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Rocky Mountain Dermatology, P.C.

Company Details

Name: Rocky Mountain Dermatology, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 09 Jul 2008 (17 years ago)
Entity Number: 20081368076
ZIP code: 80302
County: Boulder County
Place of Formation: COLORADO
Principal Address: 2400 Spruce St Ste 101 Boulder CO 80302 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2023 262956139 2024-09-24 ROCKY MOUNTAIN DERMATOLOGY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE ST, SUITE 101, BOULDER, CO, 80302

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing JAMES A SCATENA
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2022 262956139 2023-05-09 ROCKY MOUNTAIN DERMATOLOGY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302

Plan administrator’s name and address

Administrator’s EIN 262956139
Plan administrator’s name ROCKY MOUNTAIN DERMATOLOGY
Plan administrator’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302
Administrator’s telephone number 7203527873

Signature of

Role Plan administrator
Date 2023-05-09
Name of individual signing LISA SCATENA
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2021 262956139 2022-06-01 ROCKY MOUNTAIN DERMATOLOGY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302

Plan administrator’s name and address

Administrator’s EIN 262956139
Plan administrator’s name ROCKY MOUNTAIN DERMATOLOGY
Plan administrator’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302
Administrator’s telephone number 7203527873

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing LISA SCATENA
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2020 262956139 2021-06-08 ROCKY MOUNTAIN DERMATOLOGY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302

Plan administrator’s name and address

Administrator’s EIN 262956139
Plan administrator’s name ROCKY MOUNTAIN DERMATOLOGY
Plan administrator’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302
Administrator’s telephone number 7203527873

Signature of

Role Plan administrator
Date 2021-06-08
Name of individual signing LISA SCATENA
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2019 262956139 2020-05-13 ROCKY MOUNTAIN DERMATOLOGY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302

Plan administrator’s name and address

Administrator’s EIN 262956139
Plan administrator’s name ROCKY MOUNTAIN DERMATOLOGY
Plan administrator’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302
Administrator’s telephone number 7203527873

Signature of

Role Plan administrator
Date 2020-05-13
Name of individual signing LISA SCATENA
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2018 262956139 2019-07-09 ROCKY MOUNTAIN DERMATOLOGY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302

Plan administrator’s name and address

Administrator’s EIN 262956139
Plan administrator’s name ROCKY MOUNTAIN DERMATOLOGY
Plan administrator’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302
Administrator’s telephone number 7203527873

Signature of

Role Plan administrator
Date 2019-07-09
Name of individual signing LISA SCATENA
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2017 262956139 2018-03-29 ROCKY MOUNTAIN DERMATOLOGY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302

Plan administrator’s name and address

Administrator’s EIN 262956139
Plan administrator’s name ROCKY MOUNTAIN DERMATOLOGY
Plan administrator’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302
Administrator’s telephone number 7203527873

Signature of

Role Plan administrator
Date 2018-03-29
Name of individual signing LISA SCATENA
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2016 262956139 2017-05-08 ROCKY MOUNTAIN DERMATOLOGY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302

Plan administrator’s name and address

Administrator’s EIN 262956139
Plan administrator’s name ROCKY MOUNTAIN DERMATOLOGY
Plan administrator’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302
Administrator’s telephone number 7203527873

Signature of

Role Plan administrator
Date 2017-05-08
Name of individual signing LISA SCATENA
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2015 262956139 2016-09-07 ROCKY MOUNTAIN DERMATOLOGY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302

Plan administrator’s name and address

Administrator’s EIN 262956139
Plan administrator’s name ROCKY MOUNTAIN DERMATOLOGY
Plan administrator’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302
Administrator’s telephone number 7203527873

Signature of

Role Plan administrator
Date 2016-09-07
Name of individual signing LISA SCATENA
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN DERMATOLOGY 401(K) P/S PLAN 2014 262956139 2015-08-27 ROCKY MOUNTAIN DERMATOLOGY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7203527873
Plan sponsor’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302

Plan administrator’s name and address

Administrator’s EIN 262956139
Plan administrator’s name ROCKY MOUNTAIN DERMATOLOGY
Plan administrator’s address 2400 SPRUCE STREET, SUITE 101, BOULDER, CO, 80302
Administrator’s telephone number 7203527873

Signature of

Role Plan administrator
Date 2015-08-27
Name of individual signing LISA SCATENA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Maureen E Eldredge Agent 921 Walnut St Ste 200 Boulder CO 80302 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248003543 File Report 2024-09-20 2024-09-20 No data No data
20231966436 File Report 2023-09-20 2023-09-20 No data No data
20221910496 File Report 2022-09-23 2022-09-23 No data Principal address changed, Change in registered agent information
20211895182 File Report 2021-09-27 2021-09-27 No data No data
20201587579 File Report 2020-07-06 2020-07-06 No data No data
20191417692 File Report 2019-05-21 2019-05-21 No data No data
20181737731 File Report 2018-09-21 2018-09-21 No data No data
20171513777 File Report 2017-07-03 2017-07-03 No data No data
20161432090 File Report 2016-06-24 2016-06-24 No data No data
20151615048 File Report 2015-09-24 2015-09-24 No data No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State