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GREEN MOUNTAIN PEDIATRICS, P.C.

Company Details

Name: GREEN MOUNTAIN PEDIATRICS, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 01 Nov 1971 (53 years ago)
Entity Number: 19871235307
ZIP code: 80228
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 255 Union Blvd Ste 120 Lakewood CO 80228 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREEN MOUNTAIN PEDIATRICS PC 401(K) PROFIT SHARING PLAN AND TRUST 2020 840615486 2021-08-24 GREEN MOUNTAIN PEDIATRICS 19
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Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Plan sponsor’s address 255 UNION BLVD, #120, LAKEWOOD, CO, 80228

Signature of

Role Plan administrator
Date 2021-08-24
Name of individual signing FRANCINE PASTON
Valid signature Filed with authorized/valid electronic signature
GREEN MOUNTAIN PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2010 840615486 2011-10-14 GREEN MOUNTAIN PEDIATRICS, P.C. 10
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Three-digit plan number (PN) 002
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 3039367415
Plan sponsor’s address 255 UNION BOULEVARD, SUITE 120, LAKEWOOD, CO, 80228

Plan administrator’s name and address

Administrator’s EIN 840615486
Plan administrator’s name GREEN MOUNTAIN PEDIATRICS, P.C.
Plan administrator’s address 255 UNION BOULEVARD, SUITE 120, LAKEWOOD, CO, 80228
Administrator’s telephone number 3039367415

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing FRANCINE PASTON
Valid signature Filed with authorized/valid electronic signature
GREEN MOUNTAIN PEDIATRICS, P.C. 401(K) PROFIT SHARING PLAN 2009 840615486 2010-09-14 GREEN MOUNTAIN PEDIATRICS, P.C. 9
Three-digit plan number (PN) 002
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 3039367415
Plan sponsor’s address 255 UNION BOULEVARD, SUITE 120, LAKEWOOD, CO, 80228

Plan administrator’s name and address

Administrator’s EIN 840615486
Plan administrator’s name GREEN MOUNTAIN PEDIATRICS, P.C.
Plan administrator’s address 255 UNION BOULEVARD, SUITE 120, LAKEWOOD, CO, 80228
Administrator’s telephone number 3039367415

Signature of

Role Plan administrator
Date 2010-09-13
Name of individual signing DANIEL GELLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jonathon R Alfano Agent 5727 Allison St Arvada CO 80002 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241087153 File Report 2024-01-23 2024-01-23 No data Principal address changed, Change in registered agent information
20231084584 File Report 2023-01-23 2023-01-23 No data Change in registered agent information
20221088050 File Report 2022-01-24 2022-01-24 No data No data
20211124774 File Report 2021-02-04 2021-02-04 No data No data
20201071949 File Report 2020-01-24 2020-01-24 No data No data
20191200577 File Report 2019-03-04 2019-03-04 No data No data
20181058127 File Report 2018-01-23 2018-01-23 No data No data
20171093827 Statement Curing Delinquency 2017-02-01 2017-02-01 GREEN MOUNTAIN PEDIATRICS, P.C. No data
20111641773 File Report 2011-11-21 2011-11-21 No data No data
20101609505 File Report 2010-11-04 2010-11-04 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State