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  5. THE LOWER VALLEY HOSPITAL ASSOCIATION

THE LOWER VALLEY HOSPITAL ASSOCIATION

Company Details

Name: THE LOWER VALLEY HOSPITAL ASSOCIATION
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Good Standing
Date of registration: 03 Jul 1946 (79 years ago)
Entity Number: 19871118957
ZIP code: 81521
County: Mesa County
Place of Formation: COLORADO
Principal Address: 228 N Cherry St Fruita CO 81521 US
Mailing Address: PO Box 130 Fruita CO 81521 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DA6BNBBD5R79 2024-10-08 228 N CHERRY ST, FRUITA, CO, 81521, 2101, USA P. O. BOX 130, FRUITA, CO, 81521, 0130, USA

Business Information
Doing Business As LOWER VALLEY HOSPITAL ASSOCIATION
Congressional District 03
State/Country of Incorporation CO, USA
Activation Date 2023-10-10
Initial Registration Date 2005-04-29
Entity Start Date 1946-06-27
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111, 622110, 623312
Product and Service Codes Q201

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JULIE ELLIOTT
Role GRANT ADMINISTRATION MGT
Address P. O. BOX 130, FRUITA, CO, 81521, 0130, USA
Title ALTERNATE POC
Name LORI RANDALL
Role CNO
Address P. O. BOX 130, FRUITA, CO, 81521, 0130, USA
Government Business
Title PRIMARY POC
Name POLLY KENNEDY
Role GRANT WRITER
Address P. O. BOX 130, FRUITA, CO, 81521, 0130, USA
Title ALTERNATE POC
Name LAYLA STONE
Address P. O. BOX 130, FRUITA, CO, 81521, 0130, USA
Past Performance
Title PRIMARY POC
Name BEN PROEHL
Address P.O. BOX 130, FRUITA, CO, 81521, USA
Title ALTERNATE POC
Name BEN PROEHL
Address P. O. BOX 130, FRUITA, CO, 81521, 0130, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
39CD9 Active Non-Manufacturer 2005-04-26 2024-09-10 2029-09-10 2025-09-09

Contact Information
POC LAYLA STONE
Phone +1 970-200-1498
Address 228 N CHERRY ST, FRUITA, CO, 81521 2101, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LOWER VALLEY HOSPITAL ASSOCIATION DBA FAMILY HEALTH WEST EMPLOYEE BENEFIT PLAN 2020 840447998 2021-02-16 LOWER VALLEY HOSPITAL ASSOCIATION 0
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9708582226
Plan sponsor’s DBA name FAMILY HEALTH WEST
Plan sponsor’s mailing address 228 N CHERRY ST, FRUITA, CO, 815212101
Plan sponsor’s address 228 N CHERRY ST, FRUITA, CO, 815212101

Number of participants as of the end of the plan year
Active participants 161

Signature of
Role Plan administrator
Date 2021-02-16
Name of individual signing DIANE MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-16
Name of individual signing DIANE MILLER
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH WEST HEALTH & WELFARE BENEFIT PLAN 2019 840447998 2020-03-02 THE LOWER VALLEY HOSPITAL ASSOCIATION 285
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 9708582198
Plan sponsor’s DBA name FAMILY HEALTH WEST
Plan sponsor’s mailing address PO BOX 130, FRUITA, CO, 815210130
Plan sponsor’s address PO BOX 130, FRUITA, CO, 815210130

Number of participants as of the end of the plan year
Active participants 322
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-03-02
Name of individual signing DIANE MILLER
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH WEST HEALTH & WELFARE BENEFIT PLAN 2018 840447998 2019-06-21 THE LOWER VALLEY HOSPITAL ASSOCIATION 274
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 9708582198
Plan sponsor’s DBA name FAMILY HEALTH WEST
Plan sponsor’s mailing address PO BOX 130, 228 N CHERRY ST, FRUITA, CO, 815212101
Plan sponsor’s address PO BOX 130, 228 N CHERRY ST, FRUITA, CO, 815212101

Number of participants as of the end of the plan year
Active participants 283
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2019-06-21
Name of individual signing DIANE MILLER
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH WEST HEALTH & WELFARE BENEFIT PLAN 2018 840447998 2019-07-03 THE LOWER VALLEY HOSPITAL ASSOCIATION 274
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 9708582198
Plan sponsor’s DBA name FAMILY HEALTH WEST
Plan sponsor’s mailing address PO BOX 130, 228 N CHERRY ST, FRUITA, CO, 815212101
Plan sponsor’s address PO BOX 130, 228 N CHERRY ST, FRUITA, CO, 815212101

Number of participants as of the end of the plan year
Active participants 283
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing DIANE MILLER
Valid signature Filed with authorized/valid electronic signature
LOWER VALLEY HOSPITAL ASSOCIATION DBA FAMILY HEALTH WEST EMPLOYEE BENEFIT PLAN 2012 840447998 2013-10-09 LOWER VALLEY HOSPITAL ASSOCIATION 0
Three-digit plan number (PN) 504
Effective date of plan 2012-01-01
Business code 623000
Sponsor’s telephone number 9708582226
Plan sponsor’s DBA name FAMILY HEALTH WEST
Plan sponsor’s mailing address 228 N CHERRY STREET, FRUITA, CO, 81521
Plan sponsor’s address 228 N CHERRY STREET, FRUITA, CO, 81521

Number of participants as of the end of the plan year
Active participants 161

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing KELLY MURPHY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Korrey D Klein Agent 228 N Cherry St Fruita CO 81521 US

Licenses

Number Status Type Date Last renew date End date Address
516 Expired OO 2013-02-12 2013-02-12 2014-10-31 Fruita CO 81521
4583 Expired REG 2011-12-05 2015-12-01 2017-11-30 Fruita CO 81521
90900391 Active REG 1995-02-15 2023-12-01 2025-11-30 Fruita CO 81521
135 Active OO 1990-07-20 2022-11-01 2024-10-31 Fruita CO 81521

Transaction History

Transaction ID Type Date Effective date Name Comment
20241699117 File Report 2024-06-28 2024-06-28 No data Principal address changed, Change in registered agent information
20231679244 File Report 2023-06-27 2023-06-27 No data No data
20221770402 File Report 2022-08-08 2022-08-08 No data Principal address changed, Change in registered agent information
20221346147 Register a Trademark 2022-04-01 2022-04-01 No data Trademark registered to entity.
20221175840 Register a Trademark 2022-02-22 2022-02-22 No data Trademark registered to entity.
20211571350 File Report 2021-06-23 2021-06-23 No data No data
20201536954 File Report 2020-06-23 2020-06-23 No data No data
20191715245 Register a Trademark 2019-09-04 2019-09-04 No data Trademark registered to entity.
20191649867 Statement of Change Changing the Registered Agent Information 2019-08-14 2019-08-14 No data Registered agent information changed;
20191543864 File Report 2019-07-02 2019-07-02 No data No data

Related by officers

No related officers

Related by address

228 N Cherry St Fruita CO 81521 US

THE ROSE PLAZA CONDOMINIUM, INC. FAMILY HEALTH WEST FOUNDATION

PO Box 130 Fruita CO 81521 US

THE ROSE PLAZA CONDOMINIUM, INC.

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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