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AMBASSADOR ANIMAL HOSPITAL, L.L.C.

Company Details

Entity Name: AMBASSADOR ANIMAL HOSPITAL, L.L.C.
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 15 Jan 1997
Company Number: LLC_00099619
File Number: 00099619
Type of Management: Member Managed
Date Status Change: 11 Jul 2014
Expiration Date: 31 Dec 2072
Address 510 GUIDO CIRCLE, BLOOMINGTON, 61701, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST 2016 364123541 2017-09-24 AMBASSADOR ANIMAL HOSPITAL, L.L.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-04-22
Business code 541940
Sponsor’s telephone number 3095312366
Plan sponsor’s address 10 CANTERBURY COURT, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2017-09-24
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-24
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST 2016 364123541 2017-05-25 AMBASSADOR ANIMAL HOSPITAL, L.L.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-04-22
Business code 541940
Sponsor’s telephone number 3096628535
Plan sponsor’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2017-05-25
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-25
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST 2015 364123541 2016-06-13 AMBASSADOR ANIMAL HOSPITAL, L.L.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-04-22
Business code 541940
Sponsor’s telephone number 3096628535
Plan sponsor’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2016-06-13
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-13
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST 2014 364123541 2015-06-02 AMBASSADOR ANIMAL HOSPITAL, L.L.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-04-22
Business code 541940
Sponsor’s telephone number 3096628535
Plan sponsor’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2015-06-02
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-02
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST 2013 364123541 2014-05-28 AMBASSADOR ANIMAL HOSPITAL, L.L.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-04-22
Business code 541940
Sponsor’s telephone number 3096628535
Plan sponsor’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2014-05-28
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-28
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST 2012 364123541 2013-06-20 AMBASSADOR ANIMAL HOSPITAL, L.L.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-04-22
Business code 541940
Sponsor’s telephone number 3096628535
Plan sponsor’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2013-06-20
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-20
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST 2011 364123541 2012-06-04 AMBASSADOR ANIMAL HOSPITAL, L.L.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-04-22
Business code 541940
Sponsor’s telephone number 3096628535
Plan sponsor’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701

Plan administrator’s name and address

Administrator’s EIN 364123541
Plan administrator’s name AMBASSADOR ANIMAL HOSPITAL, L.L.C.
Plan administrator’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3096628535

Signature of

Role Plan administrator
Date 2012-06-04
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST 2010 364123541 2011-05-25 AMBASSADOR ANIMAL HOSPITAL, L.L.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-04-22
Business code 541940
Sponsor’s telephone number 3096628535
Plan sponsor’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701

Plan administrator’s name and address

Administrator’s EIN 364123541
Plan administrator’s name AMBASSADOR ANIMAL HOSPITAL, L.L.C.
Plan administrator’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3096628535

Signature of

Role Plan administrator
Date 2011-05-25
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST 2009 364123541 2010-05-20 AMBASSADOR ANIMAL HOSPITAL, L.L.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-04-22
Business code 541940
Sponsor’s telephone number 3096628535
Plan sponsor’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701

Plan administrator’s name and address

Administrator’s EIN 364123541
Plan administrator’s name AMBASSADOR ANIMAL HOSPITAL, L.L.C.
Plan administrator’s address 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3096628535

Signature of

Role Plan administrator
Date 2010-05-20
Name of individual signing WARREN R. BRUNTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MERCER TURNER, 202 N. PROSPECT #202, BLOOMINGTON, 61704, MC LEAN Agent 2001-12-31

Member

Name and Address Role Appointment Date
GUTHRIE, KATHY OLSEN, 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701 Member 1997-01-15
BRUNTON, WARREN R., 510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701 Member 1997-01-15

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State