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TEAM BLEVINS, LLC

Company Details

Name: TEAM BLEVINS, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Feb 2006 (19 years ago)
Entity Number: 3316151
ZIP code: 13642
County: St. Lawrence
Place of Formation: New York
Address: 1151 US HWY 11, GOUVERNEUR, NY, United States, 13642

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLEVINS GOUVERNEUR 401K PLAN 2022 204297741 2023-06-13 TEAM BLEVINS, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 441110
Sponsor’s telephone number 3152870200
Plan sponsor’s address 1151 US HIGHWAY 11, GOUVERNEUR, NY, 13642

Signature of

Role Plan administrator
Date 2023-06-13
Name of individual signing HEATHER STEWART
BLEVINS GOUVERNEUR 401(K) PLAN 2022 204297741 2023-12-28 TEAM BLEVINS, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 441110
Sponsor’s telephone number 3152870200
Plan sponsor’s address 1151 US HIGHWAY 11, GOUVERNEUR, NY, 13642

Signature of

Role Plan administrator
Date 2023-12-28
Name of individual signing HEATHER STEWART
BLEVINS GOUVERNEUR 401K PLAN 2021 204297741 2022-04-04 TEAM BLEVINS, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 441110
Sponsor’s telephone number 3152871300
Plan sponsor’s address 1151 US HIGHWAY 11, GOUVERNEUR, NY, 13642

Signature of

Role Plan administrator
Date 2022-03-22
Name of individual signing STEVE BLEVINS
BLEVINS GOUVERNEUR 401K PLAN 2020 204297741 2021-05-20 TEAM BLEVINS, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 441110
Sponsor’s telephone number 3152871300
Plan sponsor’s address 1151 US HIGHWAY 11, GOUVERNEUR, NY, 13642

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing STEVE BLEVINS

DOS Process Agent

Name Role Address
TEAM BLEVINS, LLC DOS Process Agent 1151 US HWY 11, GOUVERNEUR, NY, United States, 13642

History

Start date End date Type Value
2008-03-05 2020-02-04 Address 1213 US HWY 11, GOUVERNEUR, NY, 13642, USA (Type of address: Service of Process)
2006-02-06 2008-03-05 Address 5914 STATE HIGHWAY 812, OGDENSBURG, NY, 13669, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200204060865 2020-02-04 BIENNIAL STATEMENT 2020-02-01
170602007151 2017-06-02 BIENNIAL STATEMENT 2016-02-01
120313002404 2012-03-13 BIENNIAL STATEMENT 2012-02-01
100319002671 2010-03-19 BIENNIAL STATEMENT 2010-02-01
080305002402 2008-03-05 BIENNIAL STATEMENT 2008-02-01
060505000830 2006-05-05 AFFIDAVIT OF PUBLICATION 2006-05-05
060505000824 2006-05-05 AFFIDAVIT OF PUBLICATION 2006-05-05
060206000090 2006-02-06 ARTICLES OF ORGANIZATION 2006-02-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4831617108 2020-04-13 0248 PPP 1151 US HWY 11, Gouverneur, NY, 13642-3506
Loan Status Date 2021-06-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 178000
Loan Approval Amount (current) 178000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Gouverneur, SAINT LAWRENCE, NY, 13642-3506
Project Congressional District NY-21
Number of Employees 15
NAICS code 441110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 179833.64
Forgiveness Paid Date 2021-05-04
4953538407 2021-02-07 0248 PPS 1151 US Highway 11, Gouverneur, NY, 13642-3506
Loan Status Date 2022-04-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 152482.5
Loan Approval Amount (current) 152482.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Gouverneur, SAINT LAWRENCE, NY, 13642-3506
Project Congressional District NY-21
Number of Employees 10
NAICS code 441110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 154366.6
Forgiveness Paid Date 2022-05-17

Date of last update: 29 Mar 2025

Sources: New York Secretary of State