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  5. ALTA PHYSICAL THERAPY, P.C.

ALTA PHYSICAL THERAPY, P.C.

Company Details

Name: ALTA PHYSICAL THERAPY, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 19 Sep 1990 (34 years ago)
Entity Number: 19901088448
ZIP code: 80303
County: Boulder County
Place of Formation: COLORADO
Principal Address: 2955 Baseline Rd Boulder CO 80303 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALTA PHYSICAL THERAPY 401(K) PLAN 2023 841151631 2024-10-08 ALTA PHYSICAL THERAPY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
ALTA PHYSICAL THERAPY 401(K) PLAN 2023 841151631 2024-12-16 ALTA PHYSICAL THERAPY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-12-16
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
ALTA PHYSICAL THERAPY 401(K) PLAN 2022 841151631 2023-09-22 ALTA PHYSICAL THERAPY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
ALTA PHYSICAL THERAPY 401(K) PLAN 2021 841151631 2022-08-16 ALTA PHYSICAL THERAPY, P.C. 14
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
ALTA PHYSICAL THERAPY 401(K) PLAN 2021 841151631 2022-08-16 ALTA PHYSICAL THERAPY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
ALTA PHYSICAL THERAPY 401(K) PLAN 2021 841151631 2022-08-16 ALTA PHYSICAL THERAPY, P.C. 14
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
ALTA PHYSICAL THERAPY 401(K) PLAN 2020 841151631 2021-07-09 ALTA PHYSICAL THERAPY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-07-09
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
ALTA PHYSICAL THERAPY 401(K) PLAN 2019 841151631 2020-07-15 ALTA PHYSICAL THERAPY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
ALTA PHYSICAL THERAPY 401(K) PLAN 2018 841151631 2019-06-18 ALTA PHYSICAL THERAPY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
ALTA PHYSICAL THERAPY 401(K) PLAN 2017 841151631 2018-10-10 ALTA PHYSICAL THERAPY, P.C. 12
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621340
Sponsor’s telephone number 3034448707
Plan sponsor’s address 2955 BASELINE ROAD, BOULDER, CO, 80303

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JANE MILLIFF Agent 2955 Baseline Rd Boulder CO 80303 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241447462 File Report 2024-04-23 2024-04-23 No data Principal address changed, Change in registered agent information
20231438661 File Report 2023-04-25 2023-04-25 No data Principal address changed, Change in registered agent information
20221424177 File Report 2022-04-25 2022-04-25 No data No data
20211385848 File Report 2021-04-23 2021-04-23 No data No data
20201674808 File Report 2020-08-03 2020-08-03 No data No data
20191593792 File Report 2019-07-24 2019-07-24 No data No data
20181330044 File Report 2018-04-23 2018-04-23 No data No data
20171556523 File Report 2017-07-24 2017-07-24 No data No data
20161291046 File Report 2016-04-25 2016-04-25 No data No data
20151287085 File Report 2015-04-27 2015-04-27 No data No data

Related by officers

No related officers

Related by address

2955 Baseline Rd Boulder CO 80303 US

ARM Properties, LLC Boulder Performance Lab, LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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