| Name: | SULLIVAN CONCRETE, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 27 Apr 1993 (32 years ago) |
| Entity Number: | 1721574 |
| ZIP code: | 12786 |
| County: | Sullivan |
| Place of Formation: | New York |
| Address: | 1936 STATE ROUTE 17B, WHITE LAKE, NY, United States, 12786 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SULLIVAN CONCRETE INC MEDOVA LIFESTYLE HEALTH PLAN | 2021 | 141761109 | 2023-03-31 | SULLIVAN CONCRETE INC | 0 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-31 |
| Name of individual signing | ROBERT MOORE |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-10-01 |
| Business code | 423300 |
| Sponsor’s telephone number | 8459328206 |
| Plan sponsor’s address | 420 BERNAS RD, COCHECTON, NY, 127265423 |
Plan administrator’s name and address
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-13 |
| Name of individual signing | ROBERT MOORE |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 1936 STATE ROUTE 17B, WHITE LAKE, NY, United States, 12786 |
| Name | Role | Address |
|---|---|---|
| KENNETH BOWDREN | Chief Executive Officer | 1936 STATE ROUTE 17B, WHITE LAKE, NY, United States, 12786 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2023-12-08 | 2023-12-08 | Address | 1936 STATE ROUTE 17B, WHITE LAKE, NY, 12786, USA (Type of address: Chief Executive Officer) |
| 2023-12-08 | 2023-12-08 | Address | 420 BERNAS RD, COCHECTON, NY, 12726, USA (Type of address: Chief Executive Officer) |
| 2023-05-02 | 2023-12-08 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2022-09-26 | 2023-12-08 | Address | 1936 state route 17b, WHITE LAKE, NY, 12786, USA (Type of address: Service of Process) |
| 2022-09-26 | 2023-12-08 | Address | 420 BERNAS RD, COCHECTON, NY, 12726, USA (Type of address: Chief Executive Officer) |
| 2022-09-23 | 2023-05-02 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2010-06-30 | 2022-09-26 | Address | 420 BERNAS RD, CHCHECTON, NY, 12726, USA (Type of address: Service of Process) |
| 2010-06-30 | 2022-09-26 | Address | 420 BERNAS RD, COCHECTON, NY, 12726, USA (Type of address: Chief Executive Officer) |
| 1993-04-27 | 2010-06-30 | Address | 176 SULLIVAN AVENUE, FERNDALE, NY, 12734, USA (Type of address: Service of Process) |
| 1993-04-27 | 2022-09-23 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 231208000918 | 2023-12-08 | BIENNIAL STATEMENT | 2023-04-01 |
| 220926000767 | 2022-09-23 | CERTIFICATE OF CHANGE BY ENTITY | 2022-09-23 |
| 210407060041 | 2021-04-07 | BIENNIAL STATEMENT | 2021-04-01 |
| 190416060137 | 2019-04-16 | BIENNIAL STATEMENT | 2019-04-01 |
| 170406007070 | 2017-04-06 | BIENNIAL STATEMENT | 2017-04-01 |
| 150402007055 | 2015-04-02 | BIENNIAL STATEMENT | 2015-04-01 |
| 130419006082 | 2013-04-19 | BIENNIAL STATEMENT | 2013-04-01 |
| 110509002060 | 2011-05-09 | BIENNIAL STATEMENT | 2011-04-01 |
| 100630002784 | 2010-06-30 | BIENNIAL STATEMENT | 2009-04-01 |
| 930427000029 | 1993-04-27 | CERTIFICATE OF INCORPORATION | 1993-04-27 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 310517180 | 0213100 | 2006-11-28 | ROUTE 52 AND ROUTE 55, LIBERTY, NY, 12754 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Accident |
| Activity Nr | 100741792 |
| Type | Referral |
| Activity Nr | 200747756 |
| Safety | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19260600 A06 |
| Issuance Date | 2007-02-08 |
| Abatement Due Date | 2007-02-16 |
| Current Penalty | 1500.0 |
| Initial Penalty | 1500.0 |
| Contest Date | 2007-02-20 |
| Final Order | 2007-07-16 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Related Event Code (REC) | Accident |
| Gravity | 10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8589738300 | 2021-01-29 | 0202 | PPS | 420 Bernas Rd, Cochecton, NY, 12726-5423 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 8307747103 | 2020-04-15 | 0202 | PPP | 420 Bernas Road, Cochecton, NY, 12726 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1075693 | Interstate | 2023-03-15 | 486239 | 2022 | 21 | 21 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Total Number of Inspections for the measurement period (24 months) | 2 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 5 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 2 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 1 |
| Total Number of Vehicle Inspections for the measurement period | 2 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 1 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 1 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 1 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Inspections
| Unique report number of the inspection | SPT0482929 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2023-11-02 |
| ID that indicates the level of inspection | Walk-around |
| State abbreviation that indicates where the inspection occurred | NY |
| Time weight of the inspection | 1 |
| Number of Out-Of-Service violations related to Driver | 0 |
| Number of Out-Of-Service violations related to vehicle | 0 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 0 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | TRUCK TRACTOR |
| Description of the make of the main unit | MACK |
| License plate of the main unit | 11517PF |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1M1PN4GY0MM007645 |
| Description of the type of the secondary unit | SEMI-TRAILER |
| Description of the make of the secondary unit | FRUE |
| License plate of the secondary unit | BE17085 |
| License state of the secondary unit | NY |
| Vehicle Identification Number of the secondary unit | 4J8B045361T004001 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Vehicle Maintenance BASIC inspection | Y |
| Total number of BASIC violations | 1 |
| Number of Unsafe Driving BASIC violations | 0 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 0 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 1 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
| Unique report number of the inspection | SPF0138612 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2023-05-08 |
| ID that indicates the level of inspection | Walk-around |
| State abbreviation that indicates where the inspection occurred | NY |
| Time weight of the inspection | 1 |
| Number of Out-Of-Service violations related to Driver | 1 |
| Number of Out-Of-Service violations related to vehicle | 0 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 1 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | STRAIGHT TRUCK |
| Description of the make of the main unit | OSHK |
| License plate of the main unit | 29758PF |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 10TFAWD223S078516 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Vehicle Maintenance BASIC inspection | Y |
| Total number of BASIC violations | 1 |
| Number of Unsafe Driving BASIC violations | 0 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 1 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 0 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
Violations
| The date of the inspection | 2023-11-02 |
| Code of the violation | 3939 |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 2 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Inoperable Required Lamp |
| The description of the violation group | Clearance Identification Lamps/Other |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-05-08 |
| Code of the violation | 38351ASIN |
| Name of the BASIC | Driver Fitness |
| The violation is identified as Out-Of-Service violation | Y |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 2 |
| The severity weight that is assigned to a violation | 8 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Driving a CMV while CDL is suspended for a safety-related or unknown reason and in state of driver's license issuance |
| The description of the violation group | License-related: High |
| The unit a violation is cited against | Driver |
Crashes
| Unique state report number for the incident | NY4003391500 |
| Sequence number for each vehicle involved in a crash | 1 |
| The date a incident occurred | 2023-10-06 |
| State abbreviation | NY |
| Total number of fatalities reported in the crash | 0 |
| Total number of injuries reported in the crash | 0 |
| The vehicle involved in the accident was towed from the scene | Y |
| Hazardous materials were released during the accident | N |
| Description of the trafficway | Two-Way Trafficway Not Divided |
| Description of the access control | Partial Access Control |
| Description of the road surface condition | Wet |
| Description of the weather condition | Fog |
| Description of the light condition | Daylight |
| Vehicle Identification number (VIN) | 10TFAAP236S089415 |
| Vehicle license number | 17705PF |
| Vehicle license state | NY |
| The severity weight that is assigned to the incident | 1 |
| The time weight that is assigned to the incident | 1 |
| Sequence number | 1 |
| Unique state report number for the incident | NY3983761700 |
| Sequence number for each vehicle involved in a crash | 2 |
| The date a incident occurred | 2023-05-08 |
| State abbreviation | NY |
| Total number of fatalities reported in the crash | 0 |
| Total number of injuries reported in the crash | 2 |
| The vehicle involved in the accident was towed from the scene | Y |
| Hazardous materials were released during the accident | N |
| Description of the trafficway | Two-Way Trafficway Not Divided |
| Description of the access control | Partial Access Control |
| Description of the road surface condition | Dry |
| Description of the weather condition | No Adverse Conditions |
| Description of the light condition | Daylight |
| Vehicle Identification number (VIN) | 10TFAWD223S078516 |
| Vehicle license number | 29758PF |
| Vehicle license state | NY |
| The severity weight that is assigned to the incident | 2 |
| The time weight that is assigned to the incident | 1 |
| Sequence number | 1 |
Date of last update: 15 Mar 2025
Sources: New York Secretary of State
