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  5. 5280 Insurance, Inc.

5280 Insurance, Inc.

Company Details

Name: 5280 Insurance, Inc.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 22 Apr 2011 (14 years ago)
Date dissolved: 29 Mar 2019
Entity Number: 20111240904
ZIP code: 80129
County: Douglas County
Place of Formation: COLORADO
Principal Address: 417 Winterthur Way Highlands Ranch CO 80129 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
5280 INSURANCE INC 401(K) PLAN 2014 451869282 2015-07-31 5280 INSURANCE INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 524140
Sponsor’s telephone number 3038861705
Plan sponsor’s address 9721 NEWCASTLE DR, HIGHLANDS RANCH, CO, 801306811

Signature of
Role Plan administrator
Date 2015-07-31
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-31
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature
5280 INSURANCE INC 401(K) PLAN 2014 451869282 2015-04-02 5280 INSURANCE INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 524140
Sponsor’s telephone number 3038861705
Plan sponsor’s address 9721 NEWCASTLE DR, HIGHLANDS RANCH, CO, 801306811

Signature of
Role Plan administrator
Date 2015-04-02
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-02
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature
5280 INSURANCE INC 401(K) PLAN 2013 451869282 2014-07-30 5280 INSURANCE INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 524140
Sponsor’s telephone number 3039481711
Plan sponsor’s address 9721 NEWCASTLE DR, HIGHLANDS RANCH, CO, 801306811

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature
5280 INSURANCE INC 401(K) PLAN 2012 451869282 2014-08-20 5280 INSURANCE INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 524140
Sponsor’s telephone number 3039481711
Plan sponsor’s address 9721 NEWCASTLE DR, HIGHLANDS RANCH, CO, 801306811

Signature of
Role Plan administrator
Date 2014-08-20
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-20
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature
5280 INSURANCE INC 401(K) PLAN 2011 451869282 2012-07-30 5280 INSURANCE INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-01
Business code 524140
Sponsor’s telephone number 3039481711
Plan sponsor’s address 9721 NEWCASTLE DR, HIGHLANDS RANCH, CO, 801306811

Plan administrator’s name and address
Administrator’s EIN 451869282
Plan administrator’s name 5280 INSURANCE INC
Plan administrator’s address 9721 NEWCASTLE DR, HIGHLANDS RANCH, CO, 801306811
Administrator’s telephone number 3039481711

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-30
Name of individual signing TATE ANDERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Tate M Anderson Agent 417 Winterthur Way Highlands Ranch CO 80129 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20191278295 Dissolve a Profit Corporation 2019-03-29 2019-03-29 5280 Insurance, Inc., Dissolved March 29, 2019 No data
20181499604 File Report 2018-06-25 2018-06-25 No data No data
20171506200 File Report 2017-06-30 2017-06-30 No data No data
20161252219 File Report 2016-04-08 2016-04-08 No data Change of Registered Agent Address
20161252213 Statement of Change Changing the Principal Office Address 2016-04-08 2016-04-08 No data Principal address changed;
20151296488 File Report 2015-04-30 2015-04-30 No data No data
20141214744 File Report 2014-03-31 2014-03-31 No data No data
20131204986 File Report 2013-03-29 2013-03-29 No data No data
20121361025 File Report 2012-07-02 2012-07-02 No data No data
20111240904 Form a Profit Corporation 2011-04-22 2011-04-22 5280 Insurance, Inc. No data

Related by officers

Tate M Anderson

ANDERSON MORTGAGE GROUP, INC. Local Mortgage Partners

Related by address

417 Winterthur Way Highlands Ranch CO 80129 US

Angel Beauty Service LLC Prestige Home Remodels LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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