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PERIODONTICS AND DENTAL IMPLANTS, PC

Company Details

Name: PERIODONTICS AND DENTAL IMPLANTS, PC
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 30 Aug 1985 (39 years ago)
Entity Number: 19871635226
ZIP code: 80304
County: Boulder County
Place of Formation: COLORADO
Principal Address: 2601 N. Broadway St Boulder CO 80304 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2023 841004315 2024-07-24 PERIODONTICS AND DENTAL IMPLANTS, PC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 N. BROADWAY, BOULDER, CO, 80304

Signature of

Role Plan administrator
Date 2024-07-24
Name of individual signing JOHN DODGE
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2022 841004315 2023-07-24 PERIODONTICS AND DENTAL IMPLANTS, PC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 BROADWAY ST, BOULDER, CO, 80304

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing JOHN DODGE
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2021 841004315 2022-09-01 PERIODONTICS AND DENTAL IMPLANTS, PC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 N. BROADWAY, BOULDER, CO, 80304

Signature of

Role Plan administrator
Date 2022-09-01
Name of individual signing JOHN DODGE
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2020 841004315 2021-07-22 PERIODONTICS AND DENTAL IMPLANTS, PC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 N. BROADWAY, BOULDER, CO, 80304

Signature of

Role Plan administrator
Date 2021-07-22
Name of individual signing JOHN DODGE
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2019 841004315 2020-06-22 PERIODONTICS AND DENTAL IMPLANTS, PC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 N. BROADWAY, BOULDER, CO, 80304

Signature of

Role Plan administrator
Date 2020-06-22
Name of individual signing JOHN DODGE
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2018 841004315 2019-06-19 PERIODONTICS AND DENTAL IMPLANTS, PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 N. BROADWAY, BOULDER, CO, 80304

Signature of

Role Plan administrator
Date 2019-06-19
Name of individual signing JOHN DODGE
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2017 841004315 2018-06-12 PERIODONTICS AND DENTAL IMPLANTS, PC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 N. BROADWAY, BOULDER, CO, 80304

Signature of

Role Plan administrator
Date 2018-06-12
Name of individual signing JOHN DODGE
Valid signature Filed with authorized/valid electronic signature
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2016 841004315 2017-07-13 PERIODONTICS AND DENTAL IMPLANTS, PC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 N. BROADWAY, BOULDER, CO, 80304
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2015 841004315 2016-08-01 PERIODONTICS AND DENTAL IMPLANTS, PC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 N. BROADWAY, BOULDER, CO, 80304
PERIODONTICS & DENTAL IMPLANTS, P.C. 401(K) PROFIT SHARING PLAN 2014 841004315 2015-04-06 PERIODONTICS AND DENTAL IMPLANTS, PC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621210
Sponsor’s telephone number 3034470460
Plan sponsor’s address 2601 N. BROADWAY, BOULDER, CO, 80304

Agent

Name Role Address
JOHN R DODGE Agent 2601 N. Broadway St Boulder CO 80304 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241807969 File Report 2024-07-30 2024-07-30 No data Principal address changed, Change in registered agent information
20231718382 File Report 2023-07-09 2023-07-09 No data Principal address changed, Change in registered agent information
20221597164 File Report 2022-06-20 2022-06-20 No data Change of Registered Agent Address / Change of Entity Address
20211589280 File Report 2021-06-24 2021-06-24 No data No data
20201569463 File Report 2020-06-29 2020-06-29 No data No data
20191484469 File Report 2019-06-12 2019-06-12 No data No data
20181596056 File Report 2018-07-27 2018-07-27 No data No data
20171563280 File Report 2017-07-25 2017-07-25 No data No data
20161503167 File Report 2016-07-25 2016-07-25 No data No data
20151472254 File Report 2015-07-23 2015-07-23 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State