| Entity Name: | CAMELOT CARE CENTERS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Converted |
| Date Formed: | 18 Jul 1986 |
| Company Number: | CORP_54319363 |
| File Number: | 54319363 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 19 Nov 2018 |
| Place of Formation: | ILLINOIS |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | CAMELOT CARE CENTERS, INC., MISSISSIPPI | 644814 | MISSISSIPPI |
| Headquarter of | CAMELOT CARE CENTERS, INC., FLORIDA | P25899 | FLORIDA |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1682084 | 200 OCEANGATE, SUITE 100, LONG BEACH, CA, 90802 | 200 OCEANGATE, SUITE 100, LONG BEACH, CA, 90802 | 562-435-3666 | |||||||||||||||||||||||||
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| Form type | EFFECT |
| File number | 333-213136-02 |
| Filing date | 2016-08-17 |
| File | View File |
Filings since 2016-08-17
| Form type | 424B3 |
| File number | 333-213136-02 |
| Filing date | 2016-08-17 |
| File | View File |
Filings since 2016-08-15
| Form type | S-4 |
| File number | 333-213136-02 |
| Filing date | 2016-08-15 |
| File | View File |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DUNCAN CARPET 401(K) PLAN | 2012 | 363307513 | 2013-06-06 | DUNCAN CARPET COMPANY | 6 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-06-06 |
| Name of individual signing | TAMMY NODA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-10-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 8473649150 |
| Plan sponsor’s address | 1911 S. BUSSE, MT. PROSPECT, IL, 60056 |
Plan administrator’s name and address
| Administrator’s EIN | 363307513 |
| Plan administrator’s name | DUNCAN CARPET COMPANY |
| Plan administrator’s address | 1911 S. BUSSE, MT. PROSPECT, IL, 60056 |
| Administrator’s telephone number | 8473649150 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-31 |
| Name of individual signing | TAMMY NODA |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-10-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 8473649150 |
| Plan sponsor’s address | 1911 S. BUSSE, MT. PROSPECT, IL, 60056 |
Plan administrator’s name and address
| Administrator’s EIN | 363307513 |
| Plan administrator’s name | DUNCAN CARPET COMPANY |
| Plan administrator’s address | 1911 S. BUSSE, MT. PROSPECT, IL, 60056 |
| Administrator’s telephone number | 8473649150 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-19 |
| Name of individual signing | TAMMY NODA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-10-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 8473649150 |
| Plan sponsor’s address | 1911 S. BUSSE, MT. PROSPECT, IL, 60056 |
Plan administrator’s name and address
| Administrator’s EIN | 363307513 |
| Plan administrator’s name | DUNCAN CARPET COMPANY |
| Plan administrator’s address | 1911 S. BUSSE, MT. PROSPECT, IL, 60056 |
| Administrator’s telephone number | 8473649150 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-03 |
| Name of individual signing | TAMMY NODA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-10-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 8473649150 |
| Plan sponsor’s address | 1911 S. BUSSE, MT. PROSPECT, IL, 60056 |
Plan administrator’s name and address
| Administrator’s EIN | 363307513 |
| Plan administrator’s name | DUNCAN CARPET COMPANY |
| Plan administrator’s address | 1911 S. BUSSE, MT. PROSPECT, IL, 60056 |
| Administrator’s telephone number | 8473649150 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-31 |
| Name of individual signing | TAMMY NODA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ILLINOIS CORPORATION SERVICE C, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON | Agent | 2006-08-02 |
| Name and Address | Role |
|---|---|
| RONICA PATEL 10304 SPOTSYLVANIA AVE FREDERICKSBURG VA 22408 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM A | No data | Voting Rights | 250000 | 4000 | 1 |
| COMM B | No data | No Voting Rights | 250000 | 996000 | 1 |
Date of last update: 16 Jan 2025
