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  5. Alliance Family Dentistry, PLLC

Alliance Family Dentistry, PLLC

Company Details

Name: Alliance Family Dentistry, PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Delinquent
Date of registration: 14 Aug 2023 (a year ago)
Entity Number: 20231841939
ZIP code: 80919
County: El Paso County
Place of Formation: COLORADO
Principal Address: 6665 Delmonico Drive, Suite C Colorado Springs CO 80919 US
Mailing Address: 1801 Wewatta Street 11th Floor Denver CO 80202 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALLIANCE FAMILY DENTISTRY 401(K) P/S PLAN 2020 201862396 2021-10-07 ALLIANCE FAMILY DENTISTRY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 7194331585
Plan sponsor’s address 8760 VELVET ANTLER WAY, PEYTON, CO, 80831

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing JOHN ROYAL
Valid signature Filed with authorized/valid electronic signature
ALLIANCE FAMILY DENTISTRY 401(K) P/S PLAN 2020 201862396 2021-06-21 ALLIANCE FAMILY DENTISTRY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 7194331585
Plan sponsor’s address 8760 VELVET ANTLER WAY, PEYTON, CO, 80831

Plan administrator’s name and address
Administrator’s EIN 201862396
Plan administrator’s name ALLIANCE FAMILY DENTISTRY
Plan administrator’s address 8760 VELVET ANTLER WAY, PEYTON, CO, 80831
Administrator’s telephone number 7194331585

Signature of
Role Plan administrator
Date 2021-06-21
Name of individual signing JOHN ROYAL
Valid signature Filed with authorized/valid electronic signature
ALLIANCE FAMILY DENTISTRY 401(K) P/S PLAN 2019 201862396 2020-08-15 ALLIANCE FAMILY DENTISTRY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 7199554023
Plan sponsor’s address 6140 TUTT BLVD STE 140, COLORADO SPRINGS, CO, 80923

Plan administrator’s name and address
Administrator’s EIN 201862396
Plan administrator’s name ALLIANCE FAMILY DENTISTRY
Plan administrator’s address 6140 TUTT BLVD STE 140, COLORADO SPRINGS, CO, 80923
Administrator’s telephone number 7199554023

Signature of
Role Plan administrator
Date 2020-08-15
Name of individual signing JOHN ROYAL
Valid signature Filed with authorized/valid electronic signature
ALLIANCE FAMILY DENTISTRY 401(K) P/S PLAN 2018 201862396 2019-05-21 ALLIANCE FAMILY DENTISTRY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 7199554023
Plan sponsor’s address 6140 TUTT BLVD STE 140, COLORADO SPRINGS, CO, 80923

Plan administrator’s name and address
Administrator’s EIN 201862396
Plan administrator’s name ALLIANCE FAMILY DENTISTRY
Plan administrator’s address 6140 TUTT BLVD STE 140, COLORADO SPRINGS, CO, 80923
Administrator’s telephone number 7199554023

Signature of
Role Plan administrator
Date 2019-05-21
Name of individual signing JOHN ROYAL
Valid signature Filed with authorized/valid electronic signature
ALLIANCE FAMILY DENTISTRY 401(K) P/S PLAN 2017 201862396 2018-07-10 ALLIANCE FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 7199554023
Plan sponsor’s address 6140 TUTT BLVD STE 140, COLORADO SPRINGS, CO, 80923

Plan administrator’s name and address
Administrator’s EIN 201862396
Plan administrator’s name ALLIANCE FAMILY DENTISTRY
Plan administrator’s address 6140 TUTT BLVD STE 140, COLORADO SPRINGS, CO, 80923
Administrator’s telephone number 7199554023

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing JOHN ROYAL
Valid signature Filed with authorized/valid electronic signature
ALLIANCE FAMILY DENTISTRY 401(K) P/S PLAN 2016 201862396 2017-04-03 ALLIANCE FAMILY DENTISTRY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 7199554023
Plan sponsor’s address 6140 TUTT BLVD STE 140, COLORADO SPRINGS, CO, 80923

Plan administrator’s name and address
Administrator’s EIN 201862396
Plan administrator’s name ALLIANCE FAMILY DENTISTRY
Plan administrator’s address 6140 TUTT BLVD STE 140, COLORADO SPRINGS, CO, 80923
Administrator’s telephone number 7199554023

Signature of
Role Plan administrator
Date 2017-04-03
Name of individual signing JOHN ROYAL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Matt Hendrick Agent 1801 Wewatta Street 11th Floor Denver CO 80202 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20231841939 Form a Limited Liability Company (LLC) 2023-08-14 2023-08-14 Alliance Family Dentistry, PLLC No data

Related by officers

Matt Hendrick

Hendrick Media, LLC Mountain Smiles, PC Massive Dental Colorado, PLLC Harvard Dental Colorado, PLLC Palmer Park Dentistry, PLLC Advanced Dental Center, PLLC Associates in Maxillofacial and Oral Surgery, PLLC Care Dental, PLLC Prestige Dental Colorado Springs, PLLC Prestige Dental Pueblo, PLLC

Related by address

6665 Delmonico Drive, Suite C Colorado Springs CO 80919 US

Palmer Park Dentistry, PLLC Advanced Dental Center, PLLC Associates in Maxillofacial and Oral Surgery, PLLC Care Dental, PLLC Prestige Dental Colorado Springs, PLLC Prestige Dental Pueblo, PLLC Springs Dentistry, PLLC Pine Ridge Dental, PLLC Tuttle Dentistry, PLLC

1801 Wewatta Street 11th Floor Denver CO 80202 US

SLP-Denver 1, LLC PMP, Inc. Alpha Joy Ventures, Inc. Vita Fox North Vertical GP, LLC Birdhouse Property Management LLC Palmer Park Dentistry, PLLC Advanced Dental Center, PLLC Associates in Maxillofacial and Oral Surgery, PLLC Care Dental, PLLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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