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GRAND VALLEY SURGICAL CENTER, LLC

Company Details

Name: GRAND VALLEY SURGICAL CENTER, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 11 Sep 1998 (26 years ago)
Entity Number: 19981164928
ZIP code: 81501
County: Mesa County
Place of Formation: COLORADO
Principal Address: 710 Wellington Ave Ste 21 Grand Junction CO 81501 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2022 841505075 2024-09-20 GRAND VALLEY SURGICAL CENTER, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501

Signature of

Role Plan administrator
Date 2024-09-20
Name of individual signing MARDI MORRIS
Valid signature Filed with authorized/valid electronic signature
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2021 841505075 2022-10-17 GRAND VALLEY SURGICAL CENTER, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing AMY HANISCH
Valid signature Filed with authorized/valid electronic signature
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2020 841505075 2021-04-30 GRAND VALLEY SURGICAL CENTER, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501

Signature of

Role Plan administrator
Date 2021-04-30
Name of individual signing BETSY RADCA
Valid signature Filed with authorized/valid electronic signature
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2019 841505075 2020-07-15 GRAND VALLEY SURGICAL CENTER, LLC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501

Signature of

Role Plan administrator
Date 2020-07-15
Name of individual signing MITCHELL SCHWARZBACH
Valid signature Filed with authorized/valid electronic signature
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2018 841505075 2019-06-18 GRAND VALLEY SURGICAL CENTER, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501

Signature of

Role Plan administrator
Date 2019-06-18
Name of individual signing MITCHELL SCHWARZBACH
Valid signature Filed with authorized/valid electronic signature
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2017 841505075 2018-07-20 GRAND VALLEY SURGICAL CENTER, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501

Signature of

Role Plan administrator
Date 2018-07-20
Name of individual signing BETSY RADCA
Valid signature Filed with authorized/valid electronic signature
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2016 841505075 2017-09-13 GRAND VALLEY SURGICAL CENTER, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address

Administrator’s EIN 841505075
Plan administrator’s name GRAND VALLEY SURGICAL CENTER, LLC
Plan administrator’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
Administrator’s telephone number 9702987800

Signature of

Role Plan administrator
Date 2017-09-13
Name of individual signing BETSY RADCA
Valid signature Filed with authorized/valid electronic signature
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2015 841505075 2016-05-31 GRAND VALLEY SURGICAL CENTER, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address

Administrator’s EIN 841505075
Plan administrator’s name GRAND VALLEY SURGICAL CENTER, LLC
Plan administrator’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
Administrator’s telephone number 9702987800

Signature of

Role Plan administrator
Date 2016-05-31
Name of individual signing BETSY RADCA
Valid signature Filed with authorized/valid electronic signature
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2014 841505075 2015-06-16 GRAND VALLEY SURGICAL CENTER, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address

Administrator’s EIN 841505075
Plan administrator’s name GRAND VALLEY SURGICAL CENTER, LLC
Plan administrator’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
Administrator’s telephone number 9702987800

Signature of

Role Plan administrator
Date 2015-06-16
Name of individual signing BETSY RADCA
Valid signature Filed with authorized/valid electronic signature
GRAND VALLEY SURGICAL CENTER, LLC 401(K) PLAN AND TRUST 2013 841505075 2014-07-31 GRAND VALLEY SURGICAL CENTER, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 9702987800
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address

Administrator’s EIN 841505075
Plan administrator’s name GRAND VALLEY SURGICAL CENTER, LLC
Plan administrator’s address 710 WELLINGTON AVE., SUITE 21, GRAND JUNCTION, CO, 81501
Administrator’s telephone number 9702987800

Signature of

Role Plan administrator
Date 2014-07-31
Name of individual signing ELIZABETH RADCA
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20241484651 File Report 2024-04-29 2024-04-29 No data Principal address changed, Change in registered agent information
20231520282 Statement Curing Delinquency 2023-05-15 2023-05-15 No data No data
20211924359 Statement of Change Changing the Registered Agent Information 2021-10-05 2021-10-05 No data Registered agent information changed;
20211773133 File Report 2021-08-24 2021-08-24 No data Removed agent mailing address;
20201889285 File Report 2020-10-15 2020-10-15 No data No data
20191669714 File Report 2019-08-23 2019-08-23 No data No data
20181875533 Statement of Change Changing the Registered Agent Information 2018-11-05 2018-11-05 No data Registered agent information changed;
20181663447 File Report 2018-08-23 2018-08-23 No data No data
20171632357 File Report 2017-08-23 2017-08-23 No data No data
20161564937 File Report 2016-08-23 2016-08-23 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State