| Entity Name: | FOREST BLUFF ANIMAL HOSPITAL P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 19 Jul 2018 |
| Company Number: | CORP_71913996 |
| File Number: | 71913996 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FOREST BLUFF ANIMAL HOSPITAL, P.C. 401(K) PROFIT SHARING PLAN | 2023 | 831470094 | 2024-10-02 | FOREST BLUFF ANIMAL HOSPITAL, P.C. | 6 | |||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-01 |
| Name of individual signing | ROBYN L WALTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-01 |
| Name of individual signing | ROBYN L WALTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 541940 |
| Sponsor’s telephone number | 8479997387 |
| Plan sponsor’s address | 968 W. NORTH SHORE DR., LAKE BLUFF, IL, 60044 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-13 |
| Name of individual signing | ROBYN WALTER-MROWIEC |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-10-13 |
| Name of individual signing | ROBYN WALTER-MROWIEC |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 541940 |
| Sponsor’s telephone number | 8479997387 |
| Plan sponsor’s address | 968 W. NORTH SHORE DR., LAKE BLUFF, IL, 60044 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-04 |
| Name of individual signing | ROBYN WALTER-MROWIEC |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-07-04 |
| Name of individual signing | ROBYN WALTER-MROWIEC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ROBYN LOUISE WALTER-MROWIEC, 573 CREST COURT, LAKE FOREST, 60045, LAKE | Agent | 2020-10-20 |
| Name and Address | Role |
|---|---|
| ROBYN WALTER-MROWIEC, 573 CREST COURT, LAKE FOREST, 60045 | President |
| Name and Address | Role |
|---|---|
| ROBYN WALTER-MROWIEC, 573 CREST COURT, LAKE FOREST, 60045 | Secretary |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| FOREST BLUFF TRAINING GROUP | Assume Name | 2022-01-28 | No data | No data | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000000 | 1000000 | No data |
Date of last update: 13 Jan 2025
