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  5. LYBROOK DENTAL CENTER, INC.

LYBROOK DENTAL CENTER, INC.

Company Details

Name: LYBROOK DENTAL CENTER, INC.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 23 Mar 1998 (27 years ago)
Entity Number: 19981054494
ZIP code: 81521
County: Mesa County
Place of Formation: COLORADO
Principal Address: 551 Kokopelli Blvd Unit A Fruita CO 81521 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LYBROOK DENTAL CENTER, INC. 401(K) PROFIT SHARING PLAN 2012 841454883 2013-05-13 LYBROOK DENTAL CENTER, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 9708589511
Plan sponsor’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521

Plan administrator’s name and address
Administrator’s EIN 841454883
Plan administrator’s name LYBROOK DENTAL CENTER, INC.
Plan administrator’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521
Administrator’s telephone number 9708589511

Signature of
Role Plan administrator
Date 2013-05-13
Name of individual signing CAROL LYBROOK, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LYBROOK DENTAL CENTER, INC. 401(K) PROFIT SHARING PLAN 2011 841454883 2012-07-19 LYBROOK DENTAL CENTER, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 9708589511
Plan sponsor’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521

Plan administrator’s name and address
Administrator’s EIN 841454883
Plan administrator’s name LYBROOK DENTAL CENTER, INC.
Plan administrator’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521
Administrator’s telephone number 9708589511

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing CAROL LYBROOK, D.D.S.
Valid signature Filed with authorized/valid electronic signature
LYBROOK DENTAL CENTER, INC. 401(K) PROFIT SHARING PLAN 2010 841454883 2011-03-29 LYBROOK DENTAL CENTER, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 9708589511
Plan sponsor’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521

Plan administrator’s name and address
Administrator’s EIN 841454883
Plan administrator’s name LYBROOK DENTAL CENTER, INC.
Plan administrator’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521
Administrator’s telephone number 9708589511

Signature of
Role Plan administrator
Date 2011-03-29
Name of individual signing CAROL LYBROOK
Valid signature Filed with authorized/valid electronic signature
LYBROOK DENTAL CENTER, INC. 401(K) PROFIT SHARING PLAN 2010 841454883 2011-03-28 LYBROOK DENTAL CENTER, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 9708589511
Plan sponsor’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521

Plan administrator’s name and address
Administrator’s EIN 841454883
Plan administrator’s name LYBROOK DENTAL CENTER, INC.
Plan administrator’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521
Administrator’s telephone number 9708589511

Signature of
Role Plan administrator
Date 2011-03-28
Name of individual signing CAROL LYBROOK, D.D.S.
Valid signature Filed with incorrect/unrecognized electronic signature
LYBROOK DENTAL CENTER, INC. 401(K) PROFIT SHARING PLAN 2010 841454883 2011-03-29 LYBROOK DENTAL CENTER, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 9708589511
Plan sponsor’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521

Plan administrator’s name and address
Administrator’s EIN 841454883
Plan administrator’s name LYBROOK DENTAL CENTER, INC.
Plan administrator’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521
Administrator’s telephone number 9708589511

Signature of
Role Plan administrator
Date 2011-03-29
Name of individual signing CAROL LYBROOK
Valid signature Filed with incorrect/unrecognized electronic signature
LYBROOK DENTAL CENTER, INC. 401(K) PROFIT SHARING PLAN 2010 841454883 2011-03-29 LYBROOK DENTAL CENTER, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 9708589511
Plan sponsor’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521

Plan administrator’s name and address
Administrator’s EIN 841454883
Plan administrator’s name LYBROOK DENTAL CENTER, INC.
Plan administrator’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521
Administrator’s telephone number 9708589511

Signature of
Role Plan administrator
Date 2011-03-29
Name of individual signing CAROL LYBROOK
Valid signature Filed with incorrect/unrecognized electronic signature
LYBROOK DENTAL CENTER, INC. 401(K) PROFIT SHARING PLAN 2009 841454883 2010-07-26 LYBROOK DENTAL CENTER, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 9708589511
Plan sponsor’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521

Plan administrator’s name and address
Administrator’s EIN 841454883
Plan administrator’s name LYBROOK DENTAL CENTER, INC.
Plan administrator’s address 551 KOKOPELLI BLVD, STE A, FRUITA, CO, 81521
Administrator’s telephone number 9708589511

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing CAROL LYBROOK, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCOTT D. LYBROOK Agent 1862 Aerie Ct Fruita CO 81521 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241390186 File Report 2024-04-03 2024-04-03 No data Principal address changed, Change in registered agent information
20231200407 File Report 2023-02-23 2023-02-23 No data Principal address changed, Change in registered agent information
20221183690 File Report 2022-02-23 2022-02-23 No data No data
20211134111 File Report 2021-02-08 2021-02-08 No data Change of Registered Agent Address
20201016316 File Report 2020-01-06 2020-01-06 No data No data
20191007805 File Report 2019-01-03 2019-01-03 No data No data
20181172544 File Report 2018-02-27 2018-02-27 No data No data
20171112072 File Report 2017-02-09 2017-02-09 No data No data
20161138120 File Report 2016-02-24 2016-02-24 No data No data
20151123765 File Report 2015-02-23 2015-02-23 No data No data

Related by officers

No related officers

Related by address

551 Kokopelli Blvd Unit A Fruita CO 81521 US

LYBROOK LAND MANAGEMENT, LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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