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Lutheran Campus ASC, LLC

Company Details

Name: Lutheran Campus ASC, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 25 May 2005 (20 years ago)
Entity Number: 20051211290
ZIP code: 80033
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 3455 Lutheran Parkway Suite 150 Wheat Ridge CO 80033 US

Central Index Key

CIK number Mailing Address Business Address Phone
1937869 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 80033 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 80033 303-301-7700

Filings since 2023-04-26

Form type D
File number 021-480015
Filing date 2023-04-26
File View File

Filings since 2022-08-25

Form type D/A
File number 021-452441
Filing date 2022-08-25
File View File

Filings since 2022-07-14

Form type D
File number 021-452441
Filing date 2022-07-14
File View File

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LUTHERAN CAMPUS ASC LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 020749532 2021-07-21 LUTHERAN CAMPUS ASC LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621111
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PKWY - STE 150, WHEAT RIDGE, CO, 80033

Signature of

Role Plan administrator
Date 2021-07-21
Name of individual signing HEIDI EVANS
Valid signature Filed with authorized/valid electronic signature
LUTHERAN CAMPUS ASC LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 020749532 2020-04-17 LUTHERAN CAMPUS ASC LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621111
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PKWY - STE 150, WHEAT RIDGE, CO, 80033

Signature of

Role Plan administrator
Date 2020-04-17
Name of individual signing SARA COLVARD
Valid signature Filed with authorized/valid electronic signature
LUTHERAN CAMPUS ASC LLC 401 K PROFIT SHARING PLAN TRUST 2018 020749532 2019-07-18 LUTHERAN CAMPUS ASC LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621111
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PKWY - STE 150, WHEAT RIDGE, CO, 80033

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing TOMMY HARVEY
Valid signature Filed with authorized/valid electronic signature
LUTHERAN ASC 401(K) PLAN 2017 020749532 2018-06-19 LUTHERAN CAMPUS ASC, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621493
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 81003

Signature of

Role Plan administrator
Date 2018-06-19
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-19
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
LUTHERAN ASC 401(K) PLAN 2016 020749532 2017-07-28 LUTHERAN CAMPUS ASC, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621493
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 81003

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
LUTHERAN ASC 401(K) PLAN 2015 020749532 2016-05-26 LUTHERAN CAMPUS ASC, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621493
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 81003

Signature of

Role Plan administrator
Date 2016-05-26
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-26
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
LUTHERAN ASC 401(K) PLAN 2014 020749532 2015-06-19 LUTHERAN CAMPUS ASC, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621493
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 81003

Signature of

Role Plan administrator
Date 2015-06-19
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-19
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
LUTHERAN ASC 401(K) PLAN 2013 020749532 2014-07-25 LUTHERAN CAMPUS ASC, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621493
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 81003

Signature of

Role Plan administrator
Date 2014-07-25
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-25
Name of individual signing DIANE LAMPRON
Valid signature Filed with authorized/valid electronic signature
LUTHERAN ASC 401(K) PLAN 2012 020749532 2013-06-19 LUTHERAN CAMPUS ASC, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621493
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 81003

Signature of

Role Plan administrator
Date 2013-06-19
Name of individual signing MOZIA NELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-19
Name of individual signing MOZIA NELSON
Valid signature Filed with authorized/valid electronic signature
LUTHERAN ASC 401(K) PLAN 2011 020749532 2012-06-26 LUTHERAN CAMPUS ASC, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621493
Sponsor’s telephone number 3033017700
Plan sponsor’s address 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 81003

Plan administrator’s name and address

Administrator’s EIN 020749532
Plan administrator’s name LUTHERAN CAMPUS ASC, LLC
Plan administrator’s address 3455 LUTHERAN PARKWAY, SUITE 150, WHEAT RIDGE, CO, 81003
Administrator’s telephone number 3033017700

Signature of

Role Plan administrator
Date 2012-06-26
Name of individual signing MOZIA NELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-26
Name of individual signing MOZIA NELSON
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20241451472 File Report 2024-04-23 2024-04-23 No data No data
20231524372 File Report 2023-05-16 2023-05-16 No data Change in registered agent information
20221565709 File Report 2022-06-04 2022-06-04 No data No data
20211627483 File Report 2021-07-07 2021-07-07 No data Removed entity mailing address;
20201830422 File Report 2020-09-24 2020-09-24 No data Change of Registered Agent / Change of Registered Agent Address
20201685065 Statement of Change Changing the Registered Agent Information 2020-08-06 2020-08-06 No data Registered agent information changed;
20191639939 File Report 2019-08-08 2019-08-08 No data No data
20181612509 File Report 2018-08-01 2018-08-01 No data No data
20171797657 Statement of Change Changing the Registered Agent Information 2017-10-24 2017-11-01 No data Registered agent address changed; Document lists all affected entities.
20171331951 File Report 2017-04-27 2017-04-27 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State