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M. Shannon Daugherty, D.M.D., P.C.

Details

Name: M. Shannon Daugherty, D.M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 15 Apr 2002 (23 years ago)
Entity Number: 000-222-463
Register Number: 000222463
County: Montgomery
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104
Authorized Capital: $1,200

Activities PRACTICE DENTISTRY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
M. SHANNON DAUGHERTY, D.M.D., PC RETIREMENT PLAN & TRUST 2015 710881736 2016-09-30 M. SHANNON DAUGHERTY D.M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3346993636
Plan sponsor’s address 200 GROVE PARK LN, SUITE 600, DOTHAN, AL, 36305
M. SHANNON DAUGHERTY, D.M.D., PC RETIREMENT PLAN & TRUST 2014 710881736 2015-08-18 M. SHANNON DAUGHERTY D.M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3346993636
Plan sponsor’s address 200 GROVE PARK LANE, SUITE 600, DOTHAN, AL, 36305

Signature of

Role Plan administrator
Date 2015-08-18
Name of individual signing M. SHANNON DAUGHERTY, DMD
M. SHANNON DAUGHERTY, D.M.D., PC RETIREMENT PLAN & TRUST 2013 710881736 2014-06-30 M. SHANNON DAUGHERTY D.M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 3346993636
Plan sponsor’s address 200 GROVE PARK LANE, SUITE 600, DOTHAN, AL, 36305

Signature of

Role Plan administrator
Date 2014-06-30
Name of individual signing M. SHANNON DAUGHERTY, DMD

Incorporator

Name Role Address
DAUGHERTY, M SHANNON Incorporator 200 GROVE PARK LANE STE 600DOTHAN, AL 36305

Agent

Name Role
COGENCY GLOBAL INC Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State