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  5. SUSAN L. TIEGS, M.D., PROF. LLC

SUSAN L. TIEGS, M.D., PROF. LLC

Company Details

Name: SUSAN L. TIEGS, M.D., PROF. LLC
Jurisdiction: Colorado
Legal type: Domestic limited liability company
Status: Delinquent
Date of registration: 23 May 2001 (24 years ago)
Date dissolved: 01 Oct 2012
Entity Number: 20011105176
ZIP code: 80124
County: Douglas County
Place of Formation: COLORADO
Principal Address: 10099 RidgeGate Parkway Suite #360 Lone Tree CO 80124 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUSAN L. TIEGS, M.D., PROF. LLC 401(K) PROFIT SHARING PLAN 2013 841589844 2014-02-23 SUSAN L. TIEGS, M.D., PROF. LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3037957984
Plan sponsor’s address 10099 RIDGE GATE PARKWAY SUITE 360, LONE TREE, CO, 80124

Plan administrator’s name and address
Administrator’s EIN 841589844
Plan administrator’s name SUSAN L. TIEGS, M.D., PROF. LLC
Plan administrator’s address 10099 RIDGE GATE PARKWAY SUITE 360, LONE TREE, CO, 80124
Administrator’s telephone number 3037957984

Signature of
Role Plan administrator
Date 2014-02-23
Name of individual signing SUSAN L. TIEGS
Valid signature Filed with authorized/valid electronic signature
SUSAN L. TIEGS, M.D., PROF. LLC 401(K) PROFIT SHARING PLAN 2012 841589844 2013-06-04 SUSAN L. TIEGS, M.D., PROF. LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3037957984
Plan sponsor’s address 10099 RIDGE GATE PARKWAY SUITE 360, LONE TREE, CO, 80124

Plan administrator’s name and address
Administrator’s EIN 841589844
Plan administrator’s name SUSAN L. TIEGS, M.D., PROF. LLC
Plan administrator’s address 10099 RIDGE GATE PARKWAY SUITE 360, LONE TREE, CO, 80124
Administrator’s telephone number 3037957984

Signature of
Role Plan administrator
Date 2013-06-04
Name of individual signing SUSAN L. TIEGS
Valid signature Filed with authorized/valid electronic signature
SUSAN L. TIEGS, M.D., PROF. LLC 401(K) PROFIT SHARING PLAN 2011 841589844 2012-10-04 SUSAN L. TIEGS, M.D., PROF. LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3037957984
Plan sponsor’s address 10099 RIDGE GATE PARKWAY SUITE 360, LONE TREE, CO, 80124

Plan administrator’s name and address
Administrator’s EIN 841589844
Plan administrator’s name SUSAN L. TIEGS, M.D., PROF. LLC
Plan administrator’s address 10099 RIDGE GATE PARKWAY SUITE 360, LONE TREE, CO, 80124
Administrator’s telephone number 3037957984

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing SUSAN L. TIEGS
Valid signature Filed with authorized/valid electronic signature
SUSAN L. TIEGS, M.D., PROF. LLC 401(K) PROFIT SHARING PLAN 2010 841589844 2011-10-13 SUSAN L. TIEGS, M.D., PROF. LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3037957984
Plan sponsor’s address 10099 RIDGE GATE PARKWAY SUITE 360, LONE TREE, CO, 80124

Plan administrator’s name and address
Administrator’s EIN 841589844
Plan administrator’s name SUSAN L. TIEGS, M.D., PROF. LLC
Plan administrator’s address 10099 RIDGE GATE PARKWAY SUITE 360, LONE TREE, CO, 80124
Administrator’s telephone number 3037957984

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing SUSAN L. TIEGS
Valid signature Filed with authorized/valid electronic signature
SUSAN L. TIEGS, M.D., PROF. LLC 401(K) PROFIT SHARING PLAN 2009 841589844 2010-10-12 SUSAN L. TIEGS, M.D., PROF. LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3037957984
Plan sponsor’s address 10099 RIDGE GATE PARKWAY, LONE TREE, CO, 80124

Plan administrator’s name and address
Administrator’s EIN 841589844
Plan administrator’s name SUSAN L. TIEGS, M.D., PROF. LLC
Plan administrator’s address 10099 RIDGE GATE PARKWAY, LONE TREE, CO, 80124
Administrator’s telephone number 3037957984

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing SUSAN L. TIEGS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing SUSAN L. TIEGS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SUSAN L. TIEGS Agent 10099 RidgeGate Parkway Suite #360 Lone Tree CO 80124 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20111320660 File Report 2011-06-01 2011-06-01 No data No data
20101290458 File Report 2010-05-19 2010-05-19 No data No data
20091254020 File Report 2009-05-06 2009-05-06 No data No data
20081327751 File Report 2008-06-18 2008-06-18 No data No data
20071231921 File Report 2007-05-15 2007-05-15 No data No data
20061254916 File Report 2006-06-21 2006-06-21 No data No data
20051285430 File Report 2005-07-26 2005-07-26 No data Change of Registered Agent Address / Change of Entity Address
20041203216 Statement of Older Periodic Report 2004-06-07 2004-06-07 No data PERIODIC REPORT
20031177065 Statement of Older Periodic Report 2003-06-02 2003-06-02 No data CORP REPORT
20021118968 Statement of Older Periodic Report 2002-05-06 2002-05-06 No data CORP REPORT

Related by officers

SUSAN L. TIEGS

SUSAN L. TIEGS, M.D., P.C. TIEGS AND TAOKA PEDIATRICS, P.C.

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Colorado's Secretary of State

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