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K. Michael Jay M.D., P.C.

Company Details

Name: K. Michael Jay M.D., P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 29 Dec 1997 (27 years ago)
Entity Number: 19971210144
ZIP code: 81401
County: Montrose County
Place of Formation: COLORADO
Principal Address: 67533 Oakridge Ln Montrose CO 81401 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTROSE SURGICAL ASSOCIATES, P.C. PENSION PLAN 2019 841443156 2021-02-03 K. MICHAEL JAY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-11-01
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s address 611 E STAR COURT, SUITE A, MONTROSE, CO, 81401

Signature of

Role Plan administrator
Date 2021-02-03
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature
MONTROSE SURGICAL ASSOCIATES, P.C. PENSION PLAN 2018 841443156 2020-08-12 K. MICHAEL JAY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-11-01
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s address 611 E STAR COURT, SUITE A, MONTROSE, CO, 81401

Signature of

Role Plan administrator
Date 2020-08-12
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature
MONTROSE SURGICAL ASSOCIATES, P.C. PENSION PLAN 2017 841443156 2019-06-07 K. MICHAEL JAY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s address 611 E STAR COURT, SUITE A, MONTROSE, CO, 81401

Signature of

Role Plan administrator
Date 2019-06-07
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature
MONTROSE SURGICAL ASSOCIATES, P.C. PENSION PLAN 2016 841443156 2018-08-16 K. MICHAEL JAY, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-11-01
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s address 611 E STAR COURT, SUITE A, MONTROSE, CO, 81401

Signature of

Role Plan administrator
Date 2018-08-16
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature
MONTROSE SURGICAL ASSOCIATES, P.C. PENSION PLAN 2015 841443156 2017-07-27 K MICHAEL JAY, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s address 611 E STAR CT STE A, MONTROSE, CO, 814016704

Signature of

Role Plan administrator
Date 2017-07-27
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature
MONTROSE SURGICAL ASSOCIATES, PC DEFINED BENEFIT PENSION PLAN 2015 841443156 2017-02-20 K. MICHAEL JAY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-08-11
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s address 611 E STAR CT STE A, MONTROSE, CO, 814016704

Signature of

Role Plan administrator
Date 2017-02-19
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature
MONTROSE SURGICAL ASSOCIATES, PC DEFINED BENEFIT PENSION PLAN 2014 841443156 2016-02-23 K. MICHAEL JAY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-08-11
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s address 611 E STAR COURT, SUITE A, MONTROSE, CO, 81401

Signature of

Role Plan administrator
Date 2016-02-23
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature
MONTROSE SURGICAL ASSOCIATES, P.C. PENSION PLAN 2014 841443156 2016-08-15 K MICHAEL JAY, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s address 611 E START COURT, SUITE A, MONTROSE, CO, 81401

Signature of

Role Plan administrator
Date 2016-08-12
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature
MONTROSE SURGICAL ASSOCIATES PC PENSION PLAN 2013 841443156 2014-04-22 K. MICHAEL JAY, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s mailing address 611 E. STAR COURT, SUITE A, MONTROSE, CO, 81401
Plan sponsor’s address 611 E. STAR COURT, SUITE A, MONTROSE, CO, 81401

Number of participants as of the end of the plan year

Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 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 2014-02-20
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature
MONTROSE SURGICAL ASSOCIATES, P.C. PENSION PLAN 2013 841443156 2015-07-23 K MICHAEL JAY, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-11-01
Business code 621111
Sponsor’s telephone number 9702494321
Plan sponsor’s address 611 E START COURT, SUITE A, MONTROSE, CO, 81401

Signature of

Role Plan administrator
Date 2015-07-19
Name of individual signing KIERAN JAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
J. DAVID REED Agent 510 S Cascade Ave Montrose CO 81401 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241256046 File Report 2024-02-29 2024-02-29 No data Principal address changed, Change in registered agent information
20231240726 File Report 2023-02-28 2023-02-28 No data Principal address changed, Change in registered agent information
20221225030 File Report 2022-02-28 2022-02-28 No data No data
20211202617 File Report 2021-02-26 2021-02-26 No data Change of Registered Agent Address
20201195693 File Report 2020-02-27 2020-02-27 No data No data
20191187463 File Report 2019-02-28 2019-02-28 No data No data
20181180033 File Report 2018-02-28 2018-02-28 No data No data
20171167831 File Report 2017-02-28 2017-02-28 No data No data
20161075044 File Report 2016-01-29 2016-01-29 No data No data
20151148122 File Report 2015-02-27 2015-02-27 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State