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Water Valley Dental, PLLC

Company Details

Name: Water Valley Dental, PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 25 Oct 2019 (5 years ago)
Entity Number: 20191855434
ZIP code: 80550
County: Weld County
Place of Formation: COLORADO
Principal Address: 1349 Water Valley Pkwy Ste 101 Windsor CO 80550 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WATER VALLEY DENTAL 401(K) PLAN 2023 843482307 2024-05-17 WATER VALLEY DENTAL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 722513
Sponsor’s telephone number 9704608989
Plan sponsor’s address 1349 WATER VALLEY PKWY, STE 101, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-17
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
WATER VALLEY DENTAL 401(K) PLAN 2022 843482307 2023-05-27 WATER VALLEY DENTAL 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 722513
Sponsor’s telephone number 9704608989
Plan sponsor’s address 1349 WATER VALLEY PKWY, STE 101, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
WATER VALLEY DENTAL 401(K) PLAN 2021 843482307 2022-05-19 WATER VALLEY DENTAL 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 722513
Sponsor’s telephone number 9704608989
Plan sponsor’s address 1349 WATER VALLEY PKWY, STE 101, WINDSOR, CO, 80550

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Daniel Banks Agent 6602 Stone Point Dr Timnath CO 80547 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248044620 File Report 2024-09-26 2024-09-26 No data Principal address changed, Change in registered agent information
20238001021 File Report 2023-09-26 2023-09-26 No data Principal address changed, Change in registered agent information
20221927068 File Report 2022-09-25 2022-09-25 No data Principal address changed, Change in registered agent information
20221003608 File Report 2022-01-02 2022-01-02 No data No data
20201844275 File Report 2020-09-28 2020-09-28 No data No data
20201508975 Statement of Change Changing the Principal Office Address 2020-06-10 2020-06-10 No data Principal address changed;
20191855434 Form a Limited Liability Company (LLC) 2019-10-25 2019-10-25 Water Valley Dental, PLLC No data

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State