| Entity Name: | SENIOR CITIZENS PHARMACY, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 04 Sep 1987 |
| Date of Dissolution: | 01 Feb 1993 |
| Company Number: | CORP_54793375 |
| File Number: | 54793375 |
| Type of Business: | Mercantile (sales only, no service) |
| Date Status Change: | 01 Feb 1993 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING RETIREMENT PLAN | 2011 | 371182537 | 2013-04-24 | SOUTHERN ILLINOIS CENTER FOR INDEPENDENT LIVING | 29 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 371182537 |
| Plan administrator’s name | SOUTHERN ILLINOIS CENTER FOR INDEPE |
| Plan administrator’s address | 2135 W RAMADA LANE, CARBONDALE, IL, 62901 |
| Administrator’s telephone number | 6184573318 |
Signature of
| Role | Plan administrator |
| Date | 2013-04-23 |
| Name of individual signing | BONNIE T VAUGHN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 6184573318 |
| Plan sponsor’s address | 2135 W RAMADA LANE, CARBONDALE, IL, 62901 |
Plan administrator’s name and address
| Administrator’s EIN | 371182537 |
| Plan administrator’s name | SOUTHERN ILLINOIS CENTER FOR INDEPE |
| Plan administrator’s address | 2135 W RAMADA LANE, CARBONDALE, IL, 62901 |
| Administrator’s telephone number | 6184573318 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-11 |
| Name of individual signing | BONNIE T VAUGHN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 6184573318 |
| Plan sponsor’s address | 2135 W RAMANDA LANE, CARBONDALE, IL, 62901 |
Plan administrator’s name and address
| Administrator’s EIN | 371182537 |
| Plan administrator’s name | SOUTHERN ILLINOIS CENTER FOR INDEPE |
| Plan administrator’s address | 2135 W RAMANDA LANE, CARBONDALE, IL, 62901 |
| Administrator’s telephone number | 6184573318 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-11 |
| Name of individual signing | BONNIE T VAUGHN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| WILLIAM PAINTER R PH, 118 S MAIN ST PO BOX 811, WAUCONDA, 60084, LAKE | Agent | 1988-10-13 |
| Name and Address | Role |
|---|---|
| WILLIAM PAINTER, 345 DANIEL ST WAUCONDA IL 60084 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 20000 | 5000000 | No data |
Date of last update: 16 Jan 2025
