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Amy Roberts DDS, PLLC

Company Details

Name: Amy Roberts DDS, PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 23 Nov 2016 (8 years ago)
Entity Number: 20161789201
ZIP code: 80129
County: Douglas County
Place of Formation: COLORADO
Principal Address: 300 Plaza Drive Suite 150 Highlands Ranch CO 80129 US
Mailing Address: 300 Plaza Dr Ste 102 Highlands Ranch CO 80129 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMY ROBERTS DDS 401K PLAN 2023 821150207 2024-12-15 AMY ROBERTS DDS PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-13
Business code 621210
Sponsor’s telephone number 3036833332
Plan sponsor’s address 300 PLAZA DR UNIT 150, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2024-12-15
Name of individual signing AMY ROBERTS
Valid signature Filed with authorized/valid electronic signature
AMY ROBERTS DDS 401K PLAN 2023 821150207 2024-11-12 AMY ROBERTS DDS PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-13
Business code 621210
Sponsor’s telephone number 3036833332
Plan sponsor’s address 300 PLAZA DR UNIT 150, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2024-11-12
Name of individual signing AMY ROBERTS
Valid signature Filed with authorized/valid electronic signature
AMY ROBERTS DDS 401K PLAN 2022 821150207 2023-05-31 AMY ROBERTS DDS PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-13
Business code 621210
Sponsor’s telephone number 3036833332
Plan sponsor’s address 300 PLAZA DR UNIT 102, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2023-05-31
Name of individual signing AMY ROBERTS
Valid signature Filed with authorized/valid electronic signature
AMY ROBERTS DDS 401K PLAN 2021 821150207 2022-07-20 AMY ROBERTS DDS PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-13
Business code 621210
Sponsor’s telephone number 3036833332
Plan sponsor’s address 300 PLAZA DR UNIT 102, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2022-07-20
Name of individual signing AMY ROBERTS
Valid signature Filed with authorized/valid electronic signature
AMY ROBERTS DDS 401K PLAN 2020 821150207 2021-06-30 AMY ROBERTS DDS PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-13
Business code 621210
Sponsor’s telephone number 3036833332
Plan sponsor’s address 300 PLAZA DR UNIT 102, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2021-06-30
Name of individual signing AMY ROBERTS
Valid signature Filed with authorized/valid electronic signature
AMY ROBERTS DDS 401K PLAN 2019 821150207 2020-07-24 AMY ROBERTS DDS PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-13
Business code 621210
Sponsor’s telephone number 3036833332
Plan sponsor’s address 300 PLAZA DR UNIT 102, HIGHLANDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2020-07-24
Name of individual signing AMY ROBERTS
Valid signature Filed with authorized/valid electronic signature
AMY ROBERTS DDS PLLC (DBA 303 DENTA 2016 814578535 2017-06-27 AMY ROBERTS DDS, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-13
Business code 621210
Sponsor’s telephone number 3036833332
Plan sponsor’s address 300 PLAZA DR STE 102, HGHLNDS RANCH, CO, 80129

Signature of

Role Plan administrator
Date 2017-06-27
Name of individual signing AMY ROBERTS
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20248147567 File Report 2024-10-25 2024-10-25 No data Principal address changed, Change in registered agent information
20238126423 File Report 2023-10-24 2023-10-24 No data Principal address changed, Change in registered agent information
20228065681 File Report 2022-10-28 2022-10-28 No data Principal address changed, Change in registered agent information
20218038906 File Report 2021-10-30 2021-10-30 No data Change of Registered Agent Address / Change of Entity Address
20201952885 File Report 2020-11-02 2020-11-02 No data No data
20191861605 File Report 2019-10-28 2019-10-28 No data No data
20191074876 File Report 2019-01-25 2019-01-25 No data No data
20171792876 File Report 2017-10-23 2017-10-23 No data Change of Registered Agent Address / Change of Entity Address
20161789201 Form a Limited Liability Company (LLC) 2016-11-23 2016-11-23 Amy Roberts DDS, PLLC No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State