| Entity Name: | ORSINI PHARMACEUTICAL SERVICES, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 09 Apr 2018 |
| Company Number: | LLC_06593186 |
| File Number: | 06593186 |
| Type of Management: | Manager Managed |
| Date Status Change: | 27 Feb 2024 |
| Address | 1111 NICHOLAS BLVD., ELK GROVE VILLAGE, 60007, IL |
| Place of Formation: | DELAWARE |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE ORSINI GROUP | 2022 | 943391230 | 2024-06-12 | ORSINI HEALTHCARE | 184 | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||
| Active participants | 321 |
Signature of
| Role | Plan administrator |
| Date | 2024-06-12 |
| Name of individual signing | CARLA SAWA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-06-12 |
| Name of individual signing | CARLA SAWA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2006-09-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8477347373 |
| Plan sponsor’s mailing address | 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 600072516 |
| Plan sponsor’s address | 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 600072516 |
Number of participants as of the end of the plan year
| Active participants | 174 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-23 |
| Name of individual signing | CARLA SAWA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2006-09-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8477347373 |
| Plan sponsor’s mailing address | 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 600072516 |
| Plan sponsor’s address | 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 600072516 |
Number of participants as of the end of the plan year
| Active participants | 184 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-15 |
| Name of individual signing | CARLA SAWA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-06-15 |
| Name of individual signing | CARLA SAWA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2006-09-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8477347373 |
| Plan sponsor’s mailing address | 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 600072516 |
| Plan sponsor’s address | 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 600072516 |
Number of participants as of the end of the plan year
| Active participants | 140 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-15 |
| Name of individual signing | CARLA SAWA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-06-15 |
| Name of individual signing | CARLA SAWA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2006-09-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8477347373 |
| Plan sponsor’s mailing address | 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 600072516 |
| Plan sponsor’s address | 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 600072516 |
Number of participants as of the end of the plan year
| Active participants | 108 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-15 |
| Name of individual signing | CARLA SAWA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CARLA SAWA, 1107 NICHOLAS BLVD., ELK GROVE VILLAGE, 60007 | Agent | 2018-04-09 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BRANDON TOM, 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 60007 | Manager | 2024-02-27 |
| CARLA SAWA, 1111 NICHOLAS BLVD, ELK GROVE VILLAGE, IL, 60007 | Manager | 2024-02-27 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054022744 | No data | No data | LICENSED PHARMACY | No data | 2024-04-09 | 2024-04-09 | 2026-03-31 |
| PHARMACY | 054020692 | No data | No data | LICENSED PHARMACY | No data | 2019-01-02 | 2024-02-23 | 2026-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| ORSINI SPECIALTY PHARMACY | Assumed name | 2021-07-28 | No data | No data | No data |
| ORSINI HEALTHCARE | Assumed name | 2019-01-02 | No data | No data | 2020-02-26 |
| ORSINI PHARMACEUTICAL SERVICES (DE), LLC | Foreign assumed name | 2018-04-09 | No data | No data | 2020-02-26 |
Date of last update: 16 Jan 2025
