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Blackfox, LLC

Company Details

Name: Blackfox, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 02 Jan 2008 (17 years ago)
Entity Number: 20071598269
ZIP code: 80513
County: Larimer County
Place of Formation: COLORADO
Principal Address: 1211 Lake Ave Ste 202 Berthoud CO 80513 US
Mailing Address: PO Box 209 Hygiene CO 80533 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLACKFOX, LLC GROUP MEDICAL, LIFE AND DISABILITY PLAN 2009 261857564 2011-01-12 BLACKFOX, LLC 227
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1994-04-01
Business code 551112
Sponsor’s telephone number 3034858055
Plan sponsor’s mailing address P.O. BOX 209, HYGIENE, CO, 80533
Plan sponsor’s address 11797 N. 75TH STREET, LONGMONT, CO, 80503

Plan administrator’s name and address

Administrator’s EIN 261857564
Plan administrator’s name BLACKFOX, LLC
Plan administrator’s address P.O. BOX 209, HYGIENE, CO, 80533
Administrator’s telephone number 3034858055

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2011-01-12
Name of individual signing BRIAN HEPP
Valid signature Filed with authorized/valid electronic signature
BLACKFOX, LLC GROUP VISION CARE PLAN 2009 261857564 2011-01-12 BLACKFOX, LLC 218
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1996-04-01
Business code 551112
Sponsor’s telephone number 3034858055
Plan sponsor’s mailing address P.O. BOX 209, HYGIENE, CO, 80533
Plan sponsor’s address 11797 N. 75TH STREET, LONGMONT, CO, 80503

Plan administrator’s name and address

Administrator’s EIN 261857564
Plan administrator’s name BLACKFOX, LLC
Plan administrator’s address P.O. BOX 209, HYGIENE, CO, 80533
Administrator’s telephone number 3034858055

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2011-01-12
Name of individual signing BRIAN HEPP
Valid signature Filed with authorized/valid electronic signature
BLACKFOX, LLC VOLUNTARY DENTAL PLAN 2009 261857564 2011-01-12 BLACKFOX, LLC 112
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1994-04-01
Business code 551112
Sponsor’s telephone number 3034858055
Plan sponsor’s mailing address P.O. BOX 209, HYGIENE, CO, 80533
Plan sponsor’s address 11797 N. 75TH STREET, LONGMONT, CO, 80503

Plan administrator’s name and address

Administrator’s EIN 261857564
Plan administrator’s name BLACKFOX, LLC
Plan administrator’s address P.O. BOX 209, HYGIENE, CO, 80533
Administrator’s telephone number 3034858055

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2011-01-12
Name of individual signing BRIAN HEPP
Valid signature Filed with authorized/valid electronic signature
BLACKFOX, LLC GROUP VISION CARE PLAN 2009 261857564 2011-01-04 BLACKFOX, LLC 218
Three-digit plan number (PN) 504
Effective date of plan 1996-04-01
Business code 551112
Sponsor’s telephone number 3034858055
Plan sponsor’s mailing address P.O. BOX 209, HYGIENE, CO, 80533
Plan sponsor’s address 11797 N. 75TH STREET, LONGMONT, CO, 80503

Plan administrator’s name and address

Administrator’s EIN 261857564
Plan administrator’s name BLACKFOX, LLC
Plan administrator’s address P.O. BOX 209, HYGIENE, CO, 80533
Administrator’s telephone number 3034858055

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-12-28
Name of individual signing BRIAN HEPP
Valid signature Filed with authorized/valid electronic signature
BLACKFOX, LLC VOLUNTARY DENTAL PLAN 2009 261857564 2011-01-04 BLACKFOX, LLC 112
Three-digit plan number (PN) 503
Effective date of plan 1994-04-01
Business code 551112
Sponsor’s telephone number 3034858055
Plan sponsor’s mailing address P.O. BOX 209, HYGIENE, CO, 80533
Plan sponsor’s address 11797 N. 75TH STREET, LONGMONT, CO, 80503

Plan administrator’s name and address

Administrator’s EIN 261857564
Plan administrator’s name BLACKFOX, LLC
Plan administrator’s address P.O. BOX 209, HYGIENE, CO, 80533
Administrator’s telephone number 3034858055

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-12-28
Name of individual signing BRIAN HEPP
Valid signature Filed with authorized/valid electronic signature
BLACKFOX, LLC GROUP MEDICAL, LIFE AND DISABILITY PLAN 2009 261857564 2011-01-04 BLACKFOX, LLC 227
Three-digit plan number (PN) 502
Effective date of plan 1994-04-01
Business code 551112
Sponsor’s telephone number 3034858055
Plan sponsor’s mailing address P.O. BOX 209, HYGIENE, CO, 80533
Plan sponsor’s address 11797 N. 75TH STREET, LONGMONT, CO, 80503

Plan administrator’s name and address

Administrator’s EIN 261857564
Plan administrator’s name BLACKFOX, LLC
Plan administrator’s address P.O. BOX 209, HYGIENE, CO, 80533
Administrator’s telephone number 3034858055

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-12-28
Name of individual signing BRIAN HEPP
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Brian Hepp Agent 1211 Lake Ave Ste 202 Berthoud CO 80513 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241083774 File Report 2024-01-23 2024-01-23 No data Principal address changed, Change in registered agent information
20231372179 File Report 2023-04-01 2023-04-01 No data Principal address changed, Change in registered agent information
20221133547 File Report 2022-02-03 2022-02-03 No data No data
20211238595 File Report 2021-03-09 2021-03-09 No data Change of Registered Agent Address / Change of Entity Address
20201135551 File Report 2020-02-12 2020-02-12 No data No data
20191033677 File Report 2019-01-12 2019-01-12 No data Change of Registered Agent Address / Change of Entity Address
20181117817 File Report 2018-02-08 2018-02-08 No data Change of Registered Agent / Change of Registered Agent Address / Change of Entity Address
20171070398 File Report 2017-01-25 2017-01-25 No data No data
20161039209 File Report 2016-01-19 2016-01-19 No data No data
20151022946 File Report 2015-01-12 2015-01-12 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State