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  5. SHAWN P. CANNON, D.O. PLLC

SHAWN P. CANNON, D.O. PLLC

Company Details

Name: SHAWN P. CANNON, D.O. PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Feb 2001 (24 years ago)
Entity Number: 2609605
ZIP code: 11975
County: Suffolk
Place of Formation: New York
Address: 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, United States, 11975

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAWN P. CANNON, D.O. PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2015 113514188 2016-02-19 SHAWN P. CANNON, D.O. PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6312676290
Plan sponsor’s address 518 MONTAUK HIGHWAY, PO BOX 1030, AMAGANSETT, NY, 11930

Signature of
Role Plan administrator
Date 2016-02-19
Name of individual signing JAMES V SHERWOOD
SHAWN P. CANNON, D.O. PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2014 113514188 2015-10-01 SHAWN P. CANNON, D.O. PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6312676290
Plan sponsor’s address 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, 11975

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing JAMES V. SHERWOOD
SHAWN P. CANNON, D.O. PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2013 113514188 2014-10-06 SHAWN P. CANNON, D.O. PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6312676290
Plan sponsor’s address 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, 11975

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing JAMES V SHERWOOD
SHAWN P. CANNON, D.O. PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2012 113514188 2013-07-02 SHAWN P. CANNON, D.O. PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6312675373
Plan sponsor’s address 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, 11975

Signature of
Role Plan administrator
Date 2013-07-02
Name of individual signing JAMES V SHERWOOD
SHAWN P. CANNON, D.O. PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2011 113514188 2012-09-13 SHAWN P. CANNON, D.O. PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6312675373
Plan sponsor’s address 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, 11975

Plan administrator’s name and address
Administrator’s EIN 113514188
Plan administrator’s name SHAWN P. CANNON, D.O. PLLC
Plan administrator’s address 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, 11975
Administrator’s telephone number 6312675373

Signature of
Role Plan administrator
Date 2012-09-13
Name of individual signing JAMES V SHERWOOD
SHAWN P. CANNON, D.O. PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2010 113514188 2011-09-12 SHAWN P. CANNON, D.O. PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6312675373
Plan sponsor’s address 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, 11975

Plan administrator’s name and address
Administrator’s EIN 113514188
Plan administrator’s name SHAWN P. CANNON, D.O. PLLC
Plan administrator’s address 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, 11975
Administrator’s telephone number 6312675373

Signature of
Role Plan administrator
Date 2011-09-12
Name of individual signing JAMES V SHERWOOD
SHAWN P. CANNON, D.O. PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2009 113514188 2010-10-01 SHAWN P. CANNON, D.O. PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6312675373
Plan sponsor’s address 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, 11975

Plan administrator’s name and address
Administrator’s EIN 113514188
Plan administrator’s name SHAWN P. CANNON, D.O. PLLC
Plan administrator’s address 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, 11975
Administrator’s telephone number 6312675373

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing JAMES V SHERWOOD

DOS Process Agent

Name Role Address
SHAWN P CANNON DOS Process Agent 386 MONTAUK HIGHWAY, PO BOX 97, WAINSCOTT, NY, United States, 11975

History

Start date End date Type Value
2001-02-23 2007-02-15 Address 386 MONTAUK HWY BOX 97, WAINSCOTT, NY, 11975, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110330002271 2011-03-30 BIENNIAL STATEMENT 2011-02-01
090330003219 2009-03-30 BIENNIAL STATEMENT 2009-02-01
070215002113 2007-02-15 BIENNIAL STATEMENT 2007-02-01
050208002669 2005-02-08 BIENNIAL STATEMENT 2005-02-01
010601000431 2001-06-01 AFFIDAVIT OF PUBLICATION 2001-06-01
010601000427 2001-06-01 AFFIDAVIT OF PUBLICATION 2001-06-01
010223000671 2001-02-23 ARTICLES OF ORGANIZATION 2001-02-23

Related by officers

No related officers

Related by address

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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