PEE DEE KAY, INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

PEE DEE KAY INC. QUALIFIED RETIREMENT PLAN AND TRU ST

2009

363606082

2010-03-16

PEE DEE KAY INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	446110
Sponsor’s telephone number	6304819800
Plan sponsor’s mailing address	3179 W MADISON ST, ADDRESS LINE 2, CHICAGO, IL, 606121809
Plan sponsor’s address	3179 W MADISON ST, CHICAGO, IL, 606121809

Plan administrator’s name and address

Administrator’s EIN	363606082
Plan administrator’s name	PEE DEE KAY INC.
Plan administrator’s address	3179 W MADISON ST, ADDRESS LINE 2, CHICAGO, IL, 606121809
Administrator’s telephone number	6304819800

Number of participants as of the end of the plan year

Active participants	0
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	0
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	2010-03-16
Name of individual signing	MAHENDRA KHATAU
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
ARUNA KHATAU, 9330 CASCADE CIRCLE, BURR RIDGE, 60527, DU PAGE	Agent	2006-07-07

Name and Address	Role	Account Number
MAHENDRA KHATAU, 9330 CASCADE CIRCLE BURR RIDGE IL, 60527	President	No data
MAHENDRA P KHATAU	President	27976

Name and Address	Role	Account Number
ARUNA KHATAU	Secretary	27976

License Type	License Number	Status	License Code	License Description	Business Activity	Date Issued	Effective Date	Expiration Date
BUSINESS LICENSE	16103	Issued	1010	Limited Business License	No data	2012-08-01	2012-09-16	2014-09-15
BUSINESS LICENSE	1892045	Issued	1010	Limited Business License	No data	2010-08-17	2010-09-16	2012-09-15
HME AND SERVICES PROV	203000998	No data	No data	HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER	No data	2008-03-31	2008-03-31	2009-03-31
HME AND SERVICES PROV	203000905	No data	No data	HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER	No data	2007-05-18	2015-02-03	2018-03-31
PHARMACY	054009502	No data	No data	LICENSED PHARMACY	No data	1988-11-03	2014-01-15	2016-03-31

Name	Type	Effective Date	Cancellation Date	Cancellation Type	Last Renewal Date
KEDZIE MADISON DRUGS	No data	2012-10-19	2015-09-01	Voluntary Cancellation	No data

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	100	100000	No data

Date of last update: 16 Jan 2025