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GREATER OWENSBORO PEDIATRIC DENTISTRY, INC.

Company Details

Name: GREATER OWENSBORO PEDIATRIC DENTISTRY, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 26 Nov 2019 (5 years ago)
Organization Date: 26 Nov 2019 (5 years ago)
Last Annual Report: 25 Mar 2024 (10 months ago)
Organization Number: 1078803
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42303
Primary County: Daviess
Principal Office: 3817 FAIRVIEW DRIVE OWENSBORO, KY 42303
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREATER OWENSBORO PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2023 843965604 2024-06-19 GREATER OWENSBORO PEDIATRIC DENTISTRY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2709934076
Plan sponsor’s address 3817 FAIRVIEW DR, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2024-06-19
Name of individual signing BLAKE DICKENS
Valid signature Filed with authorized/valid electronic signature
GREATER OWENSBORO PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2022 843965604 2023-07-19 GREATER OWENSBORO PEDIATRIC DENTISTRY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2709934076
Plan sponsor’s address 3817 FAIRVIEW DRIVE, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2023-07-19
Name of individual signing BLAKE DICKENS
Valid signature Filed with authorized/valid electronic signature
GREATER OWENSBORO PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2021 843965604 2022-05-09 GREATER OWENSBORO PEDIATRIC DENTISTRY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2709934076
Plan sponsor’s address 2816 VEACH ROAD., SUITE 201, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2022-05-09
Name of individual signing BLAKE DICKENS
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
BLAKE ALLEN DICKENS Registered Agent

President

Name Role
Blake Allen Dickens President

Director

Name Role
Blake Allen Dickens Director

Incorporator

Name Role
BLAKE ALLEN DICKENS Incorporator

Filings

Name File Date
Annual Report 2024-03-25
Annual Report 2023-03-22
Registered Agent name/address change 2022-06-21
Principal Office Address Change 2022-06-21
Annual Report 2022-03-08
Annual Report 2021-04-15
Annual Report 2020-02-27
Articles of Incorporation 2019-11-25

Date of last update: 25 Nov 2024

Sources: Kentucky Secretary of State