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  5. DAKOTA RIDGE FAMILY MEDICINE, P.C.

DAKOTA RIDGE FAMILY MEDICINE, P.C.

Company Details

Name: DAKOTA RIDGE FAMILY MEDICINE, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 01 Sep 1971 (53 years ago)
Date dissolved: 24 Nov 2016
Entity Number: 19871251347
ZIP code: 80303
County: Boulder County
Place of Formation: COLORADO
Principal Address: 2995 BASELINE STE 210 BOULDER CO 80303 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAKOTA RIDGE FAMILY MEDICINE, P.C. 401(K) PLAN 2013 840613245 2014-05-12 DAKOTA RIDGE FAMILY MEDICINE, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3034432544
Plan sponsor’s address 2995 BASELINE, SUITE 210, BOULDER, CO, 80303

Signature of
Role Plan administrator
Date 2014-05-12
Name of individual signing VICKIE MCCAY
Valid signature Filed with authorized/valid electronic signature
DAKOTA RIDGE FAMILY MEDICINE, P.C. 401(K) PLAN 2013 840613245 2014-02-14 DAKOTA RIDGE FAMILY MEDICINE, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3034432544
Plan sponsor’s address 2995 BASELINE, SUITE 210, BOULDER, CO, 80303

Signature of
Role Plan administrator
Date 2014-02-14
Name of individual signing VICKIE MCCAY
Valid signature Filed with authorized/valid electronic signature
DAKOTA RIDGE FAMILY MEDICINE, P.C. 401(K) PLAN 2012 840613245 2013-06-17 DAKOTA RIDGE FAMILY MEDICINE, P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3034432544
Plan sponsor’s address 2995 BASELINE, SUITE 210, BOULDER, CO, 80303

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing VICKIE MCCAY
Valid signature Filed with authorized/valid electronic signature
DAKOTA RIDGE FAMILY MEDICINE, P.C. 401(K) PLAN 2011 840613245 2012-06-21 DAKOTA RIDGE FAMILY MEDICINE, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3034432544
Plan sponsor’s address 2995 BASELINE, SUITE 210, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 840613245
Plan administrator’s name DAKOTA RIDGE FAMILY MEDICINE, P.C.
Plan administrator’s address 2995 BASELINE, SUITE 210, BOULDER, CO, 80303
Administrator’s telephone number 3034432544

Signature of
Role Plan administrator
Date 2012-06-21
Name of individual signing VICKIE MCCAY
Valid signature Filed with authorized/valid electronic signature
DAKOTA RIDGE FAMILY MEDICINE, P.C. 401(K) PLAN 2010 840613245 2011-04-18 DAKOTA RIDGE FAMILY MEDICINE, P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3034432544
Plan sponsor’s address 2995 BASELINE, SUITE 210, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 840613245
Plan administrator’s name DAKOTA RIDGE FAMILY MEDICINE, P.C.
Plan administrator’s address 2995 BASELINE, SUITE 210, BOULDER, CO, 80303
Administrator’s telephone number 3034432544

Signature of
Role Plan administrator
Date 2011-04-18
Name of individual signing VICKIE MCCAY
Valid signature Filed with authorized/valid electronic signature
DAKOTA RIDGE FAMILY MEDICINE, P.C. 401(K) PLAN 2009 840613245 2010-08-30 DAKOTA RIDGE FAMILY MEDICINE, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3034432544
Plan sponsor’s address 2995 BASELINE, SUITE 210, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 840613245
Plan administrator’s name DAKOTA RIDGE FAMILY MEDICINE, P.C.
Plan administrator’s address 2995 BASELINE, SUITE 210, BOULDER, CO, 80303
Administrator’s telephone number 3034432544

Signature of
Role Plan administrator
Date 2010-08-30
Name of individual signing VICKIE MCCAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LISE MUZNY Agent 2995 BASELINE STE 210 BOULDER CO 80303 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20161792934 Dissolve a Profit Corporation 2016-11-24 2016-11-24 DAKOTA RIDGE FAMILY MEDICINE, P.C., Dissolved November 24, 2016 No data
20131667786 File Report 2013-11-22 2013-11-22 No data Change of Registered Agent
20121459273 File Report 2012-08-23 2012-08-23 No data No data
20111484214 File Report 2011-08-25 2011-08-25 No data No data
20101526438 File Report 2010-09-22 2010-09-22 No data No data
20091557289 File Report 2009-10-22 2009-10-22 No data No data
20081501932 File Report 2008-09-19 2008-09-19 No data Change of Registered Agent
20071442796 File Report 2007-09-26 2007-09-26 No data No data
20061382203 File Report 2006-09-19 2006-09-19 No data No data
20051346387 File Report 2005-09-13 2005-09-13 No data No data

Related by officers

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Related by address

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Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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