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EVERGREEN PARK PHARMACY, INC.

EVERGREEN PARK PHARMACY, INC.

Company Details

Entity Name:	EVERGREEN PARK PHARMACY, INC.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Dissolved
Date Formed:	20 Jul 1976
Date of Dissolution:	01 Dec 1992
Company Number:	CORP_50946762
File Number:	50946762
Date Status Change:	01 Dec 1992
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

EVERGREEN PARK PHARMACY PENSION PLAN

2016

800241717

2017-07-31

EVERGREEN PARK PHARMACY

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	446110
Sponsor’s telephone number	7084234700
Plan sponsor’s address	2850 W. 95TH ST., EVERGREEN PARK, IL, 60805

EVERGREEN PARK PHARMACY PENSION PLAN

2015

800241717

2017-07-31

EVERGREEN PARK PHARMACY

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	446110
Sponsor’s telephone number	7084234700
Plan sponsor’s address	2850 W. 95TH ST., EVERGREEN PARK, IL, 60805

EVERGREEN PARK PHARMACY PENSION PLAN

2015

800241717

2016-07-11

EVERGREEN PARK PHARMACY

4

Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	446110
Sponsor’s telephone number	7084234700
Plan sponsor’s address	2850 W. 95TH ST., EVERGREEN PARK, IL, 60805

EVERGREEN PARK PHARMACY PENSION PLAN

2014

800241717

2015-07-24

EVERGREEN PARK PHARMACY

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	446110
Sponsor’s telephone number	7084234700
Plan sponsor’s address	2850 W. 95TH ST., EVERGREEN PARK, IL, 60805

EVERGREEN PARK PHARMACY PENSION PLAN

2013

800241717

2014-10-14

EVERGREEN PARK PHARMACY

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	446110
Sponsor’s telephone number	7084234700
Plan sponsor’s address	2850 W. 95TH ST., EVERGREEN PARK, IL, 60805

Agent

Name and Address	Role	Appointment Date
MICHAEL R NAUGHTON, 155 W NORTH PO BOX 193, MANHATTAN, 60442, WILL	Agent	1991-10-30

President

Name and Address	Role
CHANG SUN LIN, 10804 S LACROSSE OAK LAWN 60453	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	1000	100000	No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State