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NORTHBROOK HEIGHTS HOME FOR ADULTS, INC.

Company Details

Name: NORTHBROOK HEIGHTS HOME FOR ADULTS, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 19 Mar 2001 (24 years ago)
Entity Number: 2617657
ZIP code: 13021
County: Cayuga
Place of Formation: New York
Address: 170 MURRAY ST, AUBURN, NY, United States, 13021
Principal Address: 3327 US RTE 11, MEXICO, NY, United States, 13114

Contact Details

Phone +1 315-253-2755

Shares Details

Shares issued 600

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHBROOK HEIGHTS HOME FOR ADULTS 401K PSP AND TRUST 2014 161603731 2015-11-19 NORTHBROOK HEIGHTS HOME FOR ADULTS 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-01
Business code 541990
Sponsor’s telephone number 3152532755
Plan sponsor’s address 170 MURRAY STREET, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2015-11-19
Name of individual signing CASEY WARNER
NORTHBROOK HEIGHTS HOME FOR ADULTS 401K PSP PLAN AND TRUST 2014 161603731 2015-07-30 NORTHBROOK HEIGHTS HOME FOR ADULTS 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-01
Business code 541990
Sponsor’s telephone number 3152532755
Plan sponsor’s address 170 MURRAY ST, AUBURN, NY, 130211335

Signature of

Role Plan administrator
Date 2015-07-30
Name of individual signing CASEY WARNER
NORTHBROOK HEIGHTS HOME FOR ADULTS 401K PSP PLAN AND TRUST 2013 161603731 2014-07-30 NORTHBROOK HEIGHTS HOME FOR ADULTS 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-01
Business code 541990
Sponsor’s telephone number 3152532755
Plan sponsor’s address 170 MURRAY ST, AUBURN, NY, 130211335

Signature of

Role Plan administrator
Date 2014-07-30
Name of individual signing CASEY WARNER
NORTHBROOK HEIGHTS HOME FOR ADULTS 401K PSP AND TRUST 2012 161603731 2013-07-25 NORTHBROOK HEIGHTS HOME FOR ADULTS 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-02-01
Business code 541990
Sponsor’s telephone number 3152532755
Plan sponsor’s address 170 MURRAY STREET, AUBURN, NY, 13021

Signature of

Role Plan administrator
Date 2013-07-25
Name of individual signing CASEY WARNER
NORTHBROOK HEIGHTS HOME FOR AD 401 (K) PROFIT SHARING PLAN & TRUST 2011 161603731 2013-07-17 NORTHBROOK HEIGHTS HOME FOR ADULTS INC 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-03
Business code 541990
Sponsor’s telephone number 3152532755
Plan sponsor’s address 170 MURRAY ST, AUBURN, NY, 13021

Plan administrator’s name and address

Administrator’s EIN 161603731
Plan administrator’s name NORTHBROOK HEIGHTS HOME FOR ADULTS INC
Plan administrator’s address 170 MURRAY ST, AUBURN, NY, 13021
Administrator’s telephone number 3152532755

Signature of

Role Plan administrator
Date 2013-07-17
Name of individual signing CASEY WARNER

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 170 MURRAY ST, AUBURN, NY, United States, 13021

Chief Executive Officer

Name Role Address
FRANK SALVATORE Chief Executive Officer 2027 RIVER ROAD, PORT BYRON, NY, United States, 13140

History

Start date End date Type Value
2004-06-07 2023-11-14 Shares Share type: NO PAR VALUE, Number of shares: 600, Par value: 0
2001-03-19 2004-06-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2001-03-19 2010-07-23 Address 414 UNIVERSITY BUILDING, SYRACUSE, NY, 10302, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201211000606 2020-12-11 CERTIFICATE OF AMENDMENT 2020-12-11
100723002584 2010-07-23 BIENNIAL STATEMENT 2009-03-01
040607000706 2004-06-07 CERTIFICATE OF AMENDMENT 2004-06-07
010319000334 2001-03-19 CERTIFICATE OF INCORPORATION 2001-03-19

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2024-09-20 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2024-01-26 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 11C - Food contact surfaces not washed, rinsed and sanitized after each use and following any time of operations when contamination may have occurred
2023-09-28 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 15B - Lighting and ventilation inadequate, fixtures not shielded, dirty ventilation hoods, ductwork, filters, exhaust fans
2023-02-01 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 10B - Non-food contact surfaces and equipment are improperly designed, constructed, installed, maintained (equipment not readily accessible for cleaning, surface not smooth finish)
2022-10-11 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2022-01-28 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2021-11-16 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 11C - Food contact surfaces not washed, rinsed and sanitized after each use and following any time of operations when contamination may have occurred
2021-06-02 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2020-12-01 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 11C - Food contact surfaces not washed, rinsed and sanitized after each use and following any time of operations when contamination may have occurred
2020-02-10 No data 170 MURRAY STREET, AUBURN Not Critical Violation Food Service Establishment Inspections New York State Department of Health 11D - Non food contact surfaces of equipment not clean

Date of last update: 11 Nov 2024

Sources: New York Secretary of State