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  5. HERBST PHARMACY, INC.

HERBST PHARMACY, INC.

Company Details

Name: HERBST PHARMACY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 02 Nov 2010 (14 years ago)
Entity Number: 4014313
ZIP code: 13152
County: Onondaga
Place of Formation: New York
Address: 4011 STATE STREET ROAD, SKANEATELES, NY, United States, 13152
Principal Address: 1 CHURCH STREET, PORT BYRON, NY, United States, 13140

Contact Details

Phone +1 315-776-4372

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
HERBST PHARMACY INC. 401(K) PLAN 2023 562678640 2024-04-29 HERBST PHARMACY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 3157764372
Plan sponsor’s address P.O. BOX 314, 1 CHURCH STREET, PORT BYRON, NY, 13140

Signature of
Role Plan administrator
Date 2024-04-29
Name of individual signing MATTHEW HERBST
Role Employer/plan sponsor
Date 2024-04-29
Name of individual signing MATTHEW HERBST
HERBST PHARMACY INC. 401(K) PLAN 2022 562678640 2023-05-15 HERBST PHARMACY INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 3157764372
Plan sponsor’s address P.O. BOX 314, 1 CHURCH STREET, PORT BYRON, NY, 13140

Signature of
Role Plan administrator
Date 2023-05-15
Name of individual signing MATTHEW HERBST
Role Employer/plan sponsor
Date 2023-05-15
Name of individual signing MATTHEW HERBST
HERBST PHARMACY INC. 401(K) PLAN 2021 562678640 2022-07-20 HERBST PHARMACY INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 3157764372
Plan sponsor’s address P.O. BOX 314, 1 CHURCH STREET, PORT BYRON, NY, 13140

Signature of
Role Plan administrator
Date 2022-07-19
Name of individual signing MATTHEW HERBST
Role Employer/plan sponsor
Date 2022-07-19
Name of individual signing MATTHEW HERBST
HERBST PHARMACY INC. 401(K) PLAN 2020 562678640 2021-05-06 HERBST PHARMACY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 3157764372
Plan sponsor’s address P.O. BOX 314, 1 CHURCH STREET, PORT BYRON, NY, 13140

Signature of
Role Plan administrator
Date 2021-05-06
Name of individual signing MATTHEW HERBST
Role Employer/plan sponsor
Date 2021-05-06
Name of individual signing MATTHEW HERBST
HERBST PHARMACY INC. 401(K) PLAN 2019 562678640 2020-04-30 HERBST PHARMACY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 3157764372
Plan sponsor’s address P.O. BOX 314, 1 CHURCH STREET, PORT BYRON, NY, 13140

Signature of
Role Plan administrator
Date 2020-04-30
Name of individual signing MATTHEW HERBST
Role Employer/plan sponsor
Date 2020-04-30
Name of individual signing MATTHEW HERBST
HERBST PHARMACY INC. 401(K) PLAN 2018 562678640 2019-08-07 HERBST PHARMACY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 3157764372
Plan sponsor’s address P.O. BOX 314, 1 CHURCH STREET, PORT BYRON, NY, 13140

Signature of
Role Plan administrator
Date 2019-08-06
Name of individual signing MATTHEW HERBST
Role Employer/plan sponsor
Date 2019-08-06
Name of individual signing MATTHEW HERBST
HERBST PHARMACY INC. 401(K) PLAN 2017 562678640 2018-08-29 HERBST PHARMACY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 3157764372
Plan sponsor’s address P.O. BOX 314, 1 CHURCH STREET, PORT BYRON, NY, 13140

Signature of
Role Plan administrator
Date 2018-08-28
Name of individual signing MATTHEW HERBST
Role Employer/plan sponsor
Date 2018-08-28
Name of individual signing MATTHEW HERBST
HERBST PHARMACY INC. 401(K) PLAN 2016 562678640 2017-06-26 HERBST PHARMACY INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 3157764372
Plan sponsor’s address P.O. BOX 314, 1 CHURCH STREET, PORT BYRON, NY, 13140

Signature of
Role Plan administrator
Date 2017-06-23
Name of individual signing MATTHEW HERBST
Role Employer/plan sponsor
Date 2017-06-23
Name of individual signing MATTHEW HERBST

Chief Executive Officer

Name Role Address
MATTHEW HERBST Chief Executive Officer 4011 STATE STREET RD, SKANEATELES, NY, United States, 13152

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 4011 STATE STREET ROAD, SKANEATELES, NY, United States, 13152

Filings

Filing Number Date Filed Type Effective Date
121116006336 2012-11-16 BIENNIAL STATEMENT 2012-11-01
101102000214 2010-11-02 CERTIFICATE OF INCORPORATION 2010-11-02

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
4447145003 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient HERBST PHARMACY INC.
Recipient Name Raw HERBST PHARMACY INC.
Recipient Address 1 CHURCH ST, PORT BYRON, CAYUGA, NEW YORK, 13140-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 2740.00
Face Value of Direct Loan 50000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6009497103 2020-04-14 0248 PPP po box 314, PORT BYRON, NY, 13140
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 32602
Loan Approval Amount (current) 32602
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PORT BYRON, CAYUGA, NY, 13140-0001
Project Congressional District NY-24
Number of Employees 5
NAICS code 446110
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 32871.75
Forgiveness Paid Date 2021-02-24

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Related by address

4011 STATE STREET ROAD, SKANEATELES, NY, United States, 13152

1 CHURCH STREET, LLC 2020 CONSULTING, LLC

Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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