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Povolny Specialties, Inc.

Company Details

Name: Povolny Specialties, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 01 Sep 1995 (30 years ago)
Company Number: 504654b2-b2d4-e011-a886-001ec94ffe7f
File Number: 8V-515
Registered Office Address: 7350 Courthouse Blvd, Inver Grove Heights, MN 55077, USA
Principal Executive Office Address: 11361 APENNINE WAY, INVER GROVE HEIGHTS, MN 55077–5112, United States
ZIP code: 55077
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2023 411819449 2024-05-02 POVOLNY SPECIALTIES, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BLVD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2024-05-02
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2022 411819449 2023-05-18 POVOLNY SPECIALTIES, INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BOULEVARD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2023-05-18
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2021 411819449 2022-07-05 POVOLNY SPECIALTIES, INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BOULEVARD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2022-07-05
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2020 411819449 2021-09-28 POVOLNY SPECIALTIES, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BOULEVARD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2021-09-28
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2019 411819449 2020-09-24 POVOLNY SPECIALTIES, INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BOULEVARD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2020-09-24
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2018 411819449 2019-05-09 POVOLNY SPECIALTIES, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BOULEVARD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2019-05-09
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2017 411819449 2018-05-21 POVOLNY SPECIALTIES, INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BOULEVARD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2018-05-21
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2016 411819449 2017-06-26 POVOLNY SPECIALTIES, INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BOULEVARD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2017-06-26
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2015 411819449 2016-09-28 POVOLNY SPECIALTIES, INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BOULEVARD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2016-09-28
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature
POVOLNY SPECIALTIES RETIREMENT SAVINGS PLAN 2014 411819449 2015-10-13 POVOLNY SPECIALTIES, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 332900
Sponsor’s telephone number 6514527335
Plan sponsor’s address 7350 COURTHOUSE BOULEVARD, INVER GROVE HEIGHTS, MN, 55077

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing KIM POVOLNY
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Kim Ann Povolny Chief Executive Officer 7350 COURTHOUSE BLVD, INVER GROVE HEIGHTS, MN 55077–3217, USA

Agent

Name Role
Kim A Povolny Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2013-08-02
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Registered Office and/or Agent - Business Corporation (Domestic) 1999-03-01
Original Filing - Business Corporation (Domestic) 1995-09-01
Business Corporation (Domestic) Business Name (Business Name: Povolny Specialties, Inc.) 1995-09-01

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
316534809 0552700 2012-05-30 7350 COURTHOUSE BLVD., INVER GROVE HGT, MN, 55077
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2012-05-30
Emphasis L: ES
Case Closed 2012-07-05

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19100134 A02
Issuance Date 2012-06-14
Abatement Due Date 2012-07-01
Current Penalty 157.5
Initial Penalty 225.0
Nr Instances 1
Nr Exposed 1
Citation ID 02001
Citaton Type Other
Standard Cited 5206070001 G
Issuance Date 2012-06-14
Abatement Due Date 2012-07-01
Current Penalty 70.0
Initial Penalty 100.0
Nr Instances 1
Nr Exposed 13
309506012 0552700 2005-10-04 7350 COURTHOUSE BLVD., INVER GROVE HEIGHTS, MN, 55077
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2005-10-31
Emphasis L: ES, L: METHCHLO
Case Closed 2006-08-30

Violation Items

Citation ID 01001
Citaton Type Repeat
Standard Cited 19100147 C04 I
Issuance Date 2005-11-30
Abatement Due Date 2006-05-26
Current Penalty 100.0
Initial Penalty 750.0
Contest Date 2005-12-20
Final Order 2006-03-25
Nr Instances 1
Nr Exposed 10
Citation ID 01002
Citaton Type Repeat
Standard Cited 5205011602
Issuance Date 2005-11-30
Abatement Due Date 2006-05-26
Current Penalty 100.0
Initial Penalty 250.0
Contest Date 2005-12-20
Final Order 2006-03-25
Nr Instances 1
Nr Exposed 10
Citation ID 02001
Citaton Type Serious
Standard Cited 19100095 C01
Issuance Date 2005-11-30
Abatement Due Date 2006-06-26
Current Penalty 100.0
Initial Penalty 500.0
Contest Date 2005-12-20
Final Order 2006-03-25
Nr Instances 1
Nr Exposed 3
305878035 0552700 2002-11-05 7350 COURTHOUSE BLVD, INVER GROVE HEIGHTS, MN, 55077
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2002-11-05
Emphasis L: ES
Case Closed 2003-08-06

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 182065308
Issuance Date 2002-11-27
Abatement Due Date 2002-12-25
Nr Instances 1
Nr Exposed 10
Citation ID 01002A
Citaton Type Serious
Standard Cited 19100147 C04 I
Issuance Date 2002-11-27
Abatement Due Date 2002-12-25
Current Penalty 250.0
Initial Penalty 375.0
Contest Date 2002-12-13
Final Order 2003-03-10
Nr Instances 1
Nr Exposed 1
Citation ID 01002B
Citaton Type Serious
Standard Cited 19100147 C06 I
Issuance Date 2002-11-27
Abatement Due Date 2002-12-25
Nr Instances 1
Nr Exposed 10
Citation ID 01002C
Citaton Type Serious
Standard Cited 19100147 C07 I
Issuance Date 2002-11-27
Abatement Due Date 2002-12-25
Nr Instances 1
Nr Exposed 10
Citation ID 01003
Citaton Type Serious
Standard Cited 19100132 A
Issuance Date 2002-11-27
Abatement Due Date 2002-12-07
Current Penalty 250.0
Initial Penalty 375.0
Contest Date 2002-12-13
Final Order 2003-03-10
Nr Instances 1
Nr Exposed 2
Citation ID 01004
Citaton Type Serious
Standard Cited 19100252 B02 III
Issuance Date 2002-11-27
Abatement Due Date 2002-12-14
Current Penalty 250.0
Initial Penalty 375.0
Contest Date 2002-12-13
Final Order 2003-03-10
Nr Instances 1
Nr Exposed 10
Citation ID 01005
Citaton Type Serious
Standard Cited 19100305 D
Issuance Date 2002-11-27
Abatement Due Date 2002-12-03
Current Penalty 225.0
Initial Penalty 500.0
Contest Date 2002-12-13
Final Order 2003-03-10
Nr Instances 1
Nr Exposed 1
Citation ID 01006
Citaton Type Serious
Standard Cited 5205011601
Issuance Date 2002-11-27
Abatement Due Date 2002-12-14
Current Penalty 300.0
Initial Penalty 500.0
Contest Date 2002-12-13
Final Order 2003-03-10
Nr Instances 3
Nr Exposed 10
Citation ID 01007
Citaton Type Serious
Standard Cited 5206070001
Issuance Date 2002-11-27
Abatement Due Date 2002-12-25
Current Penalty 300.0
Initial Penalty 500.0
Contest Date 2002-12-13
Final Order 2003-03-10
Nr Instances 1
Nr Exposed 10
Citation ID 01008
Citaton Type Serious
Standard Cited 5206070001 B
Issuance Date 2002-11-27
Abatement Due Date 2002-12-25
Nr Instances 1
Nr Exposed 10
Citation ID 01009
Citaton Type Serious
Standard Cited 5206080001
Issuance Date 2002-11-27
Abatement Due Date 2002-12-25
Current Penalty 225.0
Initial Penalty 375.0
Contest Date 2002-12-13
Final Order 2003-03-10
Nr Instances 1
Nr Exposed 10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6882257008 2020-04-07 0508 PPP 7350 COURTHOUSE BLVD, INVER GROVE HEIGHTS, MN, 55077-3217
Loan Status Date 2021-06-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 163800
Loan Approval Amount (current) 163800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4924
Servicing Lender Name City National Bank
Servicing Lender Address 555 S Flower St, LOS ANGELES, CA, 90071-2300
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address INVER GROVE HEIGHTS, DAKOTA, MN, 55077-3217
Project Congressional District MN-02
Number of Employees 19
NAICS code 332311
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 4924
Originating Lender Name City National Bank
Originating Lender Address LOS ANGELES, CA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 165626.48
Forgiveness Paid Date 2021-06-03

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
1184545 Interstate 2024-03-19 10000 2023 2 2 Private(Property)
Legal Name POVOLNY SPECIALTIES INC
DBA Name -
Physical Address 7350 COURTHOUSE BLVD, INVER GROVE HEIGHTS, MN, 55077, US
Mailing Address 7350 COURTHOUSE BLVD, INVER GROVE HEIGHTS, MN, 55077, US
Phone (651) 452-7335
Fax (651) 452-7336
E-mail KIM@POVOLNYSPECIALTIES.COM

Safety Measurement System - All Transportation

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

Date of last update: 23 Jan 2025

Sources: Minnesota's Official State Website