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FORT COLLINS NEUROLOGY, P.C.

Company Details

Name: FORT COLLINS NEUROLOGY, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 01 Jan 2003 (22 years ago)
Date dissolved: 01 Aug 2017
Entity Number: 20021330506
ZIP code: 80525
County: Larimer County
Place of Formation: COLORADO
Principal Address: 1654 Greenstone Trail Fort Collins CO 80525 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORT COLLINS NEUROLOGY, P.C. 401(K) PLAN 2016 010756615 2017-01-22 FORT COLLINS NEUROLOGY, P.C. 11
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9702120144
Plan sponsor’s address 2121 EAST HARMONY ROAD, STE 270, FORT COLLINS, CO, 805289503

Signature of

Role Plan administrator
Date 2017-01-22
Name of individual signing SHANNON BRIDGEMAN
Valid signature Filed with authorized/valid electronic signature
FORT COLLINS NEUROLOGY, P.C. 401(K) PLAN 2016 010756615 2017-01-22 FORT COLLINS NEUROLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9702120144
Plan sponsor’s address 2121 EAST HARMONY ROAD, STE 270, FORT COLLINS, CO, 805289503

Signature of

Role Plan administrator
Date 2017-01-22
Name of individual signing SHANNON BRIDGEMAN
Valid signature Filed with authorized/valid electronic signature
FORT COLLINS NEUROLOGY, P.C. 401(K) PLAN 2015 010756615 2016-08-27 FORT COLLINS NEUROLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9702120144
Plan sponsor’s address 2121 EAST HARMONY ROAD, STE 270, FORT COLLINS, CO, 805289503

Signature of

Role Plan administrator
Date 2016-08-27
Name of individual signing SHANNON BRIDGEMAN
Valid signature Filed with authorized/valid electronic signature
FORT COLLINS NEUROLOGY, P.C. MONEY PURCHASE PENSION PLAN 2014 010756615 2015-09-09 FORT COLLINS NEUROLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9702211993
Plan sponsor’s address 2121 EAST HARMONY ROAD, STE 270, FORT COLLINS, CO, 805289503

Signature of

Role Plan administrator
Date 2015-09-09
Name of individual signing SUSAN CURIEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-09
Name of individual signing SUSAN CURIEL
Valid signature Filed with authorized/valid electronic signature
FORT COLLINS NEUROLOGY, P.C. MONEY PURCHASE PENSION PLAN 2013 010756615 2014-09-03 FORT COLLINS NEUROLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9702211993
Plan sponsor’s address 2121 EAST HARMONY ROAD, STE 270, FORT COLLINS, CO, 805289503

Signature of

Role Plan administrator
Date 2014-09-03
Name of individual signing SUSAN CURIEL
Valid signature Filed with authorized/valid electronic signature
FORT COLLINS NEUROLOGY, P.C. MONEY PURCHASE PENSION PLAN 2012 010756615 2013-07-25 FORT COLLINS NEUROLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9702211993
Plan sponsor’s address 2121 EAST HARMONY ROAD, STE 270, FORT COLLINS, CO, 805289503

Signature of

Role Plan administrator
Date 2013-07-21
Name of individual signing MICHAEL P. CURIEL
Valid signature Filed with authorized/valid electronic signature
FORT COLLINS NEUROLOGY, P.C. MONEY PURCHASE PENSION PLAN 2011 010756615 2012-07-18 FORT COLLINS NEUROLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9702211993
Plan sponsor’s address 2121 EAST HARMONY RD. SUITE 270, FORT COLLINS, CO, 80528

Plan administrator’s name and address

Administrator’s EIN 010756615
Plan administrator’s name FORT COLLINS NEUROLOGY, P.C.
Plan administrator’s address 2121 EAST HARMONY RD. SUITE 270, FORT COLLINS, CO, 80528
Administrator’s telephone number 9702211993

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing SUSAN C. CURIEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-18
Name of individual signing SUSAN C. CURIEL
Valid signature Filed with authorized/valid electronic signature
FORT COLLINS NEUROLOGY, P.C. MONEY PURCHASE PENSION PLAN 2010 010756615 2011-07-08 FORT COLLINS NEUROLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9702211993
Plan sponsor’s address 2121 EAST HARMONY RD. SUITE 270, FORT COLLINS, CO, 80528

Plan administrator’s name and address

Administrator’s EIN 010756615
Plan administrator’s name FORT COLLINS NEUROLOGY, P.C.
Plan administrator’s address 2121 EAST HARMONY RD. SUITE 270, FORT COLLINS, CO, 80528
Administrator’s telephone number 9702211993

Signature of

Role Plan administrator
Date 2011-07-08
Name of individual signing SUSAN C. CURIEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-08
Name of individual signing SUSAN C. CURIEL
Valid signature Filed with authorized/valid electronic signature
FORT COLLINS NEUROLOGY, P.C. MONEY PURCHASE PENSION PLAN 2009 010756615 2010-10-05 FORT COLLINS NEUROLOGY, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 9702211993
Plan sponsor’s address 2121 EAST HARMONY RD. SUITE 270, FORT COLLINS, CO, 80528

Plan administrator’s name and address

Administrator’s EIN 010756615
Plan administrator’s name FORT COLLINS NEUROLOGY, P.C.
Plan administrator’s address 2121 EAST HARMONY RD. SUITE 270, FORT COLLINS, CO, 80528
Administrator’s telephone number 9702211993

Signature of

Role Plan administrator
Date 2010-10-05
Name of individual signing SUSAN C. CURIEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-05
Name of individual signing SUSAN C. CURIEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MICHAEL P. CURIEL Agent 2121 E HARMONY RD STE 270 FORT COLLINS CO 80528 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20171588027 Dissolve a Profit Corporation 2017-08-01 2017-08-01 FORT COLLINS NEUROLOGY, P.C., Dissolved August 1, 2017 No data
20151833051 File Report 2015-12-29 2015-12-29 No data No data
20151215005 File Report 2015-03-26 2015-03-26 No data No data
20141030575 File Report 2014-01-15 2014-01-15 No data No data
20131165487 File Report 2013-03-14 2013-03-14 No data No data
20121044552 File Report 2012-01-22 2012-01-22 No data No data
20111029352 File Report 2011-01-15 2011-01-15 No data No data
20101051244 File Report 2010-01-25 2010-01-25 No data No data
20091049867 File Report 2009-01-26 2009-01-26 No data Change of Registered Agent
20081095651 File Report 2008-02-17 2008-02-17 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State