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Gina Haeussner, M.D., LLC

Company Details

Name: Gina Haeussner, M.D., LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Voluntarily Dissolved
Date of registration: 07 Jul 2022 (3 years ago)
Date dissolved: 16 Feb 2024
Entity Number: 20221667286
Place of Formation: COLORADO
Principal Address: 2395 E 4th Ave Denver CO 80206-4202 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GINA HAEUSSNER, M.D., LLC 401K 2023 884063557 2024-08-24 GINA HAEUSSNER, M.D., LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-10-01
Business code 621111
Sponsor’s telephone number 3035037783
Plan sponsor’s address 2395 E 4TH AVE, DENVER, CO, 80206

Signature of

Role Plan administrator
Date 2024-08-24
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
GINA HAEUSSNER, M.D., LLC 401K 2023 884063557 2024-11-18 GINA HAEUSSNER, M.D., LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-10-01
Business code 621111
Sponsor’s telephone number 3035037783
Plan sponsor’s address 2395 E 4TH AVE, DENVER, CO, 80206

Signature of

Role Plan administrator
Date 2024-11-18
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
GINA HAEUSSNER, M.D., LLC 401K 2022 884063557 2023-07-06 GINA HAEUSSNER, M.D., LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-10-01
Business code 621111
Sponsor’s telephone number 3035037783
Plan sponsor’s address 2395 E 4TH AVE, DENVER, CO, 80206

Signature of

Role Plan administrator
Date 2023-07-06
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Douglas Scott Haeussner Agent 2395 E 4th Ave Denver CO 80206-4202 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241187997 Dissolve a Limited Liability Company 2024-02-16 2024-02-16 Gina Haeussner, M.D., LLC, Dissolved February 16, 2024 No data
20231670963 File Report 2023-06-26 2023-06-26 No data Change in registered agent information
20221667286 Form a Limited Liability Company (LLC) 2022-07-07 2022-07-07 Gina Haeussner, M.D., LLC No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State