| Name: | KENTUCKY TIRE EXCHANGE, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Bad |
| Profit or Non-Profit: | Profit |
| File Date: | 19 Jun 1975 (50 years ago) |
| Organization Date: | 19 Jun 1975 (50 years ago) |
| Last Annual Report: | 19 Apr 2017 (8 years ago) |
| Organization Number: | 0035479 |
| ZIP code: | 42102 |
| City: | Bowling Green |
| Primary County: | Warren County |
| Principal Office: | P.O. BOX 616, BOWLING GREEN, KY 42102 |
| Place of Formation: | KENTUCKY |
| Common No Par Shares: | 1000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENTUCKY TIRE EXCHANGE | 2011 | 610878473 | 2012-10-12 | KENTUCKY TIRE EXCHANGE | 0 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 610878473 |
| Plan administrator’s name | KENTUCKY TIRE EXCHANGE |
| Plan administrator’s address | 331 KENTUCKY ST, P O BOX 616, BOWLING GREEN, KY, 421020616 |
| Administrator’s telephone number | 2708422491 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-12 |
| Name of individual signing | LARRY LANCASTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1996-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 2708422491 |
| Plan sponsor’s address | 331 KENTUCKY ST., P O BOX 616, BOWLING GREEN, KY, 421020616 |
Plan administrator’s name and address
| Administrator’s EIN | 610878473 |
| Plan administrator’s name | KENTUCKY TIRE EXCHANGE |
| Plan administrator’s address | 331 KENTUCKY ST., P O BOX 616, BOWLING GREEN, KY, 421020616 |
| Administrator’s telephone number | 2708422491 |
Signature of
| Role | Plan administrator |
| Date | 2012-08-29 |
| Name of individual signing | LARRY LANCASTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1996-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 2708422491 |
| Plan sponsor’s address | P.O BOX 616, BOWLING GREEN, KY, 42102 |
Plan administrator’s name and address
| Administrator’s EIN | 610878473 |
| Plan administrator’s name | KENTUCKY TIRE EXCHANGE |
| Plan administrator’s address | P.O BOX 616, BOWLING GREEN, KY, 42102 |
| Administrator’s telephone number | 2708422491 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-28 |
| Name of individual signing | KENTUCKY TIRE EXCHANGE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1996-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 2708422491 |
| Plan sponsor’s address | P.O BOX 616, BOWLING GREEN, KY, 42102 |
Plan administrator’s name and address
| Administrator’s EIN | 610878473 |
| Plan administrator’s name | KENTUCKY TIRE EXCHANGE |
| Plan administrator’s address | P.O BOX 616, BOWLING GREEN, KY, 42102 |
| Administrator’s telephone number | 2708422491 |
Signature of
| Role | Plan administrator |
| Date | 2010-12-29 |
| Name of individual signing | KENTUCKY TIRE EXCHANGE |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1996-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 2708422491 |
| Plan sponsor’s address | P.O BOX 616, BOWLING GREEN, KY, 42102 |
Plan administrator’s name and address
| Administrator’s EIN | 610878473 |
| Plan administrator’s name | KENTUCKY TIRE EXCHANGE |
| Plan administrator’s address | P.O BOX 616, BOWLING GREEN, KY, 42102 |
| Administrator’s telephone number | 2708422491 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-21 |
| Name of individual signing | KENTUCKY TIRE EXCHANGE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Bernetta K. Clark | Director |
| Heather M South | Director |
| Michael D Clark | Director |
| PAUL J. CLARK | Director |
| Name | Role |
|---|---|
| PAUL J. CLARK | Incorporator |
| Name | Role |
|---|---|
| MICHAEL D. CLARK | Registered Agent |
| Name | Role |
|---|---|
| Michael D. Clark | President |
| Name | File Date |
|---|---|
| Administrative Dissolution | 2018-10-16 |
| Principal Office Address Change | 2017-04-19 |
| Annual Report | 2017-04-19 |
| Annual Report | 2016-05-11 |
| Annual Report | 2015-06-15 |
| Annual Report | 2014-05-20 |
| Annual Report | 2013-04-23 |
| Annual Report Amendment | 2012-08-20 |
| Annual Report | 2012-06-13 |
| Annual Report | 2011-06-23 |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 893416 | Intrastate Non-Hazmat | 2013-06-05 | 110000 | 2012 | 4 | 4 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| 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 |
Sources: Kentucky Secretary of State
