| Entity Name: | NORTHEAST BUSINESS FORMS, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 15 May 1979 |
| Business ALEI: | 0092366 |
| Mailing address: | 11 FLUSHING AVE, FAIRFIELD, CT, 06432 |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHEAST BUSINESS FORMS INC PROFIT SHARING PLAN | 2010 | 050346591 | 2010-12-07 | NORTHEAST BUSINESS FORMS INC | 1 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 050346591 |
| Plan administrator’s name | NORTHEAST BUSINESS FORMS INC |
| Plan administrator’s address | C/O SEAN MCKIERNAN, 218 GODFREY RD EAST, WESTON, CT, 06880 |
| Administrator’s telephone number | 2035573074 |
Signature of
| Role | Plan administrator |
| Date | 2010-12-07 |
| Name of individual signing | SEAN MCKIERNAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1983-10-24 |
| Business code | 424100 |
| Plan sponsor’s address | C/O SEAN MCKIERNAN, 218 GODFREY RD EAST, WESTON, CT, 06880 |
Plan administrator’s name and address
| Administrator’s EIN | 050346591 |
| Plan administrator’s name | NORTHEAST BUSINESS FORMS, INC |
| Plan administrator’s address | C/O SEAN MCKIERNAN, 218 GODFREY RD EAST, WESTON, CT, 06880 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-16 |
| Name of individual signing | SEAN MCKIERNAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| FRANK P. BRUNO | Agent | SAME AS RES ADD | 11 FLUSHING AVENUE, FAIRFIELD, CT, 06430, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | PRACTICAL DATA-MATION, INC. | NORTHEAST BUSINESS FORMS, INC. | 1986-03-10 |
| Name change | DAISY FARMS ICE CREAM SHOPPE, INC. | PRACTICAL DATA-MATION, INC. | 1983-09-14 |
| Name change | COUNTRY COW, INCORPORATED THE | DAISY FARMS ICE CREAM SHOPPE, INC. | 1982-05-24 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0000636658 | 1993-10-01 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| 0000636657 | 1993-06-18 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0000985264 | 1986-03-10 | No data | Amendment | Amend Name | No data |
| 0000985265 | 1983-09-14 | No data | Amendment | Amend Name | No data |
| 0000985266 | 1982-05-24 | No data | Amendment | Amend Name | No data |
| 0000219199 | 1979-05-15 | No data | Business Formation | Certificate of Incorporation | No data |
| 0000219200 | 1979-05-15 | No data | First Report | Organization and First Report | No data |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website
