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NORTHBROOK HEIGHTS HOME FOR ADULTS, INC.

NORTHBROOK HEIGHTS HOME FOR ADULTS, INC.

Company Details

Name:	NORTHBROOK HEIGHTS HOME FOR ADULTS, INC.
Jurisdiction:	New York
Legal type:	DOMESTIC BUSINESS CORPORATION
Status:	Active
Date of registration:	19 Mar 2001 (24 years ago)
Entity Number:	2617657
ZIP code:	13021
County:	Cayuga
Place of Formation:	New York
Address:	170 MURRAY ST, AUBURN, NY, United States, 13021
Principal Address:	3327 US RTE 11, MEXICO, NY, United States, 13114

Contact Details

Phone +1 315-253-2755

Shares Details

Shares issued 600

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

NORTHBROOK HEIGHTS HOME FOR ADULTS 401K PSP AND TRUST

2014

161603731

2015-11-19

NORTHBROOK HEIGHTS HOME FOR ADULTS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-02-01
Business code	541990
Sponsor’s telephone number	3152532755
Plan sponsor’s address	170 MURRAY STREET, AUBURN, NY, 13021

Signature of

Role	Plan administrator
Date	2015-11-19
Name of individual signing	CASEY WARNER

NORTHBROOK HEIGHTS HOME FOR ADULTS 401K PSP PLAN AND TRUST

2014

161603731

2015-07-30

NORTHBROOK HEIGHTS HOME FOR ADULTS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-02-01
Business code	541990
Sponsor’s telephone number	3152532755
Plan sponsor’s address	170 MURRAY ST, AUBURN, NY, 130211335

Signature of

Role	Plan administrator
Date	2015-07-30
Name of individual signing	CASEY WARNER

NORTHBROOK HEIGHTS HOME FOR ADULTS 401K PSP PLAN AND TRUST

2013

161603731

2014-07-30

NORTHBROOK HEIGHTS HOME FOR ADULTS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-02-01
Business code	541990
Sponsor’s telephone number	3152532755
Plan sponsor’s address	170 MURRAY ST, AUBURN, NY, 130211335

Signature of

Role	Plan administrator
Date	2014-07-30
Name of individual signing	CASEY WARNER

NORTHBROOK HEIGHTS HOME FOR ADULTS 401K PSP AND TRUST

2012

161603731

2013-07-25

NORTHBROOK HEIGHTS HOME FOR ADULTS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-02-01
Business code	541990
Sponsor’s telephone number	3152532755
Plan sponsor’s address	170 MURRAY STREET, AUBURN, NY, 13021

Signature of

Role	Plan administrator
Date	2013-07-25
Name of individual signing	CASEY WARNER

NORTHBROOK HEIGHTS HOME FOR AD 401 (K) PROFIT SHARING PLAN & TRUST

2011

161603731

2013-07-17

NORTHBROOK HEIGHTS HOME FOR ADULTS INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-09-03
Business code	541990
Sponsor’s telephone number	3152532755
Plan sponsor’s address	170 MURRAY ST, AUBURN, NY, 13021

Plan administrator’s name and address

Administrator’s EIN	161603731
Plan administrator’s name	NORTHBROOK HEIGHTS HOME FOR ADULTS INC
Plan administrator’s address	170 MURRAY ST, AUBURN, NY, 13021
Administrator’s telephone number	3152532755

Signature of

Role	Plan administrator
Date	2013-07-17
Name of individual signing	CASEY WARNER

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	170 MURRAY ST, AUBURN, NY, United States, 13021

Chief Executive Officer

Name	Role	Address
FRANK SALVATORE	Chief Executive Officer	2027 RIVER ROAD, PORT BYRON, NY, United States, 13140

History

Start date	End date	Type	Value
2004-06-07	2023-11-14	Shares	Share type: NO PAR VALUE, Number of shares: 600, Par value: 0
2001-03-19	2004-06-07	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2001-03-19	2010-07-23	Address	414 UNIVERSITY BUILDING, SYRACUSE, NY, 10302, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
201211000606	2020-12-11	CERTIFICATE OF AMENDMENT	2020-12-11
100723002584	2010-07-23	BIENNIAL STATEMENT	2009-03-01
040607000706	2004-06-07	CERTIFICATE OF AMENDMENT	2004-06-07
010319000334	2001-03-19	CERTIFICATE OF INCORPORATION	2001-03-19

Inspections

Date	Inspection Object	Address	Grade	Type	Institution	Desctiption
2025-02-12	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2024-09-20	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2024-01-26	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11C - Food contact surfaces not washed, rinsed and sanitized after each use and following any time of operations when contamination may have occurred
2023-09-28	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15B - Lighting and ventilation inadequate, fixtures not shielded, dirty ventilation hoods, ductwork, filters, exhaust fans
2023-02-01	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	10B - Non-food contact surfaces and equipment are improperly designed, constructed, installed, maintained (equipment not readily accessible for cleaning, surface not smooth finish)
2022-10-11	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2022-01-28	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2021-11-16	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11C - Food contact surfaces not washed, rinsed and sanitized after each use and following any time of operations when contamination may have occurred
2021-06-02	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2020-12-01	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11C - Food contact surfaces not washed, rinsed and sanitized after each use and following any time of operations when contamination may have occurred
2020-02-10	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11D - Non food contact surfaces of equipment not clean
2019-03-08	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2019-02-20	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	12C - Plumbing and sinks not properly sized, installed, maintained; equipment and floors not properly drained
2018-09-26	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2018-02-05	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	10B - Non-food contact surfaces and equipment are improperly designed, constructed, installed, maintained (equipment not readily accessible for cleaning, surface not smooth finish)
2017-10-05	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2017-01-17	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2016-10-11	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2016-01-29	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2015-11-18	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2015-03-06	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15B - Lighting and ventilation inadequate, fixtures not shielded, dirty ventilation hoods, ductwork, filters, exhaust fans
2014-10-08	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2014-02-10	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	10B - Non-food contact surfaces and equipment are improperly designed, constructed, installed, maintained (equipment not readily accessible for cleaning, surface not smooth finish)
2013-10-15	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2013-03-28	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2012-11-13	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2012-01-17	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2011-10-14	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2011-01-31	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11C - Food contact surfaces not washed, rinsed and sanitized after each use and following any time of operations when contamination may have occurred
2010-11-08	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2010-02-01	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	9D - Dressing rooms dirty, not provided, improperly located
2009-11-04	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2009-02-05	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	10B - Non-food contact surfaces and equipment are improperly designed, constructed, installed, maintained (equipment not readily accessible for cleaning, surface not smooth finish)
2008-11-12	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15A - Floors, walls, ceilings, not smooth, properly constructed, in disrepair, dirty surfaces
2008-02-22	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8C - Improper use and storage of clean, sanitized equipment and utensils
2007-10-15	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2007-01-29	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	10A - Food (ice) contact surfaces are improperly designed, constructed, installed, located (cracks, open seams, pitted surfaces, tin cans reused, uncleanable or corroded food contact surfaces)
2006-11-01	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2006-10-17	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	15C - Premises littered, unnecessary equipment and article present, living quarters no completely separated for food service operations, live animals, birds and pets not excluded
2006-01-20	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2005-10-06	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2005-01-26	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2004-10-18	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2004-02-17	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2003-11-06	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2003-10-21	No data	170 MURRAY STREET, AUBURN	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2003-03-04	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2002-11-19	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2002-11-06	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2002-03-21	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2001-10-19	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2001-03-06	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2000-12-20	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2000-10-10	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1999-12-10	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1999-02-24	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1998-12-15	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1998-02-23	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1997-12-16	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1997-04-22	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1996-10-16	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1996-04-10	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1995-12-28	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
1995-02-15	No data	170 MURRAY STREET, AUBURN	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data

OSHA's Inspections within Industry

Inspection Nr

Report ID

Date Opened

Site Address

342631546

0215800

2017-09-12

170 MURRAY STREET, AUBURN, NY, 13021

Inspection Type	Complaint
Scope	Partial
Safety/Health	Health
Close Conference	2017-12-19
Case Closed	2019-10-29

Related Activity

Type	Complaint
Activity Nr	1260578
Health	Yes

Violation Items

Citation ID	01001
Citaton Type	Serious
Standard Cited	19101030 G02 VII
Issuance Date	2017-12-22
Abatement Due Date	2018-01-12
Current Penalty	5323.0
Initial Penalty	8873.0
Final Order	2018-01-18
Nr Instances	1
Nr Exposed	8
Gravity	10
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.1030(g)(2)(vii): The employer's training program did not contain the minimum elements required by 29 CFR 1910.1030(g)(2)(vii)(A) through (g)(2)(vii)(N): a) Throughout the facility, on or about 9/12/17: Housekeepers exposed to blood borne pathogens from contact with used insulin needles, contaminated bedding, contaminated bandages from wound care and blood during room disinfection, were not trained on the minimum elements required for blood borne pathogens training. Specific training was not provided on: 1) How to access a copy of 29 CFR 1910.1030 and an explanation of its contents. 2) An explanation of epidemiology and symptoms of blood borne diseases. 3) An explanation of modes of transmission of blood borne diseases. 4) An explanation of the employers exposure control plan (ECP). 5) An explanation of appropriate methods for recognizing tasks that involve blood exposure 6) Information on appropriate actions to take following an exposure to blood. 7) An explanation of procedures to follow after an exposure incident and subsequent available medical follow-up. 8) Information on post exposure evaluation and follow-up. Abatement certification must be submitted for this item

Citation ID	01002
Citaton Type	Serious
Standard Cited	19101030 H01 II B
Issuance Date	2017-12-22
Abatement Due Date	2018-01-12
Current Penalty	3042.0
Initial Penalty	5070.0
Final Order	2018-01-18
Nr Instances	3
Nr Exposed	3
Gravity	5
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.1030(h)(1)(ii)(B): The medical record for an employee with occupational exposure did not include a copy of the employee's hepatitis B vaccination status, including the dates of all the hepatitis B vaccinations or any medical records relative to the employee's ability to receive vacination as required by 29 CFR 1910.1030(f)(2): a) Throughout the facility, on or about 12/19/17: The dates of two shots of the three shot hepatitis B vaccination series were not recorded for a housekeeper or in the alternative a declination form was not signed in lieu of receiving two shots of the three shot vaccination series. b) Throughout the facility, on or about 12/19/17: Information on the ability to receive the three shot hepatitis B vaccination series was not available for a housekeeper. c) Throughout the facility, on or about 12/19/17: Information on the three shot hepatitis B vaccination series was not available for a housekeeper requesting them. Abatement certification must be submitted for this item.

Citation ID	02001
Citaton Type	Repeat
Standard Cited	19100133 A01
Issuance Date	2017-12-22
Abatement Due Date	2017-12-29
Current Penalty	9126.0
Initial Penalty	15210.0
Final Order	2018-01-18
Nr Instances	2
Nr Exposed	8
Gravity	5
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.133(a)(1): The employer did not ensure that each affected employee uses appropriate eye or face protection when exposed to eye or face hazards from flying particles, molten metal, liquid chemicals, acids or caustic liquids, chemical gases or vapors, or potentially injurious light radiation: a) Throughout the facility, on or about 9/12/17: The employer did not ensure that housekeepers wore splash goggles when working with corrosive cleaners such as Clean On The Go Super HDQL 10 containing ammonium chlorides; bleach containing sodium hypochlorite; and the works Toilet Bowl Cleaner containing hydrochloric acid. These cleaners are applied in concentrated form from spray bottles. b)Throughout the facility, on or about 9/12/17: The employer did not ensure that a housekeeper stripping floors wore splash goggles when working with corrosive cleaners such as Bravo Heavy Duty Low Odor Stripper containing sodium hydroxide and Shineline Baseboard Stripper containing 2-butoxyethanol. Concentrated strippers are poured directly on surfaces from 1 gallon containers or greater. Northbrook Heights Home For Adults, Inc. was previously cited for a violation of this Occupational Safety and Health standard or its equivalent standard, which is contained in OSHA inspection number 655839, citation number 1, item number 1c and was affirmed by final order on 1/8/13 with respect to the workplace located at 170 Murray Street, Auburn, NY 13021.

Citation ID	03001
Citaton Type	Other
Standard Cited	19101030 H05 I A
Issuance Date	2017-12-22
Abatement Due Date	2018-02-12
Current Penalty	0.0
Initial Penalty	0.0
Final Order	2018-01-18
Nr Instances	1
Nr Exposed	2
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.1030(h)(5)(i)(A): The employer did not maintain a sharps injury log that contained at a minimum the type and brand of device involved in the incident: a) Throughout the facility, on or about 9/12/17: Sharps injury logs did not include the brand name of sharps involved in employee exposure incidents. Abatement certification must be submitted for this item.

309382976

0215800

2006-07-19

170 MURRAY STREET, AUBURN, NY, 13021

Inspection Type	Planned
Scope	Complete
Safety/Health	Safety
Close Conference	2006-07-19
Emphasis	N: SSTARG06
Case Closed	2006-09-06

309382984

0215800

2006-07-19

170 MURRAY STREET, AUBURN, NY, 13021

Inspection Type	Planned
Scope	Complete
Safety/Health	Health
Close Conference	2006-07-19
Emphasis	N: SSTARG06
Case Closed	2007-01-22

Violation Items

Citation ID	01001
Citaton Type	Other
Standard Cited	19101030 D02 I
Issuance Date	2006-09-15
Abatement Due Date	2006-10-18
Current Penalty	455.0
Initial Penalty	700.0
Contest Date	2006-10-02
Final Order	2006-12-29
Nr Instances	1
Nr Exposed	5
Gravity	02

Citation ID	02001
Citaton Type	Other
Standard Cited	19101030 C01 IIA
Issuance Date	2006-09-15
Abatement Due Date	2006-10-18
Contest Date	2006-10-02
Final Order	2006-12-29
Nr Instances	1
Nr Exposed	3
Gravity	01

Citation ID	02002
Citaton Type	Other
Standard Cited	19101030 H05 I
Issuance Date	2006-09-15
Abatement Due Date	2006-10-18
Contest Date	2006-10-02
Final Order	2006-12-29
Nr Instances	1
Nr Exposed	1
Gravity	01

Citation ID	02003
Citaton Type	Other
Standard Cited	19101200 E01
Issuance Date	2006-09-15
Abatement Due Date	2006-10-18
Contest Date	2006-10-02
Final Order	2006-12-29
Nr Instances	1
Nr Exposed	3
Gravity	01

300630712

0215800

1998-07-24

170 MURRAY STREET, AUBURN, NY, 13021

Inspection Type	Planned
Scope	Complete
Safety/Health	Safety
Close Conference	1998-08-03
Emphasis	N: GSINTARG
Case Closed	1998-10-27

Violation Items

Citation ID	01001
Citaton Type	Serious
Standard Cited	19100212 A01
Issuance Date	1998-09-22
Abatement Due Date	1998-09-25
Current Penalty	400.0
Initial Penalty	875.0
Nr Instances	1
Nr Exposed	3
Gravity	03

Citation ID	01002
Citaton Type	Serious
Standard Cited	19100242 B
Issuance Date	1998-09-22
Abatement Due Date	1998-08-03
Current Penalty	400.0
Initial Penalty	446.0
Nr Instances	1
Nr Exposed	2
Gravity	01

Citation ID	01003A
Citaton Type	Other
Standard Cited	19101030 C01 IIB
Issuance Date	1998-09-22
Abatement Due Date	1998-10-02
Initial Penalty	875.0
Nr Instances	1
Nr Exposed	50
Gravity	03

Citation ID	01003B
Citaton Type	Other
Standard Cited	19101030 G01 IA
Issuance Date	1998-09-22
Abatement Due Date	1998-10-02
Nr Instances	1
Nr Exposed	50
Gravity	03

Citation ID	02001
Citaton Type	Other
Standard Cited	19100151 C
Issuance Date	1998-09-22
Abatement Due Date	1998-09-25
Nr Instances	1
Nr Exposed	5
Gravity	01

Citation ID	02002
Citaton Type	Other
Standard Cited	19100304 A02
Issuance Date	1998-09-22
Abatement Due Date	1998-09-25
Nr Instances	1
Nr Exposed	2
Gravity	01

Citation ID	02003
Citaton Type	Other
Standard Cited	19100304 F04
Issuance Date	1998-09-22
Abatement Due Date	1998-09-25
Nr Instances	1
Nr Exposed	4
Gravity	01

Citation ID	02004
Citaton Type	Other
Standard Cited	19100305 B01
Issuance Date	1998-09-22
Abatement Due Date	1998-09-25
Nr Instances	2
Nr Exposed	3
Gravity	01

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

9692868307

2021-01-31

0248

PPS

170 Murray St, Auburn, NY, 13021-1335

Loan Status Date	2022-04-09
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	349684
Loan Approval Amount (current)	349684
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	188152
Servicing Lender Name	Valley Economic Development Partners, Inc.
Servicing Lender Address	4319 Belmont Avenue, Youngstown, OH, 44505
Rural or Urban Indicator	R
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	Auburn, CAYUGA, NY, 13021-1335
Project Congressional District	NY-24
Number of Employees	38
NAICS code	623110
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	188152
Originating Lender Name	Valley Economic Development Partners, Inc.
Originating Lender Address	Youngstown, OH
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	353530.52
Forgiveness Paid Date	2022-03-16

1084987203

2020-04-15

0248

PPP

170 MURRAY STREET, AUBURN, NY, 13021

Loan Status Date	2021-10-20
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	349189
Loan Approval Amount (current)	349189
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	56102
Servicing Lender Name	KeyBank National Association
Servicing Lender Address	127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator	R
Hubzone	N
LMI	Y
Business Age Description	Unanswered
Project Address	AUBURN, CAYUGA, NY, 13021-0001
Project Congressional District	NY-24
Number of Employees	65
NAICS code	623110
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	56102
Originating Lender Name	KeyBank National Association
Originating Lender Address	CLEVELAND, OH
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	354154.18
Forgiveness Paid Date	2021-09-29

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

NORTHBROOK HEIGHTS HOME FOR ADULTS, INC.

Company Details

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Chief Executive Officer

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