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  5. PEDIATRIC ASSOCIATES, P.C.

PEDIATRIC ASSOCIATES, P.C.

Company Details

Name: PEDIATRIC ASSOCIATES, P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 02 Sep 1969 (55 years ago)
Date dissolved: 05 Mar 2021
Entity Number: 19871212055
ZIP code: 80906
County: El Paso County
Place of Formation: COLORADO
Principal Address: 3151 Springmeadow Drive Colorado Springs CO 80906 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRICS ASSOCIATES P.C. 401(K)PLAN 2017 840595126 2018-07-21 PEDIATRIC ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 7195964502
Plan sponsor’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600

Signature of
Role Plan administrator
Date 2018-07-21
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS ASSOCIATES P.C. 401(K)PLAN 2016 840595126 2017-10-16 PEDIATRIC ASSOCIATES, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 7195964502
Plan sponsor’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS ASSOCIATES P.C. 401(K)PLAN 2015 840595126 2016-08-11 PEDIATRIC ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 7195964502
Plan sponsor’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600

Signature of
Role Plan administrator
Date 2016-08-11
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS ASSOCIATES P.C. 401(K)PLAN 2014 840595126 2015-09-22 PEDIATRIC ASSOCIATES, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 7195966550
Plan sponsor’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600

Signature of
Role Plan administrator
Date 2015-09-22
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS ASSOCIATES P.C. 401(K)PLAN 2013 840595126 2014-09-17 PEDIATRIC ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 7195966550
Plan sponsor’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600

Signature of
Role Plan administrator
Date 2014-09-17
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS ASSOCIATES P.C. 401(K)PLAN 2012 840595126 2013-04-17 PEDIATRIC ASSOCIATES, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 7195966550
Plan sponsor’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600

Plan administrator’s name and address
Administrator’s EIN 840595126
Plan administrator’s name PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600
Administrator’s telephone number 7195966550

Signature of
Role Plan administrator
Date 2013-04-17
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS ASSOCIATES P.C. PROFIT SHARING PLAN 2011 840595126 2012-01-24 PEDIATRIC ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 7195966550
Plan sponsor’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600

Plan administrator’s name and address
Administrator’s EIN 840595126
Plan administrator’s name PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600
Administrator’s telephone number 7195966550

Signature of
Role Plan administrator
Date 2012-01-24
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS ASSOCIATES P.C. PROFIT SHARING PLAN 2010 840595126 2011-07-19 PEDIATRIC ASSOCIATES, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 7195966550
Plan sponsor’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600

Plan administrator’s name and address
Administrator’s EIN 840595126
Plan administrator’s name PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 809222600
Administrator’s telephone number 7195966550

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES P.C. PROFIT SHARING PLAN 2009 840595126 2010-09-15 PEDIATRIC ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 7195966550
Plan sponsor’s mailing address 6190 BARNES RD., COLORADO SPRINGS, CO, 80922
Plan sponsor’s address 6190 BARNES RD, COLORADO SPRINGS, CO, 80922

Plan administrator’s name and address
Administrator’s EIN 840595126
Plan administrator’s name PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 6190 BARNES RD., COLORADO SPRINGS, CO, 80922
Administrator’s telephone number 7195966550

Number of participants as of the end of the plan year
Active participants 20
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 23
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-15
Name of individual signing DAVID BASWELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
David Baswell Agent 6190 BARNES RD COLORADO SPRINGS CO 80922 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20211235187 Statement of Correction Correcting the Principal Office Address 2021-03-08 2021-03-08 No data Principal address corrected;
20211230236 Dissolve a Profit Corporation 2021-03-05 2021-03-05 PEDIATRIC ASSOCIATES, P.C., Dissolved March 5, 2021 No data
20201967326 File Report 2020-11-09 2020-11-09 No data No data
20191852687 File Report 2019-10-24 2019-10-24 No data No data
20181925352 File Report 2018-11-27 2018-11-27 No data No data
20171801668 File Report 2017-10-24 2017-10-24 No data No data
20161578276 File Report 2016-08-25 2016-08-25 No data No data
20151603917 File Report 2015-09-22 2015-09-22 No data No data
20141548869 File Report 2014-09-08 2014-09-08 No data No data
20131574414 File Report 2013-10-02 2013-10-02 No data No data

Related by officers

No related officers

Related by address

3151 Springmeadow Drive Colorado Springs CO 80906 US

POWERS PEDIATRIC GROUP, LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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