FORM4 DESIGN STUDIO PLLC

Company Details

Name:	FORM4 DESIGN STUDIO PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Inactive
Date of registration:	28 Feb 2017 (8 years ago)
Date of dissolution:	15 Feb 2023
Entity Number:	5092722
ZIP code:	12207
County:	Queens
Place of Formation:	New York
Address:	80 STATE STREET, ALBANY, NY, United States, 12207

Name	Role	Address
CORPORATION SERVICE COMPANY	DOS Process Agent	80 STATE STREET, ALBANY, NY, United States, 12207

Start date	End date	Type	Value
2017-02-28	2023-06-12	Address	80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
230612003192	2023-02-15	CERTIFICATE OF DISSOLUTION-CANCELLATION	2023-02-15
210301061391	2021-03-01	BIENNIAL STATEMENT	2021-02-01
181114000196	2018-11-14	CERTIFICATE OF AMENDMENT	2018-11-14
170731000950	2017-07-31	CERTIFICATE OF PUBLICATION	2017-07-31
170228000114	2017-02-28	ARTICLES OF ORGANIZATION	2017-02-28

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

1725357704

2020-05-01

0202

PPP

132 Nassau Street Ste 309, NEW YORK, NY, 10038

Loan Status Date	2021-02-19
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	81840
Loan Approval Amount (current)	81840
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, 10038-0001
Project Congressional District	NY-10
Number of Employees	60
NAICS code	541990
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	194093
Originating Lender Name	JPMorgan Chase Bank, National Association
Originating Lender Address	CHICAGO, IL
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	82361.32
Forgiveness Paid Date	2020-12-22

9682628410

2021-02-17

0202

PPS

15 Maiden Ln Ste 1100, New York, NY, 10038-5116

Loan Status Date	2021-11-18
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	81840
Loan Approval Amount (current)	81840
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, 10038-5116
Project Congressional District	NY-10
Number of Employees	6
NAICS code	541310
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	48270
Originating Lender Name	JPMorgan Chase Bank, National Association
Originating Lender Address	COLUMBUS, OH
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	82350.18
Forgiveness Paid Date	2021-10-06

Date of last update: 24 Mar 2025