Home Page
Counties
Suffolk
11788
FIFTH AVENUE PROVISIONS, INC.

FIFTH AVENUE PROVISIONS, INC.

Company Details

Name:	FIFTH AVENUE PROVISIONS, INC.
Jurisdiction:	New York
Legal type:	DOMESTIC BUSINESS CORPORATION
Status:	Active
Date of registration:	12 Sep 2011 (14 years ago)
Entity Number:	4140658
ZIP code:	11788
County:	Suffolk
Place of Formation:	New York
Address:	47 QUEEN ANNE PLACE, HAUPPAUGE, NY, United States, 11788

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	47 QUEEN ANNE PLACE, HAUPPAUGE, NY, United States, 11788

Filings

Filing Number	Date Filed	Type	Effective Date
111208000007	2011-12-08	CERTIFICATE OF AMENDMENT	2011-12-08
110912000300	2011-09-12	CERTIFICATE OF INCORPORATION	2011-09-12

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

3358228507

2021-02-23

0235

PPS

47 Queen Anne Pl, Hauppauge, NY, 11788-4750

Loan Status Date	2022-02-18
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	67382
Loan Approval Amount (current)	67382
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	29805
Servicing Lender Name	TD Bank, National Association
Servicing Lender Address	2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Hauppauge, SUFFOLK, NY, 11788-4750
Project Congressional District	NY-02
Number of Employees	4
NAICS code	424410
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	29805
Originating Lender Name	TD Bank, National Association
Originating Lender Address	WILMINGTON, DE
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	67997.8
Forgiveness Paid Date	2022-01-21

Motor Carrier Census

USDOT Number

Carrier Operation

MCS-150 Form Date

MCS-150 Mileage

MCS-150 Year

Power Units

Drivers

Operation Classification

2263241

Intrastate Non-Hazmat

2023-12-13

12000

2022

Private(Property)

Legal Name	FIFTH AVENUE PROVISIONS INC
DBA Name	-
Physical Address	47 QUEEN ANNE PLACE, HAUPPAUGE, NY, 11788, US
Mailing Address	47 QUEEN ANNE PLACE, HAUPPAUGE, NY, 11788, US
Phone	(646) 208-2453
Fax	-
E-mail	-

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months)	3
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	4
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value	0
Total Number of Driver Inspections for the measurment period	3
Vehicle Maintenance BASIC Roadside Performance measure value	1
Total Number of Vehicle Inspections for the measurement period	3
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	1
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	1
Number of inspections with at least one Vehicle Maintenance BASIC violation	1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation	1
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	SPL0164982
State abbreviation that indicates the state the inspector is from	NY
The date of the inspection	2024-05-28
ID that indicates the level of inspection	Walk-around
State abbreviation that indicates where the inspection occurred	NY
Time weight of the inspection	2
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	47750NE
License state of the main unit	NY
Vehicle Identification Number of the main unit	5PVNV8JV4L5S60392
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	SPL0113542
State abbreviation that indicates the state the inspector is from	NY
The date of the inspection	2024-04-23
ID that indicates the level of inspection	Walk-around
State abbreviation that indicates where the inspection occurred	NY
Time weight of the inspection	2
Number of Out-Of-Service violations related to Driver	1
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	1
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	47750NE
License state of the main unit	NY
Vehicle Identification Number of the main unit	5PVNV8JV4L5S60392
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	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	D012100115
State abbreviation that indicates the state the inspector is from	NY
The date of the inspection	2023-11-27
ID that indicates the level of inspection	Full
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	1
Number of violations related to Hazardous Materials	0
Total number of Out-Of-Service violations	1
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	47750NE
License state of the main unit	NY
Vehicle Identification Number of the main unit	5PVNV8JV4L5S60392
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	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	1
Number of Hazardous Materials Compliance BASIC violations	0

Violations

The date of the inspection	2024-04-23
Code of the violation	38323A2
Name of the BASIC	Driver Fitness
The violation is identified as Out-Of-Service violation	Y
The weight that is assigned to a violation if it's identified as an Out-Of-Service violation	2
The severity weight that is assigned to a violation	8
The time weight that is assigned to a violation	2
The description of a violation	Operating a CMV without a CDL
The description of the violation group	License-related: High
The unit a violation is cited against	Driver

The date of the inspection	2023-11-27
Code of the violation	3963A1DLDSYEL
Name of the BASIC	Vehicle Maintenance
The violation is identified as Out-Of-Service violation	Y
The weight that is assigned to a violation if it's identified as an Out-Of-Service violation	2
The severity weight that is assigned to a violation	3
The time weight that is assigned to a violation	1
The description of a violation	Driveline/Driveshaft - Any yoke-mounting hardware loose (with hand pressure) broken or missing
The description of the violation group	Other Vehicle Defect
The unit a violation is cited against	Vehicle main unit

Date of last update: 26 Mar 2025

Sources: New York Secretary of State