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BREWERTON PHARMACY INC.

Company Details

Name: BREWERTON PHARMACY INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 16 Jul 1986 (38 years ago)
Entity Number: 1097908
County: Onondaga
Place of Formation: New York
Address: 9679 BREWERTON RD, BREWERTON, NY, United States, 13029
Address ZIP Code: 13029

Contact Details

Phone +1 315-676-4441

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2023 161280846 2024-05-21 BREWERTON PHARMACY, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 BREWERTON RD., BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2024-05-21
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2024-05-21
Name of individual signing NICHOLAS CHERVINSKY
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2022 161280846 2023-05-16 BREWERTON PHARMACY, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 BREWERTON RD., BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2023-05-16
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2023-05-16
Name of individual signing NICHOLAS CHERVINSKY
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2021 161280846 2022-06-06 BREWERTON PHARMACY, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 BREWERTON RD., BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2022-06-03
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2022-06-03
Name of individual signing NICHOLAS CHERVINSKY
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2020 161280846 2021-06-15 BREWERTON PHARMACY, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 BREWERTON RD., BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2021-06-14
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2021-06-14
Name of individual signing NICHOLAS CHERVINSKY
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2019 161280846 2020-06-08 BREWERTON PHARMACY, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 BREWERTON RD., BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2020-06-08
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2020-06-08
Name of individual signing NICHOLAS CHERVINSKY
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2018 161280846 2019-07-24 BREWERTON PHARMACY, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 BREWERTON RD., BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2019-07-24
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2019-07-24
Name of individual signing NICHOLAS CHERVINSKY
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2017 161280846 2018-06-07 BREWERTON PHARMACY, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 BREWERTON RD., BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2018-06-06
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2018-06-06
Name of individual signing NICHOLAS CHERVINSKY
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2016 161280846 2017-07-12 BREWERTON PHARMACY, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 BREWERTON RD., BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2017-07-12
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2017-07-12
Name of individual signing NICHOLAS CHERVINSKY
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2015 161280846 2016-06-22 BREWERTON PHARMACY, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 BREWERTON RD., BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2016-06-22
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2016-06-22
Name of individual signing NICHOLAS CHERVINSKY
BREWERTON PHARMACY, INC. 401(K) PROFIT SHARING PLAN 2014 161280846 2015-05-27 BREWERTON PHARMACY, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 446110
Sponsor’s telephone number 3156764441
Plan sponsor’s address 9679 MAIN STREET, BREWERTON, NY, 13029

Signature of

Role Plan administrator
Date 2015-05-27
Name of individual signing NICHOLAS CHERVINSKY
Role Employer/plan sponsor
Date 2015-05-27
Name of individual signing NICHOLAS CHERVINSKY

DOS Process Agent

Name Role Address
BREWERTON PHARMACY INC. DOS Process Agent 9679 BREWERTON RD, BREWERTON, NY, United States, 13029

Chief Executive Officer

Name Role Address
NICHOLAS CHERVINSKY Chief Executive Officer 9679 BREWERTON RD, BREWERTON, NY, United States, 13029

Licenses

Number Type Date Last renew date End date Address Description
0072-21-217949 Alcohol sale 2024-06-25 2024-06-25 2027-06-30 9679 MAIN STREET, BREWERTON, New York, 13029 Drug Store

History

Start date End date Type Value
1998-07-07 2020-07-07 Address 9679 BREWERTON RD, BREWERTON, NY, 13029, 8738, USA (Type of address: Service of Process)
1993-02-04 1998-07-07 Address 9679 MAIN ST BOX 584, BREWERTON, NY, 13029, 0584, USA (Type of address: Chief Executive Officer)
1993-02-04 1998-07-07 Address 9679 MAIN ST, BREWERTON, NY, 13029, 0584, USA (Type of address: Principal Executive Office)
1993-02-04 1998-07-07 Address 9679 MAIN ST BOX 584, BREWERTON, NY, 13029, 0584, USA (Type of address: Service of Process)
1986-07-16 1993-02-04 Address 9679 MAIN STREET, BREWERTON, NY, 13029, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200707060512 2020-07-07 BIENNIAL STATEMENT 2020-07-01
180702007248 2018-07-02 BIENNIAL STATEMENT 2018-07-01
160706006844 2016-07-06 BIENNIAL STATEMENT 2016-07-01
140709006679 2014-07-09 BIENNIAL STATEMENT 2014-07-01
120814002474 2012-08-14 BIENNIAL STATEMENT 2012-07-01
100714002590 2010-07-14 BIENNIAL STATEMENT 2010-07-01
080718002982 2008-07-18 BIENNIAL STATEMENT 2008-07-01
060616002436 2006-06-16 BIENNIAL STATEMENT 2006-07-01
040811002057 2004-08-11 BIENNIAL STATEMENT 2004-07-01
020627002702 2002-06-27 BIENNIAL STATEMENT 2002-07-01

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2022-04-04 BREWERTON PHARMACY 9679 BREWERTON RD, BREWERTON, Onondaga, NY, 13029 A Food Inspection Department of Agriculture and Markets No data

Date of last update: 28 Oct 2024

Sources: New York Secretary of State