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Providence Recovery Services of Colorado, LLC

Company Details

Name: Providence Recovery Services of Colorado, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Voluntarily Dissolved
Date of registration: 07 Feb 2019 (6 years ago)
Date dissolved: 24 Apr 2024
Entity Number: 20191119351
ZIP code: 81625
County: Moffat County
Place of Formation: COLORADO
Principal Address: 390 Yampa Avenue Craig CO 81625 US
Mailing Address: P O Box 125 Charleston MS 38921 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVIDENCE RECOVERY SERVICES OF COLORADO, LLC 401(K) PLAN 2019 833486415 2020-12-15 PROVIDENCE RECOVERY SERVICES OF COLORADO, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621420
Sponsor’s telephone number 9708245433
Plan sponsor’s address 390 YAMPA AVE., CRAIG, CO, 81625

Signature of

Role Plan administrator
Date 2020-12-15
Name of individual signing DONALD JAMES BLACKWOOD, II
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-12-15
Name of individual signing DONALD JAMES BLACKWOOD, II
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE RECOVERY SERVICES OF COLORADO, LLC 401(K) PLAN 2019 833486415 2020-09-22 PROVIDENCE RECOVERY SERVICES OF COLORADO, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621420
Sponsor’s telephone number 9708245433
Plan sponsor’s address 390 YAMPA AVE., CRAIG, CO, 81625

Signature of

Role Plan administrator
Date 2020-09-22
Name of individual signing DONALD JAMES BLACKWOOD, II
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-22
Name of individual signing DONALD JAMES BLACKWOOD, II
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Rani Rogers Richard Agent 390 Yampa Avenue Craig CO 81625 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241457123 Dissolve a Limited Liability Company 2024-04-24 2024-04-24 Providence Recovery Services of Colorado, LLC, Dissolved April 24, 2024 No data
20231076232 File Report 2023-01-23 2023-01-23 No data Change in registered agent information
20221412368 File Report 2022-04-25 2022-04-25 No data No data
20211133958 File Report 2021-02-08 2021-02-08 No data Change of Registered Agent / Change of Registered Agent Address
20201387958 File Report 2020-04-29 2020-04-29 No data Change of Entity Address
20201125416 Statement of Change to Add an Attachment 2020-02-07 2020-02-07 No data Change to add an attachment
20201125462 Statement of Change to Add an Attachment 2020-02-07 2020-02-07 No data Change to add an attachment
20191120455 Statement of Correction Correcting the Entity Name 2019-02-08 2019-02-08 Providence Recovery Services of Colorado, LLC Correction of entity name
20191119351 Form a Limited Liability Company (LLC) 2019-02-07 2019-02-07 Providence Recovery Service of Colorado, LLC No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State