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PVMC Physician Services, Inc.

Company Details

Name: PVMC Physician Services, Inc.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Merged
Date of registration: 11 Dec 2008 (16 years ago)
Entity Number: 20081644530
ZIP code: 80601
County: Adams County
Place of Formation: COLORADO
Principal Address: 1600 Prairie Center Parkway Brighton CO 80601 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PVMC PHYSICIAN SERVICES INC 401(K) PLAN 2017 943458548 2018-07-06 PVMC PHYSICIAN SERVICES INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3034983581
Plan sponsor’s address 1600 PRAIRIE CENTER PARKWAY, BRIGHTON, CO, 80601

Signature of

Role Plan administrator
Date 2018-07-06
Name of individual signing KAREN SOUTHARD
Valid signature Filed with authorized/valid electronic signature
PVMC PHYSICIAN SERVICES INC 401(K) PLAN 2016 943458548 2017-06-30 PVMC PHYSICIAN SERVICES INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3034983581
Plan sponsor’s address 1600 PRAIRIE CENTER PARKWAY, BRIGHTON, CO, 80601

Signature of

Role Plan administrator
Date 2017-06-30
Name of individual signing JACKIE DUNKIN
Valid signature Filed with authorized/valid electronic signature
PVMC PHYSICIAN SERVICES INC 401(K) PLAN 2015 943458548 2016-10-06 PVMC PHYSICIAN SERVICES INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3034981600
Plan sponsor’s address 1600 PRAIRIE CENTER PARKWAY, BRIGHTON, CO, 80601

Signature of

Role Plan administrator
Date 2016-10-06
Name of individual signing JACKIE DUNKIN
Valid signature Filed with authorized/valid electronic signature
PVMC PHYSICIAN SERVICES INC 401(K) PLAN 2014 943458548 2015-09-24 PVMC PHYSICIAN SERVICES INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3034981600
Plan sponsor’s address 1600 PRAIRIE CENTER PARKWAY, BRIGHTON, CO, 80601

Signature of

Role Plan administrator
Date 2015-09-24
Name of individual signing JACKIE DUNKIN
Valid signature Filed with authorized/valid electronic signature
PVMC PHYSICIAN SERVICES INC 401(K) PLAN 2013 943458548 2014-07-31 PVMC PHYSICIAN SERVICES INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3034981600
Plan sponsor’s address 1600 PRAIRIE CENTER PARKWAY, BRIGHTON, CO, 80601

Signature of

Role Plan administrator
Date 2014-07-31
Name of individual signing JACKIE DUNKIN
Valid signature Filed with authorized/valid electronic signature
PVMC PHYSICIAN SERVICES INC 401(K) PLAN 2012 943458548 2013-07-29 PVMC PHYSICIAN SERVICES INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 3034981600
Plan sponsor’s address 1600 PRAIRIE CENTER PARKWAY, BRIGHTON, CO, 80601

Signature of

Role Plan administrator
Date 2013-07-29
Name of individual signing JACKIE DUNKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-29
Name of individual signing PVMC PHYSICIAN SERVICES INC
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20171931474 Statement of Merger 2017-12-18 2017-12-31 No data Merged to Platte Valley Medical Group, LLC
20171868764 File Report 2017-11-24 2017-11-24 No data No data
20161785677 File Report 2016-11-23 2016-11-23 No data No data
20161370924 Statement of Change Changing the Registered Agent Information 2016-05-26 2016-05-26 No data Registered agent information changed;
20161152313 File Report 2016-02-29 2016-02-29 No data No data
20151075153 File Report 2015-01-30 2015-01-30 No data No data
20141028120 File Report 2014-01-14 2014-01-14 No data Change of Registered Agent Address
20131075850 File Report 2013-01-31 2013-01-31 No data No data
20121072747 File Report 2012-01-31 2012-01-31 No data No data
20101707136 File Report 2010-12-31 2010-12-31 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State