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CRYSTAL VALLEY DENTAL ASSOCIATES, P.C.

Company Details

Name: CRYSTAL VALLEY DENTAL ASSOCIATES, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 10 Oct 1997 (27 years ago)
Entity Number: 19971162865
ZIP code: 81623
County: Pitkin County
Place of Formation: COLORADO
Principal Address: 580 Main St Ste 200 Carbondale CO 81623 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CRYSTAL VALLEY DENTAL ASSOCIATES P.C. - 401(K) 2023 841437679 2024-07-23 CRYSTAL VALLEY DENTAL ASSOCIATES 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9709481088
Plan sponsor’s address 580 MAIN ST, SUITE 200, CARBONDALE, CO, 81623

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing MICHAEL DOHERTY
Valid signature Filed with authorized/valid electronic signature
CRYSTAL VALLEY DENTAL ASSOCIATES P.C. - 401(K) 2023 841437679 2024-12-13 CRYSTAL VALLEY DENTAL ASSOCIATES 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9709481088
Plan sponsor’s address 580 MAIN ST, SUITE 200, CARBONDALE, CO, 81623

Signature of

Role Plan administrator
Date 2024-12-13
Name of individual signing MICHAEL DOHERTY
Valid signature Filed with authorized/valid electronic signature
CRYSTAL VALLEY DENTAL ASSOCIATES P.C. - 401(K) 2022 841437679 2023-07-06 CRYSTAL VALLEY DENTAL ASSOCIATES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9709481088
Plan sponsor’s address 580 MAIN ST, SUITE 200, CARBONDALE, CO, 81623

Signature of

Role Plan administrator
Date 2023-07-06
Name of individual signing MICHAEL DOHERTY
Valid signature Filed with authorized/valid electronic signature
CRYSTAL VALLEY DENTAL ASSOCIATES P.C. - 401(K) 2021 841437679 2022-06-30 CRYSTAL VALLEY DENTAL ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9709481088
Plan sponsor’s address 580 MAIN ST, SUITE 200, CARBONDALE, CO, 81623

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing MICHAEL DOHERTY
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20248100215 File Report 2024-10-15 2024-10-15 No data Principal address changed, Change in registered agent information
20248044667 Statement of Change Changing the Registered Agent Information 2024-09-26 2024-09-26 No data Registered agent information changed;
20238177240 File Report 2023-11-06 2023-11-06 No data Principal address changed, Change in registered agent information
20228183248 File Report 2022-12-02 2022-12-02 No data Principal address changed, Change in registered agent information
20218235150 File Report 2021-12-29 2021-12-29 No data No data
20208080452 File Report 2020-12-16 2020-12-16 No data Change of Registered Agent
20191776979 File Report 2019-09-26 2019-09-26 No data No data
20181920669 File Report 2018-11-26 2018-11-26 No data Change of Registered Agent
20171973510 File Report 2017-12-30 2017-12-30 No data No data
20161876117 File Report 2016-12-27 2016-12-27 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State