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Sisneros Family Dental PLLC

Company Details

Name: Sisneros Family Dental PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 21 Aug 2019 (5 years ago)
Entity Number: 20191661756
ZIP code: 81008
County: Pueblo County
Place of Formation: COLORADO
Principal Address: 1026 Eagleridge Blvd Pueblo CO 81008 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RETIREMENT INCOME SECURITY PLAN-ROCKY MOUNTAIN DENTAL COMPANY 2023 842794676 2024-08-02 SISNEROS FAMILY DENTAL 4
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 7195447672
Plan sponsor’s address 1026 EAGLERIDGE BLVD, PUEBLO, CO, 81008

Plan administrator’s name and address

Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of

Role Plan administrator
Date 2024-08-02
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-ROCKY MOUNTAIN DENTAL COMPANY 2023 842794676 2024-08-20 SISNEROS FAMILY DENTAL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 7195447672
Plan sponsor’s address 1026 EAGLERIDGE BLVD, PUEBLO, CO, 81008

Plan administrator’s name and address

Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of

Role Plan administrator
Date 2024-08-20
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
David Sisneros Agent 1026 Eagleridge Blvd Pueblo CO 81008 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241764641 File Report 2024-07-23 2024-07-23 No data Principal address changed, Change in registered agent information
20231781031 File Report 2023-07-25 2023-07-25 No data Principal address changed, Change in registered agent information
20221706108 File Report 2022-07-23 2022-07-23 No data Change of Entity Address
20211685978 File Report 2021-07-26 2021-07-26 No data No data
20201643008 File Report 2020-07-25 2020-07-25 No data Change of Registered Agent Address
20201428533 Statement of Change Changing the Principal Office Address 2020-05-15 2020-05-15 No data Principal address changed;
20191661756 Form a Limited Liability Company (LLC) 2019-08-21 2019-08-21 Sisneros Family Dental PLLC No data

Date of last update: 10 Feb 2025

Sources: Colorado's Secretary of State