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PROVIDENT PHARMACEUTICALS, LLC

Company Details

Name: PROVIDENT PHARMACEUTICALS, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Voluntarily Dissolved
Date of registration: 10 Dec 2003 (21 years ago)
Date dissolved: 20 Jul 2010
Entity Number: 20031390946
ZIP code: 80919
County: El Paso County
Place of Formation: COLORADO
Principal Address: 4831 Centennial Blvd Colorado Springs CO 80919 US
Mailing Address: 4831 Centennial Boulevard Colorado Springs CO 80919 US

Central Index Key

CIK number Mailing Address Business Address Phone
1299129 4831 CENTENNIAL BLVD, COLORDA SPRINGS, CO, 80919 4831 CENTENNIAL BLVD, COLORDA SPRINGS, CO, 80919 719-329-5272

Filings since 2004-07-27

Form type REGDEX/A
File number 021-67887
Filing date 2004-07-27
File View File

Filings since 2004-02-24

Form type REGDEX
File number 021-67887
Filing date 2004-02-24
File View File

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVIDENT PHARMACEUTICALS, LLC 401K PROFIT SHARING PLAN 2010 061714833 2011-01-27 PROVIDENT PHARMACEUTICALS, LLC 50
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Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 325410
Sponsor’s telephone number 7192783988
Plan sponsor’s address 4831 CENTENNIAL BLVD., COLORADO SPRINGS, CO, 809193308

Plan administrator’s name and address

Administrator’s EIN 061714833
Plan administrator’s name PROVIDENT PHARMACEUTICALS, LLC
Plan administrator’s address 4831 CENTENNIAL BLVD., COLORADO SPRINGS, CO, 809193308
Administrator’s telephone number 7192783988

Signature of

Role Plan administrator
Date 2011-01-27
Name of individual signing BRIAN A. CROOK
Valid signature Filed with authorized/valid electronic signature
PROVIDENT PHARMACEUTICALS, LLC 401K PROFIT SHARING PLAN 2009 061714833 2010-07-08 PROVIDENT PHARMACEUTICALS, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 325410
Sponsor’s telephone number 7192783988
Plan sponsor’s address 4831 CENTENNIAL BLVD., COLORADO SPRINGS, CO, 809193308

Plan administrator’s name and address

Administrator’s EIN 061714833
Plan administrator’s name PROVIDENT PHARMACEUTICALS, LLC
Plan administrator’s address 4831 CENTENNIAL BLVD., COLORADO SPRINGS, CO, 809193308
Administrator’s telephone number 7192783988

Signature of

Role Plan administrator
Date 2010-07-08
Name of individual signing BRIAN A. CROOK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
THOMAS M. JAMES Agent 2 NORTH CASCADE AVE STE 760 COLORADO SPRINGS CO 80903 US

Licenses

Number Status Type Date Last renew date End date Address
6030 Expired WHI 2006-12-08 2008-11-01 2010-10-31 Colorado Springs CO 80919
1006 Expired MFR 2006-12-07 2008-11-01 2010-10-31 Colorado Springs CO 80919

Transaction History

Transaction ID Type Date Effective date Name Comment
20101403598 Dissolve a Limited Liability Company 2010-07-20 2010-07-20 PROVIDENT PHARMACEUTICALS, LLC, Dissolved July 20, 2010 No data
20101046726 File Report 2010-01-23 2010-01-23 No data Change of Registered Agent Address
20091049643 File Report 2009-01-25 2009-01-25 No data No data
20081037165 File Report 2008-01-19 2008-01-19 No data No data
20071038134 File Report 2007-01-23 2007-01-23 No data No data
20051483139 File Report 2005-12-30 2005-12-30 No data No data
20051021410 File Report 2005-01-13 2005-01-13 No data No data
20041341680 Statement of Change 2004-09-30 2004-09-30 No data Changed entity mail address;Changed agent mail address;
20031390946 Form a Limited Liability Company (LLC) 2003-12-10 2003-12-10 PROVIDENT PHARMACEUTICALS, LLC PROVIDENT PHARMACEUTICALS, LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State