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GREATER OWENSBORO PEDIATRIC DENTISTRY, INC.

Company Details

Name: GREATER OWENSBORO PEDIATRIC DENTISTRY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Nov 2019 (5 years ago)
Organization Date: 26 Nov 2019 (5 years ago)
Last Annual Report: 05 Mar 2025 (2 months ago)
Organization Number: 1078803
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
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 2025-03-05
Annual Report 2024-03-25
Annual Report 2023-03-22
Principal Office Address Change 2022-06-21
Registered Agent name/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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8983057310 2020-05-01 0457 PPP 2816 Veach Rd Suite 201, Owensboro, KY, 42303
Loan Status Date 2021-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 56100
Loan Approval Amount (current) 59812.95
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address Owensboro, DAVIESS, KY, 42303-0100
Project Congressional District KY-02
Number of Employees 12
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 60211.7
Forgiveness Paid Date 2021-01-14

Sources: Kentucky Secretary of State