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  5. MINI DATA FORMS, INC.

MINI DATA FORMS, INC.

Company Details

Name: MINI DATA FORMS, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 May 1983 (42 years ago)
Organization Date: 23 May 1983 (42 years ago)
Last Annual Report: 26 Jun 2008 (17 years ago)
Organization Number: 0178170
ZIP code: 40511
City: Lexington
Primary County: Fayette County
Principal Office: 2060 BUCK LANE, LEXINGTON, KY 40511
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MINI DATA FORMS RETIREMENT PLAN 2014 621366750 2015-07-21 MINI DATA FORMS, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 323100
Sponsor’s telephone number 7049625467
Plan sponsor’s address P O BOX 13490, LEXINGTON, KY, 40583

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing CYNTHIA TAYLOR
Valid signature Filed with authorized/valid electronic signature
MINI DATA FORMS RETIREMENT PLAN 2014 621366750 2015-12-29 MINI DATA FORMS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 323100
Sponsor’s telephone number 7049625467
Plan sponsor’s address P O BOX 13490, LEXINGTON, KY, 40583

Signature of
Role Plan administrator
Date 2015-12-29
Name of individual signing CYNTHIA TAYLOR
Valid signature Filed with authorized/valid electronic signature
MINI DATA FORMS RETIREMENT PLAN 2013 621366750 2014-07-21 MINI DATA FORMS, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 323100
Sponsor’s telephone number 7049625467
Plan sponsor’s address P O BOX 13490, LEXINGTON, KY, 40583

Signature of
Role Plan administrator
Date 2014-07-21
Name of individual signing CYNTHIA TAYLOR
Valid signature Filed with authorized/valid electronic signature
MINI DATA FORMS RETIREMENT PLAN 2012 621366750 2013-06-28 MINI DATA FORMS, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 323100
Sponsor’s telephone number 7049625467
Plan sponsor’s address P O BOX 13490, LEXINGTON, KY, 40583

Signature of
Role Plan administrator
Date 2013-06-28
Name of individual signing CYNTHIA TAYLOR
Valid signature Filed with authorized/valid electronic signature
MINI DATA FORMS RETIREMENT PLAN 2011 621366750 2012-07-19 MINI DATA FORMS, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 323100
Sponsor’s telephone number 7049625467
Plan sponsor’s address P O BOX 13490, LEXINGTON, KY, 40583

Plan administrator’s name and address
Administrator’s EIN 621366750
Plan administrator’s name MINI DATA FORMS, INC.
Plan administrator’s address P O BOX 13490, LEXINGTON, KY, 40583
Administrator’s telephone number 7049625467

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing CYNTHIA TAYLOR
Valid signature Filed with authorized/valid electronic signature
MINI DATA FORMS RETIREMENT PLAN 2010 611028804 2011-07-22 MINI DATA FORMS, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 323100
Sponsor’s telephone number 7049625467
Plan sponsor’s address P O BOX 13490, LEXINGTON, KY, 40583

Plan administrator’s name and address
Administrator’s EIN 611028804
Plan administrator’s name MINI DATA FORMS, INC.
Plan administrator’s address P O BOX 13490, LEXINGTON, KY, 40583
Administrator’s telephone number 7049625467

Signature of
Role Plan administrator
Date 2011-07-22
Name of individual signing CYNTHIA TAYLOR
Valid signature Filed with authorized/valid electronic signature
MINI DATA FORMS RETIREMENT PLAN 2009 611028804 2010-07-23 MINI DATA FORMS, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 323100
Sponsor’s telephone number 8592317772
Plan sponsor’s address 2060 BUCK LANE, LEXINGTON, KY, 40511

Plan administrator’s name and address
Administrator’s EIN 611028804
Plan administrator’s name MINI DATA FORMS, INC.
Plan administrator’s address 2060 BUCK LANE, LEXINGTON, KY, 40511
Administrator’s telephone number 8592317772

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing CYNTHIA TAYLOR
Valid signature Filed with authorized/valid electronic signature

Signature

Name Role
DARREN C VAN CLEVE Signature

Director

Name Role
DONALD VAN CLEVE Director

President

Name Role
DARREN VANCLEVE President

Registered Agent

Name Role
DONALD VAN CLEVE Registered Agent

Incorporator

Name Role
DONALD VAN CLEVE Incorporator

Assumed Names

Name Status Expiration Date
COMPATIBLE FORMS & CHECKS Inactive 2003-07-15

Filings

Name File Date
Dissolution 2008-11-26
Annual Report 2008-06-26
Annual Report 2007-01-19
Annual Report 2006-08-16
Annual Report 2005-06-09
Annual Report 2003-08-25
Annual Report 2002-07-03
Annual Report 2001-09-12
Annual Report 2000-07-07
Annual Report 1999-07-21

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
303126486 0452110 2000-08-09 2060 BUCK LANE, LEXINGTON, KY, 40511
Inspection Type Referral
Scope Partial
Safety/Health Health
Close Conference 2000-10-30
Case Closed 2000-12-18

Related Activity
Type Referral
Activity Nr 201857018
Health Yes

Violation Items
Citation ID 01001
Citaton Type Other
Standard Cited 19101052 D03
Issuance Date 2000-11-13
Abatement Due Date 2000-12-17
Nr Instances 1
Nr Exposed 1
Citation ID 01002
Citaton Type Other
Standard Cited 19101052 J01 I
Issuance Date 2000-11-13
Abatement Due Date 2000-12-26
Nr Instances 1
Nr Exposed 3
303159388 0452110 1999-12-20 2060 BUCK LANE, LEXINGTON, KY, 40511
Inspection Type Complaint
Scope Partial
Safety/Health Safety
Close Conference 1999-12-20
Case Closed 1999-12-20

Related Activity
Type Complaint
Activity Nr 201850088
Safety Yes
115939696 0452110 1992-03-23 2060 BUCK LANE, LEXINGTON, KY, 40511
Inspection Type Complaint
Scope Complete
Safety/Health Safety
Close Conference 1992-04-02
Case Closed 1992-06-29

Related Activity
Type Complaint
Activity Nr 73105868
Safety Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100022 B01
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Current Penalty 200.0
Initial Penalty 200.0
Nr Instances 1
Nr Exposed 30
Gravity 03
Citation ID 01002
Citaton Type Serious
Standard Cited 19100147 C01
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Current Penalty 280.0
Initial Penalty 280.0
Nr Instances 1
Nr Exposed 6
Gravity 05
Citation ID 01003
Citaton Type Serious
Standard Cited 19100151 C
Issuance Date 1992-05-13
Abatement Due Date 1992-07-15
Current Penalty 200.0
Initial Penalty 200.0
Nr Instances 1
Nr Exposed 8
Gravity 03
Citation ID 01004
Citaton Type Serious
Standard Cited 19100212 A01
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Current Penalty 200.0
Initial Penalty 200.0
Nr Instances 3
Nr Exposed 6
Gravity 03
Citation ID 01005
Citaton Type Serious
Standard Cited 19100219 C02 I
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Current Penalty 200.0
Initial Penalty 200.0
Nr Instances 7
Nr Exposed 3
Gravity 03
Citation ID 01006A
Citaton Type Serious
Standard Cited 19100219 D01
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Current Penalty 160.0
Initial Penalty 160.0
Nr Instances 3
Nr Exposed 3
Gravity 02
Citation ID 01006B
Citaton Type Serious
Standard Cited 19100219 E03 I
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Nr Instances 1
Nr Exposed 1
Gravity 00
Citation ID 01006C
Citaton Type Serious
Standard Cited 19100219 E01 I
Issuance Date 1992-05-13
Abatement Due Date 1992-06-08
Nr Instances 3
Nr Exposed 3
Gravity 00
Citation ID 01007
Citaton Type Serious
Standard Cited 19100219 F01
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Current Penalty 160.0
Initial Penalty 160.0
Nr Instances 2
Nr Exposed 2
Gravity 02
Citation ID 01008
Citaton Type Serious
Standard Cited 19100219 F03
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Current Penalty 160.0
Initial Penalty 160.0
Nr Instances 2
Nr Exposed 2
Gravity 02
Citation ID 01009
Citaton Type Serious
Standard Cited 19100304 F05 V
Issuance Date 1992-05-13
Abatement Due Date 1992-06-01
Current Penalty 160.0
Initial Penalty 160.0
Nr Instances 1
Nr Exposed 1
Gravity 02
Citation ID 02001
Citaton Type Other
Standard Cited 19100022 B02
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Nr Instances 1
Nr Exposed 15
Gravity 00
Citation ID 02002
Citaton Type Other
Standard Cited 19100026 A01
Issuance Date 1992-05-13
Abatement Due Date 1992-05-19
Nr Instances 1
Nr Exposed 2
Gravity 00
Citation ID 02003
Citaton Type Other
Standard Cited 19100036 B01
Issuance Date 1992-05-13
Abatement Due Date 1992-05-19
Nr Instances 1
Nr Exposed 6
Gravity 00
Citation ID 02004
Citaton Type Other
Standard Cited 19100038 A01
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Nr Instances 1
Nr Exposed 30
Gravity 00
Citation ID 02005
Citaton Type Other
Standard Cited 19100038 B01
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Nr Instances 1
Nr Exposed 30
Gravity 00
Citation ID 02006
Citaton Type Other
Standard Cited 19100151 B
Issuance Date 1992-05-13
Abatement Due Date 1992-06-22
Nr Instances 1
Nr Exposed 30
Gravity 00
Citation ID 02007
Citaton Type Other
Standard Cited 19100178 K01
Issuance Date 1992-05-13
Abatement Due Date 1992-06-08
Nr Instances 1
Nr Exposed 1
Gravity 00
Citation ID 02008
Citaton Type Other
Standard Cited 19100242 B
Issuance Date 1992-05-13
Abatement Due Date 1992-05-19
Nr Instances 1
Nr Exposed 1
Gravity 00
Citation ID 02009
Citaton Type Other
Standard Cited 19100305 B01
Issuance Date 1992-05-13
Abatement Due Date 1992-06-08
Nr Instances 2
Nr Exposed 2
Gravity 00
Citation ID 02010
Citaton Type Other
Standard Cited 19100305 B02
Issuance Date 1992-05-13
Abatement Due Date 1992-06-08
Nr Instances 1
Nr Exposed 4
Gravity 00
Citation ID 02011
Citaton Type Other
Standard Cited 19100305 G01 I
Issuance Date 1992-05-13
Abatement Due Date 1992-06-08
Nr Instances 1
Nr Exposed 4
Gravity 00
Citation ID 02012
Citaton Type Other
Standard Cited 19100305 G02 II
Issuance Date 1992-05-13
Abatement Due Date 1992-06-08
Nr Instances 1
Nr Exposed 4
Gravity 00
Citation ID 02013
Citaton Type Other
Standard Cited 19101200 F05 I
Issuance Date 1992-05-13
Abatement Due Date 1992-05-19
Nr Instances 1
Nr Exposed 6
Gravity 00
104315809 0452110 1990-01-15 2060 BUCK LANE, LEXINGTON, KY, 40511
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 1990-01-15
Case Closed 1990-03-02

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100178 P01
Issuance Date 1990-01-26
Abatement Due Date 1990-03-08
Current Penalty 200.0
Initial Penalty 200.0
Nr Instances 1
Nr Exposed 1
Gravity 02
Citation ID 01002A
Citaton Type Serious
Standard Cited 19100219 D01
Issuance Date 1990-01-26
Abatement Due Date 1990-02-14
Current Penalty 200.0
Initial Penalty 200.0
Nr Instances 1
Nr Exposed 1
Gravity 02
Citation ID 01002B
Citaton Type Serious
Standard Cited 19100219 E03 I
Issuance Date 1990-01-26
Abatement Due Date 1990-02-14
Nr Instances 1
Nr Exposed 1
Citation ID 02001
Citaton Type Other
Standard Cited 19100037 Q01
Issuance Date 1990-01-26
Abatement Due Date 1990-02-14
Nr Instances 1
Nr Exposed 2
Citation ID 02002
Citaton Type Other
Standard Cited 19101200 E01
Issuance Date 1990-01-26
Abatement Due Date 1990-03-08
Nr Instances 1
Nr Exposed 8

Related by officers

DONALD VAN CLEVE

BERRILL GRAPHICS, INC.

Related by address

2060 BUCK LANE, LEXINGTON, KY 40511

DIAMOND LANDSCAPES, INC. MORNING STAR DEVELOPMENT, LLC DIAMOND HOLDINGS, LLC HIGHMARK MATERIAL HANDLING, LLC LET IT SNOW, LLC DIAMOND INVESTMENTS II, LLC TREES NOW, LLC ROCK 'N BELLA BEAUTIFUL LLC

Sources: Kentucky Secretary of State

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