| Name: | G-FORM, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 21 Dec 2007 (17 years ago) |
| Identification Number: | 000293395 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 139 POINT STREET, PROVIDENCE, RI, 02903, USA |
| Purpose: | ANY LAWFUL PURPOSE, INCLUDING THE DESIGN, DEVELOPMENT, MARKETING AND SALE OF INNOVATIVE PRODUCTS |
NAICS
451110 Sporting Goods StoresThis industry comprises establishments primarily engaged in retailing new sporting goods, such as bicycles and bicycle parts; camping equipment; exercise and fitness equipment; athletic uniforms; specialty sports footwear; and other sporting goods, equipment, and accessories. Learn more at the U.S. Census Bureau
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | G-FORM, LLC, NEW YORK | 4992171 | NEW YORK |
| Headquarter of | G-FORM, LLC, FLORIDA | M16000004212 | FLORIDA |
| Headquarter of | G-FORM, LLC, KENTUCKY | 1079997 | KENTUCKY |
| Headquarter of | G-FORM, LLC, CONNECTICUT | 1218801 | CONNECTICUT |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| G-FORM 401(K) PLAN | 2023 | 261708270 | 2024-06-04 | G-FORM, LLC | 78 | |||||||||||||
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| G-FORM 401(K) PLAN | 2022 | 261708270 | 2023-05-24 | G-FORM, LLC | 90 | |||||||||||||
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| G-FORM/POLYWORKS 401(K) PLAN | 2021 | 261708270 | 2022-07-15 | G-FORM, LLC | 74 | |||||||||||||
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| G-FORM/POLYWORKS 401(K) PLAN | 2020 | 261708270 | 2021-09-01 | G-FORM, LLC | 74 | |||||||||||||
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| G-FORM/POLYWORKS 401(K) PLAN | 2019 | 261708270 | 2020-05-14 | G-FORM, LLC | 81 | |||||||||||||
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| G-FORM/POLYWORKS 401(K) PLAN | 2018 | 261708270 | 2019-04-16 | G-FORM, LLC | 76 | |||||||||||||
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| G-FORM/POLYWORKS 401(K) PLAN | 2017 | 261708270 | 2018-09-10 | G-FORM, LLC | 85 | |||||||||||||
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| G-FORM/POLYWORKS 401(K) PLAN | 2016 | 261708270 | 2017-09-13 | G-FORM, LLC | 66 | |||||||||||||
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| G-FORM/POLYWORKS 401(K) PLAN | 2015 | 261708270 | 2016-10-07 | G-FORM, LLC | 82 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| PARASEARCH, INC. | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| GREGORY SCORPIO | Manager | 233 RICHMOND ST PROVIDENCE, RI 02903 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Merged | 2022-02-11 | POLYWORKS, LLC on | G-FORM, LLC |
| Number | Name | File Date |
|---|---|---|
| 202444890140 | Annual Report | 2024-01-29 |
| 202329687580 | Annual Report | 2023-03-01 |
| 202221226940 | Annual Report | 2022-07-13 |
| 202219019330 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202210073340 | Articles of Merger | 2022-02-11 |
| 202104130250 | Annual Report | 2021-10-28 |
| 202077294300 | Annual Report | 2020-11-24 |
| 201927199640 | Annual Report | 2019-11-08 |
| 201880459960 | Annual Report | 2018-10-29 |
| 201750772410 | Annual Report | 2017-10-02 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 347369910 | 0112300 | 2024-03-26 | 1 TUPPERWARE DRIVE, NORTH SMITHFIELD, RI, 02896 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Inspection |
| Activity Nr | 1738270 |
| Safety | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19100147 C06 I |
| Issuance Date | 2024-07-01 |
| Abatement Due Date | 2024-07-25 |
| Current Penalty | 2722.5 |
| Initial Penalty | 5445.0 |
| Final Order | 2024-08-19 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.147(c)(6)(i): The employer did not conduct an annual or more frequent inspection of the energy control procedure to ensure that the procedure and requirements of this standard were followed: a) Establishment: On or about March 26, 2024, employees were exposed to energy source hazards due to the employer's failure to conduct an annual review of their lockout/tagout (LOTO) procedures to ensure that the procedures and requirements of this standard were followed. |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19100147 D04 I |
| Issuance Date | 2024-07-01 |
| Abatement Due Date | 2024-07-25 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-19 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.147(d)(4)(i): Lockout or tagout devices were not affixed to each energy isolating device by authorized employees: a) Small Production Machine: On or about March 26, 2024, employees were exposed to machine operation hazards when maintance was being performed on the equipment which was not effectively provided with lockout or tagout of each energy source. |
| Citation ID | 01001C |
| Citaton Type | Serious |
| Standard Cited | 19100333 B02 |
| Issuance Date | 2024-07-01 |
| Abatement Due Date | 2024-07-25 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-19 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 10 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.333(b)(2): While an employee was exposed to contact with parts of fixed electric equipment or circuits which were deenergized, the circuits energizing the parts were not locked out or tagged or both in accordance with the requirements of this paragraph: a) Small Production Machine: On or about March 26, 2024, employees were exposed to electrical shock of 208 Volts and arc fault hazards while working on an electrical cabinet operating the Small Production Machine, whose energy source had not been locked and/or tagged out properly during servicing and maintenance activities. |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19100303 G02 I |
| Issuance Date | 2024-07-01 |
| Abatement Due Date | 2024-07-25 |
| Current Penalty | 2722.5 |
| Initial Penalty | 5445.0 |
| Final Order | 2024-08-19 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.303(g)(2)(i): Live parts of electric equipment operating at 50 volts or more were not guarded against accidental contact by approved cabinets or other forms of approved enclosures, or other means listed under this provision: a) Small Production Machine: On or about March 26, 2024, employees were exposed to electrical shock and arc fault hazards due to an electrical cabinet operating the Small Production Machine with a hinged door that was not closed and properly guarded. |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19100333 A01 |
| Issuance Date | 2024-07-01 |
| Abatement Due Date | 2024-07-25 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-19 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 10 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.333(a)(1): Live parts to which an employee may be exposed were not deenergized before the employee worked on or was near to them: a) Small Production Machine: On or about March 26, 2024, employees were exposed to electrical shock and arc fault hazards within an electrical cabinet operating the Small Production Machine that was not adequately deenergized, to include testing with electrical equipment to confirm that it was deenergized. |
| Citation ID | 01002C |
| Citaton Type | Serious |
| Standard Cited | 19100335 B |
| Issuance Date | 2024-07-01 |
| Abatement Due Date | 2024-07-25 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-19 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.335(b): No alerting techniques were used to warn and protect employees from hazards which could cause injury due to electric shock, burns, or failure of electric equipment: a) Small Production Machine: On or about March 26, 2024, employees were exposed to electrical shock and arc fault hazards when work was being performed on an electrical cabinet operating the Small Production Machine that was not adequately barricaded and labeled to alert employees of the hazard. |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19100305 G01 IV A |
| Issuance Date | 2024-07-01 |
| Abatement Due Date | 2024-08-15 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-19 |
| Nr Instances | 4 |
| Nr Exposed | 4 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.305(g)(1)(iv)(A): Flexible cords and/or cables were used as a substitute for the fixed wiring of a structure: a) Sheeting Machine: On or about March 26, 2024, employees were exposed to electrical hazards due to an extension cord being used on a permanent basis to provide 120 Volt power to a light fixture on the Sheeting Machine. b) Pad Printers: On or about March 26, 2024, employees were exposed to electrical hazards due to an extension cord being used on a permanent basis to provide 120 Volt power to the three Pad Printers. c) Small Production Machine: On or about March 26, 2024, employees were exposed to electrical hazards due to an extension cord being used on a permanent basis to provide 120 Volt power to the Small Production Machine. d) Heat Press #1: On or about March 26, 2024, employees were exposed to electrical hazards due to an extension cord being used on a permanent basis to provide 120 Volt power to the air compressor for Heat Press Machine #1. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5748427310 | 2020-04-30 | 0165 | PPP | 233 Richmond Street, PROVIDENCE, RI, 02903 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P2395884 | G-FORM, LLC | - | FSXLY1BNL133 | 139 POINT ST, PROVIDENCE, RI, 02903-4735 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | Glen Giovanucci |
| Role | CEO |
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 | $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 | 326150 |
| NAICS Code's Description | Urethane and Other Foam Product (except Polystyrene) Manufacturing |
| Buy Green | Yes |
| Code | 423450 |
| NAICS Code's Description | Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers |
| Buy Green | Yes |
| Code | 423910 |
| NAICS Code's Description | Sporting and Recreational Goods and Supplies Merchant Wholesalers |
| Buy Green | Yes |
| Code | 541715 |
| NAICS Code's Description | Research and Development in the Physical, Engineering, and Life Sciences (except Nanotechnology and Biotechnology) General 1000 Employees Small Business Size Standard: [Yes]Special 1500 Employees Aircraft, Aircraft Engine and Engine Parts: [Yes]Special 1250 Employees Other Aircraft Parts and Auxiliary Equipment: [Yes]Special 1250 Employees Guided Missiles and Space Vehicles, Their Propulsion Units and Propulsion Parts: [Yes] |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Yes |
| Export Business Activities | Distributor/Agent, Retailer |
| Exporting to | Australia; Austria; Canada; China; Denmark; Germany; Hong Kong; Japan; Korea, Republic of; Mexico; Netherlands; Norway; Sweden; Switzerland; United Kingdom |
| Desired Export Business Relationships | Distributor/Importer |
| Description of Export Objective(s) | Globalize our distribution network |
Date of last update: 11 Oct 2024
Sources: Rhode Island Department of State
