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BEAR CREEK DENTAL CENTER, P.C.

Company Details

Name: BEAR CREEK DENTAL CENTER, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Delinquent
Date of registration: 27 Jul 1982 (42 years ago)
Date dissolved: 01 Aug 2019
Entity Number: 19871486148
ZIP code: 80920
County: El Paso County
Place of Formation: COLORADO
Principal Address: 1675 Briargate Blvd. Suite D Colorado Springs CO 80920 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2023 841599269 2024-10-02 BEAR CREEK DENTAL CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address SUITE 100, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2022 841599269 2023-10-10 BEAR CREEK DENTAL CENTER, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address SUITE 100, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2021 841599269 2022-09-01 BEAR CREEK DENTAL CENTER, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address SUITE 100, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2022-09-01
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2020 841599269 2021-09-14 BEAR CREEK DENTAL CENTER, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address 1430 SOUTH 21ST STREET, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2021-09-14
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2019 841599269 2020-07-16 BEAR CREEK DENTAL CENTER, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address 1430 SOUTH 21ST STREET, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2020-07-16
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2018 841599269 2019-07-09 BEAR CREEK DENTAL CENTER, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address 1430 SOUTH 21ST STREET, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2019-07-09
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2017 841599269 2018-08-20 BEAR CREEK DENTAL CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address 1430 SOUTH 21ST STREET, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2018-08-20
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2016 841599269 2017-09-13 BEAR CREEK DENTAL CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address 1430 SOUTH 21ST STREET, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2017-09-13
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2015 841599269 2016-09-09 BEAR CREEK DENTAL CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address 1430 SOUTH 21ST STREET, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2016-09-09
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature
BEAR CREEK DENTAL CENTER, P.C. 401(K) PLAN 2014 841599269 2015-10-09 BEAR CREEK DENTAL CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7196332828
Plan sponsor’s address 1430 SOUTH 21ST STREET, COLORADO SPRINGS, CO, 80904

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing DR. JESSIE MASTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
James S. Colt Agent 1675 Briargate Blvd. Suite D Colorado Springs CO 80920 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20181211525 Statement Curing Delinquency 2018-03-12 2018-03-12 BEAR CREEK DENTAL CENTER, P.C. Removed agent mailing address;
20151644797 File Report 2015-10-02 2015-10-02 No data Change of Entity Address
20141420426 File Report 2014-07-11 2014-07-11 No data No data
20131486489 File Report 2013-08-23 2013-08-23 No data No data
20121395321 File Report 2012-07-23 2012-07-23 No data Change of Entity Address
20111552931 File Report 2011-09-30 2011-09-30 No data No data
20101614045 File Report 2010-11-06 2010-11-06 No data Change of Entity Address
20091467917 File Report 2009-09-01 2009-09-01 No data No data
20081389134 File Report 2008-07-22 2008-07-22 No data Change of Registered Agent / Change of Registered Agent Address
20071320633 File Report 2007-07-11 2007-07-11 No data Change of Registered Agent / Change of Registered Agent Address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State