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  5. INCENTAHEALTH, LLC

INCENTAHEALTH, LLC

Company Details

Name: INCENTAHEALTH, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 21 Jan 2003 (22 years ago)
Entity Number: 20031021460
ZIP code: 80112
County: Arapahoe County
Place of Formation: COLORADO
Principal Address: 9605 S Kingston Ct Ste 130 Englewood CO 80112 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
G1ZHHHLLHED4 2024-03-02 9605 S KINGSTON CT, STE 130, ENGLEWOOD, CO, 80112, 6061, USA 9605 S KINGSTON CT STE 130, ENGLEWOOD, CO, 80112, 6061, USA

Business Information
Doing Business As INCENTAHEALTH LLC
Congressional District 04
State/Country of Incorporation CO, USA
Activation Date 2023-03-07
Initial Registration Date 2005-01-07
Entity Start Date 2003-01-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 812191

Points of Contacts
Electronic Business
Title PRIMARY POC
Name TODD MCGUIRE
Address 9605 S KINGSTON CT STE 130, ENGLEWOOD, CO, 80112, USA
Title ALTERNATE POC
Name JACK RULE
Address 9605 S KINGSTON CT STE 130, ENGLEWOOD, CO, 80112, USA
Government Business
Title PRIMARY POC
Name JACK RULE
Address 9605 S KINGSTON CT STE 130, ENGLEWOOD, CO, 80112, USA
Title ALTERNATE POC
Name TODD MCGUIRE
Address 9605 S KINGSTON CT STE 130, ENGLEWOOD, CO, 80112, USA
Past Performance
Title PRIMARY POC
Name JACK RULE
Address 9605 S KINGSTON CT STE 130, ENGLEWOOD, CO, 80112, USA
Title ALTERNATE POC
Name TODD MCGUIRE
Address 9605 S KINGSTON CT STE 130, ENGLEWOOD, CO, 80112, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
34UV7 Active Non-Manufacturer 2005-01-03 2024-03-02 2028-03-07 2024-03-02

Contact Information
POC JACK RULE
Phone +1 303-694-8011
Fax +1 303-484-2019
Address 9605 S KINGSTON CT, ENGLEWOOD, CO, 80112 6061, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INCENTAHEALTH, LLC 401(K) PLAN 2022 680537611 2023-05-22 INCENTAHEALTH, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 3036948008
Plan sponsor’s address 9605 S. KINGSTON CT., SUITE 130, ENGLEWOOD, CO, 80112

Signature of
Role Plan administrator
Date 2023-05-22
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
INCENTAHEALTH, LLC 401(K) PLAN 2022 680537611 2023-09-28 INCENTAHEALTH, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 3036948008
Plan sponsor’s address 9605 S. KINGSTON CT., SUITE 130, ENGLEWOOD, CO, 80112

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-28
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
INCENTAHEALTH, LLC 401(K) PLAN 2021 680537611 2022-08-04 INCENTAHEALTH, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 3036948008
Plan sponsor’s address 9605 S. KINGSTON CT., SUITE 130, ENGLEWOOD, CO, 80112

Signature of
Role Plan administrator
Date 2022-08-04
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-04
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
INCENTAHEALTH, LLC 401(K) PLAN 2020 680537611 2021-06-10 INCENTAHEALTH, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 3036948008
Plan sponsor’s address 4600 S. ULSTER STREET, SUITE 850, DENVER, CO, 80237

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-10
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
INCENTAHEALTH, LLC 401(K) PLAN 2019 680537611 2020-07-22 INCENTAHEALTH, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 3036948008
Plan sponsor’s address 4600 S. ULSTER STREET, SUITE 850, DENVER, CO, 80237

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-22
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
INCENTAHEALTH, LLC 401(K) PLAN 2018 680537611 2019-06-14 INCENTAHEALTH, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 3036948008
Plan sponsor’s address 4600 S. ULSTER STREET, SUITE 850, DENVER, CO, 80237

Signature of
Role Plan administrator
Date 2019-06-14
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-14
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature
INCENTAHEALTH, LLC 401(K) PLAN 2017 680537611 2018-07-24 INCENTAHEALTH, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812190
Sponsor’s telephone number 3036948008
Plan sponsor’s address 4600 S. ULSTER STREET, SUITE 850, DENVER, CO, 80237

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing CAROL TANNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Ernest J Panasci Agent 5050 S Syracuse St Ste 900 Denver CO 80237 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241311835 File Report 2024-03-19 2024-03-19 No data Principal address changed, Change in registered agent information
20231488625 Statement of Change Changing the Principal Office Address 2023-05-03 2023-05-03 No data Principal address changed;
20231266635 File Report 2023-03-07 2023-03-07 No data Principal address changed, Change in registered agent information
20221254927 File Report 2022-03-09 2022-03-09 No data No data
20211218787 File Report 2021-03-02 2021-03-02 No data No data
20201208312 File Report 2020-03-02 2020-03-02 No data No data
20201124319 Statement of Change Changing the Registered Agent Information 2020-02-06 2020-02-06 No data Registered agent information changed;
20188044687 File Report 2018-12-31 2018-12-31 No data No data
20181201658 File Report 2018-03-07 2018-03-07 No data Change of Registered Agent / Change of Registered Agent Address
20171025837 File Report 2017-01-10 2017-01-10 No data Change of Registered Agent

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9605 S Kingston Ct Ste 130 Englewood CO 80112 US

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Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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