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  5. CONNECTICUT PROVISIONS, LLC

CONNECTICUT PROVISIONS, LLC

Headquarter

Company Details

Name: CONNECTICUT PROVISIONS, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Dec 2003 (21 years ago)
Entity Number: 2988657
ZIP code: 10512
County: Westchester
Place of Formation: New York
Address: 859 FAIR STREET, CARMEL, NY, United States, 10512

Links between entities

Type Company Name Company Number State
Headquarter of CONNECTICUT PROVISIONS, LLC, CONNECTICUT 0782975 CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONNECTICUT PROVISIONS LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 743115380 2024-09-11 CONNECTICUT PROVISIONS LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR ST, CARMEL, NY, 105123012

Signature of
Role Plan administrator
Date 2024-09-11
Name of individual signing JAMIE PROVENZANO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT PROVISIONS LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 743115380 2023-10-23 CONNECTICUT PROVISIONS LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR ST, CARMEL, NY, 105123012

Signature of
Role Plan administrator
Date 2023-10-23
Name of individual signing JAMIE PROVENZANO
CONNECTICUT PROVISIONS LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 743115380 2023-02-05 CONNECTICUT PROVISIONS LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR ST, CARMEL, NY, 105123012

Signature of
Role Plan administrator
Date 2023-02-05
Name of individual signing JAMIE PROVENZANO
CONNECTICUT PROVISIONS LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 743115380 2021-08-02 CONNECTICUT PROVISIONS LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR ST, CARMEL, NY, 105123012

Signature of
Role Plan administrator
Date 2021-08-02
Name of individual signing JAMIE PROVENZANO
CONNECTICUT PROVISIONS LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 743115380 2020-07-27 CONNECTICUT PROVISIONS LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR ST, CARMEL, NY, 105123012

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing JAMIE PROVENZANO
CONNECTICUT PROVISIONS LLC 401 K PROFIT SHARING PLAN TRUST 2018 743115380 2019-07-16 CONNECTICUT PROVISIONS LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR ST, CARMEL, NY, 105123012

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing JAMIE PROVENZANO
CONNECTICUT PROVISIONS LLC 401 K PROFIT SHARING PLAN TRUST 2017 743115380 2018-04-27 CONNECTICUT PROVISIONS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR ST, CARMEL, NY, 105123012

Signature of
Role Plan administrator
Date 2018-04-27
Name of individual signing JAMIE PROVENZANO
CONNECTICUT PROVISIONS LLC 401 K PROFIT SHARING PLAN TRUST 2016 743115380 2017-07-14 CONNECTICUT PROVISIONS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR ST, CARMEL, NY, 105123012

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing JAMIE PROVENZANO
CONNECTICUT PROVISIONS LLC 401 K PROFIT SHARING PLAN TRUST 2015 743115380 2016-05-13 CONNECTICUT PROVISIONS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR ST, CARMEL, NY, 105123012

Signature of
Role Plan administrator
Date 2016-05-13
Name of individual signing JAMIE PROVENZANO
CONNECTICUT PROVISIONS LLC 401 K PROFIT SHARING PLAN TRUST 2014 743115380 2015-06-28 CONNECTICUT PROVISIONS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424800
Sponsor’s telephone number 9147555601
Plan sponsor’s address 859 FAIR STREET, CARMEL, NY, 10512

Signature of
Role Plan administrator
Date 2015-06-28
Name of individual signing JAMIE PROVENZANO

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 859 FAIR STREET, CARMEL, NY, United States, 10512

History

Start date End date Type Value
2003-12-15 2014-08-25 Address 258 SAW MILL RIVER RD, ELMSFORD, NY, 10523, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171103006095 2017-11-03 BIENNIAL STATEMENT 2015-12-01
140825002030 2014-08-25 BIENNIAL STATEMENT 2013-12-01
051128002702 2005-11-28 BIENNIAL STATEMENT 2005-12-01
040614000212 2004-06-14 AFFIDAVIT OF PUBLICATION 2004-06-14
040614000221 2004-06-14 AFFIDAVIT OF PUBLICATION 2004-06-14
031215000305 2003-12-15 ARTICLES OF ORGANIZATION 2003-12-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5537757010 2020-04-05 0202 PPP 859 Fair Street, CARMEL, NY, 10512-3012
Loan Status Date 2021-01-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 182000
Loan Approval Amount (current) 182000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47331
Servicing Lender Name Tompkins Community Bank
Servicing Lender Address 118 East Seneca St, ITHACA, NY, 14850
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address CARMEL, PUTNAM, NY, 10512-3012
Project Congressional District NY-17
Number of Employees 16
NAICS code 424470
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 47411
Originating Lender Name Tompkins Mahopac Bank, A Branch of Tompkins Community Bank
Originating Lender Address BREWSTER, NY
Gender Unanswered
Veteran Non-Veteran
Forgiveness Amount 182972.33
Forgiveness Paid Date 2020-11-03

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
1367179 Intrastate Non-Hazmat 2018-04-18 132469 2014 4 4 Private(Property)
Legal Name CONNECTICUT PROVISIONS LLC
DBA Name CENTENNIAL PROVISIONS
Physical Address 859 FAIR STREET, CARMEL, NY, 10512, US
Mailing Address 859 FAIR STREET, CARMEL, NY, 10512, US
Phone (845) 878-4006
Fax (845) 878-3125
E-mail -

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 0
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 0
Total Number of Vehicle Inspections for the measurement period 0
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 0
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 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
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

Inspections
Unique report number of the inspection SPK0146523
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2023-03-28
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit PTRB
License plate of the main unit 35199ND
License state of the main unit NY
Vehicle Identification Number of the main unit 2NP2HJ6X5HM440329
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection SPK0109953
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2023-01-30
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit HINO
License plate of the main unit 50103MN
License state of the main unit NY
Vehicle Identification Number of the main unit JHHSDM2H4FK002884
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection SPT0530757
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2023-01-23
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit HINO
License plate of the main unit 22279MG
License state of the main unit NY
Vehicle Identification Number of the main unit 5PVNV8JP0B4S50111
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 1
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 1
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 0817013828
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2022-12-27
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit MITS
License plate of the main unit 97994NA
License state of the main unit NY
Vehicle Identification Number of the main unit JL6CCG1S5AK009206
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 1
Number of Unsafe Driving BASIC violations 1
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0

Violations
The date of the inspection 2023-01-23
Code of the violation 39141A1NPH
Name of the BASIC Driver Fitness
The violation is identified as Out-Of-Service violation N
The weight that is assigned to a violation if it's identified as an Out-Of-Service violation 0
The severity weight that is assigned to a violation 1
The time weight that is assigned to a violation 1
The description of a violation Operating a property-carrying vehicle without possessing a valid medical certificate - no previous history
The description of the violation group Medical Certificate
The unit a violation is cited against Driver
The date of the inspection 2022-12-27
Code of the violation 39280A
Name of the BASIC Unsafe Driving
The violation is identified as Out-Of-Service violation N
The weight that is assigned to a violation if it's identified as an Out-Of-Service violation 0
The severity weight that is assigned to a violation 10
The time weight that is assigned to a violation 1
The description of a violation Driving a commercial motor vehicle while Texting
The description of the violation group Texting
The unit a violation is cited against Driver

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Related by address

859 FAIR STREET, CARMEL, NY, United States, 10512

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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