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  5. ANDERS JENSEN DESIGN, LLC

ANDERS JENSEN DESIGN, LLC

Company Details

Name: ANDERS JENSEN DESIGN, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Dec 2002 (22 years ago)
Entity Number: 2840925
ZIP code: 11937
County: Suffolk
Place of Formation: New York
Address: ATTN: JOANTHAN TARBET, 288 PANTIGO ROAD, EAST HAMPTON, NY, United States, 11937

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANDERS JENSEN DESIGN 401(K) PLAN 2023 134227656 2024-07-22 ANDERS JENSEN DESIGN LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321210
Sponsor’s telephone number 6318071791
Plan sponsor’s address PO BOX 841, GREENPORT, NY, 11944

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing CHRIS HORNE
ANDERS JENSEN DESIGN LLC. 401K PROFIT SHARING PLAN & TRUST 2021 134227656 2022-10-25 ANDERS JENSEN DESIGN LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321900
Sponsor’s telephone number 6314884120
Plan sponsor’s address PO BOX 841, GREENPORT, NY, 119440854

Signature of
Role Plan administrator
Date 2022-10-25
Name of individual signing ANDERS JENSEN
ANDERS JENSEN DESIGN LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 134227656 2021-04-26 ANDERS JENSEN DESIGN LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321900
Sponsor’s telephone number 6314884120
Plan sponsor’s address PO BOX 841, GREENPORT, NY, 119440854

Signature of
Role Plan administrator
Date 2021-04-26
Name of individual signing ANDERS JENSEN
ANDERS JENSEN DESIGN LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 134227656 2020-08-12 ANDERS JENSEN DESIGN LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321900
Sponsor’s telephone number 6314884120
Plan sponsor’s address PO BOX 841, GREENPORT, NY, 119440854

Signature of
Role Plan administrator
Date 2020-08-12
Name of individual signing ANDERS JENSEN
ANDERS JENSEN DESIGN LLC 401 K PROFIT SHARING PLAN TRUST 2018 134227656 2019-07-31 ANDERS JENSEN DESIGN LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321900
Sponsor’s telephone number 6314884120
Plan sponsor’s address PO BOX 841, GREENPORT, NY, 119440854

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing ANDERS JENSEN
ANDERS JENSEN DESIGN LLC 2017 134227656 2018-04-27 ANDERS JENSEN DESIGN 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321900
Sponsor’s telephone number 6314884120
Plan sponsor’s address PO BOX 841, GREENPORT, NY, 119440854

Signature of
Role Plan administrator
Date 2018-04-27
Name of individual signing ANDERS JENSEN
Role Employer/plan sponsor
Date 2018-04-27
Name of individual signing ANDERS JENSEN
ANDERS JENSEN DESIGN LLC 2016 134227656 2018-04-27 ANDERS JENSEN DESIGN LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321900
Sponsor’s telephone number 6314884120
Plan sponsor’s address PO BOX 841, GREENPORT, NY, 119440854

Signature of
Role Plan administrator
Date 2018-04-27
Name of individual signing ANDERS JENSEN
Role Employer/plan sponsor
Date 2018-04-27
Name of individual signing ANDERS JENSEN
ANDERS JENSEN DESIGN LLC 2015 134227656 2018-04-27 ANDERS JENSEN DESIGN LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321900
Plan sponsor’s address PO BOX 841, GREENPORT, NY, 119440854

Signature of
Role Plan administrator
Date 2018-04-27
Name of individual signing ANDERS JENSEN
Role Employer/plan sponsor
Date 2018-04-27
Name of individual signing ANDERS JENSEN
ANDERS JENSEN DESIGN LLC 2014 134227656 2018-04-27 ANDERS JENSEN DESIGN LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321900
Sponsor’s telephone number 6314884120
Plan sponsor’s address PO BOX 841, GREENPORT, NY, 11944

Signature of
Role Plan administrator
Date 2018-04-27
Name of individual signing ANDERS JENSEN
Role Employer/plan sponsor
Date 2018-04-27
Name of individual signing ANDERS JENSEN
ANDERS JENSEN DESIGN LLC 401 K PROFIT SHARING PLAN TRUST 2010 134227656 2011-07-22 ANDERS JENSEN DESIGN LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 321900
Sponsor’s telephone number 6314884120
Plan sponsor’s address 199 MARINER DR, SUITE 2, SOUTHAMPTON, NY, 119683487

Plan administrator’s name and address
Administrator’s EIN 134227656
Plan administrator’s name ANDERS JENSEN DESIGN LLC
Plan administrator’s address 199 MARINER DR, SUITE 2, SOUTHAMPTON, NY, 119683487
Administrator’s telephone number 6314884120

Signature of
Role Plan administrator
Date 2011-07-22
Name of individual signing ANDERS JENSEN DESIGN LLC

DOS Process Agent

Name Role Address
LAW OFFICE OF DEBRA LOBEL DOS Process Agent ATTN: JOANTHAN TARBET, 288 PANTIGO ROAD, EAST HAMPTON, NY, United States, 11937

Filings

Filing Number Date Filed Type Effective Date
030320000546 2003-03-20 AFFIDAVIT OF PUBLICATION 2003-03-20
030320000550 2003-03-20 AFFIDAVIT OF PUBLICATION 2003-03-20
021203000251 2002-12-03 ARTICLES OF ORGANIZATION 2002-12-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5331778300 2021-01-25 0235 PPS 74100 Main Rd, Greenport, NY, 11944-2805
Loan Status Date 2022-01-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 16400
Loan Approval Amount (current) 16400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Greenport, SUFFOLK, NY, 11944-2805
Project Congressional District NY-01
Number of Employees 2
NAICS code 238130
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 15793
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address Bridgeport, CT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 16538.84
Forgiveness Paid Date 2021-12-06
7552337206 2020-04-28 0235 PPP 74100 MAIN ROAD, GREENPORT, NY, 11944
Loan Status Date 2021-09-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 44557
Loan Approval Amount (current) 44557
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address GREENPORT, SUFFOLK, NY, 11944-0001
Project Congressional District NY-01
Number of Employees 3
NAICS code 238130
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 15793
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address Bridgeport, CT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 45113.66
Forgiveness Paid Date 2021-08-04

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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