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  5. La Clinica Tepeyac, Inc

La Clinica Tepeyac, Inc

Company Details

Name: La Clinica Tepeyac, Inc
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Good Standing
Date of registration: 02 Sep 1994 (30 years ago)
Entity Number: 19941099422
ZIP code: 80216
County: Denver County
Place of Formation: COLORADO
Principal Address: 2101 E 48th Ave Denver CO 80216 US
Mailing Address: 4725 High St Denver CO 80216 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
CD3ZGGTAL7D8 2025-01-30 4725 HIGH ST, DENVER, CO, 80216, 2220, USA 4725 HIGH STREET, DENVER, CO, 80216, 2015, USA

Business Information
Doing Business As TEPEYAC COMMUNITY HEALTH CENTER
Congressional District 01
State/Country of Incorporation CO, USA
Activation Date 2024-02-02
Initial Registration Date 2011-02-25
Entity Start Date 1994-08-23
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621498, 621999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JIM GARCIA
Role CHIEF EXECUTIVE OFFICER
Address 4725 HIGH STREET, DENVER, CO, 80216, 2015, USA
Title ALTERNATE POC
Name EMILIA VOLZ
Role GRANTS MANAGER
Address 4725 HIGH STREET, DENVER, CO, 80216, USA
Government Business
Title PRIMARY POC
Name JIM GARCIA
Role CHIEF EXECUTIVE OFFICER
Address 4725 HIGH STREET, DENVER, CO, 80216, 2015, USA
Title ALTERNATE POC
Name LACY BRADLEY
Role CHIEF FINANCIAL OFFICER
Address 4725 HIGH STREET, DENVER, CO, 80216, USA
Past Performance
Title ALTERNATE POC
Name EMILIA VOLZ
Role GRANTS MANAGER
Address 4725 HIGH STREET, DENVER, CO, 80216, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6A1B0 Active Non-Manufacturer 2011-02-28 2024-02-02 2029-02-02 2025-01-30

Contact Information
POC JIM GARCIA
Phone +1 303-458-5302
Fax +1 303-583-0152
Address 4725 HIGH ST, DENVER, CO, 80216 2220, 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
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2018 841285505 2019-01-15 LA CLINICA TEPEYAC, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621112
Sponsor’s telephone number 7202742923
Plan sponsor’s address 4725 HIGH ST, DENVER, CO, 802162220

Signature of
Role Plan administrator
Date 2019-01-15
Name of individual signing JAMES GARCIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-15
Name of individual signing JAMES GARCIA
Valid signature Filed with authorized/valid electronic signature
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2017 841285505 2018-10-12 LA CLINICA TEPEYAC, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621112
Sponsor’s telephone number 3035830150
Plan sponsor’s address 4725 HIGH ST, DENVER, CO, 802162220

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing JAMES GARCIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing JAMES GARCIA
Valid signature Filed with authorized/valid electronic signature
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2016 841285505 2017-10-16 LA CLINICA TEPEYAC, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621112
Sponsor’s telephone number 3035830150
Plan sponsor’s address 4725 HIGH STREET, DENVER, CO, 80216

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing MATTHEW DYER
Valid signature Filed with authorized/valid electronic signature
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2015 841285505 2016-07-28 LA CLINICA TEPEYAC, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621112
Sponsor’s telephone number 3035830150
Plan sponsor’s address 5075 LINCOLN STREET, DENVER, CO, 80216

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing MATTHEW DYER
Valid signature Filed with authorized/valid electronic signature
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2014 841285505 2015-10-06 LA CLINICA TEPEYAC, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621112
Sponsor’s telephone number 3035830150
Plan sponsor’s address 5075 LINCOLN STREET, DENVER, CO, 80216

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing JAMES GARCIA
Valid signature Filed with authorized/valid electronic signature
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2013 841285505 2014-07-03 LA CLINICA TEPEYAC, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621399
Sponsor’s telephone number 3035830150
Plan sponsor’s address 5075 LINCOLN STREET, DENVER, CO, 80216

Signature of
Role Plan administrator
Date 2014-07-03
Name of individual signing JOHN KAREN
Valid signature Filed with authorized/valid electronic signature
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2012 841285505 2013-09-06 LA CLINICA TEPEYAC, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621399
Sponsor’s telephone number 7202742926
Plan sponsor’s address 5075 LINCOLN STREET, DENVER, CO, 80216

Signature of
Role Plan administrator
Date 2013-09-06
Name of individual signing JOHN KAREN
Valid signature Filed with authorized/valid electronic signature
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2011 841285505 2012-10-08 LA CLINICA TEPEYAC, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621399
Sponsor’s telephone number 7202742926
Plan sponsor’s address 5075 LINCOLN STREET, DENVER, CO, 80216

Plan administrator’s name and address
Administrator’s EIN 841285505
Plan administrator’s name LA CLINICA TEPEYAC, INC.
Plan administrator’s address 5075 LINCOLN STREET, DENVER, CO, 80216
Administrator’s telephone number 7202742926

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing JOHN KAREN
Valid signature Filed with authorized/valid electronic signature
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2010 841285505 2011-10-03 LA CLINICA TEPEYAC, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621399
Sponsor’s telephone number 3035830150
Plan sponsor’s address 5075 LINCOLN STREET, DENVER, CO, 80216

Plan administrator’s name and address
Administrator’s EIN 841285505
Plan administrator’s name LA CLINICA TEPEYAC, INC.
Plan administrator’s address 5075 LINCOLN STREET, DENVER, CO, 80216
Administrator’s telephone number 3035830150

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing JOHN KAREN
Valid signature Filed with authorized/valid electronic signature
LA CLINICA TEPEYAC ERISA 403(B) RETIREMENT PLAN 2009 841285505 2010-10-01 LA CLINICA TEPEYAC, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 621111
Sponsor’s telephone number 3035830150
Plan sponsor’s address 5075 LINCOLN STREET, DENVER, CO, 80216

Plan administrator’s name and address
Administrator’s EIN 841285505
Plan administrator’s name LA CLINICA TEPEYAC, INC.
Plan administrator’s address 5075 LINCOLN STREET, DENVER, CO, 80216
Administrator’s telephone number 3035830150

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing JOHN KAREN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jim Garcia Agent 4725 High St Denver CO 80216 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248026793 File Report 2024-09-24 2024-09-24 No data Principal address changed, Change in registered agent information
20238095709 File Report 2023-10-18 2023-10-18 No data Principal address changed, Change in registered agent information
20221942512 File Report 2022-09-27 2022-09-27 No data Principal address changed, Change in registered agent information
20218144021 Statement of Correction Correcting the Entity Name 2021-12-03 2021-12-03 La Clinica Tepeyac, Inc Correction of entity name
20211719058 Amend Articles of Incorporation for a Nonprofit Corporation 2021-08-03 2021-08-03 Tepeyac Community Health Center Change of entity name
20211615415 Statement Curing Delinquency 2021-07-01 2021-07-01 No data No data
20201089532 File Report 2020-01-28 2020-01-28 No data Removed agent mailing address; / Change of Registered Agent Address
20191350320 File Report 2019-04-24 2019-04-24 No data No data
20181348421 File Report 2018-04-26 2018-04-26 No data No data
20171339831 File Report 2017-05-01 2017-05-01 No data No data

Related by officers

No related officers

Related by address

4725 High St Denver CO 80216 US

Tepeyac QALICB, Inc.

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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