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  5. MERZ APOTHECARY, INC.

MERZ APOTHECARY, INC.

Company Details

Entity Name: MERZ APOTHECARY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 May 1991
Company Number: CORP_56393935
File Number: 56393935
Type of Business: All Inclusive Purpose
Address 4716 - 4718 N LINCOLN AVE 1ST, CHICAGO, IL, 60625
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2023 363769993 2024-09-16 MERZ APOTHECARY, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2024-09-16
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-16
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2022 363769993 2023-04-25 MERZ APOTHECARY, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2023-04-25
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-25
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2021 363769993 2022-08-01 MERZ APOTHECARY, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-01
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2020 363769993 2021-04-19 MERZ APOTHECARY, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2021-04-19
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-19
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2019 363769993 2020-03-16 MERZ APOTHECARY, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2020-03-16
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-16
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2018 363769993 2019-05-20 MERZ APOTHECARY, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2019-05-20
Name of individual signing DIANA DANEV
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-20
Name of individual signing DIANA DANEV
Valid signature Filed with authorized/valid electronic signature
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2017 363769993 2018-05-17 MERZ APOTHECARY, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing DIANA DANEV
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-17
Name of individual signing DIANA DANEV
Valid signature Filed with authorized/valid electronic signature
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2016 363769993 2017-07-07 MERZ APOTHECARY, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2017-07-07
Name of individual signing DIANA DANEV
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-07
Name of individual signing DIANA DANEV
Valid signature Filed with authorized/valid electronic signature
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2015 363769993 2016-07-12 MERZ APOTHECARY, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing DIANA DANEV
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-12
Name of individual signing ANTHONY QAIYUM
Valid signature Filed with authorized/valid electronic signature
MERZ APOTHECARY, INC. CROSS-TESTED PROFIT SHARING PLAN 2014 363769993 2015-07-06 MERZ APOTHECARY, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-03-11
Business code 446110
Sponsor’s telephone number 7739890900
Plan sponsor’s address 4716 N LINCOLN AVE, CHICAGO, IL, 606252010

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing DIANA DANEV
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-06
Name of individual signing DIANA DANEV
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DON RENNER, 1415 WEST 22ND STREET, TOWER FLOOR, OAK BROOK, 60523, DU PAGE Agent 2024-09-05

Secretary

Name and Address Role Account Number
RITA W QAIYUM 4716 N LINCOLN AVE CHICAGO IL 60625 Secretary 26979

President

Name and Address Role Account Number
ANTHONY QAIYUM 4716 N LINCOLNAVE CHICAGO IL 60625 President 26979

Shareholder

Name and Address Role Account Number
ABDUL QAIYUM GST TRUST Shareholder 26979

CEO

Name and Address Role Account Number
ABDUL QAIYUM CEO 26979

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2813015 Issued 1010 Limited Business License 708 - Miscellaneous Commercial Services 2023-08-15 2023-09-16 2025-09-15
BUSINESS LICENSE 2374273 Issued 1010 Limited Business License 904 - Retail Sales of General Merchandise 2023-08-15 2023-09-16 2025-09-15
BUSINESS LICENSE 2723495 Cancelled 1010 Limited Business License 904 - Retail Sales of General Merchandise 2020-03-18 2020-03-18 2021-09-15
BUSINESS LICENSE 12243 Cancelled 1010 Limited Business License No data 2013-07-30 2013-09-16 2015-09-15
PHARMACY 004000635 No data No data LICENSED WHOLESALE DRUG DISTRIBUTOR No data 1996-02-02 2022-10-12 2024-12-31
PHARMACY 054011050 No data No data LICENSED PHARMACY No data 1991-07-10 2024-03-13 2026-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
Q BROTHERS Assume Name 2016-05-11 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON VOTING No data Voting Rights 1000 1000000 No data
COMMON NON VOTING No data No Voting Rights 9000 9000000 No data

Related by officers

DON RENNER, 1415 WEST 22ND STREET, TOWER FLOOR, OAK BROOK, 60523, DU PAGE

CRAIG KRUSE MEMORIAL FUND

ABDUL QAIYUM GST TRUST

KOBO ENTERPRISES LLC

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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