Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Jefferson County
    4. ›
  4. 80033
    5. ›
  5. CLEAR CREEK SURGERY CENTER, LLC

CLEAR CREEK SURGERY CENTER, LLC

Company Details

Name: CLEAR CREEK SURGERY CENTER, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 30 Jul 2003 (21 years ago)
Entity Number: 20031243731
ZIP code: 80033
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 7809 W. 38th Ave. Wheat Ridge CO 80033 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Z84GQYHU8Q95 2024-12-03 7809 W 38TH AVE STE 100, WHEAT RIDGE, CO, 80033, 6184, USA P.O. BOX 744189, ATLANTA, GA, 30374, 4189, USA

Business Information
Congressional District 07
State/Country of Incorporation CO, USA
Activation Date 2023-12-06
Initial Registration Date 2023-12-04
Entity Start Date 2003-07-30
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LYNDSEY LOBER
Address P.O. BOX 744189, ATLANTA, GA, 30374, 4189, USA
Title ALTERNATE POC
Name LAUREN LOVETT
Address P.O. BOX 744189, ATLANTA, GA, 30374, USA
Government Business
Title PRIMARY POC
Name LYNDSEY LOBER
Address P.O. BOX 744189, ATLANTA, GA, 30374, 4189, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLEAR CREEK SURGERY CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 200871085 2012-12-14 CLEAR CREEK SURGERY CENTER, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3034225555
Plan sponsor’s address 7809 W 38TH AVENUE, WHEAT RIDGE, CO, 80033

Plan administrator’s name and address
Administrator’s EIN 200871085
Plan administrator’s name CLEAR CREEK SURGERY CENTER, LLC
Plan administrator’s address 7809 W 38TH AVENUE, WHEAT RIDGE, CO, 80033
Administrator’s telephone number 3034225555

Signature of
Role Plan administrator
Date 2012-12-14
Name of individual signing DAVE ROY
Valid signature Filed with authorized/valid electronic signature
CLEAR CREEK SURGERY CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2011 200871085 2012-07-25 CLEAR CREEK SURGERY CENTER, LLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3034225555
Plan sponsor’s address 7809 W. 39TH AVENUE, WHEAT RIDGE, CO, 80033

Plan administrator’s name and address
Administrator’s EIN 200871085
Plan administrator’s name CLEAR CREEK SURGERY CENTER, LLC
Plan administrator’s address 7809 W. 39TH AVENUE, WHEAT RIDGE, CO, 80033
Administrator’s telephone number 3034225555

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing DAVE ROY
Valid signature Filed with authorized/valid electronic signature
CLEAR CREEK SURGERY CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2010 200871085 2011-07-26 CLEAR CREEK SURGERY CENTER, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3034225555
Plan sponsor’s address 7809 W. 39TH AVENUE, WHEAT RIDGE, CO, 80033

Plan administrator’s name and address
Administrator’s EIN 200871085
Plan administrator’s name CLEAR CREEK SURGERY CENTER, LLC
Plan administrator’s address 7809 W. 39TH AVENUE, WHEAT RIDGE, CO, 80033
Administrator’s telephone number 3034225555

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing DAVID ROY
Valid signature Filed with authorized/valid electronic signature
CLEAR CREEK SURGERY CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2009 200871085 2010-08-17 CLEAR CREEK SURGERY CENTER, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3034225555
Plan sponsor’s address 7809 W. 39TH AVENUE, WHEAT RIDGE, CO, 80033

Plan administrator’s name and address
Administrator’s EIN 200871085
Plan administrator’s name CLEAR CREEK SURGERY CENTER, LLC
Plan administrator’s address 7809 W. 39TH AVENUE, WHEAT RIDGE, CO, 80033
Administrator’s telephone number 3034225555

Signature of
Role Plan administrator
Date 2010-08-17
Name of individual signing PHILLIP ENGEN
Valid signature Filed with authorized/valid electronic signature
CLEAR CREEK SURGERY CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2009 200871085 2010-08-17 CLEAR CREEK SURGERY CENTER, LLC 48
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3034225555
Plan sponsor’s address 7809 W. 39TH AVENUE, WHEAT RIDGE, CO, 80033

Plan administrator’s name and address
Administrator’s EIN 200871085
Plan administrator’s name CLEAR CREEK SURGERY CENTER, LLC
Plan administrator’s address 7809 W. 39TH AVENUE, WHEAT RIDGE, CO, 80033
Administrator’s telephone number 3034225555

Signature of
Role Plan administrator
Date 2010-08-17
Name of individual signing PHILLIP ENGEN
Valid signature Filed with incorrect/unrecognized electronic signature

Licenses

Number Status Type Date Last renew date End date Address
677 Active OO 2022-03-11 2022-11-01 2024-10-31 Wheat Ridge CO 80033

Transaction History

Transaction ID Type Date Effective date Name Comment
20241673418 File Report 2024-06-24 2024-06-24 No data No data
20238045234 File Report 2023-09-29 2023-09-29 No data No data
20221614242 File Report 2022-06-23 2022-06-23 No data No data
20211891162 File Report 2021-09-27 2021-09-27 No data No data
20201589384 File Report 2020-07-06 2020-07-06 No data No data
20191775261 File Report 2019-09-26 2019-09-26 No data Removed agent mailing address;
20181752995 File Report 2018-09-24 2018-09-24 No data Change of Registered Agent
20171668028 File Report 2017-08-31 2017-08-31 No data No data
20161505557 File Report 2016-07-26 2016-07-26 No data No data
20151414818 File Report 2015-06-24 2015-06-24 No data No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 colprof.com, Part of Big Data Integrated