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  5. AgeWell Medical Associates, PC

AgeWell Medical Associates, PC

Company Details

Name: AgeWell Medical Associates, PC
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 17 Apr 2007 (18 years ago)
Entity Number: 20071186022
ZIP code: 80910
County: El Paso County
Place of Formation: COLORADO
Principal Address: 2350 International Cir Colorado Springs CO 80910 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AGEWELL MEDICAL ASSOCIATES, PC PROFIT SHARING PLAN 2017 208753749 2018-03-26 AGEWELL MEDICAL ASSOCIATES, PC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7194755065
Plan sponsor’s address 2350 INTERNATIONAL CIRCLE, COLORADO SPRINGS, CO, 80910

Signature of
Role Plan administrator
Date 2018-03-26
Name of individual signing JEFFREY KULP, M.D.
Valid signature Filed with authorized/valid electronic signature
AGEWELL MEDICAL ASSOCIATES, PC PROFIT SHARING PLAN 2016 208753749 2017-05-22 AGEWELL MEDICAL ASSOCIATES, PC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7194755065
Plan sponsor’s address 2350 INTERNATIONAL CIRCLE, COLORADO SPRINGS, CO, 80910

Signature of
Role Plan administrator
Date 2017-05-22
Name of individual signing JEFFREY KULP, M.D.
Valid signature Filed with authorized/valid electronic signature
AGEWELL MEDICAL ASSOCIATES, PC PROFIT SHARING PLAN 2015 208753749 2016-05-07 AGEWELL MEDICAL ASSOCIATES, PC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7194755065
Plan sponsor’s address 2350 INTERNATIONAL CIRCLE, COLORADO SPRINGS, CO, 80910

Signature of
Role Plan administrator
Date 2016-05-07
Name of individual signing JEFFREY KULP, M.D.
Valid signature Filed with authorized/valid electronic signature
AGEWELL MEDICAL ASSOCIATES, PC PROFIT SHARING PLAN 2014 208753749 2015-07-07 AGEWELL MEDICAL ASSOCIATES, PC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7194755065
Plan sponsor’s address 2350 INTERNATIONAL CIRCLE, COLORADO SPRINGS, CO, 80910

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing JEFFREY KULP, M.D.
Valid signature Filed with authorized/valid electronic signature
AGEWELL MEDICAL ASSOCIATES, PC PROFIT SHARING PLAN 2013 208753749 2014-05-29 AGEWELL MEDICAL ASSOCIATES, PC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7194755065
Plan sponsor’s address 2350 INTERNATIONAL CIRCLE, COLORADO SPRINGS, CO, 80910

Signature of
Role Plan administrator
Date 2014-05-29
Name of individual signing JEFFREY KULP, M.D.
Valid signature Filed with authorized/valid electronic signature
AGEWELL MEDICAL ASSOCIATES, PC PROFIT SHARING PLAN 2012 208753749 2013-07-22 AGEWELL MEDICAL ASSOCIATES, PC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7194755065
Plan sponsor’s address 2350 INTERNATIONAL CIRCLE, COLORADO SPRINGS, CO, 80910

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing JEFFREY KULP, M.D.
Valid signature Filed with authorized/valid electronic signature
AGEWELL MEDICAL ASSOCIATES, PC PROFIT SHARING PLAN 2011 208753749 2012-07-23 AGEWELL MEDICAL ASSOCIATES, PC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7194755065
Plan sponsor’s address 2350 INTERNATIONAL CIRCLE, COLORADO SPRINGS, CO, 80910

Plan administrator’s name and address
Administrator’s EIN 208753749
Plan administrator’s name AGEWELL MEDICAL ASSOCIATES, PC
Plan administrator’s address 2350 INTERNATIONAL CIRCLE, COLORADO SPRINGS, CO, 80910
Administrator’s telephone number 7194755065

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing JEFFREY KULP, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Lori Trivelli Agent 2350 International Cir C/O Agewell Medical Associates Colorado Springs CO 80910 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241343411 File Report 2024-03-25 2024-03-25 No data Principal address changed, Change in registered agent information
20231331422 File Report 2023-03-24 2023-03-24 No data Principal address changed
20221362702 File Report 2022-04-07 2022-04-07 No data No data
20211365576 File Report 2021-04-17 2021-04-17 No data No data
20201316581 File Report 2020-04-04 2020-04-04 No data No data
20191245503 File Report 2019-03-23 2019-03-23 No data No data
20181370730 File Report 2018-05-03 2018-05-03 No data No data
20171416646 File Report 2017-05-31 2017-05-31 No data No data
20161283434 File Report 2016-04-25 2016-04-25 No data Change of Entity Address
20151367163 File Report 2015-06-01 2015-06-01 No data No data

Related by officers

Lori Trivelli

CVA Properties, LLC

Related by address

2350 International Cir Colorado Springs CO 80910 US

Michael Kenny, Psy.D, PC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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