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  5. CENTRAL CITY CLINIC PHARMACY, INC.

CENTRAL CITY CLINIC PHARMACY, INC.

Company Details

Name: CENTRAL CITY CLINIC PHARMACY, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 31 Jul 1972 (52 years ago)
Organization Date: 31 Jul 1972 (52 years ago)
Last Annual Report: 30 May 2024 (8 months ago)
Organization Number: 0008363
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42330
Primary County: Muhlenberg
Principal Office: 203 N SECOND STREET, CENTRAL CITY, KY 42330
Place of Formation: KENTUCKY
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHARMACY GROUP 401(K) PLAN 2023 610732065 2024-09-17 CENTRAL CITY CLINIC PHARMACY, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2024-09-17
Name of individual signing MS THERESA ELLIOTT
Valid signature Filed with authorized/valid electronic signature
PHARMACY GROUP 401(K) PLAN 2022 610732065 2023-05-19 CENTRAL CITY CLINIC PHARMACY, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2023-05-19
Name of individual signing MS THERESA ELLIOTT
Valid signature Filed with authorized/valid electronic signature
PHARMACY GROUP 401(K) PLAN 2021 610732065 2022-06-27 CENTRAL CITY CLINIC PHARMACY, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing MS THERESA ELLIOTT
Valid signature Filed with authorized/valid electronic signature
PHARMACY GROUP 401(K) PLAN 2020 610732065 2021-07-07 CENTRAL CITY CLINIC PHARMACY, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing MS THERESA ELLIOTT
Valid signature Filed with authorized/valid electronic signature
PHARMACY GROUP 401(K) PLAN 2019 610732065 2020-05-04 CENTRAL CITY CLINIC PHARMACY, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing MS THERESA ELLIOTT
Valid signature Filed with authorized/valid electronic signature
PHARMACY GROUP 401(K) PLAN 2018 610732065 2019-05-02 CENTRAL CITY CLINIC PHARMACY, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
PHARMACY GROUP 401(K) PLAN 2017 610732065 2018-06-21 CENTRAL CITY CLINIC PHARMACY, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
PHARMACY GROUP 401(K) PLAN 2016 610732065 2017-04-24 CENTRAL CITY CLINIC PHARMACY, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2017-04-24
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
PHARMACY GROUP 401(K) PLAN 2015 610732065 2016-05-03 CENTRAL CITY CLINIC PHARMACY, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2016-05-03
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
PHARMACY GROUP 401(K) PLAN 2014 610732065 2015-04-24 CENTRAL CITY CLINIC PHARMACY, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2015-04-24
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/09/20140709151417P040012837741001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/09/20130409115203P030164327507001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Signature of
Role Plan administrator
Date 2013-04-09
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/02/20120402095643P030063356817001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Plan administrator’s name and address
Administrator’s EIN 610732065
Plan administrator’s name CENTRAL CITY CLINIC PHARMACY, INC.
Plan administrator’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287
Administrator’s telephone number 2707544300

Signature of
Role Plan administrator
Date 2012-04-02
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/06/20110706202403P040091420945001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287

Plan administrator’s name and address
Administrator’s EIN 610732065
Plan administrator’s name CENTRAL CITY CLINIC PHARMACY, INC.
Plan administrator’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 423301287
Administrator’s telephone number 2707544300

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/12/20100712135741P030124394450001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 446110
Sponsor’s telephone number 2707544300
Plan sponsor’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 42330

Plan administrator’s name and address
Administrator’s EIN 610732065
Plan administrator’s name CENTRAL CITY CLINIC PHARMACY, INC.
Plan administrator’s address 203 N. SECOND STREET, CENTRAL CITY, KY, 42330
Administrator’s telephone number 2707544300

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-12
Name of individual signing ELIZABETH ANN GENTRY
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
R. DARREL GENTRY Registered Agent

Director

Name Role
T. C. LAMB Director
RAYMOND DARRELL GENTRY Director

Incorporator

Name Role
T. C. LAMB Incorporator

President

Name Role
Raymond Darrel Gentry President

Secretary

Name Role
Elizabeth Ann Gentry Secretary

Vice President

Name Role
Darren Shane Fogle Vice President

Assumed Names

Name Status Expiration Date
CLINIC WELLNESS CENTER Active 2025-08-03
CLINIC PHARMACY SOUTH Active 2025-08-03

Filings

Name File Date
Annual Report 2024-05-30
Annual Report 2023-05-03
Annual Report 2022-03-07
Annual Report 2021-06-10
Certificate of Assumed Name 2020-08-03
Certificate of Assumed Name 2020-08-03
Annual Report 2020-04-01
Annual Report 2019-06-04
Annual Report 2018-06-21
Annual Report 2017-06-12

Related by officers

Raymond Darrel Gentry

MEDICAL CENTER PHARMACY, INC. LAKE MALONE, LLC GENTRY REAL ESTATE, LLC G and Y Property, LLC

Elizabeth Ann Gentry

MEDICAL CENTER PHARMACY, INC. LAKE MALONE, LLC GENTRY REAL ESTATE, LLC Gentry Properties, LLC

Related by address

No related companies by address

Date of last update: 04 Dec 2024

Sources: Kentucky Secretary of State

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