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LAKEWOOD FAMILY DENTISTRY P.C.

Company Details

Name: LAKEWOOD FAMILY DENTISTRY P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 27 Jun 1978 (47 years ago)
Entity Number: 19871350791
ZIP code: 80214
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 7700 W 14th Ave Lakewood CO 80214 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN 2023 840764579 2024-03-27 LAKEWOOD FAMILY DENTISTRY P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s address 7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214

Signature of

Role Plan administrator
Date 2024-03-27
Name of individual signing L LONG
Valid signature Filed with authorized/valid electronic signature
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN 2022 840764579 2023-06-27 LAKEWOOD FAMILY DENTISTRY P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s address 7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214

Signature of

Role Plan administrator
Date 2023-06-27
Name of individual signing L LONG
Valid signature Filed with authorized/valid electronic signature
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN 2021 840764579 2022-04-27 LAKEWOOD FAMILY DENTISTRY P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s address 7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214

Signature of

Role Plan administrator
Date 2022-04-27
Name of individual signing L LONG
Valid signature Filed with authorized/valid electronic signature
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN 2020 840764579 2021-07-18 LAKEWOOD FAMILY DENTISTRY P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s address 7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214

Signature of

Role Plan administrator
Date 2021-07-18
Name of individual signing L LONG
Valid signature Filed with authorized/valid electronic signature
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN 2019 840764579 2020-07-02 LAKEWOOD FAMILY DENTISTRY P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s address 7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214

Signature of

Role Plan administrator
Date 2020-07-02
Name of individual signing L LONG
Valid signature Filed with authorized/valid electronic signature
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN 2018 840764579 2019-07-12 LAKEWOOD FAMILY DENTISTRY P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s address 7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214

Signature of

Role Plan administrator
Date 2019-07-12
Name of individual signing L LONG
Valid signature Filed with authorized/valid electronic signature
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN 2017 840764579 2018-07-22 LAKEWOOD FAMILY DENTISTRY P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s address 7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214

Signature of

Role Plan administrator
Date 2018-07-22
Name of individual signing L LONG
Valid signature Filed with authorized/valid electronic signature
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN 2016 840764579 2017-06-09 LAKEWOOD FAMILY DENTISTRY P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s address 7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214

Signature of

Role Plan administrator
Date 2017-06-09
Name of individual signing L LONG
Valid signature Filed with authorized/valid electronic signature
LAKEWOOD FAMILY DENTISTRY P.C. PROFIT SHARING PLAN 2015 840764579 2016-07-26 LAKEWOOD FAMILY DENTISTRY P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s address 7700 WEST 14TH AVENUE, LAKEWOOD, CO, 80214

Signature of

Role Plan administrator
Date 2016-07-26
Name of individual signing L LONG
Valid signature Filed with authorized/valid electronic signature
ADA RETIREMENT 2011 840764579 2012-07-25 LAKEWOOD FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3032374831
Plan sponsor’s DBA name LAKEWOOD FAMILY DENTISTRY
Plan sponsor’s address 7700 W 14TH AVE, LAKEWOOD, CO, 80214

Plan administrator’s name and address

Administrator’s EIN 840764579
Plan administrator’s name LANCE LONG
Plan administrator’s address 7700 W 14TH AVE, LAKEWOOD, CO, 80214
Administrator’s telephone number 3032374831

Signature of

Role Plan administrator
Date 2012-07-25
Name of individual signing LANCE LONG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Lance L. Long Agent 7700 W 14th Ave Lakewood CO 80214 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241927154 File Report 2024-09-01 2024-09-01 No data Principal address changed, Change in registered agent information
20231919647 File Report 2023-09-01 2023-09-01 No data Principal address changed, Change in registered agent information
20221566485 File Report 2022-06-05 2022-06-05 No data No data
20211481761 File Report 2021-05-24 2021-05-24 No data No data
20201454016 File Report 2020-05-25 2020-05-25 No data No data
20191442068 File Report 2019-05-27 2019-05-27 No data No data
20181462152 File Report 2018-06-07 2018-06-07 No data No data
20171389093 File Report 2017-05-23 2017-05-23 No data No data
20161365295 File Report 2016-05-24 2016-05-24 No data No data
20151457482 File Report 2015-07-16 2015-07-16 No data No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State