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BROADWAY PHARMACY, INC.

Company Details

Entity Name: BROADWAY PHARMACY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Jan 1998
Company Number: CORP_59785079
File Number: 59785079
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROADWAY PHARMACY, INC., DEFINED BENEFIT PLAN 2018 364219580 2019-08-17 BROADWAY PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732710727
Plan sponsor’s address 4564 N BROADWAY ST, CHICAGO, IL, 606405602

Signature of

Role Plan administrator
Date 2019-08-17
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-17
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
BROADWAY PHARMACY, INC., DEFINED BENEFIT PLAN 2017 364219580 2019-01-12 BROADWAY PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732710727
Plan sponsor’s address 4564 N BROADWAY ST, CHICAGO, IL, 606405602

Signature of

Role Plan administrator
Date 2019-01-12
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-12
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
BROADWAY PHARMACY, INC., DEFINED BENEFIT PLAN 2016 364219580 2017-09-25 BROADWAY PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732719727
Plan sponsor’s address 4564 N BROADWAY ST, CHICAGO, IL, 606405602

Signature of

Role Plan administrator
Date 2017-09-25
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-25
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
BROADWAY PHARMACY, INC., PROFIT SHARING PLAN 2015 364219580 2017-08-12 BROADWAY PHARMACY, INC. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732719727
Plan sponsor’s address 4564 N BROADWAY ST, CHICAGO, IL, 606405602

Signature of

Role Plan administrator
Date 2017-08-12
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-12
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
BROADWAY PHARMACY, INC., DEFINED BENEFIT PLAN 2015 364219580 2016-10-17 BROADWAY PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732719727
Plan sponsor’s address 4564 N BROADWAY ST, CHICAGO, IL, 606405602

Signature of

Role Plan administrator
Date 2016-10-16
Name of individual signing DEBI BERG
Valid signature Filed with authorized/valid electronic signature
BROADWAY PHARMACY, INC., PROFIT SHARING PLAN 2015 364219580 2016-10-17 BROADWAY PHARMACY, INC. 2
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732719727
Plan sponsor’s address 4564 N BROADWAY ST, CHICAGO, IL, 606405602

Signature of

Role Plan administrator
Date 2016-10-16
Name of individual signing DEBI BERG
Valid signature Filed with authorized/valid electronic signature
BROADWAY PHARMACY, INC., PROFIT SHARING PLAN 2014 364219580 2015-10-15 BROADWAY PHARMACY, INC. 2
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732719727
Plan sponsor’s address 4564 NORTH BROADWAY, CHICAGO, IL, 60640
BROADWAY PHARMACY, INC., PROFIT SHARING PLAN 2014 364219580 2017-08-12 BROADWAY PHARMACY, INC. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732719727
Plan sponsor’s address 4564 NORTH BROADWAY, CHICAGO, IL, 60460

Signature of

Role Plan administrator
Date 2017-08-12
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-12
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
BROADWAY PHARMACY, INC., DEFINED BENEFIT PLAN 2014 364219580 2015-10-15 BROADWAY PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732719727
Plan sponsor’s address 4564 NORTH BROADWAY, CHICAGO, IL, 60640
BROADWAY PHARMACY, INC., PROFIT SHARING PLAN 2013 364219580 2017-08-12 BROADWAY PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7732719727
Plan sponsor’s address 4564 NORTH BROADWAY, CHICAGO, IL, 60460

Signature of

Role Plan administrator
Date 2017-08-12
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-12
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KANU C PARIKH, 1450 S NEW WILKE RD STE 102, ARLINGTON HEIGHTS, 60005, COOK-NOT IN CITY OF CHICAGO Agent 2021-07-20

President

Name and Address Role
JAYPRAKASH PANDYA 825 HERITAGEDR MT PROSPECT IL, 60056 President

Secretary

Name and Address Role
HINA PANDYA 825 HERITAGE DR MTPROSPECT IL, 60056 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054013828 No data No data LICENSED PHARMACY No data 1998-03-30 2024-02-16 2026-03-31

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State