| Name: | CONCRETE SLIPFORM INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 09 Jan 2006 (19 years ago) |
| Entity Number: | 3302960 |
| ZIP code: | 13032 |
| County: | Madison |
| Place of Formation: | New York |
| Address: | 6906 BRUCE RD., PO BOX 503, CANASTOTA, NY, United States, 13032 |
| Principal Address: | 6906 BRUCE ROAD, CANASTOTA, NY, United States, 13032 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 61W11 | Obsolete | Non-Manufacturer | 2010-06-30 | 2024-03-09 | 2023-09-06 | No data | |||||||||||||||
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| POC | BARBARA J. HAZEN |
| Phone | +1 315-697-5705 |
| Fax | +1 315-697-5705 |
| Address | 6906 BRUCE RD, CANASTOTA, NY, 13032 4745, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
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| Immediate Level Owner | Information not Available |
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| List of Offerors (0) | Information not Available |
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| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONCRETE SLIPFORM INC 401(K) PROFIT SHARING PLAN & TRUST | 2021 | 204109473 | 2022-07-15 | CONCRETE SLIPFORM INC | 2 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-07-15 |
| Name of individual signing | BARBARA HAZEN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 237310 |
| Sponsor’s telephone number | 3156975705 |
| Plan sponsor’s address | 6906 BRUCE ROAD, CANASTOTA, NY, 13032 |
Signature of
| Role | Plan administrator |
| Date | 2021-04-06 |
| Name of individual signing | BARBARA HAZEN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 237310 |
| Sponsor’s telephone number | 3156975705 |
| Plan sponsor’s address | 6906 BRUCE ROAD, CANASTOTA, NY, 13032 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-01 |
| Name of individual signing | BARBARA HAZEN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 3152898323 |
| Plan sponsor’s address | PO BOX 503, CANASTOTA, NY, 13032 |
Signature of
| Role | Plan administrator |
| Date | 2019-03-11 |
| Name of individual signing | BARBARA HAZEN |
| Name | Role | Address |
|---|---|---|
| CONCRETE SLIPFORM INC. | DOS Process Agent | 6906 BRUCE RD., PO BOX 503, CANASTOTA, NY, United States, 13032 |
| Name | Role | Address |
|---|---|---|
| BARBARA HAZEN | Chief Executive Officer | PO BOX 503, CANASTOTA, NY, United States, 13032 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2010-01-29 | 2019-12-04 | Address | PO BOX 503, CANASTOTA, NY, 13032, USA (Type of address: Service of Process) |
| 2008-01-07 | 2010-01-29 | Address | PO BOX 543, CANASTOTA, NY, 13032, USA (Type of address: Service of Process) |
| 2006-01-09 | 2008-01-07 | Address | P.O. BOX 543, CANASTOTA, NY, 13032, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 200102060611 | 2020-01-02 | BIENNIAL STATEMENT | 2020-01-01 |
| 191204060384 | 2019-12-04 | BIENNIAL STATEMENT | 2018-01-01 |
| 140428002008 | 2014-04-28 | BIENNIAL STATEMENT | 2014-01-01 |
| 120131002064 | 2012-01-31 | BIENNIAL STATEMENT | 2012-01-01 |
| 100129002172 | 2010-01-29 | BIENNIAL STATEMENT | 2010-01-01 |
| 080107002944 | 2008-01-07 | BIENNIAL STATEMENT | 2008-01-01 |
| 060109000533 | 2006-01-09 | CERTIFICATE OF INCORPORATION | 2006-01-09 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3394885003 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | No data | No data | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||
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| 3394875000 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | No data | No data | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||
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| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 343108882 | 0215800 | 2018-04-24 | WOOD, TABOR, MARGARET, & LOCK STREETS, BALDWINSVILLE, NY, 13027 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19260059 |
| Issuance Date | 2018-06-04 |
| Abatement Due Date | 2018-06-22 |
| Current Penalty | 2772.0 |
| Initial Penalty | 2772.0 |
| Final Order | 2018-06-27 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1926.59: 29 CFR 1926.59: An employer engaged in construction activities did not comply with the requirements set forth in Part 1910, Section 1200, Hazard Communication: a) At the jobsite, on or about 4/24/18: Employees were dry cutting concrete sidewalks, mixing, and pouring concrete in preparation for segmented replacement of sidewalks and without having a HAZCOM program, or training on the hazards associated with chemical use. |
| Citation ID | 01002 |
| Citaton Type | Other |
| Standard Cited | 19261153 C01 |
| Issuance Date | 2018-06-04 |
| Abatement Due Date | 2018-06-22 |
| Current Penalty | 2772.0 |
| Initial Penalty | 2772.0 |
| Final Order | 2018-06-27 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1926.1153(c)(1): For each employee engaged in a task identified on Table 1, the employer did not fully and properly implement the engineering controls, work practices, and respiratory protection specified for the task on Table 1, unless the employer assesses and limits the exposure of the employee to respirable crystalline silica in accordance with paragraph (d) of this section: a) At the jobsite, on or about 4/24/18: Employees were dry cutting concrete sidewalks in preparation for segmented replacement and without conducted exposure assessments. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3097677202 | 2020-04-16 | 0248 | PPP | 6906 Bruce Rd, CANASTOTA, NY, 13032 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1551236 | Intrastate Non-Hazmat | 2022-03-04 | 40000 | 2021 | 5 | 5 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 1 |
| 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 | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 1 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| 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 | 0 |
| 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 | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| 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 | SPD0280903 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2023-07-28 |
| ID that indicates the level of inspection | Driver-Only |
| 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 | STRAIGHT TRUCK |
| Description of the make of the main unit | CHEV |
| License plate of the main unit | 12168MN |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 2GC2KREG0K1225359 |
| Description of the type of the secondary unit | SEMI-TRAILER |
| License plate of the secondary unit | BU37795 |
| License state of the secondary unit | NY |
| Vehicle Identification Number of the secondary unit | 4JASL1621KG125989 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Total number of BASIC violations | 0 |
| 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 | 0 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
Date of last update: 29 Mar 2025
Sources: New York Secretary of State
