| Name: | PREMIER DENTAL OF EVERGREEN |
| Jurisdiction: | Colorado |
| Legal type: | Domestic limited liability company |
| Status: | Good Standing |
| Date of registration: | 03 Feb 2011 (14 years ago) |
| Entity Number: | 20111073525 |
| ZIP code: | 80439 |
| County: | Clear Creek County |
| Place of Formation: | COLORADO |
| Principal Address: | 29723 Troutdale Scenic Dr Evergreen CO 80439 US |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW A BUNCHMAN DMD LLC | 2009 | 320220714 | 2010-06-10 | PREMIER DENTAL OF EVERGREEN | 5 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 320220714 |
| Plan administrator’s name | PREMIER DENTAL OF EVERGREEN |
| Plan administrator’s address | 32156 CASTLE CT. SUITE 108, EVERGREEN, CO, 80439 |
| Administrator’s telephone number | 3035672597 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-10 |
| Name of individual signing | PREMIER DENTAL OF EVERGREEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-06-10 |
| Name of individual signing | PREMIER DENTAL OF EVERGREEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Matthew Bunchman | Agent | 29723 Troutdale Scenic Dr Evergreen CO 80439 US |
| Transaction ID | Type | Date | Effective date | Name | Comment |
|---|---|---|---|---|---|
| 20241829262 | File Report | 2024-08-04 | 2024-08-04 | No data | Principal address changed, Change in registered agent information |
| 20231771301 | File Report | 2023-07-24 | 2023-07-24 | No data | Change in registered agent information |
| 20221713669 | File Report | 2022-07-25 | 2022-07-25 | No data | No data |
| 20211672848 | File Report | 2021-07-24 | 2021-07-24 | No data | No data |
| 20201735508 | File Report | 2020-08-25 | 2020-08-25 | No data | No data |
| 20191599061 | File Report | 2019-07-25 | 2019-07-25 | No data | No data |
| 20181835764 | File Report | 2018-10-24 | 2018-10-24 | No data | Removed entity mailing address; |
| 20171562999 | File Report | 2017-07-25 | 2017-07-25 | No data | No data |
| 20161495744 | File Report | 2016-07-25 | 2016-07-25 | No data | Change of Entity Address |
| 20151467557 | File Report | 2015-07-23 | 2015-07-23 | No data | Change of Registered Agent Address |
Date of last update: 10 Mar 2025
Sources: Colorado's Secretary of State
