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  5. Lone Tree Pediatric Dentistry, PLLC

Lone Tree Pediatric Dentistry, PLLC

Company Details

Name: Lone Tree Pediatric Dentistry, PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 15 Jul 2015 (10 years ago)
Entity Number: 20151454905
ZIP code: 80124
County: Douglas County
Place of Formation: COLORADO
Principal Address: 9075 Forsstrom Dr Lone Tree CO 80124 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONE TREE PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2023 474529178 2024-06-18 LONE TREE PEDIATRIC DENTISTRY, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3037930899
Plan sponsor’s address 10450 PARK MEADOWS DRIVE, #308, LONE TREE, CO, 80124
LONE TREE PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2022 474529178 2023-09-28 LONE TREE PEDIATRIC DENTISTRY, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3037930899
Plan sponsor’s address 10450 PARK MEADOWS DRIVE, #308, LONE TREE, CO, 80124
LONE TREE PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2021 474529178 2022-07-27 LONE TREE PEDIATRIC DENTISTRY, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3037930899
Plan sponsor’s address 10450 PARK MEADOWS DRIVE, #308, LONE TREE, CO, 80124

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing NICHOLAS MINER
Valid signature Filed with authorized/valid electronic signature
LONE TREE PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2020 474529178 2021-05-26 LONE TREE PEDIATRIC DENTISTRY, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3037930899
Plan sponsor’s address 10450 PARK MEADOWS DRIVE, #308, LONE TREE, CO, 80124

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing NICHOLAS MINER
Valid signature Filed with authorized/valid electronic signature
LONE TREE PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2019 474529178 2020-03-02 LONE TREE PEDIATRIC DENTISTRY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3037930899
Plan sponsor’s address 10450 PARK MEADOWS DRIVE, #308, LONE TREE, CO, 80124

Signature of
Role Plan administrator
Date 2020-03-02
Name of individual signing NICHOLAS MINER
Valid signature Filed with authorized/valid electronic signature
LONE TREE PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2019 474529178 2020-03-04 LONE TREE PEDIATRIC DENTISTRY, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3037930899
Plan sponsor’s address 10450 PARK MEADOWS DRIVE, #308, LONE TREE, CO, 80124

Signature of
Role Plan administrator
Date 2020-03-04
Name of individual signing NICHOLAS MINER
Valid signature Filed with authorized/valid electronic signature
LONE TREE PEDIATRIC DENTISTRY 401 K PROFIT SHARING PLAN TRUST 2017 474529178 2020-03-06 LONE TREE PEDIATRIC DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2132103171
Plan sponsor’s address 10450 PARK MEADOWS DRIVE SUITE, LONETREE, CO, 80124

Signature of
Role Plan administrator
Date 2020-03-06
Name of individual signing NICHOLAS MINER
Valid signature Filed with authorized/valid electronic signature
LONE TREE PEDIATRIC DENTISTRY 401 K PROFIT SHARING PLAN TRUST 2016 474529178 2017-06-19 LONE TREE PEDIATRIC DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2132103171
Plan sponsor’s address 10450 PARK MEADOWS DRIVE SUITE, LONETREE, CO, 80124

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing NICK MINER
Valid signature Filed with authorized/valid electronic signature
LONE TREE PEDIATRIC DENTISTRY 401 K PROFIT SHARING PLAN TRUST 2015 474529178 2016-08-01 LONE TREE PEDIATRIC DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2132103171
Plan sponsor’s address 10450 PARK MEADOWS DRIVE, STE. 308, LONE TREE, CO, 80124

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing NICK MINER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Nicholas Miner Agent 9075 Forsstrom Dr Lone Tree CO 80124 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241677177 File Report 2024-06-24 2024-06-24 No data Principal address changed, Change in registered agent information
20231692505 File Report 2023-06-29 2023-06-29 No data Principal address changed, Change in registered agent information
20221647405 File Report 2022-06-30 2022-06-30 No data No data
20211571637 File Report 2021-06-23 2021-06-23 No data Change of Entity Address
20201535638 File Report 2020-06-23 2020-06-23 No data No data
20191788341 File Report 2019-09-30 2019-09-30 No data No data
20181514971 File Report 2018-06-27 2018-06-27 No data No data
20171625369 File Report 2017-08-22 2017-08-22 No data No data
20161459147 File Report 2016-07-05 2016-07-05 No data Change of Registered Agent Address / Change of Entity Address
20151454905 Form a Limited Liability Company (LLC) 2015-07-15 2015-07-15 Lone Tree Pediatric Dentistry, PLLC No data

Related by officers

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Related by address

9075 Forsstrom Dr Lone Tree CO 80124 US

Chiropractic and Massage Medicine LLC

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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