GovChime
UEI: NWGKH2R98GN7 • CAGE: 0SK11

FORM5 PROSTHETICS INC (OH)

Registration facts

SAM.gov registration as of

SAM.gov registration
Active
Registration expiration date Dec 23, 2026

Registration

Entity structure
Corporate Entity (Tax Exempt)
Business start date
Aug 18, 2017 (9 years)
Location
Westerville, OH
State of incorporation
Ohio
Website
form5.org

Source: SAM.gov entity registration and FPDS contract actions recorded under UEI NWGKH2R98GN7. GovChime does not check exclusions.

Performance

Capabilities

Contracts

Contact Info

As of . Source: SAM.gov Points of Contact.

SAM.gov registration for FORM5 PROSTHETICS INC lists a physical address and a separate mailing address, along with 4 verified points of contact. Past Performance contacts are the recommended outreach channel for due-diligence references; Government Business contacts handle procurement-facing correspondence.

Source: SAM.gov entity registration. Contacts displaying numeric or placeholder names have been filtered (defense-in-depth).

Physical Address

194 HEATHERDOWN DR

WESTERVILLE, OH, 43081

USA

Mailing Address

PO BOX 673

NEW ALBANY, OH, 43054

USA

Government Business Contact

AARON WESTBROOK

CEO

194 HEATHERDOWN DRIVE

WESTERVILLE, OH, 43081

USA

Electronic Business Contact

Aaron Westbrook

CEO

194 Heatherdown

Westerville, OH, 43081

USA

Government Business Alternate Contact

AARON WESTBROOK

CEO

194 HEATHERDOWN

WESTERVILLE, OH, 43081

USA

Past Performance Alternate Contact

0002 541330NNNN~541715NNNN N

0000

0000

E&Y

Additional Details

As of . Source: SAM.gov Entity Registration.

FORM5 PROSTHETICS INC has no active federal suspension or debarment on record in SAM.gov. Current SAM.gov registration expires December 23, 2026.

Source: SAM.gov entity registration (FAR responses, registration status). Always verify active exclusions against the authoritative record on SAM.gov before contract award.

Compliance & Risk Assessment

Source: SAM.gov FAR responses

Suspension/Debarment Status

SAM.gov registration reports no active exclusion

Public Display

Entity information is publicly displayed

Disaster Relief Registry

Not registered for disaster relief

Bonding Information

No bonding information provided

EDI

Not declared in SAM.gov

Business Structure

Source: SAM.gov
Profit Structure:Non-Profit Organization

Registration Details

Source: SAM.gov

Initial Registration

Jan 28, 2025

Last Update

Dec 25, 2025

Registration Activation

Active — Dec 25, 2025

Fiscal Year End

1231

Country of Incorporation

USA

Congressional District

03