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  5. BOULDER VALLEY FOOT & ANKLE CLINIC, P.C.

BOULDER VALLEY FOOT & ANKLE CLINIC, P.C.

Company Details

Name: BOULDER VALLEY FOOT & ANKLE CLINIC, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 15 Apr 1997 (28 years ago)
Entity Number: 19971059539
ZIP code: 80301
County: Boulder County
Place of Formation: COLORADO
Principal Address: 4735 Walnut St Ste C Boulder CO 80301 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2023 841406444 2024-08-04 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 4735 WALNUT ST, UNIT C, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2024-08-04
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-04
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2022 841406444 2024-08-04 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 4735 WALNUT ST, UNIT C, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2024-08-04
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-04
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2021 841406444 2022-09-19 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 3000 CENTER GREEN DR, SUITE 230, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-19
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2020 841406444 2021-08-30 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 3000 CENTER GREEN DR, SUITE 230, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2021-08-30
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-30
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2019 841406444 2020-08-24 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 3000 CENTER GREEN DR, SUITE 230, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2020-08-24
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-24
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2018 841406444 2019-10-22 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 3000 CENTER GREEN DR, SUITE 230, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2019-10-22
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-22
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2017 841406444 2018-07-18 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 3000 CENTER GREEN DR, SUITE 230, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-18
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2016 841406444 2017-04-03 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 3000 CENTER GREEN DR STE 210, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2017-04-03
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-03
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2015 841406444 2016-07-17 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 3000 CENTER GREEN DR STE 210, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2016-07-17
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-17
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
BOULDER VALLEY FOOT & ANKLE 401(K) PLAN 2014 841406444 2015-10-09 BOULDER VALLEY FOOT & ANKLE CLINIC, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621391
Sponsor’s telephone number 3038590905
Plan sponsor’s address 3000 CENTER GREEN DR STE 210, BOULDER, CO, 803012364

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-09
Name of individual signing JAY BURGESS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAY BURGESS Agent 4735 Walnut St Ste C Boulder CO 80301 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248098185 File Report 2024-10-15 2024-10-15 No data Principal address changed, Change in registered agent information
20241011459 File Report 2024-01-02 2024-01-02 No data Principal address changed, Change in registered agent information
20231025434 File Report 2023-01-05 2023-01-05 No data Principal address changed, Change in registered agent information
20211911665 File Report 2021-10-01 2021-10-01 No data Change of Entity Address
20211198004 File Report 2021-02-25 2021-02-25 No data Removed agent mailing address; / Change of Registered Agent Address
20191882967 File Report 2019-11-03 2019-11-03 No data No data
20181918049 File Report 2018-11-26 2018-11-26 No data No data
20171724465 File Report 2017-09-25 2017-09-25 No data Change of Registered Agent Address / Change of Entity Address
20171005246 File Report 2017-01-03 2017-01-03 No data No data
20151822072 File Report 2015-12-26 2015-12-26 No data No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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