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BYRD-WATSON SOUTH 9TH DRUG CO.

Company Details

Entity Name: BYRD-WATSON SOUTH 9TH DRUG CO.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 May 1990
Company Number: CORP_55968683
File Number: 55968683
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BYRD WATSON SOUTH 9TH DRUG CO. PROFIT SHARING 401(K) PLAN 2009 371268522 2010-10-13 BYRD-WATSON SOUTH 9TH DRUG 13
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 446110
Sponsor’s telephone number 6182422800
Plan sponsor’s mailing address PO BOX 1179, MOUNT VERNON, IL, 62864
Plan sponsor’s address 1200 MAIN ST., MOUNT VERNON, IL, 62864

Plan administrator’s name and address

Administrator’s EIN 371268522
Plan administrator’s name BYRD-WATSON SOUTH 9TH DRUG
Plan administrator’s address PO BOX 1179, MOUNT VERNON, IL, 62864
Administrator’s telephone number 6182422800

Number of participants as of the end of the plan year

Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 14
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 2010-10-11
Name of individual signing ADAM BREEZE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing ADAM BREEZE
Valid signature Filed with incorrect/unrecognized electronic signature
BYRD WATSON SOUTH 9TH DRUG CO. PROFIT SHARING 401(K) PLAN 2009 371268522 2010-10-13 BYRD-WATSON SOUTH 9TH DRUG 13
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 446110
Sponsor’s telephone number 6182422800
Plan sponsor’s mailing address PO BOX 1179, MOUNT VERNON, IL, 62864
Plan sponsor’s address 1200 MAIN ST., MOUNT VERNON, IL, 62864

Plan administrator’s name and address

Administrator’s EIN 371268522
Plan administrator’s name BYRD-WATSON SOUTH 9TH DRUG
Plan administrator’s address PO BOX 1179, MOUNT VERNON, IL, 62864
Administrator’s telephone number 6182422800

Number of participants as of the end of the plan year

Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 14
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 2010-10-12
Name of individual signing ADAM BREEZE
Valid signature Filed with authorized/valid electronic signature
BYRD WATSON SOUTH 9TH DRUG CO. PROFIT SHARING 401(K) PLAN 2009 371268522 2010-10-12 BYRD-WATSON SOUTH 9TH DRUG 13
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 446110
Sponsor’s telephone number 6182422800
Plan sponsor’s mailing address PO BOX 1179, MOUNT VERNON, IL, 62864
Plan sponsor’s address 1200 MAIN ST., MOUNT VERNON, IL, 62864

Plan administrator’s name and address

Administrator’s EIN 371268522
Plan administrator’s name BYRD-WATSON SOUTH 9TH DRUG
Plan administrator’s address PO BOX 1179, MOUNT VERNON, IL, 62864
Administrator’s telephone number 6182422800

Number of participants as of the end of the plan year

Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 14
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 2010-10-11
Name of individual signing ADAM BREEZE
Valid signature Filed with incorrect/unrecognized electronic signature
BYRD WATSON SOUTH 9TH DRUG CO. PROFIT SHARING 401(K) PLAN 2009 371268522 2010-10-11 BYRD-WATSON SOUTH 9TH DRUG 13
Three-digit plan number (PN) 001
Effective date of plan 1982-07-01
Business code 446110
Sponsor’s telephone number 6182422800
Plan sponsor’s mailing address PO BOX 1179, MOUNT VERNON, IL, 62864
Plan sponsor’s address 1200 MAIN ST., MOUNT VERNON, IL, 62864

Plan administrator’s name and address

Administrator’s EIN 371268522
Plan administrator’s name BYRD-WATSON SOUTH 9TH DRUG
Plan administrator’s address PO BOX 1179, MOUNT VERNON, IL, 62864
Administrator’s telephone number 6182422800

Number of participants as of the end of the plan year

Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 14
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 2010-10-11
Name of individual signing ADAM BREEZE
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
ADAM BREEZE, 1200 MAIN ST PO BOX 1179, MT VERNON, 62864, JEFFERSON Agent 2008-04-03

President

Name and Address Role
BRENDA BREEZE, 317 N 9TH, MOUNT VERNON 62864 President

Secretary

Name and Address Role
ADAM BREEZE 16267 HAWTHORN DR Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
HME AND SERVICES PROV 203000867 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2006-12-29 2024-01-04 2027-03-31
PHARMACY 004000811 No data No data LICENSED WHOLESALE DRUG DISTRIBUTOR No data 2004-06-02 2004-06-02 2004-12-31
PHARMACY 054009957 No data No data LICENSED PHARMACY No data 1990-08-13 2014-02-26 2016-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BYRD-WATSON SCRUBS & MEDICAL Assume Name 2024-10-11 No data No data No data
BYRD-WATSON SHOES Assume Name 2024-10-11 No data No data No data
BYRD-WATSON MEDICAL DOWNTOWN Assume Name 2019-07-05 No data No data No data

Historical Names

Name Change Date
SOUTH 9TH DRUG CO. 1990-08-10

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State