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NICOLE MC, LLC

Company Details

Name: NICOLE MC, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Jun 2019 (6 years ago)
Entity Number: 5568379
ZIP code: 13160
County: Cayuga
Place of Formation: New York
Address: 9 PARK STREET, UNION SPRINGS, NY, United States, 13160

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NICOLE MC LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 842123137 2024-09-23 NICOLE MC LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 445110
Sponsor’s telephone number 3158895516
Plan sponsor’s address 177 CAYUGA STREET, UNION SPRINGS, NY, 13160

Signature of

Role Plan administrator
Date 2024-09-23
Name of individual signing NICOLE
Valid signature Filed with authorized/valid electronic signature
NICOLE MC LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 842123137 2023-03-31 NICOLE MC LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 445110
Sponsor’s telephone number 3158895516
Plan sponsor’s address 177 CAYUGA STREET, UNION SPRINGS, NY, 13160

Signature of

Role Plan administrator
Date 2023-03-31
Name of individual signing NICOLE MURRAY CASBOHM
NICOLE MC LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 842123137 2022-08-02 NICOLE MC LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 445110
Sponsor’s telephone number 3158895516
Plan sponsor’s address 9 PARK STREET, UNION SPRINGS, NY, 13160

Signature of

Role Plan administrator
Date 2022-08-02
Name of individual signing NICOLE MURRAY CASBOHM
NICOLE MC LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 842123137 2021-05-20 NICOLE MC LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 445110
Sponsor’s telephone number 3158895516
Plan sponsor’s address 177 CAYUGA STREET, UNION SPRINGS, NY, 13160

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing NICOLE MURRAY-CASBOHM

DOS Process Agent

Name Role Address
NICOLE MURRAY-CASBOHM DOS Process Agent 9 PARK STREET, UNION SPRINGS, NY, United States, 13160

Licenses

Number Type Date Last renew date End date Address Description
0081-23-202893 Alcohol sale 2023-10-05 2023-10-05 2026-10-31 177 CAYUGA ST, UNION SPRINGS, New York, 13160 Grocery Store

Filings

Filing Number Date Filed Type Effective Date
200219000024 2020-02-19 CERTIFICATE OF PUBLICATION 2020-02-19
190611010243 2019-06-11 ARTICLES OF ORGANIZATION 2019-06-11

Inspections

Date Inspection Object Address Grade Type Institution Desctiption
2024-08-14 UNION SPRINGS SUPERMARK 177 CAYUGA ST, UNION SPRINGS, Cayuga, NY, 13160 A Food Inspection Department of Agriculture and Markets No data
2023-12-13 UNION SPRINGS SUPERMARK 177 CAYUGA ST, UNION SPRINGS, Cayuga, NY, 13160 A Food Inspection Department of Agriculture and Markets No data
2022-12-20 UNION SPRINGS SUPERMARK 177 CAYUGA ST, UNION SPRINGS, Cayuga, NY, 13160 A Food Inspection Department of Agriculture and Markets No data

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345575351 0215800 2021-10-13 177 CAYUGA STREET, UNION SPRINGS, NY, 13160
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2021-10-13
Emphasis L: FORKLIFT, N: COVID-19, P: FORKLIFT
Case Closed 2022-01-14

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19100157 E03
Issuance Date 2021-12-23
Current Penalty 1755.0
Initial Penalty 2340.0
Final Order 2022-01-04
Nr Instances 3
Nr Exposed 8
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.157(e)(3): Portable fire extinguishers were not subjected to an annual maintenance check: a) Backroom Hallway Area, on or about 10/13/2021: A portable fire extinguisher did not have an annual inspection. Last inspection conducted was June 2015. b) Sales Floor Area, on or about 10/13/2021: Two portable fire extinguishers did not have an annual inspection. Last inspection conducted was June 2015. c) Bakery Room, on or about 10/13/2021: A K-Ansul Guard fire extinguisher did not have an annual inspection. Last inspection conducted was June 2015.
Citation ID 01002A
Citaton Type Serious
Standard Cited 19101200 E01
Issuance Date 2021-12-23
Current Penalty 1755.0
Initial Penalty 2340.0
Final Order 2022-01-04
Nr Instances 1
Nr Exposed 5
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1200(e)(1): The employer did not develop, implement, and/or maintain at the workplace a written hazard communication program which describes how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) will be met; specifically: 1) Labeling and other forms of warning; 2) SDS requirements for the hazardous materials known to be present at the jobsite; 3) Employee training and information. The written program must also include: (a) A list of all the chemicals used at the jobsite. (b) Methods to inform employees of hazards associated with non-routine tasks. (c) Methods the employer will use to inform any contractors employees of workplace hazards. a) At the establishment, on or about 10/13/2021: A written hazard communication program was not developed for the employees who work with hazardous materials including but not limited to: Spartan Oven & Grill Cleaner; Clean Quick Broad Range Quaternary Sanitizer and Spartan Damp Mop.
Citation ID 01002B
Citaton Type Serious
Standard Cited 19101200 H01
Issuance Date 2021-12-23
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2022-01-04
Nr Instances 1
Nr Exposed 5
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1200(h)(1): Employees were not provided effective information and training on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard that the employees had not been previously trained about was introduced into their work area: a) At the establishment, on or about 10/13/2021: Employees were exposed to hazardous chemicals such as, but not limited to: Spartan Oven & Grill Cleaner; Clean Quick Broad Range Quaternary Sanitizer and Spartan Damp Mop and were not provided information and training as specified in 29 CFR 1910.1200(h)(1) and (2).
Citation ID 02001
Citaton Type Other
Standard Cited 19100157 C01
Issuance Date 2021-12-23
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2022-01-04
Nr Instances 1
Nr Exposed 4
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.157(c)(1): Portable fire extinguishers were not mounted, located and identified so that they were readily accessible without subjecting the employees to injuries: a) Bakery Room, on or about 10/13/2021: A portable fire extinguisher was not mounted so that it was readily accessible.

Date of last update: 23 Mar 2025

Sources: New York Secretary of State