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  5. Colorado Pain Care, LLC

Colorado Pain Care, LLC

Company Details

Name: Colorado Pain Care, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 02 Jul 2013 (12 years ago)
Entity Number: 20131373246
ZIP code: 80222
County: Denver County
Place of Formation: COLORADO
Principal Address: 2696 S Colorado Blvd Ste 240 Denver CO 80222 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLORADO PAIN CARE, LLC 401(K) PLAN 2023 463126009 2024-10-09 COLORADO PAIN CARE, LLC 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3037563245
Plan sponsor’s address 1355 S COLORADO BLVD BUILDING C SUI, DENVER, CO, 80222

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
COLORADO PAIN CARE, LLC 401(K) PLAN 2022 463126009 2023-10-18 COLORADO PAIN CARE, LLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3037563245
Plan sponsor’s address 1355 S COLORADO BLVD BUILDING C SUI, DENVER, CO, 80222

Signature of
Role Plan administrator
Date 2023-10-18
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
COLORADO PAIN CARE, LLC 401(K) PLAN 2022 463126009 2023-10-16 COLORADO PAIN CARE, LLC No data
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Sponsor’s telephone number 3037563245
Plan sponsor’s address 1355 S COLORADO BLVD BUILDING C SUI, DENVER, CO, 80222

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
COLORADO PAIN CARE, LLC 401(K) PLAN 2021 463126009 2023-10-16 COLORADO PAIN CARE, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 3037563245
Plan sponsor’s address 1355 S COLORADO BLVD BUILDING C SUI, DENVER, CO, 80222

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
COLORADO PAIN CARE, LLC 401(K) PLAN 2021 463126009 2022-10-03 COLORADO PAIN CARE, LLC 46
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 3037631420
Plan sponsor’s address 1355 S. COLORADO BLVD, SUITE 700, DENVER, CO, 80222

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 2022-10-03
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
COLORADO PAIN CARE, LLC 401(K) PLAN 2020 463126009 2021-07-22 COLORADO PAIN CARE, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 3037631420
Plan sponsor’s address 1355 S. COLORADO BLVD, SUITE 700, DENVER, CO, 80222

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 2021-07-22
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
COLORADO PAIN CARE, LLC 401(K) PLAN 2019 463126009 2020-10-12 COLORADO PAIN CARE, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 3037631420
Plan sponsor’s address 1355 S. COLORADO BLVD, SUITE 700, DENVER, CO, 80222

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 2020-10-12
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
COLORADO PAIN CARE, LLC 401(K) PLAN 2018 463126009 2019-09-17 COLORADO PAIN CARE, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 3037631420
Plan sponsor’s address 1355 S. COLORADO BLVD, SUITE 700, DENVER, CO, 80222

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
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Robert Moghim Agent 2696 S Colorado Blvd Ste 240 Denver CO 80222 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248280571 Statement Curing Delinquency 2024-12-02 2024-12-02 No data No data
20241396144 Statement of Merger 2024-04-05 2024-04-05 No data Entity Id: 20131231331, Summit Pain Consultants, LLC merged
20231652583 File Report 2023-06-23 2023-06-23 No data Principal address changed, Change in registered agent information
20221932349 File Report 2022-09-26 2022-09-26 No data Principal address changed, Change in registered agent information
20211912672 File Report 2021-10-01 2021-10-01 No data No data
20201878184 File Report 2020-10-09 2020-10-09 No data No data
20201372506 Statement of Change Changing the Registered Agent Information 2020-04-24 2020-04-24 No data Registered agent information changed;
20191538698 File Report 2019-07-01 2019-07-01 No data No data
20181729472 File Report 2018-09-17 2018-09-17 No data No data
20171479284 File Report 2017-06-23 2017-06-23 No data No data

Related by officers

Robert Moghim

RZM Holdings, LLC Summit Pain Holdings, LLC Moghim Medical Consulting, Inc.

Related by address

2696 S Colorado Blvd Ste 240 Denver CO 80222 US

Colorado Pain Practice, LLC Summit Pain Consultants, LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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