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WAYNE LTC PHARMACY, INC.

Company Details

Name: WAYNE LTC PHARMACY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Inactive
Date of registration: 13 Mar 2008 (17 years ago)
Date of dissolution: 23 May 2024
Entity Number: 3644229
ZIP code: 14505
County: Wayne
Place of Formation: New York
Address: 4127 CORY CORNERS RD., MARION, NY, United States, 14505
Principal Address: 12018 E MAIN ST., WOLCOTT, NY, United States, 14590

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WAYNE LTC PHARMACY, INC. RETIREMENT SAVINGS PLAN 2017 262320013 2018-03-22 WAYNE LTC PHARMACY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 446110
Sponsor’s telephone number 3155942222
Plan sponsor’s address PO BOX 89, NEWARK, NY, 14513

Signature of

Role Plan administrator
Date 2018-03-22
Name of individual signing DARREN PYNN
WAYNE LTC PHARMACY, INC. RETIREMENT SAVINGS PLAN 2017 262320013 2018-09-24 WAYNE LTC PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 446110
Sponsor’s telephone number 3155942222
Plan sponsor’s address PO BOX 89, NEWARK, NY, 14513

Signature of

Role Plan administrator
Date 2018-09-22
Name of individual signing DARREN PYNN
WAYNE LTC PHARMACY, INC. RETIREMENT SAVINGS PLAN 2016 262320013 2017-04-03 WAYNE LTC PHARMACY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 446110
Sponsor’s telephone number 3153316128
Plan sponsor’s address PO BOX 89, NEWARK, NY, 14513

Signature of

Role Plan administrator
Date 2017-04-03
Name of individual signing DARREN PYNN
WAYNE LTC PHARMACY, INC. RETIREMENT SAVINGS PLAN 2015 262320013 2016-03-23 WAYNE LTC PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 446110
Sponsor’s telephone number 3153316128
Plan sponsor’s address 360 WEST UNION STREET, NEWARK, NY, 14513

Signature of

Role Plan administrator
Date 2016-03-23
Name of individual signing DARREN PYNN
WAYNE LTC PHARMACY, INC. RETIREMENT SAVINGS PLAN 2014 262320013 2015-05-08 WAYNE LTC PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 446110
Sponsor’s telephone number 3153316128
Plan sponsor’s address 360 WEST UNION STREET, NEWARK, NY, 14513

Signature of

Role Plan administrator
Date 2015-05-08
Name of individual signing DARREN PYNN
WAYNE LTC PHARMACY, INC. RETIREMENT SAVINGS PLAN 2013 262320013 2014-05-14 WAYNE LTC PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 446110
Sponsor’s telephone number 3153316128
Plan sponsor’s address 105 W MILLER ST, SUITE B, NEWARK, NY, 14513

Signature of

Role Plan administrator
Date 2014-05-14
Name of individual signing DARREN PYNN
WAYNE LTC PHARMACY, INC. RETIREMENT SAVINGS PLAN 2012 262320013 2013-04-09 WAYNE LTC PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 446110
Sponsor’s telephone number 3153319958
Plan sponsor’s address 105 W MILLER ST, NEWARK, NY, 14513

Signature of

Role Plan administrator
Date 2013-04-09
Name of individual signing DARREN PYNN

DOS Process Agent

Name Role Address
WAYNE LTC PHARMACY DBA WOLCOTT PHARMACY DOS Process Agent 4127 CORY CORNERS RD., MARION, NY, United States, 14505

Chief Executive Officer

Name Role Address
DARREN M PYNN Chief Executive Officer 4127 CORY CORNERS ROAD, MARION, NY, United States, 14505

History

Start date End date Type Value
2020-03-11 2024-06-18 Address 4127 CORY CORNERS RD., MARION, NY, 14505, USA (Type of address: Service of Process)
2018-03-22 2020-03-11 Address 12042 E MAIN ST., WOLCOTT, NY, 14590, USA (Type of address: Principal Executive Office)
2018-03-22 2020-03-11 Address PO BOX 89, NEWARK, NY, 14513, USA (Type of address: Service of Process)
2016-05-12 2018-03-22 Address 360 WEST UNION ST., NEWARK, NY, 14513, USA (Type of address: Principal Executive Office)
2016-05-12 2018-03-22 Address PO BOX 89, NEWARK, NY, 14513, USA (Type of address: Service of Process)
2014-03-14 2024-06-18 Address 4127 CORY CORNERS ROAD, MARION, NY, 14505, USA (Type of address: Chief Executive Officer)
2012-05-14 2016-05-12 Address 105 W MILLER STREET SUITE B, NEWARK, NY, 14513, USA (Type of address: Principal Executive Office)
2012-05-14 2016-05-12 Address 105 W MILLER STREET SUITE B, NEWARK, NY, 14513, USA (Type of address: Service of Process)
2010-04-14 2012-05-14 Address 105 W MILLER STREET / SUITE B, NEWARK, NY, 14513, USA (Type of address: Service of Process)
2010-04-14 2012-05-14 Address 105 W MILLER STREET / SUITE B, NEWARK, NY, 14513, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
240618001114 2024-05-23 CERTIFICATE OF DISSOLUTION-CANCELLATION 2024-05-23
200311060170 2020-03-11 BIENNIAL STATEMENT 2020-03-01
180322006007 2018-03-22 BIENNIAL STATEMENT 2018-03-01
160512006399 2016-05-12 BIENNIAL STATEMENT 2016-03-01
140314006099 2014-03-14 BIENNIAL STATEMENT 2014-03-01
120514002444 2012-05-14 BIENNIAL STATEMENT 2012-03-01
100414002653 2010-04-14 BIENNIAL STATEMENT 2010-03-01
080313000869 2008-03-13 CERTIFICATE OF INCORPORATION 2008-03-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3423237304 2020-04-29 0219 PPP 12018 East Main Street, WOLCOTT, NY, 14590
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 37750
Loan Approval Amount (current) 37750
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47029
Servicing Lender Name Community Bank, National Association
Servicing Lender Address 45-49 Court St, CANTON, NY, 13617-1118
Rural or Urban Indicator R
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address WOLCOTT, WAYNE, NY, 14590-0001
Project Congressional District NY-24
Number of Employees 8
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 47029
Originating Lender Name Community Bank, National Association
Originating Lender Address CANTON, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 38042.69
Forgiveness Paid Date 2021-02-16

Date of last update: 28 Mar 2025

Sources: New York Secretary of State