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  5. COLUMBINE COUNTRY CLUB

COLUMBINE COUNTRY CLUB

Company Details

Name: COLUMBINE COUNTRY CLUB
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Good Standing
Date of registration: 10 Jan 1955 (70 years ago)
Entity Number: 19871127693
ZIP code: 80123
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 17 Fairway Ln Littleton CO 80123 US

Central Index Key

CIK number Mailing Address Business Address Phone
1658946 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 80123 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 80123 303-794-2674

Filings since 2016-01-11
Form type D
File number 021-254844
Filing date 2016-01-11
File View File

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300HXQOUC2DVIEB03 19871127693 US-CO GENERAL ACTIVE No data

Addresses
Legal C/O Michael J. Shapiro, 17 Fairway Lane, Columbine Valley, US-CO, US, 80123
Headquarters 17 Fairway Lane, Columbine Valley, US-CO, US, 80123

Registration details
Registration Date 2017-06-27
Last Update 2023-08-04
Status LAPSED
Next Renewal 2019-07-02
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 19871127693

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2023 840439697 2024-08-05 COLUMBINE COUNTRY CLUB 74
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3034076288
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 80123
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2022 840439697 2023-09-08 COLUMBINE COUNTRY CLUB 82
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3034076288
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 80123
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2021 840439697 2022-09-08 COLUMBINE COUNTRY CLUB 72
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3034076288
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 80123
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2020 840439697 2021-07-19 COLUMBINE COUNTRY CLUB 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3034076288
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 80123
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2019 840439697 2020-08-24 COLUMBINE COUNTRY CLUB 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3034076288
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 80123

Signature of
Role Plan administrator
Date 2020-08-24
Name of individual signing KEVIN HOOD
Valid signature Filed with authorized/valid electronic signature
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2018 840439697 2019-06-26 COLUMBINE COUNTRY CLUB 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3037942674
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 801236600

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing RICK POLING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-26
Name of individual signing RICK POLING
Valid signature Filed with authorized/valid electronic signature
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2017 840439697 2018-07-26 COLUMBINE COUNTRY CLUB 77
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3034076288
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 801236600

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing MICHAEL BRATCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing MICHAEL BRATCHER
Valid signature Filed with authorized/valid electronic signature
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2016 840439697 2017-07-25 COLUMBINE COUNTRY CLUB 81
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3034076288
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 801236600

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing ANDREA GLOVKA
Valid signature Filed with authorized/valid electronic signature
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2015 840439697 2016-09-14 COLUMBINE COUNTRY CLUB 77
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3037942674
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 801236600

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing ANDREA GLOVKA
Valid signature Filed with authorized/valid electronic signature
COLUMBINE COUNTRY CLUB EMPLOYEE RETIREMENT & SAVINGS PLAN 2014 840439697 2015-10-12 COLUMBINE COUNTRY CLUB 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 3037942674
Plan sponsor’s address 17 FAIRWAY LANE, COLUMBINE VALLEY, CO, 801236600

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing MARY MORRISSEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Karen Walker Agent 17 Fairway Ln Littleton CO 80123 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241361532 File Report 2024-03-27 2024-03-27 No data Principal address changed, Change in registered agent information
20231311897 File Report 2023-03-23 2023-03-23 No data Change in registered agent information
20221138041 File Report 2022-02-05 2022-02-05 No data No data
20211237490 File Report 2021-03-09 2021-03-09 No data No data
20201270506 File Report 2020-03-24 2020-03-24 No data Removed agent mailing address;Change of Registered Agent
20191177765 File Report 2019-02-26 2019-02-26 No data Change of Registered Agent
20181286446 Statement Curing Delinquency 2018-04-03 2018-04-03 No data No data
20161719264 File Report 2016-10-24 2016-10-24 No data No data
20151595337 File Report 2015-09-16 2015-09-16 No data Change of Registered Agent
20141578636 File Report 2014-09-23 2014-09-23 No data Change of Registered Agent

Related by officers

Karen Walker

K & M Walker, Inc Ryder/Walker Alpine Adventures, Inc. Shadow walkers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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