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NEISEN INSURANCE, INC.

Company Details

Name: NEISEN INSURANCE, INC.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 05 Apr 1984 (41 years ago)
Entity Number: 19871565308
ZIP code: 80110
County: Arapahoe County
Place of Formation: COLORADO
Principal Address: 333 W Hampden Ave Ste 305 Englewood CO 80110 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEISEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2023 840948487 2024-06-05 NEISEN INSURANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2024-06-05
Name of individual signing TODD BORTH
Valid signature Filed with authorized/valid electronic signature
NEISEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 840948487 2023-07-05 NEISEN INSURANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2023-07-05
Name of individual signing TODD BORTH
Valid signature Filed with authorized/valid electronic signature
NEISEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 840948487 2022-07-23 NEISEN INSURANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2022-07-23
Name of individual signing TODD BORTH
Valid signature Filed with authorized/valid electronic signature
NEISEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 840948487 2021-06-02 NEISEN INSURANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2021-06-02
Name of individual signing TODD BORTH
Valid signature Filed with authorized/valid electronic signature
NEISEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 840948487 2020-05-06 NEISEN INSURANCE INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2020-05-06
Name of individual signing TODD BORTH
Valid signature Filed with authorized/valid electronic signature
NEISEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2018 840948487 2019-06-24 NEISEN INSURANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2019-06-24
Name of individual signing TODD BORTH
Valid signature Filed with authorized/valid electronic signature
NEISEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2017 840948487 2018-06-22 NEISEN INSURANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2018-06-22
Name of individual signing TODD BORTH
Valid signature Filed with authorized/valid electronic signature
NEISEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2016 840948487 2017-07-27 NEISEN INSURANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2017-07-27
Name of individual signing TODD BORTH
Valid signature Filed with authorized/valid electronic signature
NEISEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2015 840948487 2016-07-22 NEISEN INSURANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing TODD BORTH
Valid signature Filed with authorized/valid electronic signature
NEISEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2014 840948487 2015-07-24 NEISEN INSURANCE INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 3037816776
Plan sponsor’s address 333 W HAMPDEN AVE STE 305, ENGLEWOOD, CO, 80110

Signature of

Role Plan administrator
Date 2015-07-24
Name of individual signing NALABEAR3
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Todd Borth Agent 333 W Hampden Ave Ste 305 Englewood CO 80110 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241360921 File Report 2024-03-27 2024-03-27 No data Principal address changed, Change in registered agent information
20231313121 File Report 2023-03-23 2023-03-23 No data Change in registered agent information
20221287645 File Report 2022-03-23 2022-03-23 No data No data
20211248759 File Report 2021-03-13 2021-03-13 No data No data
20201257583 File Report 2020-03-23 2020-03-23 No data No data
20191289404 File Report 2019-04-01 2019-04-01 No data No data
20181109342 File Report 2018-02-05 2018-02-05 No data No data
20171221701 File Report 2017-03-23 2017-03-23 No data No data
20161182546 File Report 2016-03-14 2016-03-14 No data No data
20151216641 File Report 2015-03-27 2015-03-27 No data No data

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6061518002 2020-06-29 0811 PPP 333 West Hampden Avenue, #305, Englewood, CO, 80110-2205
Loan Status Date 2021-06-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 59400
Loan Approval Amount (current) 59400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 506410
Servicing Lender Name DreamSpring
Servicing Lender Address 2000 Zearing Ave. NW, Albuquerque, NM, 87104
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Englewood, ARAPAHOE, CO, 80110-2205
Project Congressional District CO-06
Number of Employees 3
NAICS code 524128
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 506410
Originating Lender Name DreamSpring
Originating Lender Address Albuquerque, NM
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 59886.75
Forgiveness Paid Date 2021-05-06

Date of last update: 17 Feb 2025

Sources: Colorado's Secretary of State