| Entity Name: | KUBAT CUSTOM HEALTH CARE, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | NGS |
| Date Formed: | 27 Jan 2022 |
| Company Number: | LLC_10993512 |
| File Number: | 10993512 |
| Type of Management: | Manager Managed |
| Date Status Change: | 01 Jan 2025 |
| Address | 4924 CENTER ST, OMAHA, 68106, NE |
| Place of Formation: | NEBRASKA |
| Name and Address | Role | Appointment Date |
|---|---|---|
| UNIVERSAL REGISTERED AGENTS, INC., 524 S. 2ND STREET, SUITE 505, SPRINGFIELD, 62701, COOK-NOT IN CITY OF CHICAGO | Agent | 2023-01-25 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JAMES HERMAN RICH III, 4924 CENTER ST, OMAHA, NE, 68106 | Manager | 2024-09-20 |
| DR. MITCHELL EUGENE DEINES, 910 COURT ST, BEATRICE, NE, 68310 | Manager | 2024-09-20 |
| STORM, JULIA A., 15822 WEBSTER STREET, OMAHA, NE, 68118 | Manager | 2024-10-01 |
| MUSIL, JOHN, 313 S. 49TH AVENUE, OMAHA, NE, 68118 | Manager | 2024-10-01 |
| HANNUM, JOSHUA E., 1410 N SADDLE CREEK RD., OMAHA, NE, 68132 | Manager | 2024-10-01 |
| CASTNER, RALPH W., 13340 CALIFORNIA ST., SUITE 108, OMAHA, NE, 68154 | Manager | 2024-10-01 |
| MACAITIS, ELIZABETH M., 4523 WALNUT ST., OMAHA, NE, 68106 | Manager | 2024-10-01 |
| PERCIPIO KP HOLDINGS, LLC, 3206 S. 71ST STREET, OMAHA, NE, 68106 | Manager | 2024-10-01 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054022209 | No data | No data | LICENSED PHARMACY | No data | 2022-05-10 | 2024-01-12 | 2026-03-31 |
Date of last update: 20 Jan 2025
