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DFORM INC.

Company Details

Name: DFORM INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 17 Jan 2001 (24 years ago)
Entity Number: 2595121
ZIP code: 11211
County: Kings
Place of Formation: New York
Address: C/O JAMES DIETER, 235 GRAND ST., BROOKLYN, NY, United States, 11211
Principal Address: 235 GRAND ST, BROOKLYN, NY, United States, 11211

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DFORM, INC. 401(K) RETIREMENT PLAN 2017 113582722 2018-10-15 DFORM, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 7183846887
Plan sponsor’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing JAMES T. DIETER, TRUSTEE
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing JAMES T. DIETER, PRESIDENT
DFORM, INC. 401(K) RETIREMENT PLAN 2016 113582722 2017-10-06 DFORM, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 7183846887
Plan sponsor’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205

Signature of

Role Plan administrator
Date 2017-10-06
Name of individual signing JAMES T. DIETER, TRUSTEE
Role Employer/plan sponsor
Date 2017-10-06
Name of individual signing JAMES T. DIETER, PRESIDENT
DFORM, INC. 401(K) RETIREMENT PLAN 2015 113582722 2016-10-15 DFORM, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 7183846887
Plan sponsor’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing JAMES T. DIETER, TRUSTEE
Role Employer/plan sponsor
Date 2016-10-15
Name of individual signing JAMES T. DIETER, PRESIDENT
DFORM, INC. 401(K) RETIREMENT PLAN 2014 113582722 2015-04-01 DFORM, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 7183846887
Plan sponsor’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205

Signature of

Role Plan administrator
Date 2015-04-01
Name of individual signing JAMES T. DIETER, TRUSTEE
Role Employer/plan sponsor
Date 2015-04-01
Name of individual signing JAMES T. DIETER, PRESIDENT
DFORM, INC. 401(K) RETIREMENT PLAN 2013 113582722 2014-05-30 DFORM, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 7183846887
Plan sponsor’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205

Signature of

Role Plan administrator
Date 2014-05-30
Name of individual signing JAMES T. DIETER, TRUSTEE
Role Employer/plan sponsor
Date 2014-05-30
Name of individual signing JAMES T. DIETER, PRESIDENT
DFORM, INC. 401(K) RETIREMENT PLAN 2012 113582722 2013-07-10 DFORM, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 7183846887
Plan sponsor’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205

Signature of

Role Plan administrator
Date 2013-07-10
Name of individual signing JAMES T. DIETER, TRUSTEE
Role Employer/plan sponsor
Date 2013-07-10
Name of individual signing JAMES T. DIETER, PRESIDENT
DFORM, INC. 401(K) RETIREMENT PLAN 2011 113582722 2012-02-27 DFORM, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 7183846887
Plan sponsor’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205

Plan administrator’s name and address

Administrator’s EIN 113582722
Plan administrator’s name DFORM, INC.
Plan administrator’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
Administrator’s telephone number 7183846887

Signature of

Role Plan administrator
Date 2012-02-27
Name of individual signing JAMES T. DIETER, TRUSTEE
Role Employer/plan sponsor
Date 2012-02-27
Name of individual signing JAMES T. DIETER, PRESIDENT
DFORM, INC. 401(K) RETIREMENT PLAN 2010 113582722 2011-06-28 DFORM, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 7183846887
Plan sponsor’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205

Plan administrator’s name and address

Administrator’s EIN 113582722
Plan administrator’s name DFORM, INC.
Plan administrator’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
Administrator’s telephone number 7183846887

Signature of

Role Plan administrator
Date 2011-06-28
Name of individual signing JAMES T. DIETER, TRUSTEE
Role Employer/plan sponsor
Date 2011-06-28
Name of individual signing JAMES T. DIETER, PRESIDENT
DFORM, INC. 401(K) RETIREMENT PLAN 2009 113582722 2010-07-09 DFORM, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 7183846887
Plan sponsor’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205

Plan administrator’s name and address

Administrator’s EIN 113582722
Plan administrator’s name DFORM, INC.
Plan administrator’s address 63 FLUSHING AVENUE, BLDG 5, STE 317, BROOKLYN, NY, 11205
Administrator’s telephone number 7183846887

Signature of

Role Plan administrator
Date 2010-07-09
Name of individual signing JAMES T. DIETER, TRUSTEE
Role Employer/plan sponsor
Date 2010-07-09
Name of individual signing JAMES T. DIETER, PRESIDENT

Chief Executive Officer

Name Role Address
JAMES DIETER Chief Executive Officer 235 GRAND ST, BROOKLYN, NY, United States, 11211

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O JAMES DIETER, 235 GRAND ST., BROOKLYN, NY, United States, 11211

Filings

Filing Number Date Filed Type Effective Date
050823002722 2005-08-23 BIENNIAL STATEMENT 2005-01-01
030318002652 2003-03-18 BIENNIAL STATEMENT 2003-01-01
010117000869 2001-01-17 CERTIFICATE OF INCORPORATION 2001-01-17

Date of last update: 02 Jan 2025

Sources: New York Secretary of State