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  5. AUDUBON PHARMACY, INC.

AUDUBON PHARMACY, INC.

Company Details

Name: AUDUBON PHARMACY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 May 2005 (20 years ago)
Organization Date: 27 May 2005 (20 years ago)
Last Annual Report: 30 Jan 2025 (3 months ago)
Organization Number: 0614077
Industry: Miscellaneous Retail
Number of Employees: Small (0-19)
ZIP code: 40213
City: Louisville, Audubon Park, Lynnview, Poplar Hills
Primary County: Jefferson County
Principal Office: 3503 POPLAR LEVEL ROAD, LOUISVILLE, KY 40213
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUDUBON PHARMACY INC. 401(K) PROFIT SHARING PLAN & TRUST 2023 320153237 2024-06-20 AUDUBON PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 325410
Sponsor’s telephone number 5023711002
Plan sponsor’s address 3503 POPLAR LEVEL RD., LOUISVILLE, KY, 40213

Signature of
Role Plan administrator
Date 2024-06-20
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
AUDUBON PHARMACY INC. 401(K) PROFIT SHARING PLAN & TRUST 2022 320153237 2023-06-24 AUDUBON PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 325410
Sponsor’s telephone number 5023711002
Plan sponsor’s address 3503 POPLAR LEVEL RD., LOUISVILLE, KY, 40213

Signature of
Role Plan administrator
Date 2023-06-24
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
AUDUBON PHARMACY INC. 401(K) PROFIT SHARING PLAN & TRUST 2021 320153237 2022-07-07 AUDUBON PHARMACY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 325410
Sponsor’s telephone number 5023711002
Plan sponsor’s address 3503 POPLAR LEVEL RD., LOUISVILLE, KY, 40213

Signature of
Role Plan administrator
Date 2022-07-07
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
AUDUBON PHARMACY INC 401(K) PROFIT SHARING PLAN & TRUST 2020 320153237 2021-05-14 AUDUBON PHARMACY INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 325410
Sponsor’s telephone number 5023711002
Plan sponsor’s address 3503 POPLAR LEVEL ROAD, LOUISVILLE, KY, 40213

Signature of
Role Plan administrator
Date 2021-05-14
Name of individual signing TRACI P ULLOM
Valid signature Filed with authorized/valid electronic signature
AUDUBON PHARMACY INC 401K PROFIT SHARING PLAN AND TRUST 2018 320153237 2019-06-20 AUDUBON PHARMACY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 5023711002
Plan sponsor’s address 3503 POPLAR LEVEL ROAD, LOUISVILLE, KY, 40213

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing TRACY TOM
Valid signature Filed with authorized/valid electronic signature
AUDUBON PHARMACY INC 401K PROFIT SHARING PLAN AND TRUST 2017 320153237 2018-08-09 AUDUBON PHARMACY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 5023711002
Plan sponsor’s address 3503 POPLAR LEVEL ROAD, LOUISVILLE, KY, 40213

Signature of
Role Plan administrator
Date 2018-08-09
Name of individual signing TRACY TOM
Valid signature Filed with authorized/valid electronic signature
AUDUBON PHARMACY INC 401K PROFIT SHARING PLAN AND TRUST 2016 320153237 2017-08-16 AUDUBON PHARMACY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 5023711002
Plan sponsor’s address 3503 POPLAR LEVEL ROAD, LOUISVILLE, KY, 40213

Signature of
Role Plan administrator
Date 2017-08-16
Name of individual signing TRACY TOM
Valid signature Filed with authorized/valid electronic signature
AUDUBON PHARMACY INC 401 K PROFIT SHARING PLAN TRUST 2015 320153237 2016-08-25 AUDUBON PHARMACY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 5023711002
Plan sponsor’s address 3503 POPLAR LEVEL RD, LOUISVILLE, KY, 402131009

Signature of
Role Plan administrator
Date 2016-08-25
Name of individual signing TRACI ULLOM
Valid signature Filed with authorized/valid electronic signature
AUDUBON PHARMACY INC 401 K PROFIT SHARING PLAN TRUST 2014 320153237 2015-07-09 AUDUBON PHARMACY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 5023711002
Plan sponsor’s address 2355 POPLAR LEVEL ROAD STE 101, LOUISVILLE, KY, 40217

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing MARGIE PENNINGTON
Valid signature Filed with authorized/valid electronic signature
AUDUBON PHARMACY INC 401 K PROFIT SHARING PLAN TRUST 2013 320153237 2014-06-26 AUDUBON PHARMACY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 5023711002
Plan sponsor’s address 2355 POPLAR LEVEL ROAD STE 101, LOUISVILLE, KY, 40217

Signature of
Role Plan administrator
Date 2014-06-26
Name of individual signing MARGARET M. PENNINGTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/19/20130619123645P030260776883001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 446110
Sponsor’s telephone number 5023711002
Plan sponsor’s address 2355 POPLAR LEVEL ROAD STE 101, LOUISVILLE, KY, 40217

Signature of
Role Plan administrator
Date 2013-06-19
Name of individual signing AUDUBON PHARMACY INC
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DARRYL W. DURHAM Registered Agent

President

Name Role
Traci Puckett Ullom President

Director

Name Role
BRIAN J. ULLOM Director

Incorporator

Name Role
D. KEVIN RYAN Incorporator

Filings

Name File Date
Annual Report 2025-01-30
Annual Report 2024-03-07
Annual Report 2023-03-16
Annual Report 2022-03-15
Annual Report 2021-02-10
Annual Report 2020-02-13
Annual Report 2019-01-24
Annual Report 2018-02-05
Annual Report 2017-01-10
Annual Report 2016-03-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5799787204 2020-04-27 0457 PPP 3503 Poplar Level Road, Louisville, KY, 40213-1009
Loan Status Date 2021-03-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 49500
Loan Approval Amount (current) 49500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Louisville, JEFFERSON, KY, 40213-1009
Project Congressional District KY-03
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 49875.38
Forgiveness Paid Date 2021-02-04

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BRIAN J. ULLOM

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D. KEVIN RYAN

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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