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Goltz Pharmacy, LLC

Company Details

Name: Goltz Pharmacy, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 19 Aug 2016 (8 years ago)
Company Number: eafac3d5-3666-e611-816d-00155d01c56d
File Number: 899196000024
Registered Office Address: 274 E. 3rd Street, Winona, MN 55987, USA
Principal Executive Office Address: 69 McDowell St., Goltz Pharmacy, Welch, WV 24801, United States
ZIP code: 55987
County: Winona County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOLTZ PHARMACY 401(K) PLAN 2018 364844864 2019-05-21 GOLTZ PHARMACY LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 5074522547
Plan sponsor’s address 274 E 3RD ST, WINONA, MN, 55987

Signature of

Role Plan administrator
Date 2019-05-21
Name of individual signing PETER SAAD
Valid signature Filed with authorized/valid electronic signature
GOLTZ PHARMACY 401(K) PLAN 2018 364844864 2019-06-11 GOLTZ PHARMACY LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 5074522547
Plan sponsor’s address 274 E 3RD ST, WINONA, MN, 55987

Signature of

Role Plan administrator
Date 2019-06-11
Name of individual signing PETER SAAD
Valid signature Filed with authorized/valid electronic signature
GOLTZ PHARMACY 401(K) PLAN 2017 364844864 2018-07-10 GOLTZ PHARMACY LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 5074522547
Plan sponsor’s address 274 E 3RD ST, WINONA, MN, 55987

Signature of

Role Plan administrator
Date 2018-07-10
Name of individual signing PETER SAAD
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Goltz Pharmacy, LLC Manager 69 McDowell St., Goltz Pharmacy, Welch, WV 24801, United States

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2018-07-06
Administrative Termination - Limited Liability Company (Domestic) 2018-03-16
Original Filing - Limited Liability Company (Domestic) (Business Name: Goltz Pharmacy, LLC) 2016-08-19

Date of last update: 04 Oct 2024

Sources: Minnesota's Official State Website