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  5. PREFERRED BUSINESS FORMS, INC.

PREFERRED BUSINESS FORMS, INC.

Company Details

Name: PREFERRED BUSINESS FORMS, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 17 Sep 1975 (50 years ago)
Entity Number: 379373
ZIP code: 10603
County: Westchester
Place of Formation: New York
Address: 152 VIRGINIA ROAD, WHITE PLAINS, NY, United States, 10603

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
PREFERRED BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN AND TRUST 2023 132838430 2024-07-25 PREFERRED BUSINESS FORMS INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE. 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2024-07-25
Name of individual signing JEN BAILEY
PREFERRED BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN AND TRUST 2022 132838430 2023-07-06 PREFERRED BUSINESS FORMS INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE. 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2023-07-06
Name of individual signing DENNIS KIERNAN
PREFERRED BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN AND TRUST 2021 132838430 2022-08-10 PREFERRED BUSINESS FORMS INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE. 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2022-08-10
Name of individual signing DENNIS KIERNAN
PREFERRED BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN AND TRUST 2020 132838430 2021-07-09 PREFERRED BUSINESS FORMS INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE. 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2021-07-09
Name of individual signing DENNIS KIERNAN
PREFERRED BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN AND TRUST 2019 132838430 2020-08-19 PREFERRED BUSINESS FORMS INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE. 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2020-08-19
Name of individual signing DENNIS KIERNAN
PREFERRED BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2018 132838430 2019-06-14 PREFERRED BUSINESS FORMS INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2019-06-14
Name of individual signing DENNIS KIERNAN
PREFERRED BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2017 132838430 2018-06-15 PREFERRED BUSINESS FORMS INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing DENNIS KIERNAN
PREFERRED BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2016 132838430 2017-05-23 PREFERRED BUSINESS FORMS INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2017-05-23
Name of individual signing DENNIS KIERNAN
PREFERRED BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2015 132838430 2016-05-17 PREFERRED BUSINESS FORMS INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2016-05-17
Name of individual signing DENNIS KIERNAN
PREFERRED BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2014 132838430 2015-05-15 PREFERRED BUSINESS FORMS INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9143327600
Plan sponsor’s address 530 SAW MILL RIVER RD STE 2, ELMSFORD, NY, 105231029

Signature of
Role Plan administrator
Date 2015-05-15
Name of individual signing DENNIS KIERNAN

DOS Process Agent

Name Role Address
PREFERRED BUSINESS FORMS, INC. DOS Process Agent 152 VIRGINIA ROAD, WHITE PLAINS, NY, United States, 10603

Filings

Filing Number Date Filed Type Effective Date
20080923052 2008-09-23 ASSUMED NAME CORP INITIAL FILING 2008-09-23
A259763-3 1975-09-17 CERTIFICATE OF INCORPORATION 1975-09-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8377738309 2021-01-29 0202 PPS 530 Saw Mill River Rd, Elmsford, NY, 10523-1028
Loan Status Date 2022-01-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 129200
Loan Approval Amount (current) 129200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529192
Servicing Lender Name Benworth Capital
Servicing Lender Address 7000 SW 97th Avenue Suite 201, Miami, FL, 33173
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Elmsford, WESTCHESTER, NY, 10523-1028
Project Congressional District NY-16
Number of Employees 9
NAICS code 424110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 529192
Originating Lender Name Benworth Capital
Originating Lender Address Miami, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 130261.92
Forgiveness Paid Date 2021-12-08
1280087408 2020-05-04 0202 PPP 530 Saw Mill River Road, Elmsford, NY, 10523
Loan Status Date 2021-06-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 113000
Loan Approval Amount (current) 113000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 223542
Servicing Lender Name Celtic Bank Corporation
Servicing Lender Address 268 S State St, Ste 300, SALT LAKE CITY, UT, 84111-5314
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Elmsford, WESTCHESTER, NY, 10523-0001
Project Congressional District NY-16
Number of Employees 9
NAICS code 453998
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 223542
Originating Lender Name Celtic Bank Corporation
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 114182.63
Forgiveness Paid Date 2021-05-24

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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