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  5. RUBBERFORM RECYCLED PRODUCTS LLC

RUBBERFORM RECYCLED PRODUCTS LLC

Company Details

Name: RUBBERFORM RECYCLED PRODUCTS LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Apr 2005 (20 years ago)
Entity Number: 3187243
ZIP code: 14094
County: Monroe
Place of Formation: New York
Address: 75 MICHIGAN STREET, LOCKPORT, NY, United States, 14094

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
S7JCZ6NMMR77 2025-03-15 75 MICHIGAN ST, LOCKPORT, NY, 14094, 2629, USA 75 MICHIGAN ST, LOCKPORT, NY, 14094, 2629, USA

Business Information
Doing Business As RUBBERFORM RECYCLED PRO LLC
URL https://rubberform.com/
Division Name RUBBERFORM RECYCLED PRODUCTS, LLC
Congressional District 24
State/Country of Incorporation NY, USA
Activation Date 2024-03-15
Initial Registration Date 2007-02-27
Entity Start Date 2005-04-06
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 326299
Product and Service Codes 9320, 9905

Points of Contacts
Electronic Business
Title PRIMARY POC
Name WILLIAM J ROBBINS
Role PRESIDENT
Address 75 MICHIGAN STREET, LOCKPORT, NY, 14094, 2629, USA
Title ALTERNATE POC
Name WILLIAM J ROBBINS
Role PRESIDENT
Address 75 MICHIGAN STREET, LOCKPORT, NY, 14094, 2629, USA
Government Business
Title PRIMARY POC
Name JACOB D ROBBINS
Role VICE PRESIDENT OF BUSINESS DEVELOPMENT
Address 75 MICHIGAN ST, LOCKPORT, NY, 14094, 2629, USA
Past Performance
Title PRIMARY POC
Name WILLIAM J ROBBINS
Role PRESIDENT
Address 75 MICHIGAN STREET, LOCKPORT, NY, 14094, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4P5K5 Active U.S./Canada Manufacturer 2007-02-27 2024-03-15 2029-03-15 2025-03-15

Contact Information
POC JACOB D. ROBBINS
Phone +1 716-478-0404
Fax +1 716-478-0408
Address 75 MICHIGAN ST, LOCKPORT, NY, 14094 2629, 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
RUBBERFORM RECYCLED PRODUCTS, LLC 401(K) PLAN 2023 202632537 2024-04-23 RUBBERFORM RECYCLED PRODUCTS, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 326200
Sponsor’s telephone number 7164780404
Plan sponsor’s address 75 MICHIGAN ST., LOCKPORT, NY, 14094

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-04-23
Name of individual signing TARA EVANS, FOR TAG RESOURCES
RUBBERFORM RECYCLED PRODUCTS, LLC 401(K) PLAN 2023 202632537 2024-04-24 RUBBERFORM RECYCLED PRODUCTS, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 326200
Sponsor’s telephone number 7164780404
Plan sponsor’s address 75 MICHIGAN ST., LOCKPORT, NY, 14094

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-04-24
Name of individual signing TARA EVANS, FOR TAG RESOURCES
RUBBERFORM RECYCLED PRODUCTS, LLC 401(K) PLAN 2022 202632537 2024-04-23 RUBBERFORM RECYCLED PRODUCTS, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 326200
Sponsor’s telephone number 7164780404
Plan sponsor’s address 75 MICHIGAN ST., LOCKPORT, NY, 14094

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-04-23
Name of individual signing TARA EVANS, FOR TAG RESOURCES
RUBBERFORM RECYCLED PRODUCTS, LLC 401(K) PLAN 2022 202632537 2023-09-08 RUBBERFORM RECYCLED PRODUCTS, LLC 21
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 326200
Sponsor’s telephone number 7164780404
Plan sponsor’s address 75 MICHIGAN ST., LOCKPORT, NY, 14094

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-09-08
Name of individual signing TARA EVANS, FOR TAG RESOURCES
RUBBERFORM RECYCLED PRODUCTS, LLC 401(K) PLAN 2021 202632537 2022-09-23 RUBBERFORM RECYCLED PRODUCTS, LLC 18
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 326200
Sponsor’s telephone number 7164780404
Plan sponsor’s address 75 MICHIGAN ST., LOCKPORT, NY, 14094

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing TARA EVANS
RUBBERFORM RECYCLED PRODUCTS, LLC 401(K) PLAN 2021 202632537 2024-04-23 RUBBERFORM RECYCLED PRODUCTS, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 326200
Sponsor’s telephone number 7164780404
Plan sponsor’s address 75 MICHIGAN ST., LOCKPORT, NY, 14094

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-04-23
Name of individual signing TARA EVANS, FOR TAG RESOURCES
RUBBERFORM RECYCLED PRODUCTS, LLC 401(K) PLAN 2021 202632537 2023-09-07 RUBBERFORM RECYCLED PRODUCTS, LLC 20
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 326200
Sponsor’s telephone number 7164780404
Plan sponsor’s address 75 MICHIGAN ST., LOCKPORT, NY, 14094

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing TARA EVANS, FOR TAG RESOURCES
RUBBERFORM RECYCLED PRODUCTS, LLC 401(K) PLAN 2020 202632537 2021-09-24 RUBBERFORM RECYCLED PRODUCTS, LLC 18
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 326200
Sponsor’s telephone number 7164780404
Plan sponsor’s address 75 MICHIGAN ST., LOCKPORT, NY, 14094

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-09-24
Name of individual signing PHIL TISUE
RUBBERFORM RECYCLED PRODUCTS, LLC 401(K) PLAN 2020 202632537 2021-11-19 RUBBERFORM RECYCLED PRODUCTS, LLC 14
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 326200
Sponsor’s telephone number 7164780404
Plan sponsor’s address 75 MICHIGAN ST., LOCKPORT, NY, 14094

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-11-19
Name of individual signing PHIL TISUE

DOS Process Agent

Name Role Address
RUBBERFORM RECYCLED PRODUCTS, LLC DOS Process Agent 75 MICHIGAN STREET, LOCKPORT, NY, United States, 14094

History

Start date End date Type Value
2015-04-06 2023-04-27 Address 75 MICHIGAN STREET, LOCKPORT, NY, 14094, USA (Type of address: Service of Process)
2007-04-20 2015-04-06 Address 75 MICHIGAN STREET, LOCKPORT, NY, 14094, USA (Type of address: Service of Process)
2005-04-06 2007-04-20 Address 12 BARRINGTON HILLS, PITTSFORD, NY, 14534, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230427003246 2023-04-27 BIENNIAL STATEMENT 2023-04-01
220819000652 2022-08-19 BIENNIAL STATEMENT 2021-04-01
190409060360 2019-04-09 BIENNIAL STATEMENT 2019-04-01
170405006909 2017-04-05 BIENNIAL STATEMENT 2017-04-01
150406006041 2015-04-06 BIENNIAL STATEMENT 2015-04-01
130410006408 2013-04-10 BIENNIAL STATEMENT 2013-04-01
110609002820 2011-06-09 BIENNIAL STATEMENT 2011-04-01
090324002233 2009-03-24 BIENNIAL STATEMENT 2009-04-01
070420002085 2007-04-20 BIENNIAL STATEMENT 2007-04-01
051011000064 2005-10-11 AFFIDAVIT OF PUBLICATION 2005-10-11

Related by officers

No related officers

Related by address

75 MICHIGAN STREET, LOCKPORT, NY, United States, 14094

RESHORE LLC TWOGOOD HOLDINGS LLC

Date of last update: 28 Nov 2024

Sources: New York Secretary of State

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