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  5. PERIODONTAL ASSOCIATES, P.C.

PERIODONTAL ASSOCIATES, P.C.

Company Details

Name: PERIODONTAL ASSOCIATES, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 14 May 1993 (32 years ago)
Date dissolved: 02 Aug 2021
Entity Number: 19931050516
ZIP code: 80304
County: Boulder County
Place of Formation: COLORADO
Principal Address: 2179 kincaid pl boulder CO 80304 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERIODONTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2023 841177419 2024-10-09 PERIODONTAL ASSOCIATES 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-02
Business code 621210
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing DOUGLAS A. HELLER
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES CASH BALANCE PLAN 2023 841177419 2024-10-08 PERIODONTAL ASSOCIATES 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014
PERIODONTAL ASSOCIATES CASH BALANCE PLAN 2022 841177419 2023-09-26 PERIODONTAL ASSOCIATES 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014

Signature of
Role Plan administrator
Date 2023-09-26
Name of individual signing DOUGLAS A. HELLER
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2022 841177419 2023-10-04 PERIODONTAL ASSOCIATES 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-02
Business code 621210
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing DOUGLAS A. HELLER
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES CASH BALANCE PLAN 2021 841177419 2022-09-23 PERIODONTAL ASSOCIATES 15
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing DOUGLAS A. HELLER
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2021 841177419 2022-10-04 PERIODONTAL ASSOCIATES 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-02
Business code 621210
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing DOUGLAS A. HELLER
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2020 841177419 2021-10-01 PERIODONTAL ASSOCIATES 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-02
Business code 621210
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing DOUGLAS A. HELLER
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES CASH BALANCE PLAN 2020 841177419 2021-09-23 PERIODONTAL ASSOCIATES 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing DOUGLAS A. HELLER
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES CASH BALANCE PLAN 2019 841177419 2020-09-18 PERIODONTAL ASSOCIATES 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014

Signature of
Role Plan administrator
Date 2020-09-18
Name of individual signing DOUGLAS A. HELLER
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2019 841177419 2020-10-06 PERIODONTAL ASSOCIATES 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-02
Business code 621399
Sponsor’s telephone number 3037554500
Plan sponsor’s address 2900 S. PEORIA STREET, BUILDING D, AURORA, CO, 80014

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing DOUGLAS A. HELLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MICHAEL KANTOR Agent 2179 kincaid pl boulder CO 80304 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20211715278 Dissolve a Profit Corporation 2021-08-02 2021-08-02 PERIODONTAL ASSOCIATES, P.C., Dissolved August 2, 2021 No data
20201356489 File Report 2020-04-23 2020-04-23 No data No data
20191339808 File Report 2019-04-23 2019-04-23 No data No data
20181341411 File Report 2018-04-24 2018-04-24 No data No data
20171303068 File Report 2017-04-23 2017-04-23 No data No data
20161277155 File Report 2016-04-23 2016-04-23 No data Change of Registered Agent
20151279567 File Report 2015-04-24 2015-04-24 No data No data
20141251899 File Report 2014-04-23 2014-04-23 No data Change of Registered Agent
20131272260 File Report 2013-05-01 2013-05-01 No data No data
20121250909 File Report 2012-05-02 2012-05-02 No data No data

Related by officers

No related officers

Related by address

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Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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