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The Medicine Shoppe

Company Details

Name: The Medicine Shoppe
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 21 Jan 2004 (21 years ago)
Company Number: df655baa-87d4-e011-a886-001ec94ffe7f
File Number: 760858-2
Principal Place of Business Address: 923 6th Ave, Worthington, MN 56187, USA
ZIP code: 56187
County: Nobles County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2018 411649277 2019-03-19 THE MEDICINE SHOPPE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Signature of

Role Plan administrator
Date 2019-03-19
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-19
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2017 411649277 2018-04-20 THE MEDICINE SHOPPE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Signature of

Role Plan administrator
Date 2018-04-20
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-20
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2016 411649277 2017-03-13 THE MEDICINE SHOPPE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Signature of

Role Plan administrator
Date 2017-03-13
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-13
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2015 411649277 2016-03-22 THE MEDICINE SHOPPE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Signature of

Role Plan administrator
Date 2016-03-22
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-22
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2014 411649277 2015-07-07 THE MEDICINE SHOPPE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Signature of

Role Plan administrator
Date 2015-07-07
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-07
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2013 411649277 2014-04-30 THE MEDICINE SHOPPE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Signature of

Role Plan administrator
Date 2014-04-30
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-30
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2012 411649277 2013-04-10 THE MEDICINE SHOPPE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Signature of

Role Plan administrator
Date 2013-04-10
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-10
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2011 411649277 2012-06-25 THE MEDICINE SHOPPE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Plan administrator’s name and address

Administrator’s EIN 411649277
Plan administrator’s name THE MEDICINE SHOPPE
Plan administrator’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355
Administrator’s telephone number 3206939314

Signature of

Role Plan administrator
Date 2012-06-25
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-25
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2010 411649277 2011-03-25 THE MEDICINE SHOPPE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Plan administrator’s name and address

Administrator’s EIN 411649277
Plan administrator’s name THE MEDICINE SHOPPE
Plan administrator’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355
Administrator’s telephone number 3206939314

Signature of

Role Plan administrator
Date 2011-03-25
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-25
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
MEDICINE SHOPPE 401K PROFIT SHARING PLAN 2009 411649277 2010-07-15 THE MEDICINE SHOPPE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 446110
Sponsor’s telephone number 3206939314
Plan sponsor’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355

Plan administrator’s name and address

Administrator’s EIN 411649277
Plan administrator’s name THE MEDICINE SHOPPE
Plan administrator’s address 329 E HIGHWAY 12, LITCHFIELD, MN, 55355
Administrator’s telephone number 3206939314

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-15
Name of individual signing DAVID ARNESS
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
WTGN Pharmacy Services Ltd Aplicant 108 S 6th Str, Brainerd, MN 56401

Filing

Filing Name Filing date
Cancellation - Assumed Name 2009-01-12
Original Filing - Assumed Name 2004-01-21
Assumed Name Business Name (Business Name: The Medicine Shoppe) 2004-01-21

Date of last update: 06 Oct 2024

Sources: Minnesota's Official State Website