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ROCKY MOUNTAIN CARE SYSTEMS, INC.

Company Details

Name: ROCKY MOUNTAIN CARE SYSTEMS, INC.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 27 Aug 1999 (25 years ago)
Entity Number: 19991161773
ZIP code: 80004
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 12650 W 64th Ave Unit E #419 Arvada CO 80004 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN 2023 841519699 2024-10-08 ROCKY MOUNTAIN CARE SYSTEMS, INC. 65
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Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621610
Sponsor’s telephone number 3039023999
Plan sponsor’s address 12650 W 64TH AVE. UNIT E #419, ARVADA, CO, 80004

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
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN 2022 841519699 2023-09-01 ROCKY MOUNTAIN CARE SYSTEMS 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621610
Sponsor’s telephone number 3039023999
Plan sponsor’s address 12650 W 64TH AVE. UNIT E #419, 2976 COUNTY ROAD 61, ARVADA, CO, 80004

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 2023-09-01
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN 2021 841519699 2022-05-19 ROCKY MOUNTAIN CARE SYSTEMS 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621610
Sponsor’s telephone number 9185426671
Plan sponsor’s address PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813

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 2022-05-19
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN 2020 841519699 2021-04-20 ROCKY MOUNTAIN CARE SYSTEMS 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621610
Sponsor’s telephone number 9185426671
Plan sponsor’s address PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813

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 2021-04-20
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN 2019 841519699 2020-07-21 ROCKY MOUNTAIN CARE SYSTEMS 53
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621610
Sponsor’s telephone number 9185426671
Plan sponsor’s address PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813

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 2020-07-21
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN 2019 841519699 2021-04-15 ROCKY MOUNTAIN CARE SYSTEMS 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621610
Sponsor’s telephone number 9185426671
Plan sponsor’s address PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813

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 2021-04-15
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN 2018 841519699 2019-05-20 ROCKY MOUNTAIN CARE SYSTEMS 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621610
Sponsor’s telephone number 9185426671
Plan sponsor’s address PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813

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 2019-05-20
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN 2017 841519699 2018-06-13 ROCKY MOUNTAIN CARE SYSTEMS 14
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621610
Sponsor’s telephone number 9185426671
Plan sponsor’s address PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813

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

Signature of

Role Plan administrator
Date 2018-06-13
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN CARE SYSTEMS 401(K) PLAN 2017 841519699 2019-05-14 ROCKY MOUNTAIN CARE SYSTEMS 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Business code 621610
Sponsor’s telephone number 9185426671
Plan sponsor’s address PO BOX 178, 2976 COUNTY ROAD 61, CRIPPLE CREEK, CO, 80813

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

Signature of

Role Plan administrator
Date 2019-05-14
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Laura Lee Wilson Agent 12650 W 64th Ave Unit E #419 Arvada CO 80004 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241609728 File Report 2024-06-03 2024-06-03 No data No data
20231614361 File Report 2023-06-07 2023-06-07 No data Change in registered agent information
20221582881 File Report 2022-06-13 2022-06-13 No data No data
20211523925 File Report 2021-06-01 2021-06-01 No data Change of Registered Agent Address / Change of Entity Address
20201489789 File Report 2020-06-02 2020-06-02 No data No data
20191453591 File Report 2019-05-30 2019-05-30 No data Removed entity mailing address; / Change of Registered Agent Address / Change of Entity Address
20181444575 File Report 2018-05-31 2018-05-31 No data No data
20171428551 File Report 2017-06-05 2017-06-05 No data No data
20161378815 File Report 2016-05-31 2016-05-31 No data No data
20151366457 File Report 2015-06-01 2015-06-01 No data No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State