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  5. SELECT-A-FORM INC.

SELECT-A-FORM INC.

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Company Details

Name: SELECT-A-FORM INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 14 Aug 1985 (40 years ago)
Entity Number: 1018491
ZIP code: 11741
County: Suffolk
Place of Formation: New York
Address: 4717 VETERANS MEMORIAL HIGHWAY, HOLBROOK, NY, United States, 11741

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DAVID WALTERS Chief Executive Officer 4717 VETERANS MEMORIAL HIGHWAY, HOLBROOK, NY, United States, 11741

DOS Process Agent

Name Role Address
DAVID WALTERS DOS Process Agent 4717 VETERANS MEMORIAL HIGHWAY, HOLBROOK, NY, United States, 11741

Form 5500 Series

Employer Identification Number (EIN):
112771584
Plan Year:
2015
Number Of Participants:
29
Sponsors Telephone Number:
6319813076
File:
View File
Plan Year:
2014
Number Of Participants:
28
Sponsors Telephone Number:
6319813076
File:
View File
Plan Year:
2013
Number Of Participants:
25
Sponsors Telephone Number:
6319813076
File:
View File
Plan Year:
2012
Number Of Participants:
27
Sponsors Telephone Number:
6319813076
File:
View File
Plan Year:
2011
Number Of Participants:
26
Sponsors Telephone Number:
6319813076
File:
View File

History

Start date End date Type Value
1985-08-14 1993-04-06 Address 641 1ST ST, RONKONKOMA, NY, 11779, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130823002109 2013-08-23 BIENNIAL STATEMENT 2013-08-01
110823002345 2011-08-23 BIENNIAL STATEMENT 2011-08-01
090811002520 2009-08-11 BIENNIAL STATEMENT 2009-08-01
070813003400 2007-08-13 BIENNIAL STATEMENT 2007-08-01
051014002310 2005-10-14 BIENNIAL STATEMENT 2005-08-01

USAspending Awards / Financial Assistance

Date:
2021-03-12
Link:
View on USAspending
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:
160120.00
Total Face Value Of Loan:
160120.00
Date:
2020-09-08
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-09-08
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-07-02
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
Link:
View on USAspending
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:
175440.00
Total Face Value Of Loan:
175440.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$175,440
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$175,440
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$177,160.75
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $135,482
Utilities: $7,620
Mortgage Interest: $0
Rent: $26,267
Refinance EIDL: $0
Healthcare: $4871
Debt Interest: $1,200
Jobs Reported:
12
Initial Approval Amount:
$160,120
Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$160,120
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$161,150.91
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $160,120

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State

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