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INWOOD COUNTRY CLUB

Company Details

Name: INWOOD COUNTRY CLUB
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 01 Jun 1901 (123 years ago)
Entity Number: 27072
ZIP code: 11696
County: Nassau
Place of Formation: New York
Address: (NO STREET ADD), LONG ISLAND, NY, United States, 11696

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INWOOD COUNTRY CLUB 401(K) PLAN 2022 110908748 2023-10-14 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role Plan administrator
Date 2023-10-14
Name of individual signing DEANN LOPEZ
Role Employer/plan sponsor
Date 2023-10-14
Name of individual signing DEANN LOPEZ
INWOOD COUNTRY CLUB 401(K) PLAN 2021 110908748 2022-05-11 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role Plan administrator
Date 2022-05-09
Name of individual signing DEANN LOPEZ
Role Employer/plan sponsor
Date 2022-05-09
Name of individual signing DEANN LOPEZ
INWOOD COUNTRY CLUB 401(K) PLAN 2020 110908748 2021-08-27 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role Plan administrator
Date 2021-08-27
Name of individual signing DEANN LOPEZ
Role Employer/plan sponsor
Date 2021-08-27
Name of individual signing DEANN LOPEZ
INWOOD COUNTRY CLUB 401(K) PLAN 2019 110908748 2020-10-13 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing DEANN LOPEZ
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing DEANN LOPEZ
INWOOD COUNTRY CLUB 401(K) PLAN 2018 110908748 2019-09-28 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role Plan administrator
Date 2019-09-28
Name of individual signing DEANN LOPEZ
Role Employer/plan sponsor
Date 2019-09-28
Name of individual signing DEANN LOPEZ
INWOOD COUNTRY CLUB 401(K) PLAN 2017 110908748 2018-10-01 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role Plan administrator
Date 2018-10-01
Name of individual signing DEANN LOPEZ
Role Employer/plan sponsor
Date 2018-10-01
Name of individual signing DEANN LOPEZ
INWOOD COUNTRY CLUB 401(K) PLAN 2016 110908748 2017-07-25 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role Plan administrator
Date 2017-07-25
Name of individual signing DEANN LOPEZ
INWOOD COUNTRY CLUB 401(K) PLAN 2015 110908748 2016-08-31 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role Plan administrator
Date 2016-08-31
Name of individual signing DEANN LOPEZ
INWOOD COUNTRY CLUB 401(K) PLAN 2014 110908748 2015-07-08 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DRIVE, INWOOD, NY, 11096

Signature of

Role Plan administrator
Date 2015-07-08
Name of individual signing DEANN LOPEZ
INWOOD COUNTRY CLUB 401(K) PLAN 2013 110908748 2014-07-14 INWOOD COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 5162392800
Plan sponsor’s address 50 PEPPE DRIVE, INWOOD, NY, 11096

Signature of

Role Plan administrator
Date 2014-07-12
Name of individual signing DEANN LOPEZ

DOS Process Agent

Name Role Address
INWOOD DOS Process Agent (NO STREET ADD), LONG ISLAND, NY, United States, 11696

Licenses

Number Type Date Last renew date End date Address Description
0349-23-125169 Alcohol sale 2023-02-28 2023-02-28 2025-02-28 50 PEPPE DR, INWOOD, New York, 11096 Club

Filings

Filing Number Date Filed Type Effective Date
C234921-2 1996-05-10 ASSUMED NAME CORP INITIAL FILING 1996-05-10
A59720-3 1973-03-26 CERTIFICATE OF AMENDMENT 1973-03-26
189469 1959-12-07 CERTIFICATE OF AMENDMENT 1959-12-07
67319 1957-06-17 CERTIFICATE OF AMENDMENT 1957-06-17
10EX-115 1951-02-16 CERTIFICATE OF AMENDMENT 1951-02-16
41Q-144 1901-06-01 CERTIFICATE OF INCORPORATION 1901-06-01

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2024-08-29 No data 1795 OCEAN BOULEVARD, ATLANTIC BEACH 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)
2024-08-29 No data 50 PEPPE DRIVE, INWOOD Not Critical Violation Food Service Establishment Inspections New York State Department of Health 11A - Manual facilities inadequate, technique incorrect; mechanical facilities not operated in accordance with manufacturer's instructions
2024-08-23 No data 1795 OCEAN BOULEVARD, ATLANTIC BEACH 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)
2024-07-31 No data 1795 OCEAN BOULEVARD, ATLANTIC BEACH 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)
2023-08-18 No data 1795 OCEAN BOULEVARD, ATLANTIC BEACH 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)
2022-11-09 No data 50 PEPPE DRIVE, INWOOD 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
2022-09-30 No data 50 PEPPE DRIVE, INWOOD Not Critical Violation Food Service Establishment Inspections New York State Department of Health 10A - Food (ice) contact surfaces are improperly designed, constructed, installed, located (cracks, open seams, pitted surfaces, tin cans reused, uncleanable or corroded food contact surfaces)
2022-06-16 No data 1795 OCEAN BOULEVARD, ATLANTIC BEACH Not Critical Violation Food Service Establishment Inspections New York State Department of Health 8B - In use food dispensing utensils improperly stored
2021-08-02 No data 1795 OCEAN BOULEVARD, ATLANTIC BEACH Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2021-07-08 No data 50 PEPPE DRIVE, INWOOD 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

Date of last update: 17 Nov 2024

Sources: New York Secretary of State