| Name: | Jefferson Medical Clinic, LLC |
| Jurisdiction: | Colorado |
| Legal type: | Domestic limited liability company |
| Status: | Good Standing |
| Date of registration: | 02 Feb 2012 (13 years ago) |
| Entity Number: | 20121076007 |
| ZIP code: | 80401 |
| County: | Jefferson County |
| Place of Formation: | COLORADO |
| Principal Address: | 1080 Johnson Road, Suite 100 Golden CO 80401 US |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N5HBNSJRHH35 | 2025-03-05 | 1030 JOHNSON RD STE 340, GOLDEN, CO, 80401, 6049, USA | 1147 PRESERVE CIRCLE, GOLDEN, CO, 80401, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | JEFFERSON MEDICAL CLINIC LLC |
| Congressional District | 07 |
| State/Country of Incorporation | CO, USA |
| Activation Date | 2024-03-07 |
| Initial Registration Date | 2012-02-23 |
| Entity Start Date | 2011-12-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 531120 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SHANE FOWLER |
| Address | 1030 JOHNSON RD #340, GOLDEN, CO, 80401, USA |
| Title | ALTERNATE POC |
| Name | MARK BRADLEY |
| Address | 1030 JOHNSON ROAD #180, GOLDEN, CO, 80401, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SHANE FOWLER |
| Address | 1030 JOHNSON RD #340, GOLDEN, CO, 80401, USA |
| Title | ALTERNATE POC |
| Name | MARK BRADLEY |
| Address | 1030 JOHNSON ROAD #180, GOLDEN, CO, 80401, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6NQP4 | Active | Non-Manufacturer | 2012-02-27 | 2024-03-07 | 2029-03-07 | 2025-03-05 | |||||||||||||||
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| POC | SHANE FOWLER |
| Phone | +1 303-588-2088 |
| Fax | +1 888-244-9985 |
| Address | 1030 JOHNSON RD STE 340, GOLDEN, CO, 80401 6049, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| Eugene Giebler | Agent | 1080 Johnson Rd. Suite 100 Golden CO 80401 US |
| Transaction ID | Type | Date | Effective date | Name | Comment |
|---|---|---|---|---|---|
| 20241481697 | File Report | 2024-04-28 | 2024-04-28 | No data | No data |
| 20231471670 | File Report | 2023-04-30 | 2023-04-30 | No data | Principal address changed, Change in registered agent information |
| 20218223520 | File Report | 2021-12-28 | 2021-12-28 | No data | Removed entity mailing address;Change of Registered Agent |
| 20218085630 | Statement of Change Changing the Registered Agent Information | 2021-11-18 | 2021-11-18 | No data | Registered agent information changed;Removed agent mailing address; |
| 20211140177 | File Report | 2021-02-10 | 2021-02-10 | No data | No data |
| 20201173641 | File Report | 2020-02-24 | 2020-02-24 | No data | No data |
| 20191333488 | File Report | 2019-04-22 | 2019-04-22 | No data | No data |
| 20181284840 | File Report | 2018-04-03 | 2018-04-03 | No data | No data |
| 20171325583 | File Report | 2017-04-26 | 2017-04-26 | No data | No data |
| 20161298562 | File Report | 2016-04-27 | 2016-04-27 | No data | No data |
Date of last update: 13 Jan 2025
Sources: Colorado's Secretary of State
