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  5. CENTRAL CITY CLINIC PHARMACY, INC.

CENTRAL CITY CLINIC PHARMACY, INC.

Company Details

Name: CENTRAL CITY CLINIC PHARMACY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 Jul 1972 (53 years ago)
Organization Date: 31 Jul 1972 (53 years ago)
Last Annual Report: 13 Feb 2025 (2 months ago)
Organization Number: 0008363
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42330
City: Central City, Central Cty
Primary County: Muhlenberg County
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

Director

Name Role
RAYMOND DARRELL GENTRY Director
T. C. LAMB 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

Registered Agent

Name Role
R. DARREL GENTRY Registered Agent

Assumed Names

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

Filings

Name File Date
Annual Report 2025-02-13
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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3009147110 2020-04-11 0457 PPP 203 N Second St, CENTRAL CITY, KY, 42330-1205
Loan Status Date 2021-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 248200
Loan Approval Amount (current) 248200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21641
Servicing Lender Name Old National Bank
Servicing Lender Address One Main St, EVANSVILLE, IN, 47708-1449
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address CENTRAL CITY, MUHLENBERG, KY, 42330-1205
Project Congressional District KY-02
Number of Employees 22
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 21641
Originating Lender Name Old National Bank
Originating Lender Address EVANSVILLE, IN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 249818.4
Forgiveness Paid Date 2020-12-31

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

Sources: Kentucky Secretary of State

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