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  5. ASHVILLE GENERAL STORE, INC.

ASHVILLE GENERAL STORE, INC.

Company Details

Name: ASHVILLE GENERAL STORE, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 27 Mar 1991 (34 years ago)
Entity Number: 1519150
ZIP code: 14710
County: Chautauqua
Place of Formation: New York
Address: 4828 Route 474, ASHVILLE, NY, United States, 14710

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BENEFIT PROVIDERS, LLC MULTIPLE EMPLOYER RETIREMENT PLAN 2022 161392455 2023-10-05 ASHVILLE GENERAL STORE, INC. 15
File View Page
Three-digit plan number (PN) 333
Effective date of plan 2018-08-01
Business code 445120
Sponsor’s telephone number 7167630566
Plan sponsor’s address P O BOX 199, ASHVILLE, NY, 14710

Plan administrator’s name and address
Administrator’s EIN 522010356
Plan administrator’s name BENEFIT PROVIDERS, LLC
Plan administrator’s address 205 S WHITING STREET, SUITE 311, ALEXANDRIA, VA, 22304
Administrator’s telephone number 7033702226

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing JACKIE FRANCIS
BENEFIT PROVIDERS, LLC MULTIPLE EMPLOYER RETIREMENT PLAN 2021 161392455 2022-07-27 ASHVILLE GENERAL STORE, INC. 16
File View Page
Three-digit plan number (PN) 333
Effective date of plan 2018-08-01
Business code 445120
Sponsor’s telephone number 7167630566
Plan sponsor’s address P O BOX 199, ASHVILLE, NY, 14710

Plan administrator’s name and address
Administrator’s EIN 522010356
Plan administrator’s name BENEFIT PROVIDERS, LLC
Plan administrator’s address 205 S WHITING STREET, SUITE 311, ALEXANDRIA, VA, 22304
Administrator’s telephone number 7033702226

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing JACKIE FRANCIS
BENEFIT PROVIDERS, LLC MULTIPLE EMPLOYER RETIREMENT PLAN 2020 161392455 2021-09-23 ASHVILLE GENERAL STORE, INC. 12
File View Page
Three-digit plan number (PN) 333
Effective date of plan 2018-08-01
Business code 445120
Sponsor’s telephone number 7167630566
Plan sponsor’s address P O BOX 199, ASHVILLE, NY, 14710

Plan administrator’s name and address
Administrator’s EIN 522010356
Plan administrator’s name BENEFIT PROVIDERS, LLC
Plan administrator’s address 205 S WHITING STREET, SUITE 311, ALEXANDRIA, VA, 22304
Administrator’s telephone number 7033702226

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing JACKIE FRANCIS
BENEFIT PROVIDERS, LLC MULTIPLE EMPLOYER RETIREMENT PLAN - ASHVILLE GENERAL STORE 2019 161392455 2020-09-18 ASHVILLE GENERAL STORE 9
File View Page
Three-digit plan number (PN) 333
Effective date of plan 2018-08-01
Business code 445120
Sponsor’s telephone number 7167630566
Plan sponsor’s address PO BOX 199, ASHVILLE, NY, 147100199

Plan administrator’s name and address
Administrator’s EIN 522010356
Plan administrator’s name BENEFIT PROVIDERS LLC
Plan administrator’s address 205 S WHITING ST STE 311, ALEXANDRIA, VA, 223043632
Administrator’s telephone number 7033702226

Signature of
Role Plan administrator
Date 2020-09-18
Name of individual signing JACKIE FRANCIS
Role Employer/plan sponsor
Date 2020-09-18
Name of individual signing JACKIE FRANCIS
BENEFIT PROVIDERS, LLC MULTIPLE EMPLOYER RETIREMENT PLAN - ASHVILLE GENERAL STORE 2018 161392455 2019-09-05 ASHVILLE GENERAL STORE 0
File View Page
Three-digit plan number (PN) 333
Effective date of plan 2018-08-01
Business code 445120
Sponsor’s telephone number 7167630566
Plan sponsor’s address PO BOX 199, ASHVILLE, NY, 147100199

Plan administrator’s name and address
Administrator’s EIN 522010356
Plan administrator’s name BENEFIT PROVIDERS LLC
Plan administrator’s address 205 S WHITING ST STE 311, ALEXANDRIA, VA, 223043632
Administrator’s telephone number 7033702226

Signature of
Role Plan administrator
Date 2019-09-05
Name of individual signing JACKIE FRANCIS
Role Employer/plan sponsor
Date 2019-09-05
Name of individual signing JACKIE FRANCIS
ASHVILLE GENERAL STORE 401K PROFIT SHARING PLAN TRUST 2018 161392455 2019-09-05 ASHVILLE GENERAL STORE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 445120
Sponsor’s telephone number 7167630566
Plan sponsor’s address PO BOX 199, ASHVILLE, NY, 147100199

Signature of
Role Plan administrator
Date 2019-09-05
Name of individual signing JACKIE FRANCIS
Role Employer/plan sponsor
Date 2019-09-05
Name of individual signing JACKIE FRANCIS
ASHVILLE GENERAL STORE 401 K PROFIT SHARING PLAN TRUST 2017 161392455 2018-06-26 ASHVILLE GENERAL STORE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 445120
Sponsor’s telephone number 7167630566
Plan sponsor’s address PO BOX 199, ASHVILLE, NY, 14710

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing EDWARD ROJAS

Chief Executive Officer

Name Role Address
JACKIE FRANCIS Chief Executive Officer 4828 ROUTE 474, ASHVILLE, NY, United States, 14710

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 4828 Route 474, ASHVILLE, NY, United States, 14710

Licenses

Number Type Date Last renew date End date Address Description
065531 Retail grocery store No data No data No data 4844 HWY 474, ASHVILLE, NY, 14710 No data
0081-21-310135 Alcohol sale 2024-04-16 2024-04-16 2027-04-30 15 E MAIN ST, ASHVILLE, New York, 14710 Grocery Store

History

Start date End date Type Value
2025-03-06 2025-03-06 Address 4828 ROUTE 474, ASHVILLE, NY, 14710, USA (Type of address: Chief Executive Officer)
2025-03-06 2025-03-06 Address 15 E MAIN ST / PO BOX 199, ASHVILLE, NY, 14710, USA (Type of address: Chief Executive Officer)
2023-05-16 2023-05-16 Address 15 E MAIN ST / PO BOX 199, ASHVILLE, NY, 14710, USA (Type of address: Chief Executive Officer)
2023-05-16 2025-03-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-16 2025-03-06 Address 4828 ROUTE 474, ASHVILLE, NY, 14710, USA (Type of address: Chief Executive Officer)
2023-05-16 2025-03-06 Address 4828 Route 474, ASHVILLE, NY, 14710, USA (Type of address: Service of Process)
2023-05-16 2023-05-16 Address 4828 ROUTE 474, ASHVILLE, NY, 14710, USA (Type of address: Chief Executive Officer)
2007-03-14 2023-05-16 Address 15 E MAIN ST, PO BOX 199, ASHVILLE, NY, 14710, USA (Type of address: Service of Process)
2003-03-12 2023-05-16 Address 15 E MAIN ST / PO BOX 199, ASHVILLE, NY, 14710, USA (Type of address: Chief Executive Officer)
2001-03-22 2007-03-14 Address 4901 STONELEDGE RD, ASHVILLE, NY, 14710, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
250306002030 2025-03-06 BIENNIAL STATEMENT 2025-03-06
230516003272 2023-05-16 BIENNIAL STATEMENT 2023-03-01
110324002762 2011-03-24 BIENNIAL STATEMENT 2011-03-01
090512002420 2009-05-12 BIENNIAL STATEMENT 2009-03-01
070314002791 2007-03-14 BIENNIAL STATEMENT 2007-03-01
050425002332 2005-04-25 BIENNIAL STATEMENT 2005-03-01
030312002001 2003-03-12 BIENNIAL STATEMENT 2003-03-01
010322002162 2001-03-22 BIENNIAL STATEMENT 2001-03-01
990422002127 1999-04-22 BIENNIAL STATEMENT 1999-03-01
970304002280 1997-03-04 BIENNIAL STATEMENT 1997-03-01

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2024-04-25 ASHVILLE GENERAL STORE 4844 HWY 474, ASHVILLE, Chautauqua, NY, 14710 A Food Inspection Department of Agriculture and Markets No data
2023-02-14 ASHVILLE GENERAL STORE 4844 HWY 474, ASHVILLE, Chautauqua, NY, 14710 A Food Inspection Department of Agriculture and Markets No data
2022-02-09 ASHVILLE GENERAL STORE 4844 HWY 474, ASHVILLE, Chautauqua, NY, 14710 A Food Inspection Department of Agriculture and Markets No data

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5118947406 2020-05-11 0296 PPP 4844 Route 474 15 E Main Street, ASHVILLE, NY, 14710
Loan Status Date 2021-04-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 70000
Loan Approval Amount (current) 70000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50167
Servicing Lender Name Five Star Bank
Servicing Lender Address 55 N Main St, WARSAW, NY, 14569-1325
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ASHVILLE, CHAUTAUQUA, NY, 14710-0001
Project Congressional District NY-23
Number of Employees 19
NAICS code 452319
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 50167
Originating Lender Name Five Star Bank
Originating Lender Address WARSAW, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 70536.67
Forgiveness Paid Date 2021-03-09

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 15 Mar 2025

Sources: New York Secretary of State

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