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  5. PhysIOM, LLC

PhysIOM, LLC

Headquarter

Company Details

Name: PhysIOM, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Voluntarily Dissolved
Date of registration: 11 Mar 2004 (21 years ago)
Date dissolved: 12 May 2016
Entity Number: 20041092171
ZIP code: 80134
County: Douglas County
Place of Formation: COLORADO
Principal Address: 10940 s parker rd 503 parker CO 80134 US

Links between entities

Type Company Name Company Number State
Headquarter of PhysIOM, LLC, ALABAMA 000-002-593 ALABAMA
Headquarter of PhysIOM, LLC, MISSISSIPPI 978331 MISSISSIPPI
Headquarter of PhysIOM, LLC, NEW YORK 4306509 NEW YORK
Headquarter of PhysIOM, LLC, FLORIDA M11000000657 FLORIDA
Headquarter of PhysIOM, LLC, IDAHO 289973 IDAHO
Headquarter of PhysIOM, LLC, ILLINOIS LLC_03943011 ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSIOM, LLC 401K PLAN 2010 201054974 2011-10-13 PHYSIOM, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-02-03
Business code 621399
Sponsor’s telephone number 8773779555
Plan sponsor’s address 1300 OAKRIDGE DR., SUITE 130, FORT COLLINS, CO, 80525

Plan administrator’s name and address
Administrator’s EIN 201054974
Plan administrator’s name PHYSIOM, LLC
Plan administrator’s address 1300 OAKRIDGE DR., SUITE 130, FORT COLLINS, CO, 80525
Administrator’s telephone number 8773779555

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing BRIAN MCKINLEY
Valid signature Filed with authorized/valid electronic signature
PHYSIOM, LLC 401K PLAN 2010 201054974 2011-06-02 PHYSIOM, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-02-03
Business code 621399
Sponsor’s telephone number 8773779555
Plan sponsor’s address 1300 OAKRIDGE DR., SUITE 130, FORT COLLINS, CO, 80525

Plan administrator’s name and address
Administrator’s EIN 201054974
Plan administrator’s name PHYSIOM, LLC
Plan administrator’s address 1300 OAKRIDGE DR., SUITE 130, FORT COLLINS, CO, 80525
Administrator’s telephone number 8773779555

Signature of
Role Plan administrator
Date 2011-06-02
Name of individual signing BRIAN MCKINLEY
Valid signature Filed with authorized/valid electronic signature
PHYSIOM, LLC 401K PLAN 2009 201054974 2010-07-15 PHYSIOM, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-02-03
Business code 621399
Sponsor’s telephone number 8773779555
Plan sponsor’s address 1300 OAKRIDGE DR., SUITE 130, FORT COLLINS, CO, 80525

Plan administrator’s name and address
Administrator’s EIN 201054974
Plan administrator’s name PHYSIOM, LLC
Plan administrator’s address 1300 OAKRIDGE DR., SUITE 130, FORT COLLINS, CO, 80525
Administrator’s telephone number 8773779555

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing BRIAN MCKINLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing BRIAN MCKINLEY
Valid signature Filed with authorized/valid electronic signature
PHYSIOM, LLC 401K PLAN 2009 201054974 2010-07-14 PHYSIOM, LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2009-02-03
Business code 621399
Sponsor’s telephone number 8773779555
Plan sponsor’s address 1300 OAKRIDGE DR., SUITE 130, FORT COLLINS, CO, 80525

Plan administrator’s name and address
Administrator’s EIN 201054974
Plan administrator’s name PHYSIOM, LLC
Plan administrator’s address 1300 OAKRIDGE DR., SUITE 130, FORT COLLINS, CO, 80525
Administrator’s telephone number 8773779555

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing BRIAN MCKINLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing BRIAN MCKINLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RICK A FLORES Agent 1300 Oakridge Drive #130 Fort Collins CO 80525 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20191852288 Statement of Change Changing the Principal Office Address 2019-10-24 2019-10-25 No data Principal address changed;
20161332487 Dissolve a Limited Liability Company 2016-05-12 2016-05-12 PhysIOM, LLC, Dissolved May 12, 2016 No data
20121039866 File Report 2012-01-19 2012-01-19 No data No data
20111173284 Statement of Correction Correcting the Registered Agent Information 2011-03-23 2011-03-23 No data Registered agent information corrected;Removed agent mailing address;
20111078773 File Report 2011-02-07 2011-02-07 No data Change of Entity Address
20101110393 File Report 2010-02-23 2010-02-23 No data No data
20091097966 File Report 2009-02-16 2009-02-16 No data No data
20081093216 File Report 2008-02-15 2008-02-15 No data No data
20061449429 Statement Curing Delinquency 2006-11-02 2006-11-02 No data No data
20061190022 Amend Articles of Organization for an LLC 2006-05-09 2006-05-09 PhysIOM, LLC Change of Entity Name

Related by officers

No related officers

Related by address

10940 s parker rd 503 parker CO 80134 US

NeuroDiagnostic Solutions LLC

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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