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PINEVILLE PHARMACY, LLC

Company Details

Name: PINEVILLE PHARMACY, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 15 Dec 2008 (16 years ago)
Organization Date: 15 Dec 2008 (16 years ago)
Organization Number: 0719497
Primary County: Whitley
Place of Formation: KENTUCKY
Last Annual Report: 21 Apr 2015 (10 years ago)
Managed By: Members
Principal Office: C/O MICKIE L. GIBBS, 16 GREYSTONE FARM DR, CORBIN, KY 40701-9642
Principal Office ZIP code: 40701

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINEVILLE PHARMACY LLC 401K RETIREMENT SAVINGS PLAN 2015 263968167 2016-06-17 PINEVILLE PHARMACY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 6065235672
Plan sponsor’s address 16 GREYSTONE FARM DRIVE, CORBIN, KY, 40701
PINEVILLE PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2015 263968167 2016-06-17 PINEVILLE PHARMACY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 6065287662
Plan sponsor’s address 16 GREYSTONE FARM DRIVE, CORBIN, KY, 40701
PINEVILLE PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2014 263968167 2015-09-03 PINEVILLE PHARMACY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 6065235672
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address

Administrator’s EIN 263968167
Plan administrator’s name PINEVILLE PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6065235672

Signature of

Role Plan administrator
Date 2015-09-03
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
PINEVILLE PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2013 263968167 2014-04-04 PINEVILLE PHARMACY, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 6065235672
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address

Administrator’s EIN 263968167
Plan administrator’s name PINEVILLE PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6065235672

Signature of

Role Plan administrator
Date 2014-04-04
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
PINEVILLE PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2012 263968167 2013-05-22 PINEVILLE PHARMACY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 6065235672
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address

Administrator’s EIN 263968167
Plan administrator’s name PINEVILLE PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6065235672

Signature of

Role Plan administrator
Date 2013-05-22
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature
PINEVILLE PHARMACY, LLC 401(K) RETIREMENT SAVINGS PLAN 2011 263968167 2012-06-15 PINEVILLE PHARMACY, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 6065235672
Plan sponsor’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701

Plan administrator’s name and address

Administrator’s EIN 263968167
Plan administrator’s name PINEVILLE PHARMACY, LLC
Plan administrator’s address 40 MOONBOW PLAZA, SUITE 2, CORBIN, KY, 40701
Administrator’s telephone number 6065235672

Signature of

Role Plan administrator
Date 2012-06-15
Name of individual signing MICKIE GIBBS
Valid signature Filed with authorized/valid electronic signature

Organizer

Name Role
MICKIE L. GIBBS Organizer

Registered Agent

Name Role
MICKIE L. GIBBS Registered Agent

Member

Name Role
Eric T Gibbs Member
John D Creech Jr. Member
Mark I Akins Member
Jamie D Partin Member

Filings

Name File Date
Dissolution 2015-12-22
Principal Office Address Change 2015-10-02
Registered Agent name/address change 2015-10-02
Annual Report 2015-04-21
Annual Report 2014-02-12
Annual Report 2013-01-14
Annual Report 2012-02-16
Annual Report 2011-02-10
Annual Report 2010-03-24
Annual Report 2009-06-29

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State