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  5. Foothills Surgery Center, LLC

Foothills Surgery Center, LLC

Company Details

Name: Foothills Surgery Center, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 14 May 2012 (13 years ago)
Entity Number: 20121268395
ZIP code: 80303
County: Boulder County
Place of Formation: COLORADO
Principal Address: 4743 Arapahoe Avenue Suite 101 Boulder CO 80303 US
Mailing Address: PO Box 9019 Boulder CO 803019019 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOOTHILLS SURGERY RETIREMENT SAVINGS PLAN 2023 455328252 2024-07-31 FOOTHILLS SURGERY CENTER, LLC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 111100
Sponsor’s telephone number 7204415740
Plan sponsor’s address 4743 ARAPAHOE AVE STE 101, BOULDER, CO, 803031123

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing ANGELICA DELFIN
Valid signature Filed with authorized/valid electronic signature
FOOTHILLS SURGERY RETIREMENT SAVINGS PLAN 2022 455328252 2023-06-16 FOOTHILLS SURGERY CENTER, LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 111100
Sponsor’s telephone number 7204415755
Plan sponsor’s address 4743 ARAPAHOE AVE STE 101, BOULDER, CO, 803031123

Signature of
Role Plan administrator
Date 2023-06-16
Name of individual signing ERIN BAKER
Valid signature Filed with authorized/valid electronic signature
FOOTHILLS SURGERY RETIREMENT SAVINGS PLAN 2021 455328252 2022-07-13 FOOTHILLS SURGERY CENTER, LLC 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 111100
Sponsor’s telephone number 7204415755
Plan sponsor’s address 4743 ARAPAHOE AVE STE 101, BOULDER, CO, 803031123

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing ERIN BAKER
Valid signature Filed with authorized/valid electronic signature
FOOTHILLS SURGERY RETIREMENT 2020 455328252 2021-06-29 FOOTHILLS SURGERY CENTER, LLC 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 111100
Sponsor’s telephone number 7204415755
Plan sponsor’s address 4743 ARAPAHOE AVE STE 101, BOULDER, CO, 803031123

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing ERIN BAKER
Valid signature Filed with authorized/valid electronic signature
FOOTHILLS SURGERY RETIREMENT SAVINGS PLAN 2019 455328252 2020-07-10 FOOTHILLS SURGERY CENTER, LLC 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 111100
Sponsor’s telephone number 7204415755
Plan sponsor’s address 4743 ARAPAHOE AVE STE 101, BOULDER, CO, 803031123

Signature of
Role Plan administrator
Date 2020-07-10
Name of individual signing ERIN BAKER
Valid signature Filed with authorized/valid electronic signature
FOOTHILLS SURGERY RETIREMENT SAVINGS PLAN 2018 455328252 2019-07-11 FOOTHILLS SURGERY CENTER, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 111100
Sponsor’s telephone number 7204415757
Plan sponsor’s address 4743 ARAPAHOE AVENUE SUITE 101, BOULDER, CO, 80303

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing ERIN BAKER
Valid signature Filed with authorized/valid electronic signature
FOOTHILLS SURGERY RETIREMENT SAVINGS PLAN 2017 455328252 2018-10-10 FOOTHILLS SURGERY CENTER, LLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 621493
Sponsor’s telephone number 7204415746
Plan sponsor’s address 4743 ARAPAHOE AVE., SUITE 101, BOULDER, CO, 80303

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing LORI TAMBURO
Valid signature Filed with authorized/valid electronic signature
FOOTHILLS SURGERY RETIREMENT SAVINGS PLAN 2016 455328252 2017-10-12 FOOTHILLS SURGERY CENTER, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 621493
Sponsor’s telephone number 7204415746
Plan sponsor’s address 4743 ARAPAHOE AVE., SUITE 101, BOULDER, CO, 80303

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing LORI TAMBURO
Valid signature Filed with authorized/valid electronic signature
FOOTHILLS SURGERY RETIREMENT SAVINGS PLAN 2015 455328252 2016-09-27 FOOTHILLS SURGERY CENTER, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 621493
Sponsor’s telephone number 7204415746
Plan sponsor’s address 4743 ARAPAHOE AVE., SUITE 101, BOULDER, CO, 80303

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing NANCY AKERS
Valid signature Filed with authorized/valid electronic signature
FOOTHILLS SURGERY RETIREMENT SAVINGS PLAN 2014 455328252 2015-10-14 FOOTHILLS SURGERY CENTER, LLC 30
Three-digit plan number (PN) 001
Effective date of plan 2013-11-01
Business code 621493
Sponsor’s telephone number 7204415746
Plan sponsor’s address 4743 ARAPAHOE AVE., SUITE 101, BOULDER, CO, 80303

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing NANCY AKERS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Sarah Meshak Agent 4990 Pearl East Circle Suite 200 Boulder CO 80301 US

Licenses

Number Status Type Date Last renew date End date Address
636 Active OO 2019-11-14 2022-11-01 2024-10-31 Boulder CO 80303

Transaction History

Transaction ID Type Date Effective date Name Comment
20241510506 File Report 2024-05-06 2024-05-06 No data No data
20231719169 File Report 2023-07-10 2023-07-10 No data Principal address changed
20228087255 Statement of Change Changing the Registered Agent Information 2022-11-03 2022-11-03 No data Registered agent information changed;
20221694668 File Report 2022-07-20 2022-07-20 No data Change of Registered Agent / Change of Registered Agent Address
20211382612 File Report 2021-04-23 2021-04-23 No data No data
20208062400 Statement of Change Changing the Registered Agent Information 2020-12-08 2020-12-08 No data Registered agent information changed;
20201370398 File Report 2020-04-24 2020-04-24 No data No data
20191704190 Statement of Change Changing the Registered Agent Information 2019-08-30 2019-08-30 No data Registered agent information changed;
20191660834 Statement of Change Regarding Resignation or Other Termination of Registered Agent 2019-08-20 2019-08-20 No data Registered agent resigned;
20191340958 File Report 2019-04-23 2019-04-23 No data No data

Related by officers

Sarah Meshak

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Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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