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  5. AMBER LEAF ANIMAL HOSPITAL LTD.

AMBER LEAF ANIMAL HOSPITAL LTD.

Company Details

Entity Name: AMBER LEAF ANIMAL HOSPITAL LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Jul 1988
Date of Dissolution: 13 Dec 2024
Company Number: CORP_55158134
File Number: 55158134
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 13 Dec 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2022 363542097 2023-07-10 AMBER LEAF ANIMAL HOSPITAL, LTD. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing JAMES LANGE
Valid signature Filed with authorized/valid electronic signature
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2021 363542097 2022-03-24 AMBER LEAF ANIMAL HOSPITAL, LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2022-03-24
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2020 363542097 2021-09-03 AMBER LEAF ANIMAL HOSPITAL, LTD. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2021-09-03
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2019 363542097 2020-05-05 AMBER LEAF ANIMAL HOSPITAL, LTD. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2020-05-05
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2018 363542097 2019-04-09 AMBER LEAF ANIMAL HOSPITAL, LTD. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2017 363542097 2018-05-17 AMBER LEAF ANIMAL HOSPITAL, LTD. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2016 363542097 2017-03-27 AMBER LEAF ANIMAL HOSPITAL, LTD. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2017-03-27
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2015 363542097 2016-04-05 AMBER LEAF ANIMAL HOSPITAL, LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2016-04-05
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2014 363542097 2015-04-30 AMBER LEAF ANIMAL HOSPITAL, LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2015-04-30
Name of individual signing DANIEL M MALONEY
Valid signature Filed with authorized/valid electronic signature
AMBER LEAF ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN 2013 363542097 2014-05-19 AMBER LEAF ANIMAL HOSPITAL, LTD. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 541940
Sponsor’s telephone number 6302317640
Plan sponsor’s address PO BOX 685, WINFIELD, IL, 60190

Signature of
Role Plan administrator
Date 2014-05-19
Name of individual signing DANIEL MALONEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEVEN JOSEPH ROHRBACK, 28W730 W ROOSEVELT RD POB 685, WINFIELD, 60190, DU PAGE Agent 1988-07-19

President

Name and Address Role
STEVEN ROHRBACK, 1S551 SWAN LAKE COURT, WHEATON, 60187 President

Shares

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