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LAKEWOOD ROD & GUN CLUB, INC.

LAKEWOOD ROD & GUN CLUB, INC.

Company Details

Name:	LAKEWOOD ROD & GUN CLUB, INC.
Jurisdiction:	New York
Legal type:	DOMESTIC NOT-FOR-PROFIT CORPORATION
Status:	Active
Date of registration:	18 May 1936 (89 years ago)
Entity Number:	38257
ZIP code:	14750
County:	Chautauqua
Place of Formation:	New York
Address:	433 E. TERRACE AVE., LAKEWOOD, NY, United States, 14750

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2023

160707297

2024-04-09

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

Signature of

Role	Plan administrator
Date	2024-04-09
Name of individual signing	GAYLE K. EKLUND

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2022

160707297

2023-05-12

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

Signature of

Role	Plan administrator
Date	2023-05-12
Name of individual signing	GAYLE K. EKLUND

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2021

160707297

2022-03-31

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

Signature of

Role	Plan administrator
Date	2022-03-31
Name of individual signing	GAYLE K. EKLUND

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2020

160707297

2021-04-18

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

Signature of

Role	Plan administrator
Date	2021-04-18
Name of individual signing	GAYLE K. EKLUND

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2019

160707297

2020-04-23

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

Signature of

Role	Plan administrator
Date	2020-04-23
Name of individual signing	GAYLE K. EKLUND

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2018

160707297

2019-03-14

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

Signature of

Role	Plan administrator
Date	2019-03-14
Name of individual signing	GAYLE K. EKLUND

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2017

160707297

2018-05-03

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

Signature of

Role	Plan administrator
Date	2018-05-03
Name of individual signing	GAYLE K. EKLUND

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2016

160707297

2017-07-03

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

Signature of

Role	Plan administrator
Date	2017-07-03
Name of individual signing	GAYLE K. EKLUND

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2015

160707297

2016-07-22

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

LAKEWOOD ROD GUN CLUB INC 401 K PROFIT SHARING PLAN TRUST

2014

160707297

2015-05-20

LAKEWOOD ROD & GUN CLUB INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	711210
Sponsor’s telephone number	7167633955
Plan sponsor’s address	433 E TERRACE AVE, LAKEWOOD, NY, 147501599

Signature of

Role	Plan administrator
Date	2015-05-20
Name of individual signing	GAYLE EKLUND

DOS Process Agent

Name	Role	Address
LAKEWOOD ROD & GUN CLUB, INC.	DOS Process Agent	433 E. TERRACE AVE., LAKEWOOD, NY, United States, 14750

Licenses

Number	Type	Date	Last renew date	End date	Address	Description
0349-22-317636	Alcohol sale	2022-09-22	2022-09-22	2024-09-30	433 E TERRACE AVE, LAKEWOOD, New York, 14750	Club

Filings

Filing Number	Date Filed	Type	Effective Date
A858070-2	1982-04-09	ASSUMED NAME CORP INITIAL FILING	1982-04-09
911138-3	1971-05-28	CERTIFICATE OF AMENDMENT	1971-05-28
27EX-269	1951-11-08	CERTIFICATE OF AMENDMENT	1951-11-08
369Q-21	1936-05-18	CERTIFICATE OF INCORPORATION	1936-05-18

Inspections

Date	Inspection Object	Address	Grade	Type	Institution	Desctiption
2023-12-19	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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)
2022-12-29	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11D - Non food contact surfaces of equipment not clean
2021-12-29	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8A - Food not protected during storage, preparation, display, transportation and service, from potential sources of contamination (e.g., food uncovered, mislabeled, stored on floor, missing or inadequate sneeze guards, food containers double stacked)
2020-11-04	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2019-12-19	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2018-12-28	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8E - Accurate thermometers not available or used to evaluate refrigerated or heated storage temperatures
2017-12-13	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2017-10-25	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8A - Food not protected during storage, preparation, display, transportation and service, from potential sources of contamination (e.g., food uncovered, mislabeled, stored on floor, missing or inadequate sneeze guards, food containers double stacked)
2016-12-02	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	9C - Hair is improperly restrained
2015-12-30	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2015-09-11	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11B - Wiping cloths dirty, not stored properly in sanitizing solutions
2014-12-12	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2014-01-17	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2013-07-02	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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)
2012-10-26	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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)
2012-05-09	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2011-12-28	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2011-12-16	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8A - Food not protected during storage, preparation, display, transportation and service, from potential sources of contamination (e.g., food uncovered, mislabeled, stored on floor, missing or inadequate sneeze guards, food containers double stacked)
2010-02-25	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	5A - Potentially hazardous foods are not kept at or below 45°F during cold holding, except smoked fish not kept at or below 38°F during cold holding.
2010-01-29	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11D - Non food contact surfaces of equipment not clean
2009-02-05	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	5B - Potentially hazardous foods are not cooled by an approved method where the food temperature can be reduced from 120oF to 70oF or less within two hours and 70oF to 45oF within four hours.
2008-11-07	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2008-10-31	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2008-10-24	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2008-10-10	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11D - Non food contact surfaces of equipment not clean
2008-06-03	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2007-12-20	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2006-12-21	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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
2005-11-23	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2005-11-18	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2005-01-27	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2004-12-22	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2004-01-08	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2003-12-05	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2003-08-13	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2002-12-20	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2002-01-25	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2001-07-17	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2000-11-02	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1998-07-07	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1998-06-17	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1998-04-30	No data	433 EAST TERRACE AVENUE, LAKEWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1998-03-25	No data	433 EAST TERRACE AVENUE, LAKEWOOD	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

LAKEWOOD ROD & GUN CLUB, INC.

Company Details

form 5500

DOS Process Agent

Licenses

Filings

Inspections

Related by officers

Related by address