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  5. MAPLETON HILL ORTHOPAEDICS, P.C.

MAPLETON HILL ORTHOPAEDICS, P.C.

Company Details

Name: MAPLETON HILL ORTHOPAEDICS, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Merged
Date of registration: 02 Jul 1984 (41 years ago)
Entity Number: 19871578201
ZIP code: 80304
County: Boulder County
Place of Formation: COLORADO
Principal Address: 975 North Street #201 BOULDER CO 80304 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAPLETON HILL ORTHPAEDICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2015 840953599 2016-10-04 MAPLETON HILL ORTHOPAEDICS, P.C. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 3034407941
Plan sponsor’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing CATHY HIGGINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-04
Name of individual signing CATHY HIGGINS
Valid signature Filed with authorized/valid electronic signature
MAPLETON HILL ORTHPAEDICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2014 840953599 2015-10-14 MAPLETON HILL ORTHOPAEDICS, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 3034407941
Plan sponsor’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing MARLENE THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing MARLENE THOMAS
Valid signature Filed with authorized/valid electronic signature
MAPLETON HILL ORTHPAEDICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2013 840953599 2014-10-06 MAPLETON HILL ORTHOPAEDICS, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 3034407941
Plan sponsor’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing CATHY HIGGINS
Valid signature Filed with authorized/valid electronic signature
MAPLETON HILL ORTHPAEDICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2012 840953599 2013-10-03 MAPLETON HILL ORTHOPAEDICS, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 3034407941
Plan sponsor’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing DONNA COSTNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing DONNA COSTNER
Valid signature Filed with authorized/valid electronic signature
MAPLETON HILL ORTHOPAEDICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2011 840953599 2012-07-23 MAPLETON HILL ORTHOPAEDICS, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 3034407941
Plan sponsor’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304

Plan administrator’s name and address
Administrator’s EIN 840953599
Plan administrator’s name MAPLETON HILL ORTHOPAEDICS, P.C.
Plan administrator’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304
Administrator’s telephone number 3034407941

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing DONNA COSTNER
Valid signature Filed with authorized/valid electronic signature
MAPLETON HILL ORTHOPAEDICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2010 840953599 2011-03-08 MAPLETON HILL ORTHOPAEDICS, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 3034407941
Plan sponsor’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304

Plan administrator’s name and address
Administrator’s EIN 840953599
Plan administrator’s name MAPLETON HILL ORTHOPAEDICS, P.C.
Plan administrator’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304
Administrator’s telephone number 3034407941

Signature of
Role Plan administrator
Date 2011-03-08
Name of individual signing DAVID L. ROTER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-08
Name of individual signing DAVID L. ROTER, M.D.
Valid signature Filed with authorized/valid electronic signature
MAPLETON HILL ORTHOPAEDICS, P.C. SECTION 401K PROFIT SHARING PLAN 2009 840953599 2010-08-31 MAPLETON HILL ORTHOPAEDICS, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 3034407941
Plan sponsor’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304

Plan administrator’s name and address
Administrator’s EIN 840953599
Plan administrator’s name MAPLETON HILL ORTHOPAEDICS, P.C.
Plan administrator’s address 975 NORTH STREET, SUITE 201, BOULDER, CO, 80304
Administrator’s telephone number 3034407941

Signature of
Role Plan administrator
Date 2010-08-31
Name of individual signing DAVID L. ROTER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-31
Name of individual signing DAVID L. ROTER, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Marlene L. Thomas Agent 975 NORTH ST. #201 BOULDER CO 80304 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20161240191 Statement of Merger 2016-04-01 2016-04-01 No data Merged to Boulder Centre for Orthopedics, P.C.
20151769181 File Report 2015-11-30 2015-11-30 No data Change of Registered Agent
20141497471 File Report 2014-08-18 2014-08-18 No data No data
20131387165 File Report 2013-07-01 2013-07-01 No data No data
20121346119 File Report 2012-06-25 2012-06-25 No data Change of Registered Agent
20111429067 File Report 2011-07-28 2011-07-28 No data No data
20101492268 File Report 2010-09-02 2010-09-02 No data No data
20091512155 File Report 2009-09-28 2009-09-28 No data No data
20081442623 File Report 2008-08-19 2008-08-19 No data No data
20071338269 File Report 2007-07-23 2007-07-23 No data No data

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Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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