LEERFORM LLC

Business Information

URL	leerform.com
Congressional District	07
State/Country of Incorporation	NY, USA
Activation Date	2023-12-26
Initial Registration Date	2021-06-07
Entity Start Date	2019-08-21
Fiscal Year End Close Date	Dec 31

Service Classifications

NAICS Codes

339999, 488991

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	DOUG YOUNG
Role	MANAGINGPARTNER
Address	182 STEWART AVE, BROOKLYN, NY, 11237, USA

Government Business
Title	PRIMARY POC
Name	DOUG YOUNG
Role	MANAGING PARTNER
Address	182 STEWART, BROOKLYN, NY, 11237, USA

Past Performance	Information not Available

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2023-01-01
Business code	541400
Sponsor’s telephone number	7182691391
Plan sponsor’s address	182 STEWART AVE, BROOKLYN, NY, 11237

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2024-05-22
Name of individual signing	QIAN LIU