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  5. KM PHARMACY LLC

KM PHARMACY LLC

Company Details

Name: KM PHARMACY LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Jun 2015 (9 years ago)
Entity Number: 4781268
ZIP code: 11355
County: Nassau
Place of Formation: New York
Address: 41-35 KISSENA BLVD, FLUSHING, NY, United States, 11355

Contact Details

Phone +1 718-888-0110

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KM PHARMACY LLC 401(K) P/S PLAN 2023 474379407 2024-07-09 KM PHARMACY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6463228179
Plan sponsor’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing HENRY LEE
Role Employer/plan sponsor
Date 2024-07-09
Name of individual signing HENRY LEE
KM PHARMACY LLC 401(K) P/S PLAN 2022 474379407 2023-03-22 KM PHARMACY LLC 3
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6463228179
Plan sponsor’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355

Plan administrator’s name and address
Administrator’s EIN 474379407
Plan administrator’s name KM PHARMACY LLC
Plan administrator’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355
Administrator’s telephone number 6463228179

Signature of
Role Plan administrator
Date 2023-03-22
Name of individual signing HENRY LEE
KM PHARMACY LLC 401(K) P/S PLAN 2022 474379407 2023-04-19 KM PHARMACY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6463228179
Plan sponsor’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355

Plan administrator’s name and address
Administrator’s EIN 474379407
Plan administrator’s name KM PHARMACY LLC
Plan administrator’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355
Administrator’s telephone number 6463228179

Signature of
Role Plan administrator
Date 2023-04-19
Name of individual signing HENRY LEE
KM PHARMACY LLC 401(K) P/S PLAN 2021 474379407 2022-05-27 KM PHARMACY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6463228179
Plan sponsor’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355

Plan administrator’s name and address
Administrator’s EIN 474379407
Plan administrator’s name KM PHARMACY LLC
Plan administrator’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355
Administrator’s telephone number 6463228179

Signature of
Role Plan administrator
Date 2022-05-27
Name of individual signing HENRY LEE
KM PHARMACY LLC 401(K) P/S PLAN 2020 474379407 2021-05-10 KM PHARMACY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6463228179
Plan sponsor’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355

Plan administrator’s name and address
Administrator’s EIN 474379407
Plan administrator’s name KM PHARMACY LLC
Plan administrator’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355
Administrator’s telephone number 6463228179

Signature of
Role Plan administrator
Date 2021-05-10
Name of individual signing HENRY LEE
KM PHARMACY LLC 401(K) P/S PLAN 2019 474379407 2020-05-12 KM PHARMACY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6463228179
Plan sponsor’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355

Plan administrator’s name and address
Administrator’s EIN 474379407
Plan administrator’s name KM PHARMACY LLC
Plan administrator’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355
Administrator’s telephone number 6463228179

Signature of
Role Plan administrator
Date 2020-05-12
Name of individual signing HENRY LEE
KM PHARMACY LLC 401(K) P/S PLAN 2018 474379407 2019-05-02 KM PHARMACY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6463228179
Plan sponsor’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355

Plan administrator’s name and address
Administrator’s EIN 474379407
Plan administrator’s name KM PHARMACY LLC
Plan administrator’s address 4135 KISSENA BLVD, FLUSHING, NY, 11355
Administrator’s telephone number 6463228179

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing HENRY LEE

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 41-35 KISSENA BLVD, FLUSHING, NY, United States, 11355

History

Start date End date Type Value
2015-06-26 2015-10-19 Address 7 WILLOW PLACE, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160120000785 2016-01-20 CERTIFICATE OF PUBLICATION 2016-01-20
151019000069 2015-10-19 CERTIFICATE OF CHANGE 2015-10-19
150626010201 2015-06-26 ARTICLES OF ORGANIZATION 2015-06-26

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2018-12-18 No data 4135 KISSENA BLVD, Queens, FLUSHING, NY, 11355 Pass Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data
2017-10-10 No data 4135 KISSENA BLVD, Queens, FLUSHING, NY, 11355 Pass Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data
2016-04-18 No data 4135 KISSENA BLVD, Queens, FLUSHING, NY, 11355 No Violation Issued Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data

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Date of last update: 24 Nov 2024

Sources: New York Secretary of State

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