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Hazel Dell Mushrooms, LLC

Company Details

Name: Hazel Dell Mushrooms, LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 16 Feb 2020 (5 years ago)
Entity Number: 20201142903
ZIP code: 80528
County: Larimer County
Place of Formation: COLORADO
Principal Address: 3925 E County Road 32 Fort Collins CO 80528 US
Mailing Address: 807 S Summit View Dr Fort Collins CO 80524 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAZEL DELL 401(K) PLAN 2023 921343753 2024-07-10 HAZEL DELL MUSHROOMS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 111900
Sponsor’s telephone number 9706247884
Plan sponsor’s address 3925 E COUNTY ROAD 32, FORT COLLINS, CO, 80528

Plan administrator’s name and address

Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVE., SUITE D201, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920

Signature of

Role Plan administrator
Date 2024-07-10
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-10
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature
HAZEL DELL 401(K) PLAN 2023 844748544 2024-07-16 HAZEL DELL MUSHROOMS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 111900
Sponsor’s telephone number 9706247884
Plan sponsor’s address 3925 E COUNTY ROAD 32, FORT COLLINS, CO, 80528

Plan administrator’s name and address

Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVE., SUITE D201, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-16
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jared Scherger Agent 807 S Summit View Dr Fort Collins CO 80524 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20251080706 File Report 2025-01-23 2025-01-23 No data Principal address changed, Change in registered agent information
20241084579 File Report 2024-01-23 2024-01-23 No data Principal address changed, Change in registered agent information
20231084450 File Report 2023-01-23 2023-01-23 No data Principal address changed, Change in registered agent information
20221086738 File Report 2022-01-24 2022-01-24 No data No data
20211080340 File Report 2021-01-25 2021-01-25 No data Change of Registered Agent
20201142903 Form a Limited Liability Company (LLC) 2020-02-16 2020-02-16 Hazel Dell Mushrooms, LLC No data

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1512367300 2020-04-28 0811 PPP 6942 N County Rd 13, LOVELAND, CO, 80538-1255
Loan Status Date 2021-05-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 135258.4
Loan Approval Amount (current) 135258.4
Undisbursed Amount 0
Franchise Name -
Lender Location ID 42458
Servicing Lender Name First National Bank of Omaha
Servicing Lender Address 1601 Capitol Ave, OMAHA, NE, 68102
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address LOVELAND, LARIMER, CO, 80538-1255
Project Congressional District CO-02
Number of Employees 20
NAICS code 424480
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 42458
Originating Lender Name First National Bank of Omaha
Originating Lender Address OMAHA, NE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 119432.63
Forgiveness Paid Date 2021-04-15

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
4347071 Intrastate Non-Hazmat 2025-01-16 - - 1 1 Private(Property)
Legal Name HAZEL DELL MUSHROOMS LLC
DBA Name -
Physical Address 3925 E COUNTY ROAD 32 , FORT COLLINS, CO, 80528-9349, US
Mailing Address 807 S SUMMIT VIEW DR , FORT COLLINS, CO, 80524-3666, US
Phone (505) 621-0541
Fax -
E-mail JARED@HAZELDELLMUSHROOMS.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Date of last update: 10 Feb 2025

Sources: Colorado's Secretary of State