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  5. PHYSICIANS SURGERY CENTER, LLC

PHYSICIANS SURGERY CENTER, LLC

Company Details

Name: PHYSICIANS SURGERY CENTER, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Voluntarily Dissolved
Date of registration: 29 Jan 2003 (22 years ago)
Date dissolved: 14 Sep 2020
Entity Number: 20031032813
ZIP code: 80112
County: Arapahoe County
Place of Formation: COLORADO
Principal Address: 9100 E. Mineral Circle Centennial CO 80112 US

Central Index Key

CIK number Mailing Address Business Address Phone
1477910 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301 (970) 508-0500

Filings since 2012-02-07
Form type D
File number 021-173027
Filing date 2012-02-07
File View File

Filings since 2011-01-14
Form type D
File number 021-153755
Filing date 2011-01-14
File View File

Filings since 2009-12-04
Form type D
File number 021-136604
Filing date 2009-12-04
File View File

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5N4S1 Active Non-Manufacturer 2009-08-19 2023-12-02 No data No data

Contact Information
POC SANDY B. WILLIAMSON
Phone +1 970-508-0500
Fax +1 970-508-0505
Address 1 MERCADO ST STE 210, DURANGO, CO, 81301 7307, 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
PHYSICIAN'S SURGERY CENTER, LLC EMPLOYEES' 401(K) PROFIT SHARING PLAN 2016 020675230 2017-03-07 PHYSICIANS SURGERY CENTER, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 9705080500
Plan sponsor’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301

Signature of
Role Plan administrator
Date 2017-03-07
Name of individual signing JOHN SNYDER
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS SURGERY CENTER, LLC EMPLOYEE'S 401(K) PROFIT SHARING PLAN 2016 020675230 2017-03-07 PHYSICIANS SURGERY CENTER, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 9705080507
Plan sponsor’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301

Signature of
Role Plan administrator
Date 2017-03-07
Name of individual signing JOHN SNYDER
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN'S SURGERY CENTER, LLC EMPLOYEES' 401(K) PROFIT SHARING PLAN 2015 020675230 2016-06-02 PHYSICIANS SURGERY CENTER, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 9705080500
Plan sponsor’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301

Signature of
Role Plan administrator
Date 2016-06-02
Name of individual signing JOHN SNYDER
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS SURGERY CENTER, LLC EMPLOYEES' 401(K) PROFIT SHARING PLAN 2013 020675230 2014-07-28 PHYSICIANS SURGERY CENTER, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 9705080507
Plan sponsor’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301
PHYSICIANS SURGERY CENTER, LLC EMPLOYEES' 401(K) PROFIT SHARING PLAN 2012 020675230 2013-09-13 PHYSICIANS SURGERY CENTER, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 9705080507
Plan sponsor’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing SANDY WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS SURGERY CENTER, LLC EMPLOYEES' 401(K) PROFIT SHARING PLAN 2011 020675230 2012-07-25 PHYSICIANS SURGERY CENTER, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 9705080507
Plan sponsor’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301

Plan administrator’s name and address
Administrator’s EIN 020675230
Plan administrator’s name PHYSICIANS SURGERY CENTER, LLC
Plan administrator’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301
Administrator’s telephone number 9705080507

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing SANDY WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS SURGERY CENTER, LLC EMPLOYEES' 401(K) PROFIT SHARING PLAN 2010 020675230 2011-10-12 PHYSICIANS SURGERY CENTER, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 9705080507
Plan sponsor’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301

Plan administrator’s name and address
Administrator’s EIN 020675230
Plan administrator’s name PHYSICIANS SURGERY CENTER, LLC
Plan administrator’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301
Administrator’s telephone number 9705080507

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing CHERYL DESKO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS SURGERY CENTER, LLC EMPLOYEES' 401(K) PROFIT SHARING PLAN 2009 020675230 2010-07-30 PHYSICIANS SURGERY CENTER, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 9705080507
Plan sponsor’s mailing address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301
Plan sponsor’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301

Plan administrator’s name and address
Administrator’s EIN 020675230
Plan administrator’s name PHYSICIANS SURGERY CENTER, LLC
Plan administrator’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301
Administrator’s telephone number 9705080507

Number of participants as of the end of the plan year
Active participants 9
Number of participants with account balances as of the end of the plan year 9
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 2010-06-08
Name of individual signing CHERYL DESKO
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS SURGERY CENTER, LLC EMPLOYEES' 401(K) PROFIT SHARING PLAN 2009 020675230 2010-07-27 PHYSICIANS SURGERY CENTER, LLC 6
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 9705080507
Plan sponsor’s mailing address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301
Plan sponsor’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301

Plan administrator’s name and address
Administrator’s EIN 020675230
Plan administrator’s name PHYSICIANS SURGERY CENTER, LLC
Plan administrator’s address 1 MERCADO STREET, SUITE 210, DURANGO, CO, 81301
Administrator’s telephone number 9705080507

Number of participants as of the end of the plan year
Active participants 9
Number of participants with account balances as of the end of the plan year 9
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 2010-06-08
Name of individual signing CHERYL DESKO
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
Kris Ordelheide Agent 9100 E. Mineral Circle Centennial CO 80112 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20201790962 Dissolve a Limited Liability Company 2020-09-14 2020-09-14 PHYSICIANS SURGERY CENTER, LLC, Dissolved September 14, 2020 No data
20191399650 Statement Curing Delinquency 2019-05-10 2019-05-10 No data No data
20181008557 File Report 2018-01-03 2018-01-03 No data No data
20171140898 File Report 2017-02-23 2017-02-23 No data No data
20151799228 Statement Curing Delinquency 2015-12-17 2015-12-17 No data No data
20131749842 File Report 2013-12-30 2013-12-30 No data No data
20131187903 File Report 2013-03-25 2013-03-25 No data No data
20121078856 File Report 2012-02-03 2012-02-03 No data Change of Registered Agent
20111032151 File Report 2011-01-17 2011-01-17 No data No data
20101050723 File Report 2010-01-25 2010-01-25 No data No data

Related by officers

Kris Ordelheide

Avista Adventist Hospital Foundation COMCARE SERVICES, INC. PORTER AFFILIATED HEALTH SERVICES, INC. SLOANS LAKE II, INC. AHC FACILITIES, LLC HAND SURGERY OF COLORADO, LLC ARAPAHOE MEDICAL BUILDING I, INC. ARAPAHOE MEDICAL BUILDING II, INC. HARVARD PARK EAST, INC. HARVARD PARK WEST, INC.

Related by address

9100 E. Mineral Circle Centennial CO 80112 US

COMCARE SERVICES, INC. Colorado Accountable Care, LLC Second Curve Partners, LLC FullWell, LLC, Colorado Authority Relinquished June 12, 2019 PAHS/OnPoint Urgent Care, LLC Centura Staffing, LLC ENT Specialists of the Rockies S.E.T. OF COLORADO SPRINGS Centura Ventures Emergency and Urgent Care Centers, LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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