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  5. PRAIRIE VIEW ANIMAL HOSPITAL, LTD.

PRAIRIE VIEW ANIMAL HOSPITAL, LTD.

Company Details

Entity Name: PRAIRIE VIEW ANIMAL HOSPITAL, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 29 Dec 1980
Company Number: CORP_52253284
File Number: 52253284
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRAIRIE VIEW ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN & TRUST 2023 363101992 2024-07-29 PRAIRIE VIEW ANIMAL HOSPITAL 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157621443
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing DAVID R EMMERT
Valid signature Filed with authorized/valid electronic signature
PRAIRIE VIEW ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN & TRUST 2022 363101992 2023-07-10 PRAIRIE VIEW ANIMAL HOSPITAL 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157621443
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing DAVID R EMMERT
Valid signature Filed with authorized/valid electronic signature
PRAIRIE VIEW ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN & TRUST 2021 363101992 2022-08-01 PRAIRIE VIEW ANIMAL HOSPITAL 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157621443
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing DAVID R EMMERT
Valid signature Filed with authorized/valid electronic signature
PRAIRIE VIEW ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN & TRUST 2020 363101992 2021-07-29 PRAIRIE VIEW ANIMAL HOSPITAL 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157621443
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing DAVID R EMMERT
Valid signature Filed with authorized/valid electronic signature
PRAIRIE VIEW ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN & TRUST 2019 363101992 2020-07-29 PRAIRIE VIEW ANIMAL HOSPITAL 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157621443
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing DAVID R EMMERT
Valid signature Filed with authorized/valid electronic signature
PRAIRIE VIEW ANIMAL HOSPITAL 401 K PROFIT SHARING PLAN TRUST 2018 363101992 2019-07-08 PRAIRIE VIEW ANIMAL HOSPITAL 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157621443
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing DAVID R. EMMERT
Valid signature Filed with authorized/valid electronic signature
PRAIRIE VIEW ANIMAL HOSPITAL 401 K PROFIT SHARING PLAN TRUST 2017 363101992 2018-07-09 PRAIRIE VIEW ANIMAL HOSPITAL 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157621443
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing DAVID R EMMERT
Valid signature Filed with authorized/valid electronic signature
PRAIRIE VIEW ANIMAL HOSPITAL 401 K PROFIT SHARING PLAN TRUST 2016 363101992 2017-07-05 PRAIRIE VIEW ANIMAL HOSPITAL 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157621443
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing DAVID R EMMERT
Valid signature Filed with authorized/valid electronic signature
PRAIRIE VIEW ANIMAL HOSPITAL 401(K) P/S PLAN 2015 363101992 2016-08-17 PRAIRIE VIEW ANIMAL HOSPITAL 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157569976
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Plan administrator’s name and address
Administrator’s EIN 363101992
Plan administrator’s name PRAIRIE VIEW ANIMAL HOSPITAL
Plan administrator’s address 24 RICH ROAD, DEKALB, IL, 60115
Administrator’s telephone number 8157569976

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing DAVID EMMERT
Valid signature Filed with authorized/valid electronic signature
PRAIRIE VIEW ANIMAL HOSPITAL 401(K) P/S PLAN 2014 363101992 2015-07-06 PRAIRIE VIEW ANIMAL HOSPITAL 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-03-01
Business code 541940
Sponsor’s telephone number 8157569976
Plan sponsor’s address 24 RICH ROAD, DEKALB, IL, 60115

Plan administrator’s name and address
Administrator’s EIN 363101992
Plan administrator’s name PRAIRIE VIEW ANIMAL HOSPITAL
Plan administrator’s address 24 RICH ROAD, DEKALB, IL, 60115
Administrator’s telephone number 8157569976

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing DAVID EMMERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID R EMMERT, 24 RICH RD, DEKALB, 60115, DE KALB Agent 2000-03-09

President

Name and Address Role
DAVID R EMMERT 1531 CHRISTINEDR, SYCAMORE, IL 60178 President

Secretary

Name and Address Role
PEGGY S DIEMER 27360 PLEASANTHILL RD SYCAMORE IL 60178 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060002818 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 1981-01-02 2021-10-29 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PRAIRIE VIEW ANIMAL HOSPITAL No data 1999-04-09 2000-11-29 Voluntary Cancellation No data
PRARIE VIEW ANIMAL HOSPITAL No data 1999-03-16 2001-05-01 Involuntary Cancellation No data

Historical Names

Name Change Date
PAUL VETERINARY HOSPITAL, LTD. 2000-11-29

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100 100000 No data

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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