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Jeffrey S Tatarin DDS PC

Company Details

Name: Jeffrey S Tatarin DDS PC
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 07 Jan 2021 (4 years ago)
Entity Number: 20211022286
ZIP code: 80112
County: Arapahoe County
Place of Formation: COLORADO
Principal Address: 9025 E Mineral Cir Ste 101 Centennial CO 80112 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY S TATARIN DDS PC RETIREMENT TRUST 2023 861376906 2024-07-30 JEFFREY S TATARIN DDS PC 5
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Three-digit plan number (PN) 001
Effective date of plan 2021-07-01
Business code 541600
Sponsor’s telephone number 3037991525
Plan sponsor’s address 9025 E MINERAL CIR STE 101, CENTENNIAL, CO, 80112

Signature of

Role Plan administrator
Date 2024-07-30
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
JEFFREY S TATARIN DDS PC RETIREMENT TRUST 2022 861376906 2023-07-13 JEFFREY S TATARIN DDS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-07-01
Business code 541600
Sponsor’s telephone number 3037991525
Plan sponsor’s address 9025 E MINERAL CIR STE 101, CENTENNIAL, CO, 80112

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
JEFFREY S TATARIN DDS PC RETIREMENT TRUST 2021 861376906 2022-07-20 JEFFREY S TATARIN DDS PC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-07-01
Business code 541600
Sponsor’s telephone number 3037991525
Plan sponsor’s address 9025 E MINERAL CIR STE 101, CENTENNIAL, CO, 80112

Signature of

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

Agent

Name Role Address
Jeffrey Spencer Tatarin Agent 9025 E Mineral Cir Ste 101 Centennial CO 80112 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241331475 File Report 2024-03-24 2024-03-24 No data Principal address changed, Change in registered agent information
20231386092 File Report 2023-04-05 2023-04-05 No data Change in registered agent information
20218189912 File Report 2021-12-23 2021-12-23 No data Removed agent mailing address; / Change of Registered Agent Address / Change of Entity Address
20211022286 Form a Profit Corporation 2021-01-07 2021-01-07 Jeffrey S Tatarin DDS PC No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State