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Page Dental Arts, Professional LLC

Company Details

Name: Page Dental Arts, Professional LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 19 Dec 2007 (17 years ago)
Entity Number: 20071583231
ZIP code: 80127
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 10026 W San Juan Way Ste 150 Littleton CO 80127 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAGE DENTAL ARTS, PROFESSIONAL LLC 401(K) PLAN 2023 510660774 2024-04-24 PAGE DENTAL ARTS, PROFESSIONAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037944542
Plan sponsor’s address 8204 S. KIPLING PKWY, #160, LITTLETON, CO, 80127

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DR, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2024-04-24
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
PAGE DENTAL ARTS, PROFESSIONAL LLC 401(K) PLAN 2022 510660774 2023-08-01 PAGE DENTAL ARTS, PROFESSIONAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037944542
Plan sponsor’s address 8204 S. KIPLING PKWY, #160, LITTLETON, CO, 80127

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DR, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2023-08-01
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
PAGE DENTAL ARTS, PROFESSIONAL LLC 401(K) PLAN 2021 510660774 2022-08-16 PAGE DENTAL ARTS, PROFESSIONAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037944542
Plan sponsor’s address 10026 W SAN JUAN WAY #150, LITTLETON, CO, 80127

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DR, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2022-08-16
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
PAGE DENTAL ARTS, PROFESSIONAL LLC 401(K) PLAN 2020 510660774 2021-05-19 PAGE DENTAL ARTS, PROFESSIONAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037944542
Plan sponsor’s address 10026 W SAN JUAN WAY #150, LITTLETON, CO, 80127

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DR, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2021-05-19
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
PAGE DENTAL ARTS, PROFESSIONAL LLC 401(K) PLAN 2019 510660774 2020-06-11 PAGE DENTAL ARTS, PROFESSIONAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037944542
Plan sponsor’s address 10026 W SAN JUAN WAY #150, LITTLETON, CO, 80127

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DR, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2020-06-11
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
PAGE DENTAL ARTS, PROFESSIONAL LLC 401(K) PLAN 2018 510660774 2019-08-06 PAGE DENTAL ARTS, PROFESSIONAL LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037944542
Plan sponsor’s address 8204 S. KIPLING PKWY, #160, LITTLETON, CO, 80127

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DR, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2019-08-06
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
PAGE DENTAL ARTS, PROFESSIONAL LLC 401(K) PLAN 2018 510660774 2019-07-26 PAGE DENTAL ARTS, PROFESSIONAL LLC 4
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3037944542
Plan sponsor’s address 8204 S. KIPLING PKWY, #160, LITTLETON, CO, 80127

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DR, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2019-07-26
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Dana M. Boyd-Page Agent 3130 Lynwood Ave Highlands Ranch CO 80126 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248254902 File Report 2024-11-25 2024-11-25 No data Principal address changed, Change in registered agent information
20238281892 File Report 2023-12-08 2023-12-08 No data Principal address changed, Change in registered agent information
20231005916 File Report 2023-01-02 2023-01-02 No data Principal address changed, Change in registered agent information
20218164025 File Report 2021-12-12 2021-12-12 No data Change of Registered Agent Address
20208015856 File Report 2020-11-23 2020-11-23 No data No data
20191937253 File Report 2019-11-26 2019-11-26 No data No data
20181915852 File Report 2018-11-26 2018-11-26 No data Change of Entity Address
20181667301 Statement of Change Changing the Principal Office Address 2018-08-24 2018-08-24 No data Principal address changed;
20181188932 File Report 2018-03-02 2018-03-02 No data Change of Entity Address
20171044302 File Report 2017-01-19 2017-01-19 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State