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  5. POWERS DENTAL GROUP, LLP

POWERS DENTAL GROUP, LLP

Company Details

Name: POWERS DENTAL GROUP, LLP
Jurisdiction: Colorado
Legal type: Domestic limited liability partnership
Status: Good Standing
Date of registration: 13 Dec 2002 (22 years ago)
Entity Number: 20021345901
ZIP code: 80917
County: El Paso County
Place of Formation: COLORADO
Principal Address: 5780 N Carefree Cir Colorado Springs CO 80917 US
Mailing Address: 2403 Lacy Ln Carrollton TX 75006 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POWERS DENTAL GROUP 401K PLAN 2020 841231304 2021-10-11 POWERS DENTAL GROUP 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-12-30
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 5780 N. CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing JONATHAN ELMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing JONATHAN ELMER
Valid signature Filed with authorized/valid electronic signature
POWERS DENTAL GROUP 401K PLAN 2019 841231304 2020-10-13 POWERS DENTAL GROUP 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-12-30
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 5780 N. CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JONATHAN ELMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing JONATHAN ELMER
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-POWERS DENTAL GROUP 2018 841231304 2019-09-30 POWERS DENTAL GROUP 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-12-30
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 5780 N CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917

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 2019-09-30
Name of individual signing STEVEN STOUT
Valid signature Filed with authorized/valid electronic signature
RETIREMENT INCOME SECURITY PLAN-POWERS DENTAL GROUP 2017 841231304 2018-07-27 POWERS DENTAL GROUP 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-12-30
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 5780 N CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917

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 2018-07-27
Name of individual signing SPENCER BARCLAY
Valid signature Filed with authorized/valid electronic signature
POWERS DENTAL GROUP 401 K PROFIT SHARING PLAN TRUST 2016 841231304 2017-08-28 POWERS DENTAL GROUP 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 7100 E BELLEVIEW AVE., STE. 300, GREENWOOD VILLAGE, CO, 80111

Plan administrator’s name and address
Administrator’s EIN 841231304
Plan administrator’s name POWERS DENTAL GROUP
Plan administrator’s address 5780 NORTH CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917
Administrator’s telephone number 7195979737

Signature of
Role Plan administrator
Date 2017-08-28
Name of individual signing AMANDA JOHNSON
Valid signature Filed with authorized/valid electronic signature
POWERS DENTAL GROUP 401 K PROFIT SHARING PLAN TRUST 2015 841231304 2016-07-27 POWERS DENTAL GROUP 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 5780 NORTH CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing SUSAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
POWERS DENTAL GROUP 401 K PROFIT SHARING PLAN TRUST 2014 841231304 2015-07-23 POWERS DENTAL GROUP 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 5780 NORTH CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing SUSAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
POWERS DENTAL GROUP, LLC 401(K) PLAN 2013 841231304 2014-07-01 POWERS DENTAL GROUP, LLP 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-12-30
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 5780 N CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80914

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing SUSAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
POWERS DENTAL GROUP 401(K) PLAN 2012 841231304 2013-02-22 POWERS DENTAL GROUP 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-12-30
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 5780 N. CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917

Signature of
Role Plan administrator
Date 2013-02-22
Name of individual signing STEVEN KENT CRISLER
Valid signature Filed with authorized/valid electronic signature
POWERS DENTAL GROUP 401(K) PLAN 2011 841231304 2012-05-11 POWERS DENTAL GROUP 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-12-30
Business code 621210
Sponsor’s telephone number 7195979737
Plan sponsor’s address 5780 N. CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917

Plan administrator’s name and address
Administrator’s EIN 841231304
Plan administrator’s name POWERS DENTAL GROUP
Plan administrator’s address 5780 N. CAREFREE CIRCLE, COLORADO SPRINGS, CO, 80917
Administrator’s telephone number 7195979737

Signature of
Role Plan administrator
Date 2012-05-11
Name of individual signing STEVEN KENT CRISLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Steven Crisler Agent 5780 N Carefree Cir Colorado Springs CO 80917 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248203859 File Report 2024-11-12 2024-11-12 No data Principal address changed
20238244624 File Report 2023-11-28 2023-11-28 No data Principal address changed, Change in registered agent information
20231212067 File Report 2023-02-24 2023-02-24 No data No data
20218142596 Statement Curing Delinquency 2021-12-02 2021-12-02 No data No data
20201825652 File Report 2020-09-24 2020-09-24 No data No data
20191547614 File Report 2019-07-05 2019-07-05 No data Change of Registered Agent Address / Change of Entity Address
20181509848 File Report 2018-06-26 2018-06-26 No data Change of Registered Agent / Change of Registered Agent Address
20171482079 File Report 2017-06-23 2017-06-23 No data No data
20161445207 File Report 2016-06-28 2016-06-28 No data Change of Registered Agent
20151469695 Statement Curing Delinquency 2015-07-23 2015-07-23 No data No data

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Date of last update: 23 Dec 2024

Sources: Colorado's Secretary of State

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