| Entity Name: | AFFINITY PHARMACY CARE LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 13 Jul 2018 |
| Company Number: | LLC_07071361 |
| File Number: | 07071361 |
| Type of Management: | Manager Managed |
| Date Status Change: | 30 Aug 2024 |
| Address | 135 E ST CHARLES ROAD, SUITE D, CAROL STREAM, 60188, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFINITY PHARMACY CARE 401(K) PLAN | 2023 | 831348068 | 2024-05-21 | AFFINITY PHARMACY CARE LLC | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-21 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NANCY KIMME, 217 E MONROE ST STE 102, SPRINGFIELD, 62701 | Agent | 2019-05-29 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KIMME, NANCY, 135 E ST CHARLES ROAD, SUITE D, CAROL STREAM, IL, 60188 | Manager | 2024-08-30 |
| CARPINO, EUGENE, 135 E ST CHARLES ROAD, SUITE D, CAROL STREAM, IL, 60188 | Manager | 2024-08-30 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054021245 | No data | No data | LICENSED PHARMACY | No data | 2019-11-27 | 2024-03-08 | 2026-03-31 |
Date of last update: 16 Jan 2025
