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  5. CAMELOT HEALTH CARE, INC.

CAMELOT HEALTH CARE, INC.

Company Details

Name: CAMELOT HEALTH CARE, INC.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 23 May 1989 (36 years ago)
Entity Number: 19891056247
ZIP code: 81212
County: Fremont County
Place of Formation: COLORADO
Principal Address: 2120 N 10th St Canon City CO 81212 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FZ3QDXQWGRX4 2024-05-17 2120 N 10TH ST, CANON CITY, CO, 81212, 2211, USA 2120 N 10TH STREET, CANON CITY, CO, 81212, 2211, USA

Business Information
Doing Business As CAMELOT HEALTH CARE INC
Congressional District 07
State/Country of Incorporation CO, USA
Activation Date 2023-05-22
Initial Registration Date 2023-05-18
Entity Start Date 1989-05-23
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MICHAEL CLANTON
Address 12136 W BAYAUD AVE STE 200, LAKEWOOD, CO, 80228, USA
Government Business
Title PRIMARY POC
Name HEATHER TERHARK
Address 12136 W. BAYAUD AVE., #200, LAKEWOOD, CO, 80228, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMELOT HEALTH CARE INC. RETIREMENT PLAN 2015 841165223 2016-10-14 CAMELOT HEALTH CARE INC. 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-12-01
Business code 623000
Sponsor’s telephone number 3032743138
Plan sponsor’s DBA name VALLEYVIEW HEALTH CARE CENTER
Plan sponsor’s address 12136 W BAYAUD AVE STE 200, LAKEWOOD, CO, 80228

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing TILLIE HANDY
Valid signature Filed with authorized/valid electronic signature
CAMELOT HEALTH CARE INC. RETIREMENT PLAN 2015 841165223 2016-11-14 CAMELOT HEALTH CARE INC. 93
Three-digit plan number (PN) 002
Effective date of plan 2006-12-01
Business code 623000
Sponsor’s telephone number 3032743138
Plan sponsor’s address 12136 W BAYAUD AVE STE 200, LAKEWOOD, CO, 80228

Signature of
Role Plan administrator
Date 2016-11-14
Name of individual signing TILLIE HANDY
Valid signature Filed with authorized/valid electronic signature
CAMELOT HEALTH CARE INC. RETIREMENT PLAN 2015 841165223 2016-11-15 CAMELOT HEALTH CARE INC. 93
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-12-01
Business code 623000
Sponsor’s telephone number 3032743138
Plan sponsor’s address 12136 W BAYAUD AVE STE 200, LAKEWOOD, CO, 80228

Signature of
Role Plan administrator
Date 2016-11-15
Name of individual signing TILLIE HANDY
Valid signature Filed with authorized/valid electronic signature
CAMELOT HEALTH CARE INC. RETIREMENT PLAN 2014 841165223 2015-10-14 CAMELOT HEALTH CARE INC. 99
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-12-01
Business code 623000
Sponsor’s telephone number 3032743138
Plan sponsor’s DBA name VALLEY VIEW HEALTH CARE CENTER
Plan sponsor’s address 12136 W BAYAUD AVE STE 200, LAKEWOOD, CO, 80228

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing TILLIE SCHIFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing TILLIE SCHIFFLER
Valid signature Filed with authorized/valid electronic signature
CAMELOT HEALTH CARE INC. RETIREMENT PLAN 2013 841165223 2014-12-30 CAMELOT HEALTH CARE INC. 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-12-01
Business code 623000
Sponsor’s telephone number 3032743138
Plan sponsor’s DBA name VALLEY VIEW HEALTH CARE CENTER
Plan sponsor’s address 12136 W BAYAUD AVE STE 200, LAKEWOOD, CO, 80228

Signature of
Role Plan administrator
Date 2014-12-30
Name of individual signing TILLIE SCHIFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-12-30
Name of individual signing TILLIE SCHIFFLER
Valid signature Filed with authorized/valid electronic signature
CAMELOT HEALTH CARE INC. RETIREMENT PLAN 2013 841165223 2014-07-30 CAMELOT HEALTH CARE INC. 52
Three-digit plan number (PN) 002
Effective date of plan 2006-12-01
Business code 623000
Sponsor’s telephone number 3032743138
Plan sponsor’s DBA name VALLEY VIEW HEALTH CARE CENTER
Plan sponsor’s address 12136 W BAYAUD AVE STE 200, LAKEWOOD, CO, 80228

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing TILLIE SCHIFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing TILLIE SCHIFFLER
Valid signature Filed with authorized/valid electronic signature
PINON NURSING HOMES RETIREMENT PLAN 2010 841165223 2011-07-28 CAMELOT HEALTH CARE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 623000
Sponsor’s telephone number 7209746205
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 2851 S. PARKER RD., SUITE 230, AURORA, CO, 80014

Plan administrator’s name and address
Administrator’s EIN 841165223
Plan administrator’s name CAMELOT HEALTH CARE, INC.
Plan administrator’s address 12136 W. BAYAUD AVE., SUITE 200, LAKEWOOD, CO, 80228
Administrator’s telephone number 7209746205

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing JANICE O'KANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-28
Name of individual signing JANICE O'KANE
Valid signature Filed with authorized/valid electronic signature
PINON NURSING HOMES RETIREMENT PLAN 2009 841165223 2010-10-07 CAMELOT HEALTH CARE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 623000
Sponsor’s telephone number 7209746205
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 2851 S. PARKER RD., SUITE 230, AURORA, CO, 80014

Plan administrator’s name and address
Administrator’s EIN 841165223
Plan administrator’s name CAMELOT HEALTH CARE, INC.
Plan administrator’s address 12136 W. BAYAUD AVE., SUITE 200, LAKEWOOD, CO, 80228
Administrator’s telephone number 7209746205

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing JANICE OKANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing JANICE O'KANE
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20241685353 File Report 2024-06-25 2024-06-25 No data Principal address changed
20241477124 Statement of Change Changing the Registered Agent Information 2024-04-26 2024-04-26 No data Registered agent information changed;
20231740691 Statement Curing Delinquency 2023-07-18 2023-07-18 CAMELOT HEALTH CARE, INC. No data
20201819004 File Report 2020-09-23 2020-09-23 No data Removed agent mailing address;
20191765682 File Report 2019-09-24 2019-09-24 No data No data
20181750101 File Report 2018-09-24 2018-09-24 No data No data
20171732375 File Report 2017-09-27 2017-09-27 No data No data
20161651048 File Report 2016-09-26 2016-09-26 No data Change of Registered Agent
20151607258 File Report 2015-09-23 2015-09-23 No data Change of Registered Agent
20141576346 File Report 2014-09-23 2014-09-23 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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