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  5. JEWETT CITY PHARMACY, INC.

JEWETT CITY PHARMACY, INC.

Company Details

Entity Name: JEWETT CITY PHARMACY, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 10 Oct 1996
Business ALEI: 0545627
Annual report due: 10 Oct 2025
NAICS code: 456110 - Pharmacies and Drug Retailers
Business address: 78 MAIN STREET, JEWETT CITY, CT, 06351, United States
Mailing address: 78 MAIN STREET, JEWETT CITY, CT, United States, 06351
ZIP code: 06351
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: tonyk3@cox.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEWETT CITY PHARMACY INC 401K PLAN 2023 061465462 2024-07-23 JEWETT CITY PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature
JEWETT CITY PHARMACY INC 401K PLAN 2022 061465462 2023-07-22 JEWETT CITY PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Signature of
Role Plan administrator
Date 2023-07-22
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature
JEWETT CITY PHARMACY INC 401K PLAN 2021 061465462 2022-09-25 JEWETT CITY PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Signature of
Role Plan administrator
Date 2022-09-25
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature
JEWETT CITY PHARMACY INC 401K PLAN 2020 061465462 2021-10-12 JEWETT CITY PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature
JEWETT CITY PHARMACY INC 401K PLAN 2019 061465462 2020-10-11 JEWETT CITY PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Signature of
Role Plan administrator
Date 2020-10-11
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature
JEWETT CITY PHARMACY INC 401K PLAN 2018 061465462 2019-10-05 JEWETT CITY PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Signature of
Role Plan administrator
Date 2019-10-05
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature
JEWETT CITY PHARMACY INC 401K PLAN 2017 061465462 2018-10-07 JEWETT CITY PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Plan administrator’s name and address
Administrator’s EIN 061465462
Plan administrator’s name JEWETT CITY PHARMACY, INC.
Plan administrator’s address 78 MAIN STREET, JEWETT CITY, CT, 06351
Administrator’s telephone number 8603764468

Signature of
Role Plan administrator
Date 2018-10-07
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature
JEWETT CITY PHARMACY INC 401K PLAN 2016 061465462 2017-07-29 JEWETT CITY PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Plan administrator’s name and address
Administrator’s EIN 061465462
Plan administrator’s name JEWETT CITY PHARMACY, INC.
Plan administrator’s address 78 MAIN STREET, JEWETT CITY, CT, 06351
Administrator’s telephone number 8603764468

Signature of
Role Plan administrator
Date 2017-07-29
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature
JEWETT CITY PHARMACY INC 401K PLAN 2015 061465462 2016-07-30 JEWETT CITY PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Plan administrator’s name and address
Administrator’s EIN 061465462
Plan administrator’s name JEWETT CITY PHARMACY, INC.
Plan administrator’s address 78 MAIN STREET, JEWETT CITY, CT, 06351
Administrator’s telephone number 8603764468

Signature of
Role Plan administrator
Date 2016-07-30
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature
JEWETT CITY PHARMACY INC 401K PLAN 2014 061465462 2015-09-30 JEWETT CITY PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 8603764468
Plan sponsor’s address 78 MAIN STREET, JEWETT CITY, CT, 06351

Plan administrator’s name and address
Administrator’s EIN 061465462
Plan administrator’s name JEWETT CITY PHARMACY, INC.
Plan administrator’s address 78 MAIN STREET, JEWETT CITY, CT, 06351
Administrator’s telephone number 8603764468

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing TONY KOMARI
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
ANTHONY KOMARI Officer 78 MAIN ST., JEWETT CITY, CT, 06351, United States 1620 FRENCHTOWN RD, E. GREENWICH, RI, 02818, United States
SUZANNE J. KOMARI Officer 78 MAIN ST., JEWETT CITY, CT, 06351, United States 1620 FRENCHTOWN RD, E. GREENWICH, RI, 02818, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
STUART R. NORMAN JR. Agent 19 SLATER AVENUE, JEWETT CITY, CT, 06351, United States 19 SLATER AVENUE, JEWETT CITY, CT, 06351, United States +1 860-377-0840 tonyk3@cox.net 270 BETHEL ROAD, NORWICH, CT, 06360, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
PCY.0000657 PHARMACY ACTIVE CURRENT No data 2024-09-01 2025-08-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012179010 2024-09-15 No data Annual Report Annual Report No data
BF-0011256727 2023-09-10 No data Annual Report Annual Report No data
BF-0010210280 2022-09-19 No data Annual Report Annual Report 2022
BF-0009819546 2021-09-26 No data Annual Report Annual Report No data
0006977777 2020-09-12 No data Annual Report Annual Report 2020
0006651488 2019-09-28 No data Annual Report Annual Report 2019
0006330137 2019-01-21 No data Annual Report Annual Report 2018
0006330135 2019-01-21 No data Annual Report Annual Report 2017
0005669677 2016-10-08 No data Annual Report Annual Report 2016
0005577093 2016-05-30 No data Annual Report Annual Report 2015

Related by officers

STUART R. NORMAN JR.

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Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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