Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Boulder County
    4. ›
  4. 80501
    5. ›
  5. Pine Ridge Dental Group, PLLC

Pine Ridge Dental Group, PLLC

Company Details

Name: Pine Ridge Dental Group, PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Voluntarily Dissolved
Date of registration: 15 Oct 1993 (31 years ago)
Date dissolved: 23 Aug 2024
Entity Number: 19931115381
ZIP code: 80501
County: Boulder County
Place of Formation: COLORADO
Principal Address: 541 Main St Ste A Longmont CO 80501 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2022 841246407 2023-02-22 PINE RIDGE DENTAL GROUP 15
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7203188246
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Plan administrator’s name and address
Administrator’s EIN 841246407
Plan administrator’s name PINE RIDGE DENTAL GROUP
Plan administrator’s address 541 MAIN ST., LONGMONT, CO, 80501
Administrator’s telephone number 7203188246

Signature of
Role Plan administrator
Date 2023-02-22
Name of individual signing JULIE PARK
Valid signature Filed with authorized/valid electronic signature
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2022 841246407 2023-05-30 PINE RIDGE DENTAL GROUP 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7203188246
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing JULIE PARK
Valid signature Filed with authorized/valid electronic signature
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2022 841246407 2023-04-24 PINE RIDGE DENTAL GROUP 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7203188246
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Plan administrator’s name and address
Administrator’s EIN 841246407
Plan administrator’s name PINE RIDGE DENTAL GROUP
Plan administrator’s address 541 MAIN ST., LONGMONT, CO, 80501
Administrator’s telephone number 7203188246

Signature of
Role Plan administrator
Date 2023-04-24
Name of individual signing JULIE PARK
Valid signature Filed with authorized/valid electronic signature
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2021 841246407 2022-06-06 PINE RIDGE DENTAL GROUP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7203188246
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Plan administrator’s name and address
Administrator’s EIN 841246407
Plan administrator’s name PINE RIDGE DENTAL GROUP
Plan administrator’s address 541 MAIN ST., LONGMONT, CO, 80501
Administrator’s telephone number 7203188246

Signature of
Role Plan administrator
Date 2022-06-06
Name of individual signing JULIE PARK
Valid signature Filed with authorized/valid electronic signature
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2020 841246407 2021-07-16 PINE RIDGE DENTAL GROUP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7203188246
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Plan administrator’s name and address
Administrator’s EIN 841246407
Plan administrator’s name PINE RIDGE DENTAL GROUP
Plan administrator’s address 541 MAIN ST., LONGMONT, CO, 80501
Administrator’s telephone number 7203188246

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing JULIE PARK
Valid signature Filed with authorized/valid electronic signature
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2019 841246407 2020-06-04 PINE RIDGE DENTAL GROUP 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7203188246
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Plan administrator’s name and address
Administrator’s EIN 841246407
Plan administrator’s name PINE RIDGE DENTAL GROUP
Plan administrator’s address 541 MAIN ST., LONGMONT, CO, 80501
Administrator’s telephone number 7203188246

Signature of
Role Plan administrator
Date 2020-06-04
Name of individual signing JULIE PARK
Valid signature Filed with authorized/valid electronic signature
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2018 841246407 2019-03-15 PINE RIDGE DENTAL GROUP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7203188246
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Plan administrator’s name and address
Administrator’s EIN 841246407
Plan administrator’s name PINE RIDGE DENTAL GROUP
Plan administrator’s address 541 MAIN ST., LONGMONT, CO, 80501
Administrator’s telephone number 7203188246

Signature of
Role Plan administrator
Date 2019-03-15
Name of individual signing JULIE PARK
Valid signature Filed with authorized/valid electronic signature
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2017 841246407 2018-06-06 PINE RIDGE DENTAL GROUP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3036510721
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Plan administrator’s name and address
Administrator’s EIN 841246407
Plan administrator’s name PINE RIDGE DENTAL GROUP
Plan administrator’s address 541 MAIN ST., LONGMONT, CO, 80501
Administrator’s telephone number 3036510721

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing CAROL SESSIONS
Valid signature Filed with authorized/valid electronic signature
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2016 841246407 2017-06-01 PINE RIDGE DENTAL GROUP 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3036510721
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Plan administrator’s name and address
Administrator’s EIN 841246407
Plan administrator’s name PINE RIDGE DENTAL GROUP
Plan administrator’s address 541 MAIN ST., LONGMONT, CO, 80501
Administrator’s telephone number 3036510721

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing CAROL SESSIONS
Valid signature Filed with authorized/valid electronic signature
PINE RIDGE DENTAL GROUP 401(K) P/S PLAN 2015 841246407 2016-07-16 PINE RIDGE DENTAL GROUP 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3036510721
Plan sponsor’s address 541 MAIN ST., LONGMONT, CO, 80501

Plan administrator’s name and address
Administrator’s EIN 841246407
Plan administrator’s name PINE RIDGE DENTAL GROUP
Plan administrator’s address 541 MAIN ST., LONGMONT, CO, 80501
Administrator’s telephone number 3036510721

Signature of
Role Plan administrator
Date 2016-07-16
Name of individual signing CAROL SESSIONS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Julie Park Agent 541 Main St Ste A Longmont CO 80501 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241881400 Dissolve a Limited Liability Company 2024-08-23 2024-08-23 Pine Ridge Dental Group, PLLC, Dissolved August 23, 2024 No data
20241238407 File Report 2024-02-26 2024-02-26 No data Principal address changed, Change in registered agent information
20231175572 File Report 2023-02-16 2023-02-16 No data No data
20221459858 File Report 2022-05-03 2022-05-03 No data No data
20211186038 File Report 2021-02-24 2021-02-24 No data No data
20201177750 File Report 2020-02-24 2020-02-24 No data No data
20191201963 Combined Statement of Conversion and Articles of Organization 2019-03-05 2019-03-05 Pine Ridge Dental Group, PLLC Converted from Domestic Profit Corporation to Domestic Limited Liability Company.
20181882466 Statement of Correction Correcting the Entity Name 2018-11-08 2018-11-08 Pine Ridge Dental Group, PC Correction of entity name
20181877665 Statement of Change Changing the Registered Agent Information 2018-11-06 2018-11-06 No data Registered agent information changed;
20181759392 File Report 2018-09-25 2018-09-25 No data No data

Related by officers

Julie Park

The Park Financial Group LLC

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 colprof.com, Part of Big Data Integrated