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M. SHANE DAWSON, MD, PLLC

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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

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

National Provider Identifier

NPI Number:
1740755685

Authorized Person:

Name:
MATTHEW S DAWSON
Role:
MEDICAL DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
831611691
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
1
Sponsors Telephone Number:

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

USAspending Awards / Financial Assistance

Date:
2022-01-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: DIRECT LOANS ACTIVITIES TO BE PERFORMED: PROVIDE LOANS TO BUSINESSES IMPACTED BY THE COVID-19 PANDEMIC FOR UNINSURED OR OTHERWISE UNCOMPENSATED ECONOMIC INJURY. DELIVERABLES: LOANS EXPECTED OUTCOMES: EXPECTED OUTCOMES: ENABLE BUSINESSES TO FUND POST-DISASTER ORDINARY AND NECESSARY OPERATING EXPENSES UNTIL NORMAL OPERATIONS RESUME INTENDED BENEFICIARIES: SURVIVORS OF DISASTER SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
1975700.00
Total Face Value Of Loan:
1975700.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
64920.00
Total Face Value Of Loan:
64920.00

Paycheck Protection Program

Date Approved:
2021-02-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
62867
Current Approval Amount:
62867
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
63363.3
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
64920
Current Approval Amount:
64920
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
65609.23

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State