| Name: | MADISON SOUTH 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) |
| Organization Number: | 0677647 |
| Primary County: | Whitley |
| Place of Formation: | KENTUCKY |
| Last Annual Report: | 01 Feb 2018 (7 years ago) |
| Managed By: | Members |
| Principal Office: | 16 GREYSTONE FARM DR, CORBIN, KY 40701-9642 |
| Principal Office ZIP code: | 40701 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MADISON SOUTH PHARMACY 401(K) RETIREMENT SAVINGS PLAN | 2012 | 261305982 | 2013-06-19 | MADISON SOUTH PHARMACY | 5 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 261305982 |
| Plan administrator’s name | MADISON SOUTH PHARMACY |
| Plan administrator’s address | 40 MOONBOW PLAZA STE. 2, CORBIN, KY, 40701 |
| Administrator’s telephone number | 6065235670 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-19 |
| Name of individual signing | MICKIE GIBBS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 6065235670 |
| Plan sponsor’s address | 40 MOONBOW PLAZA STE 2, CORBIN, KY, 40701 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-20 |
| Name of individual signing | MICKIE GIBBS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 6065235670 |
| Plan sponsor’s address | 40 MOONBOW PLAZA STE. 2, CORBIN, KY, 40701 |
Plan administrator’s name and address
| Administrator’s EIN | 261305982 |
| Plan administrator’s name | MADISON SOUTH PHARMACY |
| Plan administrator’s address | 40 MOONBOW PLAZA STE. 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 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 424210 |
| Sponsor’s telephone number | 6062580000 |
| Plan sponsor’s address | 40 MOONBOW PLAZA STE. 2, CORBIN, KY, 40701 |
Plan administrator’s name and address
| Administrator’s EIN | 261305982 |
| Plan administrator’s name | MADISON SOUTH PHARMACY |
| Plan administrator’s address | 40 MOONBOW PLAZA STE. 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 |
| Name | Role |
|---|---|
| MICKIE L. GIBBS | Registered Agent |
| Name | Role |
|---|---|
| Eric T Gibbs | Member |
| John D Creech Jr. | Member |
| Richard G Pojeky | Member |
| Name | Role |
|---|---|
| ROBERT L. BROWN III | Organizer |
| Name | File Date |
|---|---|
| Dissolution | 2018-10-30 |
| Annual Report | 2018-02-01 |
| Annual Report | 2017-02-11 |
| Principal Office Address Change | 2016-02-23 |
| Registered Agent name/address change | 2016-02-23 |
| Annual Report | 2016-02-23 |
| Principal Office Address Change | 2016-02-23 |
| Registered Agent name/address change | 2016-02-23 |
| Annual Report | 2015-04-21 |
| Annual Report | 2014-02-12 |
Date of last update: 12 Nov 2024
Sources: Kentucky Secretary of State
