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  5. BLUE RIDGE HOMEOWNERS ASSOCIATION, INC.

BLUE RIDGE HOMEOWNERS ASSOCIATION, INC.

Company Details

Name: BLUE RIDGE HOMEOWNERS ASSOCIATION, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 19 Jun 1973 (52 years ago)
Entity Number: 264096
ZIP code: 11763
County: Suffolk
Place of Formation: New York
Address: 899 GOLF LANE, MEDFORD, NY, United States, 11763

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUE RIDGE HOMEOWNER'S ASSOCIATION, INC CASH OR DEFERRED PLAN 2015 112330338 2016-07-14 BLUE RIDGE HOMEOWNERS ASSOCIATION, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 561790
Sponsor’s telephone number 6316988394
Plan sponsor’s address 899 GOLF LANE, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing JOHN DAVID BELL
BLUE RIDGE HOMEOWNER'S ASSOCIATION, INC CASH OR DEFERRED PLAN & TRUST 2014 112330338 2015-07-01 BLUE RIDGE HOMEOWNERS ASSOCIATION, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 561790
Sponsor’s telephone number 6316988394
Plan sponsor’s address 899 GOLF LANE, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing RAYMOND LAMANNA
BLUE RIDGE HOMEOWNER'S ASSOCIATION, INC CASH OR DEFERRED PLAN & TRUST 2013 112330338 2014-06-11 BLUE RIDGE HOMEOWNERS ASSOCIATION, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 561790
Sponsor’s telephone number 6316988394
Plan sponsor’s address 899 GOLF LANE, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2014-06-11
Name of individual signing DONALD P CRAWFORD, HOA
BLUE RIDGE HOMEOWNERS ASSOC., INC. CASH OR DEF. PLAN & TRUST 2012 112330338 2013-06-13 BLUE RIDGE HOMEOWNERS ASSOCIATION, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 561790
Sponsor’s telephone number 6316988394
Plan sponsor’s address 899 GOLF LANE, MEDFORD, NY, 11763

Signature of
Role Plan administrator
Date 2013-06-13
Name of individual signing CLIENT BORKSTROM
Role Employer/plan sponsor
Date 2013-06-13
Name of individual signing CLIENT BORKSTROM
BLUE RIDGE HOMEOWNERS ASSOC., INC. CASH OR DEF. PLAN & TRUST 2011 112330338 2012-09-18 BLUE RIDGE HOMEOWNERS ASSOCIATION, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 561790
Sponsor’s telephone number 6316988394
Plan sponsor’s address 899 GOLF LANE, MEDFORD, NY, 11763

Plan administrator’s name and address
Administrator’s EIN 112330338
Plan administrator’s name BLUE RIDGE HOMEOWNERS ASSOCIATION, INC.
Plan administrator’s address 899 GOLF LANE, MEDFORD, NY, 11763
Administrator’s telephone number 6316988394

Signature of
Role Plan administrator
Date 2012-09-18
Name of individual signing THOMAS ARENS
BLUE RIDGE HOMEOWNERS ASSOC., INC. CASH OR DEF. PLAN & TRUST 2010 112330338 2011-06-21 BLUE RIDGE HOMEOWNERS ASSOCIATION, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 561790
Sponsor’s telephone number 6316988394
Plan sponsor’s address 899 GOLF LANE, MEDFORD, NY, 11763

Plan administrator’s name and address
Administrator’s EIN 112330338
Plan administrator’s name BLUE RIDGE HOMEOWNERS ASSOCIATION, INC.
Plan administrator’s address 899 GOLF LANE, MEDFORD, NY, 11763
Administrator’s telephone number 6316988394

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing THOMAS ARENS
BLUE RIDGE HOMEOWNERS ASSOC., INC. CASH OR DEF. PLAN & TRUST 2009 112330338 2010-07-30 BLUE RIDGE HOMEOWNERS ASSOCIATION, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 561790
Sponsor’s telephone number 6316988394
Plan sponsor’s address 899 GOLF LANE, MEDFORD, NY, 11763

Plan administrator’s name and address
Administrator’s EIN 112330338
Plan administrator’s name BLUE RIDGE HOMEOWNERS ASSOCIATION, INC.
Plan administrator’s address 899 GOLF LANE, MEDFORD, NY, 11763
Administrator’s telephone number 6316988394

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing THOMAS ARENS
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing THOMAS ARENS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 899 GOLF LANE, MEDFORD, NY, United States, 11763

History

Start date End date Type Value
1999-04-26 2017-11-27 Address 80 MAPLE AVENUE, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)
1973-06-19 1999-04-26 Address 410 E. JERICHO TPKE., MINEOLA, NY, 11501, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171127000615 2017-11-27 CERTIFICATE OF AMENDMENT 2017-11-27
990426000795 1999-04-26 CERTIFICATE OF CHANGE 1999-04-26
C272038-2 1999-03-29 ASSUMED NAME CORP INITIAL FILING 1999-03-29
A79772-3 1973-06-19 CERTIFICATE OF INCORPORATION 1973-06-19

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
4034273 Intrastate Non-Hazmat 2023-02-25 - - 1 3 Private(Property)
Legal Name BLUE RIDGE HOMEOWNERS ASSOCIATION INC
DBA Name -
Physical Address 899 GOLF LN , MEDFORD, NY, 11763-1201, US
Mailing Address 899 GOLF LN , MEDFORD, NY, 11763-1201, US
Phone (631) 698-8394
Fax -
E-mail BRHOAFINANCE1@GMAIL.COM

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 1
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 1
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 1
Vehicle Maintenance BASIC Roadside Performance measure value 15
Total Number of Vehicle Inspections for the measurement period 1
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 1
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 1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 1
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

Related by officers

THE CORPORATION

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Related by address

899 GOLF LANE, MEDFORD, NY, United States, 11763

CREATIVE CUISINES, LLC JACKIE'S RESTAURANT, INC. BLUE RIDGE CAFE, INC. F&N CATERING, INC.

Date of last update: 18 Mar 2025

Sources: New York Secretary of State

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