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  5. Colorado Kids Pediatric Dentistry

Colorado Kids Pediatric Dentistry

Company Details

Name: Colorado Kids Pediatric Dentistry
Jurisdiction: Colorado
Legal type: Domestic limited liability partnership
Status: Good Standing
Date of registration: 22 Jan 2010 (15 years ago)
Entity Number: 20101045839
ZIP code: 80129
County: Douglas County
Place of Formation: COLORADO
Principal Address: 9358 Dorchester St Ste 106 Highlands Ranch CO 80129 US
Mailing Address: 2403 Lacy Ln Carrollton TX 75006 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2019 271635544 2020-07-23 COLORADO KIDS PEDIATRIC DENTISTRY 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3039477705
Plan sponsor’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2019 271635544 2020-11-05 COLORADO KIDS PEDIATRIC DENTISTRY 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3039477705
Plan sponsor’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129

Signature of
Role Plan administrator
Date 2020-11-05
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2018 271635544 2019-05-08 COLORADO KIDS PEDIATRIC DENTISTRY 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3039477705
Plan sponsor’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129

Signature of
Role Plan administrator
Date 2019-05-08
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2017 271635544 2018-09-18 COLORADO KIDS PEDIATRIC DENTISTRY 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3039477705
Plan sponsor’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129

Signature of
Role Plan administrator
Date 2018-09-18
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2016 271635544 2017-10-02 COLORADO KIDS PEDIATRIC DENTISTRY 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3039477705
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 271635544
Plan administrator’s name COLORADO KIDS PEDIATRIC DENTISTISTRY
Plan administrator’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129
Administrator’s telephone number 3039477705

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2015 271635544 2016-09-29 COLORADO KIDS PEDIATRIC DENTISTRY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3038143283
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 271635544
Plan administrator’s name COLORADO KIDS PEDIATRIC DENTISTISTRY
Plan administrator’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129
Administrator’s telephone number 3038143283

Signature of
Role Plan administrator
Date 2016-09-29
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2014 271635544 2015-07-09 COLORADO KIDS PEDIATRIC DENTISTRY 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3038143283
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 271635544
Plan administrator’s name COLORADO KIDS PEDIATRIC DENTISTISTRY
Plan administrator’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129
Administrator’s telephone number 3038143283

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2013 271635544 2014-07-17 COLORADO KIDS PEDIATRIC DENTISTRY 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3038143283
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 271635544
Plan administrator’s name COLORADO KIDS PEDIATRIC DENTISTISTRY
Plan administrator’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129
Administrator’s telephone number 3038143283

Signature of
Role Plan administrator
Date 2014-07-17
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2012 271635544 2013-10-11 COLORADO KIDS PEDIATRIC DENTISTRY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3038143283
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 271635544
Plan administrator’s name COLORADO KIDS PEDIATRIC DENTISTISTRY
Plan administrator’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129
Administrator’s telephone number 3038143283

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature
COLORADO KIDS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2011 271635544 2012-09-12 COLORADO KIDS PEDIATRIC DENTISTRY 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3038143283
Plan sponsor’s address C/O RPS PLAN ADMINISTRATORS, 7100 E. BELLEVIEW AVE., SUITE 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 271635544
Plan administrator’s name COLORADO KIDS PEDIATRIC DENTISTRY
Plan administrator’s address 9358 DORCHESTER STREET, STE. 106, HIGHLANDS RANCH, CO, 80129
Administrator’s telephone number 3038143283

Signature of
Role Plan administrator
Date 2012-09-12
Name of individual signing BRIAN F. FOX
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Justin Puckett Agent 9358 Dorchester St Ste 106 Highlands Ranch CO 80129 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248203605 File Report 2024-11-12 2024-11-12 No data Principal address changed, Change in registered agent information
20238343150 File Report 2023-12-27 2023-12-27 No data Principal address changed, Change in registered agent information
20231344461 File Report 2023-03-27 2023-03-27 No data Principal address changed, Change in registered agent information
20218200798 File Report 2021-12-23 2021-12-23 No data No data
20208116560 File Report 2020-12-28 2020-12-28 No data No data
20198040942 File Report 2019-12-26 2019-12-26 No data No data
20191259720 File Report 2019-03-25 2019-03-25 No data No data
20171950259 File Report 2017-12-26 2017-12-26 No data No data
20161880929 File Report 2016-12-28 2016-12-28 No data No data
20161068062 File Report 2016-01-27 2016-01-27 No data No data

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4741417310 2020-04-30 0811 PPP 9358 Dorchester St #106, Highlands Ranch, CO, 80129-2511
Loan Status Date 2021-06-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 203100
Loan Approval Amount (current) 203100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address Highlands Ranch, DOUGLAS, CO, 80129-2511
Project Congressional District CO-04
Number of Employees 15
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 205169.95
Forgiveness Paid Date 2021-05-24

Related by officers

Justin Puckett

Pine Top Orthodontics, P.C. Tennyson Dentistry and Orthodontics, PLLC River North Dentistry and Orthodontics, PLLC Northglenn Dentistry and Orthodontics, PLLC Englewood Dentistry and Orthodontics, PLLC Arvada Dentistry & Orthodontics, PLLC Colorado Springs Dental Specialist LLC Union Blvd Dental PLLC Saddle Rock Family Dentistry PLLC The Springs Endodontics PLLC

Related by address

9358 Dorchester St Ste 106 Highlands Ranch CO 80129 US

Lisa M. Fox, DDS, P.C.

2403 Lacy Ln Carrollton TX 75006 US

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Date of last update: 10 Mar 2025

Sources: Colorado's Secretary of State

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