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MARILLAC CLINIC, INC.

Company Details

Name: MARILLAC CLINIC, INC.
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Good Standing
Date of registration: 22 Feb 1988 (37 years ago)
Entity Number: 19881006872
ZIP code: 81501
County: Mesa County
Place of Formation: COLORADO
Principal Address: 2333 N 6th St Grand Junction CO 81501 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
D5DDGDNMLBC7 2025-03-05 2333 N 6TH ST, GRAND JUNCTION, CO, 81501, 2001, USA 2333 N 6TH ST, GRAND JUNCTION, CO, 81501, 2001, USA

Business Information

URL www.MarillacHealth.org
Congressional District 03
State/Country of Incorporation CO, USA
Activation Date 2024-03-21
Initial Registration Date 2014-01-06
Entity Start Date 1988-02-22
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621498
Product and Service Codes Q201

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MARK GREEN
Role FINANCE DIRECTOR
Address 2333 N 6TH ST, GRAND JUNCTION, CO, 81501, USA
Government Business
Title PRIMARY POC
Name JEREMY CARROLL
Role CFO
Address 2333 N 6TH ST, GRAND JUNCTION, CO, 81501, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5GNA9 Active Non-Manufacturer 2009-05-19 2024-03-21 2029-03-21 2025-03-05

Contact Information

POC JEREMY CARROLL
Phone +1 832-443-7395
Address 2333 N 6TH ST, GRAND JUNCTION, MESA, CO, 81501 2001, 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
MARILLAC CLINIC INC. 401(K) PLAN 2023 841085822 2024-10-15 MARILLAC CLINIC, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621498
Sponsor’s telephone number 9702001645
Plan sponsor’s address 2333 N 6TH ST, GRAND JUNCTION, CO, 81501

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing MARK GREEN
Valid signature Filed with authorized/valid electronic signature
MARILLAC CLINIC INC. 401(K) PLAN 2022 841085822 2023-09-20 MARILLAC CLINIC, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621498
Sponsor’s telephone number 9702001645
Plan sponsor’s address 2333 N 6TH ST, GRAND JUNCTION, CO, 81501

Signature of

Role Plan administrator
Date 2023-09-20
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
MARILLAC CLINIC, INC. RETIREMENT SAVINGS PLAN 2021 841085822 2022-10-17 MARILLAC CLINIC, INC. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621112
Sponsor’s telephone number 9702981782
Plan sponsor’s address 2333 N. 61 ST, GRAND JUNCTION, CO, 81501
MARILLAC CLINIC, INC. RETIREMENT SAVINGS PLAN 2020 841085822 2021-09-02 MARILLAC CLINIC, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621112
Sponsor’s telephone number 9702981782
Plan sponsor’s address 2333 N. 61 ST, GRAND JUNCTION, CO, 81501
MARILLAC CLINIC, INC. RETIREMENT SAVINGS PLAN 2019 841085822 2020-09-28 MARILLAC CLINIC, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-02-01
Business code 621112
Sponsor’s telephone number 9702981782
Plan sponsor’s address 2333 N. 61 ST, GRAND JUNCTION, CO, 81501

Agent

Name Role Address
Lata K. Ramachandran Agent 2333 N 6th St Grand Junction CO 81501 US

Licenses

Number Status Type Date Last renew date End date Address
265 Cancelled OO 1992-02-21 2009-05-11 2009-06-11 GRAND JUCTION CO 81501

Transaction History

Transaction ID Type Date Effective date Name Comment
20241668956 File Report 2024-06-24 2024-06-24 No data Principal address changed, Change in registered agent information
20241032510 Transfer a Trademark 2024-01-08 2024-01-08 No data Trademark The PIC Place transferred from entity Id: 20021207658 COMMUNITY DENTAL CLINIC, INC.
20231707628 File Report 2023-07-05 2023-07-05 No data Change in registered agent information
20221610248 File Report 2022-06-23 2022-06-23 No data No data
20211689243 File Report 2021-07-27 2021-07-27 No data No data
20201713719 File Report 2020-08-21 2020-08-21 No data No data
20191737412 File Report 2019-09-16 2019-09-16 No data No data
20181764010 File Report 2018-09-26 2018-09-26 No data No data
20171499867 File Report 2017-06-28 2017-06-28 No data No data
20161621935 File Report 2016-09-15 2016-09-15 No data No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State