EMPIRE BUSINESS FORMS, INC.

Company Details

Name:	EMPIRE BUSINESS FORMS, INC.
Jurisdiction:	New York
Legal type:	DOMESTIC BUSINESS CORPORATION
Status:	Inactive
Date of registration:	21 Jun 1978 (46 years ago)
Entity Number:	496083
County:	Dutchess
Date of dissolution:	05 Oct 2018
Place of Formation:	New York
Address:	PO BOX 3360, POUGHKEEPSIE, NY, United States, 12603
Address ZIP Code:	12603
Principal Address:	265 LAKE SHORE DR, PLESANT VALLEY, NY, United States, 12569
Principal Address ZIP Code:	12569

Shares Details

Shares issued 20000

Share Par Value 0.01

Type PAR VALUE

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

EMPIRE BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST

2012

141602488

2013-09-10

EMPIRE BUSINESS FORMS INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	424100
Sponsor’s telephone number	8455627780
Plan sponsor’s address	128 SOUTH ROBINSON AVENUE, NEWBURGH, NY, 12550

Signature of

Role	Plan administrator
Date	2013-09-10
Name of individual signing	EMPIRE BUSINESS FORMS INC

EMPIRE BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST

2012

141602488

2013-06-17

EMPIRE BUSINESS FORMS INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	424100
Sponsor’s telephone number	8455627780
Plan sponsor’s address	128 SOUTH ROBINSON AVENUE, NEWBURGH, NY, 12550

Signature of

Role	Plan administrator
Date	2013-06-17
Name of individual signing	EMPIRE BUSINESS FORMS INC

EMPIRE BUSINESS FORMS INC. 401K PROFIT SHARING PLAN AND TRUST

2010

141602488

2010-12-17

EMPIRE BUSINESS FORMS, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	453210
Sponsor’s telephone number	8455627780
Plan sponsor’s mailing address	120 SOUTH ROBINSON AVENUE, NEWBURGH, NY, 12550
Plan sponsor’s address	120 SOUTH ROBINSON AVENUE, NEWBURGH, NY, 12550

Plan administrator’s name and address

Administrator’s EIN	141602488
Plan administrator’s name	EMPIRE BUSINESS FORMS, INC.
Plan administrator’s address	120 SOUTH ROBINSON AVENUE, NEWBURGH, NY, 12550
Administrator’s telephone number	8455627780

Number of participants as of the end of the plan year

Active participants	0
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2010-12-17
Name of individual signing	MICHAEL RICE
Valid signature	Filed with authorized/valid electronic signature

EMPIRE BUSINESS FORMS INC. 401K PROFIT SHARING PLAN AND TRUST

2009

141602488

2010-10-15

EMPIRE BUSINESS FORMS, INC.

Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	453210
Sponsor’s telephone number	8454715666
Plan sponsor’s mailing address	P.O. BOX 3360, POUGHKEEPSIE, NY, 12603
Plan sponsor’s address	P.O. BOX 3360, POUGHKEEPSIE, NY, 12603

Plan administrator’s name and address

Administrator’s EIN	141602488
Plan administrator’s name	EMPIRE BUSINESS FORMS, INC.
Plan administrator’s address	P.O. BOX 3360, POUGHKEEPSIE, NY, 12603
Administrator’s telephone number	8454715666

Number of participants as of the end of the plan year

Active participants	15
Number of participants with account balances as of the end of the plan year	11
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Employer/plan sponsor
Date	2010-10-15
Name of individual signing	MICHAEL RICE
Valid signature	Filed with authorized/valid electronic signature

EMPIRE BUSINESS FORMS INC. 401K PROFIT SHARING PLAN AND TRUST

2009

141602488

2010-10-15

EMPIRE BUSINESS FORMS, INC.

Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	453210
Sponsor’s telephone number	8454715666
Plan sponsor’s mailing address	P.O. BOX 3360, POUGHKEEPSIE, NY, 12603
Plan sponsor’s address	P.O. BOX 3360, POUGHKEEPSIE, NY, 12603

Plan administrator’s name and address

Administrator’s EIN	141602488
Plan administrator’s name	EMPIRE BUSINESS FORMS, INC.
Plan administrator’s address	P.O. BOX 3360, POUGHKEEPSIE, NY, 12603
Administrator’s telephone number	8454715666

Number of participants as of the end of the plan year

Active participants	15
Number of participants with account balances as of the end of the plan year	11
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Employer/plan sponsor
Date	2010-10-15
Name of individual signing	MICHAEL RICE
Valid signature	Filed with authorized/valid electronic signature

EMPIRE BUSINESS FORMS INC. 401K PROFIT SHARING PLAN AND TRUST

2009

141602488

2010-10-15

EMPIRE BUSINESS FORMS, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	453210
Sponsor’s telephone number	8454715666
Plan sponsor’s mailing address	P.O. BOX 3360, POUGHKEEPSIE, NY, 12603
Plan sponsor’s address	P.O. BOX 3360, POUGHKEEPSIE, NY, 12603

Plan administrator’s name and address

Administrator’s EIN	141602488
Plan administrator’s name	EMPIRE BUSINESS FORMS, INC.
Plan administrator’s address	P.O. BOX 3360, POUGHKEEPSIE, NY, 12603
Administrator’s telephone number	8454715666

Number of participants as of the end of the plan year

Active participants	15
Number of participants with account balances as of the end of the plan year	11
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2010-10-15
Name of individual signing	MICHAEL RICE
Valid signature	Filed with authorized/valid electronic signature

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	PO BOX 3360, POUGHKEEPSIE, NY, United States, 12603

Chief Executive Officer

Name	Role	Address
MICHAEL RICE	Chief Executive Officer	PO BOX 3360, POUGHKEEPSIE, NY, United States, 12603

History

Start date	End date	Type	Value
2006-06-07	2010-07-01	Address	222 HURLEY RD, SALT POINT, NY, 12578, USA (Type of address: Principal Executive Office)
1995-07-18	2010-07-01	Address	NONE, NONE, NONE, NY, 00000, USA (Type of address: Chief Executive Officer)
1995-07-18	2006-06-07	Address	305 HURLEY RD, SALT POINT, NY, 12578, USA (Type of address: Principal Executive Office)
1978-06-21	1995-07-18	Address	313 MILL ST., POUGHKEEPSIE, NY, 12601, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
181005000607	2018-10-05	CERTIFICATE OF DISSOLUTION	2018-10-05
140611006574	2014-06-11	BIENNIAL STATEMENT	2014-06-01
20140312008	2014-03-12	ASSUMED NAME CORP INITIAL FILING	2014-03-12
120713003027	2012-07-13	BIENNIAL STATEMENT	2012-06-01
100701002352	2010-07-01	BIENNIAL STATEMENT	2010-06-01
080624002980	2008-06-24	BIENNIAL STATEMENT	2008-06-01
060607003015	2006-06-07	BIENNIAL STATEMENT	2006-06-01
040708002345	2004-07-08	BIENNIAL STATEMENT	2004-06-01
020524002168	2002-05-24	BIENNIAL STATEMENT	2002-06-01
000602002186	2000-06-02	BIENNIAL STATEMENT	2000-06-01
980608002200	1998-06-08	BIENNIAL STATEMENT	1998-06-01
960620002494	1996-06-20	BIENNIAL STATEMENT	1996-06-01
950718002582	1995-07-18	BIENNIAL STATEMENT	1993-06-01
A495817-6	1978-06-21	CERTIFICATE OF INCORPORATION	1978-06-21

Date of last update: 16 Nov 2024

Sources: New York Secretary of State

EMPIRE BUSINESS FORMS, INC.

Company Details

form 5500

DOS Process Agent

Chief Executive Officer

History

Filings

Related by officers

Related by address