Blue Lake Oral and Maxillofacial Surgery, P.C.

Registered In: Oregon
Incorporation Date: 12/10/2020
Registration Type: Domestic
Company Type: Domestic Professional Corporation
Status: Active
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Kar Agent And Service Co., Llc Registered Agent	520 SW YAMHILL ST STE 600, PORTLAND, OR 97204 (Mailing)
Julie Ann Smith President	1201 SE 223RD AVE STE 180, GRESHAM, OR 97030
Julie Ann Smith Secretary	1201 SE 223RD AVE STE 180, GRESHAM, OR 97030
Julie Ann Smith INDIVIDUAL WITH DIRECT KNOWLEDGE	1201 SE 223RD AVE STE 180, GRESHAM, OR 97030

1201 SE 223RD AVE STE 180, GRESHAM, OR 97030 View Map
520 SW YAMHILL ST STE 600, PORTLAND, OR 97204 (Mailing) View Map

Aliases are alternate names by which a company or individual conducts business, commonly referred to as a Trade Name, Fictitious Name, or DBA (Doing Business As).

Blue Lake Oral Surgery

Oregon City, OR

Financial Information for Blue Lake Oral and Maxillofacial Surgery, P.C.

Form 5500

BLUE LAKE ORAL AND MAXILLOFACIAL SURGERY, P.C.

1201 SE 22rd ST Suite 180, Gresham, Or 97030 (503) 667-1431 EIN:86-1233715 Plan Admin:Julie Ann Smith

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameBLUE LAKE ORAL AND MAXILLOFACIAL SURGERY, P.C. 401(K) RETIREMENT PLAN Plan #001 Participants BOY/EOY9 / 12 Assets BOY/EOY$1,132,611 / $1,009,342	2023	BLUE LAKE ORAL AND MAXILLOFACIAL SURGERY, P.C. 401(K) RETIREMENT PLAN - Plan #001	9 / 12	$1,132,611 / $1,009,342
2022	Plan NameBLUE LAKE ORAL AND MAXILLOFACIAL SURGERY, P.C. 401(K) RETIREMENT PLAN Plan #001 Participants BOY/EOY6 / 6 Assets BOY/EOY$27,679 / $1,132,611	2022	BLUE LAKE ORAL AND MAXILLOFACIAL SURGERY, P.C. 401(K) RETIREMENT PLAN - Plan #001	6 / 6	$27,679 / $1,132,611

Benefit & Retirement Plans based on Form 5500.

Address Match:520 Sw Yamhill St Ste 600 Portland, OR

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The following government agencies have contributed data:

Oregon Secretary of State U.S. Department of Labor

Blue Lake Oral and Maxillofacial Surgery, P.C.

Company Summary

Financial Information for Blue Lake Oral and Maxillofacial Surgery, P.C.

BLUE LAKE ORAL AND MAXILLOFACIAL SURGERY, P.C.