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THE VALLEY COUNTRY CLUB

Company Details

Name: THE VALLEY COUNTRY CLUB
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Good Standing
Date of registration: 29 Nov 1954 (70 years ago)
Entity Number: 19871127336
ZIP code: 80016
County: Arapahoe County
Place of Formation: COLORADO
Principal Address: 14601 Country Club Dr Aurora CO 80016 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VALLEY COUNTRY CLUB 401(K) PLAN 2022 840458222 2023-07-21 VALLEY COUNTRY CLUB 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 7206302467
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, CENTENNIAL, CO, 80016

Signature of

Role Plan administrator
Date 2023-07-21
Name of individual signing LASCA HEYNEMAN
Valid signature Filed with authorized/valid electronic signature
VALLEY COUNTRY CLUB 401(K) PLAN 2021 840458222 2022-06-17 VALLEY COUNTRY CLUB 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 7206302467
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, CENTENNIAL, CO, 80016

Signature of

Role Plan administrator
Date 2022-06-17
Name of individual signing CRYSTAL GRAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-17
Name of individual signing CRYSTAL GRAY
Valid signature Filed with authorized/valid electronic signature
VALLEY COUNTRY CLUB 401(K) PLAN 2020 840458222 2021-06-18 VALLEY COUNTRY CLUB 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 3036906373
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, CENTENNIAL, CO, 80016

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-06-18
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
VALLEY COUNTRY CLUB 401(K) PLAN 2019 840458222 2020-06-18 VALLEY COUNTRY CLUB 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 3036906373
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, CENTENNIAL, CO, 80016

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2020-06-18
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
VALLEY COUNTRY CLUB 401(K) PLAN 2018 840458222 2020-05-07 VALLEY COUNTRY CLUB 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 3036906373
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, CENTENNIAL, CO, 80016

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2020-05-07
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
VALLEY COUNTRY CLUB 401(K) PLAN 2018 840458222 2019-07-17 VALLEY COUNTRY CLUB 68
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 3036906373
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, CENTENNIAL, CO, 80016

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2019-07-17
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
VALLEY COUNTRY CLUB 401(K) PLAN 2017 840458222 2018-07-27 VALLEY COUNTRY CLUB 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 3036906373
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, CENTENNIAL, CO, 80016

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2018-07-27
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
VALLEY COUNTRY CLUB 401(K) RETIREMENT SAVINGS PLAN 2016 840458222 2017-07-27 VALLEY COUNTRY CLUB 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 3036906373
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, CENTENNIAL, CO, 80016

Signature of

Role Plan administrator
Date 2017-07-27
Name of individual signing CRYSTAL S GRAY
Valid signature Filed with authorized/valid electronic signature
VALLEY COUNTRY CLUB 401(K) RETIREMENT SAVINGS PLAN 2015 840458222 2016-07-26 VALLEY COUNTRY CLUB 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 3036906373
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, CENTENNIAL, CO, 80016

Signature of

Role Plan administrator
Date 2016-07-26
Name of individual signing CRYSTAL GRAY
Valid signature Filed with authorized/valid electronic signature
VALLEY COUNTRY CLUB 401(K) RETIREMENT SAVINGS PLAN 2014 840458222 2015-06-29 VALLEY COUNTRY CLUB 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 7206302467
Plan sponsor’s address 14601 COUNTRY CLUB DRIVE, AURORA, CO, 80016

Signature of

Role Plan administrator
Date 2015-06-29
Name of individual signing CRYSTAL S. GRAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Al Jader Agent 14601 Country Club Dr Aurora CO 80016 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20238113333 File Report 2023-10-23 2023-10-23 No data Principal address changed, Change in registered agent information
20228039501 File Report 2022-10-24 2022-10-24 No data Principal address changed, Change in registered agent information
20218128006 File Report 2021-11-30 2021-11-30 No data No data
20201907946 File Report 2020-10-23 2020-10-23 No data No data
20201075906 File Report 2020-01-24 2020-01-24 No data No data
20191072327 File Report 2019-01-24 2019-01-24 No data No data
20171789843 File Report 2017-10-23 2017-10-23 No data No data
20171069711 File Report 2017-01-25 2017-01-25 No data No data
20151688328 File Report 2015-10-26 2015-10-26 No data No data
20151072661 File Report 2015-01-29 2015-01-29 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State