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  5. CARLSON FAMILY DENTISTRY, P.C.

CARLSON FAMILY DENTISTRY, P.C.

Company Details

Name: CARLSON FAMILY DENTISTRY, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 15 Aug 1996 (28 years ago)
Date dissolved: 31 Dec 2024
Entity Number: 19961107681
ZIP code: 80123
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 9859 W Coal Mine Ave Littleton CO 80123 US
Mailing Address: 9859 West Coal Mine Avenue Littleton CO 80123 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2021 841352302 2022-09-26 CARLSON FAMILY DENTISTRY, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Signature of
Role Plan administrator
Date 2022-09-26
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2020 841352302 2021-04-16 CARLSON FAMILY DENTISTRY, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Signature of
Role Plan administrator
Date 2021-04-16
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2019 841352302 2020-04-29 CARLSON FAMILY DENTISTRY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Signature of
Role Plan administrator
Date 2020-04-29
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2018 841352302 2019-09-12 CARLSON FAMILY DENTISTRY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Signature of
Role Plan administrator
Date 2019-09-12
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2017 841352302 2018-07-27 CARLSON FAMILY DENTISTRY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2016 841352302 2017-03-22 CARLSON FAMILY DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Signature of
Role Plan administrator
Date 2017-03-22
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2015 841352302 2016-06-30 CARLSON FAMILY DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2014 841352302 2015-08-25 CARLSON FAMILY DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Signature of
Role Plan administrator
Date 2015-08-25
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2013 841352302 2014-05-27 CARLSON FAMILY DENTISTRY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON FAMILY DENTISTRY, P.C. 401(K) PLAN 2012 841352302 2013-08-08 CARLSON FAMILY DENTISTRY, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-09-15
Business code 621210
Sponsor’s telephone number 3039326018
Plan sponsor’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128

Plan administrator’s name and address
Administrator’s EIN 841352302
Plan administrator’s name CARLSON FAMILY DENTISTRY, P.C.
Plan administrator’s address 7325 SOUTH PIERCE STREET, SUITE 200, LITTLETON, CO, 80128
Administrator’s telephone number 3039326018

Signature of
Role Plan administrator
Date 2013-08-08
Name of individual signing VANCE CARLSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JERRY KAISER Agent 9859 W Coal Mine Ave Littleton CO 80123 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248183232 Dissolve a Profit Corporation 2024-11-04 2024-12-31 CARLSON FAMILY DENTISTRY, P.C., Dissolved December 31, 2024 No data
20241761297 File Report 2024-07-23 2024-07-23 No data Principal address changed, Change in registered agent information
20231751436 File Report 2023-07-23 2023-07-23 No data Principal address changed, Change in registered agent information
20228077016 File Report 2022-11-01 2022-11-01 No data Principal address changed, Change in registered agent information
20228076934 Statement of Change Changing the Principal Office Address 2022-11-01 2022-11-01 No data Principal address changed;
20211685745 File Report 2021-07-26 2021-07-26 No data No data
20201657601 File Report 2020-07-29 2020-07-29 No data No data
20191580580 File Report 2019-07-23 2019-07-23 No data No data
20181592169 File Report 2018-07-26 2018-07-26 No data No data
20171566496 File Report 2017-07-25 2017-07-25 No data No data

Related by officers

No related officers

Related by address

9859 W Coal Mine Ave Littleton CO 80123 US

Carlson Dental, PLLC CDCDDS, LLC LAKE AGNES DENTAL LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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