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PLAY SAFE SURFACING INC.

Headquarter

Company Details

Name: PLAY SAFE SURFACING INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 08 Jan 2020 (5 years ago)
Entity Number: 5684243
ZIP code: 14075
County: Erie
Place of Formation: New York
Address: 75 elmview avenue, HAMBURG, NY, United States, 14075
Principal Address: 75 Elmview Ave, Hamburg, NY, United States, 14075

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Links between entities

Type Company Name Company Number State
Headquarter of PLAY SAFE SURFACING INC., CONNECTICUT 3156245 CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLAY SAFE SURFACING INC 401(K) P PLAN 2023 844364545 2024-07-17 PLAY SAFE SURFACING INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-06-01
Business code 423910
Sponsor’s telephone number 7169570380
Plan sponsor’s address 75 ELMVIEW AVE, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2024-07-17
Name of individual signing SHIRLEY HORNER
PLAY SAFE SURFACING INC 401(K) P PLAN 2022 844364545 2023-06-21 PLAY SAFE SURFACING INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-06-01
Business code 423910
Sponsor’s telephone number 7169570380
Plan sponsor’s address 75 ELMVIEW AVE, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2023-06-21
Name of individual signing NICK RICE
PLAY SAFE SURFACING INC 401(K) P PLAN 2021 844364545 2022-07-27 PLAY SAFE SURFACING INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-06-01
Business code 423910
Sponsor’s telephone number 7169570380
Plan sponsor’s address 311 JAMISON ROAD, ELMA, NY, 14059

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing SHIRLEY HORNER

DOS Process Agent

Name Role Address
PLAY SAFE SURFACING INC DOS Process Agent 75 elmview avenue, HAMBURG, NY, United States, 14075

Chief Executive Officer

Name Role Address
JOSEPH DUSZA Chief Executive Officer 311 JAMISON ROAD, ELMA, NY, United States, 14059

History

Start date End date Type Value
2024-03-19 2024-03-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-03-19 2024-03-19 Address 311 JAMISON ROAD, ELMA, NY, 14059, USA (Type of address: Chief Executive Officer)
2024-03-19 2025-02-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-02-05 2024-03-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-15 2024-03-19 Address 311 JAMISON ROAD, ELMA, NY, 14059, USA (Type of address: Chief Executive Officer)
2023-05-15 2024-02-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-15 2024-03-19 Address 75 elmview avenue, HAMBURG, NY, 14075, USA (Type of address: Service of Process)
2023-04-20 2023-05-15 Address 75 Elmview Ave, Hamburg, NY, 14075, USA (Type of address: Service of Process)
2023-04-20 2023-05-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-04-20 2023-05-15 Address 311 JAMISON ROAD, ELMA, NY, 14059, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
240319001887 2024-03-19 BIENNIAL STATEMENT 2024-03-19
230515003999 2023-05-15 CERTIFICATE OF CHANGE BY ENTITY 2023-05-15
230420001106 2023-04-20 BIENNIAL STATEMENT 2022-01-01
220216003561 2022-02-16 CERTIFICATE OF CHANGE BY ENTITY 2022-02-16
200108000082 2020-01-08 CERTIFICATE OF INCORPORATION 2020-01-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8912578802 2021-04-23 0296 PPS 5828 Broadway St Apt 434, Lancaster, NY, 14086-9232
Loan Status Date 2023-11-03
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25500
Loan Approval Amount (current) 25500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 78723
Servicing Lender Name Northwest Bank
Servicing Lender Address Liberty & Second St, WARREN, PA, 16365
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lancaster, ERIE, NY, 14086-9232
Project Congressional District NY-23
Number of Employees 5
NAICS code 238990
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 78723
Originating Lender Name Northwest Bank
Originating Lender Address WARREN, PA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount -
Forgiveness Paid Date -
9117248400 2021-02-16 0296 PPP 5828 Broadway St Apt 434, Lancaster, NY, 14086-9232
Loan Status Date 2021-07-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25500
Loan Approval Amount (current) 25500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 78723
Servicing Lender Name Northwest Bank
Servicing Lender Address Liberty & Second St, WARREN, PA, 16365
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lancaster, ERIE, NY, 14086-9232
Project Congressional District NY-23
Number of Employees 5
NAICS code 238990
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 78723
Originating Lender Name Northwest Bank
Originating Lender Address WARREN, PA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 25581.74
Forgiveness Paid Date 2021-06-15

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
3443895 Interstate 2024-05-10 179000 2024 4 4 Private(Property)
Legal Name PLAY SAFE SURFACING INC
DBA Name -
Physical Address 75 ELMVIEW AVE, HAMBURG, NY, 14075, US
Mailing Address 75 ELMVIEW AVE, HAMBURG, NY, 14075, US
Phone (716) 713-5631
Fax -
E-mail ALEXIS@PLAYSURFACESPECIALTIES.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 7
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 1.23
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 2.23
Total Number of Driver Inspections for the measurment period 7
Vehicle Maintenance BASIC Roadside Performance measure value 1.5
Total Number of Vehicle Inspections for the measurement period 4
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 6.59
Number of inspections with at least one Driver Fitness BASIC violation 3
Number of inspections with at least one Hours-of-Service BASIC violation 3
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 2
Number of inspections with at least one Vehicle Maintenance BASIC violation 2
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 1
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 4

Inspections

Unique report number of the inspection CC00006605
State abbreviation that indicates the state the inspector is from MA
The date of the inspection 2023-10-20
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred MA
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 FORD
License plate of the main unit 57280NC
License state of the main unit NY
Vehicle Identification Number of the main unit 1FT8W3DT0NEE78808
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit TRLR
License plate of the secondary unit CE40650
License state of the secondary unit NY
Vehicle Identification Number of the secondary unit 7UZFD2222PL000500
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 2
Number of Unsafe Driving BASIC violations 2
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
Unique report number of the inspection SPB0401688
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2023-05-18
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 TRUCK TRACTOR
Description of the make of the main unit FORD
License plate of the main unit 80247NB
License state of the main unit NY
Vehicle Identification Number of the main unit 1FT8W3DT7NEE64226
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit TRLR
License plate of the secondary unit CB28661
License state of the secondary unit NY
Vehicle Identification Number of the secondary unit 5JW2C2028L2296028
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 6
Number of Unsafe Driving BASIC violations 1
Number of Hours-of-Service Compliance BASIC violations 1
Number of Driver Fitness BASIC violations 2
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 2
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection TCNQ000883
State abbreviation that indicates the state the inspector is from TN
The date of the inspection 2023-04-11
ID that indicates the level of inspection Full
State abbreviation that indicates where the inspection occurred TN
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 1
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 FORD
License plate of the main unit 57280NC
License state of the main unit NY
Vehicle Identification Number of the main unit 1FT8W3DT0NEE78808
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit TRLR
License plate of the secondary unit CE40650
License state of the secondary unit NY
Vehicle Identification Number of the secondary unit 7UZFD2222PL000500
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 SPD3050090
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2024-10-03
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 3
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 FORD
License plate of the main unit 57280NC
License state of the main unit NY
Vehicle Identification Number of the main unit 1FT8W3DT0NEE78808
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit KAUFMAN
License plate of the secondary unit CE40650
License state of the secondary unit NY
Vehicle Identification Number of the secondary unit 7UZFD2222PL000500
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 1
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
Unique report number of the inspection 1237000251
State abbreviation that indicates the state the inspector is from GA
The date of the inspection 2024-07-23
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred GA
Time weight of the inspection 3
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 FORD
License plate of the main unit 57280NC
License state of the main unit NY
Vehicle Identification Number of the main unit 1FT8W3DT0NEE78808
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit KAUFMAN
License plate of the secondary unit CE40650
License state of the secondary unit NY
Vehicle Identification Number of the secondary unit 7UZFD2222PL000500
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 1
Number of Unsafe Driving BASIC violations 1
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
Unique report number of the inspection SPWA100931
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2024-07-09
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 3
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 FORD
License plate of the main unit 67455ND
License state of the main unit NY
Vehicle Identification Number of the main unit 1FT8W3DM0PEC16377
Description of the type of the secondary unit OTHER
Description of the make of the secondary unit QUAL
License plate of the secondary unit CE40420
License state of the secondary unit NY
Vehicle Identification Number of the secondary unit 550FD2321KS002029
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 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 2024-10-03
Code of the violation 39522H2ELDNISDT
Name of the BASIC Hours-of-Service Compliance
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 1
The time weight that is assigned to a violation 3
The description of a violation HOS (ELD) Driver failing to have instruction sheet describing the data transfer mechanisms supported by the ELD and step-by-step instructions for the driver to pr
The description of the violation group EOBR Related
The unit a violation is cited against Driver
The date of the inspection 2024-07-23
Code of the violation 39216BDPASS
Name of the BASIC Unsafe Driving
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 7
The time weight that is assigned to a violation 3
The description of a violation Driver - Failed to require passenger(s) (not a co-driver) to use seat belt while operating a property-carrying CMV.
The description of the violation group Seat Belt
The unit a violation is cited against Driver
The date of the inspection 2024-07-09
Code of the violation 39141A
Name of the BASIC Driver Fitness
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 1
The time weight that is assigned to a violation 3
The description of a violation Operating a property-carrying vehicle without a valid medical certificate in possession or on file with the state drivers licensing agency. History of either fail
The description of the violation group Medical Certificate
The unit a violation is cited against Driver
The date of the inspection 2023-10-20
Code of the violation 3922LV
Name of the BASIC Unsafe Driving
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 3
The time weight that is assigned to a violation 1
The description of a violation Lane Restriction violation
The description of the violation group Misc Violations
The unit a violation is cited against Driver
The date of the inspection 2023-10-20
Code of the violation 39216B
Name of the BASIC Unsafe Driving
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 7
The time weight that is assigned to a violation 1
The description of a violation Operating a property-carrying commercial motor vehicle while all other occupants are not properly restrained
The description of the violation group Seat Belt
The unit a violation is cited against Driver
The date of the inspection 2023-05-18
Code of the violation 3958F1
Name of the BASIC Hours-of-Service Compliance
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 5
The time weight that is assigned to a violation 1
The description of a violation Drivers record of duty status not current
The description of the violation group Incomplete/Wrong Log
The unit a violation is cited against Driver
The date of the inspection 2023-05-18
Code of the violation 39395F
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 Emergency Equipment - Stopped vehicle warning devices missing or improper
The description of the violation group Emergency Equipment
The unit a violation is cited against Vehicle main unit
The date of the inspection 2023-05-18
Code of the violation 39395A
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 No/discharged/unsecured fire extinguisher
The description of the violation group Emergency Equipment
The unit a violation is cited against Vehicle main unit
The date of the inspection 2023-05-18
Code of the violation 3922C
Name of the BASIC Unsafe Driving
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 5
The time weight that is assigned to a violation 1
The description of a violation Failure to obey traffic control device
The description of the violation group Dangerous Driving
The unit a violation is cited against Driver
The date of the inspection 2023-05-18
Code of the violation 39141AF
Name of the BASIC Driver Fitness
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 1
The time weight that is assigned to a violation 1
The description of a violation Operating a property-carrying vehicle without possessing a valid medical certificate.
The description of the violation group Medical Certificate
The unit a violation is cited against Driver
The date of the inspection 2023-05-18
Code of the violation 38323A2
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 Operating a CMV without a CDL
The description of the violation group License-related: High
The unit a violation is cited against Driver
The date of the inspection 2023-04-11
Code of the violation 393104F3
Name of the BASIC Vehicle Maintenance
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 3
The time weight that is assigned to a violation 1
The description of a violation Loose or unfastened tiedown
The description of the violation group Tiedown
The unit a violation is cited against Vehicle secondary unit

Date of last update: 23 Mar 2025

Sources: New York Secretary of State