| Entity Name: | FORM 10 GROUP, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FORM 10 GROUP, INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 27 Jun 2012 (13 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 09 Aug 2019 (6 years ago) |
| Document Number: | P12000057826 |
| FEI/EIN Number |
20-0612178
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6204 Benjamin Rd, Suite 200, Tampa, FL, 33634, US |
| Mail Address: | 6204 Benjamin Rd, STE 200, Tampa, FL, 33634, US |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | FORM 10 GROUP, INC, ALASKA | 10248525 | ALASKA |
| Headquarter of | FORM 10 GROUP, INC, ILLINOIS | CORP_73829372 | ILLINOIS |
| Name | Role | Address |
|---|---|---|
| BANKS MICHAEL A | President | 6204 Benjamin Rd, Tampa, FL, 33634 |
| ANDERSON ERIC D | Vice President | 6204 Benjamin Rd, Tampa, FL, 33634 |
| BANKS MICHAEL A | Agent | 46 Sandpiper Rd, Tampa, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-20 | 6204 Benjamin Rd, Suite 200, Tampa, FL 33634 | - |
| CHANGE OF MAILING ADDRESS | 2020-01-20 | 6204 Benjamin Rd, Suite 200, Tampa, FL 33634 | - |
| MERGER | 2019-08-09 | - | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 0. MERGER NUMBER 700000195297 |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-18 | 46 Sandpiper Rd, Tampa, FL 33609 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-01-20 |
| Merger | 2019-08-09 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-02-22 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | 47QTCA20D00BK | 2020-06-22 | - | - | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Obligated Amount | 0.00 |
| Potential Award Amount | 10000000.00 |
Description
| Title | FEDERAL SUPPLY SCHEDULE CONTRACT |
| NAICS Code | 541519: OTHER COMPUTER RELATED SERVICES |
| Product and Service Codes | D399: IT AND TELECOM- OTHER IT AND TELECOMMUNICATIONS |
Recipient Details
| Recipient | FORM 10 GROUP, INC. |
| UEI | VQD7TDV71JU8 |
| Recipient Address | UNITED STATES, 6204 BENJAMIN RD STE 200, TAMPA, HILLSBOROUGH, FLORIDA, 336345176 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8360927010 | 2020-04-08 | 0455 | PPP | 6204 BENJAMIN RD #200, TAMPA, FL, 33634-5108 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3593658300 | 2021-01-22 | 0455 | PPS | 6204 Benjamin Rd Ste 200, Tampa, FL, 33634-5176 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Active | P0465403 | FORM 10 GROUP, INC. | - | VQD7TDV71JU8 | 6204 BENJAMIN RD STE 200, TAMPA, FL, 33634-5176 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Name | Michael Banks |
| Role | President |
| Name | Eric Anderson |
| Role | Corporate Secretary |
SBA Federal Certifications
| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | Yes |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certification Date | 2022-02-10 |
| Service-Disabled Veteran-Owned Small Business Certification Expiration Date | 2027-02-10 |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | $0 |
| Description | Construction Bonding Level (aggregate) |
| Level | $0 |
| Description | Service Bonding Level (per contract) |
| Level | $0 |
| Description | Service Bonding Level (aggregate) |
| Level | $0 |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 541519 |
| NAICS Code's Description | Other Computer Related ServicesGeneral $30.00m Small Business Size Standard: [Yes]Special 150 Employees Information Technology Value Added Resellers: [Yes] (4) |
| Small | Yes |
| Code | 238210 |
| NAICS Code's Description | Electrical Contractors and Other Wiring Installation Contractors |
| Small | Yes |
| Code | 423430 |
| NAICS Code's Description | Computer and Computer Peripheral Equipment and Software Merchant Wholesalers |
| Small | Yes |
Export Profile (Trade Mission Online)
| Exporter | Yes |
| Export Business Activities | Distributor/Agent, Broker (Intermediary), Service(s), Consultant |
| Exporting to | Germany; Netherlands; Singapore |
| Desired Export Business Relationships | Direct export sales, Distributor/Importer, Representative/Agent/Broker, Joint venture/coventure |
| Description of Export Objective(s) | Looking for opportunties in Europe and Asia to assist companies in the sale of their products and services. Special products silicon wafers. |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
