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ALBANY COUNTRY CLUB

Company Details

Name: ALBANY COUNTRY CLUB
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 14 Jul 1894 (130 years ago)
Entity Number: 28203
ZIP code: 12186
County: Albany
Place of Formation: New York
Address: ATTN: PRESIDENT, WORMER RD., RR #4, BOX 70, VOORHEESVILLE, NY, United States, 12186

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALBANY COUNTRY CLUB 401K PLAN 2023 140461630 2024-04-24 ALBANY COUNTRY CLUB 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186
ALBANY COUNTRY CLUB 401K PLAN 2022 140461630 2023-10-16 ALBANY COUNTRY CLUB 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186
ALBANY COUNTRY CLUB 401K PLAN 2021 140461630 2022-10-05 ALBANY COUNTRY CLUB 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186
ALBANY COUNTRY CLUB 401K PLAN 2020 140461630 2021-02-19 ALBANY COUNTRY CLUB 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186
ALBANY COUNTRY CLUB 401K PLAN 2019 140461630 2020-03-04 ALBANY COUNTRY CLUB 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186
ALBANY COUNTRY CLUB 401K PLAN 2018 140461630 2019-03-13 ALBANY COUNTRY CLUB 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186
ALBANY COUNTRY CLUB 401K PLAN 2017 140461630 2018-02-09 ALBANY COUNTRY CLUB 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186
ALBANY COUNTRY CLUB 401K PLAN 2016 140461630 2017-04-24 ALBANY COUNTRY CLUB 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186

Signature of

Role Plan administrator
Date 2017-04-24
Name of individual signing HELEN DUBOIS
Role Employer/plan sponsor
Date 2017-04-24
Name of individual signing HELEN DUBOIS
ALBANY COUNTRY CLUB 401K PLAN 2015 140461630 2016-05-06 ALBANY COUNTRY CLUB 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186

Signature of

Role Plan administrator
Date 2016-05-06
Name of individual signing HELEN DUBOIS
Role Employer/plan sponsor
Date 2016-05-06
Name of individual signing HELEN DUBOIS
ALBANY COUNTRY CLUB 401K PLAN 2014 140461630 2015-10-13 ALBANY COUNTRY CLUB 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-30
Business code 713900
Sponsor’s telephone number 5187652851
Plan sponsor’s address 300 WORMER ROAD, VOORHEESVILLE, NY, 12186

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing HELEN DUBOIS
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing HELEN DUBOIS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: PRESIDENT, WORMER RD., RR #4, BOX 70, VOORHEESVILLE, NY, United States, 12186

Licenses

Number Type Date Last renew date End date Address Description
0349-23-225860 Alcohol sale 2023-08-18 2023-08-18 2025-09-30 300 WORMER ROAD, VOORHEESVILLE, New York, 12186 Club
0423-23-230950 Alcohol sale 2023-08-18 2023-08-18 2025-09-30 300 WORMER ROAD, VOORHEESVILLE, New York, 12186 Additional Bar

Filings

Filing Number Date Filed Type Effective Date
950207000177 1995-02-07 CERTIFICATE OF TYPE 1995-02-07
B214431-2 1985-04-12 ASSUMED NAME CORP INITIAL FILING 1985-04-12
257236 1961-03-01 CERTIFICATE OF AMENDMENT 1961-03-01
35EX246 1952-03-06 CERTIFICATE OF AMENDMENT 1952-03-06
52P-136 1894-07-14 CERTIFICATE OF INCORPORATION 1894-07-14

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2024-09-20 No data 300 WORMER ROAD, VOORHEESVILLE 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
2024-08-23 No data 300 WORMER ROAD, VOORHEESVILLE Critical Violation Food Service Establishment Inspections New York State Department of Health 1F - Shellfish not from approved sources, improperly tagged/labeled, tags not retained 90 days.
2024-07-16 No data 300 WORMER ROAD, VOORHEESVILLE Not Critical Violation Food Service Establishment Inspections New York State Department of Health 12E - Handwashing facilities inaccessible, improperly located, dirty, in disrepair, improper fixtures, soap, and single service towels or hand drying devices missing
2023-10-13 No data 300 WORMER ROAD, VOORHEESVILLE 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
2023-08-02 No data 300 WORMER ROAD, VOORHEESVILLE Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2023-07-13 No data 300 WORMER ROAD, VOORHEESVILLE Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2022-10-04 No data 300 WORMER ROAD, VOORHEESVILLE Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2022-09-21 No data 300 WORMER ROAD, VOORHEESVILLE Critical Violation Food Service Establishment Inspections New York State Department of Health 1B - Water/ice: unsafe, unapproved sources, cross connections
2022-07-26 No data 300 WORMER ROAD, VOORHEESVILLE Not Critical Violation Food Service Establishment Inspections New York State Department of Health 8B - In use food dispensing utensils improperly stored
2021-12-29 No data 300 WORMER ROAD, VOORHEESVILLE Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data

Date of last update: 17 Nov 2024

Sources: New York Secretary of State