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  5. H.P. NORTH FORK STORES, INC.

H.P. NORTH FORK STORES, INC.

Company Details

Name: H.P. NORTH FORK STORES, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 03 Feb 1992 (33 years ago)
Entity Number: 1608078
ZIP code: 11952
County: Suffolk
Place of Formation: New York
Address: 12250 MAIN ROAD, MATTITUCK, NY, United States, 11952

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
H.P. NORTH FORK STORES, INC. PROFIT SHARING PLAN 2020 113096295 2021-03-11 H.P. NORTH FORK STORES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Sponsor’s telephone number 6312983275
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s address 4330 WESTPHALIA RD, MATTITUCK, NY, 119522517

Signature of
Role Plan administrator
Date 2021-03-11
Name of individual signing WALTER PETERSON
Role Employer/plan sponsor
Date 2021-03-11
Name of individual signing WALTER PETERSON
H.P. NORTH FORK STORES, INC. PROFIT SHARING PLAN 2019 113096295 2020-02-19 H.P. NORTH FORK STORES, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Sponsor’s telephone number 6312983275
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s address 4330 WESTPHALIA RD, MATTITUCK, NY, 119522517

Signature of
Role Plan administrator
Date 2020-02-19
Name of individual signing WALTER PETERSON
Role Employer/plan sponsor
Date 2020-02-19
Name of individual signing WALTER PETERSON
H. P. NORTH FORK STORES, INC. PROFIT SHARING PLAN 2018 113096295 2019-09-16 H. P. NORTH FORK STORES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Sponsor’s telephone number 6312983275
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s address 4330 WESTPHALIA RD, MATTITUCK, NY, 119522517

Signature of
Role Plan administrator
Date 2019-09-16
Name of individual signing WALTER PETERSON
Role Employer/plan sponsor
Date 2019-09-16
Name of individual signing WALTER PETERSON
H.P. NORTH FORK STORES, INC. PROFIT SHARING PLAN 2017 113096295 2019-11-26 H. P. NORTH FORK STORES, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Sponsor’s telephone number 6312983275
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s address 4330 WESTPHALIA RD, MATTITUCK, NY, 119522517

Signature of
Role Plan administrator
Date 2019-11-26
Name of individual signing WALTER PETERSON
H. P. NORTH FORK STORES, INC. PROFIT SHARING PLAN 2015 113096295 2016-09-14 H. P. NORTH FORK STORES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Sponsor’s telephone number 6312983275
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s address 4330 WESTPHALIA RD, MATTITUCK, NY, 119522517

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing WALTER PETERSON
Role Employer/plan sponsor
Date 2016-09-14
Name of individual signing WALTER PETERSON
H. P. NORTH FORK STORRES, INC. PROFIT SHARING PLAN 2014 113096295 2015-09-14 H. P. NORTH FORK STORES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Sponsor’s telephone number 6312983275
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s address 4330 WESTPHALIA ROAD, MATTITUCK, NY, 11952

Signature of
Role Plan administrator
Date 2015-09-14
Name of individual signing WALTER PETERSON
Role Employer/plan sponsor
Date 2015-09-14
Name of individual signing WALTER PETERSON
H. P. NORTH FORK STORES, INC. PROFIT SHARING PLAN 2013 113096295 2014-09-02 H. P. NORTH FORK STORES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Sponsor’s telephone number 6312983275
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s address 4330 WESTPHALIA ROAD, MATTITUCK, NY, 11952

Signature of
Role Plan administrator
Date 2014-09-02
Name of individual signing WALTER PETERSON
Role Employer/plan sponsor
Date 2014-09-02
Name of individual signing WALTER PETERSON
H. P. NORTH FORK STORES, INC. PROFIT SHARING PLAN 2012 113096295 2013-09-09 H. P. NORTH FORK STORES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s mailing address 4330 WESTPHALIA ROAD, MATTITUCK, NY, 11952
Plan sponsor’s address 12250 ROUTE 25, MATTITUCK, NY, 11952

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-09-09
Name of individual signing WALTER PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-09
Name of individual signing WALTER PETERSON
Valid signature Filed with authorized/valid electronic signature
H. P. NORTH FORK STORES, INC. PROFIT SHARING PLAN 2011 113096295 2012-09-10 H. P. NORTH FORK STORES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s mailing address 4330 WESTPHALIA ROAD, MATTITUCK, NY, 11952
Plan sponsor’s address 12250 ROUTE 25, MATTITUCK, NY, 11952

Plan administrator’s name and address
Administrator’s EIN 113096295
Plan administrator’s name H. P. NORTH FORK STORES, INC.
Plan administrator’s address 4330 WESTPHALIA ROAD, MATTITUCK, NY, 11952

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-09-10
Name of individual signing WALTER PETERSON
Valid signature Filed with authorized/valid electronic signature
H. P. NORTH FORK STORES, INC. PROFIT SHARING PLAN 2010 113096295 2012-01-29 H. P. NORTH FORK STORES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-31
Business code 445110
Sponsor’s telephone number 6312983275
Plan sponsor’s DBA name HANDY PANTRY 10
Plan sponsor’s mailing address 4330 WESTPHALIA ROAD, MATTITUCK, NY, 11952
Plan sponsor’s address 12250 ROUTE 25, MATTITUCK, NY, 11952

Plan administrator’s name and address
Administrator’s EIN 113096295
Plan administrator’s name H. P. NORTH FORK STORES, INC.
Plan administrator’s address 4330 WESTPHALIA ROAD, MATTITUCK, NY, 11952
Administrator’s telephone number 6312983275

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-01-29
Name of individual signing WALTER PETERSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
WALTER K PETERSON Chief Executive Officer 12250 MAIN ROAD, MATTITUCK, NY, United States, 11952

DOS Process Agent

Name Role Address
WALTER KEITH PETERSON DOS Process Agent 12250 MAIN ROAD, MATTITUCK, NY, United States, 11952

Licenses

Number Type Date Last renew date End date Address Description
470175 Retail grocery store No data No data No data 12250 RT 25, MATTITUCK, NY, 11952 No data
0071-22-107967 Alcohol sale 2022-04-07 2022-04-07 2025-04-30 12250 RTE 25, MATTITUCK, New York, 11952 Grocery Store

History

Start date End date Type Value
2014-03-11 2016-09-14 Address 12250 ROUTE 25, MATTITUCK, NY, 11952, USA (Type of address: Chief Executive Officer)
1998-02-09 2016-09-14 Address 12250 ROUTE 25, MATTITUCK, NY, 11952, USA (Type of address: Service of Process)
1993-05-13 2014-03-11 Address 12250 ROUTE 25, MATTITUCK, NY, 11952, USA (Type of address: Chief Executive Officer)
1993-05-13 2016-09-14 Address 12250 ROUTE 25, MATTITUCK, NY, 11952, USA (Type of address: Principal Executive Office)
1992-02-03 1998-02-09 Address 101 NORTH WELLWOOD AVENUE, LINDENHURST, NY, 11757, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
181203007293 2018-12-03 BIENNIAL STATEMENT 2018-02-01
160914006101 2016-09-14 BIENNIAL STATEMENT 2016-02-01
140311006549 2014-03-11 BIENNIAL STATEMENT 2014-02-01
120409002255 2012-04-09 BIENNIAL STATEMENT 2012-02-01
100304002597 2010-03-04 BIENNIAL STATEMENT 2010-02-01
080213002489 2008-02-13 BIENNIAL STATEMENT 2008-02-01
060303002147 2006-03-03 BIENNIAL STATEMENT 2006-02-01
040206002414 2004-02-06 BIENNIAL STATEMENT 2004-02-01
020318002050 2002-03-18 BIENNIAL STATEMENT 2002-02-01
000316002538 2000-03-16 BIENNIAL STATEMENT 2000-02-01

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2023-06-30 HANDY PANTRY 10 12250 RT 25, MATTITUCK, Suffolk, NY, 11952 A Food Inspection Department of Agriculture and Markets No data

Related by officers

WALTER K PETERSON

W. PETERSON ASSOCIATES, INC. SAFE AT HOME LONG ISLAND, LTD. H P CORAM, INC.

Related by address

No related companies by address

Date of last update: 05 Jan 2025

Sources: New York Secretary of State

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