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Crofton Pharmacy, LLC

Company Details

Name: Crofton Pharmacy, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 23 Nov 2015 (9 years ago)
Organization Date: 01 Dec 2015 (9 years ago)
Organization Number: 0937622
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Christian
Place of Formation: KENTUCKY
Last Annual Report: 22 Mar 2024 (8 months ago)
Managed By: Members
Principal Office: 235 S MADISONVILLE RD, Crofton, KY 42217
Principal Office ZIP code: 42217

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROFTON PHARMACY, LLC CASH BALANCE PENSION PLAN 2023 475649920 2024-08-31 CROFTON PHARMACY, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
CROFTON PHARMACY, LLC 401(K) PROFIT SHARING PLAN 2023 475649920 2024-08-31 CROFTON PHARMACY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
CROFTON PHARMACY CBS BENEFIT PLAN 2022 475649920 2023-12-27 CROFTON PHARMACY 1
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-05-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S MADISONVILLE ST, CROFTON, KY, 42217

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
CROFTON PHARMACY, LLC 401(K) PROFIT SHARING PLAN 2022 475649920 2023-08-29 CROFTON PHARMACY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
CROFTON PHARMACY, LLC CASH BALANCE PENSION PLAN 2022 475649920 2023-08-29 CROFTON PHARMACY, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
CROFTON PHARMACY, LLC CASH BALANCE PENSION PLAN 2021 475649920 2022-10-09 CROFTON PHARMACY, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
CROFTON PHARMACY, LLC 401(K) PROFIT SHARING PLAN 2021 475649920 2022-10-09 CROFTON PHARMACY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
CROFTON PHARMACY CBS BENEFIT PLAN 2021 475649920 2022-12-29 CROFTON PHARMACY 1
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-05-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S MADISONVILLE ST, CROFTON, KY, 42217

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
CROFTON PHARMACY, LLC CASH BALANCE PENSION PLAN 2020 475649920 2021-08-29 CROFTON PHARMACY, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
CROFTON PHARMACY CBS BENEFIT PLAN 2020 475649920 2021-12-14 CROFTON PHARMACY 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-05-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S MADISONVILLE ST, CROFTON, KY, 42217

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
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/10/03/20211003162128NAL0003608419001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
Three-digit plan number (PN) 501
Effective date of plan 2020-05-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S MADISONVILLE ST, CROFTON, KY, 42217

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
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/10/01/20201001164213NAL0004292771001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/09/20/20200920194619NAL0001360545001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/10/20191010161603P040046856205001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/10/20191010161251P030047945853001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 235 S. MADISONVILLE ST., CROFTON, KY, 42217
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/11/20181011200923P040162152957001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 110 E. MAIN ST., CROFTON, KY, 42217
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/11/20181011200201P030237303031001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 2704248965
Plan sponsor’s address 110 E. MAIN ST., CROFTON, KY, 42217

Registered Agent

Name Role
JEBIDAH D. STEWART Registered Agent
Tara Ward Registered Agent

Member

Name Role
Jebidah D Stewart Member

Organizer

Name Role
Johnathan Fuller Organizer

Filings

Name File Date
Annual Report 2024-03-22
Annual Report 2023-03-20
Annual Report 2022-01-25
Annual Report 2021-02-11
Annual Report 2020-02-14
Annual Report 2019-06-21
Principal Office Address Change 2018-11-09
Registered Agent name/address change 2018-11-09
Annual Report 2018-06-12
Annual Report Amendment 2018-06-12

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Jebidah D Stewart

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Tara Ward

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Johnathan Fuller

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Related by address

No related companies by address

Date of last update: 17 Nov 2024

Sources: Kentucky Secretary of State

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