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  5. BRIAN WILLOUGHBY, M.D., P.C.

BRIAN WILLOUGHBY, M.D., P.C.

Company Details

Name: BRIAN WILLOUGHBY, M.D., P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 27 Feb 2002 (23 years ago)
Entity Number: 20021048668
ZIP code: 80206
County: Denver County
Place of Formation: COLORADO
Principal Address: 3150 E 3rd Ave Ste 100 Denver CO 80206 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE PROFIT SHARING PLAN OF BRIAN WILLOUGHBY, M.D, P.C. 2014 450468255 2015-07-30 BRIAN WILLOUGHBY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3033205700
Plan sponsor’s address 255 DETROIT STREET, DENVER, CO, 80206

Plan administrator’s name and address
Administrator’s EIN 450468255
Plan administrator’s name BRIAN WILLOUGHBY, M.D., P.C.
Plan administrator’s address 255 DETROIT STREET, DENVER, CO, 80206
Administrator’s telephone number 3033205700

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing BRIAN WILLOUGHBY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF BRIAN WILLOUGHBY, M.D, P.C. 2013 450468255 2014-08-04 BRIAN WILLOUGHBY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3033205700
Plan sponsor’s address 255 DETROIT STREET, DENVER, CO, 80206

Plan administrator’s name and address
Administrator’s EIN 450468255
Plan administrator’s name BRIAN WILLOUGHBY, M.D., P.C.
Plan administrator’s address 255 DETROIT STREET, DENVER, CO, 80206
Administrator’s telephone number 3033205700

Signature of
Role Plan administrator
Date 2014-08-04
Name of individual signing BRIAN WILLOUGHBY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF BRIAN WILLOUGHBY, M.D, P.C. 2012 450468255 2013-09-12 BRIAN WILLOUGHBY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3033205700
Plan sponsor’s address 255 DETROIT STREET, DENVER, CO, 80206

Plan administrator’s name and address
Administrator’s EIN 450468255
Plan administrator’s name BRIAN WILLOUGHBY, M.D., P.C.
Plan administrator’s address 255 DETROIT STREET, DENVER, CO, 80206
Administrator’s telephone number 3033205700

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing BRIAN WILLOUGHBY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF BRIAN WILLOUGHBY, M.D, P.C. 2011 450468255 2012-10-10 BRIAN WILLOUGHBY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3033205700
Plan sponsor’s address 255 DETROIT STREET, DENVER, CO, 80206

Plan administrator’s name and address
Administrator’s EIN 450468255
Plan administrator’s name BRIAN WILLOUGHBY, M.D., P.C.
Plan administrator’s address 255 DETROIT STREET, DENVER, CO, 80206
Administrator’s telephone number 3033205700

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing BRIAN WILLOUGHBY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF BRIAN WILLOUGHBY MD PC 2010 450468255 2012-11-29 BRIAN WILLOUGHBY, M D , P C 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3033205700
Plan sponsor’s address 255 DETROIT STREET, DENVER, CO, 80206

Plan administrator’s name and address
Administrator’s EIN 450468255
Plan administrator’s name BRIAN WILLOUGHBY M D P C
Plan administrator’s address 255 DETROIT STREET, DENVER, CO, 80206
Administrator’s telephone number 3033205700

Signature of
Role Plan administrator
Date 2012-11-29
Name of individual signing BRIAN WILLOUGHBY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF BRIAN WILLOUGHBY MD PC 2009 450468255 2010-10-14 BRIAN WILLOUGHBY, M D , P C 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3033205700
Plan sponsor’s address 255 DETROIT STREET, DENVER, CO, 80206

Plan administrator’s name and address
Administrator’s EIN 450468255
Plan administrator’s name BRIAN WILLOUGHBY M D P C
Plan administrator’s address 255 DETROIT STREET, DENVER, CO, 80206
Administrator’s telephone number 3033205700

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing BRIAN WILLOUGHBY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRIAN WILLOUGHBY Agent 3150 E 3rd Ave Ste 100 Denver CO 80206 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241465759 File Report 2024-04-24 2024-04-24 No data Principal address changed, Change in registered agent information
20231996365 Statement of Change Changing the Principal Office Address 2023-09-25 2023-10-16 No data Principal address changed;
20231138737 File Report 2023-02-01 2023-02-01 No data No data
20221089394 File Report 2022-01-24 2022-01-24 No data No data
20211123517 File Report 2021-02-03 2021-02-03 No data No data
20201093080 File Report 2020-01-28 2020-01-28 No data No data
20191061514 File Report 2019-01-23 2019-01-23 No data No data
20181133126 File Report 2018-02-16 2018-02-16 No data No data
20171051767 File Report 2017-01-23 2017-01-23 No data No data
20161065833 File Report 2016-01-26 2016-01-26 No data Change of Registered Agent Address / Change of Entity Address

Related by officers

No related officers

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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