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  5. CROGHAN CONVENIENCE, LLC

CROGHAN CONVENIENCE, LLC

Company Details

Name: CROGHAN CONVENIENCE, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Dec 1998 (26 years ago)
Entity Number: 2324532
ZIP code: 13327
County: Lewis
Place of Formation: New York
Address: MAIN STREET AND SHADY AVE, CROGHAN, NY, United States, 13327

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROGHAN CONVENIENCE, LLC PROFIT SHARING PLAN 2014 161568249 2015-03-10 CROGHAN CONVENIENCE, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 445120
Sponsor’s telephone number 3153466927
Plan sponsor’s address PO BOX 1, MAIN STREET, CROGHAN, NY, 13327

Signature of
Role Plan administrator
Date 2015-03-10
Name of individual signing DAVID DAILY
CROGHEN CONVENIENCE, LLC PR0FIT SHARING PLAN 2013 161568249 2014-08-22 CROGHAN CONVENIENCE, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 445120
Sponsor’s telephone number 3154666927
Plan sponsor’s address P O BOX 1, MAIN STREET, CROGHAN, NY, 13327

Signature of
Role Plan administrator
Date 2014-08-22
Name of individual signing CHRISTINE HERZIG
CROGHEN CONVENIENCE, LLC PR0FIT SHARING PLAN 2013 161568249 2014-07-28 CROGHAN CONVENIENCE, LLC 7
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 445120
Sponsor’s telephone number 3154666927
Plan sponsor’s address P O BOX 1, MAIN STREET, CROGHAN, NY, 13327

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing DAN DAILY
CROGHAN CONVENIENCE, LLC PROFIT SHARING PLAN 2010 161568249 2012-09-19 CROGHAN CONVENIENCE, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 445120
Sponsor’s telephone number 3153466927
Plan sponsor’s mailing address MAIN STREET, P.O. BOX 384, CROGHAN, NY, 13327
Plan sponsor’s address MAIN STREET, P.O. BOX 384, CROGHAN, NY, 13327

Plan administrator’s name and address
Administrator’s EIN 161568249
Plan administrator’s name CROGHAN CONVENIENCE, LLC
Plan administrator’s address MAIN STREET, P.O. BOX 384, CROGHAN, NY, 13327
Administrator’s telephone number 3153466927

Number of participants as of the end of the plan year
Active participants 21
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 14
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 2012-09-19
Name of individual signing CHRISTINE HERZIG
Valid signature Filed with authorized/valid electronic signature
CROGHAN CONVENIENCE, LLC PROFIT SHARING PLAN 2010 161568249 2011-10-05 CROGHAN CONVENIENCE, LLC 14
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 445120
Sponsor’s telephone number 3153466927
Plan sponsor’s mailing address MAIN STREET, P.O. BOX 384, CROGHAN, NY, 13327
Plan sponsor’s address MAIN STREET, P.O. BOX 384, CROGHAN, NY, 13327

Plan administrator’s name and address
Administrator’s EIN 161568249
Plan administrator’s name CROGHAN CONVENIENCE, LLC
Plan administrator’s address MAIN STREET, P.O. BOX 384, CROGHAN, NY, 13327
Administrator’s telephone number 3153466927

Number of participants as of the end of the plan year
Active participants 21
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 14
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 2011-10-05
Name of individual signing DAN DAILY
Valid signature Filed with incorrect/unrecognized electronic signature
CROGHAN CONVENIENCE, LLC PROFIT SHARING PLAN 2009 161568249 2012-09-19 CROGHAN CONVENIENCE, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 445120
Sponsor’s telephone number 3153466927
Plan sponsor’s mailing address MAIN STREET, P. O. BOX 384, CROGHAN, NY, 13327
Plan sponsor’s address MAIN STREET, P. O. BOX 384, CROGHAN, NY, 13327

Plan administrator’s name and address
Administrator’s EIN 161568249
Plan administrator’s name CROGHAN CONVENIENCE, LLC
Plan administrator’s address MAIN STREET, P. O. BOX 384, CROGHAN, NY, 13327
Administrator’s telephone number 3153466927

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
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 2012-09-19
Name of individual signing CHRISTINE HERZIX
Valid signature Filed with authorized/valid electronic signature
CROGHAN CONVENIENCE, LLC PROFIT SHARING PLAN 2009 161568249 2012-08-30 CROGHAN CONVENIENCE, LLC 16
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 445120
Sponsor’s telephone number 3153466927
Plan sponsor’s mailing address MAIN STREET, P. O. BOX 384, CROGHAN, NY, 13327
Plan sponsor’s address MAIN STREET, P. O. BOX 384, CROGHAN, NY, 13327

Plan administrator’s name and address
Administrator’s EIN 161568249
Plan administrator’s name CROGHAN CONVENIENCE, LLC
Plan administrator’s address MAIN STREET, P. O. BOX 384, CROGHAN, NY, 13327
Administrator’s telephone number 3153466927

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
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 2012-08-30
Name of individual signing CHRISTINE HERZIG
Valid signature Filed with incorrect/unrecognized electronic signature

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent MAIN STREET AND SHADY AVE, CROGHAN, NY, United States, 13327

Agent

Name Role Address
LONNIE J. HERZIG Agent RED PINE LANE BOX 394, CROGHAN, NY, 13327

Filings

Filing Number Date Filed Type Effective Date
170523006193 2017-05-23 BIENNIAL STATEMENT 2016-12-01
130111002427 2013-01-11 BIENNIAL STATEMENT 2012-12-01
110315002956 2011-03-15 BIENNIAL STATEMENT 2010-12-01
081204002094 2008-12-04 BIENNIAL STATEMENT 2008-12-01
061215002622 2006-12-15 BIENNIAL STATEMENT 2006-12-01
050118003065 2005-01-18 BIENNIAL STATEMENT 2004-12-01
000229000069 2000-02-29 AFFIDAVIT OF PUBLICATION 2000-02-29
000229000068 2000-02-29 AFFIDAVIT OF PUBLICATION 2000-02-29
981211000691 1998-12-11 ARTICLES OF ORGANIZATION 1999-01-01

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LONNIE J. HERZIG

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Related by address

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Date of last update: 17 Dec 2024

Sources: New York Secretary of State

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