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Impact Dental Group, Inc.

Company Details

Name: Impact Dental Group, Inc.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 08 Dec 2016 (8 years ago)
Entity Number: 20161833895
ZIP code: 80111
County: Arapahoe County
Place of Formation: COLORADO
Principal Address: 7995 E Prentice Ave Ste 211 Greenwood Village CO 80111 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOX CREEK FAMILY DENTAL 401(K) PROFIT SHARING PLAN 2023 814646728 2024-09-01 IMPACT DENTAL GROUP 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4253512172
Plan sponsor’s address 2818 SHOSHONE TRAIL, LAFAYETTE, CO, 80026

Signature of

Role Plan administrator
Date 2024-09-01
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
FOX CREEK FAMILY DENTAL 401(K) PROFIT SHARING PLAN 2022 814646728 2023-09-11 IMPACT DENTAL GROUP 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4253512172
Plan sponsor’s address 2818 SHOSHONE TRAIL, LAFAYETTE, CO, 80026

Signature of

Role Plan administrator
Date 2023-09-11
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
FOX CREEK FAMILY DENTAL 401(K) PROFIT SHARING PLAN 2021 814646728 2022-07-20 IMPACT DENTAL GROUP 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4253512172
Plan sponsor’s DBA name FOX CREEK FAMILY DENTAL
Plan sponsor’s address 2818 SHOSHONE TRAIL, LAFAYETTE, CO, 80026

Signature of

Role Plan administrator
Date 2022-07-20
Name of individual signing RYAN KOENIG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Sarah Montgomery Agent 7995 E Prentice Ave Ste 211 Greenwood Village CO 80111 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248245934 File Report 2024-11-25 2024-11-25 No data Principal address changed, Change in registered agent information
20238240695 File Report 2023-11-28 2023-11-28 No data Principal address changed, Change in registered agent information
20231596549 Statement of Change Changing the Registered Agent Information 2023-06-01 2023-06-01 No data Registered agent information changed;
20231255055 File Report 2023-03-03 2023-03-03 No data Principal address changed, Change in registered agent information
20218199234 File Report 2021-12-23 2021-12-23 No data Change of Registered Agent Address
20208072144 File Report 2020-12-11 2020-12-11 No data No data
20198002133 File Report 2019-12-10 2019-12-10 No data No data
20191171493 File Report 2019-02-25 2019-02-25 No data Change of Registered Agent Address / Change of Entity Address
20191012334 Amend Articles of Incorporation for a Profit Corporation 2019-01-04 2019-01-04 Impact Dental Group, Inc. Change of entity name
20171936801 File Report 2017-12-20 2017-12-20 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State