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  5. LAFAYETTE DENTAL OFFICE, P.C.

LAFAYETTE DENTAL OFFICE, P.C.

Company Details

Name: LAFAYETTE DENTAL OFFICE, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 16 Sep 1997 (27 years ago)
Date dissolved: 20 Jun 2018
Entity Number: 19971148287
ZIP code: 80026
County: Boulder County
Place of Formation: COLORADO
Principal Address: 511 CROSSING DRIVE STE 200 LAFAYETTE CO 80026 US
Mailing Address: 2904Tincup ircle Boulder CO 80305 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAFAYETTE DENTAL OFFICE 401(K) PROFIT SHARING PLAN 2018 841432624 2019-03-04 LAFAYETTE DENTAL OFFICE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036441001
Plan sponsor’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 841432624
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036441001

Signature of
Role Plan administrator
Date 2019-03-04
Name of individual signing MITCHELL FRIEDMAN, DDS
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE DENTAL OFFICE 401(K) PROFIT SHARING PLAN 2017 841432624 2018-03-20 LAFAYETTE DENTAL OFFICE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036441001
Plan sponsor’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 841432624
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036441001

Signature of
Role Plan administrator
Date 2018-03-20
Name of individual signing MITCHELL FRIEDMAN, DDS
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE DENTAL OFFICE 401(K) PROFIT SHARING PLAN 2016 841432624 2017-05-29 LAFAYETTE DENTAL OFFICE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036441001
Plan sponsor’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 841432624
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036441001

Signature of
Role Plan administrator
Date 2017-05-29
Name of individual signing MITCHELL FRIEDMAN, DDS
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE DENTAL OFFICE 401(K) PROFIT SHARING PLAN 2015 841432624 2016-10-04 LAFAYETTE DENTAL OFFICE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036441001
Plan sponsor’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 841432624
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036441001

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing MITCHELL FRIEDMAN, DDS
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE DENTAL OFFICE 401(K) PROFIT SHARING PLAN 2014 841432624 2015-09-15 LAFAYETTE DENTAL OFFICE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036441001
Plan sponsor’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 841432624
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036441001

Signature of
Role Plan administrator
Date 2015-09-15
Name of individual signing MITCHELL FRIEDMAN, DDS
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE DENTAL OFFICE 401(K) PROFIT SHARING PLAN 2013 841432624 2014-05-05 LAFAYETTE DENTAL OFFICE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036441001
Plan sponsor’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 841432624
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036441001

Signature of
Role Plan administrator
Date 2014-05-05
Name of individual signing MITCHELL FRIEDMAN, DDS
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE DENTAL OFFICE 401(K) PROFIT SHARING PLAN 2012 841432624 2013-09-12 LAFAYETTE DENTAL OFFICE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036441001
Plan sponsor’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 841432624
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DR., #200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036441001

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing MITCHELL FRIEDMAN, DDS
Valid signature Filed with authorized/valid electronic signature
MITCHELL FRIEDMAN, DDS 401(K) PROFIT SHARING PLAN 2010 760747903 2011-06-22 LAFAYETTE DENTAL OFFICE 11
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036641001
Plan sponsor’s address 511 CROSSING DRIVE, SUITE 200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 760747903
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DRIVE, SUITE 200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036641001

Signature of
Role Employer/plan sponsor
Date 2011-06-22
Name of individual signing MITCHELL FRIEDMAN
Valid signature Filed with authorized/valid electronic signature
MITCHELL FRIEDMAN, DDS 401(K) PROFIT SHARING PLAN 2010 760747903 2011-06-22 LAFAYETTE DENTAL OFFICE 11
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036641001
Plan sponsor’s address 511 CROSSING DRIVE, SUITE 200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 760747903
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DRIVE, SUITE 200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036641001

Signature of
Role Employer/plan sponsor
Date 2011-06-22
Name of individual signing MITCHELL FRIEDMAN
Valid signature Filed with authorized/valid electronic signature
MITCHELL FRIEDMAN, DDS 401(K) PROFIT SHARING PLAN 2010 760747903 2011-06-22 LAFAYETTE DENTAL OFFICE 11
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 3036641001
Plan sponsor’s address 511 CROSSING DRIVE, SUITE 200, LAFAYETTE, CO, 80026

Plan administrator’s name and address
Administrator’s EIN 760747903
Plan administrator’s name LAFAYETTE DENTAL OFFICE
Plan administrator’s address 511 CROSSING DRIVE, SUITE 200, LAFAYETTE, CO, 80026
Administrator’s telephone number 3036641001

Signature of
Role Employer/plan sponsor
Date 2011-06-22
Name of individual signing MITCHELL FRIEDMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FRIEDMAN MITCHELL Agent 511 CROSSING DRIVE STE 200 Suite 200 LAFAYETTE CO 80026 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20181485336 Dissolve a Profit Corporation 2018-06-20 2018-06-20 LAFAYETTE DENTAL OFFICE, P.C., Dissolved June 20, 2018 No data
20171899163 File Report 2017-12-01 2017-12-01 No data No data
20161817351 File Report 2016-12-01 2016-12-01 No data No data
20151557526 File Report 2015-08-27 2015-08-27 No data No data
20141508738 File Report 2014-08-23 2014-08-23 No data No data
20131481260 File Report 2013-08-23 2013-08-23 No data No data
20121454759 File Report 2012-08-23 2012-08-23 No data No data
20111477917 File Report 2011-08-23 2011-08-23 No data No data
20101522896 File Report 2010-09-21 2010-09-21 No data No data
20091506993 File Report 2009-09-25 2009-09-25 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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