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  5. ILLINI PHARMACY SERVICES, LLC

ILLINI PHARMACY SERVICES, LLC

Company Details

Entity Name: ILLINI PHARMACY SERVICES, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 20 Sep 2010
Company Number: LLC_03381536
File Number: 03381536
Type of Management: Member Managed
Date Status Change: 10 Sep 2024
Address 675 W IMBODEN DRIVE, DECATUR, 62521, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ILLINI PHARMACY SERVICES 401(K) PLAN 2021 273501904 2022-10-12 ILLINI PHARMACY SERVICES LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 675 W. IMBODEN, DECATUR, IL, 62521
ILLINI PHARMACY SERVICES 401(K) PLAN 2020 273501904 2021-10-14 ILLINI PHARMACY SERVICES LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 636 W. IMBODEN, DECATUR, IL, 62521
ILLINI PHARMACY SERVICES 401(K) PLAN 2019 273501904 2020-10-12 ILLINI PHARMACY SERVICES LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 636 W. IMBODEN, DECATUR, IL, 62521
ILLINI PHARMACY SERVICES 401(K) PLAN 2018 273501904 2019-10-14 ILLINI PHARMACY SERVICES LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 636 W. IMBODEN, DECATUR, IL, 62521
ILLINI PHARMACY SERVICES 401(K) PLAN 2017 273501904 2019-10-14 ILLINI PHARMACY SERVICES LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 636 W. IMBODEN, DECATUR, IL, 62521
ILLINI PHARMACY SERVICES 401(K) PLAN 2017 273501904 2018-10-15 ILLINI PHARMACY SERVICES LLC 16
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 636 W. IMBODEN, DECATUR, IL, 62521
ILLINI PHARMACY SERVICES 401(K) PLAN 2016 273501904 2017-10-16 ILLINI PHARMACY SERVICES LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 636 W. IMBODEN, DECATUR, IL, 62521
ILLINI PHARMACY SERVICES 401(K) PLAN 2015 273501904 2016-09-16 ILLINI PHARMACY SERVICES LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 636 W. IMBODEN, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing HELGA TOWLER
Valid signature Filed with authorized/valid electronic signature
ILLINI PHARMACY SERVICES 401(K) PLAN 2014 273501904 2015-08-11 ILLINI PHARMACY SERVICES LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 636 W. IMBODEN, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2015-08-11
Name of individual signing HELGA TOWLER
Valid signature Filed with authorized/valid electronic signature
ILLINI PHARMACY SERVICES 401(K) PLAN 2013 273501904 2014-07-31 ILLINI PHARMACY SERVICES LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 2177916340
Plan sponsor’s address 636 W. IMBODEN, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing DARRIN SHASTEEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DARRIN W. SHASTEEN, 5780 LAKELYNN DR, MACON, 62544 Agent 2015-09-11

Member

Name and Address Role Appointment Date
SHASTEEN, DARRIN W, 5780 LAKELYNN DRIVE, MACON, IL, 62544 Member 2015-09-01

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PHARMACY 054017565 No data No data LICENSED PHARMACY No data 2010-11-17 2024-03-22 2026-03-31

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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