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  5. Warren Pharmacy, Inc.

Warren Pharmacy, Inc.

Company Details

Name: Warren Pharmacy, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 30 Dec 1969 (55 years ago)
Company Number: e3e0894c-9cd4-e011-a886-001ec94ffe7f
File Number: 1U-170
Registered Office Address: 103 W Johnson Ave, Warren, MN 56762, USA
ZIP code: 56762
County: Polk County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2023 410957477 2024-05-06 WARREN PHARMACY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address 103 WEST JOHNSON AVE, WARREN, MN, 56762

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing SHELBY KNOTT
Valid signature Filed with authorized/valid electronic signature
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2022 410957477 2023-10-04 WARREN PHARMACY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address 103 WEST JOHNSON AVE, WARREN, MN, 56762

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing SHELBY KNOTT
Valid signature Filed with authorized/valid electronic signature
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2021 410957477 2022-10-11 WARREN PHARMACY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address PO BOX 6, WARREN, MN, 56762

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing VERNON BOROWICZ
Valid signature Filed with authorized/valid electronic signature
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2020 410957477 2021-08-02 WARREN PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address PO BOX 6, WARREN, MN, 56762

Signature of
Role Plan administrator
Date 2021-08-02
Name of individual signing VERNON BOROWICZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-02
Name of individual signing VERNON BOROWICZ
Valid signature Filed with authorized/valid electronic signature
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2019 410957477 2020-10-07 WARREN PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address PO BOX 6, WARREN, MN, 56762

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing VERNON BOROWICZ
Valid signature Filed with authorized/valid electronic signature
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2018 410957477 2019-10-10 WARREN PHARMACY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address PO BOX 6, WARREN, MN, 56762

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing VERNON BOROWICZ
Valid signature Filed with authorized/valid electronic signature
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2017 410957477 2018-08-17 WARREN PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address PO BOX 6, WARREN, MN, 56762

Signature of
Role Plan administrator
Date 2018-08-17
Name of individual signing VERNON BOROWICZ
Valid signature Filed with authorized/valid electronic signature
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2016 410957477 2017-07-28 WARREN PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address PO BOX 6, WARREN, MN, 56762

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing VERNON BOROWICZ
Valid signature Filed with authorized/valid electronic signature
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2015 410957477 2016-07-29 WARREN PHARMACY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address PO BOX 6, WARREN, MN, 56762

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing VERNON BOROWICZ
Valid signature Filed with authorized/valid electronic signature
WARREN PHARMACY 401(K) SAFE HARBOR PLAN 2014 410957477 2015-07-14 WARREN PHARMACY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-31
Business code 446110
Sponsor’s telephone number 2187455481
Plan sponsor’s address PO BOX 6, WARREN, MN, 567620006

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing VERNON BOROWICZ
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Shelby Knott Chief Executive Officer 103 W Johnson Ave, Warren, MN 56762, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2006-09-06
Administrative Dissolution - Business Corporation (Domestic) 2006-01-17
Registered Office and/or Agent - Business Corporation (Domestic) 1996-09-04
Business Corporation (Domestic) Active Status Report 1982-03-30
Original Filing - Business Corporation (Domestic) 1969-12-30
Business Corporation (Domestic) Business Name (Business Name: Warren Pharmacy, Inc.) 1969-12-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6158447005 2020-04-06 0508 PPP 103 West Johnson Ave, WARREN, MN, 56762-1102
Loan Status Date 2021-01-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 89700
Loan Approval Amount (current) 89700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 38908
Servicing Lender Name Bremer Bank, National Association
Servicing Lender Address 372 St. Peter St, SAINT PAUL, MN, 55102-1302
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address WARREN, MARSHALL, MN, 56762-1102
Project Congressional District MN-07
Number of Employees 7
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 38908
Originating Lender Name Bremer Bank, National Association
Originating Lender Address SAINT PAUL, MN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 90282.44
Forgiveness Paid Date 2020-12-08

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Date of last update: 08 Feb 2025

Sources: Minnesota's Official State Website

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