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  5. FOREST LAKE SUMMER CAMP, INC.

FOREST LAKE SUMMER CAMP, INC.

Company Details

Name: FOREST LAKE SUMMER CAMP, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 28 May 2019 (6 years ago)
Entity Number: 5560074
ZIP code: 12817
County: Warren
Place of Formation: Delaware
Address: 261 FOREST LAKE ROAD, CHESTERTOWN, NY, United States, 12817

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOREST LAKE CAMP 401K PLAN 2023 263567404 2024-06-01 FOREST LAKE SUMMER CAMP INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 721210
Sponsor’s telephone number 5187448592
Plan sponsor’s address 261 FOREST LAKE ROAD, CHESTERTOWN, NY, 12817

Signature of
Role Plan administrator
Date 2024-06-01
Name of individual signing BRENDA POWELL
FOREST LAKE CAMP 401K PLAN 2022 263567404 2023-05-30 FOREST LAKE SUMMER CAMP INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 721210
Sponsor’s telephone number 6174589991
Plan sponsor’s address 261 FOREST LAKE ROAD, CHESTERTOWN, NY, 12817

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing BRENDA POWELL
FOREST LAKE CAMP 401K PLAN 2021 263567404 2022-05-25 FOREST LAKE SUMMER CAMP INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 721210
Sponsor’s telephone number 5186234771
Plan sponsor’s address 261 FOREST LAKE ROAD, CHESTERTOWN, NY, 12817

Signature of
Role Plan administrator
Date 2022-05-25
Name of individual signing BRENDA POWELL

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 261 FOREST LAKE ROAD, CHESTERTOWN, NY, United States, 12817

Filings

Filing Number Date Filed Type Effective Date
190528001046 2019-05-28 APPLICATION OF AUTHORITY 2019-05-28

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2024-07-29 No data 261 FOREST LAKE ROAD, WARRENSBURG Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2023-07-25 No data 261 FOREST LAKE ROAD, WARRENSBURG Not Critical Violation Food Service Establishment Inspections New York State Department of Health 11B - Wiping cloths dirty, not stored properly in sanitizing solutions
2022-07-27 No data 261 FOREST LAKE ROAD, WARRENSBURG 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
2021-07-20 No data 261 FOREST LAKE ROAD, WARRENSBURG 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)
2019-07-30 No data 261 FOREST LAKE ROAD, WARRENSBURG 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)
2018-07-19 No data 261 FOREST LAKE ROAD, WARRENSBURG Not Critical Violation Food Service Establishment Inspections New York State Department of Health No data
2017-07-10 No data 261 FOREST LAKE ROAD, WARRENSBURG Critical Violation Food Service Establishment Inspections New York State Department of Health 5E - Enough refrigerated storage equipment is not present, properly designed, maintained or operated so that all potentially hazardous foods are cooled properly and stored below 45°F as required.
2016-07-06 No data 261 FOREST LAKE ROAD, WARRENSBURG Not Critical Violation Food Service Establishment Inspections New York State Department of Health 13B - Garbage storage areas not properly constructed or maintained, creating a nuisance
2015-07-14 No data 261 FOREST LAKE ROAD, WARRENSBURG 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)
2014-08-14 No data 261 FOREST LAKE ROAD, WARRENSBURG Not Critical Violation Food Service Establishment Inspections New York State Department of Health 15B - Lighting and ventilation inadequate, fixtures not shielded, dirty ventilation hoods, ductwork, filters, exhaust fans

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6046437106 2020-04-14 0248 PPP 261 Forest Lake Camp721214, CHESTERTOWN, NY, 12817
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 105345
Loan Approval Amount (current) 105345
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 R
Hubzone N
LMI N
Business Age Description Unanswered
Project Address CHESTERTOWN, WARREN, NY, 12817-0001
Project Congressional District NY-21
Number of Employees 9
NAICS code 721214
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 106729.12
Forgiveness Paid Date 2021-08-09
6241748401 2021-02-10 0248 PPS 261 Forest Lake Rd, Chestertown, NY, 12817-4406
Loan Status Date 2022-08-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 169746
Loan Approval Amount (current) 169746
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 R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Chestertown, WARREN, NY, 12817-4406
Project Congressional District NY-21
Number of Employees 7
NAICS code 721214
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 172183.74
Forgiveness Paid Date 2022-07-20

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Related by address

No related companies by address

Date of last update: 06 Mar 2025

Sources: New York Secretary of State

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