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  5. BOULDER BACK PAIN CLINIC, LLC

BOULDER BACK PAIN CLINIC, LLC

Company Details

Name: BOULDER BACK PAIN CLINIC, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 06 May 2003 (22 years ago)
Entity Number: 20031146222
ZIP code: 80304
County: Boulder County
Place of Formation: COLORADO
Principal Address: 1496 Tamarack ave Boulder CO 80304 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2023 364531954 2024-08-07 BOULDER BACK PAIN CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2024-08-07
Name of individual signing LYNE DEMERS CAHN
Valid signature Filed with authorized/valid electronic signature
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2023 364531954 2024-11-21 BOULDER BACK PAIN CLINIC, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 1496 TAMARACK AVE, BOULDER, CO, 80304

Signature of
Role Plan administrator
Date 2024-11-21
Name of individual signing LYNE DEMERS CAHN
Valid signature Filed with authorized/valid electronic signature
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2022 364531954 2023-06-30 BOULDER BACK PAIN CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301

Plan administrator’s name and address
Administrator’s EIN 364531954
Plan administrator’s name BOULDER BACK PAIN CLINIC, LLC
Plan administrator’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301
Administrator’s telephone number 3034994500

Signature of
Role Plan administrator
Date 2023-06-30
Name of individual signing MARC CAHN
Valid signature Filed with authorized/valid electronic signature
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2021 364531954 2022-04-23 BOULDER BACK PAIN CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301

Plan administrator’s name and address
Administrator’s EIN 364531954
Plan administrator’s name BOULDER BACK PAIN CLINIC, LLC
Plan administrator’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301
Administrator’s telephone number 3034994500

Signature of
Role Plan administrator
Date 2022-04-23
Name of individual signing MARC CAHN
Valid signature Filed with authorized/valid electronic signature
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2020 364531954 2021-09-08 BOULDER BACK PAIN CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301

Plan administrator’s name and address
Administrator’s EIN 364531954
Plan administrator’s name BOULDER BACK PAIN CLINIC, LLC
Plan administrator’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301
Administrator’s telephone number 3034994500

Signature of
Role Plan administrator
Date 2021-09-08
Name of individual signing MARC CAHN
Valid signature Filed with authorized/valid electronic signature
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2019 364531954 2020-07-10 BOULDER BACK PAIN CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301

Plan administrator’s name and address
Administrator’s EIN 364531954
Plan administrator’s name BOULDER BACK PAIN CLINIC, LLC
Plan administrator’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301
Administrator’s telephone number 3034994500

Signature of
Role Plan administrator
Date 2020-07-10
Name of individual signing MARC CAHN
Valid signature Filed with authorized/valid electronic signature
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2018 364531954 2019-09-25 BOULDER BACK PAIN CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301

Plan administrator’s name and address
Administrator’s EIN 364531954
Plan administrator’s name BOULDER BACK PAIN CLINIC, LLC
Plan administrator’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301
Administrator’s telephone number 3034994500

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing MARC CAHN
Valid signature Filed with authorized/valid electronic signature
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2017 364531954 2018-09-10 BOULDER BACK PAIN CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301

Plan administrator’s name and address
Administrator’s EIN 364531954
Plan administrator’s name BOULDER BACK PAIN CLINIC, LLC
Plan administrator’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301
Administrator’s telephone number 3034994500

Signature of
Role Plan administrator
Date 2018-09-10
Name of individual signing MARC CAHN
Valid signature Filed with authorized/valid electronic signature
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2016 364531954 2017-06-02 BOULDER BACK PAIN CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301

Plan administrator’s name and address
Administrator’s EIN 364531954
Plan administrator’s name BOULDER BACK PAIN CLINIC, LLC
Plan administrator’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301
Administrator’s telephone number 3034994500

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing MARC CAHN
Valid signature Filed with authorized/valid electronic signature
BOULDER BACK PAIN CLINIC, LLC 401(K) P/S PLAN 2015 364531954 2016-08-17 BOULDER BACK PAIN CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3034994500
Plan sponsor’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301

Plan administrator’s name and address
Administrator’s EIN 364531954
Plan administrator’s name BOULDER BACK PAIN CLINIC, LLC
Plan administrator’s address 2760 29TH ST, SUITE 2B, BOULDER, CO, 80301
Administrator’s telephone number 3034994500

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing MARC CAHN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Lyne Demers Cahn Agent 1496 Tamarack ave Boulder CO 80304 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241805096 File Report 2024-07-29 2024-07-29 No data Principal address changed, Change in registered agent information
20231441898 File Report 2023-04-25 2023-04-25 No data Principal address changed, Change in registered agent information
20221456855 File Report 2022-05-02 2022-05-02 No data No data
20211472669 File Report 2021-05-21 2021-05-21 No data No data
20201650799 File Report 2020-07-27 2020-07-27 No data No data
20191616228 File Report 2019-07-30 2019-07-30 No data Change of Registered Agent / Change of Registered Agent Address
20181385053 File Report 2018-05-10 2018-05-10 No data Removed agent mailing address;
20171558285 File Report 2017-07-24 2017-07-24 No data No data
20161494995 File Report 2016-07-24 2016-07-24 No data No data
20151498771 File Report 2015-07-31 2015-07-31 No data Change of Registered Agent Address

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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