SORBENT SUPPLY, INC.

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2021-01-01
Business code	484120
Sponsor’s telephone number	6624486244
Plan sponsor’s address	15315 HIGHWAY 47, WEST POINT, MS, 397734865

Plan administrator’s name and address

Administrator’s EIN	200200514
Plan administrator’s name	RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address	510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number	6153700051

Signature of

Role	Plan administrator
Date	2024-08-16
Name of individual signing	ROBERT MOORE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2021-01-01
Business code	484120
Sponsor’s telephone number	6624486244
Plan sponsor’s address	15315 HIGHWAY 47, WEST POINT, MS, 397734865

Plan administrator’s name and address

Administrator’s EIN	200200514
Plan administrator’s name	RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address	510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number	6153700051

Signature of

Role	Plan administrator
Date	2022-10-10
Name of individual signing	ROBERT MOORE
Valid signature	Filed with authorized/valid electronic signature

Loan Status Date	2021-03-06
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	195604.65
Loan Approval Amount (current)	195604.65
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	39656
Servicing Lender Name	BankOkolona
Servicing Lender Address	227 W Main St, OKOLONA, MS, 38860-1427
Rural or Urban Indicator	R
Hubzone	Y
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	WEST POINT, CLAY, MS, 39773-4865
Project Congressional District	MS-01
Number of Employees	40
NAICS code	212399
Borrower Race	White
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	39656
Originating Lender Name	BankOkolona
Originating Lender Address	OKOLONA, MS
Gender	Male Owned
Veteran	Unanswered
Forgiveness Amount	196865.48
Forgiveness Paid Date	2021-02-12

Legal Name	SORBENT SUPPLY INC
DBA Name	-
Physical Address	15315 HIGHWAY 47, WEST POINT, MS, 39773, US
Mailing Address	15315 HIGHWAY 47, WEST POINT, MS, 39773, US
Phone	(662) 448-6244
Fax	(662) 448-6242
E-mail	-

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months)	9
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	.93
Total Number of Driver Inspections for the measurment period	9
Vehicle Maintenance BASIC Roadside Performance measure value	4.1
Total Number of Vehicle Inspections for the measurement period	7
Controlled Substances and Alcohol BASIC Roadside Performance measure value	0
Unsafe Driving BASIC Roadside Performance Measure Value	1
Number of inspections with at least one Driver Fitness BASIC violation	0
Number of inspections with at least one Hours-of-Service BASIC violation	1
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	5
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	2

Inspections

Unique report number of the inspection	7635002002
State abbreviation that indicates the state the inspector is from	MS
The date of the inspection	2024-12-23
ID that indicates the level of inspection	Walk-around
State abbreviation that indicates where the inspection occurred	MS
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	TRUCK TRACTOR
Description of the make of the main unit	PTRB
License plate of the main unit	A541218
License state of the main unit	MS
Vehicle Identification Number of the main unit	1XP5DB9X15N846765
Description of the type of the secondary unit	SEMI-TRAILER
Description of the make of the secondary unit	COML
License plate of the secondary unit	068300A
License state of the secondary unit	MS
Vehicle Identification Number of the secondary unit	1E1F9U286ARB44732
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	NSXA006800
State abbreviation that indicates the state the inspector is from	AL
The date of the inspection	2024-06-03
ID that indicates the level of inspection	Walk-around
State abbreviation that indicates where the inspection occurred	AL
Time weight of the inspection	2
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	PTRB
License plate of the main unit	A471351
License state of the main unit	MS
Vehicle Identification Number of the main unit	1XP5DB9X3NN314109
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	087503A
License state of the secondary unit	MS
Vehicle Identification Number of the secondary unit	5MATA4220DA022704
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	MHCV004562
State abbreviation that indicates the state the inspector is from	AL
The date of the inspection	2024-02-09
ID that indicates the level of inspection	Walk-around
State abbreviation that indicates where the inspection occurred	AL
Time weight of the inspection	2
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	PTRB
License plate of the main unit	A471349
License state of the main unit	MS
Vehicle Identification Number of the main unit	1XP5DB9X15N846765
Description of the type of the secondary unit	SEMI-TRAILER
Description of the make of the secondary unit	UNK
License plate of the secondary unit	049806A
License state of the secondary unit	MS
Vehicle Identification Number of the secondary unit	1R91A30241H336298
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	1022010941
State abbreviation that indicates the state the inspector is from	MS
The date of the inspection	2023-11-27
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	PTRB
License plate of the main unit	A471360
License state of the main unit	MS
Vehicle Identification Number of the main unit	1XP5DB9X92D573544
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	MMHP002897
State abbreviation that indicates the state the inspector is from	AL
The date of the inspection	2023-09-19
ID that indicates the level of inspection	Walk-around
State abbreviation that indicates where the inspection occurred	AL
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	PTRB
License plate of the main unit	A471360
License state of the main unit	MS
Vehicle Identification Number of the main unit	1XP5DB9X92D573544
Description of the type of the secondary unit	SEMI-TRAILER
Description of the make of the secondary unit	UNK
License plate of the secondary unit	077406A
License state of the secondary unit	MS
Vehicle Identification Number of the secondary unit	5JLSP4422D5W40119
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	5
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	4
Number of Hazardous Materials Compliance BASIC violations	0
Unique report number of the inspection	1023012039
State abbreviation that indicates the state the inspector is from	MS
The date of the inspection	2023-08-30
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	PTRB
License plate of the main unit	A471361
License state of the main unit	MS
Vehicle Identification Number of the main unit	1XP5DB9XX6D899634
Description of the type of the secondary unit	SEMI-TRAILER
Description of the make of the secondary unit	LBT
License plate of the secondary unit	136819A
License state of the secondary unit	MS
Vehicle Identification Number of the secondary unit	4J8B0432XLT006301
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	TNSL421351
State abbreviation that indicates the state the inspector is from	AL
The date of the inspection	2023-06-13
ID that indicates the level of inspection	Walk-around
State abbreviation that indicates where the inspection occurred	AL
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	PTRB
License plate of the main unit	F846511
License state of the main unit	MS
Vehicle Identification Number of the main unit	1XP5DB9X3NN314109
Description of the type of the secondary unit	SEMI-TRAILER
Description of the make of the secondary unit	MCKT
License plate of the secondary unit	087503A
License state of the secondary unit	MS
Vehicle Identification Number of the secondary unit	5MATA4220DA22704
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	2005011297
State abbreviation that indicates the state the inspector is from	MS
The date of the inspection	2023-03-01
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	PTRB
License plate of the main unit	A315188
License state of the main unit	MS
Vehicle Identification Number of the main unit	1XP5DB0XX7N694808
Description of the type of the secondary unit	SEMI-TRAILER
Description of the make of the secondary unit	EADU
License plate of the secondary unit	049807A
License state of the secondary unit	MS
Vehicle Identification Number of the secondary unit	1TKFA39264B115296
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	2024-12-23
Code of the violation	3958K2
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	3
The description of a violation	Driver failing to retain previous 7 days records of duty status
The description of the violation group	Incomplete/Wrong Log
The unit a violation is cited against	Driver
The date of the inspection	2024-06-03
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	2
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	2023-08-30
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
The date of the inspection	2024-02-09
Code of the violation	39345DLUV
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	2
The description of a violation	Brake Connections with Leaks Under Vehicle
The description of the violation group	Brakes All Others
The unit a violation is cited against	Vehicle main unit
The date of the inspection	2024-02-09
Code of the violation	39311TL
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	3
The time weight that is assigned to a violation	2
The description of a violation	Truck-Tractor lower rear mud flaps retroreflective sheeting / reflex reflective material requirements for vehicles manufactured after July 1997
The description of the violation group	Reflective Sheeting
The unit a violation is cited against	Vehicle main unit
The date of the inspection	2023-09-19
Code of the violation	39375B
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	8
The time weight that is assigned to a violation	1
The description of a violation	Tire-front tread depth less than 4/32 of inch on a major tread groove
The description of the violation group	Tires
The unit a violation is cited against	Vehicle main unit
The date of the inspection	2023-09-19
Code of the violation	39355E
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	No or Defective ABS Malfunction Indicator Lamp for trailer manufactured after 03/01/1998
The description of the violation group	Brakes All Others
The unit a violation is cited against	Vehicle secondary unit
The date of the inspection	2023-09-19
Code of the violation	393207F
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	7
The time weight that is assigned to a violation	1
The description of a violation	Air suspension pressure loss
The description of the violation group	Suspension
The unit a violation is cited against	Vehicle main unit
The date of the inspection	2023-09-19
Code of the violation	3922SLLS2
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	4
The time weight that is assigned to a violation	1
The description of a violation	State/Local Laws - Speeding 6-10 miles per hour over the speed limit
The description of the violation group	Speeding 2
The unit a violation is cited against	Driver
The date of the inspection	2023-08-30
Code of the violation	3963A1
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	Inspection repair and maintenance of parts and accessories
The description of the violation group	Wheels Studs Clamps Etc.
The unit a violation is cited against	Vehicle main unit
The date of the inspection	2023-06-13
Code of the violation	39360D
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	1
The time weight that is assigned to a violation	1
The description of a violation	Windshield / Windows - Tinting permits less than 70% of light transmittance
The description of the violation group	Windshield/ Glass/ Markings
The unit a violation is cited against	Vehicle main unit

Crashes

Unique state report number for the incident	MS9013230002
Sequence number for each vehicle involved in a crash	1
The date a incident occurred	2023-11-16
State abbreviation	MS
Total number of fatalities reported in the crash	1
Total number of injuries reported in the crash	1
The vehicle involved in the accident was towed from the scene	Y
Description of the trafficway	Two-Way Trafficway Not Divided
Description of the road surface condition	Dry
Description of the weather condition	Other
Description of the light condition	Dawn
Vehicle Identification number (VIN)	1XP5DB9X46N634430
Vehicle license number	A407634
Vehicle license state	MS
The severity weight that is assigned to the incident	2
The time weight that is assigned to the incident	1
Sequence number	1
Unique state report number for the incident	MS9013230001
Sequence number for each vehicle involved in a crash	1
The date a incident occurred	2023-01-02
State abbreviation	MS
Total number of fatalities reported in the crash	0
Total number of injuries reported in the crash	0
The vehicle involved in the accident was towed from the scene	Y
Description of the trafficway	Two-Way Trafficway Not Divided
Description of the road surface condition	Wet
Description of the weather condition	Other
Description of the light condition	Daylight
Vehicle Identification number (VIN)	1XP5DB9X66N650211
Vehicle license number	A471355
Vehicle license state	MS
The severity weight that is assigned to the incident	1
The time weight that is assigned to the incident	1
Sequence number	1