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Alpine Valley Oral Surgery, P.C.

Company Details

Name: Alpine Valley Oral Surgery, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Delinquent
Date of registration: 01 Dec 2004 (20 years ago)
Entity Number: 20041386740
ZIP code: 80301
County: Boulder County
Place of Formation: COLORADO
Principal Address: 3400 Penrose Place Ste 106 Boulder CO 80301 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALPINE VALLEY ORAL SURGERY 401 (K) PROFIT SHARING PLAN 2018 201943063 2019-09-25 ALPINE VALLEY ORAL SURGERY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 3400 PENROSE PLACE SUITE 106, BOULDER, CO, 80301
ALPINE VALLEY ORAL SURGERY 401 (K) PROFIT SHARING PLAN 2017 201943063 2018-10-10 ALPINE VALLEY ORAL SURGERY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 3400 PENROSE PLACE SUITE 106, BOULDER, CO, 80301
ALPINE VALLEY ORAL SURGERY 401 (K) PROFIT SHARING PLAN 2016 201943063 2017-08-30 ALPINE VALLEY ORAL SURGERY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 3400 PENROSE PLACE SUITE 106, BOULDER, CO, 80301

Signature of

Role Plan administrator
Date 2017-08-30
Name of individual signing VICTOR RAPOSO
Valid signature Filed with authorized/valid electronic signature
ALPINE VALLEY ORAL SURGERY 401(K) PROFIT SHARING PLAN 2015 201943063 2016-10-08 ALPINE VALLEY ORAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 3400 PENROSE PLACE, SUITE 106, BOULDER, CO, 80301
ALPINE VALLEY ORAL SURGERY 401(K) PROFIT SHARING PLAN 2014 201943063 2015-09-30 ALPINE VALLEY ORAL SURGERY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 3400 PENROSE PLACE, SUITE 106, BOULDER, CO, 80301
ALPINE VALLEY ORAL SURGERY 401(K) PROFIT SHARING PLAN 2013 201943063 2014-10-13 ALPINE VALLEY ORAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 3400 PENROSE PLACE, SUITE 106, BOULDER, CO, 80301
ALPINE VALLEY ORAL SURGERY 401K PROFIT SHARING PLAN 2012 201943063 2013-10-15 ALPINE VALLEY ORAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing VICTOR M. RAPOSO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ALPINE VALLEY ORAL SURGERY 401K PROFIT SHARING PLAN 2011 201943063 2012-10-12 ALPINE VALLEY ORAL SURGERY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301

Plan administrator’s name and address

Administrator’s EIN 201943063
Plan administrator’s name ALPINE VALLEY ORAL SURGERY, P.C.
Plan administrator’s address 3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301
Administrator’s telephone number 3036049393

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing VICTOR M. RAPOSO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ALPINE VALLEY ORAL SURGERY 401K PROFIT SHARING PLAN 2010 201943063 2011-07-19 ALPINE VALLEY ORAL SURGERY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301

Plan administrator’s name and address

Administrator’s EIN 201943063
Plan administrator’s name ALPINE VALLEY ORAL SURGERY, P.C.
Plan administrator’s address 3400 PENROSE PL., SUITE 106, BOULDER, CO, 80301
Administrator’s telephone number 3036049393

Signature of

Role Plan administrator
Date 2011-07-19
Name of individual signing VICTOR M. RAPOSO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ALPINE VALLEY ORAL SURGERY 401K PROFIT SHARING PLAN 2009 201943063 2010-08-06 ALPINE VALLEY ORAL SURGERY, P.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621493
Sponsor’s telephone number 3036049393
Plan sponsor’s address 1120 W. SOUTH BOULDER RD, STE 103, LAFAYETTE, CO, 800268952

Plan administrator’s name and address

Administrator’s EIN 201943063
Plan administrator’s name ALPINE VALLEY ORAL SURGERY, P.C.
Plan administrator’s address 1120 W. SOUTH BOULDER RD, STE 103, LAFAYETTE, CO, 800268952
Administrator’s telephone number 3036049393

Signature of

Role Plan administrator
Date 2010-08-06
Name of individual signing VICTOR M. RAPOSO, D.M.D.
Valid signature Filed with incorrect/unrecognized electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20231186024 File Report 2023-02-20 2023-02-20 No data Change in registered agent information
20221147690 File Report 2022-02-09 2022-02-09 No data No data
20211182774 File Report 2021-02-24 2021-02-24 No data No data
20201120386 File Report 2020-02-05 2020-02-05 No data No data
20191152394 File Report 2019-02-23 2019-02-23 No data No data
20181122669 File Report 2018-02-11 2018-02-11 No data No data
20171103408 File Report 2017-02-05 2017-02-05 No data No data
20161106182 File Report 2016-02-13 2016-02-13 No data Change of Registered Agent
20151093998 File Report 2015-02-07 2015-02-07 No data No data
20141094862 File Report 2014-02-11 2014-02-11 No data Change of Entity Address

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State