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  5. ADIRONDACK PHARMACY, INC.

ADIRONDACK PHARMACY, INC.

Company Details

Name: ADIRONDACK PHARMACY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 19 Apr 2002 (23 years ago)
Entity Number: 2757050
ZIP code: 13690
County: St. Lawrence
Place of Formation: New York
Principal Address: 4057 ST HWY 3, STAR LAKE, NY, United States, 13690
Address: 4057 State Highway 3, Star Lake, NY, United States, 13690

Contact Details

Phone +1 315-848-3784

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7GW79 Obsolete Non-Manufacturer 2015-10-22 2024-03-10 2022-01-18 No data

Contact Information
POC MATT SCOTT
Phone +1 315-848-3784
Address 4057 ROUTE 3, STAR LAKE, NY, 13690 3172, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADIRONDACK PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2023 020592705 2024-02-29 ADIRONDACK PHARMACY, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2023-01-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2024-02-29
Name of individual signing MATTHEW SCOTT
Role Employer/plan sponsor
Date 2024-02-29
Name of individual signing MATTHEW SCOTT
ADIRONDACK PHARMACY, INC. 401(K) PLAN 2019 020592705 2020-06-22 ADIRONDACK PHARMACY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing MATTHEW SCOTT
Role Employer/plan sponsor
Date 2020-06-22
Name of individual signing MATTHEW SCOTT
ADIRONDACK PHARMACY, INC. 401(K) PLAN 2019 020592705 2020-10-24 ADIRONDACK PHARMACY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2020-10-24
Name of individual signing MATTHEW SCOTT
ADIRONDACK PHARMACY, INC. 401(K) PLAN 2018 020592705 2019-04-23 ADIRONDACK PHARMACY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2019-04-23
Name of individual signing MATTHEW SCOTT
ADIRONDACK PHARMACY, INC. 401(K) PLAN 2017 020592705 2018-04-17 ADIRONDACK PHARMACY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2018-04-17
Name of individual signing MATTHEW SCOTT
Role Employer/plan sponsor
Date 2018-04-17
Name of individual signing MATTHEW SCOTT
ADIRONDACK PHARMACY, INC. 401(K) PLAN 2016 020592705 2017-04-07 ADIRONDACK PHARMACY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2017-04-07
Name of individual signing MATTHEW SCOTT
Role Employer/plan sponsor
Date 2017-04-07
Name of individual signing MATTHEW SCOTT
ADIRONDACK PHARMACY, INC. 401(K) PLAN 2015 020592705 2016-04-12 ADIRONDACK PHARMACY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing MATTHEW SCOTT
Role Employer/plan sponsor
Date 2016-04-12
Name of individual signing MATTHEW SCOTT
ADIRONDACK PHARMACY, INC. 401(K) PLAN 2014 020592705 2015-04-02 ADIRONDACK PHARMACY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2015-04-02
Name of individual signing MATTHEW SCOTT
Role Employer/plan sponsor
Date 2015-04-02
Name of individual signing MATTHEW SCOTT
ADIRONDACK PHARMACY, INC. 401(K) PLAN 2013 020592705 2014-03-25 ADIRONDACK PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2014-03-25
Name of individual signing MATTHEW SCOTT
Role Employer/plan sponsor
Date 2014-03-25
Name of individual signing MATTHEW SCOTT
ADIRONDACK PHARMACY, INC. 401(K) PLAN 2012 020592705 2013-04-09 ADIRONDACK PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 446110
Sponsor’s telephone number 3158483784
Plan sponsor’s address PO BOX 211, STAR LAKE, NY, 136900211

Signature of
Role Plan administrator
Date 2013-04-09
Name of individual signing MATTHEW SCOTT

DOS Process Agent

Name Role Address
ADIRONDACK PHARMACY, INC. DOS Process Agent 4057 State Highway 3, Star Lake, NY, United States, 13690

Chief Executive Officer

Name Role Address
MATTHEW SCOTT Chief Executive Officer 4057 ST HWY 3, STAR LAKE, NY, United States, 13690

History

Start date End date Type Value
2024-11-14 2024-11-14 Address 4057 ST HWY 3, STAR LAKE, NY, 13690, USA (Type of address: Chief Executive Officer)
2020-04-03 2024-11-14 Address PO BOX 211, STAR LAKE, NY, 13690, USA (Type of address: Service of Process)
2004-05-03 2020-04-03 Address 4057 ST HWY 3, STAR LAKE, NY, 13690, USA (Type of address: Service of Process)
2004-05-03 2024-11-14 Address 4057 ST HWY 3, STAR LAKE, NY, 13690, USA (Type of address: Chief Executive Officer)
2002-04-19 2004-05-03 Address C/O 4057 STATE HIGHWAY 3, STAR LAKE, NY, 13690, USA (Type of address: Service of Process)
2002-04-19 2024-11-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
241114001712 2024-11-14 BIENNIAL STATEMENT 2024-11-14
200403060401 2020-04-03 BIENNIAL STATEMENT 2020-04-01
180402007610 2018-04-02 BIENNIAL STATEMENT 2018-04-01
160401006445 2016-04-01 BIENNIAL STATEMENT 2016-04-01
140410006266 2014-04-10 BIENNIAL STATEMENT 2014-04-01
120530003060 2012-05-30 BIENNIAL STATEMENT 2012-04-01
100420003329 2010-04-20 BIENNIAL STATEMENT 2010-04-01
080423002287 2008-04-23 BIENNIAL STATEMENT 2008-04-01
060526002136 2006-05-26 BIENNIAL STATEMENT 2006-04-01
040503002560 2004-05-03 BIENNIAL STATEMENT 2004-04-01

Related by officers

MATTHEW SCOTT

CRANGIS LLC FRUITFUL VENTURES, INC. EVALSCOTT CORP. NPS EQUITIES LLC 845 PROPERTY DEVELOPMENT, LLC JUST 4 KICKS SOCCER TRAINING INC.

Related by address

No related companies by address

Date of last update: 19 Jan 2025

Sources: New York Secretary of State

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