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NVA FAIRVIEW VETERINARY MANAGEMENT, LLC

Company Details

Entity Name: NVA FAIRVIEW VETERINARY MANAGEMENT, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 22 Mar 2019
Company Number: LLC_07687222
File Number: 07687222
Type of Management: Manager Managed
Date Status Change: 03 Jan 2025
Address 1 BAXTER WAY, SUITE 200, WESTLAKE VILLAGE, 91362, CA
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2018 371244632 2019-06-05 FAIRVIEW HOSPITAL FOR ANIMALS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62522

Signature of

Role Plan administrator
Date 2019-06-05
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-05
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2018 371244632 2019-09-09 FAIRVIEW HOSPITAL FOR ANIMALS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62522

Signature of

Role Plan administrator
Date 2019-09-09
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-09
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2017 371244632 2018-06-06 FAIRVIEW HOSPITAL FOR ANIMALS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62522

Signature of

Role Plan administrator
Date 2018-05-30
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-30
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2016 371244632 2017-07-24 FAIRVIEW HOSPITAL FOR ANIMALS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62522

Signature of

Role Plan administrator
Date 2017-07-07
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2015 371244632 2016-08-16 FAIRVIEW HOSPITAL FOR ANIMALS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62521

Signature of

Role Plan administrator
Date 2016-08-16
Name of individual signing SHELLY L. STEVENS
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2014 371244632 2015-06-03 FAIRVIEW HOSPITAL FOR ANIMALS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62521

Signature of

Role Plan administrator
Date 2015-06-01
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-01
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2013 371244632 2014-07-14 FAIRVIEW HOSPITAL FOR ANIMALS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62521

Signature of

Role Plan administrator
Date 2014-07-14
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-14
Name of individual signing SHELLY STEVENS
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2012 371244632 2013-06-18 FAIRVIEW HOSPITAL FOR ANIMALS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62521

Signature of

Role Plan administrator
Date 2013-06-18
Name of individual signing SHELLY L. STEVENS DVM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-18
Name of individual signing SHELLY L. STEVENS DVM
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2011 371244632 2012-07-03 FAIRVIEW HOSPITAL FOR ANIMALS 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62521

Plan administrator’s name and address

Administrator’s EIN 371244632
Plan administrator’s name FAIRVIEW HOSPITAL FOR ANIMALS
Plan administrator’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62521
Administrator’s telephone number 2174287709

Signature of

Role Plan administrator
Date 2012-07-03
Name of individual signing SHELLY L. STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-03
Name of individual signing SHELLY L. STEVENS
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HOSPITAL FOR ANIMALS PROFIT SHARING PLAN 2010 371244632 2011-07-05 FAIRVIEW HOSPITAL FOR ANIMALS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 541940
Sponsor’s telephone number 2174287709
Plan sponsor’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62521

Plan administrator’s name and address

Administrator’s EIN 371244632
Plan administrator’s name FAIRVIEW HOSPITAL FOR ANIMALS
Plan administrator’s address 1090 W. SOUTH SIDE DR., DECATUR, IL, 62521
Administrator’s telephone number 2174287709

Signature of

Role Plan administrator
Date 2011-07-05
Name of individual signing SHELLY L. STEVENS, DVM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing SHELLY L. STEVENS, DVM
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON Agent 2019-03-22

Manager

Name and Address Role Appointment Date
LARRY ALLGAIER, 1 BAXTER WAY, SUITE 200, WESTLAKE VILLAGE, CA, 91362 Manager 2025-01-03
MARK MOURITSEN, 1 BAXTER WAY, SUITE 200, WESTLAKE VILLAGE, CA, 91362 Manager 2025-01-03

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
FAIRVIEW HOSPITAL FOR ANIMALS Assumed name 2019-05-08 2020-08-04 Involuntary cancellation No data

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State