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  5. PEDIATRICS WEST, P.C.

PEDIATRICS WEST, P.C.

Company Details

Name: PEDIATRICS WEST, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 18 Sep 2000 (24 years ago)
Entity Number: 20001180844
ZIP code: 80033
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 3555 Lutheran Pkwy Ste 200 Wheat Ridge CO 80033 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DEMHZKJQ7X89 2024-07-24 3555 LUTHERAN PKWY STE 200, WHEAT RIDGE, CO, 80033, 6027, USA 3555 LUTHERAN PKWY STE 200, WHEAT RIDGE, CO, 80033, 6027, USA

Business Information
Doing Business As PEDIATRICS WEST PC
Congressional District 07
State/Country of Incorporation CO, USA
Activation Date 2023-07-27
Initial Registration Date 2023-07-25
Entity Start Date 2000-09-18
Fiscal Year End Close Date Dec 22

Points of Contacts
Electronic Business
Title PRIMARY POC
Name TIMOTHY JOHNSON
Address 3555 LUTHERAN PKWY, SUITE 200, WHEAT RIDGE, CO, 80033, USA
Government Business
Title PRIMARY POC
Name TIMOTHY JOHNSON
Address 3555 LUTHERAN PKWY, SUITE 200, WHEAT RIDGE, CO, 80033, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRICS WEST 401(K) PLAN 2014 841561553 2016-08-12 PEDIATRICS WEST, P.C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7202843700
Plan sponsor’s address 3555 LUTHERAN PARKWAY SUITE 200, WHEAT RIDGE, CO, 80033

Signature of
Role Plan administrator
Date 2016-08-12
Name of individual signing SHEN NAGEL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS WEST 401(K) PLAN 2013 841561553 2014-06-19 PEDIATRICS WEST, P.C. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7202843700
Plan sponsor’s address 3555 LUTHERAN PARKWAY SUITE 200, WHEAT RIDGE, CO, 80033

Signature of
Role Plan administrator
Date 2014-06-19
Name of individual signing SHEN NAGEL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS WEST 401(K) PLAN 2012 841561553 2013-09-24 PEDIATRICS WEST, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7202843700
Plan sponsor’s address 3555 LUTHERAN PARKWAY SUITE 200, WHEAT RIDGE, CO, 80033

Signature of
Role Plan administrator
Date 2013-09-24
Name of individual signing SHEN NAGEL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS WEST 401(K) PLAN 2011 841561553 2012-09-10 PEDIATRICS WEST, P.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7202843700
Plan sponsor’s address 3555 LUTHERAN PARKWAY SUITE 200, WHEAT RIDGE, CO, 80033

Plan administrator’s name and address
Administrator’s EIN 841561553
Plan administrator’s name PEDIATRICS WEST, P.C.
Plan administrator’s address 3555 LUTHERAN PARKWAY SUITE 200, WHEAT RIDGE, CO, 80033
Administrator’s telephone number 7202843700

Signature of
Role Plan administrator
Date 2012-09-10
Name of individual signing SHEN NAGEL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS WEST 401(K) PLAN 2010 841561553 2011-10-12 PEDIATRICS WEST, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7202843700
Plan sponsor’s address 3555 LUTHERAN PARKWAY SUITE 200, WHEAT RIDGE, CO, 80033

Plan administrator’s name and address
Administrator’s EIN 841561553
Plan administrator’s name PEDIATRICS WEST, P.C.
Plan administrator’s address 3555 LUTHERAN PARKWAY SUITE 200, WHEAT RIDGE, CO, 80033
Administrator’s telephone number 7202843700

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing SHEN NAGEL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS WEST 401K PLAN 2009 841561553 2010-07-28 PEDIATRICS WEST, P.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7202843700
Plan sponsor’s address 3555 LUTHERAN PARKWAY, SUITE 200, WHEAT RIDGE, CO, 80033

Plan administrator’s name and address
Administrator’s EIN 841561553
Plan administrator’s name PEDIATRICS WEST, P.C.
Plan administrator’s address 3555 LUTHERAN PARKWAY, SUITE 200, WHEAT RIDGE, CO, 80033
Administrator’s telephone number 7202843700

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing SHEN NAGEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Rene Larkin Agent 999 17th St Ste 800 Denver CO 80202 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241876969 File Report 2024-08-23 2024-08-23 No data Principal address changed, Change in registered agent information
20231867065 File Report 2023-08-23 2023-08-23 No data Principal address changed, Change in registered agent information
20221811851 File Report 2022-08-23 2022-08-23 No data Principal address changed, Change in registered agent information
20218134670 File Report 2021-12-01 2021-12-01 No data No data
20211603372 Statement of Change Changing the Registered Agent Information 2021-06-29 2021-06-29 No data Registered agent information changed;Removed agent mailing address;
20201764026 File Report 2020-09-01 2020-09-01 No data No data
20191690584 File Report 2019-08-27 2019-08-27 No data No data
20181658462 File Report 2018-08-23 2018-08-23 No data No data
20171629943 File Report 2017-08-23 2017-08-23 No data No data
20161569904 File Report 2016-08-24 2016-08-24 No data Change of Registered Agent Address

Related by officers

Rene Larkin

Pistil & Stamen Wilbur Investments, LLC

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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