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  5. HARDIN COUNTY DISCOUNT PHARMACY, INC.

HARDIN COUNTY DISCOUNT PHARMACY, INC.

Company Details

Entity Name: HARDIN COUNTY DISCOUNT PHARMACY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 13 Oct 1987
Company Number: CORP_54831668
File Number: 54831668
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2017 371221765 2018-03-22 HARDIN COUNTY DISCOUNT PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Signature of
Role Plan administrator
Date 2018-03-22
Name of individual signing RICK WILBORN
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2017 371221765 2018-04-23 HARDIN COUNTY DISCOUNT PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Signature of
Role Plan administrator
Date 2018-04-23
Name of individual signing WILLIAM RICHARD WILBORN
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2016 371221765 2017-03-09 HARDIN COUNTY DISCOUNT PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 371221765
Plan administrator’s name HARDIN COUNTY DISCOUNT PHARMACY, INC.
Plan administrator’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856618

Signature of
Role Plan administrator
Date 2017-03-09
Name of individual signing RICK WILBORN
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2015 371221765 2016-02-10 HARDIN COUNTY DISCOUNT PHARMACY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 371221765
Plan administrator’s name HARDIN COUNTY DISCOUNT PHARMACY, INC.
Plan administrator’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856618

Signature of
Role Plan administrator
Date 2016-02-10
Name of individual signing RICK WILBORN
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2014 371221765 2015-04-23 HARDIN COUNTY DISCOUNT PHARMACY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 371221765
Plan administrator’s name HARDIN COUNTY DISCOUNT PHARMACY, INC.
Plan administrator’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856618

Signature of
Role Plan administrator
Date 2015-04-23
Name of individual signing RICK WILBORN
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2013 371221765 2014-04-14 HARDIN COUNTY DISCOUNT PHARMACY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 371221765
Plan administrator’s name HARDIN COUNTY DISCOUNT PHARMACY, INC.
Plan administrator’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856618

Signature of
Role Plan administrator
Date 2014-04-14
Name of individual signing RICK WILBORN
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2012 371221765 2013-06-20 HARDIN COUNTY DISCOUNT PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 371221765
Plan administrator’s name HARDIN COUNTY DISCOUNT PHARMACY, INC.
Plan administrator’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856618

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing RICK WILBORN
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2011 371221765 2012-03-12 HARDIN COUNTY DISCOUNT PHARMACY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 371221765
Plan administrator’s name HARDIN COUNTY DISCOUNT PHARMACY, INC.
Plan administrator’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856618

Signature of
Role Plan administrator
Date 2012-03-12
Name of individual signing RICK WILBORN
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2010 371221765 2011-04-28 HARDIN COUNTY DISCOUNT PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 371221765
Plan administrator’s name HARDIN COUNTY DISCOUNT PHARMACY, INC.
Plan administrator’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856618

Signature of
Role Plan administrator
Date 2011-04-28
Name of individual signing RICK WILBORN
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY DISCOUNT PHARMACY 401(K) P/S PLAN 2009 371221765 2010-06-14 HARDIN COUNTY DISCOUNT PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 446110
Sponsor’s telephone number 6182856618
Plan sponsor’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 371221765
Plan administrator’s name HARDIN COUNTY DISCOUNT PHARMACY, INC.
Plan administrator’s address NO 7 FERRELL RD PO BOX 37, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856618

Signature of
Role Plan administrator
Date 2010-06-14
Name of individual signing WILLIAM RICHARD WILBORN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD WILBORN, 2201 COVERED BRIDGE RD SPRINGFIELD, CHATHAM, 62629, SANGAMON Agent 2023-02-03

President

Name and Address Role
WILLIAM RICHARD WILBORN, 2201COVERED BRIDGE RD CHATAM IL President

Secretary

Name and Address Role
MARGARET ELLEN WILBORN 2201 COVERED BRIDGE RD CHATAM IL Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054009291 No data No data LICENSED PHARMACY No data 1988-01-07 2016-02-18 2018-03-31

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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