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  5. Van Zyverden, Inc.

Van Zyverden, Inc.

Company Details

Name: Van Zyverden, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 02 Nov 1994 (30 years ago)
Business ID: 612113
ZIP code: 39305
County: Lauderdale
State of Incorporation: DELAWARE
Principal Office Address: 8079 VAN ZYVERDEN RDMERIDIAN, MS 39305
Historical names: VAN ZYVERDEN BROS., INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2023 221603775 2024-07-29 VAN ZYVERDEN, INC. 154
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 155

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing ROBERT CARLETON
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2022 221603775 2023-07-27 VAN ZYVERDEN, INC. 166
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 154

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing TONY ROBERSON
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2021 221603775 2022-07-12 VAN ZYVERDEN, INC. 186
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 166

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing RICKY GRESSETT
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2020 221603775 2021-07-19 VAN ZYVERDEN, INC. 188
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 186

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2019 221603775 2020-09-23 VAN ZYVERDEN, INC. 258
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 188

Signature of
Role Plan administrator
Date 2020-09-22
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2018 221603775 2020-08-05 VAN ZYVERDEN, INC. 201
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 258

Signature of
Role Plan administrator
Date 2020-08-05
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2018 221603775 2020-08-05 VAN ZYVERDEN, INC. 201
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Signature of
Role Plan administrator
Date 2020-08-05
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2017 221603775 2018-06-08 VAN ZYVERDEN, INC. 200
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 201

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2016 221603775 2017-07-13 VAN ZYVERDEN, INC. 186
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 200

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2015 221603775 2016-07-21 VAN ZYVERDEN, INC. 191
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 186

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/08/13/20150813154038P030002538509001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P. O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Number of participants as of the end of the plan year
Active participants 200
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 30
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 140
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-08-13
Name of individual signing PATSY M. IRBY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-13
Name of individual signing MICHAEL KNOST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/17/20150717133730P030118609313001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 191

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/09/20141009072031P030016041725001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P. O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Number of participants as of the end of the plan year
Active participants 242
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 25
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 138
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing PATSY M IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/18/20140718130021P030013702271001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 195

Signature of
Role Plan administrator
Date 2014-07-18
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113732P040148176433001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 198

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113547P040148174881001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 225

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113408P040148172945001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 238

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/29/20130829160842P040137140469001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P. O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Number of participants as of the end of the plan year
Active participants 242
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 30
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 142
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-08-29
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-29
Name of individual signing MICHAEL KNOST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113709P040148175665001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 195

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113646P040148175201001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 192

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113623P040148175137001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 198

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jacqueline VZ Hogan Agent 4410 18th Ave, Meridian, MS 39305

Director

Name Role Address
Jacqueline Van Zyverden Hogan Director PO Box 550, Meridian, MS 39302-0550
Robert Van Zyverden Director PO Box 550, Meridian, MS 39302-0550
Charlotte Fay Adkins Director PO Box 550, Meridian, MS 39302
Dennis van der Linden Director PO Box 550, Meridian, MS 39302-0550
Tony Ray Roberson Director PO Box 550, Meridian, MS 39302
Michael A Lagendyk Director PO Box 550, Meridian, MS 39302

Chief Executive Officer

Name Role Address
Jacqueline Van Zyverden Hogan Chief Executive Officer PO Box 550, Meridian, MS 39302-0550

Vice President

Name Role Address
Robert Van Zyverden Vice President PO Box 550, Meridian, MS 39302-0550

Secretary

Name Role Address
Charlotte Fay Adkins Secretary PO Box 550, Meridian, MS 39302

President

Name Role Address
Jacqueline Van Zyverden Hogan President PO Box 550, Meridian, MS 39302-0550

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-06 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2023-02-23 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2022-02-28 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2021-04-09 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2020-04-27 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2019-08-15 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2018-10-15 Annual Report For Van Zyverden, Inc.
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-02-17 Annual Report For Van Zyverden, Inc.
Amendment Form Filed 2016-02-08 Amendment For Van Zyverden, Inc.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9359837004 2020-04-09 0470 PPP 8079 VAN ZYVERDEN RD, MERIDIAN, MS, 39305-8710
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2379300
Loan Approval Amount (current) 2379300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39217
Servicing Lender Name Community Bank of Mississippi
Servicing Lender Address 1905, Community Bank Way, Flowood, MS, 39232
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MERIDIAN, LAUDERDALE, MS, 39305-8710
Project Congressional District MS-03
Number of Employees 305
NAICS code 424910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 39217
Originating Lender Name Community Bank of Mississippi
Originating Lender Address Flowood, MS
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 2414370.23
Forgiveness Paid Date 2021-10-08

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
206886 Interstate 2025-01-13 900 2024 1 2 Private(Property)
Legal Name VAN ZYVERDEN INC
DBA Name -
Physical Address 8079 VANZYVERDEN RD, MERIDIAN, MS, 39305-9121, US
Mailing Address P O BOX 550, MERIDIAN, MS, 39302-0550, US
Phone (601) 679-8274
Fax (601) 679-8039
E-mail -

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 0
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 0
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 1422000035
State abbreviation that indicates the state the inspector is from GA
The date of the inspection 2023-01-26
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred GA
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 INTL
License plate of the main unit B265681
License state of the main unit MS
Vehicle Identification Number of the main unit 1HTMMAAL86H337744
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

Violations
The date of the inspection 2023-01-26
Code of the violation 39617C
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 Operating a CMV without proof of a periodic inspection
The description of the violation group Inspection Reports
The unit a violation is cited against Vehicle main unit
The date of the inspection 2023-01-26
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

Related by officers

Robert Van Zyverden

Ponta Holdings, LLC

Related by address

No related companies by address

Date of last update: 15 Mar 2025

Sources: Mississippi Secretary of State

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