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  5. EpiVax, Inc.

EpiVax, Inc.

Company Details

Name: EpiVax, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Conversion
Date of Organization in Rhode Island: 18 May 1998 (27 years ago)
Date of Dissolution: 20 Dec 2024 (4 months ago)
Date of Status Change: 20 Dec 2024 (4 months ago)
Identification Number: 000100649
ZIP code: 02909
County: Providence County
Principal Address: 188 VALLEY STREET SUITE 424, PROVIDENCE, RI, 02909, USA
Purpose: TO ENGAGE IN THE BUSINESS OF DEVELOPING VACCINE AND THERAPEAUTIC DRUG CANDIDATES AND RELATED RESEARCH AND DEVELOPMENT.

Industry & Business Activity

NAICS

541714 Research and Development in Biotechnology (except Nanobiotechnology)

This U.S. industry comprises establishments primarily engaged in conducting biotechnology (except nanobiotechnology) research and experimental development. Biotechnology (except nanobiotechnology) research and experimental development involves the study of the use of microorganisms and cellular and biomolecular processes to develop or alter living or non-living materials. This research and development in biotechnology (except nanobiotechnology) may result in development of new biotechnology (except nanobiotechnology) processes or in prototypes of new or genetically-altered products that may be reproduced, utilized, or implemented by various industries. Learn more at the U.S. Census Bureau

Companies doing Research and development in biotechnology (except nanobiotechnology)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EPIVAX, INC 401 K PROFIT SHARING PLAN AND TRUST 2023 050499380 2024-06-04 EPIVAX, INC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 188 VALLEY ST, PROVIDENCE, RI, 02909

Signature of
Role Plan administrator
Date 2024-06-04
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-04
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
EPIVAX, INC 401 K PROFIT SHARING PLAN AND TRUST 2022 050499380 2023-08-29 EPIVAX, INC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 188 VALLEY ST, PROVIDENCE, RI, 02909

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
EPIVAX, INC 401 (K) PROFIT SHARING PLAN AND TRUST 2021 050499380 2022-05-27 EPIVAX, INC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909

Signature of
Role Plan administrator
Date 2022-05-27
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-27
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST 2020 050499380 2021-06-07 EPIVAX, INC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST 2019 050499380 2020-06-19 EPIVAX, INC 42
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909

Signature of
Role Plan administrator
Date 2020-06-19
Name of individual signing SBOTELHO9973
Valid signature Filed with authorized/valid electronic signature
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST 2019 050499380 2020-06-30 EPIVAX, INC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST 2018 050499380 2019-06-04 EPIVAX, INC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909

Signature of
Role Plan administrator
Date 2019-06-04
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST 2017 050499380 2018-06-18 EPIVAX, INC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 146 CLIFFORD ST, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2018-06-18
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST 2016 050499380 2017-05-19 EPIVAX, INC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 146 CLIFFORD ST, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2017-05-19
Name of individual signing STEPHANIE VECE
Valid signature Filed with authorized/valid electronic signature
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST 2015 050499380 2016-06-03 EPIVAX, INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 146 CLIFFORD ST, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2016-06-03
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/26/20150626154419P030077935633001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 146 CLIFFORD ST, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2015-06-26
Name of individual signing SARAH BOTELHO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/26/20140626155046P040465508753001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541700
Sponsor’s telephone number 4012722123
Plan sponsor’s address 146 CLIFFORD ST, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2014-06-26
Name of individual signing CLIFFORD GRIMM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/25/20130425092116P030243638513001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621510
Sponsor’s telephone number 4012722123
Plan sponsor’s address 146 CLIFFORD STREET, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2013-04-25
Name of individual signing CLIFF GRIMM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-25
Name of individual signing CLIFF GRIMM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/15/20120515095158P030000866198001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621510
Sponsor’s telephone number 4012722123
Plan sponsor’s address 146 CLIFFORD STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050499380
Plan administrator’s name EPIVAX, INC.
Plan administrator’s address 146 CLIFFORD STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4012722123

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing CLIFF GRIMM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-15
Name of individual signing CLIFF GRIMM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/04/20110504160429P040017161239001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621510
Sponsor’s telephone number 4012722123
Plan sponsor’s address 146 CLIFFORD STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050499380
Plan administrator’s name EPIVAX, INC.
Plan administrator’s address 146 CLIFFORD STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4012722123

Signature of
Role Plan administrator
Date 2011-05-04
Name of individual signing CLIFF GRIMM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-04
Name of individual signing CLIFF GRIMM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/19/20100819142059P030150932434001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621510
Sponsor’s telephone number 4012722123
Plan sponsor’s address 146 CLIFFORD STREET, PROVIDENCE, RI, 02903

Plan administrator’s name and address
Administrator’s EIN 050499380
Plan administrator’s name EPIVAX, INC.
Plan administrator’s address 146 CLIFFORD STREET, PROVIDENCE, RI, 02903
Administrator’s telephone number 4012722123

Signature of
Role Plan administrator
Date 2010-08-19
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANNE S. DEGROOT Agent 188 VALLEY STREET SUITE 424, PROVIDENCE, RI, 02909, USA

PRESIDENT

Name Role Address
ANNE S DEGROOT PRESIDENT 188 VALLEY ST, STE 424 PROVIDENCE, RI 02909 USA

TREASURER

Name Role Address
ANNE S DEGROOT TREASURER 188 VALLEY ST, STE 424 PROVIDENCE, RI 02909 USA

SECRETARY

Name Role Address
ANNE S DEGROOT SECRETARY 188 VALLEY ST, STE 424 PROVIDENCE, RI 02909 USA

CIO

Name Role Address
WILLIAM MARTIN CIO 188 VALLEY ST, STE 424 PROVIDENCE, RI 02909 USA

COO

Name Role Address
RICHARD SCHABOWSKY COO 188 VALLEY ST, STE 424 PROVIDENCE, RI 02909 USA

Filings

Number Name File Date
202445186170 Annual Report 2024-02-01
202327447690 Annual Report 2023-02-03
202208743680 Annual Report 2022-01-27
202191966350 Annual Report 2021-02-18
202032277300 Annual Report 2020-01-14
202032252370 Statement of Change of Registered/Resident Agent Office 2020-01-14
202032253340 Statement of Change of Registered/Resident Agent 2020-01-14
202031683940 Revocation Notice For Failure to Maintain a Registered Office 2020-01-10
201930894710 Registered Office Not Maintained 2019-12-16
201983565540 Annual Report 2019-01-02

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DEFINITIVE CONTRACT AWARD W81XWH09C0190 2009-09-29 2010-09-29 2010-09-29
Unique Award Key CONT_AWD_W81XWH09C0190_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 241128.00
Current Award Amount 241128.00
Potential Award Amount 241128.00

Description
Title RESEARCH PEPTIDES TO HUMAN MCH ALLELES
NAICS Code 541990: ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES
Product and Service Codes AN91: OTHER MEDICAL (BASIC)

Recipient Details
Recipient EPIVAX INC
UEI NLAVQM513F18
Legacy DUNS 135531015
Recipient Address 146 CLIFFORD ST, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029034163, UNITED STATES
PURCHASE ORDER AWARD W81XWH09P0071 2008-11-13 2009-11-12 2009-11-12
Unique Award Key CONT_AWD_W81XWH09P0071_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 60000.00
Current Award Amount 60000.00
Potential Award Amount 60000.00

Description
Title WEBSITE
NAICS Code 541711: RESEARCH AND DEVELOPMENT IN BIOTECHNOLOGY
Product and Service Codes 6640: LABORATORY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient EPIVAX INC
UEI NLAVQM513F18
Legacy DUNS 135531015
Recipient Address 146 CLIFFORD ST, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029034163, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
R21AI090359 Department of Health and Human Services 93.855 - ALLERGY, IMMUNOLOGY AND TRANSPLANTATION RESEARCH 2011-05-01 2013-04-30 NOVEL H1N1 INFLUENZA PROTECTION VIA CROSS-REACTIVE IMMUNITY
Recipient EPIVAX INC
Recipient Name Raw EPIVAX, INC
Recipient UEI NLAVQM513F18
Recipient DUNS 135531015
Recipient Address 146 CLIFFORD STREET, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02903-4163, UNITED STATES
Obligated Amount 472242.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
R21AI078800 Department of Health and Human Services 93.701 - TRANS-NIH RECOVERY ACT RESEARCH SUPPORT 2008-09-30 2011-08-31 OPTIMIZATION OF HIV VACCINE SUBUNIT DELIVERY
Recipient EPIVAX INC
Recipient Name Raw EPIVAX INC
Recipient UEI NLAVQM513F18
Recipient DUNS 135531015
Recipient Address 146 CLIFFORD STREET, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02903-4163, UNITED STATES
Obligated Amount 645115.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
R43DK081261 Department of Health and Human Services 93.847 - DIABETES, DIGESTIVE, AND KIDNEY DISEASES EXTRAMURAL RESEARCH 2008-07-01 2010-06-30 T1D TOLERANCE INDUCTION WITH NATURAL TREG EPITOPES
Recipient EPIVAX INC
Recipient Name Raw EPIVAX, INC
Recipient UEI NLAVQM513F18
Recipient DUNS 135531015
Recipient Address 146 CLIFFORD STREET, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02903
Obligated Amount 599999.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
R43HL088834 Department of Health and Human Services 93.839 - BLOOD DISEASES AND RESOURCES RESEARCH 2007-07-01 2009-06-30 EPITOPE-DRIVEN DEIMMUNIZATION OF FACTOR VIII
Recipient EPIVAX INC
Recipient Name Raw EPIVAX, INC
Recipient UEI NLAVQM513F18
Recipient DUNS 135531015
Recipient Address 146 CLIFFORD STREET, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02903
Obligated Amount 438210.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
R21NS054781 Department of Health and Human Services 93.853 - EXTRAMURAL RESEARCH PROGRAMS IN THE NEUROSCIENCES AND NEUROLOGICAL DISORDERS 2007-03-01 2009-02-28 DEVELOPMENT OF DE-IMMUNIZED BOTULINUM NEUROTOXIN TYPE A FOR DYSTONIA
Recipient EPIVAX INC
Recipient Name Raw EPIVAX, INC
Recipient UEI NLAVQM513F18
Recipient DUNS 135531015
Recipient Address 146 CLIFFORD STREET, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02903
Obligated Amount 183750.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5013737003 2020-04-04 0165 PPP 188 valley st suite 424, PROVIDENCE, RI, 02909-2408
Loan Status Date 2021-02-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 447000
Loan Approval Amount (current) 562000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120245
Servicing Lender Name Bank Rhode Island
Servicing Lender Address One Turks Head Place, PROVIDENCE, RI, 02903-2219
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PROVIDENCE, PROVIDENCE, RI, 02909-2408
Project Congressional District RI-02
Number of Employees 29
NAICS code 541714
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 120245
Originating Lender Name Bank Rhode Island
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 565996.44
Forgiveness Paid Date 2020-12-30

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P0705709 EPIVAX INC - NLAVQM513F18 188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909-2468
Capabilities Statement Link -
Phone Number 401-272-2123
Fax Number 401-272-4562
E-mail Address AnnieD@EpiVax.com
WWW Page -
E-Commerce Website -
Contact Person ANNE DE GROOT
County Code (3 digit) 007
Congressional District 02
Metropolitan Statistical Area 6480
CAGE Code 473V2
Year Established 1998
Accepts Government Credit Card No
Legal Structure Corporation
Ownership and Self-Certifications Women-Owned Small Business, Woman Owned
Business Development Servicing Office RHODE ISLAND DISTRICT OFFICE (SBA office code 0165)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

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 No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 541714
NAICS Code's Description Research and Development in Biotechnology (except Nanobiotechnology)
Buy Green Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Related by officers

ANNE S. DEGROOT

GAIA Vaccine Foundation

WILLIAM MARTIN

Consolidated Financial Resources Associates,Incorporated Friends of SRIMS, Inc. Ringer Communications, Inc. MARBUO, Inc. STONE HARBOUR MARINA, LLC Berkshire Wireless Corp. Devo Auto Repair Inc. South Kingstown Youth Basketball Association EpiVax Therapeutics, Inc. Association for the Development of South County Youth Lacrosse, Inc.

Related by address

188 VALLEY STREET SUITE 424, PROVIDENCE, RI, 02909, USA

GAIA Vaccine Foundation EpiVax Therapeutics, Inc.

Date of last update: 09 Apr 2025

Sources: Rhode Island Department of State

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