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WAYNE E. BAUSCH, D.D.S., P.C.

Company Details

Name: WAYNE E. BAUSCH, D.D.S., P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 28 May 1996 (29 years ago)
Date dissolved: 08 Oct 2014
Entity Number: 19961071557
ZIP code: 80226
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 8015 W ALAMEDA AVE STE 250 250 LAKEWOOD CO 80226 US
Mailing Address: 844 S Columbine St. Denver CO 80209 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2012 840818474 2013-11-13 WAYNE E. BAUSCH, D.D.S., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-09-11
Business code 621210
Sponsor’s telephone number 3038882905
Plan sponsor’s address 844 S. COLUMBINE ST., DENVER, CO, 80209

Signature of

Role Plan administrator
Date 2013-11-13
Name of individual signing WAYNE E. BAUSCH, PRESIDENT
Valid signature Filed with authorized/valid electronic signature
WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2012 840818474 2013-06-06 WAYNE E. BAUSCH, D.D.S., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-09-11
Business code 621210
Sponsor’s telephone number 3032321830
Plan sponsor’s address 8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082

Signature of

Role Plan administrator
Date 2013-06-06
Name of individual signing WAYNE E. BAUSCH, PRESIDENT
Valid signature Filed with authorized/valid electronic signature
WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2011 840818474 2012-09-27 WAYNE E. BAUSCH, D.D.S., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-09-11
Business code 621210
Sponsor’s telephone number 3032321830
Plan sponsor’s address 8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082

Plan administrator’s name and address

Administrator’s EIN 840818474
Plan administrator’s name WAYNE E. BAUSCH, D.D.S., P.C.
Plan administrator’s address 8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082
Administrator’s telephone number 3032321830

Signature of

Role Plan administrator
Date 2012-09-27
Name of individual signing WAYNE E. BAUSCH, PRESIDENT
Valid signature Filed with authorized/valid electronic signature
WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2010 840818474 2011-07-08 WAYNE E. BAUSCH, D.D.S., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-09-11
Business code 621210
Sponsor’s telephone number 3032321830
Plan sponsor’s address 8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082

Plan administrator’s name and address

Administrator’s EIN 840818474
Plan administrator’s name WAYNE E. BAUSCH, D.D.S., P.C.
Plan administrator’s address 8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082
Administrator’s telephone number 3032321830

Signature of

Role Plan administrator
Date 2011-07-08
Name of individual signing WAYNE E. BAUSCH, PRESIDENT
Valid signature Filed with authorized/valid electronic signature
WAYNE E. BAUSCH, D.D.S., P.C. EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2009 840818474 2010-08-26 WAYNE E. BAUSCH, D.D.S., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-09-11
Business code 621210
Sponsor’s telephone number 3032321830
Plan sponsor’s address 8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082

Plan administrator’s name and address

Administrator’s EIN 840818474
Plan administrator’s name WAYNE E. BAUSCH, D.D.S., P.C.
Plan administrator’s address 8015 W. ALAMEDA AVENUE, SUITE 250, LAKEWOOD, CO, 802263082
Administrator’s telephone number 3032321830

Signature of

Role Plan administrator
Date 2010-08-26
Name of individual signing WAYNE E. BAUSCH, PRESIDENT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WAYNE E. BAUSCH Agent 8015 W ALAMEDA AVE STE 250 250 LAKEWOOD CO 80226 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20141616729 Dissolve a Profit Corporation 2014-10-08 2014-10-08 WAYNE E. BAUSCH, D.D.S., P.C., Dissolved October 8, 2014 No data
20131424557 File Report 2013-07-23 2013-07-23 No data No data
20121347100 File Report 2012-06-26 2012-06-26 No data No data
20111422925 File Report 2011-07-26 2011-07-26 No data No data
20101396265 File Report 2010-07-15 2010-07-15 No data No data
20091246698 File Report 2009-05-04 2009-05-04 No data Change of Registered Agent
20081260074 File Report 2008-05-12 2008-05-12 No data No data
20071228607 File Report 2007-05-13 2007-05-13 No data Change of Registered Agent / Change of Registered Agent Address / Change of Entity Address
20061205747 File Report 2006-05-23 2006-05-23 No data No data
20051198812 File Report 2005-05-16 2005-05-16 No data No data

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State