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Mountainwood Pet Hospital, P.C.

Company Details

Name: Mountainwood Pet Hospital, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 08 Feb 2008 (17 years ago)
Entity Number: 20081081904
ZIP code: 80550
County: Weld County
Place of Formation: COLORADO
Principal Address: 1200 W Ash St Windsor CO 80550 US
Mailing Address: US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2021 261923972 2022-03-28 MOUNTAINWOOD PET HOSPITAL P C 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET UNIT A, WINDSOR, CO, 80550

Signature of

Role Plan administrator
Date 2022-03-28
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2020 261923972 2021-08-30 MOUNTAINWOOD PET HOSPITAL P C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET UNIT A, WINDSOR, CO, 80550

Signature of

Role Plan administrator
Date 2021-08-30
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2019 261923972 2020-06-29 MOUNTAINWOOD PET HOSPITAL P C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET, UNIT A, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 261923972
Plan administrator’s name MOUNTAINWOOD PET HOSPITAL P C
Plan administrator’s address 1200 W ASH STREET, UNIT A, WINDSOR, CO, 80550
Administrator’s telephone number 9706865725

Signature of

Role Plan administrator
Date 2020-06-29
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2018 261923972 2019-09-09 MOUNTAINWOOD PET HOSPITAL P C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 261923972
Plan administrator’s name MOUNTAINWOOD PET HOSPITAL P C
Plan administrator’s address 1200 W ASH STREET, UNIT A, WINDSOR, CO, 80550
Administrator’s telephone number 9706865725

Signature of

Role Plan administrator
Date 2019-09-09
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2017 261923972 2018-06-08 MOUNTAINWOOD PET HOSPITAL P C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET, UNIT A, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 261923972
Plan administrator’s name MOUNTAINWOOD PET HOSPITAL P C
Plan administrator’s address 1200 W ASH STREET, UNIT A, WINDSOR, CO, 80550
Administrator’s telephone number 9706865725

Signature of

Role Plan administrator
Date 2018-06-08
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2016 261923972 2017-07-20 MOUNTAINWOOD PET HOSPITAL P C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET, UNIT A, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 261923972
Plan administrator’s name MOUNTAINWOOD PET HOSPITAL P C
Plan administrator’s address 1200 W ASH STREET, UNIT A, WINDSOR, CO, 80550
Administrator’s telephone number 9706865725

Signature of

Role Plan administrator
Date 2017-07-20
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2015 261923972 2016-07-25 MOUNTAINWOOD PET HOSPITAL P C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 261923972
Plan administrator’s name MOUNTAINWOOD PET HOSPITAL P C
Plan administrator’s address 1200 W ASH STREET, WINDSOR, CO, 80550
Administrator’s telephone number 9706865725

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2014 261923972 2015-06-26 MOUNTAINWOOD PET HOSPITAL P C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 261923972
Plan administrator’s name MOUNTAINWOOD PET HOSPITAL P C
Plan administrator’s address 1200 W ASH STREET, WINDSOR, CO, 80550
Administrator’s telephone number 9706865725

Signature of

Role Plan administrator
Date 2015-06-26
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2013 261923972 2014-07-22 MOUNTAINWOOD PET HOSPITAL P C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 261923972
Plan administrator’s name MOUNTAINWOOD PET HOSPITAL P C
Plan administrator’s address 1200 W ASH STREET, WINDSOR, CO, 80550
Administrator’s telephone number 9706865725

Signature of

Role Plan administrator
Date 2014-07-22
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature
MOUNTAINWOOD PET HOSPITAL 401(K) PLAN 2012 261923972 2013-07-11 MOUNTAINWOOD PET HOSPITAL P C 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9706865725
Plan sponsor’s address 1200 W ASH STREET, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 261923972
Plan administrator’s name MOUNTAINWOOD PET HOSPITAL P C
Plan administrator’s address 1200 W ASH STREET, WINDSOR, CO, 80550
Administrator’s telephone number 9706865725

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing ARUN RUSTGI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Arun Rustgi Agent 1200 W Ash St Windsor CO 80550 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241810258 File Report 2024-07-30 2024-07-30 No data Change in registered agent information
20231832166 Statement Curing Delinquency 2023-08-09 2023-08-09 Mountainwood Pet Hospital, P.C. No data
20211360875 File Report 2021-04-15 2021-04-15 No data No data
20201392282 File Report 2020-04-30 2020-04-30 No data No data
20191301079 File Report 2019-04-04 2019-04-04 No data No data
20181231699 File Report 2018-03-22 2018-03-22 No data No data
20171330288 File Report 2017-04-27 2017-04-27 No data No data
20161316098 File Report 2016-05-03 2016-05-03 No data Removed agent mailing address;
20151235283 File Report 2015-04-02 2015-04-02 No data No data
20141090073 File Report 2014-02-07 2014-02-07 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State