FOREST LAKE SUMMER CAMP, INC.

Company Details

Name:	FOREST LAKE SUMMER CAMP, INC.
Jurisdiction:	New York
Legal type:	FOREIGN BUSINESS CORPORATION
Status:	Active
Date of registration:	28 May 2019 (5 years ago) (Companies founded in May 2019)
Entity Number:	5560074
ZIP code:	12817 (Companies in Warren, 12817)
County:	Warren
Place of Formation:	Delaware
Address:	261 FOREST LAKE ROAD, CHESTERTOWN, NY, United States, 12817

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

FOREST LAKE CAMP 401K PLAN

2023

263567404

2024-06-01

FOREST LAKE SUMMER CAMP INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-02-01
Business code	721210
Sponsor’s telephone number	5187448592
Plan sponsor’s address	261 FOREST LAKE ROAD, CHESTERTOWN, NY, 12817

Signature of

Role	Plan administrator
Date	2024-06-01
Name of individual signing	BRENDA POWELL

FOREST LAKE CAMP 401K PLAN

2022

263567404

2023-05-30

FOREST LAKE SUMMER CAMP INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-02-01
Business code	721210
Sponsor’s telephone number	6174589991
Plan sponsor’s address	261 FOREST LAKE ROAD, CHESTERTOWN, NY, 12817

Signature of

Role	Plan administrator
Date	2023-05-30
Name of individual signing	BRENDA POWELL

FOREST LAKE CAMP 401K PLAN

2021

263567404

2022-05-25

FOREST LAKE SUMMER CAMP INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-02-01
Business code	721210
Sponsor’s telephone number	5186234771
Plan sponsor’s address	261 FOREST LAKE ROAD, CHESTERTOWN, NY, 12817

Signature of

Role	Plan administrator
Date	2022-05-25
Name of individual signing	BRENDA POWELL

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	261 FOREST LAKE ROAD, CHESTERTOWN, NY, United States, 12817

Filings

Filing Number	Date Filed	Type	Effective Date
190528001046	2019-05-28	APPLICATION OF AUTHORITY	2019-05-28

Inspections

Date	Inspection Object	Address	Grade	Type	Institution	Desctiption
2024-07-29	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2023-07-25	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11B - Wiping cloths dirty, not stored properly in sanitizing solutions
2022-07-27	No data	261 FOREST LAKE ROAD, WARRENSBURG	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
2021-07-20	No data	261 FOREST LAKE ROAD, WARRENSBURG	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)
2019-07-30	No data	261 FOREST LAKE ROAD, WARRENSBURG	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)
2018-07-19	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2017-07-10	No data	261 FOREST LAKE ROAD, WARRENSBURG	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	5E - Enough refrigerated storage equipment is not present, properly designed, maintained or operated so that all potentially hazardous foods are cooled properly and stored below 45°F as required.
2016-07-06	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	13B - Garbage storage areas not properly constructed or maintained, creating a nuisance
2015-07-14	No data	261 FOREST LAKE ROAD, WARRENSBURG	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)
2014-08-14	No data	261 FOREST LAKE ROAD, WARRENSBURG	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
2013-08-12	No data	261 FOREST LAKE ROAD, WARRENSBURG	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
2012-08-09	No data	261 FOREST LAKE ROAD, WARRENSBURG	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)
2011-08-11	No data	261 FOREST LAKE ROAD, WARRENSBURG	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)
2010-08-06	No data	261 FOREST LAKE ROAD, WARRENSBURG	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)
2009-07-28	No data	261 FOREST LAKE ROAD, WARRENSBURG	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
2008-08-12	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	13B - Garbage storage areas not properly constructed or maintained, creating a nuisance
2007-07-27	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8C - Improper use and storage of clean, sanitized equipment and utensils
2006-08-08	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2005-07-19	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2004-08-06	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2003-08-14	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2002-07-26	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2001-08-08	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2000-07-18	No data	261 FOREST LAKE ROAD, WARRENSBURG	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data

Date of last update: 22 Nov 2024

Sources: New York Secretary of State

FOREST LAKE SUMMER CAMP, INC.

Company Details

form 5500

DOS Process Agent

Filings

Inspections

Related by officers

Related by address