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SOUTHEAST MENTAL HEALTH SERVICES

Company Details

Name: SOUTHEAST MENTAL HEALTH SERVICES
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Merged
Date of registration: 07 Feb 1978 (47 years ago)
Entity Number: 19871340934
ZIP code: 81050
County: Otero County
Place of Formation: COLORADO
Principal Address: 711 Barnes Ave La Junta CO 81050 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
C94GLHPNNKN7 2025-03-29 901 W 3RD ST, LA JUNTA, CO, 81050, 1314, USA 711 BARNES AVE, LA JUNTA, CO, 81050, 2138, USA

Business Information

Congressional District 03
State/Country of Incorporation CO, USA
Activation Date 2024-04-02
Initial Registration Date 2008-06-24
Entity Start Date 1957-05-01
Fiscal Year End Close Date Jun 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JENNIFER CARRICA
Role DIRECTOR OF QUALITY & PATIENT EXPERIENCE
Address 711 BARNES AVE, LA JUNTA, CO, 81050, 2138, USA
Government Business
Title PRIMARY POC
Name DANIELLE SMITH
Role DIRECTOR OF HEALTHCARE INNOVATION & STRATEGY
Address 711 BARNES AVE, LA JUNTA, CO, 81050, 2138, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
54C43 Obsolete Non-Manufacturer 2008-06-12 2024-04-02 No data 2025-03-29

Contact Information

POC DANIELLE SMITH
Phone +1 719-384-5446
Fax +1 719-384-5672
Address 901 W 3RD ST, LA JUNTA, CO, 81050 1314, 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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHEAST MENTAL HEALTH SERVICES MONEY PURCHASE PENSION PLAN 2009 840519607 2010-07-08 SOUTHEAST MENTAL HEALTH SERVICES 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-03-01
Business code 621330
Sponsor’s telephone number 7193845446
Plan sponsor’s address 711 BARNES AVENUE, LA JUNTA, CO, 81050

Plan administrator’s name and address

Administrator’s EIN 840519607
Plan administrator’s name SOUTHEAST MENTAL HEALTH SERVICES
Plan administrator’s address 711 BARNES AVENUE, LA JUNTA, CO, 81050
Administrator’s telephone number 7193845446

Signature of

Role Plan administrator
Date 2010-07-07
Name of individual signing ROBERT WHALEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-07
Name of individual signing ROBERT WHALEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Joseph Carrica III Agent 711 Barnes Ave La Junta CO 81050 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20231818428 Statement of Merger 2023-08-03 2023-08-03 No data Merged to VALLEY WIDE HEALTH SYSTEMS, INC.
20231095083 File Report 2023-01-24 2023-01-24 No data Principal address changed, Change in registered agent information
20221099580 File Report 2022-01-26 2022-01-26 No data No data
20211075686 File Report 2021-01-25 2021-01-25 No data No data
20201069427 File Report 2020-01-24 2020-01-24 No data Change of Registered Agent
20191057845 File Report 2019-01-23 2019-01-23 No data No data
20181071952 File Report 2018-01-24 2018-01-24 No data Change of Registered Agent
20171069143 File Report 2017-01-25 2017-01-25 No data No data
20161071761 File Report 2016-01-28 2016-01-28 No data No data
20151100111 File Report 2015-02-11 2015-02-11 No data No data

Date of last update: 23 Dec 2024

Sources: Colorado's Secretary of State