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FOX LAKE ANIMAL HOSPITAL, LLC

Company Details

Entity Name: FOX LAKE ANIMAL HOSPITAL, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 11 Dec 2019
Company Number: LLC_08332967
File Number: 08332967
Type of Management: Manager Managed
Date Status Change: 28 Oct 2024
Address 161 S. US 12, FOX LAKE, 60020, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2020 363245854 2021-04-26 FOX LAKE ANIMAL HOSPITAL 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475870505
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2021-04-26
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2020 363245854 2021-06-16 FOX LAKE ANIMAL HOSPITAL 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475870505
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2021-06-16
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-16
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2019 363245854 2020-10-08 FOX LAKE ANIMAL HOSPITAL 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475870505
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2020-10-08
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2018 363245854 2019-10-08 FOX LAKE ANIMAL HOSPITAL 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475870505
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2019-10-08
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2017 363245854 2018-08-16 FOX LAKE ANIMAL HOSPITAL 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475873130
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2018-08-16
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-16
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2016 363245854 2017-10-12 FOX LAKE ANIMAL HOSPITAL 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475873130
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing BOHDAN RUDAWSKI DVM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing BOHDAN RUDAWSKI DVM
Valid signature Filed with authorized/valid electronic signature
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2015 363245854 2016-10-14 FOX LAKE ANIMAL HOSPITAL 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475873130
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing BOHDAN RUDAWSKI DVM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing BOHDAN RUDAWSKI DVM
Valid signature Filed with authorized/valid electronic signature
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2015 363245854 2016-10-13 FOX LAKE ANIMAL HOSPITAL 43
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475873130
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing BOHDAN RUDAWSKI DVM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing BOHDAN RUDAWSKI DVM
Valid signature Filed with authorized/valid electronic signature
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2014 363245854 2015-07-31 FOX LAKE ANIMAL HOSPITAL 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475873130
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2015-07-31
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-31
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN 2013 363245854 2014-07-10 FOX LAKE ANIMAL HOSPITAL 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621399
Sponsor’s telephone number 8475873130
Plan sponsor’s address 161 SOUTH U.S. 12, FOX LAKE, IL, 60020

Signature of

Role Plan administrator
Date 2014-07-10
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-10
Name of individual signing BOHDAN RUDAWSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK M. DICARA, 171 SHORELINE RD, LAKE BARRINGTON, 60010 Agent 2019-12-11

Manager

Name and Address Role Appointment Date
BOHDAN RUDAWSKI, 161 S. US 12, FOX LAKE, IL, 60020 Manager 2024-10-28

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State