| Name: | AD LLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 29 Dec 2021 (3 years ago) |
| Company Number: | 2650ec77-d768-ec11-91b6-00155d32b93a |
| File Number: | 1282977900021 |
| Registered Office Address: | 31976 AZURE RD, CUSHING, MN 56443, USA |
| Principal Executive Office Address: | 31976 AZURE RD, CUSHING, MN 56443–5644, United States |
| Mailing Address: | PO BOX 202, MOTLEY, MN 56466, United States |
| ZIP code: | 56443 |
| County: | Morrison County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ACTION DOCK 401(K) PLAN | 2023 | 874175562 | 2024-10-07 | AD LLC | 5 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-04 |
| Name of individual signing | SARAH KALIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-04 |
| Name of individual signing | SARAH KALIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 2185752422 |
| Plan sponsor’s address | 31976 AZURE ROAD, CUSHING, MN, 56443 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-12 |
| Name of individual signing | SARAH KALIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-09-12 |
| Name of individual signing | SARAH KALIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 238900 |
| Sponsor’s telephone number | 2185752422 |
| Plan sponsor’s address | 31976 AZURE ROAD, CUSHING, MN, 56443 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-01 |
| Name of individual signing | SARAH KALIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-07-01 |
| Name of individual signing | SARAH KALIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KYLE KALIS | Manager | 6871 320TH STREET, CUSHING, MN 56443, USA |
| Filing Name | Filing date |
|---|---|
| Original Filing - Limited Liability Company (Domestic) (Business Name: AD LLC) | 2021-12-29 |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3128774 | Intrastate Non-Hazmat | 2023-04-24 | - | - | 3 | 4 | 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 | 1 |
| 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 | 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 | 1 |
| 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 |
Inspections
| Unique report number of the inspection | 0065000117 |
| State abbreviation that indicates the state the inspector is from | MN |
| The date of the inspection | 2024-05-06 |
| ID that indicates the level of inspection | Driver-Only |
| State abbreviation that indicates where the inspection occurred | MN |
| 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 | 0 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 0 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | STRAIGHT TRUCK |
| Description of the make of the main unit | CHEVROLET |
| License plate of the main unit | YAX6911 |
| License state of the main unit | MN |
| Vehicle Identification Number of the main unit | 1GCJK33D96F258747 |
| Description of the type of the secondary unit | FULL TRAILER |
| Description of the make of the secondary unit | UNPUBLISHE |
| License plate of the secondary unit | CSB0977 |
| License state of the secondary unit | MN |
| Vehicle Identification Number of the secondary unit | 1E9E1CM25MP587311 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Total number of BASIC violations | 1 |
| Number of Unsafe Driving BASIC violations | 0 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 1 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 0 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
Violations
| The date of the inspection | 2024-05-06 |
| Code of the violation | 39141AMCPC |
| Name of the BASIC | Driver Fitness |
| 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 | 1 |
| The time weight that is assigned to a violation | 2 |
| The description of a violation | Medical (Certificate) - Operating a property-carrying vehicle without possessing a valid medical certificate |
| The description of the violation group | Medical Certificate |
| The unit a violation is cited against | Driver |
Date of last update: 10 Jan 2025
Sources: Minnesota's Official State Website
