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  5. TED E. MIODUSKI, JR., D.D.S., P.C.

TED E. MIODUSKI, JR., D.D.S., P.C.

Company Details

Name: TED E. MIODUSKI, JR., D.D.S., P.C.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 04 Dec 2000 (24 years ago)
Entity Number: 20001234397
ZIP code: 80538
County: Larimer County
Place of Formation: COLORADO
Principal Address: 2975 Ginnala Dr Ste 160 Sundance Professional Centre Loveland CO 80538 US
Mailing Address: 2442 Glen Haven Dr Loveland CO 80538 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TED E. MIODUSKI, JR. D.D.S., P.C. PENSION PLAN 2020 841569623 2021-12-22 TED E. MIODUSKI, JR., D.D.S., P.C. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9706631000
Plan sponsor’s address 2975 GINNALA DRIVE, SUITE 100, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 463943208
Plan administrator’s name PENSYS FIDUCIARY SERVICES, INC.
Plan administrator’s address 3000 LAVA RIDGE COURT, SUITE 130, ROSEVILLE, CA, 95661
Administrator’s telephone number 9169180316

Signature of
Role Plan administrator
Date 2021-12-22
Name of individual signing WILLIAM C. PARKS
Valid signature Filed with authorized/valid electronic signature
TED E. MIODUSKI, JR., D.D.S., P.C. PENSION PLAN 2020 841569623 2021-05-26 TED E. MIODUSKI, JR., D.D.S., P.C. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9706631000
Plan sponsor’s address 2975 GINNALA DRIVE, SUITE 100, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 463943208
Plan administrator’s name PENSYS FIDUCIARY SERVICES, INC.
Plan administrator’s address 3000 LAVE RIDGE COURT, SUITE 130, ROSEVILLE, CA, 95661
Administrator’s telephone number 9169180316

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing WILLIAM C PARKS
Valid signature Filed with authorized/valid electronic signature
TED E. MIODUSKI, JR., D.D.S., P.C. PENSION PLAN 2019 841569623 2020-06-30 TED E. MIODUSKI, JR., D.D.S., P.C. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9706631000
Plan sponsor’s address 2975 GINNALA DRIVE, SUITE 100, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 463943208
Plan administrator’s name PENSYS FIDUCIARY SERVICES, INC.
Plan administrator’s address 3000 LAVE RIDGE COURT, SUITE 130, ROSEVILLE, CA, 95661
Administrator’s telephone number 9169180316

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing WILLIAM C PARKS
Valid signature Filed with authorized/valid electronic signature
TED E. MIODUSKI, JR., D.D.S., P.C. PENSION PLAN 2018 841569623 2019-08-29 TED E. MIODUSKI, JR., D.D.S., P.C. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9706631000
Plan sponsor’s address 2975 GINNALA DRIVE, SUITE 100, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 463943208
Plan administrator’s name PENSYS FIDUCIARY SERVICES, INC.
Plan administrator’s address 2440 PROFESSIONAL DRIVE, SUITE 316, ROSEVILLE, CA, 95661
Administrator’s telephone number 9169180316

Signature of
Role Plan administrator
Date 2019-08-29
Name of individual signing WILLIAM C PARKS
Valid signature Filed with authorized/valid electronic signature
TED E. MIODUSKI, JR., D.D.S., P.C. PENSION PLAN 2017 841569623 2018-09-12 TED E. MIODUSKI, JR., D.D.S., P.C. 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9706631000
Plan sponsor’s address 2975 GINNALA DRIVE, SUITE 100, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 463943208
Plan administrator’s name PENSYS FIDUCIARY SERVICES, INC.
Plan administrator’s address 2440 PROFESSIONAL DRIVE, SUITE 316, ROSEVILLE, CA, 95661
Administrator’s telephone number 9169180316

Signature of
Role Plan administrator
Date 2018-09-12
Name of individual signing BRYAN JACOBSON
Valid signature Filed with authorized/valid electronic signature
TED E. MIODUSKI, JR., D.D.S., P.C. PENSION PLAN 2016 841569623 2017-08-31 TED E. MIODUSKI, JR., D.D.S., P.C. 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9706631000
Plan sponsor’s address 2975 GINNALA DRIVE, SUITE 100, LOVELAND, CO, 80538

Plan administrator’s name and address
Administrator’s EIN 463943208
Plan administrator’s name PENSYS FIDUCIARY SERVICES, INC.
Plan administrator’s address 2440 PROFESSIONAL DRIVE, SUITE 316, ROSEVILLE, CA, 95661
Administrator’s telephone number 9169180316

Signature of
Role Plan administrator
Date 2017-08-31
Name of individual signing BRYAN JACOBSON
Valid signature Filed with authorized/valid electronic signature
TED E. MIODUSKI, JR., D.D.S., P.C. PENSION PLAN 2015 841569623 2016-06-21 TED E. MIODUSKI, JR., D.D.S., P.C. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9706631000
Plan sponsor’s address 2975 GINNALA DRIVE, SUITE 100, LOVELAND, CO, 80538

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing TED MIODUSKI
Valid signature Filed with authorized/valid electronic signature
TED E. MIODUSKI, JR., D.D.S., P.C. PENSION PLAN 2014 841569623 2015-09-17 TED E. MIODUSKI, JR., D.D.S., P.C. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9706631000
Plan sponsor’s address 2975 GINNALA DRIVE, SUITE 100, LOVELAND, CO, 80538

Signature of
Role Plan administrator
Date 2015-09-17
Name of individual signing TED MIODUSKI
Valid signature Filed with authorized/valid electronic signature
TED E. MIODUSKI, JR., D.D.S., P.C. PENSION PLAN 2013 841569623 2014-10-01 TED E. MIODUSKI, JR., D.D.S., P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9706631000
Plan sponsor’s address 2975 GINNALA DRIVE, SUITE 100, LOVELAND, CO, 80538

Signature of
Role Plan administrator
Date 2014-10-01
Name of individual signing TED MIODUSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
THEODORE E MIODUSKI Jr. Agent 2975 Ginnala Dr Ste 160 Sundance Professional Centre Loveland CO 80538 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20248305300 File Report 2024-12-08 2024-12-08 No data Principal address changed, Change in registered agent information
20238227815 File Report 2023-11-26 2023-11-26 No data Principal address changed, Change in registered agent information
20228147134 File Report 2022-11-25 2022-11-25 No data Principal address changed, Change in registered agent information
20221003263 File Report 2022-01-02 2022-01-02 No data No data
20208113319 File Report 2020-12-26 2020-12-26 No data No data
20191945726 File Report 2019-11-30 2019-11-30 No data No data
20191050305 File Report 2019-01-20 2019-01-20 No data No data
20171905271 File Report 2017-12-04 2017-12-04 No data Change of Registered Agent
20161801325 File Report 2016-11-28 2016-11-28 No data No data
20151778438 File Report 2015-12-03 2015-12-03 No data No data

Related by officers

No related officers

Related by address

2442 Glen Haven Dr Loveland CO 80538 US

Mioduski Properties, LLC

Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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