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INSERRA'S FLOORING OUTLET, INC.

Company Details

Name: INSERRA'S FLOORING OUTLET, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 10 Jul 2001 (24 years ago)
Entity Number: 2658513
ZIP code: 13403
County: Oneida
Place of Formation: New York
Address: PO Box 226, 9220 Route 49, Marcy, NY, United States, 13403
Principal Address: 9220 RTE 49, MARCY, NY, United States, 13403

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INSERRA'S FLOORING OUTLET, INC. 401K PS PLAN 2023 161608060 2024-06-29 INSERRA'S FLOORING OUTLET, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address 9220 RT 49, MARCY, NY, 13403

Signature of

Role Plan administrator
Date 2024-06-29
Name of individual signing SAMUEL RUDOLPH
Role Employer/plan sponsor
Date 2024-06-29
Name of individual signing SAMUEL RUDOLPH
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN 2022 161608060 2023-04-19 INSERRA'S FLOORING OUTLET, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address PO BOX 226, MARCY, NY, 13403

Plan administrator’s name and address

Administrator’s EIN 161608060
Plan administrator’s name INSERRA'S FLOORING OUTLET, INC.
Plan administrator’s address 9220 RT. 49, MARCY, NY, 13403
Administrator’s telephone number 3157680222

Signature of

Role Plan administrator
Date 2023-04-19
Name of individual signing SAMUEL RUDOLPH
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN 2022 161608060 2023-03-23 INSERRA'S FLOORING OUTLET, INC. 18
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address PO BOX 226, MARCY, NY, 13403

Plan administrator’s name and address

Administrator’s EIN 161608060
Plan administrator’s name INSERRA'S FLOORING OUTLET, INC.
Plan administrator’s address 9220 RT. 49, MARCY, NY, 13403
Administrator’s telephone number 3157680222

Signature of

Role Plan administrator
Date 2023-03-23
Name of individual signing SAMUEL RUDOLPH
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN 2021 161608060 2022-04-28 INSERRA'S FLOORING OUTLET, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address 9220 RT. 49, MARCY, NY, 13403

Plan administrator’s name and address

Administrator’s EIN 161608060
Plan administrator’s name INSERRA'S FLOORING OUTLET, INC.
Plan administrator’s address 9220 RT. 49, MARCY, NY, 13403
Administrator’s telephone number 3157680222

Signature of

Role Plan administrator
Date 2022-04-28
Name of individual signing SAMUEL RUDOLPH
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN 2020 161608060 2021-06-25 INSERRA'S FLOORING OUTLET, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address 9220 RT. 49, MARCY, NY, 13403

Plan administrator’s name and address

Administrator’s EIN 161608060
Plan administrator’s name INSERRA'S FLOORING OUTLET, INC.
Plan administrator’s address 9220 RT. 49, MARCY, NY, 13403
Administrator’s telephone number 3157680222

Signature of

Role Plan administrator
Date 2021-06-25
Name of individual signing KATHY BRUSH
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN 2019 161608060 2020-06-10 INSERRA'S FLOORING OUTLET, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address 9220 RT. 49, MARCY, NY, 13403

Plan administrator’s name and address

Administrator’s EIN 161608060
Plan administrator’s name INSERRA'S FLOORING OUTLET, INC.
Plan administrator’s address 9220 RT. 49, MARCY, NY, 13403
Administrator’s telephone number 3157680222

Signature of

Role Plan administrator
Date 2020-06-10
Name of individual signing KATHY BRUSH
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN 2018 161608060 2019-04-26 INSERRA'S FLOORING OUTLET, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address 9220 RT. 49, MARCY, NY, 13403

Plan administrator’s name and address

Administrator’s EIN 161608060
Plan administrator’s name INSERRA'S FLOORING OUTLET, INC.
Plan administrator’s address 9220 RT. 49, MARCY, NY, 13403
Administrator’s telephone number 3157680222

Signature of

Role Plan administrator
Date 2019-04-26
Name of individual signing KATHY BRUSH
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN 2017 161608060 2018-03-16 INSERRA'S FLOORING OUTLET, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address 9220 RT. 49, MARCY, NY, 13403

Plan administrator’s name and address

Administrator’s EIN 161608060
Plan administrator’s name INSERRA'S FLOORING OUTLET, INC.
Plan administrator’s address 9220 RT. 49, MARCY, NY, 13403
Administrator’s telephone number 3157680222

Signature of

Role Plan administrator
Date 2018-03-16
Name of individual signing KATHY BRUSH
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN 2016 161608060 2017-05-03 INSERRA'S FLOORING OUTLET, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address 9220 RT. 49, MARCY, NY, 13403

Plan administrator’s name and address

Administrator’s EIN 161608060
Plan administrator’s name INSERRA'S FLOORING OUTLET, INC.
Plan administrator’s address 9220 RT. 49, MARCY, NY, 13403
Administrator’s telephone number 3157680222

Signature of

Role Plan administrator
Date 2017-05-03
Name of individual signing KATHY BRUSH
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN 2015 161608060 2016-06-30 INSERRA'S FLOORING OUTLET, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 442210
Sponsor’s telephone number 3157680222
Plan sponsor’s address 9225 RT. 49, MARCY, NY, 13403

Plan administrator’s name and address

Administrator’s EIN 161608060
Plan administrator’s name INSERRA'S FLOORING OUTLET, INC.
Plan administrator’s address 9225 RT. 49, MARCY, NY, 13403
Administrator’s telephone number 3157680222

Signature of

Role Plan administrator
Date 2016-06-30
Name of individual signing KATHY BRUSH

Chief Executive Officer

Name Role Address
SALVATORE INSERRA Chief Executive Officer 9220 RTE 49, MARCY, NY, United States, 13403

DOS Process Agent

Name Role Address
INSERRA'S FLOORING OUTLET, INC. DOS Process Agent PO Box 226, 9220 Route 49, Marcy, NY, United States, 13403

History

Start date End date Type Value
2023-07-07 2023-07-07 Address 9220 RTE 49, MARCY, NY, 13403, USA (Type of address: Chief Executive Officer)
2017-07-14 2023-07-07 Address 9220 ROUTE 49, MARCY, NY, 13403, USA (Type of address: Service of Process)
2017-07-14 2023-07-07 Address 9220 RTE 49, MARCY, NY, 13403, USA (Type of address: Chief Executive Officer)
2005-09-14 2017-07-14 Address 9225 RTE 49, MARCY, NY, 13403, USA (Type of address: Principal Executive Office)
2005-09-14 2017-07-14 Address 9225 RTE 49, MARCY, NY, 13403, USA (Type of address: Chief Executive Officer)
2003-07-09 2005-09-14 Address 9225 RTE 49, PO BOX 226, MARCY, NY, 13403, USA (Type of address: Chief Executive Officer)
2003-07-09 2005-09-14 Address 9225 RTE 49, MARCY, NY, 13403, USA (Type of address: Principal Executive Office)
2001-07-10 2023-07-07 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2001-07-10 2017-07-14 Address 9225 ROUTE 49, MARCY, NY, 13403, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230707003146 2023-07-07 BIENNIAL STATEMENT 2023-07-01
220727002024 2022-07-27 BIENNIAL STATEMENT 2021-07-01
170714006151 2017-07-14 BIENNIAL STATEMENT 2017-07-01
150706006540 2015-07-06 BIENNIAL STATEMENT 2015-07-01
130722006304 2013-07-22 BIENNIAL STATEMENT 2013-07-01
110810002169 2011-08-10 BIENNIAL STATEMENT 2011-07-01
090814002025 2009-08-14 BIENNIAL STATEMENT 2009-07-01
070713002024 2007-07-13 BIENNIAL STATEMENT 2007-07-01
050914002201 2005-09-14 BIENNIAL STATEMENT 2005-07-01
030709002189 2003-07-09 BIENNIAL STATEMENT 2003-07-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2553068301 2021-01-21 0248 PPS 9225 Route 49, Marcy, NY, 13403
Loan Status Date 2022-02-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 108092
Loan Approval Amount (current) 108092
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120225
Servicing Lender Name Adirondack Bank
Servicing Lender Address 185 Genesee St, UTICA, NY, 13501-2102
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Marcy, ONEIDA, NY, 13403
Project Congressional District NY-22
Number of Employees 10
NAICS code 442210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 120225
Originating Lender Name Adirondack Bank
Originating Lender Address UTICA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 108092.5
Forgiveness Paid Date 2022-01-06
7796557002 2020-04-08 0248 PPP 9220 STATE ROUTE 49, MARCY, NY, 13403-0226
Loan Status Date 2021-07-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 108092.5
Loan Approval Amount (current) 108092.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120225
Servicing Lender Name Adirondack Bank
Servicing Lender Address 185 Genesee St, UTICA, NY, 13501-2102
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MARCY, ONEIDA, NY, 13403-0226
Project Congressional District NY-22
Number of Employees 10
NAICS code 442210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 120225
Originating Lender Name Adirondack Bank
Originating Lender Address UTICA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 109362.96
Forgiveness Paid Date 2021-06-24

Date of last update: 13 Mar 2025

Sources: New York Secretary of State