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Executive Park Eye Care, PLLC

Company Details

Name: Executive Park Eye Care, PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 07 Oct 1998 (26 years ago)
Entity Number: 19981180377
ZIP code: 80920
County: El Paso County
Place of Formation: COLORADO
Principal Address: 9240 Explorer Dr. Ste 100 COLORADO SPRINGS CO 80920 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXECUTIVE PARK EYE CARE 401(K) PLAN 2023 841476597 2024-06-11 EXECUTIVE PARK EYE CARE, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 7195747000
Plan sponsor’s address 9240 EXPLORER DRIVE SUITE 100, COLORADO SPRINGS, CO, 80920

Signature of

Role Plan administrator
Date 2024-06-11
Name of individual signing LOREE EWALD
Valid signature Filed with authorized/valid electronic signature
EXECUTIVE PARK EYE CARE 401(K) PLAN 2022 841476597 2023-06-16 EXECUTIVE PARK EYE CARE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 7195747000
Plan sponsor’s address 9240 EXPLORER DRIVE SUITE 100, COLORADO SPRINGS, CO, 80920

Signature of

Role Plan administrator
Date 2023-06-16
Name of individual signing LOREE EWALD
Valid signature Filed with authorized/valid electronic signature
EXECUTIVE PARK EYE CARE 401(K) PLAN 2021 841476597 2022-07-18 EXECUTIVE PARK EYE CARE, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 7195747000
Plan sponsor’s address 9240 EXPLORER DRIVE SUITE 100, COLORADO SPRINGS, CO, 80920

Signature of

Role Plan administrator
Date 2022-07-18
Name of individual signing LOREE EWALD
Valid signature Filed with authorized/valid electronic signature
EXECUTIVE PARK EYE CARE 401(K) PLAN 2020 841476597 2021-06-28 EXECUTIVE PARK EYE CARE, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 7195747000
Plan sponsor’s address 9240 EXPLORER DRIVE SUITE 100, COLORADO SPRINGS, CO, 80920

Signature of

Role Plan administrator
Date 2021-06-28
Name of individual signing LOREE EWALD
Valid signature Filed with authorized/valid electronic signature
EXECUTIVE PARK EYE CARE 401(K) PLAN 2019 841476597 2020-07-10 EXECUTIVE PARK EYE CARE, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 7195747000
Plan sponsor’s address 9240 EXPLORER DRIVE SUITE 100, COLORADO SPRINGS, CO, 80920

Signature of

Role Plan administrator
Date 2020-07-10
Name of individual signing LOREE EWALD
Valid signature Filed with authorized/valid electronic signature
EXECUTIVE PARK EYE CARE 401(K) PLAN 2018 841476597 2019-07-23 EXECUTIVE PARK EYE CARE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 7195747000
Plan sponsor’s address 9240 EXPLORER DRIVE SUITE 100, COLORADO SPRINGS, CO, 80920

Signature of

Role Plan administrator
Date 2019-07-23
Name of individual signing LOREE EWALD
Valid signature Filed with authorized/valid electronic signature
EXECUTIVE PARK EYE CARE 401(K) PLAN 2017 841476597 2018-01-31 EXECUTIVE PARK EYE CARE, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 7195747000
Plan sponsor’s address 9240 EXPLORER DRIVE SUITE 100, COLORADO SPRINGS, CO, 80920
EXECUTIVE PARK EYE CARE 401(K) PLAN 2016 841476597 2017-03-28 EXECUTIVE PARK EYE CARE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 7195747000
Plan sponsor’s address 9240 EXPLORER DRIVE SUITE 100, COLORADO SPRINGS, CO, 80920

Agent

Name Role Address
Curtis W Gales Agent 9240 Explorer Drive Suite 100 Colorado Springs CO 80920 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241939402 File Report 2024-09-04 2024-09-04 No data No data
20238008460 File Report 2023-09-27 2023-09-27 No data Change in registered agent information
20221917139 File Report 2022-09-23 2022-09-23 No data No data
20211837540 File Report 2021-09-10 2021-09-10 No data No data
20201785817 File Report 2020-09-10 2020-09-10 No data No data
20191803064 File Report 2019-10-03 2019-10-03 No data Change of Entity Address
20191303006 Statement of Change Changing the Registered Agent Information 2019-04-05 2019-04-05 No data Registered agent information changed;
20181765250 File Report 2018-09-26 2018-09-26 No data No data
20171733839 File Report 2017-09-27 2017-09-27 No data Change of Registered Agent Address
20161674380 File Report 2016-10-03 2016-10-03 No data No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State