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Pine Creek Administration, Inc.

Company Details

Name: Pine Creek Administration, Inc.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 04 Sep 2012 (12 years ago)
Date dissolved: 23 Aug 2024
Entity Number: 20121488826
ZIP code: 80132
County: El Paso County
Place of Formation: COLORADO
Principal Address: 3045 Waterfront Dr Monument CO 80132 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2023 461340768 2024-07-29 PINE CREEK ADMINISTRATION, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address 1115 ELKTON DR STE 202, COLORADO SPRINGS, CO, 80907
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing DOUGLAS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2022 460904566 2023-10-06 PINE CREEK ADMINISTRATION, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address 1115 ELKTON DR STE 202, COLORADO SPRINGS, CO, 80907
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2023-10-06
Name of individual signing DOUGLAS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2021 460904566 2023-10-06 PINE CREEK ADMINISTRATION, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address 1115 ELKTON DR STE 202, COLORADO SPRINGS, CO, 80907
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2023-10-06
Name of individual signing DOUGLAS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2021 460904566 2022-10-17 PINE CREEK ADMINISTRATION, INC. 17
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address 1115 ELKTON DR STE 202, COLORADO SPRINGS, CO, 80907
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing DOUGLAS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2020 460904566 2021-10-15 PINE CREEK ADMINISTRATION, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address PO BOX 1310, COLORADO SPRINGS, CO, 809011310
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 17
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing DOUGLAS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing MARIETTA MARTIN
Valid signature Filed with authorized/valid electronic signature
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2019 460904566 2021-10-15 PINE CREEK ADMINISTRATION, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address PO BOX 1310, COLORADO SPRINGS, CO, 809011310
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 13
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 13

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing DOUGLAS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing MARIETTA MARTIN
Valid signature Filed with authorized/valid electronic signature
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2018 460904566 2019-10-15 PINE CREEK ADMINISTRATION, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address PO BOX 1310, COLORADO SPRINGS, CO, 809011310
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 15
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 15

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing MARIETTA MARTIN
Valid signature Filed with authorized/valid electronic signature
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2017 460904566 2018-10-15 PINE CREEK ADMINISTRATION, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address PO BOX 1310, COLORADO SPRINGS, CO, 809011310
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 10
Number of participants with account balances as of the end of the plan year 5

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing DOUGLAS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-14
Name of individual signing BILL THOMPSON
Valid signature Filed with authorized/valid electronic signature
PINE CREEK ADMINISTRATION, INC., EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2016 460904566 2017-10-16 PINE CREEK ADMINISTRATION, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address PO BOX 1310, COLORADO SPRINGS, CO, 809011310
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 5
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2017-10-16
Name of individual signing BILL THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing DOUGLAS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN 2015 460904566 2016-10-17 PINE CREEK ADMINISTRATION, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 561110
Sponsor’s telephone number 7193210612
Plan sponsor’s mailing address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
Plan sponsor’s address 9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902

Plan administrator’s name and address

Administrator’s EIN 841531435
Plan administrator’s name EXIT STRATEGIES INSTITUTE, LLC
Plan administrator’s address PO BOX 1310, COLORADO SPRINGS, CO, 809011310
Administrator’s telephone number 7194440300

Number of participants as of the end of the plan year

Active participants 8
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing DOUGLAS GOLDBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing BILL THOMPSON
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20241874103 Dissolve a Profit Corporation 2024-08-23 2024-08-23 Pine Creek Administration, Inc., Dissolved August 23, 2024 No data
20231863021 File Report 2023-08-23 2023-08-23 No data Principal address changed, Change in registered agent information
20221965281 Statement of Change Changing the Registered Agent Information 2022-10-04 2022-10-04 No data Registered agent information changed;
20221817815 File Report 2022-08-23 2022-08-23 No data Principal address changed, Change in registered agent information
20211782123 File Report 2021-08-24 2021-08-24 No data No data
20201750531 File Report 2020-08-28 2020-08-28 No data Change of Entity Address
20201295666 Statement of Change Changing the Principal Office Address 2020-03-30 2020-03-30 No data Principal address changed;
20191638449 File Report 2019-08-07 2019-08-07 No data No data
20181677854 File Report 2018-08-27 2018-08-27 No data Removed agent mailing address;Change of Registered Agent / Change of Registered Agent Address
20171674881 File Report 2017-09-05 2017-09-05 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State