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  5. ALPINE EYE CLINIC, P.C.

ALPINE EYE CLINIC, P.C.

Company Details

Name: ALPINE EYE CLINIC, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 23 Jun 1999 (26 years ago)
Date dissolved: 01 Feb 2023
Entity Number: 19991119513
ZIP code: 81321
County: Montezuma County
Place of Formation: COLORADO
Principal Address: 2423 E MAIN STE 4 CORTEZ CO 81321 US
Mailing Address: 2423 E Main Suite 4 Cortez CO 81321 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALPINE EYE CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2011 841507302 2012-11-26 ALPINE EYE CLINIC, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 9705658809
Plan sponsor’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321

Plan administrator’s name and address
Administrator’s EIN 841507302
Plan administrator’s name ALPINE EYE CLINIC, P.C.
Plan administrator’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321
Administrator’s telephone number 9705658809

Signature of
Role Plan administrator
Date 2012-04-26
Name of individual signing JOHN G. PETTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-26
Name of individual signing JOHN G. PETTY
Valid signature Filed with authorized/valid electronic signature
ALPINE EYE CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2011 841507302 2012-12-12 ALPINE EYE CLINIC, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 9705658809
Plan sponsor’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321

Plan administrator’s name and address
Administrator’s EIN 841507302
Plan administrator’s name ALPINE EYE CLINIC, P.C.
Plan administrator’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321
Administrator’s telephone number 9705658809

Signature of
Role Plan administrator
Date 2012-12-12
Name of individual signing JOHN G. PETTY
Valid signature Filed with authorized/valid electronic signature
ALPINE EYE CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2011 841507302 2012-04-26 ALPINE EYE CLINIC, P.C. 10
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 9705658809
Plan sponsor’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321

Plan administrator’s name and address
Administrator’s EIN 841507302
Plan administrator’s name ALPINE EYE CLINIC, P.C.
Plan administrator’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321
Administrator’s telephone number 9705658809

Signature of
Role Plan administrator
Date 2012-04-26
Name of individual signing JOHN G. PETTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-26
Name of individual signing JOHN G. PETTY
Valid signature Filed with authorized/valid electronic signature
ALPINE EYE CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2010 841507302 2011-06-07 ALPINE EYE CLINIC, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 9705658809
Plan sponsor’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321

Plan administrator’s name and address
Administrator’s EIN 841507302
Plan administrator’s name ALPINE EYE CLINIC, P.C.
Plan administrator’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321
Administrator’s telephone number 9705658809

Signature of
Role Plan administrator
Date 2011-06-07
Name of individual signing JOHN G. PETTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-07
Name of individual signing JOHN G. PETTY
Valid signature Filed with authorized/valid electronic signature
ALPINE EYE CLINIC, P.C. 401K PROFIT SHARING PLAN 2009 841507302 2010-06-24 ALPINE EYE CLINIC, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621320
Sponsor’s telephone number 9705658809
Plan sponsor’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321

Plan administrator’s name and address
Administrator’s EIN 841507302
Plan administrator’s name ALPINE EYE CLINIC, P.C.
Plan administrator’s address 2423 EAST MAIN STREET, SUITE 4, CORTEZ, CO, 81321
Administrator’s telephone number 9705658809

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing JOHN G. PETTY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN PETTY Agent 2423 E MAIN STE 4 CORTEZ CO 81321 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20231134959 Dissolve a Profit Corporation 2023-02-01 2023-02-01 ALPINE EYE CLINIC, P.C., Dissolved February 1, 2023 No data
20221511608 File Report 2022-05-23 2022-05-23 No data No data
20211504156 File Report 2021-05-26 2021-05-26 No data No data
20201473198 File Report 2020-05-28 2020-05-28 No data No data
20191827658 File Report 2019-10-17 2019-10-17 No data No data
20181411564 File Report 2018-05-23 2018-05-23 No data No data
20171386646 File Report 2017-05-23 2017-05-23 No data No data
20161361370 File Report 2016-05-24 2016-05-24 No data No data
20151353871 File Report 2015-05-27 2015-05-27 No data No data
20141335896 File Report 2014-05-29 2014-05-29 No data No data

Related by officers

No related officers

Related by address

2423 E Main Suite 4 Cortez CO 81321 US

ALPINE EYE CLINIC OPTICAL, L.L.C. Petty Test, LLC

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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