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  5. KHOURY PHARMACY, INC.

KHOURY PHARMACY, INC.

Company Details

Entity Name: KHOURY PHARMACY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 02 Feb 2001
Company Number: CORP_61478787
File Number: 61478787
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KHOURY PHARMACY, INC. PROFIT SHARING & 401(K) PLAN & TRUST 2023 371407262 2024-07-31 KHOURY PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST., COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
KHOURY PHARMACY, INC. PROFIT SHARING & 401(K) PLAN & TRUST 2022 371407262 2023-07-28 KHOURY PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST., COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2023-07-28
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-28
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
KHOURY PHARMACY, INC. PROFIT SHARING & 401(K) PLAN & TRUST 2021 371407262 2022-09-28 KHOURY PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST., COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-28
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
KHOURY PHARMACY, INC PROFIT SHARING & 401(K) PLAN & TRUST 2020 371407262 2021-06-30 KHOURY PHARMACY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST, COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2021-06-30
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
KHOURY PHARMACY, INC PROFIT SHARING & 401(K) PLAN & TRUST 2019 371407262 2020-06-30 KHOURY PHARMACY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST, COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
KHOURY PHARMACY, INC PROFIT SHARING & 401(K) PLAN & TRUST 2019 371407262 2020-06-24 KHOURY PHARMACY, INC 6
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST, COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing PKHOURY6472
Valid signature Filed with authorized/valid electronic signature
KHOURY PHARMACY, INC PROFIT SHARING & 401(K) PLAN & TRUST 2018 371407262 2019-08-14 KHOURY PHARMACY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST, COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2019-08-14
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
KHOURY PHARMACY, INC PROFIT SHARING & 401(K) PLAN & TRUST 2017 371407262 2018-06-13 KHOURY PHARMACY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST, COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
KHOURY PHARMACY, INC PROFIT SHARING & 401(K) PLAN & TRUST 2016 371407262 2017-06-16 KHOURY PHARMACY, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST, COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2017-06-16
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature
KHOURY PHARMACY, INC PROFIT SHARING & 401(K) PLAN & TRUST 2015 371407262 2018-03-16 KHOURY PHARMACY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 446110
Sponsor’s telephone number 6182817133
Plan sponsor’s address 101 N MAIN ST, COLUMBIA, IL, 62236

Signature of
Role Plan administrator
Date 2018-03-16
Name of individual signing PAUL KHOURY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PAUL JOSEPH KHOURY, 101 NORTH MAIN, COLUMBIA, 62236, MONROE Agent 2007-01-26

President

Name and Address Role
PAUL KHOURY 433 BRELLINGER STCOLUMBIA 62236 President

Secretary

Name and Address Role
ANDREA CROWDER KHOURY 433 BRELLINGER ST COLUMBIA 62236 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 004003966 No data No data LICENSED WHOLESALE DRUG DISTRIBUTOR No data 2015-03-06 2023-03-09 2024-12-31
PHARMACY 054017737 No data No data LICENSED PHARMACY No data 2011-09-29 2016-03-03 2018-03-31
PHARMACY 054014547 No data No data LICENSED PHARMACY No data 2001-06-28 2024-01-11 2026-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
KHOURY SUPPLY No data 2014-10-28 2020-07-10 Involuntary Cancellation No data
RON'S PHARMACY No data 2001-05-02 2020-07-10 Involuntary Cancellation No data

Shares

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

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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