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STULTZ PHARMACY, INC.

Company Details

Name: STULTZ PHARMACY, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 13 Aug 1979 (45 years ago)
Organization Date: 13 Aug 1979 (45 years ago)
Organization Number: 0140088
Industry: Miscellaneous Retail
Number of Employees: Medium (20-99)
Primary County: Greenup
Place of Formation: KENTUCKY
Last Annual Report: 28 Feb 2024 (9 months ago)
Principal Office: 1615 ASHLAND ROAD, GREENUP, KY 41144
Principal Office ZIP code: 41144
Common No Par Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STULTZ PHARMACY CBS BENEFIT PLAN 2022 610959028 2023-12-27 STULTZ PHARMACY 20
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

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
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2022 610959028 2024-06-14 STULTZ PHARMACY, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2024-06-14
Name of individual signing DAVID B STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY CBS BENEFIT PLAN 2021 610959028 2022-12-29 STULTZ PHARMACY 18
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

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
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2021 610959028 2023-07-03 STULTZ PHARMACY, INC. 45
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2023-07-03
Name of individual signing DAVID B STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2021 610959028 2024-06-14 STULTZ PHARMACY, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2024-06-14
Name of individual signing DAVID B STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY CBS BENEFIT PLAN 2020 610959028 2021-12-14 STULTZ PHARMACY 15
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

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
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2020 610959028 2022-01-13 STULTZ PHARMACY, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2022-01-13
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2019 610959028 2021-01-27 STULTZ PHARMACY, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2021-01-27
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
STULTZ PHARMACY CBS BENEFIT PLAN 2019 610959028 2020-12-23 STULTZ PHARMACY 16
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

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
STULTZ PHARMACY , INC. 401(K) PROFIT SHARING PLAN 2018 610959028 2019-11-21 STULTZ PHARMACY, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2019-11-21
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/12/23/20181223113604P040115461383001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2018-12-23
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/01/31/20180131085724P040065586833001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND RD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/02/12/20170212141401P030015188199001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2017-02-12
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/04/28/20160428122858P040056251777001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/04/06/20150406114247P040164069751001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-10-01
Business code 446110
Sponsor’s telephone number 6064737346
Plan sponsor’s address 1615 ASHLAND ROAD, GREENUP, KY, 41144

Signature of
Role Plan administrator
Date 2015-04-06
Name of individual signing BRAD STULTZ
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
LESLIE STULTZ Secretary

Registered Agent

Name Role
BRAD STULTZ Registered Agent

President

Name Role
BRAD STULTZ President

Director

Name Role
DAVID R. STULTZ Director

Incorporator

Name Role
DAVID R. STULTZ Incorporator

Assumed Names

Name Status Expiration Date
D & D INFUSIONS Inactive 2026-10-22

Filings

Name File Date
Annual Report 2024-02-28
Annual Report 2023-03-14
Annual Report 2022-03-05
Certificate of Withdrawal of Assumed Name 2022-03-01
Certificate of Assumed Name 2021-10-22
Annual Report 2021-02-11
Annual Report 2020-02-16
Annual Report 2019-04-18
Annual Report 2018-04-12
Annual Report 2017-04-19

Related by officers

LESLIE STULTZ

STULTZ HOME MEDICAL SUPPLIES, INC.

BRAD STULTZ

STULTZ HOME MEDICAL SUPPLIES, INC. D&D DELIVERY SERVICES, LLC SERVE AND SALUTE VENTURES LLC

BRAD STULTZ

STULTZ HOME MEDICAL SUPPLIES, INC. GREENUP YOUTH BASEBALL LEAGUE, INC.

DAVID R. STULTZ

STULTZ HOME MEDICAL SUPPLIES, INC.

Related by address

1615 ASHLAND ROAD, GREENUP, KY 41144

D&D DELIVERY SERVICES, LLC

Date of last update: 02 Nov 2024

Sources: Kentucky Secretary of State

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