| Name: | FLAT BRANCH FARMS |
| Legal type: | General Partnership Assumed Name |
| Status: | Active |
| File Date: | 15 Apr 2021 (4 years ago) |
| Authority Date: | 15 Apr 2021 (4 years ago) |
| Organization Number: | 1145065 |
| ZIP code: | 42350 |
| City: | Island |
| Primary County: | McLean County |
| Principal Office: | 936 J I WEST RD., ISLAND, KY 42350 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLAT BRANCH FARMS MEDOVA LIFESTYLE HEALTH PLAN | 2021 | 611312965 | 2024-07-12 | FLAT BRANCH FARMS | 0 | |||||||||||||||||||||||||||||||
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| 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 | 2024-07-12 |
| 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 | 2020-10-01 |
| Business code | 111100 |
| Sponsor’s telephone number | 2707365999 |
| Plan sponsor’s address | 936 J I WEST RD, ISLAND, KY, 423509784 |
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 | 2022-06-14 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| GUY PATTERSON, LLC | General Partner |
| CLINT PATTERSON, LLC | General Partner |
| MICHELLE PATTERSON, LLC | General Partner |
| SANDRA PATTERSON, LLC | General Partner |
| Name | Role |
|---|---|
| GUY PATTERSON | Partner |
| SANDRA PATTERSON | Partner |
| MICHELLE PATTERSON | Partner |
| CLINT PATTERSON | Partner |
| Name | File Date |
|---|---|
| Amended Assumed Name | 2023-04-25 |
| Certificate of Assumed Name | 2021-04-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3024787308 | 2020-04-29 | 0457 | PPP | 936 J I WEST RD, ISLAND, KY, 42350-9784 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 648559 | Intrastate Non-Hazmat | 2022-11-25 | 225000 | 2019 | 18 | 29 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 1 |
| 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 | 1 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 10 |
| Total Number of Vehicle Inspections for the measurement period | 1 |
| 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 | 1 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 1 |
| 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 |
Inspections
| Unique report number of the inspection | CV40883515 |
| State abbreviation that indicates the state the inspector is from | KY |
| The date of the inspection | 2024-03-11 |
| ID that indicates the level of inspection | Walk-around |
| State abbreviation that indicates where the inspection occurred | KY |
| 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 | 1 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 1 |
| 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 | INTL |
| License plate of the main unit | D5T291 |
| License state of the main unit | KY |
| Vehicle Identification Number of the main unit | 1HTMMAAL46H189298 |
| Description of the type of the secondary unit | SEMI-TRAILER |
| Description of the make of the secondary unit | BETT |
| License plate of the secondary unit | 97787T |
| License state of the secondary unit | KY |
| Vehicle Identification Number of the secondary unit | 4MNFP2926E1001058 |
| 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 | 3 |
| 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 | 3 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
Violations
| The date of the inspection | 2024-03-11 |
| 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 | 2024-03-11 |
| Code of the violation | 39343 |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | Y |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 2 |
| 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 | No/improper breakaway or emergency braking |
| The description of the violation group | Brakes All Others |
| The unit a violation is cited against | Vehicle secondary unit |
| The date of the inspection | 2024-03-11 |
| Code of the violation | 393205C |
| 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 | Wheel fasteners loose and/or missing |
| The description of the violation group | Wheels Studs Clamps Etc. |
| The unit a violation is cited against | Vehicle secondary unit |
Sources: Kentucky Secretary of State
