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  5. MENTAL HEALTH CENTER OF BOULDER COUNTY, INC.

MENTAL HEALTH CENTER OF BOULDER COUNTY, INC.

Company Details

Name: MENTAL HEALTH CENTER OF BOULDER COUNTY, INC.
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Merged
Date of registration: 16 Nov 1962 (62 years ago)
Entity Number: 19871163594
ZIP code: 80026
County: Boulder County
Place of Formation: COLORADO
Principal Address: 1455 Dixon Ave Ste 300 Lafayette CO 80026 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GFYJCL6X87V8 2024-07-31 1455 DIXON AVE, STE 300, LAFAYETTE, CO, 80026, 8880, USA 1455 DIXON AVE, STE 300, LAFAYETTE, CO, 80026, 8879, USA

Business Information
Doing Business As MENTAL HEALTH CENTER OF BOULDER COUNTY INC
URL http://www.mhpcolorado.org
Congressional District 02
State/Country of Incorporation CO, USA
Activation Date 2023-08-15
Initial Registration Date 2006-03-13
Entity Start Date 1962-11-16
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621420

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SARA REID
Role GRANTS AND PROGRAM EVALUATION MANAGER
Address 1455 DIXON AVE, SUITE 300, LAFAYETTE, CO, 80026, USA
Title ALTERNATE POC
Name SARA REID
Role GRANTS AND PROGRAM EVALUATION MANAGER
Address 1455 DIXON AVE., SUITE 300, LAFAYETTE, CO, 80026, USA
Government Business
Title PRIMARY POC
Name SARA REID
Role GRANTS AND PROGRAM EVALUATION MANAGER
Address 1455 DIXON AVE., SUITE 300, LAFAYETTE, CO, 80026, USA
Title ALTERNATE POC
Name SARA REID
Role GRANTS AND PROGRAM EVALUATION MANAGER
Address 1455 DIXON AVE., SUITE 300, LAFAYETTE, CO, 80026, USA
Past Performance
Title PRIMARY POC
Name SARA REID
Role GRANTS AND PROGRAM EVALUATION MANAGER
Address 1455 DIXON AVE., SUITE 300, LAFAYETTE, CO, 80026, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4C2X6 Active Non-Manufacturer 2006-03-14 2024-06-12 2029-06-12 2025-06-10

Contact Information
POC SARA REID
Phone +1 303-413-6271
Address 1455 DIXON AVE, LAFAYETTE, CO, 80026 8880, 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
MENTAL HEALTH CENTER OF BOULDER COUNTY INC. FLEXIBLE BENEFITS PLAN 2009 840520493 2010-05-19 MENTAL HEALTH CENTER OF BOULDER COUNTY INC. 250
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-03-01
Business code 621420
Sponsor’s telephone number 3034438500
Plan sponsor’s mailing address 1333 IRIS AVENUE, BOULDER, CO, 80304
Plan sponsor’s address 1333 IRIS AVENUE, BOULDER, CO, 80304

Plan administrator’s name and address
Administrator’s EIN 840520493
Plan administrator’s name MENTAL HEALTH CENTER OF BOULDER COUNTY INC.
Plan administrator’s address 1333 IRIS AVENUE, BOULDER, CO, 80304
Administrator’s telephone number 3034438500

Number of participants as of the end of the plan year
Active participants 256
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-05-19
Name of individual signing BRUCE SHAVER
Valid signature Filed with authorized/valid electronic signature
MENTAL HEALTH CENTER OF BOULDER COUNTY INC. FLEXIBLE BENEFITS PLAN 2009 840520493 2010-05-19 MENTAL HEALTH CENTER OF BOULDER COUNTY INC. 257
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-03-01
Business code 621420
Sponsor’s telephone number 3034438500
Plan sponsor’s mailing address 1333 IRIS AVENUE, BOULDER, CO, 80304
Plan sponsor’s address 1333 IRIS AVENUE, BOULDER, CO, 80304

Plan administrator’s name and address
Administrator’s EIN 840520493
Plan administrator’s name MENTAL HEALTH CENTER OF BOULDER COUNTY INC.
Plan administrator’s address 1333 IRIS AVENUE, BOULDER, CO, 80304
Administrator’s telephone number 3034438500

Number of participants as of the end of the plan year
Active participants 257
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-05-19
Name of individual signing BRUCE SHAVER
Valid signature Filed with authorized/valid electronic signature
MENTAL HEALTH CENTER OF BOULDER COUNTY INC. FLEXIBLE BENEFITS PLAN 2009 840520493 2010-05-19 MENTAL HEALTH CENTER OF BOULDER COUNTY INC. 257
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-03-01
Business code 621420
Sponsor’s telephone number 3034438500
Plan sponsor’s mailing address 1333 IRIS AVENUE, BOULDER, CO, 80304
Plan sponsor’s address 1333 IRIS AVENUE, BOULDER, CO, 80304

Plan administrator’s name and address
Administrator’s EIN 840520493
Plan administrator’s name MENTAL HEALTH CENTER OF BOULDER COUNTY INC.
Plan administrator’s address 1333 IRIS AVENUE, BOULDER, CO, 80304
Administrator’s telephone number 3034438500

Number of participants as of the end of the plan year
Active participants 257
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-05-19
Name of individual signing BRUCE SHAVER
Valid signature Filed with authorized/valid electronic signature
MENTAL HEALTH CENTER OF BOULDER COUNTY INC. FLEXIBLE BENEFITS PLAN 2009 840520493 2010-05-19 MENTAL HEALTH CENTER OF BOULDER COUNTY INC. 250
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-03-01
Business code 621420
Sponsor’s telephone number 3034438500
Plan sponsor’s mailing address 1333 IRIS AVENUE, BOULDER, CO, 80304
Plan sponsor’s address 1333 IRIS AVENUE, BOULDER, CO, 80304

Plan administrator’s name and address
Administrator’s EIN 840520493
Plan administrator’s name MENTAL HEALTH CENTER OF BOULDER COUNTY INC.
Plan administrator’s address 1333 IRIS AVENUE, BOULDER, CO, 80304
Administrator’s telephone number 3034438500

Number of participants as of the end of the plan year
Active participants 250
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-05-19
Name of individual signing BRUCE SHAVER
Valid signature Filed with authorized/valid electronic signature
MENTAL HEALTH CENTER OF BOULDER COUNTY INC. FLEXIBLE BENEFITS PLAN 2009 840520493 2010-05-19 MENTAL HEALTH CENTER OF BOULDER COUNTY INC. 250
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-03-01
Business code 621420
Sponsor’s telephone number 3034438500
Plan sponsor’s mailing address 1333 IRIS AVENUE, BOULDER, CO, 80304
Plan sponsor’s address 1333 IRIS AVENUE, BOULDER, CO, 80304

Plan administrator’s name and address
Administrator’s EIN 840520493
Plan administrator’s name MENTAL HEALTH CENTER OF BOULDER COUNTY INC.
Plan administrator’s address 1333 IRIS AVENUE, BOULDER, CO, 80304
Administrator’s telephone number 3034438500

Number of participants as of the end of the plan year
Active participants 250
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-05-19
Name of individual signing BRUCE SHAVER
Valid signature Filed with authorized/valid electronic signature
MENTAL HEALTH CENTER OF BOULDER COUNTY INC. FLEXIBLE BENEFITS PLAN 2009 840520493 2010-05-19 MENTAL HEALTH CENTER OF BOULDER COUNTY INC. 256
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-03-01
Business code 621420
Sponsor’s telephone number 3034438500
Plan sponsor’s mailing address 1333 IRIS AVENUE, BOULDER, CO, 80304
Plan sponsor’s address 1333 IRIS AVENUE, BOULDER, CO, 80304

Plan administrator’s name and address
Administrator’s EIN 840520493
Plan administrator’s name MENTAL HEALTH CENTER OF BOULDER COUNTY INC.
Plan administrator’s address 1333 IRIS AVENUE, BOULDER, CO, 80304
Administrator’s telephone number 3034438500

Number of participants as of the end of the plan year
Active participants 257
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-05-19
Name of individual signing BRUCE SHAVER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Dixie Casford Agent 1455 Dixon Ave Ste 300 Lafayette CO 80026 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248091500 Statement of Merger 2024-10-11 2024-10-11 No data Merged to CLINICA CAMPESINA/FAMILY HEALTH SERVICES
20241391531 File Report 2024-04-03 2024-04-03 No data Change in registered agent information
20231313537 File Report 2023-03-23 2023-03-23 No data Principal address changed, Change in registered agent information
20221630531 File Report 2022-06-27 2022-06-27 No data No data
20211335838 Statement Curing Delinquency 2021-04-04 2021-04-04 No data No data
20201154309 File Report 2020-02-21 2020-02-21 No data No data
20181904197 File Report 2018-11-21 2018-11-21 No data Change of Registered Agent
20181203846 File Report 2018-03-08 2018-03-08 No data Removed entity mailing address; / Change of Entity Address
20181203796 Statement of Change Changing the Registered Agent Information 2018-03-08 2018-03-08 No data Registered agent information changed;Removed agent mailing address;
20171083019 File Report 2017-01-30 2017-01-30 No data No data

Related by officers

No related officers

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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