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  5. M. SHANE DAWSON, MD, PLLC

M. SHANE DAWSON, MD, PLLC

Company Details

Name: M. SHANE DAWSON, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Jun 2018 (7 years ago)
Entity Number: 5360222
ZIP code: 11530
County: New York
Place of Formation: New York
Address: C/O A.M. BOUTZALIS, CPA, P.C., 377 OAK ST STE 407, GARDEN CITY, NY, United States, 11530

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
M. SHANE DAWSON, MD PLLC 401(K) PLAN 2023 831611691 2024-08-22 M. SHANE DAWSON, MD PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2127441100
Plan sponsor’s address 111 EAST 75TH STREET, SUITE 1A, NEW YORK, NY, 10021
M. SHANE DAWSON, MD PLLC 401(K) PLAN 2022 831611691 2023-10-09 M. SHANE DAWSON, MD PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2127441100
Plan sponsor’s address 162 EAST 78TH STREET, 1ST FLOOR, NEW YORK, NY, 10075
M. SHANE DAWSON, MD PLLC 401(K) PLAN 2021 831611691 2022-05-26 M. SHANE DAWSON, MD PLLC 3
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2127441100
Plan sponsor’s address 162 EAST 78TH STREET, 1ST FLOOR, NEW YORK, NY, 10075
M. SHANE DAWSON, MD PLLC 401(K) PLAN 2021 831611691 2022-12-14 M. SHANE DAWSON, MD PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2127441100
Plan sponsor’s address 162 EAST 78TH STREET, 1ST FLOOR, NEW YORK, NY, 10075
M. SHANE DAWSON, MD PLLC 401(K) PLAN 2020 831611691 2021-07-19 M. SHANE DAWSON, MD PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2127441100
Plan sponsor’s address 162 EAST 78TH STREET, 1ST FLOOR, NEW YORK, NY, 10075

DOS Process Agent

Name Role Address
M. SHANE DAWSON, MD, PLLC DOS Process Agent C/O A.M. BOUTZALIS, CPA, P.C., 377 OAK ST STE 407, GARDEN CITY, NY, United States, 11530

History

Start date End date Type Value
2018-06-15 2024-11-20 Address C/O A.M. BOUTZALIS, CPA, P.C., 377 OAK ST STE 407, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241120004130 2024-11-20 BIENNIAL STATEMENT 2024-11-20
220719002398 2022-07-19 BIENNIAL STATEMENT 2022-06-01
220517003051 2022-05-17 BIENNIAL STATEMENT 2020-06-01
181102000103 2018-11-02 CERTIFICATE OF PUBLICATION 2018-11-02
180615000421 2018-06-15 ARTICLES OF ORGANIZATION 2018-06-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1189048402 2021-02-01 0202 PPS 162 E 78th St Fl I, New York, NY, 10075-0406
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 62867
Loan Approval Amount (current) 62867
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10075-0406
Project Congressional District NY-12
Number of Employees 3
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 63363.3
Forgiveness Paid Date 2021-11-22
1055207705 2020-05-01 0202 PPP 162 E 78TH ST FL I, NEW YORK, NY, 10075
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64920
Loan Approval Amount (current) 64920
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address NEW YORK, NEW YORK, NY, 10075-0001
Project Congressional District NY-12
Number of Employees 2
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 65609.23
Forgiveness Paid Date 2021-05-27

Related by officers

No related officers

Related by address

C/O A.M. BOUTZALIS, CPA, P.C., 377 OAK ST STE 407, GARDEN CITY, NY, United States, 11530

INTERNATIONAL SPINE RECONSTRUCTION AND EDUCATION FOUNDATION, INC.

Date of last update: 23 Mar 2025

Sources: New York Secretary of State

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