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DR. DAVID W. HAMULA, P.C.

Company Details

Name: DR. DAVID W. HAMULA, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 18 Nov 1999 (25 years ago)
Entity Number: 19991217206
ZIP code: 80132
County: El Paso County
Place of Formation: COLORADO
Principal Address: 1860 Woodmoor Dr Ste 200 Monument CO 80132 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. DAVID W. HAMULA P.C. SAFE HARBOR 401(K) PLAN 2015 841520651 2016-07-11 DR. DAVID W. HAMULA, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7194883737
Plan sponsor’s address 1860 WOODMOOR DRIVE SUITE 200, MONUMENT, CO, 80132

Signature of

Role Plan administrator
Date 2016-05-25
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-25
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature
DR DAVID W HAMULA PC SAFE HARBOR 401K PLAN 2014 841520651 2015-09-22 DR. DAVID W. HAMULA, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7194883737
Plan sponsor’s address 1860 WOODMOOR DRIVE SUITE 200, MONUMENT, CO, 80132

Signature of

Role Plan administrator
Date 2015-09-16
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-16
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature
DR. DAVID W. HAMULA P.C. SAFE HARBOR 401(K) PLAN 2013 841520651 2014-09-30 DR. DAVID W. HAMULA, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7194883737
Plan sponsor’s address 1860 WOODMOOR DRIVE, MONUMENT, CO, 801329073

Signature of

Role Plan administrator
Date 2014-09-30
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-30
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature
DR. DAVID W. HAMULA P.C. SAFE HARBOR 401(K) PLAN 2012 841520651 2013-07-17 DR. DAVID W. HAMULA, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7194883737
Plan sponsor’s address 1850 WOODMOOR DRIVE SUITE 100, MONUMENT, CO, 80132

Signature of

Role Plan administrator
Date 2013-07-17
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-17
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature
DR. DAVID W. HAMULA P.C. SAFE HARBOR 401(K) PLAN 2011 841520651 2012-06-20 DR. DAVID W. HAMULA, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7194883737
Plan sponsor’s address 1850 WOODMOOR DRIVE SUITE 100, MONUMENT, CO, 80132

Plan administrator’s name and address

Administrator’s EIN 841520651
Plan administrator’s name DR. DAVID W. HAMULA, P.C.
Plan administrator’s address 1850 WOODMOOR DRIVE SUITE 100, MONUMENT, CO, 80132
Administrator’s telephone number 7194883737

Signature of

Role Plan administrator
Date 2012-06-20
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-20
Name of individual signing DAVID W. HAMULA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAVID W HAMULA Agent 1860 Woodmoor Dr Ste 200 Monument CO 80132 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241512011 File Report 2024-05-06 2024-05-06 No data Principal address changed, Change in registered agent information
20231186554 File Report 2023-02-21 2023-02-21 No data Principal address changed, Change in registered agent information
20221453412 File Report 2022-05-02 2022-05-02 No data Removed agent mailing address;
20211320554 File Report 2021-03-31 2021-03-31 No data No data
20201120185 File Report 2020-02-05 2020-02-05 No data No data
20191309501 File Report 2019-04-09 2019-04-09 No data No data
20181545793 File Report 2018-07-11 2018-07-11 No data No data
20171501781 File Report 2017-06-28 2017-06-28 No data No data
20161224081 File Report 2016-03-29 2016-03-29 No data No data
20151290188 File Report 2015-04-28 2015-04-28 No data No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State