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  5. Alliance Dental Group

Alliance Dental Group

Company Details

Name: Alliance Dental Group
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 22 May 2018 (7 years ago)
Entity Number: 20181405183
ZIP code: 80022
County: Adams County
Place of Formation: COLORADO
Principal Address: 12253 East 104th Place Suite 105 Commerce City CO 80022 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMILE 4 LIFE DENTAL 401K PLAN 2023 830717036 2024-04-28 ALLIANCE DENTAL GROUP 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3038299243
Plan sponsor’s address 12253 E. 104TH PLACE, SUITE 105, COMMERCE CITY, CO, 80022

Signature of
Role Plan administrator
Date 2024-04-28
Name of individual signing JENNIE MACUMBER
Valid signature Filed with authorized/valid electronic signature
SMILE 4 LIFE DENTAL 401K PLAN 2022 830717036 2023-04-19 ALLIANCE DENTAL GROUP 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3038299243
Plan sponsor’s address 12253 E. 104TH PLACE, SUITE 105, COMMERCE CITY, CO, 80022

Signature of
Role Plan administrator
Date 2023-04-19
Name of individual signing JENNIE MACUMBER
Valid signature Filed with authorized/valid electronic signature
SMILE 4 LIFE DENTAL 401K PLAN 2021 830717036 2022-05-06 ALLIANCE DENTAL GROUP 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3038299243
Plan sponsor’s address 12253 E. 104TH PLACE, SUITE 105, COMMERCE CITY, CO, 80022

Signature of
Role Plan administrator
Date 2022-05-06
Name of individual signing JENNIE MACUMBER
Valid signature Filed with authorized/valid electronic signature
SMILE 4 LIFE DENTAL 401K PLAN 2020 830717036 2021-06-16 ALLIANCE DENTAL GROUP 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3038299243
Plan sponsor’s address 12253 E. 104TH PLACE, SUITE 105, COMMERCE CITY, CO, 80022

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing JENNIE MACUMBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-16
Name of individual signing JENNIE MACUMBER
Valid signature Filed with authorized/valid electronic signature
SMILE 4 LIFE DENTAL 401K PLAN 2019 830717036 2020-05-20 ALLIANCE DENTAL GROUP 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3038299243
Plan sponsor’s address 12253 E. 104TH PLACE, SUITE 105, COMMERCE CITY, CO, 80022

Signature of
Role Plan administrator
Date 2020-05-20
Name of individual signing JENNIE MACUMBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-20
Name of individual signing JENNIE MACUMBER
Valid signature Filed with authorized/valid electronic signature
SMILE 4 LIFE DENTAL 401K PLAN 2018 830717036 2019-05-09 ALLIANCE DENTAL GROUP 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 3038299243
Plan sponsor’s address 12253 E. 104TH PLACE, SUITE 105, COMMERCE CITY, CO, 80022

Signature of
Role Plan administrator
Date 2019-05-09
Name of individual signing JENNIE MACUMBER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jennie Macumber Agent 4630 Summit Grove Pkwy Thornton CO 80241 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241322288 File Report 2024-03-23 2024-03-23 No data No data
20231310258 File Report 2023-03-23 2023-03-23 No data Change in registered agent information
20221307322 File Report 2022-03-24 2022-03-24 No data No data
20211271940 File Report 2021-03-23 2021-03-23 No data Change of Registered Agent Address
20201388262 Statement Curing Delinquency 2020-04-29 2020-04-29 No data No data
20181405183 Form a Limited Liability Company (LLC) 2018-05-22 2018-05-22 Alliance Dental Group No data

Related by officers

Jennie Macumber

Smile 4 Life, P.C. Turnberry Dental LLC

Related by address

12253 East 104th Place Suite 105 Commerce City CO 80022 US

Turnberry Dental LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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