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  5. ALTAMONT PHARMACY, INC.

ALTAMONT PHARMACY, INC.

Company Details

Entity Name: ALTAMONT PHARMACY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 13 Jan 1986
Date of Dissolution: 11 Dec 2024
Company Number: CORP_54105428
File Number: 54105428
Type of Business: Business Corporations
Date Status Change: 11 Dec 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2020 371190128 2021-07-21 ALTAMONT PHARMACY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N 3RD ST, ALTAMONT, IL, 624111408
Plan sponsor’s address 12 N 3RD ST, ALTAMONT, IL, 624111408

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 1
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2019 371190128 2020-07-22 ALTAMONT PHARMACY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N 3RD ST, ALTAMONT, IL, 624111408
Plan sponsor’s address 12 N 3RD ST, ALTAMONT, IL, 624111408

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-22
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2018 371190128 2019-06-17 ALTAMONT PHARMACY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N 3RD ST, ALTAMONT, IL, 624111408
Plan sponsor’s address 12 N 3RD ST, ALTAMONT, IL, 624111408

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2019-06-15
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2017 371190128 2018-07-24 ALTAMONT PHARMACY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N 3RD ST, ALTAMONT, IL, 624111408
Plan sponsor’s address 12 N 3RD ST, ALTAMONT, IL, 624111408

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2015 371190128 2016-07-25 ALTAMONT PHARMACY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N 3RD ST, ALTAMONT, IL, 624111408
Plan sponsor’s address 12 N 3RD ST, ALTAMONT, IL, 624111408

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2014 371190128 2015-07-02 ALTAMONT PHARMACY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N THIRD ST, ALTAMONT, IL, 62411
Plan sponsor’s address 12 N THIRD ST, ALTAMONT, IL, 62411

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2013 371190128 2014-07-28 ALTAMONT PHARMACY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N THIRD ST, ALTAMONT, IL, 62411
Plan sponsor’s address 12 N THIRD ST, ALTAMONT, IL, 62411

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2014-07-26
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2012 371190128 2013-07-26 ALTAMONT PHARMACY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N THIRD ST, ALTAMONT, IL, 62411
Plan sponsor’s address 12 N THIRD ST, ALTAMONT, IL, 62411

Plan administrator’s name and address
Administrator’s EIN 371190128
Plan administrator’s name ALTAMONT PHARMACY INC
Plan administrator’s address 12 N THIRD ST, ALTAMONT, IL, 62411
Administrator’s telephone number 6184835614

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2011 371190128 2012-07-23 ALTAMONT PHARMACY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N THIRD ST, ALTAMONT, IL, 62411
Plan sponsor’s address 12 N THIRD ST, ALTAMONT, IL, 62411

Plan administrator’s name and address
Administrator’s EIN 371190128
Plan administrator’s name ALTAMONT PHARMACY INC
Plan administrator’s address 12 N THIRD ST, ALTAMONT, IL, 62411
Administrator’s telephone number 6184835614

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature
ALTAMONT PHARMACY INC PROFIT SHARING PLAN 2010 371190128 2011-07-27 ALTAMONT PHARMACY INC 6
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 424210
Sponsor’s telephone number 6184835614
Plan sponsor’s mailing address 12 N THIRD ST, ALTAMONT, IL, 62411
Plan sponsor’s address 12 N THIRD ST, ALTAMONT, IL, 62411

Plan administrator’s name and address
Administrator’s EIN 371190128
Plan administrator’s name ALTAMONT PHARMACY INC
Plan administrator’s address 12 N THIRD ST, ALTAMONT, IL, 62411
Administrator’s telephone number 6184835614

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 1
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Employer/plan sponsor
Date 2011-07-27
Name of individual signing DOUG PHILLIPS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DOUG PHILLIPS, 110 N 10TH ST, ALTAMONT, 62411, EFFINGHAM Agent 2023-11-20

President

Name and Address Role
DOUG PHILLIPS 110 N. 10TH ST,P.O. BOX 19, ALTAMONT IL 62411 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054008775 No data No data LICENSED PHARMACY No data 1997-01-01 2022-04-29 2024-03-31

Shares

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