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CAFE SPICE, LLC

Company Details

Name: CAFE SPICE, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Apr 2021 (4 years ago)
Entity Number: 5991306
ZIP code: 12553
County: Orange
Place of Formation: New York
Address: 677 LITTLE BRITAIN ROAD, NEW WINDSOR, NY, United States, 12553

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAFE SPICE 401(K) PLAN 2022 201368687 2023-09-22 CAFE SPICE 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 311400
Sponsor’s telephone number 8458630910
Plan sponsor’s address 677 LITTLE BRITAIN RD, NEW WINDSOR, NY, 12553

Signature of

Role Plan administrator
Date 2023-09-22
Name of individual signing DENISE GOMEZ
CAFE SPICE MEDOVA LIFESTYLE HEALTH PLAN 2022 134131495 2023-10-05 CAFE SPICE 0
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-05-01
Business code 311900
Sponsor’s telephone number 8458630910
Plan sponsor’s address 677 LITTLE BRITAIN RD, NEW WINDSOR, NY, 125536152

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2023-10-05
Name of individual signing ROBERT MOORE
CAFE SPICE 401(K) PLAN 2022 201368687 2023-09-15 CAFE SPICE 50
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 311400
Sponsor’s telephone number 8458630910
Plan sponsor’s address 677 LITTLE BRITAIN RD, NEW WINDSOR, NY, 12553

Signature of

Role Plan administrator
Date 2023-09-15
Name of individual signing DENISE GOMEZ
CAFE SPICE MEDOVA LIFESTYLE HEALTH PLAN 2021 134131495 2023-02-15 CAFE SPICE 36
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-05-01
Business code 311900
Sponsor’s telephone number 8458630910
Plan sponsor’s address 677 LITTLE BRITAIN RD, NEW WINDSOR, NY, 125536152

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2023-02-15
Name of individual signing ROBERT MOORE
CAFE SPICE MEDOVA LIFESTYLE HEALTH PLAN 2020 134131495 2022-02-09 CAFE SPICE 36
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-05-01
Business code 311900
Sponsor’s telephone number 8458630910
Plan sponsor’s address 677 LITTLE BRITAIN RD, NEW WINDSOR, NY, 125536152

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2022-01-26
Name of individual signing ROBERT MOORE
CAFE SPICE 401(K) PLAN 2018 201368687 2019-10-14 CAFE SPICE 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 311400
Sponsor’s telephone number 8458630910
Plan sponsor’s address 677 LITTLE BRITAIN RD, NEW WINDSOR, NY, 12553

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing DENISE GOMEZ
CAFE SPICE 401(K) PLAN 2017 201368687 2018-11-28 CAFE SPICE 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 311400
Sponsor’s telephone number 8458630910
Plan sponsor’s address 677 LITTLE BRITAIN RD, NEW WINDSOR, NY, 12553

Signature of

Role Plan administrator
Date 2018-11-28
Name of individual signing DENISE GOMEZ

DOS Process Agent

Name Role Address
CAFE SPICE, LLC DOS Process Agent 677 LITTLE BRITAIN ROAD, NEW WINDSOR, NY, United States, 12553

Licenses

Number Type Address
760461 Retail grocery store 511 FISHKILL AVE, BEACON, NY, 12508

History

Start date End date Type Value
2021-04-20 2024-03-20 Address 677 LITTLE BRITAIN ROAD, NEW WINDSOR, NY, 12553, USA (Type of address: Service of Process)
2021-04-16 2021-04-20 Address 677 LITTLE BRITAIN ROAD, NEW WINDSOR, NY, 12553, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240320000881 2024-03-20 BIENNIAL STATEMENT 2024-03-20
210617000442 2021-06-17 CERTIFICATE OF PUBLICATION 2021-06-17
210420000662 2021-04-20 CERTIFICATE OF MERGER 2021-04-20
210416000442 2021-04-16 ARTICLES OF ORGANIZATION 2021-04-16

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2024-04-03 CAFE SPICE 511 FISHKILL AVE, BEACON, Dutchess, NY, 12508 A Food Inspection Department of Agriculture and Markets No data
2023-07-19 CAFE SPICE 677 LITTLE BRITAIN RD, NEW WINDSOR, Orange, NY, 12553 A Food Inspection Department of Agriculture and Markets No data
2022-11-18 CAFE SPICE 677 LITTLE BRITAIN RD, NEW WINDSOR, Orange, NY, 12553 C Food Inspection Department of Agriculture and Markets 05B - 24B Critical requirements of the Food Safety Plan for RTE Tofu Cashew Korma in MAP are not met as follows: (1) the hazard of Bacterial Growth and/or Toxin Formation due to Reduced Oxygen Packaging was not identified and is not controlled. Firm was noted to be storing and distributing product frozen, but instructing retailers to merchandise product refrigerated. Firm has not provided a process review to validate 10 day shelf life claimed in merchandising document issued to its customers. The product labels on case package and retail package have not been updated with consumer advisory statements for safety - must discard product after 10 day expiration date or keep frozen until use. - Additional critical deficiencies continued on ROI.
2022-04-19 CAFE SPICE 677 LITTLE BRITAIN RD, NEW WINDSOR, Orange, NY, 12553 C Food Inspection Department of Agriculture and Markets 10B - Establishment has insufficient space in the main processing area and the RTE food packing area to accommodate operations creating risk of contaminating food or food contact equipment. Rolling shelves with trays and tubs of WIP (ready to eat food items and uncooked ingredients) are observed congesting/obstructing aisles between cooking equipment and food prep tables.

Date of last update: 20 Nov 2024

Sources: New York Secretary of State