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BOULDER MEDICAL CENTER, P.C.

Company Details

Name: BOULDER MEDICAL CENTER, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 01 Dec 1980 (44 years ago)
Entity Number: 19871418485
ZIP code: 80304
County: Boulder County
Place of Formation: COLORADO
Principal Address: 2750 Broadway St Boulder CO 80304 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOULDER MEDICAL CENTER, P.C. EMPLOYEE HEALTH AND WELFARE PLAN 2022 840834835 2023-10-13 BOULDER MEDICAL CENTER, P.C. 404
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1987-10-01
Business code 621111
Sponsor’s telephone number 3034403123
Plan sponsor’s mailing address 2750 BROADWAY, BOULDER, CO, 80304
Plan sponsor’s address 2750 BROADWAY, BOULDER, CO, 80304

Plan administrator’s name and address

Administrator’s EIN 840834835
Plan administrator’s name BOULDER MEDICAL CENTER, P.C. ATTN NICK MOLLICONI
Plan administrator’s address 2750 BROADWAY, BOULDER, CO, 80304
Administrator’s telephone number 3034403123

Number of participants as of the end of the plan year

Active participants 404
Retired or separated participants receiving benefits 2

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing NICK MOLLICONI, CFO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing NICK MOLLICONI, CFO
Valid signature Filed with authorized/valid electronic signature
BOULDER MEDICAL CENTER, P.C. EMPLOYEE HEALTH AND WELFARE PLAN 2021 840834835 2022-10-17 BOULDER MEDICAL CENTER, P.C. 535
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1987-10-01
Business code 621111
Sponsor’s telephone number 3034403123
Plan sponsor’s mailing address 2750 BROADWAY, BOULDER, CO, 80304
Plan sponsor’s address 2750 BROADWAY, BOULDER, CO, 80304

Plan administrator’s name and address

Administrator’s EIN 840834835
Plan administrator’s name BOULDER MEDICAL CENTER, P.C.
Plan administrator’s address 2750 BROADWAY, BOULDER, CO, 80304
Administrator’s telephone number 3034403123

Number of participants as of the end of the plan year

Active participants 392
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-04-26
Name of individual signing NICK MOLLICONI, CFO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-26
Name of individual signing NICK MOLLICONI, CFO
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20241472121 File Report 2024-04-25 2024-04-25 No data Principal address changed, Change in registered agent information
20231619790 File Report 2023-06-09 2023-06-09 No data Principal address changed, Change in registered agent information
20221734766 File Report 2022-07-27 2022-07-27 No data No data
20211383830 File Report 2021-04-23 2021-04-23 No data No data
20201355968 File Report 2020-04-23 2020-04-23 No data No data
20191590728 File Report 2019-07-24 2019-07-24 No data No data
20191269888 Amend and Restate Articles of Incorporation for a Profit Corporation 2019-03-27 2019-03-27 No data No data
20181323491 File Report 2018-04-23 2018-04-23 No data No data
20171326897 File Report 2017-04-26 2017-04-26 No data No data
20161336764 Statement Curing Delinquency 2016-05-16 2016-05-16 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State