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SLAVINS-HANCOCK PHARMACY, INC.

Company Details

Entity Name: SLAVINS-HANCOCK PHARMACY, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 04 Aug 2011
Business ALEI: 1045328
Annual report due: 04 Aug 2025
NAICS code: 456110 - Pharmacies and Drug Retailers
Business address: 922 WASHINGTON BOULEVARD, STAMFORD, CT, 06901, United States
Mailing address: 922 WASHINGTON BOULEVARD, STAMFORD, CT, United States, 06901
ZIP code: 06901
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 200
E-Mail: rxprpa@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SLAVINS-HANCOCK PHARMACY INC 401(K) PROFIT SHARING PLAN & TRUST 2023 452976351 2024-07-18 SLAVINS-HANCOCK PHARMACY INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 9175689000
Plan sponsor’s address 1035 WASHINGTON BLVD, STAMFORD, CT, 069012204

Signature of

Role Plan administrator
Date 2024-07-18
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
SLAVINS-HANCOCK PHARMACY INC 401(K) PROFIT SHARING PLAN & TRUST 2022 452976351 2023-04-10 SLAVINS-HANCOCK PHARMACY INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 9175689000
Plan sponsor’s address 1035 WASHINGTON BLVD, STAMFORD, CT, 069012204

Signature of

Role Plan administrator
Date 2023-04-10
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
SLAVINS-HANCOCK PHARMACY INC 401(K) PROFIT SHARING PLAN & TRUST 2021 452976351 2022-06-27 SLAVINS-HANCOCK PHARMACY INC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 9175689000
Plan sponsor’s address 1035 WASHINGTON BLVD, STAMFORD, CT, 069012204

Signature of

Role Plan administrator
Date 2022-06-27
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
SLAVINS-HANCOCK PHARMACY INC 401(K) PROFIT SHARING PLAN & TRUST 2020 452976351 2021-04-01 SLAVINS-HANCOCK PHARMACY INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 9175689000
Plan sponsor’s address 1035 WASHINGTON BLVD, STAMFORD, CT, 069012204

Signature of

Role Plan administrator
Date 2021-04-01
Name of individual signing RAJENDRA APPLALANENI
Valid signature Filed with authorized/valid electronic signature
SLAVINS-HANCOCK PHARMACY INC 401(K) PROFIT SHARING PLAN & TRUST 2019 452976351 2020-07-09 SLAVINS-HANCOCK PHARMACY INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 9175689000
Plan sponsor’s address 1035 WASHINGTON BLVD, STAMFORD, CT, 069012204

Signature of

Role Plan administrator
Date 2020-07-09
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
SLAVINS HANCOCK PHARMACY 401 K PROFIT SHARING PLAN TRUST 2018 452976351 2019-04-03 SLAVINS-HANCOCK PHARMACY INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 9175689000
Plan sponsor’s address 1035 WASHINGTON BLVD, STAMFORD, CT, 069012204

Signature of

Role Plan administrator
Date 2019-04-03
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
SLAVINS HANCOCK PHARMACY 401 K PROFIT SHARING PLAN TRUST 2017 452976351 2018-03-16 SLAVINS-HANCOCK PHARMACY INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 9175689000
Plan sponsor’s address 1035 WASHINGTON BLVD, STAMFORD, CT, 069012204

Signature of

Role Plan administrator
Date 2018-03-16
Name of individual signing RAJENDRA APPALANENI
Valid signature Filed with authorized/valid electronic signature
SLAVINS-HANCOCK PHARMACY INC. 401(K) PLAN 2015 452976351 2016-06-29 SLAVINS-HANCOCK PHARMACY INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-09-01
Business code 446110
Sponsor’s telephone number 8453742578
Plan sponsor’s address 922 WASHINGTON BLVD, STAMFORD, CT, 06901

Signature of

Role Plan administrator
Date 2016-06-29
Name of individual signing JODY FORTUNA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
LAKSHMANA M. PUDIPEDDI Agent 922 WASHINGTON BLVD, STAMFORD, CT, 06901, United States 922 WASHINGTON BLVD, STAMFORD, CT, 06901, United States +1 203-814-2821 laks18@yahoo.com 30 COLONIAL DRIVE, MONROE, CT, 06468, United States

Officer

Name Role Phone E-Mail Residence address
LAKSHMANA M. PUDIPEDDI Officer +1 203-814-2821 laks18@yahoo.com 30 COLONIAL DRIVE, MONROE, CT, 06468, United States
RAJENDRA P. APPALANENI Officer 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
PCY.0000767 PHARMACY ACTIVE CURRENT No data 2024-09-01 2025-08-31
PME.0010370 NON LEGEND DRUG PERMIT INACTIVE No data 2019-04-26 2019-04-26 2019-12-31

History

Type Old value New value Date of change
Name change HANCOCK PHARMACY IX, INC. SLAVINS-HANCOCK PHARMACY, INC. 2011-10-11
Name change SLAVINS PHARMACY, INC. HANCOCK PHARMACY IX, INC. 2011-10-05

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012300790 2024-07-23 No data Annual Report Annual Report No data
BF-0011426637 2023-07-19 No data Annual Report Annual Report No data
BF-0010311763 2022-07-29 No data Annual Report Annual Report 2022
BF-0009811285 2021-07-07 No data Annual Report Annual Report No data
0006943409 2020-07-09 No data Annual Report Annual Report 2020
0006604384 2019-07-24 No data Annual Report Annual Report 2019
0006255051 2018-10-04 No data Interim Notice Interim Notice No data
0006213577 2018-07-11 No data Annual Report Annual Report 2018
0006091455 2018-02-22 No data Change of Business Address Business Address Change No data
0005883306 2017-07-10 No data Annual Report Annual Report 2017

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website