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  5. HAWTHORNE ANIMAL HOSPITAL, LTD.

HAWTHORNE ANIMAL HOSPITAL, LTD.

Company Details

Entity Name: HAWTHORNE ANIMAL HOSPITAL, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Dec 1969
Company Number: CORP_49591519
File Number: 49591519
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2023 370916895 2024-06-26 HAWTHORNE ANIMAL HOSPITAL, LTD. 82
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2022 370916895 2023-04-25 HAWTHORNE ANIMAL HOSPITAL, LTD. 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Signature of
Role Plan administrator
Date 2023-04-25
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2021 370916895 2022-08-01 HAWTHORNE ANIMAL HOSPITAL, LTD. 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2020 370916895 2021-07-08 HAWTHORNE ANIMAL HOSPITAL, LTD. 88
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2019 370916895 2020-05-27 HAWTHORNE ANIMAL HOSPITAL, LTD. 115
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Signature of
Role Plan administrator
Date 2020-05-27
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2018 370916895 2019-07-15 HAWTHORNE ANIMAL HOSPITAL, LTD. 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2017 370916895 2018-06-25 HAWTHORNE ANIMAL HOSPITAL, LTD. 108
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Signature of
Role Plan administrator
Date 2018-06-25
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2016 370916895 2017-07-03 HAWTHORNE ANIMAL HOSPITAL, LTD. 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Signature of
Role Plan administrator
Date 2017-07-03
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2015 370916895 2016-04-05 HAWTHORNE ANIMAL HOSPITAL, LTD. 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Plan administrator’s name and address
Administrator’s EIN 370916895
Plan administrator’s name HAWTHORNE ANIMAL HOSPITAL, LTD.
Plan administrator’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995
Administrator’s telephone number 6182883971

Signature of
Role Plan administrator
Date 2016-04-05
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature
HAWTHORNE ANIMAL HOSPITAL, LTD. 401K PLAN 2014 370916895 2015-04-27 HAWTHORNE ANIMAL HOSPITAL, LTD. 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 541940
Sponsor’s telephone number 6182883971
Plan sponsor’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995

Plan administrator’s name and address
Administrator’s EIN 370916895
Plan administrator’s name HAWTHORNE ANIMAL HOSPITAL, LTD.
Plan administrator’s address 5 COUGAR DR, GLEN CARBON, IL, 620342995
Administrator’s telephone number 6182883971

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing PAUL MYER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PAUL K MYER, 5 COUGAR DR, GLEN CARBON, 62034, MADISON Agent 2005-07-11

President

Name and Address Role
PAUL K MYER, 5 COUGAR DR. GLENCARBON, IL, 62034 President

Secretary

Name and Address Role
PAUL K MYER 5 COUGAR DR. GLENCARBON IL 62034 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060000029 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 1998-01-01 No data 2004-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
COUNTRYSIDE PET HOSPITAL No data 2012-11-28 2021-05-01 Involuntary Cancellation No data
ADAIR GARDENS PET HOSPITAL No data 2012-11-28 2015-11-12 Voluntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 210000 100

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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