| Name: | FAB- TEK of Central Mississippi, Inc. |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Profit Corporation |
| Status: | Good Standing |
| Effective Date: | 01 Jun 2012 (13 years ago) |
| Business ID: | 1002951 |
| ZIP code: | 39083 |
| County: | Copiah |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 19171 Highway 51 SouthHazlehurst, MS 39083 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FAB-TEK OF CENTRAL MISSISSIPPI, INC. 401(K) PLAN | 2023 | 455335463 | 2024-09-01 | FAB-TEK OF CENTRAL MISSISSIPPI, | 19 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-01 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 811310 |
| Sponsor’s telephone number | 6018925017 |
| Plan sponsor’s address | 19171 HIGHWAY 51, HAZLEHURST, MS, 39083 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-14 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 811310 |
| Sponsor’s telephone number | 6018925017 |
| Plan sponsor’s address | 19171 HIGHWAY 51, HAZLEHURST, MS, 39083 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-21 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 811310 |
| Sponsor’s telephone number | 6018925017 |
| Plan sponsor’s address | 19171 HIGHWAY 51, HAZLEHURST, MS, 39083 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-14 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 811310 |
| Sponsor’s telephone number | 6018925017 |
| Plan sponsor’s address | 19171 HIGHWAY 51, HAZLEHURST, MS, 39083 |
Signature of
| Role | Plan administrator |
| Date | 2020-09-15 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 6018925017 |
| Plan sponsor’s address | P.O. BOX 127, GALLMAN, MS, 39077 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-15 |
| Name of individual signing | BROOKLYN WARREN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-10-15 |
| Name of individual signing | BROOKLYN WARREN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 6018925017 |
| Plan sponsor’s address | P.O. BOX 127, GALLMAN, MS, 39077 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-12 |
| Name of individual signing | BROOKLYN WARREN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 6018925017 |
| Plan sponsor’s address | P.O. BOX 127, GALLMAN, MS, 39077 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-26 |
| Name of individual signing | BECKY BROWN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 6018925017 |
| Plan sponsor’s address | P.O.BOX 127, GALLMAN, MS, 39077 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-12 |
| Name of individual signing | BECKY BROWN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 6018925017 |
| Plan sponsor’s address | 19171 HIGHWAY 51, HAZLEHURST, MS, 39083 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-07 |
| Name of individual signing | GREG JACOBS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Moore, Shannon L | Agent | 19171 Hwy 51 South;P O Box 127, Gallman, MS 39077 |
| Name | Role | Address |
|---|---|---|
| Shannon Moore | Incorporator | 19171 Hwy 51 South, Gallman, MS 39077 |
| Name | Role | Address |
|---|---|---|
| Brooklyn Moore Warren | Secretary | PO Box 127, Gallman, MS 39077 |
| Name | Role | Address |
|---|---|---|
| Shannon Moore | Chief Executive Officer | 19171 Highway 51 South, Hazlehurst, MS 39083 |
| Name | Role | Address |
|---|---|---|
| Shannon Moore | Director | 19171 Highway 51 South, Hazlehurst, MS 39083 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report | Filed | 2024-02-27 | Annual Report For FAB- TEK of Central Mississippi, Inc. |
| Annual Report | Filed | 2023-04-05 | Annual Report For FAB- TEK of Central Mississippi, Inc. |
| Annual Report | Filed | 2022-04-05 | Annual Report For FAB- TEK of Central Mississippi, Inc. |
| Annual Report | Filed | 2021-06-16 | Annual Report For FAB- TEK of Central Mississippi, Inc. |
| Annual Report | Filed | 2020-09-09 | Annual Report For FAB- TEK of Central Mississippi, Inc. |
| Notice to Dissolve/Revoke | Filed | 2020-08-28 | Notice to Dissolve/Revoke |
| Annual Report | Filed | 2019-04-04 | Annual Report For FAB- TEK of Central Mississippi, Inc. |
| Annual Report | Filed | 2018-09-20 | Annual Report For FAB- TEK of Central Mississippi, Inc. |
| Notice to Dissolve/Revoke | Filed | 2018-09-07 | Notice to Dissolve/Revoke |
| Annual Report | Filed | 2017-01-12 | Annual Report For FAB- TEK of Central Mississippi, Inc. |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 347377228 | 0419400 | 2024-03-27 | 19171 U.S. 51, HAZLEHURST, MS, 39083 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Referral |
| Activity Nr | 2145830 |
| Health | Yes |
| Type | Inspection |
| Activity Nr | 1736498 |
| Safety | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19100134 E01 |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 2661.45 |
| Initial Penalty | 4839.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 40 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(e)(1): The employer did not provide a medical evaluation to determine the employee's ability to use a respirator before the employee was fit tested or required to use the respirator in the workplace: (a) Facility - On or about March 27, 2024, the employer did not provide medical evaluations to employees using the 3M half mask respirators, exposing them to respiratory hazards. |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19100134 F02 |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 40 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(f)(2): The employer did not ensure that an employee using a tight-fitting respirator was fit tested prior to initial use of the respirator, whenever a different respirator facepiece was used, and at least annually thereafter: a) Facility - On or about March 27, 2024, the employer did not ensure that employee(s) mixing diethylenetriamine with hardener were fit tested before using a 3M half-face respirator exposing employee(s) to respiratory hazards. |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19101200 E01 I |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 2661.45 |
| Initial Penalty | 4839.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 40 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1200(e)(1)(i): The employer did not compile a list of the hazardous chemicals known to be present using a product identifier that was referenced on the appropriate safety data sheet. (a) Facility - On or about March 27, 2024, the employer had not compiled a list of hazardous chemicals that employees may be exposed to in the workplace such as but not limited to diethylenetriamine exposing employees to chemical hazards such as eye, skin, and respiratory irritation. |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19101200 H01 |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 40 |
| 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 on was introduced into their work area: (a) Facility - On or about March 27, 2024, the employer had not performed training on the chemicals used in the workplace such as but not limited to diethylenetriamine exposing employees to chemical hazards. |
| Citation ID | 01003 |
| Citaton Type | Serious |
| Standard Cited | 19101025 H01 |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 2661.45 |
| Initial Penalty | 4839.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 40 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1025(h)(1): All surfaces were not maintained as free as practicable of accumulations of lead: (a) Break Area - On or about March 28, 2024, the employer did not ensure the microwave in the breakroom was free of lead which contained an accumulation of 5.05 micrograms exposing employees to an ingestion hazard. |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19100151 B |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 40 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.151(b): In the absence of an infirmary, clinic or hospital in near proximity to the workplace which is used for the treatment of all injured employees, a person or persons was not adequately trained to render first aid: (a) Facility - On or about March 27, 2024, the employer did not designate an individual trained to render first aid. |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19100151 C |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 40 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.151(c): Where employees were exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body were not provided within the work area for immediate emergency use: (a) Facility- On or about March 27, 2024, employees working in the copper shop were exposed to diethylenetriamine, a corrosive solution, without having immediate access to an eyewash/shower exposing employees to burn hazards. |
| Inspection Type | Planned |
| Scope | Complete |
| Safety/Health | Safety |
| Close Conference | 2024-03-21 |
| Emphasis | N: AMPUTATE, P: AMPUTATE |
Related Activity
| Type | Inspection |
| Activity Nr | 1737722 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100147 C04 I |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-27 |
| Current Penalty | 3549.15 |
| Initial Penalty | 6453.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 5 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.147(c)(4)(i): Procedures were not developed, documented and utilized for the control of potentially hazardous energy when employees were engaged in activities covered by this section: (a) Facility - On or about March 27, 2024, the employer did not develop specific lockout tagout procedures for equipment with multiple energy sources such as PA Riot air jet, press brakes, etc., exposing employees to amputation hazards. |
| Citation ID | 01002 |
| Citaton Type | Serious |
| Standard Cited | 19100212 A01 |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 2661.45 |
| Initial Penalty | 4839.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.212(a)(1): One or more methods of machine guarding was not provided to protect the operator and other employees in the machine area from hazards such as those created by point of operation, ingoing nip points, rotating parts, flying chips and sparks: (a) Cut Shop - On or about March 27,2024, the employer did not guard the rotating chuck on a Sharp Lathe 1880LV exposing the employees to amputation hazards. |
| Citation ID | 01003A |
| Citaton Type | Serious |
| Standard Cited | 19100217 B04 I |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 2661.45 |
| Initial Penalty | 4839.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.217(b)(4)(i): The pedal mechanism shall be protected to prevent unintended operation from falling or moving objects or by accidental stepping onto the pedal. (a)-On or about March 27, 2024, the pedal mechanism on the Standard Industrial Press Brake AB250-12 was not completely guarded exposing the employees to an amputation hazard. |
| Citation ID | 01003B |
| Citaton Type | Serious |
| Standard Cited | 19100217 C02 I A |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.217(c)(2)(i)(a): Point of operation guard(s) on mechanical power press(es) did not prevent entry of hands or fingers into the point of operation by reaching through, over, under or around the guard(s): (a) Welding area- On or around March 27, 2024, the Standard Industrial Press Brake AB250-12 was not guarded on the sides, exposing the employees to amputation hazards. |
| Citation ID | 01004 |
| Citaton Type | Serious |
| Standard Cited | 19100242 B |
| Issuance Date | 2024-05-13 |
| Current Penalty | 2661.45 |
| Initial Penalty | 4839.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.242(b): Compressed air used for cleaning. Compressed air shall not be used for cleaning purposes except where reduced to less than 30 p.s.i. and then only with effective chip guarding and personal protective equipment: (a)Cut Shop - On or about March 27, 2024, air pressure used to dry and clean material cut from the PA Riot Air jet was 60 p.s.i. exposing employees to eye injuries. |
| Citation ID | 01005 |
| Citaton Type | Serious |
| Standard Cited | 19100305 B01 II |
| Issuance Date | 2024-05-13 |
| Abatement Due Date | 2024-06-05 |
| Current Penalty | 2661.45 |
| Initial Penalty | 4839.0 |
| Final Order | 2024-08-29 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.305(b)(1)(ii): Unused openings in boxes, cabinets, or fittings were not effectively closed: (a) Copper shop- On or about March 27,2024 the panel box was missing blanks for the circuit breakers operating the copper shop exposing employees to an electrical hazard. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2102987202 | 2020-04-15 | 0470 | PPP | 19171 Hwy 51, HAZLEHURST, MS, 39083-4400 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 25 Mar 2025
Sources: Mississippi Secretary of State
