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PHILIP WILEY, M.D., P.C.

Company Details

Name: PHILIP WILEY, M.D., P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 23 Aug 1978 (46 years ago)
Entity Number: 19871354195
ZIP code: 81303
County: La Plata County
Place of Formation: COLORADO
Principal Address: 1165 S Camino del Rio Ste 200 Durango CO 81303 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHILIP WILEY, M.D., P.C. 401(K) PLAN 2020 840768218 2021-11-21 PHILIP WILEY, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY, M.D., P.C.
Plan administrator’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2021-11-21
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature
PHILIP WILEY, M.D., P.C. 401(K) PLAN 2020 840768218 2021-07-08 PHILIP WILEY, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY, M.D., P.C.
Plan administrator’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2021-07-08
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature
PHILIP WILEY, M.D., P.C. 401(K) PLAN 2019 840768218 2020-07-26 PHILIP WILEY, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY, M.D., P.C.
Plan administrator’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2020-07-26
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature
PHILIP WILEY, M.D., P.C. 401(K) PLAN 2018 840768218 2019-05-08 PHILIP WILEY, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY, M.D., P.C.
Plan administrator’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2019-05-08
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature
PHILIP WILEY, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2017 840768218 2018-01-10 PHILIP WILEY, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY M.D., P.C.
Plan administrator’s address 1165 S CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2018-01-10
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature
PHILIP WILEY, M.D., P.C. 401(K) PLAN 2017 840768218 2018-08-04 PHILIP WILEY, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY, M.D., P.C.
Plan administrator’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2018-08-04
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature
PHILIP WILEY, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2016 840768218 2017-08-14 PHILIP WILEY, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY M.D., P.C.
Plan administrator’s address 1165 S CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2017-08-14
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature
PHILIP WILEY, M.D., P.C. 401(K) PLAN 2016 840768218 2017-08-14 PHILIP WILEY, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY, M.D., P.C.
Plan administrator’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2017-08-14
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature
PHILIP WILEY, M.D., P.C. 401(K) PLAN 2015 840768218 2016-05-19 PHILIP WILEY, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY, M.D., P.C.
Plan administrator’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2016-05-19
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature
PHILIP WILEY, M.D., P.C. DEFINED BENEFIT PENSION PLAN 2015 840768218 2016-05-22 PHILIP WILEY, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 9702472920
Plan sponsor’s address 1165 S. CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303

Plan administrator’s name and address

Administrator’s EIN 840768218
Plan administrator’s name PHILIP WILEY M.D., P.C.
Plan administrator’s address 1165 S CAMINO DEL RIO, SUITE 200, DURANGO, CO, 81303
Administrator’s telephone number 9702472920

Signature of

Role Plan administrator
Date 2016-05-22
Name of individual signing PHILIP WILEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Philip David Wiley Agent 4537 County Road 237 Durango CO 81301 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241788468 File Report 2024-07-24 2024-07-24 No data Change in registered agent information
20231788809 File Report 2023-07-26 2023-07-26 No data Principal address changed, Change in registered agent information
20221776407 File Report 2022-08-10 2022-08-10 No data Principal address changed
20211675890 File Report 2021-07-24 2021-07-24 No data No data
20201711540 File Report 2020-08-20 2020-08-20 No data No data
20191580197 File Report 2019-07-23 2019-07-23 No data No data
20181586113 File Report 2018-07-25 2018-07-25 No data No data
20171562322 File Report 2017-07-24 2017-07-24 No data No data
20161413226 File Report 2016-06-19 2016-06-19 No data No data
20151469592 File Report 2015-07-23 2015-07-23 No data No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State