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  5. IN-FORM FITNESS, LLC

IN-FORM FITNESS, LLC

Company Details

Name: IN-FORM FITNESS, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Dec 1997 (27 years ago)
Entity Number: 2204976
ZIP code: 10022
County: Nassau
Place of Formation: New York
Address: 201 EAST 56TH ST 2ND FLR, NEW YORK, NY, United States, 10022

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 113415932 2024-09-04 IN-FORM FITNESS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2024-09-04
Name of individual signing ADAM ZICKERMAN
Valid signature Filed with authorized/valid electronic signature
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 113415932 2023-10-04 IN-FORM FITNESS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing ADAM ZICKERMAN
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 113415932 2022-10-05 IN-FORM FITNESS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing ADAM ZICKERMAN
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 113415932 2021-10-13 IN-FORM FITNESS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing ADAM ZICKERMAN
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 113415932 2020-10-12 IN-FORM FITNESS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing ADAM ZICKERMAN
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2018 113415932 2019-09-24 IN-FORM FITNESS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2019-09-24
Name of individual signing ADAM ZICKERMAN
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2017 113415932 2018-10-11 IN-FORM FITNESS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing ADAM ZICKERMAN
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 113415932 2017-10-12 IN-FORM FITNESS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing ADAM ZICKERMAN
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 113415932 2016-10-14 IN-FORM FITNESS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing ADAM ZICKERMAN
IN-FORM FITNESS, LLC 401(K) PROFIT SHARING PLAN & TRUST 2014 113415932 2015-10-15 IN-FORM FITNESS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 2127559895
Plan sponsor’s address 201 E 56TH STREET, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing ADAM ZICKERMAN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 201 EAST 56TH ST 2ND FLR, NEW YORK, NY, United States, 10022

History

Start date End date Type Value
1997-12-04 2003-11-26 Address 38 CANTERBURY ROAD, WOODBURY, NY, 11797, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120103002972 2012-01-03 BIENNIAL STATEMENT 2011-12-01
091214002729 2009-12-14 BIENNIAL STATEMENT 2009-12-01
080206002329 2008-02-06 BIENNIAL STATEMENT 2007-12-01
051128002311 2005-11-28 BIENNIAL STATEMENT 2005-12-01
031126002517 2003-11-26 BIENNIAL STATEMENT 2003-12-01
980226000118 1998-02-26 AFFIDAVIT OF PUBLICATION 1998-02-26
980226000114 1998-02-26 AFFIDAVIT OF PUBLICATION 1998-02-26
971215000416 1997-12-15 CERTIFICATE OF AMENDMENT 1997-12-15
971204000321 1997-12-04 ARTICLES OF ORGANIZATION 1997-12-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2951297702 2020-05-01 0235 PPP 17 Henderson Ave, PORT WASHINGTON, NY, 11050
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 114737
Loan Approval Amount (current) 114737
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 PORT WASHINGTON, NASSAU, NY, 11050-0001
Project Congressional District NY-03
Number of Employees 7
NAICS code 713940
Borrower Race Unanswered
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 115742.73
Forgiveness Paid Date 2021-03-22
9234328301 2021-01-30 0202 PPS 201 E 56th St # 2, New York, NY, 10022-3724
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 120000
Loan Approval Amount (current) 120000
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, 10022-3724
Project Congressional District NY-12
Number of Employees 5
NAICS code 713940
Borrower Race Unanswered
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 120855.87
Forgiveness Paid Date 2021-10-25

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Date of last update: 24 Feb 2025

Sources: New York Secretary of State

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