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Angie Lee, DMD, MS, PLLC

Company Details

Name: Angie Lee, DMD, MS, PLLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Good Standing
Date of registration: 19 Apr 2013 (12 years ago)
Entity Number: 20131240685
ZIP code: 80525
County: Larimer County
Place of Formation: COLORADO
Principal Address: 4803 Boardwalk Dr Ste 110 Fort Collins CO 80525 US
Mailing Address: 1001-A E Harmony Rd NUM 20 Fort Collins CO 80525 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANGIE LEE PERIODONTICS 401(K) PLAN 2021 462589040 2022-02-20 ANGIE LEE, DMD, MS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9709995126
Plan sponsor’s address 1001-A E. HARMONY RD, #20, FORT COLLINS, CO, 80525

Signature of

Role Plan administrator
Date 2022-02-20
Name of individual signing ANGIE LEE
Valid signature Filed with authorized/valid electronic signature
ANGIE LEE PERIODONTICS 401(K) PLAN 2020 462589040 2021-02-25 ANGIE LEE, DMD, MS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9709995126
Plan sponsor’s address 1001-A E. HARMONY RD, #20, FORT COLLINS, CO, 80525

Signature of

Role Plan administrator
Date 2021-02-25
Name of individual signing ANGIE LEE
Valid signature Filed with authorized/valid electronic signature
ANGIE LEE PERIODONTICS 401(K) PLAN 2019 462589040 2020-03-05 ANGIE LEE, DMD, MS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9709995126
Plan sponsor’s address 1001-A E. HARMONY RD, #20, FORT COLLINS, CO, 80525

Signature of

Role Plan administrator
Date 2020-03-05
Name of individual signing ANGIE LEE
Valid signature Filed with authorized/valid electronic signature
ANGIE LEE PERIODONTICS 401(K) PLAN 2018 462589040 2019-01-28 ANGIE LEE, DMD, MS, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9709995126
Plan sponsor’s address 1001-A E. HARMONY RD, #20, FORT COLLINS, CO, 80525

Signature of

Role Plan administrator
Date 2019-01-28
Name of individual signing ANGIE LEE
Valid signature Filed with authorized/valid electronic signature
ANGIE LEE PERIODONTICS 401(K) PLAN 2017 462589040 2018-01-31 ANGIE LEE, DMD, MS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9709995126
Plan sponsor’s address 4803 BOARDWALK DRIVE, SUITE 110, FORT COLLINS, CO, 80525

Signature of

Role Plan administrator
Date 2018-01-31
Name of individual signing ANGIE LEE
Valid signature Filed with authorized/valid electronic signature
ANGIE LEE PERIODONTICS 401(K) PLAN 2016 462589040 2017-02-10 ANGIE LEE, DMD, MS, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9709995126
Plan sponsor’s address 1220 OAK PARK DRIVE, SUITE 110, FORT COLLINS, CO, 80525

Signature of

Role Plan administrator
Date 2017-02-10
Name of individual signing ANGIE LEE
Valid signature Filed with authorized/valid electronic signature
ANGIE LEE PERIODONTICS 401(K) PLAN 2015 462589040 2016-03-15 ANGIE LEE, DMD, MS, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9709995126
Plan sponsor’s address 1220 OAK PARK DRIVE, SUITE 110, FORT COLLINS, CO, 80525

Signature of

Role Plan administrator
Date 2016-03-15
Name of individual signing ANGIE LEE
Valid signature Filed with authorized/valid electronic signature

Transaction History

Transaction ID Type Date Effective date Name Comment
20241324055 File Report 2024-03-23 2024-03-23 No data Principal address changed, Change in registered agent information
20231308552 File Report 2023-03-23 2023-03-23 No data Principal address changed, Change in registered agent information
20221292718 File Report 2022-03-23 2022-03-23 No data No data
20211310525 File Report 2021-03-29 2021-03-29 No data Change of Registered Agent
20201260926 File Report 2020-03-23 2020-03-23 No data No data
20191205358 File Report 2019-03-06 2019-03-06 No data Removed agent mailing address;Change of Registered Agent
20181239273 File Report 2018-03-23 2018-03-23 No data No data
20171308414 Statement of Change Changing the Principal Office Address 2017-04-24 2017-04-24 No data Removed entity mailing address;Principal address changed;
20171308531 Statement of Change Changing the Registered Agent Information 2017-04-24 2017-04-24 No data Registered agent information changed;
20171222521 File Report 2017-03-23 2017-03-23 No data No data

Date of last update: 23 Dec 2024

Sources: Colorado's Secretary of State