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  5. JAMESTOWN VALU-RITE PHARMACY, INC.

JAMESTOWN VALU-RITE PHARMACY, INC.

Company Details

Name: JAMESTOWN VALU-RITE PHARMACY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 16 Jun 1994 (31 years ago)
Organization Date: 16 Jun 1994 (31 years ago)
Last Annual Report: 04 Jun 2024 (a year ago)
Organization Number: 0332048
ZIP code: 42629
City: Jamestown, Bryan, Creelsboro, Rowena, Sewellton
Primary County: Russell County
Principal Office: P.O. 499 1417 N. Main St., JAMESTOWN, KY 42629
Place of Formation: KENTUCKY
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2023 611264836 2024-06-11 JAMESTOWN VALU-RITE PHARMACY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 446110
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2024-06-11
Name of individual signing JEFFREY L. WARNER
Valid signature Filed with authorized/valid electronic signature
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2022 611264836 2023-07-15 JAMESTOWN VALU-RITE PHARMACY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 446110
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2023-07-15
Name of individual signing JEFFREY L. WARNER
Valid signature Filed with authorized/valid electronic signature
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2021 611264836 2022-07-07 JAMESTOWN VALU-RITE PHARMACY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 446110
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2022-07-07
Name of individual signing JEFFREY L. WARNER
Valid signature Filed with authorized/valid electronic signature
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2020 611264836 2021-07-30 JAMESTOWN VALU-RITE PHARMACY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 446110
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing JEFFREY L. WARNER
Valid signature Filed with authorized/valid electronic signature
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2019 611264836 2020-06-19 JAMESTOWN VALU-RITE PHARMACY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 446110
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2020-06-19
Name of individual signing JEFFREY L. WARNER
Valid signature Filed with authorized/valid electronic signature
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2018 611264836 2019-06-10 JAMESTOWN VALU-RITE PHARMACY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 446110
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2019-06-10
Name of individual signing JEFFREY L. WARNER
Valid signature Filed with authorized/valid electronic signature
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2017 611264836 2018-06-26 JAMESTOWN VALU-RITE PHARMACY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 446110
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing JEFFREY L. WARNER
Valid signature Filed with authorized/valid electronic signature
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2016 611264836 2017-09-19 JAMESTOWN VALU-RITE PHARMACY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 446110
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2017-09-19
Name of individual signing JEFFREY L. WARNER
Valid signature Filed with authorized/valid electronic signature
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2015 611264836 2016-07-15 JAMESTOWN VALU-RITE PHARMACY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 446110
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629
JAMESTOWN VALU-RITE PHARMACY 401(K) PLAN 2014 611264836 2015-05-04 JAMESTOWN VALU-RITE PHARMACY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 812990
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing JAMES WARNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/16/20140616090353P030131034453001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 812990
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2014-06-16
Name of individual signing JAMES WARNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/10/20130610085045P030322603409001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 812990
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Signature of
Role Plan administrator
Date 2013-06-10
Name of individual signing JAMES WARNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/26/20120426113517P030000999346001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 812990
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Plan administrator’s name and address
Administrator’s EIN 611264836
Plan administrator’s name JAMESTOWN VALU-RITE PHARMACY
Plan administrator’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629
Administrator’s telephone number 2703434443

Signature of
Role Plan administrator
Date 2012-04-26
Name of individual signing JAMES WARNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/13/20110613144620P040077385953001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 812990
Sponsor’s telephone number 2703434443
Plan sponsor’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629

Plan administrator’s name and address
Administrator’s EIN 611264836
Plan administrator’s name JAMESTOWN VALU-RITE PHARMACY
Plan administrator’s address 1417 NORTH MAIN STR, JAMESTOWN, KY, 42629
Administrator’s telephone number 2703434443

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing JAMES WARNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/09/20100809083640P040016929157001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-02-20
Business code 111100
Sponsor’s telephone number 2703434443
Plan sponsor’s address PO BOX 499, JAMESTOWN, KY, 426290499

Plan administrator’s name and address
Administrator’s EIN 611264836
Plan administrator’s name JAMESTOWN VALU-RITE PHARMACY
Plan administrator’s address PO BOX 499, JAMESTOWN, KY, 426290499
Administrator’s telephone number 2703434443

Signature of
Role Plan administrator
Date 2010-08-09
Name of individual signing JEFF WARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-09
Name of individual signing JEFF WARNER
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
Cindy Warner Secretary

Registered Agent

Name Role
JEFFREY LOUIS WARNER Registered Agent

Incorporator

Name Role
JEFFREY LOUIS WARNER Incorporator

President

Name Role
Jeff Warner President

Filings

Name File Date
Annual Report 2024-06-04
Annual Report 2023-05-15
Annual Report 2022-05-20
Annual Report 2021-04-14
Annual Report 2020-03-17
Annual Report 2019-04-23
Annual Report 2018-04-24
Annual Report 2017-05-08
Annual Report 2016-05-27
Annual Report 2015-05-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5281027009 2020-04-05 0457 PPP 1417 N. MAIN STREET, JAMESTOWN, KY, 42629-2411
Loan Status Date 2022-02-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 117638.93
Loan Approval Amount (current) 117638.93
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27874
Servicing Lender Name The First National Bank of Russell Springs
Servicing Lender Address 36 W Steve Wariner Dr, RUSSELL SPRINGS, KY, 42642
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address JAMESTOWN, RUSSELL, KY, 42629-2411
Project Congressional District KY-01
Number of Employees 9
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 27874
Originating Lender Name The First National Bank of Russell Springs
Originating Lender Address RUSSELL SPRINGS, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 118593.11
Forgiveness Paid Date 2021-02-02

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Sources: Kentucky Secretary of State

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