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Provencher Sports, LLC

Company Details

Name: Provencher Sports, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 20 Jun 2006 (19 years ago)
Entity Number: 20061253199
ZIP code: 81301
County: La Plata County
Place of Formation: COLORADO
Principal Address: 640 E 2nd Ave Durango CO 81301 US

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7GPW8 Obsolete Non-Manufacturer 2015-10-12 2023-12-02 2022-03-09 No data

Contact Information

POC GARY PROVENCHER
Phone +1 970-247-4511
Address 600 E SECOND AVE, DURANGO, CO, 81301 5482, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2023 205072245 2024-07-22 PROVENCHER SPORTS, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 445110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND AVE, DURANGO, CO, 81301

Signature of

Role Plan administrator
Date 2024-07-22
Name of individual signing KAREN PROVENCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-22
Name of individual signing KAREN PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2022 205072245 2023-08-24 PROVENCHER SPORTS, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 451110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND AVE, DURANGO, CO, 81301

Plan administrator’s name and address

Administrator’s EIN 205072245
Plan administrator’s name PROVENCHER SPORTS, LLC
Plan administrator’s address 640 E 2ND AVE, DURANGO, CO, 81301
Administrator’s telephone number 9709030828

Signature of

Role Plan administrator
Date 2023-08-24
Name of individual signing GARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2021 205072245 2022-07-14 PROVENCHER SPORTS, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 451110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND AVE, DURANGO, CO, 81301

Plan administrator’s name and address

Administrator’s EIN 205072245
Plan administrator’s name PROVENCHER SPORTS, LLC
Plan administrator’s address 640 E 2ND AVE, DURANGO, CO, 81301
Administrator’s telephone number 9709030828

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing GARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2020 205072245 2021-08-25 PROVENCHER SPORTS, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 451110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND AVE, DURANGO, CO, 81301

Plan administrator’s name and address

Administrator’s EIN 205072245
Plan administrator’s name PROVENCHER SPORTS, LLC
Plan administrator’s address 640 E 2ND AVE, DURANGO, CO, 81301
Administrator’s telephone number 9709030828

Signature of

Role Plan administrator
Date 2021-08-25
Name of individual signing GARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2019 205072245 2020-07-23 PROVENCHER SPORTS, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 451110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND AVE, DURANGO, CO, 81301

Plan administrator’s name and address

Administrator’s EIN 205072245
Plan administrator’s name PROVENCHER SPORTS, LLC
Plan administrator’s address 640 E 2ND AVE, DURANGO, CO, 81301
Administrator’s telephone number 9709030828

Signature of

Role Plan administrator
Date 2020-07-23
Name of individual signing GARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2018 205072245 2019-07-01 PROVENCHER SPORTS, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 451110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND AVE, DURANGO, CO, 81301

Plan administrator’s name and address

Administrator’s EIN 205072245
Plan administrator’s name PROVENCHER SPORTS, LLC
Plan administrator’s address 640 E 2ND AVE, DURANGO, CO, 81301
Administrator’s telephone number 9709030828

Signature of

Role Plan administrator
Date 2019-07-01
Name of individual signing GARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2017 205072245 2018-07-07 PROVENCHER SPORTS, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 451110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND AVE, DURANGO, CO, 81301

Plan administrator’s name and address

Administrator’s EIN 205072245
Plan administrator’s name PROVENCHER SPORTS, LLC
Plan administrator’s address 640 E 2ND AVE, DURANGO, CO, 81301
Administrator’s telephone number 9709030828

Signature of

Role Plan administrator
Date 2018-07-07
Name of individual signing GARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2016 205072245 2017-08-07 PROVENCHER SPORTS, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 451110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND AVE, DURANGO, CO, 81301

Plan administrator’s name and address

Administrator’s EIN 205072245
Plan administrator’s name PROVENCHER SPORTS, LLC
Plan administrator’s address 640 E 2ND AVE, DURANGO, CO, 81301
Administrator’s telephone number 9709030828

Signature of

Role Plan administrator
Date 2017-08-07
Name of individual signing GARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2015 205072245 2016-09-29 PROVENCHER SPORTS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 451110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND ST, DURANGO, CO, 81301

Plan administrator’s name and address

Administrator’s EIN 205072245
Plan administrator’s name PROVENCHER SPORTS, LLC
Plan administrator’s address 640 E 2ND ST, DURANGO, CO, 81301
Administrator’s telephone number 9709030828

Signature of

Role Plan administrator
Date 2016-09-29
Name of individual signing GARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
PROVENCHER SPORTS, LLC 401(K) P/S PLAN 2014 205072245 2015-10-12 PROVENCHER SPORTS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 451110
Sponsor’s telephone number 9709030828
Plan sponsor’s address 640 E 2ND ST, DURANGO, CO, 81301

Plan administrator’s name and address

Administrator’s EIN 205072245
Plan administrator’s name PROVENCHER SPORTS, LLC
Plan administrator’s address 640 E 2ND ST, DURANGO, CO, 81301
Administrator’s telephone number 9709030828

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing GARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Gary Richard Provencher Jr. Agent 640 E 2nd Ave Durango CO 81301 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248390636 File Report 2024-12-29 2024-12-29 No data Principal address changed
20241049012 File Report 2024-01-14 2024-01-14 No data Principal address changed, Change in registered agent information
20228278361 File Report 2022-12-28 2022-12-28 No data Principal address changed, Change in registered agent information
20218232652 File Report 2021-12-29 2021-12-29 No data No data
20208104304 File Report 2020-12-23 2020-12-23 No data No data
20201307108 File Report 2020-04-01 2020-04-01 No data No data
20191435017 File Report 2019-05-24 2019-05-24 No data No data
20181185731 File Report 2018-03-01 2018-03-01 No data No data
20161889917 File Report 2016-12-30 2016-12-30 No data No data
20161064688 File Report 2016-01-26 2016-01-26 No data Removed agent mailing address; / Change of Registered Agent Address / Change of Entity Address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State