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Securisyn Medical, LLC

Company Details

Name: Securisyn Medical, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 03 Jan 2011 (14 years ago)
Entity Number: 20111002796
Place of Formation: COLORADO
Principal Address: 9609 S University Blvd Unit 631010 Highlands Ranch CO 80163 US
Mailing Address: PO Box 631010 Littleton CO 80163 US

Central Index Key

CIK number Mailing Address Business Address Phone
1511538 9609 S. UNIVERSITY BLVD, #631010, LITTLETON, CO, 80163 9609 S UNIVERSITY BLVD, #631010, LITTLETON, CO, 80163 303-594-6895

Filings since 2024-03-25

Form type C-TR
File number 020-31218
Filing date 2024-03-25
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Filings since 2023-06-09

Form type C-AR
File number 020-31218
Filing date 2023-06-09
Reporting date 2022-12-31
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Filings since 2023-01-05

Form type C-U
File number 020-31218
Filing date 2023-01-05
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Filings since 2022-11-01

Form type C/A
File number 020-31218
Filing date 2022-11-01
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Filings since 2022-10-31

Form type C
File number 020-31218
Filing date 2022-10-31
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Filings since 2022-03-30

Form type D
File number 021-439524
Filing date 2022-03-30
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Filings since 2021-03-11

Form type D
File number 021-391811
Filing date 2021-03-11
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Filings since 2020-09-15

Form type D
File number 021-375539
Filing date 2020-09-15
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Filings since 2019-03-18

Form type D/A
File number 021-155445
Filing date 2019-03-18
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Filings since 2018-02-27

Form type D/A
File number 021-155445
Filing date 2018-02-27
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Filings since 2017-05-11

Form type D/A
File number 021-155445
Filing date 2017-05-11
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Filings since 2016-09-12

Form type D/A
File number 021-155445
Filing date 2016-09-12
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Filings since 2014-09-16

Form type D/A
File number 021-155445
Filing date 2014-09-16
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Filings since 2012-10-11

Form type D
File number 021-185324
Filing date 2012-10-11
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Filings since 2011-02-16

Form type D
File number 021-155445
Filing date 2011-02-16
File View File

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SECURISYN MEDICAL 401(K) PLAN 2023 274429433 2024-10-15 SECURISYN MEDICAL, LLC 10
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Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 339110
Sponsor’s telephone number 7205562547
Plan sponsor’s address P O BOX 631010, LITTLETON, CO, 80163

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing ELYSE BLAZEVICH
Valid signature Filed with authorized/valid electronic signature
SECURISYN MEDICAL 401(K) PLAN 2022 274429433 2024-10-15 SECURISYN MEDICAL, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 339110
Sponsor’s telephone number 3039524530
Plan sponsor’s address P O BOX 631010, LITTLETON, CO, 801631010

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing ELYSE BLAZEVICH
Valid signature Filed with authorized/valid electronic signature
SECURISYN MEDICAL 401(K) PLAN 2022 274429433 2023-10-14 SECURISYN MEDICAL, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 339110
Sponsor’s telephone number 3039524530
Plan sponsor’s address P O BOX 631010, LITTLETON, CO, 801631010

Signature of

Role Plan administrator
Date 2023-10-14
Name of individual signing ELYSE BLAZEVICH
Valid signature Filed with authorized/valid electronic signature
SECURISYN MEDICAL 401(K) PLAN 2021 274429433 2022-10-14 SECURISYN MEDICAL, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 339110
Sponsor’s telephone number 3039524530
Plan sponsor’s address 9150 COMMERCE CENTER CIRCLE, SUITE 135, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing ELYSE BLAZEVICH
Valid signature Filed with authorized/valid electronic signature
SECURISYN MEDICAL 401(K) PLAN 2020 274429433 2021-10-11 SECURISYN MEDICAL, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 339110
Sponsor’s telephone number 3039524530
Plan sponsor’s address 9150 COMMERCE CENTER CIRCLE, SUITE 135, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2021-10-11
Name of individual signing ELYSE BLAZEVICH
Valid signature Filed with authorized/valid electronic signature
SECURISYN MEDICAL 401(K) PLAN 2019 274429433 2020-08-18 SECURISYN MEDICAL, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 339110
Sponsor’s telephone number 3039524530
Plan sponsor’s address 9150 COMMERCE CENTER CIRCLE, SUITE 135, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2020-08-18
Name of individual signing ELYSE BLAZEVICH
Valid signature Filed with authorized/valid electronic signature
SECURISYN MEDICAL 401(K) PLAN 2018 274429433 2019-07-29 SECURISYN MEDICAL, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 339110
Sponsor’s telephone number 3039524530
Plan sponsor’s address 9150 COMMERCE CENTER CIRCLE, SUITE 135, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing ELYSE BLAZEVICH
Valid signature Filed with authorized/valid electronic signature
SECURISYN MEDICAL 401(K) PLAN 2017 274429433 2018-10-01 SECURISYN MEDICAL, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 339110
Sponsor’s telephone number 3039524530
Plan sponsor’s address 9150 COMMERCE CENTER CIRCLE, SUITE 135, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2018-10-01
Name of individual signing ELYSE BLAZEVICH
Valid signature Filed with authorized/valid electronic signature
SECURISYN MEDICAL, LLC 401(K) RETIREMENT SAVINGS PLAN 2013 274429433 2014-03-10 SECURISYN MEDICAL, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541700
Sponsor’s telephone number 3039524530
Plan sponsor’s address 9150 COMMERCE CENTER CIRCLE, SUITE 135, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2014-03-10
Name of individual signing ELYSE FELDMAN
Valid signature Filed with authorized/valid electronic signature
SECURISYN MEDICAL, LLC 401(K) RETIREMENT SAVINGS PLAN 2012 274429433 2013-10-02 SECURISYN MEDICAL, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541700
Sponsor’s telephone number 3039524530
Plan sponsor’s address 9150 COMMERCE CENTER CIRCLE, SUITE 135, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2013-10-02
Name of individual signing ELYSE FELDMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Elyse Blazevich Agent 9609 S University Blvd Unit 631010 Highlands Ranch CO 80163 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20251039761 File Report 2025-01-10 2025-01-10 No data No data
20238361055 File Report 2023-12-29 2023-12-29 No data No data
20228263794 File Report 2022-12-27 2022-12-27 No data Principal address changed, Change in registered agent information
20221207033 File Report 2022-02-24 2022-02-24 No data Change of Registered Agent Address
20211322394 Statement of Change Changing the Principal Office Address 2021-03-31 2021-03-31 No data Principal address changed;
20211113146 File Report 2021-02-01 2021-02-01 No data Change of Registered Agent Address
20201113101 File Report 2020-02-03 2020-02-03 No data Change of Registered Agent / Change of Registered Agent Address / Change of Entity Address
20191150212 File Report 2019-02-22 2019-02-22 No data No data
20181202834 File Report 2018-03-08 2018-03-08 No data No data
20171036215 File Report 2017-01-16 2017-01-16 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State