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  5. ARLINGTON HEIGHTS ANIMAL HOSPITAL, INC.

ARLINGTON HEIGHTS ANIMAL HOSPITAL, INC.

Company Details

Entity Name: ARLINGTON HEIGHTS ANIMAL HOSPITAL, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Apr 1978
Date of Dissolution: 12 Jul 2016
Company Number: CORP_51429184
File Number: 51429184
Date Status Change: 12 Jul 2016
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
JT3TTKJ22BN7 2024-01-09 228 NE JEFFERSON ST, PEORIA, IL, 61603, 3802, USA 600 FAYETTE STREET, PO BOX 1346, PEORIA, IL, 61654, 1346, USA

Business Information
URL www.unityplace.org
Division Name HUMAN SERVICE CENTER
Congressional District 17
State/Country of Incorporation IL, USA
Activation Date 2023-01-11
Initial Registration Date 2003-11-20
Entity Start Date 1976-02-26
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621420, 623990

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANN M CAMPEN
Role CFO
Address 600 FAYETTE STREET, PO BOX 1346, PEORIA, IL, 61654, 1346, USA
Title ALTERNATE POC
Name ANN M CAMPEN
Address 600 FAYETTE STREET, PO BOX 1346, PEORIA, IL, 61654, 1346, USA
Government Business
Title PRIMARY POC
Name ANN M CAMPEN
Role CFO
Address 600 FAYETTE STREET, PO BOX 1346, PEORIA, IL, 61654, 1346, USA
Title ALTERNATE POC
Name ANN M CAMPEN
Address 600 FAYETTE STREET, PO BOX 1346, PEORIA, IL, 61654, 1346, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARLINGTON HEIGHTS ANIMAL HOSPITAL, LLC RETIREMENT PLAN 2018 471013024 2019-04-09 ARLINGTON HEIGHTS ANIMAL HOSPITAL, 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541940
Sponsor’s telephone number 8475931898
Plan sponsor’s address 412 W ALGONQUIN RD, ARLINGTON HEIGHTS, IL, 60005

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
ARLINGTON HEIGHTS ANIMAL HOSPITAL, LLC RETIREMENT PLAN 2017 471013024 2018-08-16 ARLINGTON HEIGHTS ANIMAL HOSPITAL, 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541940
Sponsor’s telephone number 8475931898
Plan sponsor’s address 412 W ALGONQUIN RD, ARLINGTON HEIGHTS, IL, 60005

Signature of
Role Plan administrator
Date 2018-08-16
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
HUMAN SERVICE CENTER PROFIT SHARING PLAN 2011 510137833 2013-01-30 HUMAN SERVICE CENTER 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 6182826233
Plan sponsor’s address 10257 STATE ROUTE 3, RED BUD, IL, 62278

Plan administrator’s name and address
Administrator’s EIN 510137833
Plan administrator’s name HUMAN SERVICE CENTER
Plan administrator’s address 10257 STATE ROUTE 3, RED BUD, IL, 62278
Administrator’s telephone number 6182826233

Signature of
Role Plan administrator
Date 2013-01-30
Name of individual signing DAVE HOLDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-30
Name of individual signing DAVE HOLDER
Valid signature Filed with authorized/valid electronic signature
HUMAN SERVICE CENTER PROFIT SHARING PLAN 2010 510137833 2012-01-16 HUMAN SERVICE CENTER 77
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 6182826233
Plan sponsor’s address 10257 STATE ROUTE 3, RED BUD, IL, 62278

Plan administrator’s name and address
Administrator’s EIN 510137833
Plan administrator’s name HUMAN SERVICE CENTER
Plan administrator’s address 10257 STATE ROUTE 3, RED BUD, IL, 62278
Administrator’s telephone number 6182826233

Signature of
Role Plan administrator
Date 2012-01-16
Name of individual signing DAVE HOLDER
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2012-01-16
Name of individual signing DAVE HOLDER
Valid signature Filed with incorrect/unrecognized electronic signature
HUMAN SERVICE CENTER PROFIT SHARING PLAN 2010 510137833 2012-01-16 HUMAN SERVICE CENTER 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 6182826233
Plan sponsor’s address 10257 STATE ROUTE 3, RED BUD, IL, 62278

Plan administrator’s name and address
Administrator’s EIN 510137833
Plan administrator’s name HUMAN SERVICE CENTER
Plan administrator’s address 10257 STATE ROUTE 3, RED BUD, IL, 62278
Administrator’s telephone number 6182826233

Signature of
Role Plan administrator
Date 2012-01-16
Name of individual signing DAVE HOLDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-01-16
Name of individual signing DAVE HOLDER
Valid signature Filed with authorized/valid electronic signature
HUMAN SERVICE CENTER PROFIT SHARING PLAN 2009 510137833 2011-03-17 HUMAN SERVICE CENTER 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 6182826233
Plan sponsor’s address 10257 STATE ROUTE 3, RED BUD, IL, 62278

Plan administrator’s name and address
Administrator’s EIN 510137833
Plan administrator’s name HUMAN SERVICE CENTER
Plan administrator’s address 10257 STATE ROUTE 3, RED BUD, IL, 62278
Administrator’s telephone number 6182826233

Signature of
Role Plan administrator
Date 2011-03-17
Name of individual signing DAVE HOLDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-17
Name of individual signing DAVE HOLDER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEPHEN V CAMP, 412 W ALGONQUIN RD, ARLINGTON HEIGHTS, 60005, COOK-NOT IN CITY OF CHICAGO Agent 1995-03-08

President

Name and Address Role
LAURA J CAMP 1715 MILBROOK LN ARLINGTON HGTS 60005 President

Historical Names

Name Change Date
STEPHEN V. CAMP PROFESSIONAL CORPORATION 1983-11-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 No data

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 15BCTS23F00000364 2023-10-01 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_15BCTS23F00000364_1540_DJBCTS477_1540
Awarding Agency Department of Justice
Link View Page

Award Amounts
Obligated Amount 46500.00
Current Award Amount 214110.38
Potential Award Amount 214110.38

Description
Title CTS IN PEORIA, IL.
NAICS Code 621420: OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS
Product and Service Codes G004: SOCIAL- SOCIAL REHABILITATION

Recipient Details
Recipient HUMAN SERVICE CENTER
UEI JT3TTKJ22BN7
Recipient Address UNITED STATES, 228 NE JEFFERSON ST, PEORIA, PEORIA, ILLINOIS, 616033802

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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