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  5. DERMATOLOGY AND ENDOCRINOLOGY, LLC

DERMATOLOGY AND ENDOCRINOLOGY, LLC

Company Details

Name: DERMATOLOGY AND ENDOCRINOLOGY, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Voluntarily Dissolved
Date of registration: 16 Oct 2001 (23 years ago)
Date dissolved: 31 Dec 2020
Entity Number: 20011200104
ZIP code: 81004
County: Pueblo County
Place of Formation: COLORADO
Principal Address: 1925 E ORMAN AVE. STE 115 PUEBLO CO 81004 US
Mailing Address: 115 E. Riverwalk Suite 400 Pueblo CO 81003 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY AND ENDOCRINOLOGY, LLC PROFIT SHARING PLAN 2016 841608018 2017-03-09 DERMATOLOGY AND ENDOCRINOLOGY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 7195644500
Plan sponsor’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077

Signature of
Role Plan administrator
Date 2017-03-09
Name of individual signing KIM K. DERNOVSEK
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY AND ENDOCRINOLOGY, LLC PROFIT SHARING PLAN 2015 841608018 2016-07-18 DERMATOLOGY AND ENDOCRINOLOGY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 7195644500
Plan sponsor’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing JEFF HENN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY AND ENDOCRINOLOGY, LLC PROFIT SHARING PLAN 2014 841608018 2015-07-20 DERMATOLOGY AND ENDOCRINOLOGY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 7195644500
Plan sponsor’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing JEFF HENN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY AND ENDOCRINOLOGY, LLC PROFIT SHARING PLAN 2013 841608018 2014-07-22 DERMATOLOGY AND ENDOCRINOLOGY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 7195644500
Plan sponsor’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing JEFF HENN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY AND ENDOCRINOLOGY, LLC PROFIT SHARING PLAN 2012 841608018 2013-07-24 DERMATOLOGY AND ENDOCRINOLOGY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 7195644500
Plan sponsor’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing JEFFREY N HENN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY AND ENDOCRINOLOGY, LLC PROFIT SHARING PLAN 2011 841608018 2012-07-23 DERMATOLOGY AND ENDOCRINOLOGY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 7195644500
Plan sponsor’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077

Plan administrator’s name and address
Administrator’s EIN 841608018
Plan administrator’s name DERMATOLOGY AND ENDOCRINOLOGY, LLC
Plan administrator’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077
Administrator’s telephone number 7195644500

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing JEFFREY N HENN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY AND ENDOCRINOLOGY, LLC PROFIT SHARING PLAN 2010 841608018 2011-07-14 DERMATOLOGY AND ENDOCRINOLOGY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 7195644500
Plan sponsor’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077

Plan administrator’s name and address
Administrator’s EIN 841608018
Plan administrator’s name DERMATOLOGY AND ENDOCRINOLOGY, LLC
Plan administrator’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077
Administrator’s telephone number 7195644500

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing JEFFREY N HENN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-14
Name of individual signing JEFFREY N HENN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY AND ENDOCRINOLOGY, LLC PROFIT SHARING PLAN 2009 841608018 2010-07-12 DERMATOLOGY AND ENDOCRINOLOGY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 7195644500
Plan sponsor’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077

Plan administrator’s name and address
Administrator’s EIN 841608018
Plan administrator’s name DERMATOLOGY AND ENDOCRINOLOGY, LLC
Plan administrator’s address 1291 RENEE PLACE, PUEBLO WEST, CO, 81077
Administrator’s telephone number 7195644500

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing JEFF HENN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KIM K DERNOVSEK Agent 1925 E ORMAN AVE. STE 115 PUEBLO CO 81004 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20208068686 Dissolve a Limited Liability Company 2020-12-10 2020-12-31 DERMATOLOGY AND ENDOCRINOLOGY, LLC, Dissolved December 31, 2020 No data
20201206020 File Report 2020-03-01 2020-03-01 No data Change of Registered Agent Address / Change of Entity Address
20181907691 File Report 2018-11-24 2018-11-24 No data Change of Registered Agent Address / Change of Entity Address
20181206234 File Report 2018-03-09 2018-03-09 No data No data
20171155876 File Report 2017-02-24 2017-02-24 No data No data
20151750297 File Report 2015-11-23 2015-11-23 No data No data
20141736268 File Report 2014-12-02 2014-12-02 No data No data
20131705654 File Report 2013-12-09 2013-12-09 No data No data
20121684473 Statement Curing Delinquency 2012-12-12 2012-12-12 No data No data
20111679971 Statement of Change Changing the Principal Office Address 2011-12-09 2011-12-09 No data Principal address changed;

Related by officers

No related officers

Related by address

115 E. Riverwalk Suite 400 Pueblo CO 81003 US

LAKE AVENUE BAPTIST CHURCH OF PUEBLO COLORADO SILVER CREEK RESORT, INC. KERN SPIN, INC. THE BESSEMER DITCH LATERAL 20 USERS' ASSOCIATION CONIFER CORPORATION PUEBLO YOUTH PROJECT THE ENCLAVE AT WALKING STICK ASSOCIATION, INC. STONE FLY PROPERTIES, LLC SOUTHERNCOLORADOLAWYERS, P.C.

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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