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  5. PUEBLO COMMUNITY HEALTH CENTER, INC.

PUEBLO COMMUNITY HEALTH CENTER, INC.

Company Details

Name: PUEBLO COMMUNITY HEALTH CENTER, INC.
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Good Standing
Date of registration: 24 Aug 1983 (41 years ago)
Entity Number: 19871535264
ZIP code: 81004
County: Pueblo County
Place of Formation: COLORADO
Principal Address: 110 E Routt Ave Pueblo CO 81004 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FTGJNHSEHCA3 2024-10-12 310 COLORADO AVE, PUEBLO, CO, 81004, 2006, USA 110 EAST ROUTT AVENUE, PUEBLO, CO, 81004, 2117, USA

Business Information
URL http://www.pueblochc.org
Congressional District 03
State/Country of Incorporation CO, USA
Activation Date 2023-10-16
Initial Registration Date 2005-12-27
Entity Start Date 1983-08-24
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DONALD MOORE
Role CEO
Address 110 EAST ROUTT AVENUE, PUEBLO, CO, 81004, 2006, USA
Title ALTERNATE POC
Name JASON PITTS
Role COO
Address 110 E ROUTT AVENUE, PUEBLO, CO, 81004, 2006, USA
Government Business
Title PRIMARY POC
Name DONALD MOORE
Role CEO
Address 110 ROUTT AVENUE, PUEBLO, CO, 81004, 2006, USA
Title ALTERNATE POC
Name JASON PITTS
Role COO
Address 110 E ROUTT AVENUE, PUEBLO, CO, 81004, USA
Past Performance
Title PRIMARY POC
Name DONALD MOORE
Role CEO
Address 110 EAST ROUTT AVENUE, PUEBLO, CO, 81004, 2006, USA
Title ALTERNATE POC
Name PHILLIP DAVIS
Role CFO
Address 110 EAST ROUTT AVENUE, PUEBLO, CO, 81004, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
48WJ1 Obsolete Non-Manufacturer 2005-12-28 2024-09-12 No data 2025-09-10

Contact Information
POC DONALD MOORE
Phone +1 719-543-8718
Address 310 COLORADO AVE, PUEBLO, CO, 81004 2006, 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
PUEBLO COMMUNITY HEALTH CENTER, INC. FLEXPLUS CAFETERIA PLAN 2019 840921521 2020-06-23 PUEBLO COMMUNITY HEALTH CENTER, INC 251
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 7195438718
Plan sponsor’s mailing address 110 E ROUTT AVE, PUEBLO, CO, 81004
Plan sponsor’s address 110 E ROUTT AVE, PUEBLO, CO, 81004

Number of participants as of the end of the plan year
Active participants 262

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-23
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature
PUEBLO COMMUNITY HEALTH CENTER, INC. FLEXPLUS CAFETERIA PLAN 2018 840921521 2019-05-22 PUEBLO COMMUNITY HEALTH CENTER, INC 236
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 7195438718
Plan sponsor’s mailing address 110 E ROUTT AVE, PUEBLO, CO, 81004
Plan sponsor’s address 110 E ROUTT AVE, PUEBLO, CO, 81004

Plan administrator’s name and address
Administrator’s EIN 840921521
Plan administrator’s name PUEBLO COMMUNITY HEALTH CENTER
Plan administrator’s address 110 E ROUTT AVE, PUEBLO, CO, 81004
Administrator’s telephone number 7195438718

Number of participants as of the end of the plan year
Active participants 244

Signature of
Role Plan administrator
Date 2019-05-22
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-22
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature
PUEBLO COMMUNITY HEALTH CENTER, INC. CAFETERIA PLAN 2017 840921521 2018-08-07 PUEBLO COMMUNITY HEALTH CENTER 230
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 7195438718
Plan sponsor’s mailing address 110 E ROUTT AVE, PUEBLO, CO, 81004
Plan sponsor’s address 110 E ROUTT AVE, PUEBLO, CO, 81004

Plan administrator’s name and address
Administrator’s EIN 840921521
Plan administrator’s name PUEBLO COMMUNITY HEALTH CENTER
Plan administrator’s address 110 E ROUTT AVE, PUEBLO, CO, 81004
Administrator’s telephone number 7195438718

Number of participants as of the end of the plan year
Active participants 229

Signature of
Role Plan administrator
Date 2018-08-06
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-06
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature
PUEBLO COMMUNITY HEALTH CENTER, INC. CAFETERIA PLAN 2016 840921521 2017-05-16 PUEBLO COMMUNITY HEALTH CENTER 228
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 7195438718
Plan sponsor’s mailing address 110 E ROUTT AVE, PUEBLO, CO, 81004
Plan sponsor’s address 110 E ROUTT AVE, PUEBLO, CO, 81004

Plan administrator’s name and address
Administrator’s EIN 840921521
Plan administrator’s name PUEBLO COMMUNITY HEALTH CENTER
Plan administrator’s address 110 E ROUTT AVE, PUEBLO, CO, 81004
Administrator’s telephone number 7195438718

Number of participants as of the end of the plan year
Active participants 232

Signature of
Role Plan administrator
Date 2017-05-16
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-16
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature
PUEBLO COMMUNITY HEALTH CENTER, INC. CAFETERIA PLAN 2015 840921521 2016-06-17 PUEBLO COMMUNITY HEALTH CENTER 202
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 7195438718
Plan sponsor’s mailing address 110 E ROUTT AVE, PUEBLO, CO, 81004
Plan sponsor’s address 110 E ROUTT AVE, PUEBLO, CO, 81004

Plan administrator’s name and address
Administrator’s EIN 840921521
Plan administrator’s name PUEBLO COMMUNITY HEALTH CENTER
Plan administrator’s address 110 E ROUTT AVE, PUEBLO, CO, 81004
Administrator’s telephone number 7195438718

Number of participants as of the end of the plan year
Active participants 222

Signature of
Role Plan administrator
Date 2016-06-17
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-17
Name of individual signing CINDY PRATT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Donald E Moore Jr. Agent 110 E Routt Ave Pueblo CO 81004 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241789628 File Report 2024-07-25 2024-07-25 No data Principal address changed, Change in registered agent information
20231782342 File Report 2023-07-25 2023-07-25 No data Principal address changed, Change in registered agent information
20221702645 File Report 2022-07-23 2022-07-23 No data No data
20211686736 File Report 2021-07-26 2021-07-26 No data No data
20201655853 File Report 2020-07-28 2020-07-28 No data No data
20191625717 File Report 2019-08-01 2019-08-01 No data No data
20181703470 File Report 2018-09-04 2018-09-04 No data No data
20171548586 File Report 2017-07-23 2017-07-23 No data Change of Registered Agent / Change of Registered Agent Address / Change of Entity Address
20161526547 File Report 2016-08-02 2016-08-02 No data Change of Registered Agent / Change of Entity Address
20151529853 Restate Articles of Incorporation for a Nonprofit Corporation 2015-08-19 2015-08-19 No data No data

Related by officers

No related officers

Related by address

110 E Routt Ave Pueblo CO 81004 US

Pueblo Community Health Center Foundation, Inc. Pueblo Primary Care QALICB

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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