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  5. D FORM A, LLC

D FORM A, LLC

Company Details

Name: D FORM A, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Mar 2013 (12 years ago)
Entity Number: 4375929
ZIP code: 10001
County: Albany
Place of Formation: New York
Address: 530 WEST 25TH ST., SUITE 505, NEW YORK, NY, United States, 10001

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
D FORM A, LLC 401(K) PROFIT SHARING PLAN 2020 462412254 2021-10-15 D FORM A, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541310
Sponsor’s telephone number 2126834890
Plan sponsor’s address 866 6TH AVENUE, 12TH FLOOR, NEW YORK, NY, 10001

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing KRISHNI KIFFA
D FORM A, LLC 401(K) PROFIT SHARING PLAN 2019 462412254 2020-10-15 D FORM A, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541310
Sponsor’s telephone number 2126834890
Plan sponsor’s address 866 6TH AVENUE, 12TH FLOOR, NEW YORK, NY, 10001

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing KRISHNI KIFFA
D FORM A, LLC 401(K) PROFIT SHARING PLAN 2018 462412254 2019-07-11 D FORM A, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541310
Sponsor’s telephone number 2126834890
Plan sponsor’s address 866 6TH AVENUE, 12TH FLOOR, NEW YORK, NY, 10001

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing KRISHNI KIFFA
D FORM A, LLC 401(K) PROFIT SHARING PLAN 2017 462412254 2018-10-12 D FORM A, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541310
Sponsor’s telephone number 2126834890
Plan sponsor’s address 866 6TH AVENUE, 12TH FLOOR, NEW YORK, NY, 10001

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing KRISHNI KIFFA
D FORM A, LLC 401(K) PROFIT SHARING PLAN 2016 462412254 2017-10-02 D FORM A, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541310
Sponsor’s telephone number 2126834890
Plan sponsor’s address 866 6TH AVENUE, 12TH FLOOR, NEW YORK, NY, 10001

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing RYAN MCPARTLAND
D FORM A, LLC 401(K) PROFIT SHARING PLAN 2015 462412254 2016-10-05 D FORM A, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541310
Sponsor’s telephone number 2126834890
Plan sponsor’s address 866 6TH AVENUE, 11TH FLOOR, NEW YORK, NY, 10001

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing RYAN MCPARTLAND

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 530 WEST 25TH ST., SUITE 505, NEW YORK, NY, United States, 10001

Filings

Filing Number Date Filed Type Effective Date
130712000392 2013-07-12 CERTIFICATE OF PUBLICATION 2013-07-12
130319000381 2013-03-19 ARTICLES OF ORGANIZATION 2013-03-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1586957706 2020-05-01 0202 PPP 866 AVENUE OF THE AMERICAS FL 12, NEW YORK, NY, 10001
Loan Status Date 2021-08-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 46250
Loan Approval Amount (current) 46250
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address NEW YORK, NEW YORK, NY, 10001-0001
Project Congressional District NY-12
Number of Employees 3
NAICS code 999990
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 46817.82
Forgiveness Paid Date 2021-07-27
6846588404 2021-02-11 0202 PPS 866 Avenue of the Americas Fl 12, New York, NY, 10001-4184
Loan Status Date 2022-01-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 67275
Loan Approval Amount (current) 67275
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10001-4184
Project Congressional District NY-12
Number of Employees 4
NAICS code 541310
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 67831.74
Forgiveness Paid Date 2021-12-14

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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