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  5. Holen Family Medicine, P.C.

Holen Family Medicine, P.C.

Company Details

Name: Holen Family Medicine, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 19 Sep 2005 (19 years ago)
Entity Number: 20051353257
ZIP code: 80016
County: Arapahoe County
Place of Formation: COLORADO
Principal Address: 8075 S Vandriver Way Aurora CO 80016 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOLEN FAMILY MEDICINE, P.C. CASH BALANCE PLAN 2019 203498326 2020-10-15 HOLEN FAMILY MEDICINE, P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 11054 SHADOWBROOK CIRCLE, HIGHLANDS RANCH, CO, 80130

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing JEFF HOLEN
Valid signature Filed with authorized/valid electronic signature
HOLEN FAMILY MEDICINE, P.C. EMPLOYEE PROFIT SHARING PLAN 2019 203498326 2020-10-16 HOLEN FAMILY MEDICINE, P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 11054 SHADOWBROOK CIRCLE, HIGHLANDS RANCH, CO, 80130

Signature of
Role Plan administrator
Date 2020-10-16
Name of individual signing JEFF HOLEN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF HOLEN FAMILY MEDIC 2018 203498326 2019-09-25 HOLEN FAMILY MEDICINE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 11054 SHADOWBROOK CIRCLE, HIGHLANDS RANCH, CO, 80130

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing GREGORY PFANSTIEL
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF HOLEN FAMILY MEDIC 2017 203498326 2018-08-20 HOLEN FAMILY MEDICINE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 11054 SHADOWBROOK CIRCLE, HIGHLANDS RANCH, CO, 80130

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing GREGORY PFANSTIEL
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF HOLEN FAMILY MEDICINE, P.C. 2015 203498326 2016-10-17 HOLEN FAMILY MEDICINE, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing GREGORY E. PFANSTIEL
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF HOLEN FAMILY MEDICINE, P.C. 2013 203498326 2014-07-30 HOLEN FAMILY MEDICINE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130

Plan administrator’s name and address
Administrator’s EIN 203498326
Plan administrator’s name HOLEN FAMILY MEDICINE, P.C.
Plan administrator’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130
Administrator’s telephone number 9703143654

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing JEFFREY K. HOLEN, M.D.
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF HOLEN FAMILY MEDICINE, P.C. 2012 203498326 2013-10-07 HOLEN FAMILY MEDICINE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130

Signature of
Role Plan administrator
Date 2013-10-06
Name of individual signing JEFFREY K. HOLEN, M.D.
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF HOLEN FAMILY MEDICINE, P.C. 2011 203498326 2012-06-21 HOLEN FAMILY MEDICINE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130

Plan administrator’s name and address
Administrator’s EIN 203498326
Plan administrator’s name HOLEN FAMILY MEDICINE, P.C.
Plan administrator’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130
Administrator’s telephone number 9703143654

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing JEFFREY K HOLEN MD
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF HOLEN FAMILY MEDICINE PC 2010 203498326 2011-09-07 HOLEN FAMILY MEDICINE, P C 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130

Plan administrator’s name and address
Administrator’s EIN 203498326
Plan administrator’s name HOLEN FAMILY MEDICINE P C
Plan administrator’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130
Administrator’s telephone number 9703143654

Signature of
Role Plan administrator
Date 2011-09-02
Name of individual signing JEFFREY K HOLEN MD
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE PROFIT SHARING PLAN OF HOLEN FAMILY MEDICINE PC 2009 203498326 2010-09-29 HOLEN FAMILY MEDICINE, P C 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9703143654
Plan sponsor’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130

Plan administrator’s name and address
Administrator’s EIN 203498326
Plan administrator’s name HOLEN FAMILY MEDICINE P C
Plan administrator’s address 10718 PINEWALK WAY, HIGHLANDS RANCH, CO, 80130
Administrator’s telephone number 9703143654

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing JEFFREY K HOLEN MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jeffrey Kent Holen Agent 8075 S Vandriver Way Aurora CO 80016 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241758036 File Report 2024-07-22 2024-07-22 No data Principal address changed, Change in registered agent information
20231318434 File Report 2023-03-23 2023-03-23 No data Principal address changed, Change in registered agent information
20221327316 File Report 2022-03-28 2022-03-28 No data No data
20211292360 File Report 2021-03-24 2021-03-24 No data No data
20201280302 File Report 2020-03-25 2020-03-25 No data No data
20191540406 File Report 2019-07-01 2019-07-01 No data No data
20181260804 File Report 2018-03-27 2018-03-27 No data Change of Registered Agent Address / Change of Entity Address
20171293735 Statement Curing Delinquency 2017-04-18 2017-04-18 No data No data
20151732993 Statement Curing Delinquency 2015-11-16 2015-11-16 Holen Family Medicine, P.C. Removed agent mailing address;
20091508466 File Report 2009-09-25 2009-09-25 No data No data

Related by officers

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Related by address

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Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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