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EVERGREEN DENTAL GROUP, P.C.

Company Details

Name: EVERGREEN DENTAL GROUP, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 06 May 2004 (21 years ago)
Entity Number: 20041168119
ZIP code: 80439
County: Clear Creek County
Place of Formation: COLORADO
Principal Address: 2902 Evergreen Pkwy Evergreen CO 80439 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVERGREEN DENTAL GROUP 401(K) PLAN 2013 841254528 2014-07-01 EVERGREEN DENTAL GROUP 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 3036745566
Plan sponsor’s address 31226 LEWIS RIDGE RD, EVERGREEN, CO, 80439

Signature of

Role Plan administrator
Date 2014-07-01
Name of individual signing JEFFREY SPROUT
Valid signature Filed with authorized/valid electronic signature
EVERGREEN DENTAL GROUP 401(K) PLAN 2012 841254528 2013-09-10 EVERGREEN DENTAL GROUP 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 3036745566
Plan sponsor’s address 31226 LEWIS RIDGE RD, EVERGREEN, CO, 80439

Signature of

Role Plan administrator
Date 2013-09-10
Name of individual signing JEFFREY SPROUT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jeff J Sprout Agent 2902 Evergreen Pkwy Evergreen CO 80439 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241787720 File Report 2024-07-24 2024-07-24 No data Principal address changed, Change in registered agent information
20231444501 File Report 2023-04-25 2023-04-25 No data Principal address changed, Change in registered agent information
20221402654 File Report 2022-04-23 2022-04-23 No data Change of Entity Address
20211675303 File Report 2021-07-24 2021-07-24 No data Change of Registered Agent Address / Change of Entity Address
20201359142 File Report 2020-04-23 2020-04-23 No data No data
20191353929 File Report 2019-04-24 2019-04-24 No data Change of Registered Agent / Change of Registered Agent Address / Change of Entity Address
20181329507 File Report 2018-04-23 2018-04-23 No data Change of Registered Agent
20171313919 File Report 2017-04-24 2017-04-24 No data Change of Registered Agent Address / Change of Entity Address
20161279924 File Report 2016-04-24 2016-04-24 No data No data
20151274057 File Report 2015-04-23 2015-04-23 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State