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  5. SHAWN P. SHANNON DMD, PLLC

SHAWN P. SHANNON DMD, PLLC

Company Details

Name: SHAWN P. SHANNON DMD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Dec 2005 (19 years ago)
Entity Number: 3290105
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 250 PATCHOGUE- YAPHANK ROAD, SUITE 17, PATCHOGUE, NY, United States, 11772

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAWN P. SHANNON DMD, PLLC 401(K) PROFIT SHARING PLAN 2015 203920106 2016-06-08 SHAWN P. SHANNON DMD, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6316541040
Plan sponsor’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2016-06-08
Name of individual signing SHAWN SHANNON
SHAWN P. SHANNON DMD, PLLC 401(K) PROFIT SHARING PLAN 2014 203920106 2015-12-16 SHAWN P. SHANNON DMD, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6316541040
Plan sponsor’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2015-12-16
Name of individual signing SHAWN SHANNON
SHAWN P. SHANNON DMD, PLLC 401(K) PROFIT SHARING PLAN 2014 203920106 2015-11-04 SHAWN P. SHANNON DMD, PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6316541040
Plan sponsor’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2015-11-04
Name of individual signing SHAWN SHANNON
SHAWN P. SHANNON DMD, PLLC 401(K) PROFIT SHARING PLAN 2013 203920106 2014-11-19 SHAWN P. SHANNON DMD, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6316541040
Plan sponsor’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2014-11-19
Name of individual signing SHAWN SHANNON
SHAWN P. SHANNON DMD, PLLC 401(K) PROFIT SHARING PLAN 2013 203920106 2014-10-14 SHAWN P. SHANNON DMD, PLLC 3
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6316541040
Plan sponsor’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing SHAWN SHANNON
SHAWN P. SHANNON DMD, PLLC 401(K) PROFIT SHARING PLAN 2012 203920106 2013-10-18 SHAWN P. SHANNON DMD, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6316541040
Plan sponsor’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2013-10-18
Name of individual signing SHAWN SHANNON
SHAWN P. SHANNON DMD, PLLC 401(K) PROFIT SHARING PLAN 2012 203920106 2013-09-04 SHAWN P. SHANNON DMD, PLLC 3
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6316541040
Plan sponsor’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2013-09-04
Name of individual signing SHAWN SHANNON
SHAWN P. SHANNON DMD, PLLC 401(K) PROFIT SHARING PLAN 2011 203920106 2012-07-18 SHAWN P. SHANNON DMD, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6316541040
Plan sponsor’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772

Plan administrator’s name and address
Administrator’s EIN 203920106
Plan administrator’s name SHAWN P. SHANNON DMD, PLLC
Plan administrator’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772
Administrator’s telephone number 6316541040

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing SHAWN SHANNON
SHAWN P. SHANNON DMD, PLLC 401(K) PROFIT SHARING PLAN 2010 203920106 2011-09-28 SHAWN P. SHANNON DMD, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6316541040
Plan sponsor’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772

Plan administrator’s name and address
Administrator’s EIN 203920106
Plan administrator’s name SHAWN P. SHANNON DMD, PLLC
Plan administrator’s address 285 SILLS ROAD BUILDING 15 STE F, EAST PATCHOGUE, NY, 11772
Administrator’s telephone number 6316541040

Signature of
Role Plan administrator
Date 2011-09-28
Name of individual signing SHAWN SHANNON

DOS Process Agent

Name Role Address
SHAWN SHANNON DOS Process Agent 250 PATCHOGUE- YAPHANK ROAD, SUITE 17, PATCHOGUE, NY, United States, 11772

History

Start date End date Type Value
2008-01-10 2018-01-10 Address 285 SILLS ROAD, BUILDING 15, STE F, EAST PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)
2005-12-07 2008-01-10 Address 285 SILLS ROAD, EAST PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180110006107 2018-01-10 BIENNIAL STATEMENT 2017-12-01
151209006407 2015-12-09 BIENNIAL STATEMENT 2015-12-01
131218006178 2013-12-18 BIENNIAL STATEMENT 2013-12-01
120110002759 2012-01-10 BIENNIAL STATEMENT 2011-12-01
100202002395 2010-02-02 BIENNIAL STATEMENT 2009-12-01
080110002261 2008-01-10 BIENNIAL STATEMENT 2007-12-01
070514000759 2007-05-14 CERTIFICATE OF PUBLICATION 2007-05-14
051207000884 2005-12-07 ARTICLES OF ORGANIZATION 2005-12-07

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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