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GREEN RIVER ORAL SURGERY LLC

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Company Details

Name: GREEN RIVER ORAL SURGERY LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Jun 2012 (13 years ago)
Organization Date: 27 Jun 2012 (13 years ago)
Last Annual Report: 19 Aug 2024 (10 months ago)
Managed By: Members
Organization Number: 0832370
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42420
City: Henderson
Primary County: Henderson County
Principal Office: 801 NORTH ELM STREET, HENDERSON, KY 42420
Place of Formation: KENTUCKY

Member

Name Role
ROBERT G WAGONER Member

Organizer

Name Role
ROBERT G WAGONER Organizer

Registered Agent

Name Role
ROBERT G WAGONER Registered Agent

National Provider Identifier

NPI Number:
1750638334

Authorized Person:

Name:
DR. ROBERT GENE WAGONER II
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
2702120332

Form 5500 Series

Employer Identification Number (EIN):
455573261
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-08-19
Annual Report 2023-06-05
Annual Report 2022-06-01
Annual Report 2021-04-16
Annual Report 2020-06-16

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
93600.00
Total Face Value Of Loan:
93600.00

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
93600
Current Approval Amount:
93600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
94446.25

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Sources: Kentucky Secretary of State