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  5. Woodland Park Family Medicine, LLC

Woodland Park Family Medicine, LLC

Company Details

Name: Woodland Park Family Medicine, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Voluntarily Dissolved
Date of registration: 11 Apr 2007 (18 years ago)
Date dissolved: 14 Jul 2021
Entity Number: 20071176796
ZIP code: 80863
County: Teller County
Place of Formation: COLORADO
Principal Address: 16222 Highway 24 Suite 200 Woodland Park CO 80863 US
Mailing Address: 6552 Courtland Place Colorado Springs CO 80924 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOODLAND PARK FAMILY MEDICINE 401K PLAN 2018 260265883 2019-10-02 WOODLAND PARK FAMILY MEDICINE 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-12-01
Business code 621111
Sponsor’s telephone number 7196862801
Plan sponsor’s address 16222 HIGHWAY 24,STE 200, WOODLAND PARK, CO, 80863

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing SHEILA DENLEY
Valid signature Filed with authorized/valid electronic signature
WOODLAND PARK FAMILY MEDICINE 401K PLAN 2017 260265883 2019-02-20 WOODLAND PARK FAMILY MEDICINE 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-12-01
Business code 621111
Sponsor’s telephone number 7194006493
Plan sponsor’s address 16222 HIGHWAY 24,STE 200, WOODLAND PARK, CO, 80863

Signature of
Role Plan administrator
Date 2019-02-20
Name of individual signing SARAH RICHARDS
Valid signature Filed with authorized/valid electronic signature
WOODLAND PARK FAMILY MEDICINE 401K PLAN 2016 260265883 2017-07-31 WOODLAND PARK FAMILY MEDICINE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-12-01
Business code 621111
Sponsor’s telephone number 7196862805
Plan sponsor’s address 16222 HIGHWAY 24,STE 200, WOODLAND PARK, CO, 80863

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing GENEVA LAY
Valid signature Filed with authorized/valid electronic signature
WOODLAND PARK FAMILY MEDICINE 401K PLAN 2015 260265883 2016-10-03 WOODLAND PARK FAMILY MEDICINE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-12-01
Business code 812990
Sponsor’s telephone number 7196862805
Plan sponsor’s address 16222 HIGHWAY 24, STE 200, WOODLAND PARK, CO, 80863

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing GENEVA LAY
Valid signature Filed with authorized/valid electronic signature
WOODLAND PARK FAMILY MEDICINE 401(K) PLAN 2014 260265883 2015-04-27 WOODLAND PARK FAMILY MEDICINE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-12-01
Business code 812990
Sponsor’s telephone number 7196862805
Plan sponsor’s address 16222 WEST HWY 24 STE 200, WOODLAND PARK, CO, 80863

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing GENEVA LAY
Valid signature Filed with authorized/valid electronic signature
WOODLAND PARK FAMILY MEDICINE 401(K) PLAN 2013 260265883 2014-07-01 WOODLAND PARK FAMILY MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-12-01
Business code 812990
Sponsor’s telephone number 7196862805
Plan sponsor’s address 16222 WEST HWY 24 STE 200, WOODLAND PARK, CO, 80863

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing MATTHEW C. YOUNG
Valid signature Filed with authorized/valid electronic signature
WOODLAND PARK FAMILY MEDICINE 401(K) PLAN 2012 260265883 2013-04-05 WOODLAND PARK FAMILY MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-12-01
Business code 812990
Sponsor’s telephone number 7196862805
Plan sponsor’s address 16222 WEST HWY 24 STE 200, WOODLAND PARK, CO, 80863

Signature of
Role Plan administrator
Date 2013-04-05
Name of individual signing MATTHEW C. YOUNG
Valid signature Filed with authorized/valid electronic signature
WOODLAND PARK FAMILY MEDICINE 401(K) PLAN 2011 260265883 2012-05-14 WOODLAND PARK FAMILY MEDICINE 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-12-01
Business code 812990
Sponsor’s telephone number 7196862805
Plan sponsor’s address 16222 WEST HWY 24 STE 200, WOODLAND PARK, CO, 80863

Plan administrator’s name and address
Administrator’s EIN 260265883
Plan administrator’s name WOODLAND PARK FAMILY MEDICINE
Plan administrator’s address 16222 WEST HWY 24 STE 200, WOODLAND PARK, CO, 80863
Administrator’s telephone number 7196862805

Signature of
Role Plan administrator
Date 2012-05-14
Name of individual signing MATTHEW C. YOUNG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Matthew Carl Young Agent 16222 W. Hwy 24 Suite 200 Woodland Park CO 80863 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20211642701 Dissolve a Limited Liability Company 2021-07-14 2021-07-14 Woodland Park Family Medicine, LLC, Dissolved July 14, 2021 No data
20181649610 File Report 2018-08-20 2018-08-20 No data No data
20171226181 File Report 2017-03-23 2017-03-23 No data No data
20161199733 File Report 2016-03-23 2016-03-23 No data Removed agent mailing address; / Change of Registered Agent Address
20151259033 File Report 2015-04-17 2015-04-17 No data No data
20141401539 File Report 2014-07-01 2014-07-01 No data No data
20131216772 File Report 2013-04-03 2013-04-03 No data No data
20121171374 File Report 2012-03-23 2012-03-23 No data Change of Registered Agent Address
20111242189 File Report 2011-04-22 2011-04-22 No data No data
20101238785 File Report 2010-04-27 2010-04-27 No data No data

Related by officers

Matthew Carl Young

Rx Healthcare LLC

Related by address

16222 Highway 24 Suite 200 Woodland Park CO 80863 US

Randolph L. James, P.C.

6552 Courtland Place Colorado Springs CO 80924 US

Young Family Medicine, LLC Medical Consulting PC

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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