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Affinity Dental Arts, PLLC

Company Details

Name: Affinity Dental Arts, PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 28 Aug 2011 (13 years ago)
Entity Number: 20111488253
ZIP code: 80228
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 15585 W Harvard Ave Lakewood CO 80228 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFFINITY DENTAL ARTS 401(K) PROFIT SHARING PLAN & TRUST 2022 453109225 2023-08-22 AFFINITY DENTAL ARTS 15
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Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 812990
Sponsor’s telephone number 3038290591
Plan sponsor’s address 15585 W. HARVARD AVE., LAKEWOOD, CO, 80228

Signature of

Role Plan administrator
Date 2023-08-22
Name of individual signing KATHERINE JOHNSON
Valid signature Filed with authorized/valid electronic signature
AFFINITY DENTAL ARTS 401(K) PROFIT SHARING PLAN & TRUST 2021 453109225 2022-09-19 AFFINITY DENTAL ARTS 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 812990
Sponsor’s telephone number 3038290591
Plan sponsor’s address 601 E HAMPDEN AVE SUITE 300, ENGLEWOOD, CO, 80113

Signature of

Role Plan administrator
Date 2022-09-19
Name of individual signing KATHERINE T JOHNSON
Valid signature Filed with authorized/valid electronic signature
AFFINITY DENTAL ARTS 401(K) PROFIT SHARING PLAN & TRUST 2020 453109225 2021-05-19 AFFINITY DENTAL ARTS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 812990
Sponsor’s telephone number 3038290591
Plan sponsor’s address 601 E HAMPDEN AVE SUITE 300, ENGLEWOOD, CO, 80113

Signature of

Role Plan administrator
Date 2021-05-19
Name of individual signing KATHERINE JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Katherine Taite Johnson Agent 15585 W Harvard Ave Lakewood CO 80228 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241824017 File Report 2024-08-01 2024-08-01 No data Principal address changed, Change in registered agent information
20231805187 File Report 2023-07-31 2023-07-31 No data Principal address changed, Change in registered agent information
20221785208 File Report 2022-08-15 2022-08-15 No data Principal address changed, Change in registered agent information
20211663955 File Report 2021-07-23 2021-07-23 No data No data
20201626059 File Report 2020-07-23 2020-07-23 No data No data
20191581821 File Report 2019-07-23 2019-07-23 No data No data
20181566507 File Report 2018-07-23 2018-07-23 No data Change of Entity Address
20171908958 Amend and Restate Articles of Organization for an LLC 2017-12-05 2017-12-05 Affinity Dental Arts, PLLC Change of entity name
20171570918 File Report 2017-07-26 2017-07-26 No data Removed agent mailing address; / Change of Registered Agent Address / Change of Entity Address
20161498905 File Report 2016-07-25 2016-07-25 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State