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Rocky Mountain Pediatric Dentistry, PLLC

Company Details

Name: Rocky Mountain Pediatric Dentistry, PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 26 Aug 2014 (10 years ago)
Entity Number: 20141522900
ZIP code: 80908
County: El Paso County
Place of Formation: COLORADO
Principal Address: 7505 Mulberry Wood Dr Ste 150 Colorado Springs CO 80908 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401K PLAN 2023 371762521 2024-10-15 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 7505 MULBERRY WOOD DR., STE 150, COLORADO SPRINGS, CO, 809085095

Plan administrator’s name and address

Administrator’s EIN 371762521
Plan administrator’s name ROCKY MOUNTAIN PEDIATRIC DENTISTRY,
Plan administrator’s address 7505 MULBERRY WOOD DR., STE 150, COLORADO SPRINGS, CO, 809085095
Administrator’s telephone number 7196387673
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401K PLAN 2022 371762521 2023-10-10 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 6071 E WOODMEN ROAD #200, COLORADO SPRINGS, CO, 809232609

Plan administrator’s name and address

Administrator’s EIN 371762521
Plan administrator’s name ROCKY MOUNTAIN PEDIATRIC DENTISTRY,
Plan administrator’s address 6071 E WOODMEN ROAD 200, COLORADO SPRINGS, CO, 809232609
Administrator’s telephone number 7196387673

Signature of

Role Plan administrator
Date 2023-10-06
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-06
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401K PLAN 2021 371762521 2022-06-10 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 6071 E. WOODMEN RD #200, COLORADO SPRINGS, CO, 80923

Signature of

Role Plan administrator
Date 2022-06-10
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401K PLAN 2020 371762521 2021-09-22 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 6071 E. WOODMEN RD #200, COLORADO SPRINGS, CO, 80923

Signature of

Role Plan administrator
Date 2021-09-22
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401K PLAN 2019 371762521 2020-08-07 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 6071 E. WOODMEN RD #200, COLORADO SPRINGS, CO, 80923

Signature of

Role Plan administrator
Date 2020-08-07
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-07
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401K PLAN 2018 371762521 2019-07-30 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 6071 E. WOODMEN RD #200, COLORADO SPRINGS, CO, 80923

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-30
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401K PLAN 2017 371762521 2018-06-01 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 6071 E. WOODMEN RD #200, COLORADO SPRINGS, CO, 80923

Signature of

Role Plan administrator
Date 2018-06-01
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-01
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401K PLAN 2016 371762521 2017-05-05 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 6071 E. WOODMEN RD #200, COLORADO SPRINGS, CO, 80923

Signature of

Role Plan administrator
Date 2017-05-05
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-05
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401K PLAN 2015 371762521 2016-07-01 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 6071 E. WOODMEN RD #200, COLORADO SPRINGS, CO, 80923

Signature of

Role Plan administrator
Date 2016-07-01
Name of individual signing ANDREA D'ADDARIO
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 401(K) PLAN 2014 371762521 2015-10-15 ROCKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7196387673
Plan sponsor’s address 6071 E WOOEMEN ROAD, SUITE 200, COLORADO SPRINGS, CO, 80923

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing MARIETTA MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing MARIETTA MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Janelle Tonn Agent 7505 Mulberry Wood Dr Ste 150 Colorado Springs CO 80908 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241748332 File Report 2024-07-17 2024-07-17 No data Principal address changed, Change in registered agent information
20231791502 File Report 2023-07-27 2023-07-27 No data Principal address changed, Change in registered agent information
20221814173 File Report 2022-08-23 2022-08-23 No data Principal address changed, Change in registered agent information
20211664790 File Report 2021-07-23 2021-07-23 No data No data
20201674555 File Report 2020-08-03 2020-08-03 No data No data
20191881142 File Report 2019-11-01 2019-11-01 No data No data
20181596696 File Report 2018-07-27 2018-07-27 No data No data
20171620333 File Report 2017-08-18 2017-08-18 No data No data
20161715693 File Report 2016-10-24 2016-10-24 No data No data
20151702879 File Report 2015-10-29 2015-10-29 No data No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State