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FORM 10 GROUP, INC - Florida Company Profile

Headquarter

Company Details

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

Links between entities

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

Key Officers & Management

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

Events

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 -

Documents

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

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
- IDV 47QTCA20D00BK 2020-06-22 - -
Unique Award Key CONT_IDV_47QTCA20D00BK_4732
Awarding Agency General Services Administration
Link View Page

Award Amounts

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

Paycheck Protection Program

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
Loan Status Date 2021-01-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 183327
Loan Approval Amount (current) 183327
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33634-5108
Project Congressional District FL-14
Number of Employees 12
NAICS code 541511
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 184477.19
Forgiveness Paid Date 2020-12-02
3593658300 2021-01-22 0455 PPS 6204 Benjamin Rd Ste 200, Tampa, FL, 33634-5176
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 183277.5
Loan Approval Amount (current) 183277.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33634-5176
Project Congressional District FL-14
Number of Employees 14
NAICS code 541513
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 184628.23
Forgiveness Paid Date 2021-10-25

U.S. Small Business Administration Profile

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
Capabilities Statement Link -
Phone Number 408-988-0110
Fax Number 408-351-0505
E-mail Address michael.banks@form10.com
WWW Page www.form10.com
E-Commerce Website -
Contact Person MICHAEL BANKS
County Code (3 digit) 057
Congressional District 14
Metropolitan Statistical Area 8280
CAGE Code 3VGL6
Year Established 2003
Accepts Government Credit Card Yes
Legal Structure Subchapter S Corporation
Ownership and Self-Certifications Self-Certified Small Disadvantaged Business, Service-Disabled Veteran, Veteran
Business Development Servicing Office SOUTH FLORIDA DISTRICT OFFICE (SBA office code 0455)
Capabilities Narrative Form 10 Group is a diverse company located in San Jose, CA. The company has operations that focus in several businesses to include sales, marketing and management consulting.
Special Equipment/Materials Silicon Wafers, Import and Export, Disintermediation
Business Type Percentages Service (100 %)
Keywords Management, Consulting, Services, Organizational, Design, MBA
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

Current Principals

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