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  5. DFORM INC.

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6802367301 2020-04-30 0202 PPP 63 Flushing Ave, Bldg 5, ste 317, BROOKLYN, NY, 11205
Loan Status Date 2021-09-30
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 12498.32
Loan Approval Amount (current) 12498.32
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 BROOKLYN, KINGS, NY, 11205-0001
Project Congressional District NY-07
Number of Employees 3
NAICS code 335121
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Non-Veteran
Forgiveness Amount 12656.88
Forgiveness Paid Date 2021-08-12

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Related by address

No related companies by address

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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