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  5. FOSSIL CREEK DRYWALL, INC.

FOSSIL CREEK DRYWALL, INC.

Company Details

Name: FOSSIL CREEK DRYWALL, INC.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 16 Oct 2002 (22 years ago)
Entity Number: 20021286978
ZIP code: 80538
County: Larimer County
Place of Formation: COLORADO
Principal Address: 528 W 67th St Loveland CO 80538 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOSSIL CREEK DRYWALL INC 401(K) PROFIT SHARING PLAN & TRUST 2023 522384921 2024-05-08 FOSSIL CREEK DRYWALL INC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-09-01
Business code 812990
Sponsor’s telephone number 9706892608
Plan sponsor’s address 528 W 67TH ST, LOVELAND, CO, 805381184

Signature of
Role Plan administrator
Date 2024-05-08
Name of individual signing KENNETH BONDURANT
Valid signature Filed with authorized/valid electronic signature
FOSSIL CREEK DRYWALL, INC. 401(K) PLAN 2022 522384921 2023-08-18 FOSSIL CREEK DRYWALL, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-09-01
Business code 238300
Sponsor’s telephone number 9702785091
Plan sponsor’s address 528 W. 67TH STREET, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DR., KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-08-18
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
FOSSIL CREEK DRYWALL, INC. 401(K) PLAN 2021 522384921 2022-06-13 FOSSIL CREEK DRYWALL, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-09-01
Business code 238300
Sponsor’s telephone number 9702785091
Plan sponsor’s address 528 W. 67TH STREET, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DR., KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-06-13
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
FOSSIL CREEK DRYWALL, INC. 401(K) PLAN 2020 522384921 2021-04-14 FOSSIL CREEK DRYWALL, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-09-01
Business code 238300
Sponsor’s telephone number 9702785091
Plan sponsor’s address 528 W. 67TH STREET, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DR., KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-04-14
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
FOSSIL CREEK DRYWALL, INC. 401(K) PLAN 2019 522384921 2020-09-16 FOSSIL CREEK DRYWALL, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-09-01
Business code 238300
Sponsor’s telephone number 9702785091
Plan sponsor’s address 528 W. 67TH STREET, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DR., KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2020-09-16
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
FOSSIL CREEK DRYWALL, INC. 401(K) PLAN 2018 522384921 2019-06-26 FOSSIL CREEK DRYWALL, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-09-01
Business code 238300
Sponsor’s telephone number 9702785091
Plan sponsor’s address 528 W. 67TH STREET, LOVELAND, CO, 80538

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing KENNETH BONDURANT
Valid signature Filed with authorized/valid electronic signature
FOSSIL CREEK DRYWALL 401 K PROFIT SHARING PLAN TRUST 2017 522384921 2018-04-10 FOSSIL CREEK DRYWALL INC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-09-01
Business code 238300
Sponsor’s telephone number 9704618307
Plan sponsor’s address 528 W 67TH ST, LOVELAND, CO, 80538

Signature of
Role Plan administrator
Date 2018-04-10
Name of individual signing KENNETH BONDURANT
Valid signature Filed with authorized/valid electronic signature
FOSSIL CREEK DRYWALL 401 K PROFIT SHARING PLAN TRUST 2016 522384921 2017-07-21 FOSSIL CREEK DRYWALL INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-09-01
Business code 238300
Sponsor’s telephone number 9704618307
Plan sponsor’s address 528 W 67TH ST, LOVELAND, CO, 80538

Signature of
Role Plan administrator
Date 2017-07-21
Name of individual signing KENNETH BONDURANT
Valid signature Filed with authorized/valid electronic signature
FOSSIL CREEK DRYWALL 401 K PROFIT SHARING PLAN TRUST 2015 522384921 2016-10-17 FOSSIL CREEK DRYWALL INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-09-01
Business code 238300
Sponsor’s telephone number 9704618307
Plan sponsor’s address 528 W 67TH ST, LOVELAND, CO, 80538

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing KENNETH BONDURANT
Valid signature Filed with authorized/valid electronic signature
FOSSIL CREEK DRYWALL INC 401(K) PLAN 2014 522384921 2016-11-10 FOSSIL CREEK DRYWALL INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 238300
Sponsor’s telephone number 9704618307
Plan sponsor’s address 528 W 67TH ST, LOVELAND, CO, 80538

Signature of
Role Plan administrator
Date 2016-11-10
Name of individual signing KENNETH BONDURANT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Peggy Jones Agent 528 W 67th St Loveland CO 80538 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248017790 File Report 2024-09-23 2024-09-23 No data Principal address changed, Change in registered agent information
20241036730 File Report 2024-01-09 2024-01-09 No data Principal address changed, Change in registered agent information
20221934080 File Report 2022-09-26 2022-09-26 No data Principal address changed, Change in registered agent information
20211953999 File Report 2021-10-19 2021-10-19 No data No data
20201977280 File Report 2020-11-15 2020-11-15 No data No data
20198036917 File Report 2019-12-24 2019-12-24 No data Removed agent mailing address;
20181799159 File Report 2018-10-09 2018-10-09 No data No data
20171963206 File Report 2017-12-28 2017-12-28 No data No data
20161831382 File Report 2016-12-07 2016-12-07 No data No data
20151785672 File Report 2015-12-08 2015-12-08 No data No data

Related by officers

No related officers

Related by address

528 W 67th St Loveland CO 80538 US

BOND LEASING CO.

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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