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KHIZER 5, INC.

Company Details

Name: KHIZER 5, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 02 Nov 2016 (8 years ago)
Entity Number: 5032792
ZIP code: 11236
County: Kings
Place of Formation: New York
Address: 1780 CONEY ISLAND AVENUE, BROOKLYN, NY, United States, 11236

Contact Details

Phone +1 718-336-2616

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KHIZER 5 INC 401(K) PROFIT SHARING PLAN & TRUST 2022 814311669 2023-04-27 KHIZER 5 INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 811120
Sponsor’s telephone number 9177148740
Plan sponsor’s address 1780 CONEY ISLAND AVE, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2023-04-27
Name of individual signing EDWARD ROJAS
KHIZER 5 INC 401(K) PROFIT SHARING PLAN & TRUST 2021 814311669 2022-06-02 KHIZER 5 INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 811120
Sponsor’s telephone number 9177148740
Plan sponsor’s address 1780 CONEY ISLAND AVE, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2022-06-02
Name of individual signing EDWARD ROJAS
KHIZER 5 INC 401(K) PROFIT SHARING PLAN & TRUST 2020 814311669 2021-06-04 KHIZER 5 INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 811120
Sponsor’s telephone number 9177148740
Plan sponsor’s address 1780 CONEY ISLAND AVE, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2021-06-04
Name of individual signing EDWARD ROJAS
KHIZER 5 INC 401(K) PROFIT SHARING PLAN & TRUST 2019 814311669 2020-05-20 KHIZER 5 INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 811120
Sponsor’s telephone number 9177148740
Plan sponsor’s address 1780 CONEY ISLAND AVE, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2020-05-20
Name of individual signing EDWARD ROJAS
KHIZER 5 INC 401 K PROFIT SHARING PLAN TRUST 2018 814311669 2019-05-16 KHIZER 5 INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 811120
Sponsor’s telephone number 9177148740
Plan sponsor’s address 1780 CONEY ISLAND AVE, BROOKLYN, NY, 11230

Plan administrator’s name and address

Administrator’s EIN 264477125
Plan administrator’s name 401K GENERATION
Plan administrator’s address 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number 8669985879

Signature of

Role Plan administrator
Date 2019-05-16
Name of individual signing EDWARD ROJAS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1780 CONEY ISLAND AVENUE, BROOKLYN, NY, United States, 11236

Licenses

Number Status Type Date End date
2074885-1-DCA Inactive Business 2018-07-02 2021-11-30
2052318-2-DCA Inactive Business 2017-05-02 2020-12-31

Filings

Filing Number Date Filed Type Effective Date
161102010367 2016-11-02 CERTIFICATE OF INCORPORATION 2016-11-02

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2020-03-10 No data 1780 CONEY ISLAND AVE, Brooklyn, BROOKLYN, NY, 11230 Out of Business Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data
2019-09-11 No data 1780 CONEY ISLAND AVE, Brooklyn, BROOKLYN, NY, 11230 No Violation Issued Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data
2019-08-26 No data 1708 CONEY ISLAND AVE, Brooklyn, BROOKLYN, NY, 11230 Pass Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data
2019-08-26 No data 1780 CONEY ISLAND AVE, Brooklyn, BROOKLYN, NY, 11230 No Violation Issued Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data
2019-07-22 No data 1780 CONEY ISLAND AVE, Brooklyn, BROOKLYN, NY, 11230 Pass Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data
2018-09-10 No data 1780 CONEY ISLAND AVE, Brooklyn, BROOKLYN, NY, 11230 Pass Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data
2018-06-28 No data 1780 CONEY ISLAND AVE, Brooklyn, BROOKLYN, NY, 11230 No Violation Issued Inspectorate of the Department of Consumer and Workers' Rights Protection Department of Consumer and Worker Protection No data

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
3097565 RENEWAL INVOICED 2019-10-03 200 Electronic Cigarette Dealer Renewal
3078429 PETROL-19 INVOICED 2019-09-03 160 PETROL PUMP BLEND
3068153 PETROL-32 INVOICED 2019-07-31 80 PETROL PUMP DIESEL
2917932 RENEWAL INVOICED 2018-10-26 200 Tobacco Retail Dealer Renewal Fee
2882340 PETROL-19 INVOICED 2018-09-12 160 PETROL PUMP BLEND
2882341 PETROL-32 INVOICED 2018-09-12 80 PETROL PUMP DIESEL
2759224 LICENSE INVOICED 2018-03-14 200 Electronic Cigarette Dealer License Fee
2597092 LICENSE INVOICED 2017-04-28 110 Cigarette Retail Dealer License Fee

Date of last update: 14 Jan 2025

Sources: New York Secretary of State