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  5. STULTZ PHARMACY, INC.

STULTZ PHARMACY, INC.

Company Details

Name: STULTZ PHARMACY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 13 Aug 1979 (46 years ago)
Organization Date: 13 Aug 1979 (46 years ago)
Last Annual Report: 04 Feb 2025 (2 months ago)
Organization Number: 0140088
Industry: Miscellaneous Retail
Number of Employees: Medium (20-99)
ZIP code: 41144
City: Greenup, Lloyd, Load, Oldtown, Wurtland
Primary County: Greenup County
Principal Office: 1615 ASHLAND ROAD, GREENUP, KY 41144
Place of Formation: KENTUCKY
Common No Par Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2023 610959028 2025-01-24 STULTZ PHARMACY, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2025-01-24
Name of individual signing DAVID B STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY CBS BENEFIT PLAN 2023 610959028 2024-12-30 STULTZ PHARMACY 13
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name JOSEPH HSU
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2024-12-30
Name of individual signing JOSEPH HSU
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY CBS BENEFIT PLAN 2022 610959028 2023-12-27 STULTZ PHARMACY 20
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2022 610959028 2024-06-14 STULTZ PHARMACY, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2024-06-14
Name of individual signing DAVID B STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY CBS BENEFIT PLAN 2021 610959028 2022-12-29 STULTZ PHARMACY 18
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2021 610959028 2023-07-03 STULTZ PHARMACY, INC. 45
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2023-07-03
Name of individual signing DAVID B STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2021 610959028 2024-06-14 STULTZ PHARMACY, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2024-06-14
Name of individual signing DAVID B STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY CBS BENEFIT PLAN 2020 610959028 2021-12-14 STULTZ PHARMACY 15
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2020 610959028 2022-01-13 STULTZ PHARMACY, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2022-01-13
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY CBS BENEFIT PLAN 2019 610959028 2020-12-23 STULTZ PHARMACY 16
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name KELLY WOLF
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2020-12-23
Name of individual signing KELLY WOLF
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/01/27/20210127075123NAL0007249441001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2021-01-27
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/11/21/20191121072457P030111473357001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2019-11-21
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/12/23/20181223113604P040115461383001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2018-12-23
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/01/31/20180131085724P040065586833001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/02/12/20170212141401P030015188199001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2017-02-12
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/04/28/20160428122858P040056251777001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/04/06/20150406114247P040164069751001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2015-04-06
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
BRAD STULTZ Registered Agent

Director

Name Role
DAVID R. STULTZ Director

Incorporator

Name Role
DAVID R. STULTZ Incorporator

President

Name Role
BRAD STULTZ President

Secretary

Name Role
LESLIE STULTZ Secretary

Assumed Names

Name Status Expiration Date
D & D INFUSIONS Inactive 2026-10-22

Filings

Name File Date
Annual Report 2025-02-04
Annual Report 2024-02-28
Annual Report 2023-03-14
Annual Report 2022-03-05
Certificate of Withdrawal of Assumed Name 2022-03-01
Certificate of Assumed Name 2021-10-22
Annual Report 2021-02-11
Annual Report 2020-02-16
Annual Report 2019-04-18
Annual Report 2018-04-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5030547007 2020-04-04 0457 PPP 1615 ASHLAND RD, GREENUP, KY, 41144-1207
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 410700
Loan Approval Amount (current) 410700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 57732
Servicing Lender Name Peoples Bank
Servicing Lender Address 138 Putnam St, MARIETTA, OH, 45750-2923
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address GREENUP, GREENUP, KY, 41144-1207
Project Congressional District KY-04
Number of Employees 30
NAICS code 446110
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 57732
Originating Lender Name Peoples Bank
Originating Lender Address MARIETTA, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 414556.02
Forgiveness Paid Date 2021-04-01
5586738606 2021-03-20 0457 PPS 1615 Ashland Rd, Greenup, KY, 41144-1207
Loan Status Date 2022-04-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 410713.7
Loan Approval Amount (current) 410713.7
Undisbursed Amount 0
Franchise Name -
Lender Location ID 57732
Servicing Lender Name Peoples Bank
Servicing Lender Address 138 Putnam St, MARIETTA, OH, 45750-2923
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Greenup, GREENUP, KY, 41144-1207
Project Congressional District KY-04
Number of Employees 26
NAICS code 446110
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 57732
Originating Lender Name Peoples Bank
Originating Lender Address MARIETTA, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 414592.66
Forgiveness Paid Date 2022-03-03

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DAVID R. STULTZ

STULTZ HOME MEDICAL SUPPLIES, INC.

LESLIE STULTZ

STULTZ HOME MEDICAL SUPPLIES, INC. SERVE AND SALUTE VENTURES LLC

Related by address

1615 ASHLAND ROAD, GREENUP, KY 41144

D&D DELIVERY SERVICES, LLC

Sources: Kentucky Secretary of State

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