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  5. RUBIN VETERINARY SERVICES, LTD.

RUBIN VETERINARY SERVICES, LTD.

Company Details

Entity Name: RUBIN VETERINARY SERVICES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 22 Mar 1983
Date of Dissolution: 09 Aug 2019
Company Number: CORP_53031242
File Number: 53031242
Date Status Change: 09 Aug 2019
Address 3219 N CLARK ST, CHICAGO, IL, 60657
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUM ANIMAL HOSPITAL EMPLOYEES 401(K) PLAN 2017 363221098 2018-04-16 BLUM ANIMAL HOSPITAL 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 541940
Sponsor’s telephone number 8475014622
Plan sponsor’s address 778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60093

Signature of
Role Plan administrator
Date 2018-04-10
Name of individual signing SIR DEANGELIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-10
Name of individual signing SIR DEANGELIS
Valid signature Filed with authorized/valid electronic signature
BLUM ANIMAL HOSPITAL EMPLOYEES 401(K) PLAN 2013 363221098 2014-06-03 BLUM ANIMAL HOSPITAL 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 541940
Sponsor’s telephone number 7733274446
Plan sponsor’s address 3219 N CLARK ST, CHICAGO, IL, 60657

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing SIRI DEANGELIS
Valid signature Filed with authorized/valid electronic signature
BLUM ANIMAL HOSPITAL EMPLOYEES 401(K) PLAN 2012 363221098 2013-06-10 BLUM ANIMAL HOSPITAL 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 541940
Sponsor’s telephone number 7733274446
Plan sponsor’s address 3219 N CLARK ST, CHICAGO, IL, 60657

Signature of
Role Plan administrator
Date 2013-06-10
Name of individual signing SIRI DEANGELIS
Valid signature Filed with authorized/valid electronic signature
BLUM ANIMAL HOSPITAL EMPLOYEES 401(K) PLAN 2011 363221098 2012-06-11 BLUM ANIMAL HOSPITAL 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 541940
Sponsor’s telephone number 7733274446
Plan sponsor’s address 3219 N CLARK ST, CHICAGO, IL, 60657

Plan administrator’s name and address
Administrator’s EIN 363221098
Plan administrator’s name BLUM ANIMAL HOSPITAL
Plan administrator’s address 3219 N CLARK ST, CHICAGO, IL, 60657
Administrator’s telephone number 7733274446

Signature of
Role Plan administrator
Date 2012-06-11
Name of individual signing SIRI DEANGELIS
Valid signature Filed with authorized/valid electronic signature
BLUM ANIMAL HOSPITAL EMPLOYEES 401(K) PLAN 2010 363221098 2011-06-21 BLUM ANIMAL HOSPITAL 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 541940
Sponsor’s telephone number 7733274446
Plan sponsor’s address 3219 N CLARK ST, CHICAGO, IL, 60657

Plan administrator’s name and address
Administrator’s EIN 363221098
Plan administrator’s name BLUM ANIMAL HOSPITAL
Plan administrator’s address 3219 N CLARK ST, CHICAGO, IL, 60657
Administrator’s telephone number 7733274446

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing SIRI DEANGELIS
Valid signature Filed with authorized/valid electronic signature
BLUM ANIMAL HOSPITAL EMPLOYEES' 401(K) PLAN 2009 363221098 2010-07-21 RUBIN VETERINARY SERVICES LTD. 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 541940
Sponsor’s telephone number 7733274446
Plan sponsor’s address 3219 NORTH CLARK STREET, CHICAGO, IL, 60657

Plan administrator’s name and address
Administrator’s EIN 363221098
Plan administrator’s name RUBIN VETERINARY SERVICES LTD.
Plan administrator’s address 3219 NORTH CLARK STREET, CHICAGO, IL, 60657
Administrator’s telephone number 7733274446

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing ROBERT H. DANN, D.V.M.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK D TOLJANIC, 2215 YORK ROAD SUITE 550, OAK BROOK, 60523, DU PAGE Agent 2001-09-14

President

Name and Address Role Account Number
JULIA GEORGESEN 1432 W POLK ST CHICAGO IL 60607 President No data
ROBERT H. DANN President 6070

Secretary

Name and Address Role Account Number
ROBERT H. DANN Secretary 6070

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2184542 Issued 1032 Animal Care License 857 - Operate a Veterinary Hospital 2017-02-10 2017-02-16 2019-02-15
BUSINESS LICENSE 12438 Cancelled 1054 Veterinary Hospital No data 2011-01-12 2011-02-16 2013-02-15
BUSINESS LICENSE 12437 Cancelled 1010 Limited Business License No data 2011-01-12 2011-02-16 2013-02-15
PROF SERVICE CORP 060000806 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 1973-04-09 2016-12-20 2018-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BLUM ANIMAL HOSPITAL No data 2005-02-14 2019-08-01 Involuntary Cancellation No data
BLUM ANIMAL HOSPITAL CO. No data 1984-03-29 2005-08-01 Involuntary Cancellation No data

Shares

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

Related by officers

MARK D TOLJANIC, 2215 YORK ROAD SUITE 550, OAK BROOK, 60523, DU PAGE

FSC SALES, INC. GLEITMAN AUDIOLOGY, P.C. THE MARGESON GROUP LIMITED ROSSDEUTCHER MASONRY INC. SUBBARAJU LTD. NEERJA AGGARWAL DDS P.C.

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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