| Name: | HEALTHWORKS SAFETY, LLC |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 12 Apr 2016 (9 years ago) |
| Organization Date: | 12 Apr 2016 (9 years ago) |
| Last Annual Report: | 18 Feb 2025 (2 months ago) |
| Managed By: | Managers |
| Organization Number: | 0949727 |
| Industry: | Business Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 42001 |
| City: | Paducah |
| Primary County: | McCracken County |
| Principal Office: | 5050 LEONARD FUTRELL RD, PO Box 7226, PADUCAH, KY 42001 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHWORKS SAFETY LLC CBS BENEFIT PLAN | 2023 | 812214712 | 2024-12-30 | HEALTHWORKS SAFETY LLC | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 846429706 |
| Plan administrator’s name | JOSEPH HSU |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2024-12-30 |
| Name of individual signing | JOSEPH HSU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2023-01-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 2705257669 |
| Plan sponsor’s address | 5050 LEONARD FUTRELL ROAD, PADUCAH, KY, 42001 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2023-12-27 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| MICHAEL GROVES | Registered Agent |
| Name | Role |
|---|---|
| Michael Wayne Groves | Manager |
| Name | Role |
|---|---|
| MICHAEL GROVES | Organizer |
| Name | Status | Expiration Date |
|---|---|---|
| DOTOSHA CONSULTING | Inactive | 2024-02-21 |
| Name | File Date |
|---|---|
| Annual Report | 2025-02-18 |
| Principal Office Address Change | 2025-02-18 |
| Registered Agent name/address change | 2025-02-18 |
| Annual Report | 2024-02-07 |
| Annual Report | 2023-04-15 |
| Annual Report | 2022-03-08 |
| Annual Report | 2021-03-10 |
| Registered Agent name/address change | 2020-03-20 |
| Annual Report | 2020-03-20 |
| Principal Office Address Change | 2019-05-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7052897007 | 2020-04-07 | 0457 | PPP | 5050 LEONARD FUTRELL RD, PADUCAH, KY, 42001-9082 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3174272 | Interstate | 2025-01-06 | 10000 | 2024 | 3 | 2 | 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
