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JERRY K. POPHAM, M.D., P.C.

Company Details

Name: JERRY K. POPHAM, M.D., P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 29 Jul 2004 (20 years ago)
Entity Number: 20041267253
ZIP code: 80218
County: Denver County
Place of Formation: COLORADO
Principal Address: 1800 N Emerson St Ste 200 Denver CO 80218 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK AVENUE OCULOPLASTIC SURGEONS SH & PSP 2022 201418623 2023-05-22 JERRY K. POPHAM, M.D. P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 EMERSON STREET, SUITE 200, DENVER, CO, 80218

Signature of

Role Plan administrator
Date 2023-05-22
Name of individual signing KIMBERLY BLANTON
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE OCULOPLASTIC SURGEONS SH & PSP 2021 201418623 2022-07-14 JERRY K. POPHAM, M.D. P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 EMERSON STREET, SUITE 200, DENVER, CO, 80218

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing KIMBERLY BLANTON
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE OCULOPLASTIC SURGEONS SH & PSP 2020 201418623 2021-06-20 JERRY K. POPHAM, M.D. P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 EMERSON STREET, SUITE 200, DENVER, CO, 80218

Signature of

Role Plan administrator
Date 2021-06-20
Name of individual signing KIMBERLY BLANTON
Valid signature Filed with authorized/valid electronic signature
PARK AVENUE OCULOPLASTIC SURGEONS SH & PSP 2019 201418623 2020-06-22 JERRY K. POPHAM, M.D. P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 EMERSON STREET, SUITE 200, DENVER, CO, 80218

Signature of

Role Plan administrator
Date 2020-06-22
Name of individual signing KIMBERLY BLANTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-22
Name of individual signing KIMBERLY BLANTON
Valid signature Filed with authorized/valid electronic signature
PARKAVENUE OCULOPLASTIC SURGEONS SH & PSP 2018 201418623 2019-07-19 JERRY K. POPHAM, M.D.P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 N EMERSON ST STE 200, DENVER, CO, 802181080

Signature of

Role Plan administrator
Date 2019-07-19
Name of individual signing BONNIE SHIPPY
Valid signature Filed with authorized/valid electronic signature
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN 2017 201418623 2018-07-30 JERRY K. POPHAM, M.D., P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 EMERSON ST, SUITE 200, DENVER, CO, 80218
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN 2016 201418623 2017-07-14 JERRY K. POPHAM, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 EMERSON ST, SUITE 200, DENVER, CO, 80218
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN 2015 201418623 2016-04-08 JERRY K. POPHAM, M.D., P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 EMERSON ST, SUITE 200, DENVER, CO, 80218
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN 2014 201418623 2015-02-13 JERRY K. POPHAM, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 EMERSON ST, SUITE 200, DENVER, CO, 80218
JERRY K. POPHAM, M.D., P.C. 401(K) PROFIT SHARING SAFE HARBOR PLAN 2013 201418623 2014-02-10 JERRY K. POPHAM, M.D., P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3034688844
Plan sponsor’s address 1800 EMERSON ST, SUITE 200, DENVER, CO, 80218

Agent

Name Role Address
Jerry Kirk Popham Agent 16673 W Archer Ave Golden CO 80401 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241665999 File Report 2024-06-24 2024-06-24 No data Principal address changed, Change in registered agent information
20231685202 File Report 2023-06-28 2023-06-28 No data Change in registered agent information
20221604921 File Report 2022-06-23 2022-06-23 No data No data
20211600091 File Report 2021-06-28 2021-06-28 No data No data
20201525826 File Report 2020-06-19 2020-06-19 No data No data
20191407263 File Report 2019-05-15 2019-05-15 No data No data
20181496944 File Report 2018-06-25 2018-06-25 No data No data
20171348415 File Report 2017-05-03 2017-05-03 No data No data
20161349920 File Report 2016-05-23 2016-05-23 No data No data
20151401485 File Report 2015-06-23 2015-06-23 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State