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COLUMBINE HOME HEALTH, INC.

Company Details

Name: COLUMBINE HOME HEALTH, INC.
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Voluntarily Dissolved
Date of registration: 15 May 1997 (28 years ago)
Date dissolved: 31 May 2018
Entity Number: 19971077798
ZIP code: 81601
County: Garfield County
Place of Formation: COLORADO
Principal Address: 927 COOPER AVENUE GLENWOOD SPRINGS CO 81601 US
Mailing Address: PO BOX 2024 Glenwood Springs CO 81602 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN 2016 841405085 2017-07-19 COLUMBINE HOME HEALTH INC 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-08-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 816022024
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 816022024

Number of participants as of the end of the plan year

Active participants 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2017-07-19
Name of individual signing TIM HOBBS
Valid signature Filed with authorized/valid electronic signature
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN 2015 841405085 2016-07-13 COLUMBINE HOME HEALTH INC 8
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-08-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 816022024
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 816022024

Number of participants as of the end of the plan year

Active participants 5
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN 2014 841405085 2015-06-29 COLUMBINE HOME HEALTH INC 8
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-08-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602

Number of participants as of the end of the plan year

Active participants 8

Signature of

Role Plan administrator
Date 2015-06-29
Name of individual signing TIM HOBBS
Valid signature Filed with authorized/valid electronic signature
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN 2013 841405085 2014-07-09 COLUMBINE HOME HEALTH INC 7
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-08-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602

Number of participants as of the end of the plan year

Active participants 7

Signature of

Role Plan administrator
Date 2014-07-09
Name of individual signing TIM HOBBS
Valid signature Filed with authorized/valid electronic signature
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN 2012 841405085 2013-08-21 COLUMBINE HOME HEALTH INC 9
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-08-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602

Number of participants as of the end of the plan year

Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-08-21
Name of individual signing TIM HOBBS
Valid signature Filed with authorized/valid electronic signature
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN 2011 841405085 2012-08-23 COLUMBINE HOME HEALTH INC 9
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-08-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602

Plan administrator’s name and address

Administrator’s EIN 841405085
Plan administrator’s name COLUMBINE HOME HEALTH INC
Plan administrator’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Administrator’s telephone number 9709458050

Number of participants as of the end of the plan year

Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-08-23
Name of individual signing TIM HOBBS
Valid signature Filed with authorized/valid electronic signature
COLUMBINE HOME HEALTH INC 403 (B) PLAN 2010 841405085 2011-08-23 COLUMBINE HOME HEALTH INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602

Plan administrator’s name and address

Administrator’s EIN 841405085
Plan administrator’s name COLUMBINE HOME HEALTH INC
Plan administrator’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Administrator’s telephone number 9709458050

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-08-23
Name of individual signing TIM HOBBS
Valid signature Filed with authorized/valid electronic signature
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN 2010 841405085 2011-08-23 COLUMBINE HOME HEALTH INC 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-08-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602

Plan administrator’s name and address

Administrator’s EIN 841405085
Plan administrator’s name COLUMBINE HOME HEALTH INC
Plan administrator’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Administrator’s telephone number 9709458050

Number of participants as of the end of the plan year

Active participants 14
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-08-23
Name of individual signing TIM HOBBS
Valid signature Filed with authorized/valid electronic signature
COLUMBINE HOME HEALTH INC 403 (B) PLAN 2009 841405085 2010-06-23 COLUMBINE HOME HEALTH INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602

Plan administrator’s name and address

Administrator’s EIN 841405085
Plan administrator’s name COLUMBINE HOME HEALTH INC
Plan administrator’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Administrator’s telephone number 9709458050

Number of participants as of the end of the plan year

Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-06-23
Name of individual signing TIM HOBBS
Valid signature Filed with authorized/valid electronic signature
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN 2009 841405085 2010-06-23 COLUMBINE HOME HEALTH INC 7
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-08-01
Business code 621610
Sponsor’s telephone number 9709458050
Plan sponsor’s mailing address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Plan sponsor’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602

Plan administrator’s name and address

Administrator’s EIN 841405085
Plan administrator’s name COLUMBINE HOME HEALTH INC
Plan administrator’s address PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
Administrator’s telephone number 9709458050

Number of participants as of the end of the plan year

Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-06-23
Name of individual signing TIM HOBBS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
OLIVER KIM Agent 927 COOPER AVENUE GLENWOOD SPRINGS CO 81601 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20181445991 Dissolve a Nonprofit Corporation 2018-05-31 2018-05-31 COLUMBINE HOME HEALTH, INC., Dissolved May 31, 2018 No data
20161404027 File Report 2016-06-13 2016-06-13 No data No data
20151516548 File Report 2015-08-10 2015-08-10 No data No data
20141470439 File Report 2014-07-31 2014-07-31 No data No data
20131379280 File Report 2013-06-27 2013-06-27 No data No data
20121314487 File Report 2012-06-07 2012-06-07 No data No data
20111397217 File Report 2011-07-12 2011-07-12 No data No data
20101435483 File Report 2010-08-04 2010-08-04 No data No data
20091364333 File Report 2009-07-08 2009-07-08 No data No data
20081363345 File Report 2008-07-07 2008-07-07 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State