| Name: | WORMUTH DAIRY & REFRIGERATION, LLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 19 Feb 1997 (28 years ago) |
| Entity Number: | 2114208 |
| ZIP code: | 13408 |
| County: | Madison |
| Place of Formation: | New York |
| Address: | BOX 332, 3859 SWAMP ROAD, MORRISVILLE, NY, United States, 13408 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WORMUTH DAIRY & REFRIGERATION 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 161528005 | 2024-05-30 | WORMUTH DAIRY & REFRIGERATION | 13 | |||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-05-30 |
| Name of individual signing | DAVID WORMUTH |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 333100 |
| Sponsor’s telephone number | 3156849152 |
| Plan sponsor’s address | 3859 SWAMP RD, MORRISVILLE, NY, 13408 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-12 |
| Name of individual signing | EDWARD ROJAS |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 333100 |
| Sponsor’s telephone number | 3156849152 |
| Plan sponsor’s address | 3859 SWAMP RD, MORRISVILLE, NY, 13408 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-10 |
| Name of individual signing | EDWARD ROJAS |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 333100 |
| Sponsor’s telephone number | 3156849152 |
| Plan sponsor’s address | 3859 SWAMP RD, MORRISVILLE, NY, 13408 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-01 |
| Name of individual signing | EDWARD ROJAS |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 333100 |
| Sponsor’s telephone number | 3156849152 |
| Plan sponsor’s address | 3859 SWAMP RD, MORRISVILLE, NY, 13408 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-30 |
| Name of individual signing | EDWARD ROJAS |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1969-12-01 |
| Business code | 424910 |
| Sponsor’s telephone number | 3156849152 |
| Plan sponsor’s mailing address | P. O. BOX 332, MORRISVILLE, NY, 13408 |
| Plan sponsor’s address | P. O. BOX 332, MORRISVILLE, NY, 13408 |
Plan administrator’s name and address
| Administrator’s EIN | 161528005 |
| Plan administrator’s name | WORMUTH DAIRY & REFRIGERATION, LLC |
| Plan administrator’s address | P. O. BOX 332, MORRISVILLE, NY, 13408 |
| Administrator’s telephone number | 3156849152 |
Number of participants as of the end of the plan year
| Active participants | 9 |
| 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 | 11 |
| 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 | 2011-07-07 |
| Name of individual signing | CAROL ROGERS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| THE LLC | DOS Process Agent | BOX 332, 3859 SWAMP ROAD, MORRISVILLE, NY, United States, 13408 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1997-02-19 | 2003-02-05 | Address | BOX 332, GULF ROAD, MORRISVILLE, NY, 13408, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 210401061338 | 2021-04-01 | BIENNIAL STATEMENT | 2021-02-01 |
| 190124060234 | 2019-01-24 | BIENNIAL STATEMENT | 2017-02-01 |
| 130301002474 | 2013-03-01 | BIENNIAL STATEMENT | 2013-02-01 |
| 110211002620 | 2011-02-11 | BIENNIAL STATEMENT | 2011-02-01 |
| 090120002639 | 2009-01-20 | BIENNIAL STATEMENT | 2009-02-01 |
| 070131002403 | 2007-01-31 | BIENNIAL STATEMENT | 2007-02-01 |
| 050208002351 | 2005-02-08 | BIENNIAL STATEMENT | 2005-02-01 |
| 030205002036 | 2003-02-05 | BIENNIAL STATEMENT | 2003-02-01 |
| 010130002169 | 2001-01-30 | BIENNIAL STATEMENT | 2001-02-01 |
| 990217002074 | 1999-02-17 | BIENNIAL STATEMENT | 1999-02-01 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 346302078 | 0215800 | 2022-10-24 | 3859 SWAMP ROAD, MORRISVILLE, NY, 13408 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Complaint |
| Activity Nr | 1939300 |
| Safety | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100101 B |
| Issuance Date | 2023-03-10 |
| Abatement Due Date | 2023-04-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 2678.0 |
| Final Order | 2023-04-05 |
| Nr Instances | 1 |
| Nr Exposed | 11 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.101(b):29 CFR 1910.101(b): Section 3.4.4, Compressed Gas Association Pamphlet P11965, as adopted by 29 CFR 1910.101(b): Compressed gas cylinder(s) not in use were not properly supported to prevent them from being knocked over. a) 3859 Swamp Road, Morrisville, NY 13408: On or about 10/24/2022, the employer did not store refrigerant cylinder in a supported manner to prevent them from being knocked over. |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19100132 D01 |
| Issuance Date | 2023-03-10 |
| Abatement Due Date | 2023-04-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2023-04-05 |
| Nr Instances | 11 |
| Nr Exposed | 11 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.132(d)(1): 29 CFR 1910.132(d)(1): The employer did not assess the workplace to determine if hazards were present, or were likely to be present, which necessitated the use of personal protective equipment (PPE). If such hazards were present, or likely to be present, the employer did not: (i) Select, and have each affected employee use, the types of PPE that would protect the affected employee from the hazards identified in the hazard assessment; (ii) Communicate selection decisions to each affected employee; and (iii) Select PPE that properly fit each affected employee: a) 3859 Swamp Road Morrisville NY 13408: On or about 10/24/2022, the employer did not assess the workplace and/or did not select, communicate selection, and properly fit each affected employee with personal protective equipment. |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19100132 D02 |
| Issuance Date | 2023-03-10 |
| Abatement Due Date | 2023-04-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2023-04-05 |
| Nr Instances | 11 |
| Nr Exposed | 11 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.132(d)(2): The employer did not verify that the required work-place hazard assessment (for personal protective equipment) had been performed through a written certification that identified the workplace evaluated; the person certifying that the evaluation was performed; the date(s) of the hazard assessment; and, which identified the document as a certification of hazard assessment: a) 3859 Swamp Road Morrisville NY 13408: On or about 10/24/2022, the employer did not perform a written workplace hazard assessment for personal protective equipment for any of the job tasks. |
| Citation ID | 01003 |
| Citaton Type | Serious |
| Standard Cited | 19100215 A02 |
| Issuance Date | 2023-03-10 |
| Abatement Due Date | 2023-04-05 |
| Current Penalty | 2143.2 |
| Initial Penalty | 3572.0 |
| Final Order | 2023-04-05 |
| Nr Instances | 1 |
| Nr Exposed | 14 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.215(a)(2):Abrasive wheel(s) used on grinding machinery were not provided with safety guard(s) which covered the spindle end, nut, flange projections: (a) 3859 Swamp Road, Morrisville, NY 13408: On or about 10/24/2022, employer permitted employees operate a benchtop grinder, to grind and sharpen tools, that did not have side guards installed over the side flanges and wheels to prevent contact. |
| Citation ID | 01004A |
| Citaton Type | Serious |
| Standard Cited | 19101200 E01 |
| Issuance Date | 2023-03-10 |
| Abatement Due Date | 2023-04-05 |
| Current Penalty | 1606.8 |
| Initial Penalty | 2678.0 |
| Final Order | 2023-04-05 |
| Nr Instances | 11 |
| Nr Exposed | 11 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(e)(1):The employer did not develop, implement, and/or maintain at the workplace a written hazard communication program which described how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) would be met: a) 3859 Swamp Road, Morrisville, NY 13408: On or about 10/24/2022 employer did not develop or implement a written hazard communication program in accordance with 29 CFR 1910.1200(e)(1) that would describe or include at least the following: 1) Requirement for labeling and other forms of warning; 2) Safety data sheet availability; 3) Employee information and training; 4) A list of hazardous chemicals known to be present in the workplace; 5) Methods to inform employees of the hazards on non-routine tasks; and 6) Methods to provide other employer(s) access to safety data sheet; information on any precautionary measures and the labeling system used in the workplace. |
| Citation ID | 01004B |
| Citaton Type | Serious |
| Standard Cited | 19101200 H01 |
| Issuance Date | 2023-03-10 |
| Abatement Due Date | 2023-04-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2023-04-05 |
| Nr Instances | 11 |
| Nr Exposed | 11 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(h)(1):Employers did not provide employees with effective information and training on hazardous chemicals in their work area at the time of their initial assignment, and whenever a new chemical hazard the employees have not previously been trained about is introduced into their work area. Information and training may be designed to cover categories of hazards (e.g., flammability, carcinogenicity) or specific chemicals. Chemical-specific information must always be available through labels and safety data sheets. a) 3859 Swamp Road Morrisville, NY 13408: On or about 10/24/2022 the employer did not provide training to employees with effective information regarding potential chemicals hazards in their work areas. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3605987100 | 2020-04-11 | 0248 | PPP | 3859 Swamp Road, MORRISVILLE, NY, 13408-9605 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1125323 | Intrastate Hazmat | 2024-01-29 | 20000 | 2022 | 2 | 1 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Date of last update: 01 Apr 2025
Sources: New York Secretary of State
