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HANCOCK PHARMACY V, LLC

Company Details

Entity Name: HANCOCK PHARMACY V, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 15 Mar 2010
Business ALEI: 0998677
Annual report due: 31 Mar 2025
NAICS code: 456110 - Pharmacies and Drug Retailers
Business address: 644 MAIN STREET 644 MAIN ST, MIDDLETOWN, CT, 06457, United States
Mailing address: 644 MAIN ST, MIDDLETOWN, CT, United States, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
E-Mail: rxprpa@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HANCOCK PHARMACY 5 LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 272137137 2024-07-18 HANCOCK PHARMACY 5 LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 9175689000
Plan sponsor’s address 644 MAIN ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2024-07-18
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
HANCOCK PHARMACY 5 LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 272137137 2023-04-10 HANCOCK PHARMACY 5 LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 9175689000
Plan sponsor’s address 644 MAIN ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2023-04-10
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
HANCOCK PHARMACY 5 LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 272137137 2022-06-27 HANCOCK PHARMACY 5 LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 9175689000
Plan sponsor’s address 644 MAIN ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2022-06-27
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
HANCOCK PHARMACY 5 LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 272137137 2021-04-01 HANCOCK PHARMACY 5 LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 9175689000
Plan sponsor’s address 644 MAIN ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2021-04-01
Name of individual signing RAJENDRA APPLALANENI
Valid signature Filed with authorized/valid electronic signature
HANCOCK PHARMACY 5 LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 272137137 2020-07-09 HANCOCK PHARMACY 5 LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 9175689000
Plan sponsor’s address 644 MAIN ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2020-07-09
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
HANCOCK PHARMACY 5 LLC 401 K PROFIT SHARING PLAN TRUST 2018 272137137 2019-04-03 HANCOCK PHARMACY 5 LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 9175689000
Plan sponsor’s address 644 MAIN ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2019-04-03
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
HANCOCK PHARMACY 5 LLC 401 K PROFIT SHARING PLAN TRUST 2017 272137137 2018-03-16 HANCOCK PHARMACY 5 LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 9175689000
Plan sponsor’s address 644 MAIN ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2018-03-16
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
HANCOCK PHARMACY 5 LLC 401 K PROFIT SHARING PLAN TRUST 2016 272137137 2017-05-19 HANCOCK PHARMACY 5 LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 9175689000
Plan sponsor’s address 644 MAIN ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2017-05-19
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
HANCOCK PHARMACY 5 LLC 401 K PROFIT SHARING PLAN TRUST 2015 272137137 2016-05-20 HANCOCK PHARMACY 5 LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 9175689000
Plan sponsor’s address 644 MAIN ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2016-05-20
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SUDHEER GHANTA Agent 644 MAIN STREET, MIDDLETOWN, CT, 06457, United States 644 MAIN STREET, MIDDLETOWN, CT, 06457, United States +1 603-513-8037 ghanta123@yahoo.com 41 PEBBLEBROOK DRIVE, ROCKYHILL, CT, 06067, United States

Officer

Name Role Business address Phone E-Mail Residence address
SUDHEER GHANTA Officer 644 MAIN STREET, MIDDLETOWN, CT, 06457, United States +1 603-513-8037 ghanta123@yahoo.com 41 PEBBLEBROOK DRIVE, ROCKYHILL, CT, 06067, United States
RAJENDRA P. APPALANENI Officer 644 MAIN STREET, MIDDLETOWN, CT, 06457, United States No data No data 62 Stoney Ridge Rd, Saddle River, NJ, 07458-2510, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
PME.0010366 NON LEGEND DRUG PERMIT INACTIVE No data 2019-04-25 2019-04-25 2019-12-31
PCY.0002177 PHARMACY ACTIVE CURRENT 2010-05-27 2024-09-01 2025-08-31

History

Type Old value New value Date of change
Name change HANCOCK PHARMACY 5, LLC HANCOCK PHARMACY V, LLC 2010-04-14

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012199689 2024-03-15 No data Annual Report Annual Report No data
BF-0011179427 2023-01-16 No data Annual Report Annual Report No data
BF-0010198418 2022-02-11 No data Annual Report Annual Report 2022
0007125357 2021-02-04 No data Annual Report Annual Report 2021
0006723128 2020-01-15 No data Annual Report Annual Report 2020
0006310157 2019-01-07 No data Annual Report Annual Report 2019
0005994923 2018-01-03 No data Annual Report Annual Report 2018
0005942534 2017-10-04 2017-10-04 Change of Agent Agent Change No data
0005941021 2017-10-04 2017-10-04 Interim Notice Interim Notice No data
0005823444 2017-04-21 No data Change of Business Address Business Address Change No data

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website