0000896595-15-000004.txt : 20150108 0000896595-15-000004.hdr.sgml : 20150108 20150108133452 ACCESSION NUMBER: 0000896595-15-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20150108 DATE AS OF CHANGE: 20150108 EFFECTIVENESS DATE: 20150108 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OREGON PACIFIC BANCORP CENTRAL INDEX KEY: 0001216128 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 710918151 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-231763 FILM NUMBER: 15515742 BUSINESS ADDRESS: STREET 1: 1365 HWY. 101 CITY: FLORENCE STATE: OR ZIP: 97439 BUSINESS PHONE: 541-997-7121 MAIL ADDRESS: STREET 1: 1365 HWY. 101 CITY: FLORENCE STATE: OR ZIP: 97439 D 1 primary_doc.xml X0707 D LIVE 0001216128 OREGON PACIFIC BANCORP 1365 HWY. 101 FLORENCE OR OREGON 97439 (541) 997-7121 OREGON None None Corporation true Ronald S. Green 1365 Hwy. 101 Florence OR OREGON 97439 Executive Officer Director President & Chief Executive Officer & Director Joanne Forsberg 1365 Hwy. 101 Florence OR OREGON 97439 Executive Officer Chief Financial Officer & Secretary Robert King 1365 Hwy. 101 Florence OR OREGON 97439 Director Marteen Wick 1365 Hwy. 101 Florence OR OREGON 97439 Director Tim Salisbury 1365 Hwy. 101 Florence OR OREGON 97439 Director Bob Mans, OD 1365 Hwy. 101 Florence OR OREGON 97439 Director Mary Jeanne Kuhar, MD 1365 Hwy. 101 Florence OR OREGON 97439 Director Tricia Benetti 1365 Hwy. 101 Florence OR OREGON 97439 Director Thomas Grove 1365 Hwy. 101 Florence OR OREGON 97439 Director Jon Thompson 1365 Hwy. 101 Florence OR OREGON 97439 Director Richard Yecny 1365 Hwy. 101 Florence OR OREGON 97439 Director A J Brauer 1365 Hwy 101 Florence OR OREGON 97439 Director Commercial Banking Decline to Disclose 06b 4a5 false 2014-12-31 false true false 0 1500000 814458 685542 false 23 0 0 0 false Oregon Pacific Bancorp /s/Ronald S. Green Ronald S. Green President & CEO 2015-01-05