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  5. NORTHERN PAVING, LLC

NORTHERN PAVING, LLC

Company Details

Name: NORTHERN PAVING, LLC
Jurisdiction: New York
Legal type: FOREIGN LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Feb 2017 (8 years ago)
Entity Number: 5084862
ZIP code: 13212
County: Onondaga
Place of Formation: Delaware
Address: 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, United States, 13212

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELFARE BENEFITS PLAN FOR THE EMPLOYEES OF NORTHERN PAVING LLC 2023 815298395 2024-12-03 NORTHERN PAVING LLC 21
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2016-06-01
Business code 237310
Sponsor’s telephone number 3155982141
Plan sponsor’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212

Plan administrator’s name and address
Administrator’s EIN 815298395
Plan administrator’s name NORTHERN PAVING LLC
Plan administrator’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212
Administrator’s telephone number 3155982141

Signature of
Role Plan administrator
Date 2024-12-03
Name of individual signing LISA CORNISH
Valid signature Filed with authorized/valid electronic signature
WELFARE BENEFITS PLAN FOR THE EMPLOYEES OF NORTHERN PAVING LLC 2022 815298395 2024-01-11 NORTHERN PAVING LLC 19
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2016-06-01
Business code 237310
Sponsor’s telephone number 3155982141
Plan sponsor’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212

Plan administrator’s name and address
Administrator’s EIN 815298395
Plan administrator’s name NORTHERN PAVING LLC
Plan administrator’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212
Administrator’s telephone number 3155982141

Signature of
Role Plan administrator
Date 2024-01-11
Name of individual signing LISA CORNISH
WELFARE BENEFITS PLAN FOR THE EMPLOYEES OF NORTHERN PAVING LLC 2021 815298395 2022-11-16 NORTHERN PAVING LLC 16
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2016-06-01
Business code 237310
Sponsor’s telephone number 3155982141
Plan sponsor’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212

Plan administrator’s name and address
Administrator’s EIN 815298395
Plan administrator’s name NORTHERN PAVING LLC
Plan administrator’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212
Administrator’s telephone number 3155982141

Signature of
Role Plan administrator
Date 2022-11-16
Name of individual signing LISA CORNISH
WELFARE BENEFITS PLAN FOR THE EMPLOYEES OF NORTHERN PAVING LLC 2020 815298395 2022-01-13 NORTHERN PAVING LLC 14
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2016-06-01
Business code 237310
Sponsor’s telephone number 3155982141
Plan sponsor’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212

Plan administrator’s name and address
Administrator’s EIN 815298395
Plan administrator’s name NORTHERN PAVING LLC
Plan administrator’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212
Administrator’s telephone number 3155982141

Signature of
Role Plan administrator
Date 2022-01-13
Name of individual signing LISA CORNISH
WELFARE BENEFITS PLAN FOR THE EMPLOYEES OF NORTHERN PAVING LLC 2019 815298395 2021-04-14 NORTHERN PAVING LLC 14
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2016-06-01
Business code 237310
Sponsor’s telephone number 3155982141
Plan sponsor’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212

Plan administrator’s name and address
Administrator’s EIN 815298395
Plan administrator’s name NORTHERN PAVING LLC
Plan administrator’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212
Administrator’s telephone number 3155982141

Signature of
Role Plan administrator
Date 2021-04-14
Name of individual signing MICHAEL RELF
WELFARE BENEFITS PLAN FOR THE EMPLOYEES OF NORTHERN PAVING LLC 2018 815298395 2020-01-10 NORTHERN PAVING LLC 12
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2016-06-01
Business code 237310
Sponsor’s telephone number 3155982141
Plan sponsor’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212

Plan administrator’s name and address
Administrator’s EIN 815298395
Plan administrator’s name NORTHERN PAVING LLC
Plan administrator’s address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212
Administrator’s telephone number 3155982141

Signature of
Role Plan administrator
Date 2020-01-10
Name of individual signing MICHAEL RELF
WELFARE BENEFITS PLAN FOR THE EMPLOYEES OF NORTHERN PAVING LLC 2017 815298395 2018-12-26 NORTHERN PAVING LLC 2
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2016-06-01
Business code 237310
Sponsor’s telephone number 3155982141
Plan sponsor’s address 2809 STATE RT 3, FULTON, NY, 13069

Plan administrator’s name and address
Administrator’s EIN 815298395
Plan administrator’s name NORTHERN PAVING LLC
Plan administrator’s address 2809 STATE RT 3, FULTON, NY, 13069
Administrator’s telephone number 3155982141

Signature of
Role Plan administrator
Date 2018-12-26
Name of individual signing MICHAEL RELF

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, United States, 13212

History

Start date End date Type Value
2023-06-12 2025-04-01 Address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212, USA (Type of address: Service of Process)
2018-02-21 2023-06-12 Address 6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212, USA (Type of address: Service of Process)
2017-02-14 2018-02-21 Address P.O. BOX 2335, SYRACUSE, NY, 13220, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250401047209 2025-04-01 BIENNIAL STATEMENT 2025-04-01
230612002122 2023-06-12 BIENNIAL STATEMENT 2023-02-01
210205060087 2021-02-05 BIENNIAL STATEMENT 2021-02-01
200220060286 2020-02-20 BIENNIAL STATEMENT 2019-02-01
180221000666 2018-02-21 CERTIFICATE OF CHANGE 2018-02-21
170509000706 2017-05-09 CERTIFICATE OF PUBLICATION 2017-05-09
170214000200 2017-02-14 APPLICATION OF AUTHORITY 2017-02-14

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345537757 0215800 2021-09-17 2402 STATE ROUTE 96, CLIFTON SPRINGS, NY, 14432
Inspection Type Fat/Cat
Scope Complete
Safety/Health Safety
Close Conference 2021-09-17
Emphasis L: HIGHWAY

Related Activity
Type Accident
Activity Nr 1812514

Violation Items
Citation ID 01001
Citaton Type Other
Standard Cited 19260021 B02
Issuance Date 2022-03-15
Abatement Due Date 2022-03-28
Current Penalty 14502.0
Initial Penalty 14502.0
Contest Date 2022-03-25
Final Order 2023-07-24
Nr Instances 1
Nr Exposed 2
Related Event Code (REC) Accident
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1926.21(b)(2):The employer did not instruct each employee in the recognition and avoidance of unsafe conditions and the regulations applicable to his work environment to control or eliminate any hazards or other exposure to illness or injury: a) 2402 NY- 96, center of the road, on or about 9-16-2021: An employee that was tasked with relocating a slow moving Graco V3900 Line Sprayer approximately 4 miles from a storage area to an active work zone was not instructed how to perform the task safely.
Citation ID 01002
Citaton Type Serious
Standard Cited 19260200 G01
Issuance Date 2022-03-15
Current Penalty 14502.0
Initial Penalty 14502.0
Contest Date 2022-03-25
Final Order 2023-07-24
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Accident
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1926.200(g)(1): The employer did not utilize signs and devices to protect workers at points of hazard in construction areas. a) On NY State Route 96, on or about 9/16/2021 The employer did not utilize signs and devices, such as a shadow vehicle with signage, to protect a worker tasked to relocate a slow moving Graco V3900 Line Sprayer approximately 4 miles from a storage area to an active work zone along the travelled way.

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Related by address

6131 EAST TAFT ROAD, NORTH SYRACUSE, NY, United States, 13212

NORTHERN ASPHALT, LLC NORTHERN READY MIX, LLC SYRACUSE SAND & GRAVEL, LLC US CONCRETE AND BLOCK COMPANY, INC. DEMARIO & RICCELLI ENVIRONMENTAL SERVICES, LLC RICCELLI ENVIRONMENTAL, LLC NORTHERN BLACKTOP, LLC STONE GOOSE AGGREGATES LLC NORTHERN BITUMINOUS CONCRETE MIX, LLC

Date of last update: 24 Mar 2025

Sources: New York Secretary of State

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