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  5. XACTIV, INC.

XACTIV, INC.

Company Details

Name: XACTIV, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 22 Oct 2009 (15 years ago)
Entity Number: 3870409
ZIP code: 14450
County: Monroe
Place of Formation: Delaware
Address: 71 PERINTON PARKWAY, FAIRPORT, NY, United States, 14450

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5RK15 Active U.S./Canada Manufacturer 2009-10-15 2024-03-12 2028-12-04 2024-11-29

Contact Information
POC JYOTHSNA RAM
Phone +1 585-288-7220
Fax +1 585-678-9209
Address 72 PERINTON PKWY, FAIRPORT, NY, 14450 9107, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
XACTIV INC 401(K) PROFIT SHARING PLAN & TRUST 2023 270986293 2024-05-03 XACTIV INC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 561490
Sponsor’s telephone number 5852887220
Plan sponsor’s address 72 PERINTON PARKWAY, FAIRPORT, NY, 14450

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2024-05-03
Name of individual signing ERISA FIDUCIARY SERVICES
XACTIV INC 401(K) PROFIT SHARING PLAN & TRUST 2022 270986293 2023-04-07 XACTIV INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 561490
Sponsor’s telephone number 5852887220
Plan sponsor’s address 72 PERINTON PARKWAY, FAIRPORT, NY, 14450

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2023-04-07
Name of individual signing ERISA FIDUCIARY SERVICES
XACTIV INC 401(K) PROFIT SHARING PLAN & TRUST 2021 270986293 2022-06-10 XACTIV INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 561490
Sponsor’s telephone number 5852887220
Plan sponsor’s address 71 PERINTON PARKWAY, FAIRPORT, NY, 14450

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2022-06-10
Name of individual signing ERISA FIDUCIARY SERVICES
XACTIV INC 401(K) PROFIT SHARING PLAN & TRUST 2020 270986293 2021-04-23 XACTIV INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 561490
Sponsor’s telephone number 5852887220
Plan sponsor’s address 71 PERINTON PARKWAY, FAIRPORT, NY, 14450

Signature of
Role Plan administrator
Date 2021-04-23
Name of individual signing ERISA FIDUCIARY SERVICES, INC
XACTIV INC 401(K) PROFIT SHARING PLAN & TRUST 2019 270986293 2020-07-16 XACTIV INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 561700
Sponsor’s telephone number 5852887220
Plan sponsor’s address 71 PERINTON PARKWAY, FAIRPORT, NY, 14450

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES
Plan administrator’s address 1800 WALT WHITMAN ROAD, SUITE 110, MELVILLE, NY, 11747
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing HILDA COLLIER
XACTIV INC. 401K PLAN 2018 270986293 2019-07-10 XACTIV INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 541700
Sponsor’s telephone number 5852887220
Plan sponsor’s address 71 PERINTON PARKWAY, FAIRPORT, NY, 14450

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing HILDA COLLIER
XACTIV INC. 401K PLAN 2017 270986293 2018-08-08 XACTIV INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 541700
Sponsor’s telephone number 5852887220
Plan sponsor’s address 71 PERINTON PARKWAY, FAIRPORT, NY, 14450

Signature of
Role Plan administrator
Date 2018-08-08
Name of individual signing HILDA COLLIER
XACTIV INC 2016 270986293 2017-06-13 XACTIV INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 541700
Sponsor’s telephone number 5852887220
Plan sponsor’s address 71 PERINTON PARKWAY, FAIRPORT, NY, 14450

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing HILDA COLLIER

Chief Executive Officer

Name Role Address
PETER MASON Chief Executive Officer 71 PERINTON PARKWAY, FAIRPORT, NY, United States, 14450

DOS Process Agent

Name Role Address
XACTIV, INC. DOS Process Agent 71 PERINTON PARKWAY, FAIRPORT, NY, United States, 14450

History

Start date End date Type Value
2015-06-29 2015-10-02 Address 71 PERITON PARKWAY, FAIRPORT, NY, 14450, 9104, USA (Type of address: Service of Process)
2011-11-18 2015-10-02 Address 1387 FAIRPORT RD, BLDG 900, FAIRPORT, NY, 14450, USA (Type of address: Chief Executive Officer)
2011-11-18 2015-10-02 Address 1387 FAIRPORT RD, BLDG 900, FAIRPORT, NY, 14450, USA (Type of address: Principal Executive Office)
2009-10-22 2015-06-29 Address 1387 FAIRPORT ROAD, BUILDING 900, FAIRPORT, NY, 14450, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191002061106 2019-10-02 BIENNIAL STATEMENT 2019-10-01
171004006799 2017-10-04 BIENNIAL STATEMENT 2017-10-01
151002006192 2015-10-02 BIENNIAL STATEMENT 2015-10-01
150629000244 2015-06-29 CERTIFICATE OF CHANGE 2015-06-29
131010006657 2013-10-10 BIENNIAL STATEMENT 2013-10-01
111118002800 2011-11-18 BIENNIAL STATEMENT 2011-10-01
091022000591 2009-10-22 APPLICATION OF AUTHORITY 2009-10-22

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD N6883611P2899 2011-09-26 2011-11-15 2011-11-15
Unique Award Key CONT_AWD_N6883611P2899_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 41401.80
Current Award Amount 41401.80
Potential Award Amount 41401.80

Description
Title CUSTOM BUILT TONER CHARGE ANALYZER TO QUANTIFY ELECTROSTATIC CHARGES OF FLYING INSECTS
NAICS Code 541330: ENGINEERING SERVICES
Product and Service Codes 6630: CHEMICAL ANALYSIS INSTRUMENTS

Recipient Details
Recipient XACTIV, INC.
UEI Y5PJJTBDDY94
Legacy DUNS 832318765
Recipient Address UNITED STATES, 1387 FAIRPORT RD STE 900G, FAIRPORT, MONROE, NEW YORK, 144502003

Related by officers

No related officers

Related by address

71 PERINTON PARKWAY, FAIRPORT, NY, United States, 14450

JNG, INC. L.T.R. HOUSING CORP. CONTINUING DEVELOPMENTAL SERVICES FOUNDATION, INC.

Date of last update: 17 Jan 2025

Sources: New York Secretary of State

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