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  5. AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE, INC

AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE, INC

Company Details

Name: AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE, INC
Jurisdiction: Colorado
Legal type: UNA
Status: Effectiveness Prevented
Date of registration: 15 Feb 2011 (14 years ago)
Entity Number: 20111091239
ZIP code: 80214
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 1997 Wadsworth Blvd. Lakewood CO 80214 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 401(K) PLAN 2023 237302718 2024-09-21 AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541940
Sponsor’s telephone number 3032319933
Plan sponsor’s address 116 INVERNESS DR E, STE 375, ENGLEWOOD, CO, 80112

Signature of
Role Plan administrator
Date 2024-09-21
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 401(K) PLAN 2022 237302718 2023-09-26 AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541940
Sponsor’s telephone number 3032319933
Plan sponsor’s address 116 INVERNESS DR E, STE 375, ENGLEWOOD, CO, 80112

Signature of
Role Plan administrator
Date 2023-09-26
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 401(K) PLAN 2021 237302718 2022-09-28 AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541940
Sponsor’s telephone number 7205743060
Plan sponsor’s address 5500 GREENWOOD PLAZA BLVD, SUITE 130, GREENWOOD VILLAGE, CO, 80111

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing MELANIE BUCHANAN
Valid signature Filed with authorized/valid electronic signature
AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 401(K) PLAN 2020 237302718 2021-06-04 AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541940
Sponsor’s telephone number 3032319933
Plan sponsor’s address 8301 E. PRENTICE AVE, SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-06-04
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 401(K) PLAN 2019 237302718 2020-09-09 AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541940
Sponsor’s telephone number 3032319933
Plan sponsor’s address 8301 E. PRENTICE AVE, SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 401(K) PLAN 2018 237302718 2020-09-08 AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541940
Sponsor’s telephone number 3032319933
Plan sponsor’s address 8301 E. PRENTICE AVE, SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919

Signature of
Role Plan administrator
Date 2020-09-08
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 401(K) PLAN 2018 237302718 2019-04-15 AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE 13
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541940
Sponsor’s telephone number 3032319933
Plan sponsor’s address 8301 E. PRENTICE AVE, SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919

Signature of
Role Plan administrator
Date 2019-04-15
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Lisa D Olson Agent 1997 Wadsworth Blvd. Lakewood CO 80214 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20151176322 Statement of Correction Correcting Information Other Than Principal Office Address or Registered Agent Information 2015-03-12 2015-03-12 No data No data
20111091239 Appoint an Agent To Receive Service of Process 2011-02-15 2011-02-15 AMERICAN COLLEGE OF VETERINARY INTERNAL MEDICINE, INC No data

Related by officers

No related officers

Related by address

1997 Wadsworth Blvd. Lakewood CO 80214 US

The American College of Veterinary Internal Medicine Foundation

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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