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Evergreen Mountain Medical, LLC

Company Details

Name: Evergreen Mountain Medical, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 02 Feb 2013 (12 years ago)
Entity Number: 20131079908
ZIP code: 80246
County: Denver County
Place of Formation: COLORADO
Principal Address: 501 S Cherry St Ste 1100 Denver CO 80246 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVERGREEN MOUNTAIN MEDICAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 800903723 2020-05-04 EVERGREEN MOUNTAIN MEDICAL LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 7208410798
Plan sponsor’s address 1153 BERGEN PKWY, EVERGREEN, CO, 80439

Signature of

Role Plan administrator
Date 2020-05-04
Name of individual signing JOHN GRAY
Valid signature Filed with authorized/valid electronic signature
EVERGREEN MOUNTAIN MEDICAL LLC 401 K PROFIT SHARING PLAN TRUST 2018 800903723 2019-10-09 EVERGREEN MOUNTAIN MEDICAL LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 7208410798
Plan sponsor’s address 1153 BERGEN PKWY, EVERGREEN, CO, 80439

Signature of

Role Plan administrator
Date 2019-10-09
Name of individual signing JOHN STEPHEN GRAY
Valid signature Filed with authorized/valid electronic signature
EVERGREEN MOUNTAIN MEDICAL LLC 401 K PROFIT SHARING PLAN TRUST 2018 800903723 2019-10-08 EVERGREEN MOUNTAIN MEDICAL LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 7208410798
Plan sponsor’s address 1153 BERGEN PKWY, EVERGREEN, CO, 80439

Signature of

Role Plan administrator
Date 2019-10-08
Name of individual signing JOHN STEPHEN GRAY
Valid signature Filed with authorized/valid electronic signature
EVERGREEN MOUNTAIN MEDICAL LLC 401 K PROFIT SHARING PLAN TRUST 2017 800903723 2019-10-09 EVERGREEN MOUNTAIN MEDICAL LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 7208410798
Plan sponsor’s address 1153 BERGEN PKWY, SUITE I-218, EVERGREEN, CO, 80439

Signature of

Role Plan administrator
Date 2019-10-09
Name of individual signing JOHN STEPHEN GRAY
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20241474212 File Report 2024-04-26 2024-04-26 No data Change in registered agent information
20231109309 File Report 2023-01-25 2023-01-25 No data Principal address changed, Change in registered agent information
20221074815 File Report 2022-01-24 2022-01-24 No data Change of Entity Address
20211409629 File Report 2021-04-27 2021-04-27 No data Change of Entity Address
20201387953 File Report 2020-04-29 2020-04-29 No data No data
20191062040 File Report 2019-01-23 2019-01-23 No data No data
20181375844 File Report 2018-05-06 2018-05-06 No data No data
20171487580 File Report 2017-06-25 2017-06-25 No data Change of Registered Agent Address / Change of Entity Address
20161320683 File Report 2016-05-04 2016-05-04 No data No data
20151345391 File Report 2015-05-26 2015-05-26 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State