BLACK WILLOW WINERY LLC

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

T68CYG9VQQH1

2025-03-27

5565 W LAKE RD, BURT, NY, 14028, 9727, USA

Business Information

URL	www.blackwillowwinery.com
Division Name	BLACK WILLOW WINERY LLC
Congressional District	24
State/Country of Incorporation	NY, USA
Activation Date	2024-03-29
Initial Registration Date	2012-10-03
Entity Start Date	2010-12-05
Fiscal Year End Close Date	Dec 31

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	CYNTHIA M WEST-CHAMBERLAIN
Role	OWNER
Address	5565 W LAKE RD., BURT, NY, 14028, USA

Government Business
Title	PRIMARY POC
Name	CYNTHIA M WEST-CHAMBERLAIN
Role	OWNER
Address	5565 W LAKE RD., BURT, NY, 14028, USA

Past Performance	Information not Available

Commercial and government entity program

CAGE number

Status

Type

Established

CAGE Update Date

CAGE Expiration

SAM Expiration

6MN68

Obsolete

Non-Manufacturer

2012-10-04

2024-03-29

No data

2025-03-27

Contact Information

POC	CYNTHIA M. WEST-CHAMBERLAIN
Phone	+1 716-439-1982
Fax	+1 716-778-3118
Address	5565 W LAKE RD, BURT, NY, 14028 9727, UNITED STATES

Ownership of Offeror Information

Highest Level Owner	Information not Available

Immediate Level Owner	Information not Available

List of Offerors (0)	Information not Available

DOS Process Agent

Name	Role	Address
BLACK WILLOW WINERY LLC	DOS Process Agent	5565 W LAKE RD, BURT, NY, United States, 14028

Licenses

Number	Type	Date	Last renew date	End date	Address	Description
716948	Retail grocery store	No data	No data	No data	5565 WEST LAKE RD, BURT, NY, 14028	No data
0031-23-337673	Alcohol sale	2023-08-08	2023-08-08	2025-01-31	5565 W LAKE RD, BURT, New York, 14028	Winery

History

Start date	End date	Type	Value
2010-12-14	2025-01-02	Address	5565 W LAKE RD, BURT, NY, 14028, USA (Type of address: Service of Process)
2009-01-21	2010-12-14	Address	252 HIGH ST., LOCKPORT, NY, 14094, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
250102005754	2025-01-02	BIENNIAL STATEMENT	2025-01-02
230101000345	2023-01-01	BIENNIAL STATEMENT	2023-01-01
210810000235	2021-08-10	BIENNIAL STATEMENT	2021-08-10
190107060978	2019-01-07	BIENNIAL STATEMENT	2019-01-01
170109006583	2017-01-09	BIENNIAL STATEMENT	2017-01-01
150120006542	2015-01-20	BIENNIAL STATEMENT	2015-01-01
130207002086	2013-02-07	BIENNIAL STATEMENT	2013-01-01
101214002831	2010-12-14	BIENNIAL STATEMENT	2011-01-01
090505000457	2009-05-05	CERTIFICATE OF PUBLICATION	2009-05-05
090121000171	2009-01-21	ARTICLES OF ORGANIZATION	2009-01-21

Inspections

Date	Inspection Object	Address	Grade	Type	Institution	Desctiption
2025-02-07	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2024-10-04	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2024-03-01	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2024-01-19	BLACK WILLOW WINERY	5565 WEST LAKE RD, BURT, Niagara, NY, 14028	A	Food Inspection	Department of Agriculture and Markets	No data
2023-09-29	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2023-02-03	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2022-09-30	BLACK WILLOW WINERY	5565 WEST LAKE RD, BURT, Niagara, NY, 14028	A	Food Inspection	Department of Agriculture and Markets	No data
2022-09-07	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2022-02-11	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2021-09-09	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2021-04-16	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2021-02-04	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2020-09-11	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2020-02-24	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2019-09-06	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2019-02-04	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2018-09-13	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2018-02-14	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	9B - Tobacco is used; eating, drinking in food preparation, dishwashing food storage areas
2017-09-01	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2017-08-25	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2017-02-14	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2016-09-21	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2016-08-26	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2016-02-05	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2015-09-30	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2015-08-28	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2015-02-05	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2014-08-22	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	11B - Wiping cloths dirty, not stored properly in sanitizing solutions
2014-02-03	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2013-09-04	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2013-02-08	No data	5565 WEST LAKE ROAD, BURT	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
2012-09-15	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2012-09-07	No data	5565 WEST LAKE ROAD, BURT	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data

USAspending Awards. Financial Assistance

FAIN

Awarding Agency

Assistance Listings

Start Date

End Date

Description

4294605008

Small Business Administration

59.012 - 7(A) LOAN GUARANTEES

No data

TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE

Recipient	BLACK WILLOW WINERY LLC
Recipient Name Raw	BLACK WILLOW WINERY LLC
Recipient Address	5565 WEST LAKE RD, BURT, NIAGARA, NEW YORK, 14028-0000, UNITED STATES
Obligated Amount	0.00
Non-Federal Funding	0.00
Original Subsidy Cost	5425.00
Face Value of Direct Loan	99000.00
Link	View Page

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

7861927101

2020-04-14

0296

PPP

5565 W Lake Road, BURT, NY, 14028-9727

Loan Status Date	2021-06-25
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	21750
Loan Approval Amount (current)	21750
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	56102
Servicing Lender Name	KeyBank National Association
Servicing Lender Address	127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Unanswered
Project Address	BURT, NIAGARA, NY, 14028-9727
Project Congressional District	NY-24
Number of Employees	7
NAICS code	312130
Borrower Race	White
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Limited Liability Company(LLC)
Originating Lender ID	56102
Originating Lender Name	KeyBank National Association
Originating Lender Address	CLEVELAND, OH
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	21982.4
Forgiveness Paid Date	2021-05-20

Name:	BLACK WILLOW WINERY LLC
Jurisdiction:	New York
Legal type:	DOMESTIC LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	21 Jan 2009 (16 years ago)
Entity Number:	3765257
ZIP code:	14028
County:	Niagara
Place of Formation:	New York
Address:	5565 W LAKE RD, BURT, NY, United States, 14028

Company Details