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Lakeshore Discount Pharmacy, Inc.

Details

Name: Lakeshore Discount Pharmacy, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 26 Apr 1995 (30 years ago)
Date of dissolution: 20 Sep 2018
Entity Number: 000-171-485
Register Number: 000171485
County: Lee
Place of Formation: Lee County
Principal Address: AUBURN, AL
Registered Office Street Address: 655 WOODY DRAUBURN, AL 36830
Registered Office Street Address ZIP Code: 36830
Authorized Capital: $100
Paid Share Capital: $100

Activities BUSINESS OF PHARMACEUTICAL SUPPLY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2015 631139035 2016-04-05 LAKESHORE DISCOUNT PHARMACY, INC. 12
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2015 631139035 2016-04-05 LAKESHORE DISCOUNT PHARMACY, INC 12
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2015 631139035 2016-04-05 LAKESHORE DISCOUNT PHARMACY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2015 631139035 2016-04-05 LAKESHORE DISCOUNT PHARMACY, INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2014 631139035 2015-07-28 LAKESHORE DISCOUNT PHARMACY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2013 631139035 2014-07-15 LAKESHORE DISCOUNT PHARMACY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2012 631139035 2013-05-28 LAKESHORE DISCOUNT PHARMACY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853

Signature of
Role Plan administrator
Date 2013-05-28
Name of individual signing DIANE HEBERT
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2011 631139035 2012-05-16 LAKESHORE DISCOUNT PHARMACY, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853

Plan administrator’s name and address
Administrator’s EIN 631139035
Plan administrator’s name LAKESHORE DISCOUNT PHARMACY, INC
Plan administrator’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853
Administrator’s telephone number 2568250063

Signature of
Role Plan administrator
Date 2012-05-16
Name of individual signing JAMES CONSOLATI
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2010 631139035 2011-09-16 LAKESHORE DISCOUNT PHARMACY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853

Plan administrator’s name and address
Administrator’s EIN 631139035
Plan administrator’s name LAKESHORE DISCOUNT PHARMACY, INC
Plan administrator’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853
Administrator’s telephone number 2568250063

Signature of
Role Plan administrator
Date 2011-09-16
Name of individual signing JAMES CONSOLATI
LAKESHORE DISCOUNT PHARMACY INC. 401(K) PROFIT SHARING PLAN 2009 631139035 2010-09-10 LAKESHORE DISCOUNT PHARMACY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 446110
Sponsor’s telephone number 2568250063
Plan sponsor’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853

Plan administrator’s name and address
Administrator’s EIN 631139035
Plan administrator’s name LAKESHORE DISCOUNT PHARMACY, INC
Plan administrator’s address 221 EAST SOUTH STREET, DADEVILLE, AL, 36853
Administrator’s telephone number 2568250063

Signature of
Role Plan administrator
Date 2010-09-10
Name of individual signing JAMES CONSOLATI

Agent

Name Role
NIX, ANTHONY LEON Agent

Incorporator

Name Role
NIX, ANTHONY LEON Incorporator

Related by officers

No related officers

Related by address

AUBURN, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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