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Crumbley Paper & Foodservice, Inc.

Company Details

Name: Crumbley Paper & Foodservice, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 04 Apr 1966 (59 years ago)
Business ID: 405954
ZIP code: 39440
County: Jones
State of Incorporation: MISSISSIPPI
Principal Office Address: 1227 N. FIRST AVELAUREL, MS 39440
Historical names: CRUMBLEY PAPER COMPANY, INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CRUMBLEY PAPER COMPANY 401(K) PLAN 2023 640437465 2024-03-15 CRUMBLEY PAPER & FOODSERVICE, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2024-03-15
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
CRUMBLEY PAPER COMPANY 401(K) PLAN 2022 640437465 2023-03-29 CRUMBLEY PAPER & FOODSERVICE, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2023-03-29
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
CRUMBLEY PAPER COMPANY 401(K) PLAN 2021 640437465 2022-04-28 CRUMBLEY PAPER & FOODSERVICE, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2022-04-28
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-28
Name of individual signing LOUIS CRUMBLEY
Valid signature Filed with authorized/valid electronic signature
CRUMBLEY PAPER COMPANY 401(K) PLAN 2020 640437465 2021-03-02 CRUMBLEY PAPER & FOODSERVICE, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2021-03-02
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
CRUMBLEY PAPER COMPANY 401(K) PLAN 2019 640437465 2020-10-07 CRUMBLEY PAPER & FOODSERVICE, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
CRUMBLEY PAPER COMPANY 401(K) PLAN 2018 640437465 2019-04-30 CRUMBLEY PAPER & FOODSERVICE, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2019-04-30
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-30
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
CRUMBLEY PAPER COMPANY 401(K) PLAN 2017 640437465 2018-08-08 CRUMBLEY PAPER & FOODSERVICE, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2018-08-08
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-08
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
CRUMBLEY PAPER COMPANY 401(K) PLAN 2016 640437465 2017-07-12 CRUMBLEY PAPER & FOODSERVICE, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2017-07-12
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-12
Name of individual signing CHARLES RUFFIN
Valid signature Filed with authorized/valid electronic signature
CRUMBLEY PAPER COMPANY 401(K) PLAN 2015 640437465 2016-04-13 CRUMBLEY PAPER & FOODSERVICE, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2016-04-13
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-13
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
CRUMBLEY PAPER COMPANY 401(K) PLAN 2014 640437465 2015-04-10 CRUMBLEY PAPER & FOODSERVICE, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2015-04-10
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-10
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/17/20140417095021P040305341171001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2014-04-17
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-17
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/22/20130422150611P030064898261001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Signature of

Role Plan administrator
Date 2013-04-22
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-22
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/25/20120425163239P030001420896001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Plan administrator’s name and address

Administrator’s EIN 640437465
Plan administrator’s name CRUMBLEY PAPER & FOODSERVICE, INC.
Plan administrator’s address 1227 N 1ST AVE, LAUREL, MS, 394403003
Administrator’s telephone number 6016490715

Signature of

Role Plan administrator
Date 2012-04-25
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-25
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Plan administrator’s name and address

Administrator’s EIN 640437465
Plan administrator’s name CRUMBLEY PAPER & FOODSERVICE, INC.
Plan administrator’s address 1227 N 1ST AVE, LAUREL, MS, 394403003
Administrator’s telephone number 6016490715

Signature of

Role Plan administrator
Date 2011-05-03
Name of individual signing LOUIS CRUMBLEY
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-05-03
Name of individual signing LOUIS CRUMBLEY
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/31/20110531155743P040069846529001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Plan administrator’s name and address

Administrator’s EIN 640437465
Plan administrator’s name CRUMBLEY PAPER & FOODSERVICE, INC.
Plan administrator’s address 1227 N 1ST AVE, LAUREL, MS, 394403003
Administrator’s telephone number 6016490715

Signature of

Role Plan administrator
Date 2011-05-31
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-31
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 424100
Sponsor’s telephone number 6016490715
Plan sponsor’s address 1227 N 1ST AVE, LAUREL, MS, 394403003

Plan administrator’s name and address

Administrator’s EIN 640437465
Plan administrator’s name CRUMBLEY PAPER & FOODSERVICE, INC.
Plan administrator’s address 1227 N 1ST AVE, LAUREL, MS, 394403003
Administrator’s telephone number 6016490715

Signature of

Role Plan administrator
Date 2011-05-09
Name of individual signing MARY COLLINS
Valid signature Filed with authorized/valid electronic signature

Director

Name Role Address
Louis S Crumbley Director PO Box585, Laurel, MS 39441

President

Name Role Address
Louis S Crumbley President PO Box585, Laurel, MS 39441

Vice President

Name Role Address
CHARLES THOMAS RUFFIN Vice President P O BOX 585, LAUREL, MS 39441
KELLE BURGESS Vice President P O BOX 6191, LAUREL, MS 39441

Agent

Name Role Address
LOUIS S CRUMBLEY Agent 1227 FIRST AVENUE, P O BOX 585, LAUREL, MS 39441

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: Tax: Crumbley Paper & Foodservice, Inc.
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: Tax: Crumbley Paper & Foodservice, Inc.
Annual Report Filed 2024-01-10 Annual Report For Crumbley Paper & Foodservice, Inc.
Annual Report Filed 2023-04-12 Annual Report For Crumbley Paper & Foodservice, Inc.
Annual Report Filed 2022-02-28 Annual Report For Crumbley Paper & Foodservice, Inc.
Annual Report Filed 2021-03-08 Annual Report For Crumbley Paper & Foodservice, Inc.
Annual Report Filed 2020-01-31 Annual Report For Crumbley Paper & Foodservice, Inc.
Annual Report Filed 2019-02-07 Annual Report For Crumbley Paper & Foodservice, Inc.
Reinstatement Filed 2018-12-13 Reinstatement For Crumbley Paper & Foodservice, Inc.
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2086428509 2021-02-19 0470 PPS 1227 N 1st Ave, Laurel, MS, 39440-3003
Loan Status Date 2022-03-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 409743
Loan Approval Amount (current) 409743
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Laurel, JONES, MS, 39440-3003
Project Congressional District MS-04
Number of Employees 56
NAICS code 424410
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 413829.2
Forgiveness Paid Date 2022-02-25
6197457109 2020-04-14 0470 PPP 1227 N First Ave, LAUREL, MS, 39440-3003
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 383721.88
Loan Approval Amount (current) 383721.88
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address LAUREL, JONES, MS, 39440-3003
Project Congressional District MS-04
Number of Employees 60
NAICS code 424410
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 386717.04
Forgiveness Paid Date 2021-01-25

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
642241 Interstate 2024-02-03 593277 2023 16 14 Auth. For Hire
Legal Name CRUMBLEY PAPER & FOODSERVICE INC
DBA Name -
Physical Address 1227 FIRST AVENUE, LAUREL, MS, 39440, US
Mailing Address PO BOX 585, LAUREL, MS, 39441-0585, US
Phone (601) 649-0715
Fax (601) 649-0716
E-mail LCRUMBLEY@CPC-INC.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 5
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 5
Vehicle Maintenance BASIC Roadside Performance measure value 4.5
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 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 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 0

Inspections

Unique report number of the inspection U048011380
State abbreviation that indicates the state the inspector is from MS
The date of the inspection 2023-08-28
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred MS
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 FRHT
License plate of the main unit 3171503
License state of the main unit IN
Vehicle Identification Number of the main unit 3AKBHKDVXKSKE9158
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit UTIL
License plate of the secondary unit 053378A
License state of the secondary unit MS
Vehicle Identification Number of the secondary unit 1UYVS13699P719002
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
Unique report number of the inspection 7644008688
State abbreviation that indicates the state the inspector is from MS
The date of the inspection 2023-04-04
ID that indicates the level of inspection Full
State abbreviation that indicates where the inspection occurred MS
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 FRHT
License plate of the main unit 3337514
License state of the main unit IN
Vehicle Identification Number of the main unit 3AKJHLDV1PSNS4431
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit UTIL
License plate of the secondary unit 041079A
License state of the secondary unit MS
Vehicle Identification Number of the secondary unit 1UYVS13677P121701
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 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 2
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 7631000872
State abbreviation that indicates the state the inspector is from MS
The date of the inspection 2023-03-29
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred MS
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 FRHT
License plate of the main unit 3264026
License state of the main unit IN
Vehicle Identification Number of the main unit 3AKBHKDV6KSKE9156
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit UTIL
License plate of the secondary unit 053378A
License state of the secondary unit MS
Vehicle Identification Number of the secondary unit 1UYVS13699P719002
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 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
Unique report number of the inspection 6643026676
State abbreviation that indicates the state the inspector is from MS
The date of the inspection 2023-01-25
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred MS
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 FRHT
License plate of the main unit 2202314
License state of the main unit IN
Vehicle Identification Number of the main unit 3AKBGDD57ESFY6820
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit GDAN
License plate of the secondary unit 453318Z
License state of the secondary unit ME
Vehicle Identification Number of the secondary unit 1GR1P5611NK329966
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 2003000061
State abbreviation that indicates the state the inspector is from MS
The date of the inspection 2023-11-29
ID that indicates the level of inspection Full
State abbreviation that indicates where the inspection occurred MS
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 TRUCK TRACTOR
Description of the make of the main unit INTL
License plate of the main unit 3463492
License state of the main unit IN
Vehicle Identification Number of the main unit 3HSDYAPN2RN128463
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit UTIL
License plate of the secondary unit 041085A
License state of the secondary unit MS
Vehicle Identification Number of the secondary unit 1UYVS13687P121707
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 3
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 3
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 5007012426
State abbreviation that indicates the state the inspector is from MS
The date of the inspection 2023-11-28
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred MS
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 FRHT
License plate of the main unit 2727902
License state of the main unit IN
Vehicle Identification Number of the main unit 3AKBHKDV8KSKE9160
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit UTIL
License plate of the secondary unit 041088A
License state of the secondary unit MS
Vehicle Identification Number of the secondary unit 1UYVS13687P121710
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 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

Violations

The date of the inspection 2023-11-29
Code of the violation 3963A1BOS
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 0
The time weight that is assigned to a violation 1
The description of a violation BRAKES OUT OF SERVICE: The number of defective brakes is equal to or greater than 20 percent of the service brakes on the vehicle or combination
The description of the violation group Brake Out Of Service
The unit a violation is cited against Vehicle secondary unit
The date of the inspection 2023-04-04
Code of the violation 39353B
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 4
The time weight that is assigned to a violation 1
The description of a violation CMV manufactured after 10/19/94 has an automatic airbrake adjustment system that fails to compensate for wear
The description of the violation group Brakes All Others
The unit a violation is cited against Vehicle secondary unit
The date of the inspection 2023-04-04
Code of the violation 39347E
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 4
The time weight that is assigned to a violation 1
The description of a violation Brake Out of Adjustment - Roto Clamp (Short & Long) DD-3 or Bolt
The description of the violation group Brakes Out of Adjustment
The unit a violation is cited against Vehicle secondary unit
The date of the inspection 2023-01-25
Code of the violation 393205C
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 Wheel fasteners loose and/or missing
The description of the violation group Wheels Studs Clamps Etc.
The unit a violation is cited against Vehicle main unit

Crashes

Unique state report number for the incident MS9025230001
Sequence number for each vehicle involved in a crash 1
The date a incident occurred 2023-09-20
State abbreviation MS
Total number of fatalities reported in the crash 0
Total number of injuries reported in the crash 1
The vehicle involved in the accident was towed from the scene N
Description of the trafficway Two-Way Trafficway Divided Positive Barrier
Description of the road surface condition Dry
Description of the weather condition No Adverse Conditions
Description of the light condition Dark - Not Lighted
Vehicle Identification number (VIN) 3AKBHKDVXKSKE9158
Vehicle license number 3171503
Vehicle license state IN
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: 18 Apr 2025

Sources: Mississippi Secretary of State