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AUBURN ANIMAL HOSPITAL P.C.

Company Details

Entity Name: AUBURN ANIMAL HOSPITAL P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 29 Dec 1997
Company Number: CORP_59734407
File Number: 59734407
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUBURN ANIMAL HOSPITAL PROFIT SHARING PLAN 2023 364301441 2024-06-06 AUBURN ANIMAL HOSPITAL 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 541940
Sponsor’s telephone number 7737837606
Plan sponsor’s address 8256 S ASHLAND AVE, CHICAGO, IL, 60620

Signature of

Role Plan administrator
Date 2024-06-06
Name of individual signing JAMES LANGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-06
Name of individual signing JAMES LANGE
Valid signature Filed with authorized/valid electronic signature
AUBURN ANIMAL HOSPITAL PROFIT SHARING PLAN 2022 364301441 2023-10-16 AUBURN ANIMAL HOSPITAL 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 541940
Sponsor’s telephone number 7737837606
Plan sponsor’s address 8256 S ASHLAND AVE, CHICAGO, IL, 60620

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing JAMES LANGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing JAMES LANGE
Valid signature Filed with authorized/valid electronic signature
AUBURN ANIMAL HOSPITAL PROFIT SHARING PLAN 2021 364301441 2022-09-06 AUBURN ANIMAL HOSPITAL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541940
Sponsor’s telephone number 7737837606
Plan sponsor’s address 8256 S ASHLAND AVE, CHICAGO, IL, 60620

Signature of

Role Plan administrator
Date 2022-09-06
Name of individual signing DANIEL M. MALONEY
Valid signature Filed with authorized/valid electronic signature
AUBURN ANIMAL HOSPITAL PROFIT SHARING PLAN 2021 364301441 2023-10-16 AUBURN ANIMAL HOSPITAL 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 541940
Sponsor’s telephone number 7737837606
Plan sponsor’s address 8256 S ASHLAND AVE, CHICAGO, IL, 60620

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing JAMES LANGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing JAMES LANGE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SHEILA CARPENTER, 8256 S ASHLAND AVE, CHICAGO, 60620, COOK-NOT IN CITY OF CHICAGO Agent 2015-02-20

President

Name and Address Role
SHEILA CARPENTER, 2246 HUTCHISON ROAD, FLOSSMOOR IL 60422 President

Secretary

Name and Address Role
SHEILA CARPENTER, 2246 HUTCHISON ROAD, FLOSSMOOR IL 60422 Secretary

Historical Names

Name Change Date
FOREST PARK ANIMAL HOSPITAL AND PET MOTEL INCORPORATED 2005-01-13

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 3000 1000000 No data

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State