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IVY BUSINESS FORMS, INC.

Company Details

Name: IVY BUSINESS FORMS, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 15 Oct 1970 (55 years ago)
Entity Number: 296908
County: Westchester
Place of Formation: New York
Address: 6 IVY ROAD, MOHEGAN LAKE, NY, United States

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
IVY BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN & TRUST 2023 132674497 2024-07-31 IVY BUSINESS FORMS INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 323100
Sponsor’s telephone number 8452789100
Plan sponsor’s address 16 MOUNT EBO RD S STE 16, BREWSTER, NY, 105094038

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing CHRISTINE WALTERS
IVY BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN & TRUST 2022 132674497 2023-07-31 IVY BUSINESS FORMS INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 323100
Sponsor’s telephone number 8452789100
Plan sponsor’s address 16 MOUNT EBO RD S STE 16, BREWSTER, NY, 105094038

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing TOVE MCKEON
IVY BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN & TRUST 2021 132674497 2022-08-23 IVY BUSINESS FORMS INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 323100
Sponsor’s telephone number 8452789100
Plan sponsor’s address 16 MOUNT EBO RD S STE 16, BREWSTER, NY, 105094038

Signature of
Role Plan administrator
Date 2022-08-23
Name of individual signing CHRISTINE WALTERS
IVY BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN & TRUST 2020 132674497 2021-07-21 IVY BUSINESS FORMS INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 323100
Sponsor’s telephone number 8452789100
Plan sponsor’s address 16 MOUNT EBO RD S STE 16, BREWSTER, NY, 105094038

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing TOVE MCKEON
IVY BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN & TRUST 2019 132674497 2020-07-20 IVY BUSINESS FORMS INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 323100
Sponsor’s telephone number 8452789100
Plan sponsor’s address 16 MOUNT EBO RD S STE 16, BREWSTER, NY, 105094038

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing TOVE MCKEON
IVY BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2018 132674497 2019-07-30 IVY BUSINESS FORMS INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 323100
Sponsor’s telephone number 8452789100
Plan sponsor’s address 16 MOUNT EBO RD S STE 16, BREWSTER, NY, 105094038

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing CHRISTINE WALTERS
IVY BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2017 132674497 2018-06-29 IVY BUSINESS FORMS INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 323100
Sponsor’s telephone number 8452789100
Plan sponsor’s address 16 MOUNT EBO RD S STE 16, BREWSTER, NY, 105094038

Signature of
Role Plan administrator
Date 2018-06-29
Name of individual signing CHRISTINE WALTERS
IVY BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2016 132674497 2017-07-24 IVY BUSINESS FORMS INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 323100
Sponsor’s telephone number 8452789100
Plan sponsor’s address 16 MOUNT EBO RD S STE 16, BREWSTER, NY, 105094038

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing CHRISTINE WALTERS

DOS Process Agent

Name Role Address
JOHN J. MCKEON DOS Process Agent 6 IVY ROAD, MOHEGAN LAKE, NY, United States

Filings

Filing Number Date Filed Type Effective Date
C339960-2 2003-11-26 ASSUMED NAME CORP INITIAL FILING 2003-11-26
B446931-2 1987-01-15 CERTIFICATE OF AMENDMENT 1987-01-15
863395-3 1970-10-15 CERTIFICATE OF INCORPORATION 1970-10-15

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
305790206 0213100 2003-08-14 16 MOUNT EBO ROAD SOUTH, BREWSTER, NY, 10509
Inspection Type Referral
Scope Complete
Safety/Health Safety
Close Conference 2003-09-26
Case Closed 2005-01-11

Related Activity
Type Referral
Activity Nr 200745909
Safety Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100147 C01
Issuance Date 2003-10-01
Abatement Due Date 2003-10-19
Current Penalty 420.0
Initial Penalty 600.0
Nr Instances 1
Nr Exposed 4
Gravity 02
Citation ID 01002
Citaton Type Serious
Standard Cited 19100212 A03 II
Issuance Date 2003-10-01
Abatement Due Date 2003-10-06
Current Penalty 420.0
Initial Penalty 600.0
Nr Instances 1
Nr Exposed 2
Gravity 02
Citation ID 01003
Citaton Type Serious
Standard Cited 19100219 B01
Issuance Date 2003-10-01
Abatement Due Date 2003-10-19
Current Penalty 420.0
Initial Penalty 600.0
Nr Instances 1
Nr Exposed 2
Gravity 02
Citation ID 01004A
Citaton Type Serious
Standard Cited 19100219 D01
Issuance Date 2003-10-01
Abatement Due Date 2003-10-19
Initial Penalty 600.0
Nr Instances 1
Nr Exposed 2
Related Event Code (REC) Referral
Gravity 02
Citation ID 01004B
Citaton Type Serious
Standard Cited 19100219 E03 I
Issuance Date 2003-10-01
Abatement Due Date 2003-10-19
Nr Instances 1
Nr Exposed 2
Related Event Code (REC) Referral
Gravity 02
Citation ID 01004C
Citaton Type Serious
Standard Cited 19100219 F01
Issuance Date 2003-10-01
Abatement Due Date 2003-10-19
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Referral
Gravity 02
305790263 0213100 2003-08-14 16 MOUNT EBO ROAD SOUTH, BREWSTER, NY, 10509
Inspection Type Referral
Scope Partial
Safety/Health Health
Close Conference 2003-09-25
Emphasis N: LEAD, S: LEAD
Case Closed 2004-01-14

Related Activity
Type Inspection
Activity Nr 305790206
Type Referral
Activity Nr 200745909
Safety Yes
Health Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100151 C
Issuance Date 2003-10-03
Abatement Due Date 2003-10-21
Current Penalty 525.0
Initial Penalty 750.0
Nr Instances 2
Nr Exposed 2
Gravity 03
Citation ID 01002A
Citaton Type Serious
Standard Cited 19100132 D01
Issuance Date 2003-10-03
Abatement Due Date 2003-10-21
Current Penalty 525.0
Initial Penalty 750.0
Nr Instances 1
Nr Exposed 2
Gravity 03
Citation ID 01002B
Citaton Type Serious
Standard Cited 19100133 A01
Issuance Date 2003-10-03
Abatement Due Date 2003-10-11
Nr Instances 1
Nr Exposed 2
Gravity 03
Citation ID 01003
Citaton Type Serious
Standard Cited 19101200 E01
Issuance Date 2003-10-03
Abatement Due Date 2003-11-05
Current Penalty 315.0
Initial Penalty 450.0
Nr Instances 1
Nr Exposed 4
Gravity 01
Citation ID 02001
Citaton Type Other
Standard Cited 19101025 L01 I
Issuance Date 2003-10-03
Abatement Due Date 2003-10-09
Nr Instances 1
Nr Exposed 2
Gravity 01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3427947106 2020-04-11 0202 PPP 16 Mt Ebo Rd S Ste 16, BREWSTER, NY, 10509
Loan Status Date 2021-05-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 82200
Loan Approval Amount (current) 82200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address BREWSTER, PUTNAM, NY, 10509-0001
Project Congressional District NY-17
Number of Employees 6
NAICS code 424120
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 83006.24
Forgiveness Paid Date 2021-04-19
5345318303 2021-01-25 0202 PPS 16 Mount Ebo Rd S Ste 16, Brewster, NY, 10509-4038
Loan Status Date 2022-02-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 91952
Loan Approval Amount (current) 94382
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Brewster, PUTNAM, NY, 10509-4038
Project Congressional District NY-17
Number of Employees 6
NAICS code 323111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 95237.9
Forgiveness Paid Date 2022-01-06

Related by officers

JOHN J. MCKEON

THE CLARION SYSTEMS CORPORATION

Related by address

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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