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COMPOUND CARE PHARMACY, LLC

Company Details

Name: COMPOUND CARE PHARMACY, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 21 Feb 2005 (20 years ago)
Organization Date: 21 Feb 2005 (20 years ago)
Last Annual Report: 23 Jun 2021 (4 years ago)
Managed By: Members
Organization Number: 0606606
ZIP code: 40243
City: Louisville, Douglass Hills, Douglass Hls, Middletown...
Primary County: Jefferson County
Principal Office: 12121 SHELBYVILLE RD, STE 107, LOUISVILLE, KY 40243
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CCP 401(K) GIFT PLAN 2020 202599450 2021-09-14 COMPOUND CARE PHARMACY LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 5022446500
Plan sponsor’s address 12121 SHELBYVILLE ROAD, LOUISVILLE, KY, 40243

Signature of

Role Plan administrator
Date 2021-09-14
Name of individual signing ANNE MARIE MEGIBBEN
Valid signature Filed with authorized/valid electronic signature
CCP 401(K) GIFT PLAN 2020 202599450 2021-09-29 COMPOUND CARE PHARMACY LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 5022446500
Plan sponsor’s address 12121 SHELBYVILLE ROAD, LOUISVILLE, KY, 40243

Signature of

Role Plan administrator
Date 2021-09-29
Name of individual signing ANNE MARIE MEGIBBEN
Valid signature Filed with authorized/valid electronic signature
CCP 401(K) GIFT PLAN 2019 202599450 2020-06-17 COMPOUND CARE PHARMACY LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 5022446500
Plan sponsor’s address 12121 SHELBYVILLE ROAD, LOUISVILLE, KY, 40243

Signature of

Role Plan administrator
Date 2020-06-17
Name of individual signing ANNE MARIE MEGIBBEN
Valid signature Filed with authorized/valid electronic signature
CCP 401(K) GIFT PLAN 2018 202599450 2019-06-12 COMPOUND CARE PHARMACY LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 5022446500
Plan sponsor’s address 12121 SHELBYVILLE ROAD, LOUISVILLE, KY, 40243

Signature of

Role Plan administrator
Date 2019-06-12
Name of individual signing ANNE MARIE MEGIBBEN
Valid signature Filed with authorized/valid electronic signature
CCP 401(K) GIFT PLAN 2017 202599450 2018-07-18 COMPOUND CARE PHARMACY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 5022446500
Plan sponsor’s address 12121 SHELBYVILLE ROAD, LOUISVILLE, KY, 40243

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing ANNE MARIE MEGIBBEN
Valid signature Filed with authorized/valid electronic signature
CCP 401(K) GIFT PLAN 2016 202599450 2017-07-26 COMPOUND CARE PHARMACY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 5022446500
Plan sponsor’s address 12121 SHELBYVILLE ROAD, LOUISVILLE, KY, 40243

Signature of

Role Plan administrator
Date 2017-07-26
Name of individual signing ANNE MARIE MEGIBBEN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
CATHY HANCE Registered Agent

Member

Name Role
Cathy B Hance Member
Anne Marie Megibben Member

Organizer

Name Role
CATHY HANCE Organizer

Assumed Names

Name Status Expiration Date
COMPOUND CARE RX PLUS Inactive 2021-05-02

Filings

Name File Date
Administrative Dissolution 2022-10-04
Annual Report 2021-06-23
Annual Report 2020-05-07
Annual Report 2019-04-24
Annual Report 2018-04-18
Annual Report 2017-03-08
Certificate of Assumed Name 2016-05-02
Annual Report 2016-04-07
Annual Report 2015-04-22
Annual Report 2014-03-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8168247007 2020-04-08 0457 PPP 12121 SHELBYVILLE RD Suite 107, LOUISVILLE, KY, 40243-1044
Loan Status Date 2021-06-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 166600
Loan Approval Amount (current) 166600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 23790
Servicing Lender Name German American Bank
Servicing Lender Address 711 Main St, JASPER, IN, 47546-3042
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LOUISVILLE, JEFFERSON, KY, 40243-1044
Project Congressional District KY-03
Number of Employees 20
NAICS code 621511
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27901
Originating Lender Name German American Bank
Originating Lender Address SHELBYVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 168398.37
Forgiveness Paid Date 2021-05-13

Sources: Kentucky Secretary of State