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KUBIENT, INC.

Company Details

Name: KUBIENT, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 21 Jun 2017 (7 years ago)
Entity Number: 5158325
ZIP code: 10018
County: New York
Place of Formation: Delaware
Address: 500 7th Ave Suite 14A131, 8th FL, New York, NY, United States, 10018

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORUS 401(K) 2023 821808844 2024-09-16 KUBIENT, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 519100
Sponsor’s telephone number 8004099456
Plan sponsor’s address 330 7TH AVENUE, 10TH FLOOR, NEW YORK, NY, 10011

Plan administrator’s name and address

Administrator’s EIN 461803145
Plan administrator’s name FORUSALL, INC.
Plan administrator’s address 809 LAUREL ST., #1328, SAN CARLOS, CA, 94070
Administrator’s telephone number 8444012253

Signature of

Role Plan administrator
Date 2024-09-16
Name of individual signing JUSTIN RAMIREZ
Valid signature Filed with authorized/valid electronic signature
FORUS 401(K) 2022 821808844 2023-07-28 KUBIENT, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 519100
Sponsor’s telephone number 8004099456
Plan sponsor’s address 330 7TH AVENUE, 10TH FLOOR, NEW YORK, NY, 10011

Plan administrator’s name and address

Administrator’s EIN 461803145
Plan administrator’s name FORUSALL, INC.
Plan administrator’s address 809 LAUREL ST., #1328, SAN CARLOS, CA, 94070
Administrator’s telephone number 8444012253

Signature of

Role Plan administrator
Date 2023-07-28
Name of individual signing ALEXANDER JACOBSEN
FORUS 401(K) 2021 821808844 2022-09-21 KUBIENT, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 519100
Sponsor’s telephone number 8004099456
Plan sponsor’s address 330 7TH AVENUE, 10TH FLOOR, NEW YORK, NY, 10011

Plan administrator’s name and address

Administrator’s EIN 461803145
Plan administrator’s name FORUSALL, INC.
Plan administrator’s address 809 LAUREL ST., #1328, SAN CARLOS, CA, 94070
Administrator’s telephone number 8444012253

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing ALEXANDER JACOBSEN
FORUS 401(K) 2020 821808844 2021-10-11 KUBIENT, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 519100
Sponsor’s telephone number 5164254721
Plan sponsor’s address 111 WEST 28TH STREET 2ND FLOOR, NY, NY, 10001

Plan administrator’s name and address

Administrator’s EIN 461803145
Plan administrator’s name FORUSALL, INC.
Plan administrator’s address 809 LAUREL ST., #1328, SAN CARLOS, CA, 94070
Administrator’s telephone number 8444012253

Signature of

Role Plan administrator
Date 2021-10-11
Name of individual signing CINDY BLOCH
FORUS 401(K) 2019 821808844 2020-10-08 KUBIENT, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 519100
Sponsor’s telephone number 5164254721
Plan sponsor’s address 111 WEST 28TH STREET 2ND FLOOR, NY, NY, 10001

Plan administrator’s name and address

Administrator’s EIN 464315488
Plan administrator’s name 3(16) FIDUCIARY SOLUTIONS, INC.
Plan administrator’s address 878 W AIRPORT ROAD, MENASHA, WI, 54952
Administrator’s telephone number 9205605698

Signature of

Role Plan administrator
Date 2020-10-08
Name of individual signing CHRISTOPHER DIERINGER
FORUS 401(K) 2019 821808844 2020-10-03 KUBIENT, INC. 14
Three-digit plan number (PN) 001
Effective date of plan 2014-11-01
Business code 519100
Sponsor’s telephone number 5164254721
Plan sponsor’s address 111 WEST 28TH STREET 2ND FLOOR, NY, NY, 10001

Plan administrator’s name and address

Administrator’s EIN 464315488
Plan administrator’s name 3(16) FIDUCIARY SOLUTIONS, INC.
Plan administrator’s address 828 W AIRPORT ROAD, MENASHA, WI, 54952
Administrator’s telephone number 9205605698

Signature of

Role Plan administrator
Date 2020-10-03
Name of individual signing CHRISTOPHER DIERINGER

DOS Process Agent

Name Role Address
LEGAL DEPARTMENT DOS Process Agent 500 7th Ave Suite 14A131, 8th FL, New York, NY, United States, 10018

Chief Executive Officer

Name Role Address
PAUL ROBERTS Chief Executive Officer 500 7TH AVE SUITE 14A131, 8TH FL, NEW YORK, NY, United States, 10018

History

Start date End date Type Value
2023-06-01 2023-06-01 Address 500 7TH AVE SUITE 14A131, 8TH FL, NEW YORK, NY, 10018, USA (Type of address: Chief Executive Officer)
2023-06-01 2023-06-01 Address 500 7TH AVENUE, 8TH FL, NEW YORK, NY, 10018, USA (Type of address: Chief Executive Officer)
2023-06-01 2023-06-01 Address 228 PARK AVE S, SUITE 72602, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
2023-03-17 2023-03-17 Address 228 PARK AVE S, SUITE 72602, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
2023-03-17 2023-06-01 Address 500 7th Avenue, 8th FL, New York, NY, 10018, USA (Type of address: Service of Process)
2023-03-17 2023-06-01 Address 228 PARK AVE S, SUITE 72602, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
2023-03-17 2023-03-17 Address 500 7TH AVENUE, 8TH FL, NEW YORK, NY, 10018, USA (Type of address: Chief Executive Officer)
2023-03-17 2023-06-01 Address 500 7TH AVENUE, 8TH FL, NEW YORK, NY, 10018, USA (Type of address: Chief Executive Officer)
2020-08-26 2023-03-17 Address 228 PARK AVE S, SUITE 72602, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
2020-08-26 2023-03-17 Address 228 PARK AVE S, SUITE 72602, NEW YORK, NY, 10003, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230601004345 2023-06-01 BIENNIAL STATEMENT 2023-06-01
230317002266 2023-03-17 BIENNIAL STATEMENT 2021-06-01
200826060117 2020-08-26 BIENNIAL STATEMENT 2019-06-01
170621000487 2017-06-21 APPLICATION OF AUTHORITY 2017-06-21

Date of last update: 23 Nov 2024

Sources: New York Secretary of State