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  5. ARKANSAS VALLEY SURGERY CENTER, INC.

ARKANSAS VALLEY SURGERY CENTER, INC.

Company Details

Name: ARKANSAS VALLEY SURGERY CENTER, INC.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 08 Apr 2005 (20 years ago)
Entity Number: 20051147489
ZIP code: 81212
County: Fremont County
Place of Formation: COLORADO
Principal Address: 933 Sell Ave Unit B Canon City CO 81212 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARKANSAS VALLEY SURGERY CENTER 401(K) PLAN 2010 202643277 2011-10-16 ARKANSAS VALLEY SURGERY CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 7192756433
Plan sponsor’s address 933 SELL, CANON CITY, CO, 81212

Plan administrator’s name and address
Administrator’s EIN 202643277
Plan administrator’s name ARKANSAS VALLEY SURGERY CENTER
Plan administrator’s address 933 SELL, CANON CITY, CO, 81212
Administrator’s telephone number 7192756433
ARKANSAS VALLEY SURGERY CENTER 2010 202643277 2011-10-17 ARKANSAS VALLEY SURGERY CENTER 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621493
Sponsor’s telephone number 7192756433
Plan sponsor’s DBA name ARKANSAS VALLEY SURGERY CENTER
Plan sponsor’s mailing address '933SELL, CANONCITY, CO, 81212
Plan sponsor’s address '933SELL, CANONCITY, CO, 81212

Plan administrator’s name and address
Administrator’s EIN 202643277
Plan administrator’s name ROMONA BUCHANAN
Plan administrator’s address '933SELL, CANONCITY, CO, 81212
Administrator’s telephone number 7192756433

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
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 2011-10-17
Name of individual signing ROMONA BUCHANAN
Valid signature Filed with authorized/valid electronic signature
ARKANSAS VALLEY SURGERY CENTER 401(K) PLAN 2009 202643277 2010-07-28 ARKANSAS VALLEY SURGERY CENTER 6
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 7192756433
Plan sponsor’s address 933 SELL, CANON CITY, CO, 81212

Plan administrator’s name and address
Administrator’s EIN 202643277
Plan administrator’s name ARKANSAS VALLEY SURGERY CENTER
Plan administrator’s address 933 SELL, CANON CITY, CO, 81212
Administrator’s telephone number 7192756433

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing ROMONA BUCHANAN
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing ROMONA BUCHANAB
Valid signature Filed with incorrect/unrecognized electronic signature
ARKANSAS VALLEY SURGERY CENTER 401(K) PLAN 2009 202643277 2010-09-29 ARKANSAS VALLEY SURGERY CENTER 6
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 7192756433
Plan sponsor’s address 933 SELL, CANON CITY, CO, 81212

Plan administrator’s name and address
Administrator’s EIN 202643277
Plan administrator’s name ARKANSAS VALLEY SURGERY CENTER
Plan administrator’s address 933 SELL, CANON CITY, CO, 81212
Administrator’s telephone number 7192756433

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing ROMONA BUCHANAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-29
Name of individual signing ERIC CARLSON
Valid signature Filed with authorized/valid electronic signature
ARKANSAS VALLEY SURGERY CENTER 401(K) PLAN 2009 202643277 2011-09-08 ARKANSAS VALLEY SURGERY CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 7192756433
Plan sponsor’s address 933 SELL, CANON CITY, CO, 81212

Plan administrator’s name and address
Administrator’s EIN 202643277
Plan administrator’s name ARKANSAS VALLEY SURGERY CENTER
Plan administrator’s address 933 SELL, CANON CITY, CO, 81212
Administrator’s telephone number 7192756433

Signature of
Role Plan administrator
Date 2011-09-08
Name of individual signing ROMONA BUCHANAN
Valid signature Filed with authorized/valid electronic signature
ARKANSAS VALLEY SURGERY CENTER 401(K) PLAN 2009 202643277 2010-10-29 ARKANSAS VALLEY SURGERY CENTER 6
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 7192756433
Plan sponsor’s address 933 SELL, CANON CITY, CO, 81212

Plan administrator’s name and address
Administrator’s EIN 202643277
Plan administrator’s name ARKANSAS VALLEY SURGERY CENTER
Plan administrator’s address 933 SELL, CANON CITY, CO, 81212
Administrator’s telephone number 7192756433

Signature of
Role Plan administrator
Date 2010-10-29
Name of individual signing ROMONA BUCHANAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-29
Name of individual signing ROMONA BUCHANAN
Valid signature Filed with authorized/valid electronic signature
ARKANSAS VALLEY SURGERY CENTER 401(K) PLAN 2009 202643277 2010-09-29 ARKANSAS VALLEY SURGERY CENTER 6
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621493
Sponsor’s telephone number 7192756433
Plan sponsor’s address 933 SELL, CANON CITY, CO, 81212

Plan administrator’s name and address
Administrator’s EIN 202643277
Plan administrator’s name ARKANSAS VALLEY SURGERY CENTER
Plan administrator’s address 933 SELL, CANON CITY, CO, 81212
Administrator’s telephone number 7192756433

Signature of
Role Employer/plan sponsor
Date 2010-09-29
Name of individual signing ERIC CARLSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Ryan Allen Agent 933 Sell Ave Unit B Canon City CO 81212 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241552795 File Report 2024-05-23 2024-05-23 No data No data
20231921790 File Report 2023-09-01 2023-09-01 No data Principal address changed, Change in registered agent information
20221534070 File Report 2022-05-25 2022-05-25 No data No data
20211492363 File Report 2021-05-24 2021-05-24 No data No data
20201460820 File Report 2020-05-26 2020-05-26 No data No data
20191426767 File Report 2019-05-23 2019-05-23 No data No data
20181540824 File Report 2018-07-09 2018-07-09 No data No data
20171401914 File Report 2017-05-25 2017-05-25 No data Change of Registered Agent
20161571303 File Report 2016-08-24 2016-08-24 No data Change of Registered Agent / Change of Registered Agent Address / Change of Entity Address
20151556211 File Report 2015-08-26 2015-08-26 No data No data

Related by officers

Ryan Allen

THE NORTHERN COLORADO CONCERT BAND RPA, INC. Rocky Mountain PLC CFS1 Shuttle, LLC SUCCESSIONapp, LLC

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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