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  5. Crossroads Insurance Agency, Inc.

Crossroads Insurance Agency, Inc.

Company Details

Name: Crossroads Insurance Agency, Inc.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 13 Jul 2004 (21 years ago)
Entity Number: 20041244251
ZIP code: 80615
County: Weld County
Place of Formation: COLORADO
Principal Address: 213 1st St Eaton CO 80615 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROSSROADS INSURANCE AGENCY 401K PLAN 2023 710919086 2024-04-22 CROSSROADS INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2024-04-22
Name of individual signing CASEY JACOB WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS INSURANCE AGENCY 401K PLAN 2022 710919086 2023-10-05 CROSSROADS INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524140
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing CASEY JACOB WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS INSURANCE AGENCY 401K PLAN 2021 710919086 2022-04-14 CROSSROADS INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524140
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2022-04-14
Name of individual signing CASEY WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS INSURANCE AGENCY 401K PLAN 2020 710919086 2021-07-22 CROSSROADS INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524140
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing CASEY WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS INSURANCE AGENCY 401K PLAN 2019 710919086 2020-09-29 CROSSROADS INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524140
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2020-09-29
Name of individual signing CURT WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS INSURANCE AGENCY 401K PLAN 2018 710919086 2020-02-19 CROSSROADS INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524140
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2020-02-19
Name of individual signing CURT WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS INSURANCE AGENCY 401K PLAN 2018 710919086 2019-10-09 CROSSROADS INSURANCE AGENCY, INC. 9
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524140
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing CURT WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS INSURANCE AGENCY 401K PLAN 2017 710919086 2018-10-03 CROSSROADS INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524140
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing CURT WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS INSURANCE AGENCY 401K PLAN 2016 710919086 2017-10-13 CROSSROADS INSURANCE AGENCY, INC. 9
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524140
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing CURT WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS INSURANCE AGENCY 401K PLAN 2016 710919086 2017-12-06 CROSSROADS INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524140
Sponsor’s telephone number 9704540686
Plan sponsor’s address 213 1ST STREET, EATON, CO, 80615

Signature of
Role Plan administrator
Date 2017-12-06
Name of individual signing CURT WIEDERSPAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Curt Wiederspan Agent 213 1st St Eaton CO 80615 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241746987 File Report 2024-07-17 2024-07-17 No data Principal address changed, Change in registered agent information
20231688524 File Report 2023-06-28 2023-06-28 No data Principal address changed, Change in registered agent information
20221662871 File Report 2022-07-06 2022-07-06 No data No data
20211573483 File Report 2021-06-23 2021-06-23 No data No data
20201547750 File Report 2020-06-24 2020-06-24 No data No data
20191508301 File Report 2019-06-24 2019-06-24 No data Removed entity mailing address;Removed agent mailing address;
20181521661 File Report 2018-06-29 2018-06-29 No data No data
20171499695 File Report 2017-06-28 2017-06-28 No data No data
20161473337 File Report 2016-07-13 2016-07-13 No data No data
20151540472 File Report 2015-08-24 2015-08-24 No data No data

Related by officers

No related officers

Related by address

213 1st St Eaton CO 80615 US

213 First Street, LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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