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  5. Boulder Plastic Surgery Prof. LLC

Boulder Plastic Surgery Prof. LLC

Company Details

Name: Boulder Plastic Surgery Prof. LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 14 Feb 2003 (22 years ago)
Entity Number: 20031051243
ZIP code: 80304
County: Boulder County
Place of Formation: COLORADO
Principal Address: 2525 4TH ST STE 200 BOULDER CO 80304 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOULDER PLASTIC SURGERY CASH BALANCE PLAN 2023 203179872 2024-07-22 BOULDER PLASTIC SURGERY PROF. LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3034438508
Plan sponsor’s address 2525 4TH ST SUITE 202, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing JOY HARTLEY
Valid signature Filed with authorized/valid electronic signature
BOULDER PLASTIC SURGERY 401(K) PLAN 2023 203179872 2024-07-22 BOULDER PLASTIC SURGERY PROF, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-15
Business code 621111
Sponsor’s telephone number 3034432277
Plan sponsor’s address 2525 4TH ST, SUITE 202, BOULDER, CO, 80524

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing JOY HARTLEY
Valid signature Filed with authorized/valid electronic signature
BOULDER PLASTIC SURGERY 401(K) PLAN 2022 203179872 2023-09-22 BOULDER PLASTIC SURGERY PROF, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-15
Business code 621111
Sponsor’s telephone number 3034432277
Plan sponsor’s address 2525 4TH ST, SUITE 202, BOULDER, CO, 80524

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing JOY HARTLEY
Valid signature Filed with authorized/valid electronic signature
BOULDER PLASTIC SURGERY CASH BALANCE PLAN 2022 203179872 2023-09-22 BOULDER PLASTIC SURGERY PROF. LLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3034432277
Plan sponsor’s address 2525 4TH ST, SUITE 202, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing JOY HARTLEY
Valid signature Filed with authorized/valid electronic signature
BOULDER PLASTIC SURGERY 401(K) PLAN 2021 203179872 2022-09-28 BOULDER PLASTIC SURGERY PROF, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-15
Business code 621111
Sponsor’s telephone number 3034432277
Plan sponsor’s address 2525 4TH ST, SUITE 202, BOULDER, CO, 80524

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing JOY HARTLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-28
Name of individual signing JOY HARTLEY
Valid signature Filed with authorized/valid electronic signature
BOULDER PLASTIC SURGERY CASH BALANCE PLAN 2021 203179872 2022-09-28 BOULDER PLASTIC SURGERY PROF. LLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3034432277
Plan sponsor’s address 2525 4TH ST, SUITE 202, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing JOY HARTLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-28
Name of individual signing JOY HARTLEY
Valid signature Filed with authorized/valid electronic signature
BOULDER PLASTIC SURGERY 401(K) PLAN 2020 203179872 2021-04-26 BOULDER PLASTIC SURGERY PROF. LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-15
Business code 621111
Sponsor’s telephone number 3038292621
Plan sponsor’s address 2525 4TH ST, SUITE 202, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2021-04-26
Name of individual signing SALLY KUISLE
Valid signature Filed with authorized/valid electronic signature
BOULDER PLASTIC SURGERY CASH BALANCE PLAN 2020 203179872 2021-04-28 BOULDER PLASTIC SURGERY PROF. LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3038292621
Plan sponsor’s address 2525 4TH ST, SUITE 202, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2021-04-28
Name of individual signing SALLY KUISLE
Valid signature Filed with authorized/valid electronic signature
BOULDER PLASTIC SURGERY 401(K) PLAN 2019 203179872 2020-08-13 BOULDER PLASTIC SURGERY PROF. LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-08-15
Business code 621111
Sponsor’s telephone number 3038292621
Plan sponsor’s address 2525 4TH ST, SUITE 202, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2020-08-13
Name of individual signing SALLY KUISLE
Valid signature Filed with authorized/valid electronic signature
BOULDER PLASTIC SURGERY CASH BALANCE PLAN 2019 203179872 2020-08-11 BOULDER PLASTIC SURGERY PROF. LLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3038292621
Plan sponsor’s address 2525 4TH ST, SUITE 202, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2020-08-11
Name of individual signing SALLY KUISLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Winfield R. Hartley Agent 2525 4th St Ste 200 Boulder CO 80304 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248380827 File Report 2024-12-27 2024-12-27 No data Principal address changed, Change in registered agent information
20231615451 File Report 2023-06-07 2023-06-07 No data Change in registered agent information
20221726055 File Report 2022-07-25 2022-07-25 No data Change of Registered Agent
20211756667 File Report 2021-08-19 2021-08-19 No data No data
20201710810 File Report 2020-08-19 2020-08-19 No data No data
20191625773 File Report 2019-08-01 2019-08-01 No data No data
20181731052 File Report 2018-09-18 2018-09-18 No data No data
20171807724 File Report 2017-10-26 2017-10-26 No data No data
20161746902 File Report 2016-11-01 2016-11-01 No data No data
20151690106 File Report 2015-10-26 2015-10-26 No data No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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