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  5. MAIN STREET PHARMACY, LLC

MAIN STREET PHARMACY, LLC

Company Details

Name: MAIN STREET PHARMACY, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 01 Nov 2007 (17 years ago)
Organization Date: 01 Nov 2007 (17 years ago)
Last Annual Report: 21 Apr 2015 (10 years ago)
Managed By: Members
Organization Number: 0677649
ZIP code: 40701
Primary County: Whitley
Principal Office: 40 MOONBOW PLZ, STE 2, CORBIN, KY 40701
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAIN STREET PHARMACY CBS BENEFIT PLAN 2022 832235762 2023-12-27 MAIN STREET PHARMACY 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 2708822222
Plan sponsor’s address 289 MAIN STREET, CADIZ, KY, 42211

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
MAIN STREET PHARMACY CBS BENEFIT PLAN 2021 832235762 2022-12-29 MAIN STREET PHARMACY 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 2708822222
Plan sponsor’s address 289 MAIN STREET, CADIZ, KY, 42211

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
MAIN STREET PHARMACY CBS BENEFIT PLAN 2020 832235762 2021-12-14 MAIN STREET PHARMACY 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 2708822222
Plan sponsor’s address 289 MAIN STREET, CADIZ, KY, 42211

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
MAIN STREET PHARMACY CBS BENEFIT PLAN 2019 832235762 2020-12-23 MAIN STREET PHARMACY 3
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 446110
Sponsor’s telephone number 2708822222
Plan sponsor’s address 289 MAIN STREET, CADIZ, KY, 42211

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
MAIN STREET PHARMACY LLC 401K RETIREMENT SAVINGS PLAN 2014 331186768 2015-06-03 MAIN STREET PHARMACY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 6065235670
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
MAIN STREET PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2014 331186768 2015-06-03 MAIN STREET PHARMACY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 6065235670
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address
Administrator’s EIN 331186768
Plan administrator’s name MAIN STREET PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6065235670

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
MAIN STREET PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2013 331186768 2014-07-22 MAIN STREET PHARMACY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 6065235670
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address
Administrator’s EIN 331186768
Plan administrator’s name MAIN STREET PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6065235670

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
MAIN STREET PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2012 331186768 2013-05-22 MAIN STREET PHARMACY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 6065235670
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address
Administrator’s EIN 331186768
Plan administrator’s name MAIN STREET PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6065235670

Signature of
Role Plan administrator
Date 2013-05-22
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
MAIN STREET PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2011 331186768 2012-06-15 MAIN STREET PHARMACY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 446110
Sponsor’s telephone number 6065235670
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address
Administrator’s EIN 331186768
Plan administrator’s name MAIN STREET PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6065235670

Signature of
Role Plan administrator
Date 2012-06-15
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
MAIN STREET PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2010 331186768 2011-10-13 MAIN STREET PHARMACY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424210
Sponsor’s telephone number 6062580000
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address
Administrator’s EIN 331186768
Plan administrator’s name MAIN STREET PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6062580000

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/20/20100920071613P030000911138001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424210
Sponsor’s telephone number 6062580000
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address
Administrator’s EIN 331186768
Plan administrator’s name MAIN STREET PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6062580000

Signature of
Role Plan administrator
Date 2010-09-19
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-19
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
ERIC T GIBBS Registered Agent

Member

Name Role
Eric T Gibbs Member
John D Creech Jr. Member
Melissa D Harris-Craig Member

Filings

Name File Date
Dissolution 2015-12-21
Annual Report 2015-04-21
Annual Report 2014-02-12
Annual Report 2013-01-11
Annual Report 2012-02-16
Annual Report 2011-02-10
Annual Report 2010-03-24
Principal Office Address Change 2009-08-18
Annual Report 2009-06-29
Registered Agent name/address change 2008-09-30

Related by officers

ERIC T GIBBS

FALLS ROAD PHARMACY, INC. AKINS AND GIBBS, LLC

Eric T Gibbs

REAGA GROUP, L.L.C. MADISON SOUTH PHARMACY, LLC ACGP PROPERTIES, LLC PINEVILLE PHARMACY, LLC Creech & Gibbs Properties, LLC

John D Creech Jr.

MADISON SOUTH PHARMACY, LLC PINEVILLE PHARMACY, LLC

Related by address

No related companies by address

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State

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