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  5. KEVIN J. MOLK, M.D.,P.C.

KEVIN J. MOLK, M.D.,P.C.

Company Details

Name: KEVIN J. MOLK, M.D.,P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 22 Jan 1993 (32 years ago)
Date dissolved: 01 Apr 2018
Entity Number: 19931007666
ZIP code: 80138
County: Douglas County
Place of Formation: COLORADO
Principal Address: 9397 CROWN CREST BLVD STE 420 PARKER CO 80138 US
Mailing Address: 17736 E JAMISON AVE CENTENNIAL CO 80016-1815 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KEVIN J. MOLK, M.D., P.C. PROFIT SHARING PLAN 2016 840864172 2017-08-07 KEVIN J MOLK, M.D., P.C 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 3036996027
Plan sponsor’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016

Signature of
Role Plan administrator
Date 2017-08-06
Name of individual signing NINA MOLK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-06
Name of individual signing KEVIN J MOLK MD
Valid signature Filed with authorized/valid electronic signature
KEVIN J. MOLK, M.D., P.C. PROFIT SHARING PLAN 2015 840864172 2016-09-21 KEVIN J MOLK, M.D., P.C 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 3036996027
Plan sponsor’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing KEVIN J MOLK MD
Valid signature Filed with authorized/valid electronic signature
KEVIN J. MOLK, M.D., P.C. PROFIT SHARING PLAN 2014 840864172 2015-07-07 KEVIN J MOLK, M.D., P.C 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 3036996027
Plan sponsor’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing KEVIN J MOLK MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-07
Name of individual signing KEVIN J MOLK MD
Valid signature Filed with authorized/valid electronic signature
KEVIN J. MOLK, M.D., P.C. PROFIT SHARING PLAN 2013 840864172 2014-07-29 KEVIN J MOLK, M.D., P.C 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 3036996027
Plan sponsor’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing KEVIN J MOLK MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-29
Name of individual signing KEVIN J MOLK MD
Valid signature Filed with authorized/valid electronic signature
KEVIN J. MOLK, M.D., P.C. PROFIT SHARING PLAN 2012 840864172 2013-07-31 KEVIN J MOLK, M.D., P.C 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 3036996027
Plan sponsor’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing KEVIN J MOLK MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing KEVIN J MOLK MD
Valid signature Filed with authorized/valid electronic signature
KEVIN J MOLK, M.D., P.C. PROFIT SHARING PLAN 2011 840864172 2012-09-28 KEVIN J MOLK M.D. P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 3036996027
Plan sponsor’s mailing address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016
Plan sponsor’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016

Plan administrator’s name and address
Administrator’s EIN 840864172
Plan administrator’s name KEVIN J MOLK M.D. P.C.
Plan administrator’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016
Administrator’s telephone number 3036996027

Number of participants as of the end of the plan year
Active participants 11
Number of participants with account balances as of the end of the plan year 11

Signature of
Role Plan administrator
Date 2012-09-25
Name of individual signing KEVIN J MOLK MD
Valid signature Filed with authorized/valid electronic signature
KEVIN J MOLK, M.D., P.C. PROFIT SHARING PLAN 2010 840864172 2011-10-05 KEVIN J MOLK M.D. P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 3036996027
Plan sponsor’s mailing address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016
Plan sponsor’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016

Plan administrator’s name and address
Administrator’s EIN 840864172
Plan administrator’s name KEVIN J MOLK M.D. P.C.
Plan administrator’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016
Administrator’s telephone number 3036996027

Number of participants as of the end of the plan year
Active participants 11
Number of participants with account balances as of the end of the plan year 11

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing KEVIN MOLK
Valid signature Filed with authorized/valid electronic signature
KEVIN J MOLK, M.D., P.C. PROFIT SHARING PLAN 2010 840864172 2011-10-04 KEVIN J MOLK M.D. P.C. 10
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621111
Sponsor’s telephone number 3036996027
Plan sponsor’s mailing address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016
Plan sponsor’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016

Plan administrator’s name and address
Administrator’s EIN 840864172
Plan administrator’s name KEVIN J MOLK M.D. P.C.
Plan administrator’s address 17736 E JAMISON AVE, CENTENNIAL, CO, 80016
Administrator’s telephone number 3036996027

Number of participants as of the end of the plan year
Active participants 11
Number of participants with account balances as of the end of the plan year 11

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing KEVIN MOLK
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
KEVIN J. MOLK Agent 17736 E JAMISON AVENUE CENTENNIAL CO 80016 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20181277922 Dissolve a Profit Corporation 2018-04-01 2018-04-01 KEVIN J. MOLK, M.D.,P.C., Dissolved April 1, 2018 No data
20161875721 File Report 2016-12-27 2016-12-27 No data No data
20151811700 File Report 2015-12-23 2015-12-23 No data No data
20151060406 File Report 2015-01-26 2015-01-26 No data No data
20131730203 File Report 2013-12-23 2013-12-23 No data No data
20131197004 File Report 2013-03-26 2013-03-26 No data No data
20111703764 File Report 2011-12-23 2011-12-23 No data No data
20111200159 File Report 2011-04-04 2011-04-04 No data No data
20101116568 File Report 2010-02-25 2010-02-25 No data No data
20091112316 File Report 2009-02-24 2009-02-24 No data Change of Registered Agent

Related by officers

No related officers

Related by address

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Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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