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  5. SHANNON ORTHODONTICS, LLC

SHANNON ORTHODONTICS, LLC

Company Details

Entity Name: SHANNON ORTHODONTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 May 2015 (10 years ago)
Document Number: L15000085722
FEI/EIN Number 474021167
Address: 2390 North Blvd West, Davenport, FL, 33837, US
Mail Address: 2390 North Blvd West, Davenport, FL, 33837, US
ZIP code: 33837
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700268802 2015-06-24 2015-06-24 39863 HIGHWAY 27 STE 8, DAVENPORT, FL, 338377802, US 39863 HIGHWAY 27 STE 8, DAVENPORT, FL, 338377802, US

Contacts
Phone +1 863-353-6867
Fax 8633536869

Authorized person
Name DR. CHRISTOPHER J SHANNON
Role MEMBER
Phone 3525622782

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number 20177
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHANNON ORTHODONTICS CASH BALANCE PLAN 2023 474021167 2024-08-13 SHANNON ORTHODONTICS, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8633536867
Plan sponsor’s address 2390 NORTH BLVD. WEST E-2, DAVENPORT, FL, 33837
SHANNON ORTHODONTICS 401(K) PLAN 2023 474021167 2024-07-22 SHANNON ORTHODONTICS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8633536867
Plan sponsor’s address 2390 NORTH BLVD. WEST E-2, DAVENPORT, FL, 33837
SHANNON ORTHODONTICS CASH BALANCE PLAN 2022 474021167 2023-09-15 SHANNON ORTHODONTICS, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8633536867
Plan sponsor’s address 2390 NORTH BLVD. WEST E-2, DAVENPORT, FL, 33837
SHANNON ORTHODONTICS 401(K) PLAN 2022 474021167 2023-09-04 SHANNON ORTHODONTICS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8633536867
Plan sponsor’s address 2390 NORTH BLVD. WEST E-2, DAVENPORT, FL, 33837
SHANNON ORTHODONTICS 401(K) PLAN 2021 474021167 2022-09-19 SHANNON ORTHODONTICS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8633536867
Plan sponsor’s address 2390 NORTH BLVD. WEST E-2, DAVENPORT, FL, 33837
SHANNON ORTHODONTICS CASH BALANCE PLAN 2021 474021167 2022-09-19 SHANNON ORTHODONTICS, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8633536867
Plan sponsor’s address 2390 NORTH BLVD. WEST E-2, DAVENPORT, FL, 33837
SHANNON ORTHODONTICS 401(K) PLAN 2020 474021167 2021-07-27 SHANNON ORTHODONTICS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8633536867
Plan sponsor’s address 2390 NORTH BLVD. WEST E-2, DAVENPORT, FL, 33837
SHANNON ORTHODONTICS CASH BALANCE PLAN 2020 474021167 2021-07-29 SHANNON ORTHODONTICS, LLC 7
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8633536867
Plan sponsor’s address 2390 NORTH BLVD. WEST E-2, DAVENPORT, FL, 33837
SHANNON ORTHODONTICS CASH BALANCE PLAN 2020 474021167 2021-07-29 SHANNON ORTHODONTICS, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8633536867
Plan sponsor’s address 2390 NORTH BLVD. WEST E-2, DAVENPORT, FL, 33837

Agent

Name Role Address
SHANNON CHRISTOPHER Agent 2390 North Blvd West, Davenport, FL, 33837

Manager

Name Role Address
SHANNON CHRISTOPHER Manager 2390 North Blvd West, Davenport, FL, 33837

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000119956 SHANNON ORTHODONTICS ACTIVE 2021-09-15 2026-12-31 No data 2390 NORTH BOULEVARD WEST, SUITE E-2, DAVENPORT, FL, 33837

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-02-02 2390 North Blvd West, Suite E-2, Davenport, FL 33837 No data
CHANGE OF MAILING ADDRESS 2020-02-02 2390 North Blvd West, Suite E-2, Davenport, FL 33837 No data
REGISTERED AGENT ADDRESS CHANGED 2020-02-02 2390 North Blvd West, Suite E-2, Davenport, FL 33837 No data

Documents

Name Date
ANNUAL REPORT 2025-01-18
ANNUAL REPORT 2024-01-14
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-02-07
ANNUAL REPORT 2020-02-02
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-03

Related by officers

SHANNON CHRISTOPHER

HURRICANE AIR CONDITIONING OF SW FLORIDA, INC. 1324 COXHEATH ROAD, LLC CK SERVICES OF NORTH FLORIDA, LLC SHANNON BUILT, LLC DAVENPORT INVESTMENT HOLDINGS, LLC GREY WOLF MEDIA LLC A/C SUPPLY, INC. HURRICANE AIR, INC. A P COLORADO, INC. BS ENTERPRISE PROPERTIES LLC

Related by address

2390 North Blvd West, Davenport, FL, 33837, US

DAVENPORT INVESTMENT HOLDINGS, LLC

2390 North Blvd West, Davenport, FL, 33837, US

DAVENPORT INVESTMENT HOLDINGS, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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