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Academy Dermatology, PC

Company Details

Name: Academy Dermatology, PC
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 09 Mar 2012 (13 years ago)
Entity Number: 20121149673
ZIP code: 80904
County: El Paso County
Place of Formation: COLORADO
Principal Address: 3615 Hill Cir Colorado Springs CO 80904 US
Mailing Address: 3246 Centennial Blvd #112 Colorado Springs CO 80907 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2023 383901881 2024-10-29 ACADEMY DERMATOLOGY, PC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 3246 CENTENNIAL BLVD, #112, COLORADO SPRINGS, CO, 80907

Signature of

Role Plan administrator
Date 2024-10-29
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2023 383901881 2024-07-27 ACADEMY DERMATOLOGY, PC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 3246 CENTENNIAL BLVD, #112, COLORADO SPRINGS, CO, 80907

Signature of

Role Plan administrator
Date 2024-07-27
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2022 383901881 2023-06-21 ACADEMY DERMATOLOGY, PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 3246 CENTENNIAL BLVD, #112, COLORADO SPRINGS, CO, 80907

Signature of

Role Plan administrator
Date 2023-06-21
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2021 383901881 2022-05-31 ACADEMY DERMATOLOGY, PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400

Signature of

Role Plan administrator
Date 2022-05-31
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2020 383901881 2021-06-23 ACADEMY DERMATOLOGY, PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400

Signature of

Role Plan administrator
Date 2021-06-23
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2019 383901881 2020-04-19 ACADEMY DERMATOLOGY, PC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400

Signature of

Role Plan administrator
Date 2020-04-19
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2018 383901881 2019-06-04 ACADEMY DERMATOLOGY, PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400

Signature of

Role Plan administrator
Date 2019-06-04
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2017 383901881 2018-07-15 ACADEMY DERMATOLOGY, PC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400

Signature of

Role Plan administrator
Date 2018-07-15
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2016 383901881 2017-06-25 ACADEMY DERMATOLOGY, PC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400

Signature of

Role Plan administrator
Date 2017-06-25
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN 2015 383901881 2016-09-30 ACADEMY DERMATOLOGY, PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7195901800
Plan sponsor’s address 1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400

Signature of

Role Plan administrator
Date 2016-09-30
Name of individual signing RONALD JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Ron Johnson Agent 3615 Hill Cir Colorado Springs CO 80904 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241198132 File Report 2024-02-21 2024-02-21 No data Principal address changed, Change in registered agent information
20241155847 Statement of Change Changing the Principal Office Address 2024-02-05 2024-02-05 No data Principal address changed;
20231161642 File Report 2023-02-09 2023-02-09 No data Principal address changed, Change in registered agent information
20221191772 File Report 2022-02-23 2022-02-23 No data No data
20211155323 File Report 2021-02-17 2021-02-17 No data No data
20201179370 File Report 2020-02-24 2020-02-24 No data No data
20191154499 File Report 2019-02-23 2019-02-23 No data No data
20181161062 File Report 2018-02-25 2018-02-25 No data No data
20171157722 File Report 2017-02-25 2017-02-25 No data No data
20161104614 File Report 2016-02-12 2016-02-12 No data No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State