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ENT Clinic of Pueblo, PC

Company Details

Name: ENT Clinic of Pueblo, PC
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 10 Mar 2010 (15 years ago)
Date dissolved: 27 Dec 2019
Entity Number: 20101146834
ZIP code: 81003
County: Pueblo County
Place of Formation: COLORADO
Principal Address: 1304 N. Grand Avenue Pueblo CO 81003 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2018 272143004 2019-09-25 ENT CLINIC OF PUEBLO PC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7195443752
Plan sponsor’s address 3937 LVYWOOD LANE, PUEBLO, CO, 81005

Signature of

Role Plan administrator
Date 2019-09-25
Name of individual signing TERRI YUNGHANS
Valid signature Filed with authorized/valid electronic signature
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2017 272143004 2018-05-23 ENT CLINIC OF PUEBLO PC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7195443752
Plan sponsor’s address 3937 LVYWOOD LANE, PUEBLO, CO, 81005
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2016 272143004 2017-07-25 ENT CLINIC OF PUEBLO PC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7195443752
Plan sponsor’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003

Signature of

Role Plan administrator
Date 2017-07-25
Name of individual signing JULIE NEWBURG
Valid signature Filed with authorized/valid electronic signature
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2015 272143004 2016-07-06 ENT CLINIC OF PUEBLO PC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7195443752
Plan sponsor’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003

Signature of

Role Plan administrator
Date 2016-07-06
Name of individual signing JULIE NEWBURG
Valid signature Filed with authorized/valid electronic signature
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2014 272143004 2015-06-20 ENT CLINIC OF PUEBLO PC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7195443752
Plan sponsor’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003

Signature of

Role Plan administrator
Date 2015-06-20
Name of individual signing JULIE NEWBURG
Valid signature Filed with authorized/valid electronic signature
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2013 272143004 2014-07-18 ENT CLINIC OF PUEBLO PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7195443752
Plan sponsor’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003

Signature of

Role Plan administrator
Date 2014-07-18
Name of individual signing JULIE NEWBURG
Valid signature Filed with authorized/valid electronic signature
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2012 272143004 2013-06-10 ENT CLINIC OF PUEBLO PC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7195443752
Plan sponsor’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003

Signature of

Role Plan administrator
Date 2013-06-10
Name of individual signing JULIE NEWBURG
Valid signature Filed with authorized/valid electronic signature
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2011 272143004 2012-07-13 ENT CLINIC OF PUEBLO PC 4
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7195443752
Plan sponsor’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003

Plan administrator’s name and address

Administrator’s EIN 272143004
Plan administrator’s name ENT CLINIC OF PUEBLO PC
Plan administrator’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
Administrator’s telephone number 7195443752

Signature of

Role Plan administrator
Date 2012-07-12
Name of individual signing JULIE NEWBURG
Valid signature Filed with authorized/valid electronic signature
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2010 272143004 2011-10-14 ENT CLINIC OF PUEBLO PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7195443752
Plan sponsor’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003

Plan administrator’s name and address

Administrator’s EIN 272143004
Plan administrator’s name ENT CLINIC OF PUEBLO PC
Plan administrator’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
Administrator’s telephone number 7195443752

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing KATHRYN ST. DENIS
Valid signature Filed with authorized/valid electronic signature
ENT CLINIC OF PUEBLO PC PROFIT SHARING PLAN 2010 272143004 2011-04-12 ENT CLINIC OF PUEBLO PC 10
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 7195443752
Plan sponsor’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003

Plan administrator’s name and address

Administrator’s EIN 272143004
Plan administrator’s name ENT CLINIC OF PUEBLO PC
Plan administrator’s address 1304 NORTH GRAND AVENUE, PUEBLO, CO, 81003
Administrator’s telephone number 7195443752

Signature of

Role Plan administrator
Date 2011-04-12
Name of individual signing AUDREY R. BALLENGER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Donald J. Banner Agent 115 E. Riverwalk Suite 400 Pueblo CO 81003 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20198044090 Dissolve a Profit Corporation 2019-12-27 2019-12-27 ENT Clinic of Pueblo, PC, Dissolved December 27, 2019 No data
20191420409 File Report 2019-05-22 2019-05-22 No data No data
20181393774 File Report 2018-05-16 2018-05-16 No data No data
20171361766 File Report 2017-05-10 2017-05-10 No data No data
20161367843 File Report 2016-05-25 2016-05-25 No data No data
20151348193 File Report 2015-05-26 2015-05-26 No data No data
20141247879 File Report 2014-04-21 2014-04-21 No data Removed agent mailing address;
20131319208 File Report 2013-05-28 2013-05-28 No data Change of Entity Address
20121287445 File Report 2012-05-24 2012-05-24 No data Change of Registered Agent Address
20111308131 File Report 2011-05-26 2011-05-26 No data Change of Registered Agent / Change of Registered Agent Address / Change of Entity Address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State