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  5. EXAMONE OF COLORADO, INC.

EXAMONE OF COLORADO, INC.

Company Details

Name: EXAMONE OF COLORADO, INC.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 03 Dec 2001 (23 years ago)
Date dissolved: 03 Jan 2012
Entity Number: 20011228063
ZIP code: 80112
County: Arapahoe County
Place of Formation: COLORADO
Principal Address: 7384 S ALTON WY Ste 203 Centennial CO 80112 US
Mailing Address: 18759 E. Long Ave Centennial CO 80016 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXAMONE OF COLORADO 401K PLAN 2013 841611488 2014-08-05 EXAMONE OF COLORADO 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-27
Business code 524290
Sponsor’s telephone number 3038835195
Plan sponsor’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369

Signature of
Role Plan administrator
Date 2014-08-05
Name of individual signing PAULAGOEBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-05
Name of individual signing PAULA GOEBEL
Valid signature Filed with authorized/valid electronic signature
EXAMONE OF COLORADO 401K PLAN 2012 841611488 2013-07-25 EXAMONE OF COLORADO 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-27
Business code 524290
Sponsor’s telephone number 3037069336
Plan sponsor’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing PAULA GOEBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing PAULA GOEBEL
Valid signature Filed with authorized/valid electronic signature
EXAMONE OF COLORADO 401K PLAN 2011 841611488 2012-07-27 EXAMONE OF COLORADO 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-27
Business code 524290
Sponsor’s telephone number 3037069336
Plan sponsor’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369

Plan administrator’s name and address
Administrator’s EIN 841611488
Plan administrator’s name EXAMONE OF COLORADO
Plan administrator’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369
Administrator’s telephone number 3037069336

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing PAULA GOEBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-27
Name of individual signing PAULA GOEBEL
Valid signature Filed with authorized/valid electronic signature
EXAMONE OF COLORADO 401K PLAN 2010 841611488 2011-08-04 EXAMONE OF COLORADO 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-27
Business code 524290
Sponsor’s telephone number 3037069336
Plan sponsor’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369

Plan administrator’s name and address
Administrator’s EIN 841611488
Plan administrator’s name EXAMONE OF COLORADO
Plan administrator’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369
Administrator’s telephone number 3037069336

Signature of
Role Plan administrator
Date 2011-08-04
Name of individual signing PAULA GOEBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-04
Name of individual signing PAULA GOEBEL
Valid signature Filed with authorized/valid electronic signature
EXAMONE OF COLORADO 401K PLAN 2010 841611488 2011-07-27 EXAMONE OF COLORADO 11
Three-digit plan number (PN) 001
Effective date of plan 2007-04-27
Business code 524290
Sponsor’s telephone number 3037069336
Plan sponsor’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369

Plan administrator’s name and address
Administrator’s EIN 841611488
Plan administrator’s name EXAMONE OF COLORADO
Plan administrator’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369
Administrator’s telephone number 3037069336
EXAMONE OF COLORADO 401K PLAN 2009 841611488 2010-08-20 EXAMONE OF COLORADO 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-27
Business code 524290
Sponsor’s telephone number 3037069336
Plan sponsor’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369

Plan administrator’s name and address
Administrator’s EIN 841611488
Plan administrator’s name EXAMONE OF COLORADO
Plan administrator’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369
Administrator’s telephone number 3037069336

Signature of
Role Plan administrator
Date 2010-08-20
Name of individual signing PAULA GOEBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-20
Name of individual signing PAULA GOEBEL
Valid signature Filed with authorized/valid electronic signature
EXAMONE OF COLORADO 401K PLAN 2009 841611488 2010-08-20 EXAMONE OF COLORADO 11
Three-digit plan number (PN) 001
Effective date of plan 2007-04-27
Business code 524290
Sponsor’s telephone number 3037069336
Plan sponsor’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369

Plan administrator’s name and address
Administrator’s EIN 841611488
Plan administrator’s name EXAMONE OF COLORADO
Plan administrator’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369
Administrator’s telephone number 3037069336

Signature of
Role Plan administrator
Date 2010-08-09
Name of individual signing PAULA GOEBEL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-09
Name of individual signing PAULA GOEBEL
Valid signature Filed with incorrect/unrecognized electronic signature
EXAMONE OF COLORADO 401K PLAN 2009 841611488 2010-08-09 EXAMONE OF COLORADO 11
Three-digit plan number (PN) 001
Effective date of plan 2007-04-27
Business code 524290
Sponsor’s telephone number 3037069336
Plan sponsor’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369

Plan administrator’s name and address
Administrator’s EIN 841611488
Plan administrator’s name EXAMONE OF COLORADO
Plan administrator’s address 7384 S ALTON WAY STE 203, CENTENNIAL, CO, 801122369
Administrator’s telephone number 3037069336

Signature of
Role Plan administrator
Date 2010-08-09
Name of individual signing PAULA GOEBEL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-09
Name of individual signing PAULA GOEBEL
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
PAULA GOEBEL Agent 7384 S ALTON WY Ste 203 Centennial CO 80112 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20121004822 Dissolve a Profit Corporation 2012-01-03 2012-01-03 EXAMONE OF COLORADO, INC., Dissolved January 3, 2012 No data
20101656962 File Report 2010-12-03 2010-12-03 No data No data
20091507825 File Report 2009-09-25 2009-09-25 No data Change of Entity Address
20091024062 File Report 2009-01-12 2009-01-12 No data Change of Registered Agent / Change of Registered Agent Address / Change of Entity Address
20071512180 File Report 2007-11-06 2007-11-06 No data Change of Registered Agent Address / Change of Entity Address
20061480851 File Report 2006-11-27 2006-11-27 No data No data
20051348890 File Report 2005-09-15 2005-09-15 No data No data
20041318611 Articles of Reinstatement 2004-09-13 2004-09-13 No data No data
20031262582 Amendment 2003-08-14 2003-08-14 No data CHANGE RORA
20031220978 Amendment 2003-07-09 2003-07-09 No data AGENT RESIGNATION LETTER

Related by officers

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Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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