARTIN AVENUE PHARMACY 8
Three-digit plan number (PN) 001
Effective date of plan 1974-12-23
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s address 1247 RICKER DRIVE SUITE 100, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing THOMAS MARKS
Valid signature Filed with authorized/valid electronic signature
MARTIN AVENUE PHARMACY 401(K) PROFIT SHARING PLAN 2012 362770689 2013-09-10 MARTIN AVENUE PHARMACY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-23
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing THOMAS MARK
Valid signature Filed with authorized/valid electronic signature
MARTIN AVENUE PHARMACY 401(K) PROFIT SHARING PLAN 2011 362770689 2014-07-31 MARTIN AVENUE PHARMACY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-23
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 362770689
Plan administrator’s name MARTIN AVENUE PHARMACY, INC.
Plan administrator’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540
Administrator’s telephone number 6303556400

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing MATTHEW MARKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-31
Name of individual signing THOMAS MARKS
Valid signature Filed with authorized/valid electronic signature
MARTIN AVENUE PHARMACY 401(K) PROFIT SHARING PLAN 2011 362770689 2012-07-10 MARTIN AVENUE PHARMACY, INC. 14
Three-digit plan number (PN) 001
Effective date of plan 1974-12-23
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 362770689
Plan administrator’s name MARTIN AVENUE PHARMACY, INC.
Plan administrator’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540
Administrator’s telephone number 6303556400

Signature of
Role Plan administrator
Date 2012-07-10
Name of individual signing THOMAS MARK
Valid signature Filed with authorized/valid electronic signature
MARTIN AVENUE PHARMACY 401(K) PROFIT SHARING PLAN 2011 362770689 2012-06-27 MARTIN AVENUE PHARMACY, INC. 14
Three-digit plan number (PN) 001
Effective date of plan 1974-12-23
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 362770689
Plan administrator’s name MARTIN AVENUE PHARMACY, INC.
Plan administrator’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540
Administrator’s telephone number 6303556400

Signature of
Role Plan administrator
Date 2012-06-27
Name of individual signing THOMAS MARKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-27
Name of individual signing THOMAS MARKS
Valid signature Filed with authorized/valid electronic signature
MARTIN AVENUE PHARMACY DEFINED BENEFIT PLAN 2010 362770689 2011-08-05 MARTIN AVENUE PHARMACY 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-04-01
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s address 1247 RICKERT DRIVE, SUITE 100, NAPERVILLE, IL, 605401008

Plan administrator’s name and address
Administrator’s EIN 362770689
Plan administrator’s name MARTIN AVENUE PHARMACY
Plan administrator’s address 1247 RICKERT DRIVE, SUITE 100, NAPERVILLE, IL, 605401008
Administrator’s telephone number 6303556400

Signature of
Role Plan administrator
Date 2011-08-05
Name of individual signing THOMAS G. MARKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-05
Name of individual signing THOMAS G. MARKS
Valid signature Filed with authorized/valid electronic signature
MARTIN AVENUE PHARMACY 401(K) PROFIT SHARING PLAN 2010 362770689 2011-05-25 MARTIN AVENUE PHARMACY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-23
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 362770689
Plan administrator’s name MARTIN AVENUE PHARMACY, INC.
Plan administrator’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540
Administrator’s telephone number 6303556400

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing THOMAS MARKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-25
Name of individual signing THOMAS MARKS
Valid signature Filed with authorized/valid electronic signature
MARTIN AVENUE PHARMACY 401(K) PROFIT SHARING PLAN 2010 362770689 2011-05-25 MARTIN AVENUE PHARMACY, INC. 14
Three-digit plan number (PN) 001
Effective date of plan 1974-12-23
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 362770689
Plan administrator’s name MARTIN AVENUE PHARMACY, INC.
Plan administrator’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540
Administrator’s telephone number 6303556400
MARTIN AVENUE PHARMACY WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST 2010 362770689 2011-08-01 MARTIN AVENUE PHARMACY 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s mailing address 1247 RICKERT DR STE 100, NAPERVILLE, IL, 60540
Plan sponsor’s address 1247 RICKERT DR STE 100, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 362770689
Plan administrator’s name MARTIN AVENUE PHARMACY
Plan administrator’s address 1247 RICKERT DR STE 100, NAPERVILLE, IL, 60540
Administrator’s telephone number 6303556400

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2011-08-01
Name of individual signing THOMAS G. MARKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-01
Name of individual signing THOMAS G. MARKS
Valid signature Filed with authorized/valid electronic signature
MARTIN AVENUE PHARMACY 401(K) PROFIT SHARING PLAN 2009 362770689 2010-09-23 MARTIN AVENUE PHARMACY, INC. 15
Three-digit plan number (PN) 001
Effective date of plan 1974-12-23
Business code 446110
Sponsor’s telephone number 6303556400
Plan sponsor’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 362770689
Plan administrator’s name MARTIN AVENUE PHARMACY, INC.
Plan administrator’s address 1247 RICKERT DRIVE, NAPERVILLE, IL, 60540
Administrator’s telephone number 6303556400

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing THOMAS G. MARKS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-23
Name of individual signing THOMAS G. MARKS
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
JOHN P ADAMS, 120 S RIVERSIDE PLZ STE 1700, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2022-05-16

President

Name and Address Role
ALICE A MARKS, 1247 RICKERT DR/#100, NAPERVILLE, IL, 60540 President

Secretary

Name and Address Role
ALICE A MARKS Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054004976 No data No data LICENSED PHARMACY No data 1973-05-23 2024-03-26 2026-03-31

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 100000 No data

Related by officers

JOHN P ADAMS, 120 S RIVERSIDE PLZ STE 1700, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO

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Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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