| Name: | Northern States Supply Inc. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 31 Aug 1960 (65 years ago) |
| Company Number: | 78a71a9c-b6d4-e011-a886-001ec94ffe7f |
| File Number: | Y-355 |
| Registered Office Address: | 600 INDUSTRIAL DRIVE, Willmar, MN 56201, USA |
| Principal Executive Office Address: | 600 INDUSTRIAL DR SW, WILLMAR, MN 56201–2717, USA |
| ZIP code: | 56201 |
| County: | Kandiyohi County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHERN STATES SUPPLY INC. EMPLOYEE STOCK OWNERSHIP PLAN AND TRUST | 2023 | 410838087 | 2024-09-20 | NORTHERN STATES SUPPLY INC. | 112 | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Active participants | 69 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 48 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 110 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2024-09-20 |
| Name of individual signing | TINA ERPENBACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 1998-01-01 |
| Business code | 423800 |
| Sponsor’s telephone number | 3202350555 |
| Plan sponsor’s mailing address | 600 INDUSTRIAL DRIVE, PO BOX 1057, WILLMAR, MN, 56201 |
| Plan sponsor’s address | 600 INDUSTRIAL DRIVE, PO BOX 1057, WILLMAR, MN, 56201 |
Number of participants as of the end of the plan year
| Active participants | 74 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 37 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 110 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-18 |
| Name of individual signing | TINA ERPENBACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 1998-01-01 |
| Business code | 423800 |
| Sponsor’s telephone number | 3202350555 |
| Plan sponsor’s mailing address | 600 INDUSTRIAL DRIVE, PO BOX 1057, WILLMAR, MN, 56201 |
| Plan sponsor’s address | 600 INDUSTRIAL DRIVE, PO BOX 1057, WILLMAR, MN, 56201 |
Number of participants as of the end of the plan year
| Active participants | 60 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 43 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 102 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-14 |
| Name of individual signing | TINA ERPENBACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 1998-01-01 |
| Business code | 423800 |
| Sponsor’s telephone number | 3202350555 |
| Plan sponsor’s mailing address | 600 INDUSTRIAL DRIVE, PO BOX 1057, WILLMAR, MN, 56201 |
| Plan sponsor’s address | 600 INDUSTRIAL DRIVE, PO BOX 1057, WILLMAR, MN, 56201 |
Number of participants as of the end of the plan year
| Active participants | 67 |
| Retired or separated participants receiving benefits | 11 |
| Other retired or separated participants entitled to future benefits | 28 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 105 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-01 |
| Name of individual signing | JACKIE CUNNINGHAM |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-10-01 |
| Name of individual signing | JACKIE CUNNINGHAM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Loren O'Brien | Chief Executive Officer | PO BOX 1057, WILLMAR, MN 56201–1057, USA |
| Filing Name | Filing date |
|---|---|
| Merger - Business Corporation (Domestic) | 1990-10-15 |
| Business Corporation (Domestic) Active Status Report | 1981-04-29 |
| Registered Office and/or Agent - Business Corporation (Domestic) | 1979-03-19 |
| Business Corporation (Domestic) Change of Shares | 1977-01-04 |
| Original Filing - Business Corporation (Domestic) | 1960-08-31 |
| Business Corporation (Domestic) Business Name (Business Name: Northern States Supply Inc.) | 1960-08-31 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PURCHASE ORDER | AWARD | W912ES10P0155 | 2010-07-27 | 2010-08-30 | 2010-08-30 | |||||||||||||||||||||||||||
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| Obligated Amount | 9800.35 |
| Current Award Amount | 9800.35 |
| Potential Award Amount | 9800.35 |
Description
| Title | MAILROOM BINS QUOTE # 072617 |
| NAICS Code | 332439: OTHER METAL CONTAINER MANUFACTURING |
| Product and Service Codes | 7125: CABINETS LOCKERS BINS & SHELVING |
Recipient Details
| Recipient | NORTHERN STATES SUPPLY INC. |
| UEI | SJ6BFPMEVA89 |
| Legacy DUNS | 023112634 |
| Recipient Address | 600 INDUSTRIAL DR SW, WILLMAR, KANDIYOHI, MINNESOTA, 562012717, UNITED STATES |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477367108 | 2020-04-10 | 0508 | PPP | 600 Industrial Drive, WILLMAR, MN, 56201 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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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| 311989 | Intrastate Non-Hazmat | 2023-02-07 | 10000 | 2022 | 1 | 1 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 2 |
| 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 | 2 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 8.75 |
| Total Number of Vehicle Inspections for the measurement period | 2 |
| 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 | 2 |
| 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 | 0025000229 |
| State abbreviation that indicates the state the inspector is from | MN |
| The date of the inspection | 2024-10-07 |
| ID that indicates the level of inspection | Full |
| State abbreviation that indicates where the inspection occurred | MN |
| Time weight of the inspection | 3 |
| 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 | INTERNATIO |
| License plate of the main unit | YCB9155 |
| License state of the main unit | MN |
| Vehicle Identification Number of the main unit | 1HTMMMMN7HH648437 |
| 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 |
| Unique report number of the inspection | 0AGI000051 |
| State abbreviation that indicates the state the inspector is from | MN |
| The date of the inspection | 2023-10-06 |
| ID that indicates the level of inspection | Full |
| State abbreviation that indicates where the inspection occurred | MN |
| Time weight of the inspection | 1 |
| 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 | STRAIGHT TRUCK |
| Description of the make of the main unit | INTL |
| License plate of the main unit | YCB9155 |
| License state of the main unit | MN |
| Vehicle Identification Number of the main unit | 1HTMMMMN7HH648437 |
| 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 | 4 |
| 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 | 4 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
Violations
| The date of the inspection | 2024-10-07 |
| Code of the violation | 39378AWS |
| 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 | 1 |
| The time weight that is assigned to a violation | 3 |
| The description of a violation | Washers - Inoperative washing system. |
| The description of the violation group | Windshield/ Glass/ Markings |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2024-10-07 |
| Code of the violation | 39345B2B |
| 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 | 4 |
| The time weight that is assigned to a violation | 3 |
| The description of a violation | Air Brake - Hose/tubing damaged or not secured |
| The description of the violation group | Brakes All Others |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2024-10-07 |
| Code of the violation | 393203BCBP |
| 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 | 3 |
| The description of a violation | Cab and Body Parts - Cab/body mounts loose/broken/missing |
| The description of the violation group | Cab Body Frame |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-10-06 |
| Code of the violation | 3963A1BOS |
| 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 | 0 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | BRAKES OUT OF SERVICE: The number of defective brakes is equal to or greater than 20 percent of the service brakes on the vehicle or combination |
| The description of the violation group | Brake Out Of Service |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-10-06 |
| Code of the violation | 39353B |
| 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 | 4 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | CMV manufactured after 10/19/94 has an automatic airbrake adjustment system that fails to compensate for wear |
| The description of the violation group | Brakes All Others |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-10-06 |
| Code of the violation | 39347E |
| 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 | 4 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Brake Out of Adjustment - Roto Clamp (Short & Long) DD-3 or Bolt |
| The description of the violation group | Brakes Out of Adjustment |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-10-06 |
| Code of the violation | 39345B2 |
| 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 | 4 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Brake hose or tubing chafing and/or kinking |
| The description of the violation group | Brakes All Others |
| The unit a violation is cited against | Vehicle main unit |
Date of last update: 02 Feb 2025
Sources: Minnesota's Official State Website
