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LARCHWOOD INNS, INC.

Company Details

Name: LARCHWOOD INNS, INC.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 21 Sep 1993 (31 years ago)
Entity Number: 19931101642
Place of Formation: COLORADO
Principal Address: 2845 N 15th St Grand Junction CO 81506-5219 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
PJL9DN372896 2025-03-25 2845 N 15TH ST, GRAND JUNCTION, CO, 81506, 5219, USA 2845 N 15TH ST, GRAND JUNCTION, CO, 81506, 5219, USA

Business Information

Congressional District 03
State/Country of Incorporation CO, USA
Activation Date 2024-03-28
Initial Registration Date 2024-01-17
Entity Start Date 1993-09-21
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 623110

Points of Contacts

Electronic Business
Title PRIMARY POC
Name LORETHA ROLF
Address 2845 NORTH 15TH ST, GRAND JUNCTION, CO, 81506, USA
Government Business
Title PRIMARY POC
Name LORETHA ROLF
Address 2845 NORTH 15TH ST, GRAND JUNCTION, CO, 81506, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF LARCHWOOD INNS, INC. 2019 841244821 2020-09-15 LARCHWOOD INNS, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 9702451122
Plan sponsor’s address 2845 N 15TH ST, GRAND JUNCTION, CO, 815065219

Signature of

Role Plan administrator
Date 2020-09-15
Name of individual signing SANDY FOWLER
Valid signature Filed with authorized/valid electronic signature
LARCHWOOD INNS, INC. 401(K) SAVINGS PLAN 2018 841244821 2019-06-01 LARCHWOOD INNS, INC 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 9702450022
Plan sponsor’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506
LARCHWOOD INNS, INC. 401(K) SAVINGS PLAN 2017 841244821 2018-07-30 LARCHWOOD INNS, INC 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 9702450022
Plan sponsor’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506
LARCHWOOD INNS, INC. 401(K) SAVINGS PLAN 2013 841244821 2014-05-18 LARCHWOOD INNS, INC. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 9702450022
Plan sponsor’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506
LARCHWOOD INNS, INC. 401(K) SAVINGS PLAN 2012 841244821 2013-04-10 LARCHWOOD INNS, INC. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 9702450022
Plan sponsor’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506

Signature of

Role Plan administrator
Date 2013-04-10
Name of individual signing MELISSA WOOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-10
Name of individual signing MELISSA WOOD
Valid signature Filed with authorized/valid electronic signature
LARCHWOOD INNS, INC. 401(K) SAVINGS PLAN 2011 841244821 2012-10-10 LARCHWOOD INNS, INC. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 9702450022
Plan sponsor’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506

Plan administrator’s name and address

Administrator’s EIN 841244821
Plan administrator’s name LARCHWOOD INNS, INC.
Plan administrator’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506
Administrator’s telephone number 9702450022

Signature of

Role Plan administrator
Date 2012-10-10
Name of individual signing MELISSA WOOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing MELISSA WOOD
Valid signature Filed with authorized/valid electronic signature
LARCHWOOD INNS, INC. 401(K) SAVINGS PLAN AND TRUS 2010 841244821 2011-08-25 LARCHWOOD INNS, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 9702450022
Plan sponsor’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506

Plan administrator’s name and address

Administrator’s EIN 841244821
Plan administrator’s name LARCHWOOD INNS, INC.
Plan administrator’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506
Administrator’s telephone number 9702450022

Signature of

Role Plan administrator
Date 2011-08-25
Name of individual signing BECKY KRUBACK
Valid signature Filed with authorized/valid electronic signature
LARCHWOOD INNS, INC. 401(K) SAVINGS PLAN AND TRUS 2009 841244821 2010-09-08 LARCHWOOD INNS, INC. 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 623000
Sponsor’s telephone number 9702450022
Plan sponsor’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506

Plan administrator’s name and address

Administrator’s EIN 841244821
Plan administrator’s name LARCHWOOD INNS, INC.
Plan administrator’s address 2845 N. 15TH STREET, GRAND JUNCTION, CO, 81506
Administrator’s telephone number 9702450022

Signature of

Role Plan administrator
Date 2010-09-08
Name of individual signing BECKY KRUBACK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Melissa K Latham Agent 2845 N 15th St Grand Junction CO 81506-5219 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248239707 File Report 2024-11-24 2024-11-24 No data Change in registered agent information
20231865458 File Report 2023-08-23 2023-08-23 No data Principal address changed
20221812394 File Report 2022-08-23 2022-08-23 No data Principal address changed, Change in registered agent information
20218133889 File Report 2021-12-01 2021-12-01 No data No data
20208018298 File Report 2020-11-24 2020-11-24 No data No data
20191683743 File Report 2019-08-26 2019-08-26 No data No data
20181876678 File Report 2018-11-05 2018-11-05 No data Change of Registered Agent / Change of Registered Agent Address
20171836106 File Report 2017-11-06 2017-11-06 No data No data
20161801968 File Report 2016-11-28 2016-11-28 No data No data
20151705409 File Report 2015-10-30 2015-10-30 No data No data

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C25925K0044 2024-11-01 2024-11-30 2029-04-14
Unique Award Key CONT_AWD_36C25925K0044_3600_36C25924D0056_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 120028.18
Current Award Amount 120028.18
Potential Award Amount 120028.18

Description

Title EXPRESS REPORT: FY25 NOVEMBER
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details

Recipient LARCHWOOD INNS, INC.
UEI PJL9DN372896
Recipient Address UNITED STATES, 2845 N 15TH ST, GRAND JUNCTION, MESA, COLORADO, 815065219
DELIVERY ORDER AWARD 36C25924K0502 2024-09-01 2024-09-30 2029-04-14
Unique Award Key CONT_AWD_36C25924K0502_3600_36C25924D0056_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 95661.20
Current Award Amount 95661.20
Potential Award Amount 95661.20

Description

Title EXPRESS REPORT: FY24 SEPTEMBER
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details

Recipient LARCHWOOD INNS, INC.
UEI PJL9DN372896
Recipient Address UNITED STATES, 2845 N 15TH ST, GRAND JUNCTION, MESA, COLORADO, 815065219
DELIVERY ORDER AWARD 36C25924K0461 2024-08-01 2024-08-31 2029-04-14
Unique Award Key CONT_AWD_36C25924K0461_3600_36C25924D0056_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 105409.24
Current Award Amount 105409.24
Potential Award Amount 105409.24

Description

Title EXPRESS REPORT: FY24 AUGUST
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details

Recipient LARCHWOOD INNS, INC.
UEI PJL9DN372896
Recipient Address UNITED STATES, 2845 N 15TH ST, GRAND JUNCTION, MESA, COLORADO, 815065219
No data IDV 36C25924D0056 2024-04-15 No data No data
Unique Award Key CONT_IDV_36C25924D0056_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 4098620.00

Description

Title COMMUNITY NURSING HOME SERVICES - MEDICAID RATE ADJUST EFFECTIVE 8/5/2024
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details

Recipient LARCHWOOD INNS, INC.
UEI PJL9DN372896
Recipient Address UNITED STATES, 2845 N 15TH ST, GRAND JUNCTION, MESA, COLORADO, 815065219

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State