A Worksafe Service, Inc.

Salem, OR

Washington

Registered In

06/21/2017

Incorp. Date

Foreign

Registration Type

Oregon

Foreign Jurisdiction

Company Summary

A Worksafe Service, Inc. at 1696 Capitol ST Ne, Salem, Or 97301 lists Mike Bliven and Deb Bliven of Salem, OR as the associates.

Washington Registered Agent, Llc. Registered Agent	100 N HOWARD ST STE W, SPOKANE, WA 99201
Mike Bliven Governor	1696 CAPITOL ST NE, SALEM, OR 97301
Deb Bliven Governor	1696 CAPITOL ST NE, SALEM, OR 97301

1696 CAPITOL ST NE, SALEM, OR 97301 View Map

Form 5500

1696 Capitol ST Ne, Salem, Or 97301 (503) 391-9363 EIN:93-1240692 Plan Admin:Mike Bliven

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameA WORKSAFE SERVICE, INC. 401(K) PLAN Plan #001 Participants BOY/EOY13 / 15 Assets BOY/EOY$3,159,032 / $2,721,719	2022	A WORKSAFE SERVICE, INC. 401(K) PLAN - Plan #001	13 / 15	$3,159,032 / $2,721,719
2021	Plan NameA WORKSAFE SERVICE, INC. 401(K) PLAN Plan #001 Participants BOY/EOY13 / 13 Assets BOY/EOY$2,742,313 / $3,159,032	2021	A WORKSAFE SERVICE, INC. 401(K) PLAN - Plan #001	13 / 13	$2,742,313 / $3,159,032
2020	Plan NameA WORKSAFE SERVICE, INC. 401(K) PLAN Plan #001 Participants BOY/EOY13 / 13 Assets BOY/EOY$2,279,517 / $2,742,313	2020	A WORKSAFE SERVICE, INC. 401(K) PLAN - Plan #001	13 / 13	$2,279,517 / $2,742,313
2019	Plan NameA WORKSAFE SERVICE, INC. 401(K) PLAN Plan #001 Participants BOY/EOY12 / 12 Assets BOY/EOY$1,843,581 / $2,279,517	2019	A WORKSAFE SERVICE, INC. 401(K) PLAN - Plan #001	12 / 12	$1,843,581 / $2,279,517

Benefit & Retirement Plans based on Form 5500.

PPP Loans

1696 Capitol St NE, Salem, OR 97301-7855 Industry:All Other Professional, Scientific, and Technical Services

Loan Date	Approved	Forgiven	Lender	Jobs
01/17/2021	Approved$146,000 Forgiven$146,588 LenderSunrise Banks, National Association Jobs13	01/17/2021	$146,000	$146,588	Sunrise Banks, National Association	13
05/01/2020	Approved$134,955 Forgiven$136,131 LenderJPMorgan Chase Bank, National Association Jobs13	05/01/2020	$134,955	$136,131	JPMorgan Chase Bank, National Association	13

PPP Loans based on Paycheck Protection Program.

Related Business Names:

A Worksafe Service, Inc. Registered in Washington	Salem, OR Spokane, WA		View Report
A Worksafe Service, Inc. Registered in Oregon	Salem, OR		View Report

Address Match:1696 Capitol St Ne Salem, OR

Bliven Investments, L.L.C. Registered in Oregon	Salem, OR	View Report
Equity Developers LLC Registered in Oregon	Salem, OR	View Report
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Mjd Investments 1 LLC Registered in Oregon	Salem, OR	View Report
Paprikas Hungarian Restaurant Registered in Oregon	Salem, OR	View Report

Street Match:Capitol St Ne Salem, OR

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The following government agencies have contributed data:

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

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