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  5. Elm Endodontics, P.C.

Elm Endodontics, P.C.

Company Details

Name: Elm Endodontics, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 20 Jun 2006 (19 years ago)
Entity Number: 20061254086
ZIP code: 80023
County: Broomfield County
Place of Formation: COLORADO
Principal Address: 13605 Xavier Ln Ste E Broomfield CO 80023 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELM ENDODONTICS 401(K) PLAN 2023 205094148 2024-08-01 ELM ENDODONTICS 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE UNIT E, BROOMFIELD, CO, 80023

Signature of
Role Plan administrator
Date 2024-08-01
Name of individual signing PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
ELM ENDODONTICS 401(K) PLAN 2022 205094148 2023-10-18 ELM ENDODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE UNIT E, BROOMFIELD, CO, 80023

Signature of
Role Plan administrator
Date 2023-10-18
Name of individual signing PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
ELM ENDODONTICS 401(K) PLAN 2021 205094148 2022-09-19 ELM ENDODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE UNIT E, BROOMFIELD, CO, 80023

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
ELM ENDODONTICS 401K PLAN 2019 205094148 2020-07-27 ELM ENDODONTICS 6
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE, UNIT E, BROOMFIELD, CO, 80023

Signature of
Role Plan administrator
Date 2020-07-26
Name of individual signing PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-26
Name of individual signing PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
ELM ENDODONTICS 401K PLAN 2018 205094148 2019-07-17 ELM ENDODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE, UNIT E, BROOMFIELD, CO, 80023

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing DR. PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-17
Name of individual signing PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
ELM ENDODONTICS 401K PLAN 2017 205094148 2018-08-21 ELM ENDODONTICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE, UNIT E, BROOMFIELD, CO, 80023

Signature of
Role Plan administrator
Date 2018-08-21
Name of individual signing DR. PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-21
Name of individual signing DR. PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
ELM ENDODONTICS 401K PLAN 2016 205094148 2017-06-16 ELM ENDODONTICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE, UNIT E, BROOMFIELD, CO, 80023

Signature of
Role Plan administrator
Date 2017-06-16
Name of individual signing DR. PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-16
Name of individual signing PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
ELM ENDODONTICS 401K PLAN 2015 205094148 2016-06-28 ELM ENDODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE, UNIT E, BROOMFIELD, CO, 80023

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing DR. PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-28
Name of individual signing ELM ENDODONTICS, PC
Valid signature Filed with authorized/valid electronic signature
ELM ENDODONTICS 401K PLAN 2014 205094148 2015-06-18 ELM ENDODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE, UNIT E, BROOMFIELD, CO, 80020

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing DR. PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-18
Name of individual signing ELM ENDODONTICS
Valid signature Filed with authorized/valid electronic signature
ELM ENDODONTICS 401K PLAN 2013 205094148 2014-07-11 ELM ENDODONTICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 3034272769
Plan sponsor’s address 13605 XAVIER LANE, UNIT E, BROOMFIELD, CO, 80020

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing DR. PETER SHELLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-11
Name of individual signing ELM ENDODONTICS, PC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Peter Q Shelley Agent 13605 Xavier Ln Ste E Broomfield CO 80023 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241754000 File Report 2024-07-19 2024-07-19 No data Change in registered agent information
20231897627 File Report 2023-08-26 2023-08-26 No data Principal address changed, Change in registered agent information
20221492950 File Report 2022-05-17 2022-05-17 No data No data
20211477246 File Report 2021-05-23 2021-05-23 No data No data
20201406498 File Report 2020-05-05 2020-05-05 No data Change of Entity Address
20191680150 File Report 2019-08-26 2019-08-26 No data No data
20181641003 File Report 2018-08-15 2018-08-15 No data No data
20171448173 File Report 2017-06-16 2017-06-16 No data No data
20161598058 File Report 2016-09-01 2016-09-01 No data No data
20151394014 File Report 2015-06-18 2015-06-18 No data No data

Related by officers

Peter Q Shelley

Swath Investing, L.L.C.

Related by address

13605 Xavier Ln Ste E Broomfield CO 80023 US

Swath Investing, L.L.C.

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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