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  5. AUBURN AGT, LLC

AUBURN AGT, LLC

Company Details

Name: AUBURN AGT, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 28 Dec 2001 (23 years ago)
Date of dissolution: 03 Mar 2020
Entity Number: 2712926
ZIP code: 14551
County: Cayuga
Place of Formation: New York
Address: JOHN L GHERTNER, 6884 MAPLE AVE, SODUS, NY, United States, 14551

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUBURN NURSING HOME RETIREMENT SAVINGS 401(K) PLAN 2015 010561571 2016-06-13 AUBURN AGT, LLC 104
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 623000
Sponsor’s telephone number 3152537351
Plan sponsor’s address 85 THORNTON AVENUE, AUBURN, NY, 13021

Signature of
Role Plan administrator
Date 2016-06-13
Name of individual signing JOHN L. GHERTNER, M.D.
AUBURN NURSING HOME RETIREMENT SAVINGS 401(K) PLAN 2015 010561571 2016-10-04 AUBURN AGT, LLC 99
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 623000
Sponsor’s telephone number 3152537351
Plan sponsor’s address 85 THORNTON AVENUE, AUBURN, NY, 13021

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing JOHN L. GHERTNER, M.D.
AUBURN NURSING HOME RETIREMENT SAVINGS 401(K) PLAN 2014 010561571 2015-04-22 AUBURN AGT, LLC 118
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 623000
Sponsor’s telephone number 3152537351
Plan sponsor’s address 85 THORNTON AVENUE, AUBURN, NY, 13021

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing MICHELE TARDIBONE
AUBURN NURSING HOME RETIREMENT SAVINGS 401(K) PLAN 2013 010561571 2014-06-30 AUBURN AGT, LLC 113
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 623000
Sponsor’s telephone number 3152537351
Plan sponsor’s address 85 THORNTON AVENUE, AUBURN, NY, 13021

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing MICHELE TARDIBONE
AUBURN NURSING HOME RETIREMENT SAVINGS 401(K) PLAN 2012 010561571 2013-05-20 AUBURN AGT, LLC 106
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 623000
Sponsor’s telephone number 3152537351
Plan sponsor’s address 85 THORNTON AVENUE, AUBURN, NY, 13021

Signature of
Role Plan administrator
Date 2013-05-20
Name of individual signing SHARON MAHER
AUBURN NURSING HOME RETIREMENT SAVINGS 401(K) PLAN 2011 010561571 2012-05-17 AUBURN AGT, LLC 120
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 623000
Sponsor’s telephone number 3152537351
Plan sponsor’s address 85 THORNTON AVENUE, AUBURN, NY, 13021

Plan administrator’s name and address
Administrator’s EIN 010561571
Plan administrator’s name AUBURN AGT, LLC
Plan administrator’s address 85 THORNTON AVENUE, AUBURN, NY, 13021
Administrator’s telephone number 3152537351

Signature of
Role Plan administrator
Date 2012-05-17
Name of individual signing SHARON MAHER
AUBURN NURSING HOME RETIREMENT SAVINGS 401(K) PLAN 2010 010561571 2011-07-08 AUBURN AGT, LLC 115
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 623000
Sponsor’s telephone number 3152537351
Plan sponsor’s address 85 THORNTON AVENUE, AUBURN, NY, 13021

Plan administrator’s name and address
Administrator’s EIN 010561571
Plan administrator’s name AUBURN AGT, LLC
Plan administrator’s address 85 THORNTON AVENUE, AUBURN, NY, 13021
Administrator’s telephone number 3152537351

Signature of
Role Plan administrator
Date 2011-07-08
Name of individual signing SHARON MAHER
AUBURN NURSING HOME RETIREMENT SAVINGS 401(K) PLAN 2009 010561571 2010-08-11 AUBURN AGT, LLC 104
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 623000
Sponsor’s telephone number 3152537351
Plan sponsor’s address 85 THORNTON AVENUE, AUBURN, NY, 13021

Plan administrator’s name and address
Administrator’s EIN 010561571
Plan administrator’s name AUBURN AGT, LLC
Plan administrator’s address 85 THORNTON AVENUE, AUBURN, NY, 13021
Administrator’s telephone number 3152537351

Signature of
Role Plan administrator
Date 2010-08-11
Name of individual signing SHARON MAHER

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent JOHN L GHERTNER, 6884 MAPLE AVE, SODUS, NY, United States, 14551

History

Start date End date Type Value
2003-12-05 2010-01-27 Address LOUIS P ATTOMA, 1250 PORTLAND AVE, ROCHESTER, NY, 14621, USA (Type of address: Service of Process)
2001-12-28 2003-12-05 Address 1600 CROSSROADS BLDG, TWO STATE ST, ROCHESTER, NY, 14614, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200303000010 2020-03-03 ARTICLES OF DISSOLUTION 2020-03-03
140122002496 2014-01-22 BIENNIAL STATEMENT 2013-12-01
120103002085 2012-01-03 BIENNIAL STATEMENT 2011-12-01
100127002043 2010-01-27 BIENNIAL STATEMENT 2009-12-01
090922000060 2009-09-22 CERTIFICATE OF PUBLICATION 2009-09-22
071231002556 2007-12-31 BIENNIAL STATEMENT 2007-12-01
060106002401 2006-01-06 BIENNIAL STATEMENT 2005-12-01
031205002208 2003-12-05 BIENNIAL STATEMENT 2003-12-01
020318000526 2002-03-18 CERTIFICATE OF AMENDMENT 2002-03-18
011228000255 2001-12-28 ARTICLES OF ORGANIZATION 2001-12-28

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
340422450 0215800 2015-02-24 85 THORNTON AVENUE, AUBURN, NY, 13021
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2015-02-24
Emphasis P: NURSING, N: NURSING
Case Closed 2015-05-14

Violation Items
Citation ID 01001
Citaton Type Other
Standard Cited 19100037 A03
Issuance Date 2015-05-04
Abatement Due Date 2015-05-09
Current Penalty 0.0
Initial Penalty 2800.0
Final Order 2015-05-14
Nr Instances 1
Nr Exposed 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.37(a)(3): Exits routes were not maintained to provide free unobstructed access. a. In the basement, on or about 02/24/15: An emergency exit door was blocked and unable to be used due to a buildup of snow and/ice. Abatement certification must be submitted for this item.
Citation ID 02001
Citaton Type Other
Standard Cited 19101030 C02 I
Issuance Date 2015-05-04
Abatement Due Date 2015-05-22
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2015-05-14
Nr Instances 1
Nr Exposed 100
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(c)(2)(i): Each employer who has an employee(s) with occupational exposure as defined by paragraph (b) of this section shall prepare an exposure determination. This exposure determination shall contain the following: (A) A list of all job classifications in which all employees in those job classifications have occupational exposure; (B) A list of job classifications in which some employees have occupational exposure, and (C) A list of all tasks and procedures or groups of closely related task and procedures in which occupational exposure occurs and that are performed by employees in job classifications listed in accordance with the provisions of paragraph (c)(2)(i)(B) of this standard. a. At the facility, on or about 02/24/15: The employer did not prepare an exposure determination as required. Abatement certification must be submitted for this item.

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Related by address

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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