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FORM 10 GROUP, INC - Florida Company Profile

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Company Details

Entity Name: FORM 10 GROUP, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
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
Address: 6204 Benjamin Rd, Suite 200, Tampa, FL, 33634, US
Mail Address: 6204 Benjamin Rd, STE 200, Tampa, FL, 33634, US
ZIP code: 33634
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
10248525
State:
ALASKA
Type:
Headquarter of
Company Number:
CORP_73829372
State:
ILLINOIS
ILLINOIS profile:

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

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
408-351-0505
Contact Person:
MICHAEL BANKS
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business, Service-Disabled Veteran, Veteran
User ID:
P0465403

Unique Entity ID

Unique Entity ID:
VQD7TDV71JU8
CAGE Code:
3VGL6
UEI Expiration Date:
2026-07-24

Business Information

Division Name:
FORM 10 GROUP
Activation Date:
2025-07-28
Initial Registration Date:
2004-05-12

Commercial and government entity program

CAGE number:
3VGL6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-09-16
CAGE Expiration:
2029-09-16
SAM Expiration:
2025-09-13

Contact Information

POC:
MICHAEL BANKS
Corporate URL:
www.form10.com

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

Procurement Instrument Identifier:
47QTCA20D00BK
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
General Services Administration
Performance Start Date:
2020-06-22
Description:
FEDERAL SUPPLY SCHEDULE CONTRACT
Naics Code:
541519: OTHER COMPUTER RELATED SERVICES
Product Or Service Code:
D399: IT AND TELECOM- OTHER IT AND TELECOMMUNICATIONS

USAspending Awards / Financial Assistance

Date:
2021-01-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
183277.50
Total Face Value Of Loan:
183277.50
Date:
2020-04-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
183327.00
Total Face Value Of Loan:
183327.00
Date:
2020-04-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
183327.00
Total Face Value Of Loan:
183327.00

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$183,277.5
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$183,277.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$184,628.23
Servicing Lender:
The Bank of Tampa
Use of Proceeds:
Payroll: $183,275.5
Utilities: $1
Jobs Reported:
12
Initial Approval Amount:
$183,327
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$183,327
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$184,477.19
Servicing Lender:
The Bank of Tampa
Use of Proceeds:
Payroll: $183,327

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Date of last update: 02 Aug 2025

Sources: Florida Department of State