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  5. VAIL VALLEY ANESTHESIA, P.C.

VAIL VALLEY ANESTHESIA, P.C.

Company Details

Name: VAIL VALLEY ANESTHESIA, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 30 Dec 2002 (22 years ago)
Date dissolved: 01 Jan 2012
Entity Number: 20021361650
ZIP code: 81657
County: Eagle County
Place of Formation: COLORADO
Principal Address: 181 W MEADOW DR VAIL CO 81657 US
Mailing Address: P.O. BOX 668 ARVADA CO 80001-0668 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VAIL VALLEY ANESTHESIA, P.C. 401(K) PLAN AND TRUST 2011 562307180 2012-12-19 VAIL VALLEY ANESTHESIA, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9703314149
Plan sponsor’s address PO BOX 4056, VAIL, CO, 81658

Plan administrator’s name and address
Administrator’s EIN 562307180
Plan administrator’s name VAIL VALLEY ANESTHESIA, P.C.
Plan administrator’s address PO BOX 4056, VAIL, CO, 81658
Administrator’s telephone number 9703314149

Signature of
Role Plan administrator
Date 2012-12-19
Name of individual signing ROBERT HAGEBAK, MD
Valid signature Filed with authorized/valid electronic signature
VAIL VALLEY ANESTHESIA, P.C. 401(K) PLAN AND TRUST 2011 562307180 2012-07-23 VAIL VALLEY ANESTHESIA, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9703314149
Plan sponsor’s address PO BOX 4056, VAIL, CO, 81658

Plan administrator’s name and address
Administrator’s EIN 562307180
Plan administrator’s name VAIL VALLEY ANESTHESIA, P.C.
Plan administrator’s address PO BOX 4056, VAIL, CO, 81658
Administrator’s telephone number 9703314149

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing ROBERT HAGEBAK, MD
Valid signature Filed with authorized/valid electronic signature
VAIL VALLEY ANESTHESIA, P.C. 401(K) PLAN AND TRUST 2010 562307180 2011-07-27 VAIL VALLEY ANESTHESIA, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9703314149
Plan sponsor’s address PO BOX 4056, VAIL, CO, 81658

Plan administrator’s name and address
Administrator’s EIN 562307180
Plan administrator’s name VAIL VALLEY ANESTHESIA, P.C.
Plan administrator’s address PO BOX 4056, VAIL, CO, 81658
Administrator’s telephone number 9703314149

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing ROBERT HAGEBAK, MD
Valid signature Filed with authorized/valid electronic signature
VAIL VALLEY ANESTHESIA, P.C. 401(K) PLAN AND TRUST 2009 562307180 2010-07-30 VAIL VALLEY ANESTHESIA, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9703314149
Plan sponsor’s address PO BOX 4056, VAIL, CO, 81658

Plan administrator’s name and address
Administrator’s EIN 562307180
Plan administrator’s name VAIL VALLEY ANESTHESIA, P.C.
Plan administrator’s address PO BOX 4056, VAIL, CO, 81658
Administrator’s telephone number 9703314149

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing ROBERT HAGEBAK, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AMY L MILLER Agent 181 W. MEADOW DR. VAIL CO 81657 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20111644038 Dissolve a Profit Corporation 2011-11-23 2012-01-01 VAIL VALLEY ANESTHESIA, P.C., Dissolved January 1, 2012 No data
20101646742 File Report 2010-11-29 2010-11-29 No data No data
20091627888 File Report 2009-12-01 2009-12-01 No data No data
20081644370 File Report 2008-12-11 2008-12-11 No data Change of Registered Agent
20071560972 File Report 2007-12-10 2007-12-10 No data No data
20061507647 File Report 2006-12-12 2006-12-12 No data No data
20061040355 File Report 2006-01-27 2006-01-27 No data Change of Registered Agent Address
20051215786 Statement of Change 2005-05-31 2005-05-31 No data Changed entity physical address;Changed registered agent;Changed agent physical address;Changed agent mail address;
20051086227 File Report 2005-02-25 2005-02-25 No data No data
20031391579 Statement of Older Periodic Report 2003-12-10 2003-12-10 No data PERIODIC REPORT

Related by officers

No related officers

Related by address

181 W MEADOW DR VAIL CO 81657 US

RPC PHYSICAL THERAPY, P.C.

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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