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  5. BLACK CANYON SURGICAL CENTER, LLC

BLACK CANYON SURGICAL CENTER, LLC

Company Details

Name: BLACK CANYON SURGICAL CENTER, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 24 May 2004 (21 years ago)
Entity Number: 20041188902
ZIP code: 81401
County: Montrose County
Place of Formation: COLORADO
Principal Address: 611 East Star Ct Ste C Montrose CO 81401 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
ZSLBRHAMUES3 2023-03-10 611 E STAR COURT SUITE C, MONTROSE, CO, 81401, 6704, USA 611 E STAR COURT SUITE C, MONTROSE, CO, 81401, 6704, USA

Business Information
Congressional District 03
State/Country of Incorporation CO, USA
Activation Date 2022-02-10
Initial Registration Date 2021-01-06
Entity Start Date 2004-05-24
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621493

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DAN SODERLIND
Address 611 E STAR CT SUITE C, MONTROSE, CO, 81401, USA
Government Business
Title PRIMARY POC
Name DAN SODERLIND
Address 611 E STAR CT SUITE C, MONTROSE, CO, 81401, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLACK CANYON SURGICAL CENTER, LLC 401(K) PLAN 2023 510514274 2024-07-31 BLACK CANYON SURGICAL CENTER, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 541990
Sponsor’s telephone number 9702496842
Plan sponsor’s address 611 EAST STAR COURT STE C, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing DAN SODERLIND
Valid signature Filed with authorized/valid electronic signature
BLACK CANYON SURGICAL CENTER, LLC 401(K) PLAN 2022 510514274 2023-09-28 BLACK CANYON SURGICAL CENTER, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 541990
Sponsor’s telephone number 9702496842
Plan sponsor’s address 611 EAST STAR COURT STE C, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing DAN SODERLIND
Valid signature Filed with authorized/valid electronic signature
BLACK CANYON SURGICAL CENTER, LLC 401(K) PLAN 2021 510514274 2022-09-07 BLACK CANYON SURGICAL CENTER, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 541990
Sponsor’s telephone number 9702496842
Plan sponsor’s address 611 EAST STAR COURT STE C, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2022-09-07
Name of individual signing DAN SODERLIND
Valid signature Filed with authorized/valid electronic signature
BLACK CANYON SURGICAL CENTER, LLC 401 PLAN 2020 510514274 2021-06-16 BLACK CANYON SURGICAL CENTER, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621493
Sponsor’s telephone number 9702496971
Plan sponsor’s address 611 E STAR COURT, SUITE C, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing DAN SODERLIND
Valid signature Filed with authorized/valid electronic signature
BLACK CANYON SURGICAL CENTER, LLC 401 PLAN 2019 510514274 2020-06-02 BLACK CANYON SURGICAL CENTER, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621493
Sponsor’s telephone number 9702496971
Plan sponsor’s address 611 E STAR COURT, SUITE C, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2020-06-02
Name of individual signing DAN SODERLIND
Valid signature Filed with authorized/valid electronic signature
BLACK CANYON SURGICAL CENTER, LLC 401 PLAN 2018 510514274 2019-06-27 BLACK CANYON SURGICAL CENTER, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621493
Sponsor’s telephone number 9702496971
Plan sponsor’s address 611 E STAR COURT, SUITE C, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2019-06-27
Name of individual signing DAN SODERLIND
Valid signature Filed with authorized/valid electronic signature
BLACK CANYON SURGICAL CENTER, LLC 401 PLAN 2017 510514274 2018-06-21 BLACK CANYON SURGICAL CENTER, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621493
Sponsor’s telephone number 9702496971
Plan sponsor’s address 611 E STAR COURT, SUITE C, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing DAN SODERLIND
Valid signature Filed with authorized/valid electronic signature
BLACK CANYON SURGICAL CENTER, LLC 401 PLAN 2016 510514274 2017-08-01 BLACK CANYON SURGICAL CENTER, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621493
Sponsor’s telephone number 9702496971
Plan sponsor’s address 611 E STAR COURT, SUITE C, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing DAN SODERLIND
Valid signature Filed with authorized/valid electronic signature
BLACK CANYON SURGICAL CENTER, LLC 401 PLAN 2015 510514274 2016-07-27 BLACK CANYON SURGICAL CENTER, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621493
Sponsor’s telephone number 9702496971
Plan sponsor’s address 611 E STAR COURT, SUITE C, MONTROSE, CO, 81401
BLACK CANYON SURGICAL CENTER, LLC 401 PLAN 2014 510514274 2015-06-19 BLACK CANYON SURGICAL CENTER, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 812990
Sponsor’s telephone number 9702496971
Plan sponsor’s address 611 E STAR COURT, SUITE C, MONTROSE, CO, 81401

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing NICHOLAS NEUBAUM
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20241425509 File Report 2024-04-17 2024-04-17 No data Principal address changed
20231404768 File Report 2023-04-13 2023-04-13 No data Principal address changed, Change in registered agent information
20221363375 File Report 2022-04-07 2022-04-07 No data No data
20211352459 File Report 2021-04-12 2021-04-12 No data No data
20201344620 File Report 2020-04-20 2020-04-20 No data No data
20191353705 File Report 2019-04-24 2019-04-24 No data No data
20191268236 Statement of Change Changing the Registered Agent Information 2019-03-26 2019-03-26 No data Registered agent information changed;
20181303875 File Report 2018-04-12 2018-04-12 No data No data
20171336219 File Report 2017-04-29 2017-04-29 No data No data
20161295620 File Report 2016-04-26 2016-04-26 No data Change of Registered Agent Address

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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