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  5. Alpenglow Family Medicine LLC

Alpenglow Family Medicine LLC

Company Details

Name: Alpenglow Family Medicine LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Delinquent
Date of registration: 01 Oct 2018 (6 years ago)
Date dissolved: 01 Mar 2020
Entity Number: 20181779800
ZIP code: 81224
County: Gunnison County
Place of Formation: COLORADO
Principal Address: 419 6th street Crested Butte CO 81224 US
Mailing Address: P.O. Box 2444 Crested Butte CO 81224 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALPENGLOW FAMILY MEDICINE 401(K) PLAN 2023 814336744 2024-08-30 ALPENGLOW FAMILY MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-06-01
Business code 621111
Sponsor’s telephone number 7192601161
Plan sponsor’s address 6005 DELMONICO DR., SUITE 150, COLORADO SPRINGS, CO, 80919

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

Signature of
Role Plan administrator
Date 2024-08-30
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
ALPENGLOW FAMILY MEDICINE 401(K) PLAN 2022 814336744 2023-09-22 ALPENGLOW FAMILY MEDICINE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-06-01
Business code 621111
Sponsor’s telephone number 7192601161
Plan sponsor’s address 6005 DELMONICO DR., SUITE 150, COLORADO SPRINGS, CO, 80919

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

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
ALPENGLOW FAMILY MEDICINE 401(K) PLAN 2021 814336744 2022-09-08 ALPENGLOW FAMILY MEDICINE 2
Three-digit plan number (PN) 001
Effective date of plan 2019-06-01
Business code 621111
Sponsor’s telephone number 7192601161
Plan sponsor’s address 2925 PROFESSIOINAL PLACE, SUITE 103, COLORADO SPRINGS, CO, 80904

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 2022-09-08
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
ALPENGLOW FAMILY MEDICINE 401(K) PLAN 2021 814336744 2023-09-07 ALPENGLOW FAMILY MEDICINE 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-06-01
Business code 621111
Sponsor’s telephone number 7192601161
Plan sponsor’s address 2925 PROFESSIOINAL PLACE, SUITE 103, COLORADO SPRINGS, CO, 80904

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

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
ALPENGLOW FAMILY MEDICINE 401(K) PLAN 2020 814336744 2021-05-13 ALPENGLOW FAMILY MEDICINE 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-06-01
Business code 621111
Sponsor’s telephone number 7192601161
Plan sponsor’s address 6005 DELMONICO DR., SUITE 150, COLORADO SPRINGS, CO, 80919

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 2021-05-13
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
ALPENGLOW FAMILY MEDICINE 401(K) PLAN 2019 814336744 2020-06-17 ALPENGLOW FAMILY MEDICINE 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-06-01
Business code 621111
Sponsor’s telephone number 7192601161
Plan sponsor’s address 6005 DELMONICO DR., SUITE 150, COLORADO SPRINGS, CO, 80919

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 2020-06-17
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Keith F Bauer Agent 108 2nd Street Crested Butte CO 81224 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20181779800 Form a Limited Liability Company (LLC) 2018-10-01 2018-10-01 Alpenglow Family Medicine LLC No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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