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  5. THE MEDICINE SHOPPE OF SOMERSET, INC.

THE MEDICINE SHOPPE OF SOMERSET, INC.

Company Details

Name: THE MEDICINE SHOPPE OF SOMERSET, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 May 1985 (40 years ago)
Organization Date: 31 May 1985 (40 years ago)
Last Annual Report: 03 Feb 2025 (3 months ago)
Organization Number: 0202344
Industry: Miscellaneous Retail
Number of Employees: Medium (20-99)
ZIP code: 42501
City: Somerset, Acorn, Alcalde, Elihu, Poplarville, Publ...
Primary County: Pulaski County
Principal Office: 900 EAST MT. VERNON ST., SOMERSET, KY 42501
Place of Formation: KENTUCKY
Authorized Shares: 10000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICINE SHOPPE OF SOMERSET, INC. CASH BALANCE PLAN 2023 611085613 2024-04-08 MEDICINE SHOPPE OF SOMERSET, INC. 47
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
THE MEDICINE SHOPPE OF SOMERSET INC CBS BENEFIT PLAN 2023 611085613 2024-12-30 THE MEDICINE SHOPPE OF SOMERSET INC 19
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 6066794589
Plan sponsor’s address 900 E MT VERNON ST, SOMERSET, KY, 42501

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
MEDICINE SHOPPE OF SOMERSET, INC. PROFIT SHARING 2023 611085613 2024-04-25 MEDICINE SHOPPE OF SOMERSET, INC. 57
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
MEDICINE SHOPPE OF SOMERSET, INC. PROFIT SHARING 2023 611085613 2024-04-25 MEDICINE SHOPPE OF SOMERSET, INC. 57
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
THE MEDICINE SHOPPE OF SOMERSET INC CBS BENEFIT PLAN 2022 611085613 2023-12-27 THE MEDICINE SHOPPE OF SOMERSET INC 22
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 6066794589
Plan sponsor’s address 900 E MT VERNON ST, SOMERSET, KY, 42501

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
MEDICINE SHOPPE OF SOMERSET, INC. PROFIT SHARING 2022 611085613 2023-09-12 MEDICINE SHOPPE OF SOMERSET, INC. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
MEDICINE SHOPPE OF SOMERSET, INC. CASH BALANCE PLAN 2022 611085613 2023-10-02 MEDICINE SHOPPE OF SOMERSET, INC. 44
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
MEDICINE SHOPPE OF SOMERSET, INC. PROFIT SHARING 2021 611085613 2022-08-18 MEDICINE SHOPPE OF SOMERSET, INC. 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
THE MEDICINE SHOPPE OF SOMERSET INC CBS BENEFIT PLAN 2021 611085613 2022-12-29 THE MEDICINE SHOPPE OF SOMERSET INC 26
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 6066794589
Plan sponsor’s address 900 E MT VERNON ST, SOMERSET, KY, 42501

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
MEDICINE SHOPPE OF SOMERSET, INC. CASH BALANCE PLAN 2021 611085613 2022-10-03 MEDICINE SHOPPE OF SOMERSET, INC. 39
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/10/05/20211005164938NAL0012488064001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/12/14/20211214151748NAL0000301523001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 6066794589
Plan sponsor’s address 900 E MT VERNON ST, SOMERSET, KY, 42501

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
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/08/18/20210818104253NAL0003055680001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 6066794589
Plan sponsor’s address 900 E MT VERNON ST, SOMERSET, KY, 42501

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/2020/09/22/20200922171208NAL0007006866001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/08/21/20200821151700NAL0004019344001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/12/20191012160654P030003649529001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/11/20191011101733P040030212127001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010081352P040244364727001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/09/20181009140421P040242459191001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010081247P040244361239001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 615 EAST OLD NORWOOD RD, SCIENCE HILL, KY, 42553
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/20/20170720070814P030050657047001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing JAMES CHERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/21/20160921122538P040005067025001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501

Plan administrator’s name and address
Administrator’s EIN 611085613
Plan administrator’s name MEDICINE SHOPPE OF SOMERSET, INC.
Plan administrator’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501
Administrator’s telephone number 6066799227

Signature of
Role Plan administrator
Date 2016-09-21
Name of individual signing JAMES CHERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/19/20150619121656P040051625271001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501

Plan administrator’s name and address
Administrator’s EIN 611085613
Plan administrator’s name MEDICINE SHOPPE OF SOMERSET, INC.
Plan administrator’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501
Administrator’s telephone number 6066799227

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing JAMES CHERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/08/20140708120209P030008261887001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501

Plan administrator’s name and address
Administrator’s EIN 611085613
Plan administrator’s name MEDICINE SHOPPE OF SOMERSET, INC.
Plan administrator’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501
Administrator’s telephone number 6066799227

Signature of
Role Plan administrator
Date 2014-07-08
Name of individual signing JAMES CHERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/23/20130723091003P040040483303001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501

Plan administrator’s name and address
Administrator’s EIN 611085613
Plan administrator’s name MEDICINE SHOPPE OF SOMERSET, INC.
Plan administrator’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501
Administrator’s telephone number 6066799227

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing JAMES CHERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/20/20120720081437P030000668436001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 446110
Sponsor’s telephone number 6066799227
Plan sponsor’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501

Plan administrator’s name and address
Administrator’s EIN 611085613
Plan administrator’s name MEDICINE SHOPPE OF SOMERSET, INC.
Plan administrator’s address 900 E. MOUNT VERNON, SOMERSET, KY, 42501
Administrator’s telephone number 6066799227

Signature of
Role Plan administrator
Date 2012-07-20
Name of individual signing JIM CHERRY
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
SHARON RADFORD CHERRY Incorporator
JAMES RICHARD CHERRY Incorporator

Registered Agent

Name Role
SAIBABU APPALANENI Registered Agent

President

Name Role
Saibabu Appalaneni President

Director

Name Role
JAMES RICHARD CHERRY Director
SHARON RADFORD CHERRY Director

Assumed Names

Name Status Expiration Date
THE MEDICINE SHOPPE Active 2029-06-14

Filings

Name File Date
Annual Report 2025-02-03
Certificate of Assumed Name 2024-06-14
Annual Report 2024-04-17
Registered Agent name/address change 2024-04-15
Annual Report 2023-05-16
Annual Report 2022-05-19
Annual Report 2021-02-10
Registered Agent name/address change 2020-03-20
Annual Report 2020-03-20
Amendment 2019-09-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1313807102 2020-04-10 0457 PPP 900 E Mt Vernon St, SOMERSET, KY, 42501-1228
Loan Status Date 2020-12-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 561800
Loan Approval Amount (current) 561800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27925
Servicing Lender Name The Citizens National Bank of Somerset
Servicing Lender Address 44 Public Sq, SOMERSET, KY, 42501-1414
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SOMERSET, PULASKI, KY, 42501-1228
Project Congressional District KY-05
Number of Employees 57
NAICS code 446110
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 27925
Originating Lender Name The Citizens National Bank of Somerset
Originating Lender Address SOMERSET, KY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 565026.08
Forgiveness Paid Date 2021-02-12

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2024-08-21 2025 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 400
Executive 2023-09-15 2024 Education and Labor Cabinet Department For Workforce Investment Fin Assist/Non-State Emp Rehab-Client Serv Cst-1099 Rpt 478

Related by officers

SAIBABU APPALANENI

PURA VIDA KY RE LLC

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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