| Name: | PREMIUM DIRECT CARE PROVIDERS, INC |
| Jurisdiction: | Colorado |
| Legal type: | Domestic profit corporation |
| Status: | Delinquent |
| Date of registration: | 18 Nov 2003 (21 years ago) |
| Date dissolved: | 01 Apr 2020 |
| Entity Number: | 20031368343 |
| ZIP code: | 81001 |
| County: | Pueblo County |
| Place of Formation: | COLORADO |
| Principal Address: | 1612 Bonforte Blvd PUEBLO CO 81001 US |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PREMIUM DIRECT CARE PROVIDERS 401(K) PLAN | 2010 | 200505898 | 2011-11-03 | PREMIUM DIRECT CARE PROVIDERS, INC. | 14 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 200505898 |
| Plan administrator’s name | PREMIUM DIRECT CARE PROVIDERS, INC. |
| Plan administrator’s address | 1612 BONFORTE BLVD, PUEBLO, CO, 810011603 |
| Administrator’s telephone number | 7195433600 |
Signature of
| Role | Plan administrator |
| Date | 2011-11-03 |
| Name of individual signing | WENDY BACA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-11-03 |
| Name of individual signing | WENDY BACA |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-10-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 7195433600 |
| Plan sponsor’s address | 1612 BONFORTE BLVD, PUEBLO, CO, 810011603 |
Plan administrator’s name and address
| Administrator’s EIN | 200505898 |
| Plan administrator’s name | PREMIUM DIRECT CARE PROVIDERS, INC. |
| Plan administrator’s address | 1612 BONFORTE BLVD, PUEBLO, CO, 810011603 |
| Administrator’s telephone number | 7195433600 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-23 |
| Name of individual signing | MADRID JOANN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-05-23 |
| Name of individual signing | MADRID JOANN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-10-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 7195433600 |
| Plan sponsor’s address | 1612 BONFORTE BLVD, PUEBLO, CO, 810011603 |
Plan administrator’s name and address
| Administrator’s EIN | 200505898 |
| Plan administrator’s name | PREMIUM DIRECT CARE PROVIDERS, INC. |
| Plan administrator’s address | 1612 BONFORTE BLVD, PUEBLO, CO, 810011603 |
| Administrator’s telephone number | 7195433600 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-16 |
| Name of individual signing | JOANN MADRID |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-06-16 |
| Name of individual signing | JOANN MADRID |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOANN MADRID | Agent | 1612 Bonforte Blvd PUEBLO CO 81001 US |
| Transaction ID | Type | Date | Effective date | Name | Comment |
|---|---|---|---|---|---|
| 20188000267 | File Report | 2018-12-17 | 2018-12-17 | No data | No data |
| 20171836373 | File Report | 2017-11-06 | 2017-11-06 | No data | No data |
| 20161855433 | File Report | 2016-12-21 | 2016-12-21 | No data | No data |
| 20151807882 | File Report | 2015-12-22 | 2015-12-22 | No data | No data |
| 20141639270 | File Report | 2014-10-23 | 2014-10-23 | No data | No data |
| 20141036522 | File Report | 2014-01-20 | 2014-01-20 | No data | No data |
| 20131051074 | File Report | 2013-01-24 | 2013-01-24 | No data | No data |
| 20121052239 | File Report | 2012-01-24 | 2012-01-24 | No data | No data |
| 20111141752 | File Report | 2011-03-08 | 2011-03-08 | No data | No data |
| 20091603690 | File Report | 2009-11-17 | 2009-11-17 | No data | No data |
Date of last update: 10 Mar 2025
Sources: Colorado's Secretary of State
