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  5. MIDWEST INSULATION & SUPPLY, INC.

MIDWEST INSULATION & SUPPLY, INC.

Company Details

Name: MIDWEST INSULATION & SUPPLY, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 02 Jul 1986 (39 years ago)
Organization Date: 02 Jul 1986 (39 years ago)
Last Annual Report: 02 May 2023 (2 years ago)
Organization Number: 0216886
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 5639 STATE ROUTE 144, OWENSBORO, KY 42303
Place of Formation: KENTUCKY
Common No Par Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2021 611102946 2022-06-21 MIDWEST INSULATION & SUPPLY, INC. 10
File View Page
Three-digit plan number (PN) 011
Effective date of plan 1986-01-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 STATE ROUTE 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2021 611102946 2022-06-21 MIDWEST INSULATION & SUPPLY, INC. 6
File View Page
Three-digit plan number (PN) 011
Effective date of plan 1986-01-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 STATE ROUTE 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2020 611102946 2021-03-29 MIDWEST INSULATION & SUPPLY, INC. 12
File View Page
Three-digit plan number (PN) 011
Effective date of plan 1986-01-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 STATE ROUTE 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2021-03-29
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2019 611102946 2020-05-26 MIDWEST INSULATION & SUPPLY, INC. 11
File View Page
Three-digit plan number (PN) 011
Effective date of plan 1986-01-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 HWY. 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2020-05-26
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2018 611102946 2019-07-22 MIDWEST INSULATION & SUPPLY, INC. 13
File View Page
Three-digit plan number (PN) 011
Effective date of plan 1986-01-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 HWY. 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2017 611102946 2018-04-25 MIDWEST INSULATION & SUPPLY, INC. 16
File View Page
Three-digit plan number (PN) 011
Effective date of plan 1986-01-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 HWY. 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2018-04-25
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2016 611102946 2017-10-12 MIDWEST INSULATION & SUPPLY, INC. 18
File View Page
Three-digit plan number (PN) 011
Effective date of plan 2000-09-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 HWY. 144, OWENSBORO, KY, 42303
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2015 611102946 2016-10-13 MIDWEST INSULATION & SUPPLY, INC. 17
File View Page
Three-digit plan number (PN) 011
Effective date of plan 2000-09-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 HWY. 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2014 611102946 2015-09-15 MIDWEST INSULATION & SUPPLY, INC. 16
File View Page
Three-digit plan number (PN) 011
Effective date of plan 2000-09-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 HWY. 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2015-09-15
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSULATION & SUPPLY, INC. RETIREMENT SAVINGS PLAN 2013 611102946 2014-07-29 MIDWEST INSULATION & SUPPLY, INC. 17
Three-digit plan number (PN) 011
Effective date of plan 2000-09-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 HWY. 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/02/17/20150217091631P030089334727001.pdf
Three-digit plan number (PN) 011
Effective date of plan 2000-09-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 HWY. 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2015-02-17
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/16/20130716095528P040039737463001.pdf
Three-digit plan number (PN) 011
Effective date of plan 2000-09-01
Business code 238300
Sponsor’s telephone number 2702815263
Plan sponsor’s address 5639 HWY. 144, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/27/20120327105719P040017976295001.pdf
Three-digit plan number (PN) 011
Effective date of plan 2000-09-01
Business code 238300
Sponsor’s telephone number 2706850747
Plan sponsor’s address 1821 HILL VALLEY CIRCLE, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 611102946
Plan administrator’s name MIDWEST INSULATION & SUPPLY, INC.
Plan administrator’s address 1821 HILL VALLEY CIRCLE, OWENSBORO, KY, 42303
Administrator’s telephone number 2706850747

Signature of
Role Plan administrator
Date 2012-03-27
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/13/20110613122953P040352017488001.pdf
Three-digit plan number (PN) 011
Effective date of plan 2000-09-01
Business code 238300
Sponsor’s telephone number 2706850747
Plan sponsor’s address 1821 HILL VALLEY CIRCLE, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 611102946
Plan administrator’s name MIDWEST INSULATION & SUPPLY, INC.
Plan administrator’s address 1821 HILL VALLEY CIRCLE, OWENSBORO, KY, 42303
Administrator’s telephone number 2706850747

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/16/20100916135136P030502874993001.pdf
Three-digit plan number (PN) 011
Effective date of plan 2000-09-01
Business code 238300
Sponsor’s telephone number 2706850747
Plan sponsor’s address 1821 HILL VALLEY CIRCLE, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 611102946
Plan administrator’s name MIDWEST INSULATION & SUPPLY, INC.
Plan administrator’s address 1821 HILL VALLEY CIRCLE, OWENSBORO, KY, 42303
Administrator’s telephone number 2706850747

Signature of
Role Plan administrator
Date 2010-09-16
Name of individual signing SANDY MILLAY
Valid signature Filed with authorized/valid electronic signature

Sole Officer

Name Role
Jacky Dale Jackson Sole Officer

Director

Name Role
Jacky Dale Jackson Director
JACK JACKSON Director
ROBIN JACKSON Director

Incorporator

Name Role
JACKY JACKSON Incorporator

Registered Agent

Name Role
JACKY JACKSON Registered Agent

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-05-02
Annual Report 2022-03-07
Annual Report 2021-05-17
Annual Report 2020-02-14
Annual Report 2019-04-19
Annual Report 2018-04-24
Annual Report 2017-04-21
Annual Report 2016-03-09
Annual Report 2015-04-08

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
104302179 0452110 1988-07-12 HIGHWAY 54 EAST, OWENSBORO,, KY, 43201
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 1988-07-12
Case Closed 1988-07-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7995897002 2020-04-08 0457 PPP 5639 STATE ROUTE 144, OWENSBORO, KY, 42303-9568
Loan Status Date 2021-04-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 82100
Loan Approval Amount (current) 82100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27775
Servicing Lender Name South Central Bank, Inc.
Servicing Lender Address 501 S L Rogers Wells Blvd, GLASGOW, KY, 42141
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address OWENSBORO, DAVIESS, KY, 42303-9568
Project Congressional District KY-02
Number of Employees 12
NAICS code 238310
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 27775
Originating Lender Name South Central Bank, Inc.
Originating Lender Address GLASGOW, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 82870.83
Forgiveness Paid Date 2021-03-23

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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