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NORTH HEMPSTEAD COUNTRY CLUB, INC.

Company Details

Name: NORTH HEMPSTEAD COUNTRY CLUB, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 01 Apr 1916 (109 years ago)
Entity Number: 13630
County: Nassau
Place of Formation: New York

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2023 111139660 2024-10-01 NORTH HEMPSTEAD COUNTRY CLUB 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address 291 PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2022 111139660 2023-09-22 NORTH HEMPSTEAD COUNTRY CLUB 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address 291 PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2021 111139660 2022-10-05 NORTH HEMPSTEAD COUNTRY CLUB 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address 291 PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2020 111139660 2021-10-05 NORTH HEMPSTEAD COUNTRY CLUB 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address 291 PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing JOHN CAFASSO
Role Employer/plan sponsor
Date 2021-10-05
Name of individual signing JOHN CAFASSO
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2019 111139660 2020-09-03 NORTH HEMPSTEAD COUNTRY CLUB 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address 291 PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2020-09-03
Name of individual signing STEVEN CISEK
Role Employer/plan sponsor
Date 2020-09-03
Name of individual signing STEVEN CISEK
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2018 111139660 2019-06-06 NORTH HEMPSTEAD COUNTRY CLUB 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address 291 PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing JAMES WHITAKER
Role Employer/plan sponsor
Date 2019-06-06
Name of individual signing JAMES WHITAKER
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2017 111139660 2018-09-11 NORTH HEMPSTEAD COUNTRY CLUB 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address 291 PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2018-09-11
Name of individual signing JAMES WHITAKER
Role Employer/plan sponsor
Date 2018-09-11
Name of individual signing JAMES WHITAKER
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2016 111139660 2017-10-11 NORTH HEMPSTEAD COUNTRY CLUB 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address 291 PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing JAMES WHITAKER
Role Employer/plan sponsor
Date 2017-10-11
Name of individual signing JAMES WHITAKER
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2015 111139660 2016-10-17 NORTH HEMPSTEAD COUNTRY CLUB 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address 291 PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing JAMES WHITAKER
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing JAMES WHITAKER
NORTH HEMPSTEAD COUNTRY CLUB 401(K) PLAN 2014 111139660 2016-03-29 NORTH HEMPSTEAD COUNTRY CLUB 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5163657500
Plan sponsor’s address PORT WASHINGTON BOULEVARD, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2016-03-29
Name of individual signing JAMES WHITAKER
Role Employer/plan sponsor
Date 2016-03-29
Name of individual signing JAMES WHITAKER

Agent

Name Role Address
NORTH HEMPSTEAD COUNTRY CLUB, INC. Agent PORT WASHINGTON BLVD., PORT WASHINGTON, NY, 11050

Licenses

Number Type Date Last renew date End date Address Description
0349-23-125615 Alcohol sale 2024-06-21 2024-06-21 2025-02-28 291 PORT WASHINGTON BLVD, PORT WASHINGTON, New York, 11050 Club
0423-23-137704 Alcohol sale 2023-02-28 2023-02-28 2025-02-28 291 PORT WASHINGTON BLVD, PORT WASHINGTON, New York, 11050 Additional Bar

Filings

Filing Number Date Filed Type Effective Date
C206764-4 1994-02-01 ASSUMED NAME CORP INITIAL FILING 1994-02-01
A70688-3 1973-05-10 CERTIFICATE OF AMENDMENT 1973-05-10
2EX-159 1950-08-28 CERTIFICATE OF AMENDMENT 1950-08-28
148Q-71 1916-04-01 CERTIFICATE OF INCORPORATION 1916-04-01

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
342946688 0214700 2018-02-08 291 PORT WASHINGTON BLVD., PORT WASHINGTON, NY, 11050
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2018-02-08
Case Closed 2018-05-23

Related Activity
Type Complaint
Activity Nr 1309781
Health Yes
Type Inspection
Activity Nr 1294999
Health Yes
Type Inspection
Activity Nr 1294787
Health Yes

Violation Items
Citation ID 01001A
Citaton Type Serious
Standard Cited 19261101 K02 I
Issuance Date 2018-04-26
Abatement Due Date 2018-05-22
Current Penalty 1662.75
Initial Penalty 2217.0
Final Order 2018-05-21
Nr Instances 1
Nr Exposed 4
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1926.1101(k)(2)(i): Before work subject to this standard is begun, building and facility owners did not determine the presence, location, and quantity of ACM and/or PACM at the work site pursuant to paragraph (k)(1) of this section. a) At the worksite; 291 Port Washington Blvd., Port Washington, NY; the employer did not determine the presence, location, and quantity of ACM and/or PACM for employees with the job title of laborer; on or about 2/8/18. Note: The employer is required to submit abatement certification for this item in accordance with 29 CFR 1903.19.
Citation ID 01001B
Citaton Type Serious
Standard Cited 19261101 O01
Issuance Date 2018-04-26
Abatement Due Date 2018-05-22
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2018-05-21
Nr Instances 1
Nr Exposed 4
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1926.1101(o)(1): General. On all construction worksites covered by this standard, the employer did not designate a competent person, having the qualifications and authorities for ensuring worker safety and health required by Subpart C, General Safety and Health Provisions for Construction (29 CFR 1926.20 through 1926.32). a) At the worksite; 291 Port Washington Blvd., Port Washington, NY; the employer did not designate a competent person for ensuring frequent and regular inspections of the job site; on or about 2/8/18. Note: The employer is required to submit abatement certification for this item in accordance with 29 CFR 1903.19.

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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