OAK MOUNTAIN, LLC, NY

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

OAK MOUNTAIN LLC 401(K)

2023

455530069

2024-06-28

OAK MOUNTAIN LLC

18

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2022-08-01
Business code	722511
Sponsor’s telephone number	8027934520
Plan sponsor’s address	141 NOVOSEL WAY, SPECULATOR, NY, 12164

Signature of

Role	Plan administrator
Date	2024-06-28
Name of individual signing	SHIRLEY HORNER

OAK MOUNTAIN LLC 401(K)

2022

455530069

2023-09-12

OAK MOUNTAIN LLC

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2022-08-01
Business code	721110
Sponsor’s telephone number	8027934520
Plan sponsor’s address	141 NOVOSEL WAY, SPECULATOR, NY, 12164

Signature of

Role	Plan administrator
Date	2023-09-12
Name of individual signing	SHIRLEY HORNER

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	P.O. BOX 373, SPECULATOR, NY, United States, 12164

Licenses

Number	Type	Date	Last renew date	End date	Address	Description
0370-24-232312	Alcohol sale	2024-10-11	2024-10-11	2024-10-31	141 NOVOSEL WAY, SPECULATOR, NY, 12164	Food & Beverage Business
0340-22-206724	Alcohol sale	2022-10-03	2022-10-03	2024-10-31	141 NOVOSEL WAY, SPECULATOR, New York, 12164	Restaurant

History

Start date	End date	Type	Value
2012-06-18	2024-06-01	Address	P.O. BOX 373, SPECULATOR, NY, 12164, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
240601029942	2024-06-01	BIENNIAL STATEMENT	2024-06-01
121121000710	2012-11-21	CERTIFICATE OF PUBLICATION	2012-11-21
121031000450	2012-10-31	CERTIFICATE OF PUBLICATION	2012-10-31
120618000122	2012-06-18	ARTICLES OF ORGANIZATION	2012-06-18

Inspections

Date	Inspection Object	Address	Grade	Type	Institution	Desctiption
2024-09-27	No data	141 NOVOSEL WAY, SPECULATOR	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)
2024-01-19	No data	141 NOVOSEL WAY, SPECULATOR	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	6A - Potentially hazardous foods are not kept at or above 140°F during hot holding.
2023-01-27	No data	141 NOVOSEL WAY, SPECULATOR	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	6A - Potentially hazardous foods are not kept at or above 140°F during hot holding.
2022-02-11	No data	141 NOVOSEL WAY, SPECULATOR	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8F - Improper thawing procedures used
2021-12-17	No data	141 NOVOSEL WAY, SPECULATOR	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
2021-01-07	No data	141 NOVOSEL WAY, SPECULATOR	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)
2020-09-17	No data	141 NOVOSEL WAY, SPECULATOR	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
2020-02-14	No data	141 NOVOSEL WAY, SPECULATOR	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)
2019-02-21	No data	141 NOVOSEL WAY, SPECULATOR	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)
2018-10-04	No data	141 NOVOSEL WAY, SPECULATOR	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
2018-02-02	No data	141 NOVOSEL WAY, SPECULATOR	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	1B - Water/ice: unsafe, unapproved sources, cross connections
2017-10-12	No data	141 NOVOSEL WAY, SPECULATOR	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)
2017-02-23	No data	141 NOVOSEL WAY, SPECULATOR	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	6A - Potentially hazardous foods are not kept at or above 140°F during hot holding.
2016-12-09	No data	141 NOVOSEL WAY, SPECULATOR	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data
2016-09-01	No data	141 NOVOSEL WAY, SPECULATOR	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)
2016-02-18	No data	141 NOVOSEL WAY, SPECULATOR	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
2015-08-27	No data	141 NOVOSEL WAY, SPECULATOR	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)
2015-02-19	No data	141 NOVOSEL WAY, SPECULATOR	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)
2014-12-12	No data	141 NOVOSEL WAY, SPECULATOR	Critical Violation	Food Service Establishment Inspections	New York State Department of Health	6A - Potentially hazardous foods are not kept at or above 140°F during hot holding.
2014-02-20	No data	141 NOVOSEL WAY, SPECULATOR	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
2013-12-19	No data	141 NOVOSEL WAY, SPECULATOR	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	12E - Handwashing facilities inaccessible, improperly located, dirty, in disrepair, improper fixtures, soap, and single service towels or hand drying devices missing
2013-02-15	No data	141 NOVOSEL WAY, SPECULATOR	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
2012-12-07	No data	141 NOVOSEL WAY, SPECULATOR	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
2012-02-10	No data	141 NOVOSEL WAY, SPECULATOR	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
2011-03-23	No data	141 NOVOSEL WAY, SPECULATOR	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
2010-01-07	No data	141 NOVOSEL WAY, SPECULATOR	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	8B - In use food dispensing utensils improperly stored
2008-12-30	No data	141 NOVOSEL WAY, SPECULATOR	Not Critical Violation	Food Service Establishment Inspections	New York State Department of Health	No data

Name:	OAK MOUNTAIN, LLC
Jurisdiction:	New York
Legal type:	DOMESTIC LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	18 Jun 2012 (13 years ago)
Entity Number:	4259803
ZIP code:	12164
County:	Hamilton
Place of Formation:	New York
Address:	P.O. BOX 373, SPECULATOR, NY, United States, 12164

OAK MOUNTAIN, LLC

Company Details