Lifesmile Dental Group

Thomas Randal Hicks REGISTRANT	1255 NW 9TH AVE # 807, PORTLAND, OR 97209
Thomas Randal Hicks AUTHORIZED REPRESENTATIVE	1255 NW 9TH AVE # 807, PORTLAND, OR 97209

13305 NW CORNELL RD STE A, PORTLAND, OR 97229 View Map

Form 5500

13305 NW Cornell Rd. Suite A, Portland, Or 97229 (503) 644-5433 EIN:26-0268320 Plan Admin:Guideline, Inc.

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameLIFESMILE DENTAL GROUP 401(K) PLAN Plan #001 Participants BOY/EOY12 / 9 Assets BOY/EOY$115,034 / $176,683	2023	LIFESMILE DENTAL GROUP 401(K) PLAN - Plan #001	12 / 9	$115,034 / $176,683
2022	Plan NameLIFESMILE DENTAL GROUP 401(K) PLAN Plan #001 Participants BOY/EOY12 / 13 Assets BOY/EOY$99,873 / $115,034	2022	LIFESMILE DENTAL GROUP 401(K) PLAN - Plan #001	12 / 13	$99,873 / $115,034
2021	Plan NameLIFESMILE DENTAL GROUP 401(K) PLAN Plan #001 Participants BOY/EOY7 / 9 Assets BOY/EOY$41,663 / $99,873	2021	LIFESMILE DENTAL GROUP 401(K) PLAN - Plan #001	7 / 9	$41,663 / $99,873
2020	Plan NameLIFESMILE DENTAL GROUP 401(K) PLAN Plan #001 Participants BOY/EOY6 / 7 Assets BOY/EOY$0 / $41,663	2020	LIFESMILE DENTAL GROUP 401(K) PLAN - Plan #001	6 / 7	$0 / $41,663

Benefit & Retirement Plans based on Form 5500.

PPP Loans

13305 NW Cornell Rd Ste A, Portland, OR 97229-5987 Industry:Offices of Dentists

Loan Date	Approved	Forgiven	Lender	Jobs
02/08/2021	Approved$61,268 Forgiven$61,783 LenderItria Ventures LLC Jobs7	02/08/2021	$61,268	$61,783	Itria Ventures LLC	7
04/13/2020	Approved$59,787 Forgiven$60,511 LenderHeritage Bank Jobs5	04/13/2020	$59,787	$60,511	Heritage Bank	5

PPP Loans based on Paycheck Protection Program.

Address Match:13305 Nw Cornell Rd Ste a Portland, OR

Lifesmile Dental Group, LLC Registered in Oregon	Portland, OR		View Report

Address Match:13305 Nw Cornell Rd Portland, OR

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The following government agencies have contributed data:

Oregon Secretary of State U.S. Department of Labor U.S. Small Business Administration

Company Summary