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  5. Kallgren Dermatology Clinic, P.C.

Kallgren Dermatology Clinic, P.C.

Company Details

Name: Kallgren Dermatology Clinic, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Delinquent
Date of registration: 20 Dec 2005 (19 years ago)
Entity Number: 20051472031
ZIP code: 80301
County: Boulder County
Place of Formation: COLORADO
Principal Address: 3434 47th St Ste 200 Boulder CO 80301 US
Mailing Address: 7381 Rozena Dr Longmont CO 80503 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2022 203957471 2023-07-19 KALLGREN DERMATOLOGY CLINIC, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2022 203957471 2023-01-25 KALLGREN DERMATOLOGY CLINIC, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2023-01-25
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2021 203957471 2022-04-08 KALLGREN DERMATOLOGY CLINIC, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2022-04-08
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-08
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2020 203957471 2021-09-03 KALLGREN DERMATOLOGY CLINIC, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2021-09-03
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-03
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2019 203957471 2020-09-03 KALLGREN DERMATOLOGY CLINIC, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2020-09-03
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-03
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2018 203957471 2019-08-01 KALLGREN DERMATOLOGY CLINIC, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2019-08-01
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-01
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2017 203957471 2018-06-29 KALLGREN DERMATOLOGY CLINIC, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2018-06-03
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-03
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2016 203957471 2017-07-13 KALLGREN DERMATOLOGY CLINIC, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-13
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2015 203957471 2016-04-11 KALLGREN DERMATOLOGY CLINIC, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2016-04-11
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-11
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
KALLGREN DERMATOLOGY CLINIC, P.C. PROFIT SHARING PLAN 2014 203957471 2015-05-19 KALLGREN DERMATOLOGY CLINIC, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-10
Business code 621111
Sponsor’s telephone number 3034448100
Plan sponsor’s address 3434 47TH STREET, #200, BOULDER, CO, 80301

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-19
Name of individual signing DIANE KALLGREN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Diane L. Kallgren Agent 7381 Rozena Dr Longmont CO 80503 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20228165079 File Report 2022-11-29 2022-11-29 No data Principal address changed, Change in registered agent information
20218158103 File Report 2021-12-09 2021-12-09 No data No data
20208010652 File Report 2020-11-23 2020-11-23 No data No data
20191951972 File Report 2019-12-02 2019-12-02 No data No data
20181934242 File Report 2018-11-29 2018-11-29 No data No data
20171884836 File Report 2017-11-28 2017-11-28 No data No data
20161798580 File Report 2016-11-27 2016-11-27 No data No data
20151764022 File Report 2015-11-29 2015-11-29 No data No data
20141726360 File Report 2014-11-28 2014-11-28 No data No data
20131694632 File Report 2013-12-02 2013-12-02 No data No data

Related by officers

No related officers

Related by address

3434 47th St Ste 200 Boulder CO 80301 US

K2 Dermatology LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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