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MARK A. MCCONN, M.D., PLLC

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Company Details

Name: MARK A. MCCONN, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Sep 2012 (13 years ago)
Entity Number: 4298531
ZIP code: 13066
County: Onondaga
Place of Formation: New York
Address: 4403 MEDICAL CENTER DRIVE, FAYETTEVILLE, NY, United States, 13066

DOS Process Agent

Name Role Address
MARK A. MCCONN, M.D., PLLC DOS Process Agent 4403 MEDICAL CENTER DRIVE, FAYETTEVILLE, NY, United States, 13066

National Provider Identifier

NPI Number:
1235474438

Authorized Person:

Name:
DR. MARK A MCCONN
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
461045884
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

History

Start date End date Type Value
2012-09-20 2017-11-28 Address 7093 CORONATION CIRCLE, FAYETTEVILLE, NY, 13066, 8716, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200910060655 2020-09-10 BIENNIAL STATEMENT 2020-09-01
180928006288 2018-09-28 BIENNIAL STATEMENT 2018-09-01
171128006152 2017-11-28 BIENNIAL STATEMENT 2016-09-01
141009006550 2014-10-09 BIENNIAL STATEMENT 2014-09-01
121129001024 2012-11-29 CERTIFICATE OF PUBLICATION 2012-11-29

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$95,200
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$95,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$96,099.84
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $76,222
Utilities: $1,740
Mortgage Interest: $2,000
Rent: $12,000
Healthcare: $2900
Debt Interest: $338

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State