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Spring Creek Dental PLLC

Company Details

Name: Spring Creek Dental PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 21 Sep 2000 (24 years ago)
Entity Number: 20001184600
ZIP code: 80526
County: Larimer County
Place of Formation: COLORADO
Principal Address: 2001 S Shields St Ste C1 Fort Collins CO 80526 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2023 841529601 2024-07-01 SPRING CREEK DENTAL, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704024919
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 80526

Signature of

Role Plan administrator
Date 2024-07-01
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2022 841529601 2023-08-31 SPRING CREEK DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704024919
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 80526

Signature of

Role Plan administrator
Date 2023-08-31
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2022 841529601 2023-08-03 SPRING CREEK DENTAL, PLLC 12
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704024919
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 80526

Signature of

Role Plan administrator
Date 2023-08-03
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2021 841529601 2022-06-10 SPRING CREEK DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704828883
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827

Signature of

Role Plan administrator
Date 2022-06-10
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2020 841529601 2021-03-25 SPRING CREEK DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704828883
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827

Signature of

Role Plan administrator
Date 2021-03-25
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2019 841529601 2020-04-14 SPRING CREEK DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704828883
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827

Signature of

Role Plan administrator
Date 2020-04-14
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2018 841529601 2019-07-10 SPRING CREEK DENTAL, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704828883
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827

Signature of

Role Plan administrator
Date 2019-07-10
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2017 841529601 2018-05-04 SPRING CREEK DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704828883
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827

Signature of

Role Plan administrator
Date 2018-05-04
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2016 841529601 2017-05-31 SPRING CREEK DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704828883
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827

Signature of

Role Plan administrator
Date 2017-05-31
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature
SPRING CREEK DENTAL, PLLC 401(K) PLAN 2015 841529601 2016-04-20 SPRING CREEK DENTAL, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9704828883
Plan sponsor’s address 2001 S. SHIELDS ST., SUITE C-1, FORT COLLINS, CO, 805261827

Signature of

Role Plan administrator
Date 2016-04-20
Name of individual signing KIRSTIN KAINES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Kirstin Kaines Agent 2649 Charleston Way Fort Collins CO 80526 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241874415 File Report 2024-08-23 2024-08-23 No data Change in registered agent information
20231866466 File Report 2023-08-23 2023-08-23 No data Principal address changed, Change in registered agent information
20221853844 File Report 2022-08-31 2022-08-31 No data Principal address changed, Change in registered agent information
20211831443 File Report 2021-09-08 2021-09-08 No data No data
20201735695 File Report 2020-08-25 2020-08-25 No data No data
20191717234 File Report 2019-09-04 2019-09-04 No data No data
20181925542 File Report 2018-11-27 2018-11-27 No data No data
20171884921 File Report 2017-11-28 2017-11-28 No data Change of Registered Agent / Change of Registered Agent Address / Change of Entity Address
20161773163 File Report 2016-11-16 2016-11-16 No data Removed agent mailing address;
20151738725 File Report 2015-11-19 2015-11-19 No data Change of Registered Agent Address / Change of Entity Address

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State