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INWOOD COUNTRY CLUB

INWOOD COUNTRY CLUB

Company Details

Name:	INWOOD COUNTRY CLUB
Jurisdiction:	New York
Legal type:	DOMESTIC NOT-FOR-PROFIT CORPORATION
Status:	Active
Date of registration:	01 Jun 1901 (124 years ago)
Entity Number:	27072
ZIP code:	11696
County:	Nassau
Place of Formation:	New York
Address:	(NO STREET ADD), LONG ISLAND, NY, United States, 11696

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

INWOOD COUNTRY CLUB 401(K) PLAN

2022

110908748

2023-10-14

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role	Plan administrator
Date	2023-10-14
Name of individual signing	DEANN LOPEZ

Role	Employer/plan sponsor
Date	2023-10-14
Name of individual signing	DEANN LOPEZ

INWOOD COUNTRY CLUB 401(K) PLAN

2021

110908748

2022-05-11

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role	Plan administrator
Date	2022-05-09
Name of individual signing	DEANN LOPEZ

Role	Employer/plan sponsor
Date	2022-05-09
Name of individual signing	DEANN LOPEZ

INWOOD COUNTRY CLUB 401(K) PLAN

2020

110908748

2021-08-27

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role	Plan administrator
Date	2021-08-27
Name of individual signing	DEANN LOPEZ

Role	Employer/plan sponsor
Date	2021-08-27
Name of individual signing	DEANN LOPEZ

INWOOD COUNTRY CLUB 401(K) PLAN

2019

110908748

2020-10-13

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role	Plan administrator
Date	2020-10-13
Name of individual signing	DEANN LOPEZ

Role	Employer/plan sponsor
Date	2020-10-13
Name of individual signing	DEANN LOPEZ

INWOOD COUNTRY CLUB 401(K) PLAN

2018

110908748

2019-09-28

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role	Plan administrator
Date	2019-09-28
Name of individual signing	DEANN LOPEZ

Role	Employer/plan sponsor
Date	2019-09-28
Name of individual signing	DEANN LOPEZ

INWOOD COUNTRY CLUB 401(K) PLAN

2017

110908748

2018-10-01

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role	Plan administrator
Date	2018-10-01
Name of individual signing	DEANN LOPEZ

Role	Employer/plan sponsor
Date	2018-10-01
Name of individual signing	DEANN LOPEZ

INWOOD COUNTRY CLUB 401(K) PLAN

2016

110908748

2017-07-25

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role	Plan administrator
Date	2017-07-25
Name of individual signing	DEANN LOPEZ

INWOOD COUNTRY CLUB 401(K) PLAN

2015

110908748

2016-08-31

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DR, INWOOD, NY, 110961112

Signature of

Role	Plan administrator
Date	2016-08-31
Name of individual signing	DEANN LOPEZ

INWOOD COUNTRY CLUB 401(K) PLAN

2014

110908748

2015-07-08

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DRIVE, INWOOD, NY, 11096

Signature of

Role	Plan administrator
Date	2015-07-08
Name of individual signing	DEANN LOPEZ

INWOOD COUNTRY CLUB 401(K) PLAN

2013

110908748

2014-07-14

INWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-01-01
Business code	713900
Sponsor’s telephone number	5162392800
Plan sponsor’s address	50 PEPPE DRIVE, INWOOD, NY, 11096

Signature of

Role	Plan administrator
Date	2014-07-12
Name of individual signing	DEANN LOPEZ

DOS Process Agent

Name	Role	Address
INWOOD	DOS Process Agent	(NO STREET ADD), LONG ISLAND, NY, United States, 11696

Licenses

Number	Type	Date	Last renew date	End date	Address	Description
0350-23-112738	Alcohol sale	2025-04-03	2025-04-03	2025-11-30	1795 OCEAN BLVD, ATLANTIC BEACH, New York, 11509	Summer Club
0349-23-125169	Alcohol sale	2023-02-28	2023-02-28	2025-02-28	50 PEPPE DR, INWOOD, New York, 11096	Club

Filings

Filing Number	Date Filed	Type	Effective Date
C234921-2	1996-05-10	ASSUMED NAME CORP INITIAL FILING	1996-05-10
A59720-3	1973-03-26	CERTIFICATE OF AMENDMENT	1973-03-26
189469	1959-12-07	CERTIFICATE OF AMENDMENT	1959-12-07
67319	1957-06-17	CERTIFICATE OF AMENDMENT	1957-06-17
10EX-115	1951-02-16	CERTIFICATE OF AMENDMENT	1951-02-16
41Q-144	1901-06-01	CERTIFICATE OF INCORPORATION	1901-06-01

Inspections

Date	Inspection Object	Address	Grade	Type	Institution	Desctiption
2024-11-22	No data	50 PEPPE DRIVE, INWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2024-08-29	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	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)
2024-08-29	No data	50 PEPPE DRIVE, INWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11A - Manual facilities inadequate, technique incorrect; mechanical facilities not operated in accordance with manufacturer's instructions
2024-08-23	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	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)
2024-07-31	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	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)
2023-08-18	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	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)
2022-11-09	No data	50 PEPPE DRIVE, INWOOD	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
2022-09-30	No data	50 PEPPE DRIVE, INWOOD	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)
2022-06-16	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8B - In use food dispensing utensils improperly stored
2021-08-02	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2021-07-08	No data	50 PEPPE DRIVE, INWOOD	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
2019-08-08	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	13A - Adequate, leakproof, non-absorbent, vermin-proof, covered containers not provided where needed
2018-07-26	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	13A - Adequate, leakproof, non-absorbent, vermin-proof, covered containers not provided where needed
2017-09-07	No data	50 PEPPE DRIVE, INWOOD	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)
2017-08-09	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	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
2016-12-22	No data	50 PEPPE DRIVE, INWOOD	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
2016-09-02	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	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
2016-08-30	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8E - Accurate thermometers not available or used to evaluate refrigerated or heated storage temperatures
2015-09-01	No data	50 PEPPE DRIVE, INWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	14A - Insects, rodents present
2015-06-11	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	12D - Toilet facilities inadequate, inconvenient, dirty, in disrepair, toilet paper missing, not self-closing doors, missing hand wash signs
2014-10-03	No data	50 PEPPE DRIVE, INWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	14A - Insects, rodents present
2014-08-26	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11B - Wiping cloths dirty, not stored properly in sanitizing solutions
2014-07-17	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	3B - Food workers do not wash hands thoroughly after visiting the toilet, coughing, sneezing, smoking or otherwise contaminating their hands.
2013-07-29	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	14A - Insects, rodents present
2013-07-23	No data	50 PEPPE DRIVE, INWOOD	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
2012-07-06	No data	50 PEPPE DRIVE, INWOOD	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)
2012-06-29	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	16 - Miscellaneous, Economic Violation, Choking Poster, Training.
2012-06-27	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11A - Manual facilities inadequate, technique incorrect; mechanical facilities not operated in accordance with manufacturer's instructions
2011-06-29	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8E - Accurate thermometers not available or used to evaluate refrigerated or heated storage temperatures
2011-05-24	No data	50 PEPPE DRIVE, INWOOD	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
2011-05-11	No data	50 PEPPE DRIVE, INWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	14A - Insects, rodents present
2010-07-26	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2010-07-09	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	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
2010-04-16	No data	50 PEPPE DRIVE, INWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11A - Manual facilities inadequate, technique incorrect; mechanical facilities not operated in accordance with manufacturer's instructions
2009-07-15	No data	50 PEPPE DRIVE, INWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8A - Food not protected during storage, preparation, display, transportation and service, from potential sources of contamination (e.g., food uncovered, mislabeled, stored on floor, missing or inadequate sneeze guards, food containers double stacked)
2009-07-07	No data	50 PEPPE DRIVE, INWOOD	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11D - Non food contact surfaces of equipment not clean
2009-07-07	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8E - Accurate thermometers not available or used to evaluate refrigerated or heated storage temperatures
2009-06-30	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	13A - Adequate, leakproof, non-absorbent, vermin-proof, covered containers not provided where needed
2008-08-05	No data	1795 OCEAN BOULEVARD, ATLANTIC BEACH	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

OSHA's Inspections within Industry

Inspection Nr

Report ID

Date Opened

Site Address

311139471

0214700

2009-11-05

50 PEPPE DRIVE, INWOOD, NY, 11096

Inspection Type	Referral
Scope	Partial
Safety/Health	Safety
Close Conference	2009-11-16
Emphasis	L: FALL, S: FALL FROM HEIGHT
Case Closed	2010-07-12

Related Activity

Type	Referral
Activity Nr	200158301
Safety	Yes

Violation Items

Citation ID	01001
Citaton Type	Serious
Standard Cited	19100026 C02 VII
Issuance Date	2010-03-16
Abatement Due Date	2010-03-19
Current Penalty	1500.0
Initial Penalty	2500.0
Nr Instances	1
Nr Exposed	1
Related Event Code (REC)	Referral
Gravity	10

Citation ID	01002
Citaton Type	Serious
Standard Cited	19100026 C03 III
Issuance Date	2010-03-16
Abatement Due Date	2010-03-19
Current Penalty	1500.0
Initial Penalty	2500.0
Nr Instances	1
Nr Exposed	1
Related Event Code (REC)	Referral
Gravity	10

Citation ID	01003
Citaton Type	Serious
Standard Cited	19100026 C03 IV
Issuance Date	2010-03-16
Abatement Due Date	2010-03-22
Current Penalty	1500.0
Initial Penalty	2500.0
Nr Instances	1
Nr Exposed	1
Related Event Code (REC)	Referral
Gravity	10

Tax Exempt

EIN

Type of Organization

Exempt Organization Status

Address

Ruling Date

11-0908748

Corporation

Unconditional Exemption

50 PEPPE DR, INWOOD, NY, 11096-1112

1934-10

In Care of Name	% THE CLUB
Group Exemption Number	0000
Subsection	Pleasure, Recreational, or Social Club
Affiliation	Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification	Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility	Contributions are not deductible.
Foundation	All organizations except 501(c)(3)
Tax Period	2023-12
Asset	10,000,000 to 49,999,999
Income	5,000,000 to 9,999,999
Filing Requirement	990 (all other) or 990EZ return
PF Filing Requirement	No 990-PF return
Accounting Period	Dec
Asset Amount	10669817
Income Amount	8761051
Form 990 Revenue Amount	7803730
National Taxonomy of Exempt Entities	-
Sort Name	-

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name	INWOOD COUNTRY CLUB
EIN	11-0908748
Tax Period	202212
Filing Type	E
Return Type	990O
File	View File

Organization Name	INWOOD COUNTRY CLUB
EIN	11-0908748
Tax Period	202112
Filing Type	E
Return Type	990O
File	View File

Organization Name	INWOOD COUNTRY CLUB
EIN	11-0908748
Tax Period	201912
Filing Type	E
Return Type	990O
File	View File

Organization Name	INWOOD COUNTRY CLUB
EIN	11-0908748
Tax Period	201812
Filing Type	E
Return Type	990O
File	View File

Organization Name	INWOOD COUNTRY CLUB
EIN	11-0908748
Tax Period	201712
Filing Type	P
Return Type	990O
File	View File

Organization Name	INWOOD COUNTRY CLUB
EIN	11-0908748
Tax Period	201612
Filing Type	P
Return Type	990O
File	View File

Organization Name	INWOOD COUNTRY CLUB
EIN	11-0908748
Tax Period	201512
Filing Type	E
Return Type	990O
File	View File

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

2727648702

2021-03-30

0235

PPP

50 Peppe Dr, Inwood, NY, 11096-1112

Loan Status Date	2021-12-02
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	549480
Loan Approval Amount (current)	549480
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	225775
Servicing Lender Name	Community Federal Savings Bank
Servicing Lender Address	89-16 Jamaica Ave, NEW YORK CITY, NY, 11421-2040
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	Inwood, NASSAU, NY, 11096-1112
Project Congressional District	NY-04
Number of Employees	64
NAICS code	713910
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Professional Association
Originating Lender ID	225775
Originating Lender Name	Community Federal Savings Bank
Originating Lender Address	NEW YORK CITY, NY
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	553005.83
Forgiveness Paid Date	2021-11-26

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

INWOOD COUNTRY CLUB

Company Details

form 5500

DOS Process Agent

Licenses

Filings

Inspections

OSHA's Inspections within Industry

Tax Exempt

Paycheck Protection Program

Related by officers

Related by address