| Name: | Tafolla & Hammack Family Dentistry, PLLC |
| Jurisdiction: | Colorado |
| Legal type: | Domestic limited liability company |
| Status: | Good Standing |
| Date of registration: | 21 Dec 2020 (4 years ago) |
| Entity Number: | 20208090060 |
| ZIP code: | 80918 |
| County: | El Paso County |
| Place of Formation: | COLORADO |
| Principal Address: | 5478 Tomah Dr Colorado Springs CO 80918 US |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAFOLLA & HAMMACK FAMILY DENTISTRY, PLLC | 2023 | 854371965 | 2024-09-11 | TAFOLLA & HAMMACK FAMILY DENTISTRY, PLLC | 18 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 854371965 |
| Plan administrator’s name | TAFOLLA & HAMMACK FAMILY DENTISTRY |
| Plan administrator’s address | 5478 TOMAH DR, COLORADO SPRINGS, CO, 809181928 |
| Administrator’s telephone number | 7195986680 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-02-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 7195986680 |
| Plan sponsor’s address | 5478 TOMAH DR., COLORADO SPRINGS, CO, 809181928 |
Plan administrator’s name and address
| Administrator’s EIN | 854371965 |
| Plan administrator’s name | TAFOLLA & HAMMACK FAMILY DENTISTRY |
| Plan administrator’s address | 5478 TOMAH DR, COLORADO SPRINGS, CO, 809181928 |
| Administrator’s telephone number | 7195986680 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-20 |
| Name of individual signing | JEROME TAFOLLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-09-20 |
| Name of individual signing | JEROME TAFOLLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Transaction ID | Type | Date | Effective date | Name | Comment |
|---|---|---|---|---|---|
| 20238243150 | File Report | 2023-11-28 | 2023-11-28 | No data | Change in registered agent information |
| 20228166079 | File Report | 2022-11-29 | 2022-11-29 | No data | Principal address changed |
| 20221176247 | File Report | 2022-02-22 | 2022-02-22 | No data | Change of Registered Agent / Change of Registered Agent Address |
| 20208090060 | Form a Limited Liability Company (LLC) | 2020-12-21 | 2020-12-21 | Tafolla & Hammack Family Dentistry, PLLC | No data |
Date of last update: 13 Jan 2025
Sources: Colorado's Secretary of State
