BAY SHORE SYSTEMS, INC.

Addresses

Legal	C/O KARL PATCHIN, 14206 N OHIO ST, RATHDRUM, US-ID, US, 83858
Headquarters	14206 North Ohio Street, Rathdrum, US-ID, US, 83858

Registration details

Registration Date	2019-01-04
Last Update	2023-08-04
Status	LAPSED
Next Renewal	2020-10-23
LEI Issuer	5493001KJTIIGC8Y1R12
Corroboration Level	FULLY_CORROBORATED
Data Validated As	417094

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

Signature of

Role	Plan administrator
Date	2017-07-14
Name of individual signing	CAROL ALDRICH
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

Signature of

Role	Plan administrator
Date	2016-06-07
Name of individual signing	KATIE OBREMSKI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

Signature of

Role	Plan administrator
Date	2015-06-08
Name of individual signing	ASHLEY HOLDEN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

Signature of

Role	Plan administrator
Date	2014-05-14
Name of individual signing	KAYLA PAULIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

Signature of

Role	Plan administrator
Date	2013-05-21
Name of individual signing	NICK SUTHEIMER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1997-03-01
Business code	333610
Sponsor’s telephone number	2086873311
Plan sponsor’s address	14206 OHIO STREET, RATHDRUM, ID, 83858

Plan administrator’s name and address

Administrator’s EIN	942597500
Plan administrator’s name	BAY SHORE SYSTEMS INC
Plan administrator’s address	14206 OHIO STREET, RATHDRUM, ID, 83858
Administrator’s telephone number	2086873311

Signature of

Role	Plan administrator
Date	2012-07-18
Name of individual signing	RACHEL BOSWORTH
Valid signature	Filed with authorized/valid electronic signature

Inspection Type	Planned
Scope	Complete
Safety/Health	Safety
Close Conference	2019-02-07
Emphasis	P: SSTARG16, N: SSTARG16
Case Closed	2019-09-04

Violation Items

Citation ID	01001A
Citaton Type	Serious
Standard Cited	19100134 D01 I
Issuance Date	2019-07-02
Abatement Due Date	2019-07-29
Current Penalty	0.0
Initial Penalty	5967.0
Final Order	2019-07-26
Nr Instances	1
Nr Exposed	5
Gravity	5
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.134(d)(1)(i): Selection of appropriate respirators was not based on the respiratory hazard(s) to which the worker was exposed and user factors that affect respirator performance and reliability: (a) Paint Booth, on or about February 7, 2019; respirator selection was not based on employee exposure to isocyanates. Note: Abatement certification is required for this item.
Citation ID	01001B
Citaton Type	Serious
Standard Cited	19100134 D03 III B 2
Issuance Date	2019-07-02
Abatement Due Date	2019-07-29
Current Penalty	2983.5
Initial Penalty	0.0
Final Order	2019-07-26
Nr Instances	1
Nr Exposed	5
Gravity	5
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.134(d)(3)(iii)(B)(2): The employer did not implement a change schedule for respirators not equipped with an End of Service Life Indicator that would ensure cartridges were changed before the end of their service life: (a) Paint Booth, on or about February 7, 2019; the employer did not implement a change schedule for organic vapor cartridges without and end-of-service-life indicator for employees using paints containing isocyanates. Note: Abatement certification is required for this item.
Citation ID	01001C
Citaton Type	Serious
Standard Cited	19100134 G01 I A
Issuance Date	2019-07-02
Current Penalty	0.0
Initial Penalty	0.0
Final Order	2019-07-26
Nr Instances	1
Nr Exposed	1
Gravity	5
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.134(g)(1)(i)(A): Respirators with tight-fitting facepieces were worn by employees who had facial hair that came between the sealing surface of the facepiece and the face or that interfered with valve function: (a) Paint Booth, on or about February 7, 2019; the employer did not ensure that an employee required to wear a negative pressure tight-fitting 3M full facepiece respirator while performing painting was free of facial hair between the sealing surface of the facepiece and the face. Note: Abatement certification is not required for this item.
Citation ID	01002
Citaton Type	Serious
Standard Cited	19100212 A01
Issuance Date	2019-07-02
Current Penalty	2983.5
Initial Penalty	5967.0
Final Order	2019-07-26
Nr Instances	2
Nr Exposed	10
Gravity	5
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.212(a)(1): One or more methods of machine guarding was not provided to protect the operator and other employees in the machine area from hazards such as those created by point of operation, ingoing nip points, rotating parts, flying chips and sparks: (a) On or about February 7, 2019 and at times prior thereto; lathes including but not limited to the ACRA, Model SEI3280, S/N 21494 lathe did not have a chuck guard. (b) On or about February 7, 2019 and at times prior thereto; mills including but not limited to the Bridgeport mill did not have a guard for the point of operation. Note: Abatement certification is not required for this item.
Citation ID	01003A
Citaton Type	Serious
Standard Cited	19101200 G01
Issuance Date	2019-07-02
Abatement Due Date	2019-07-22
Current Penalty	2486.5
Initial Penalty	4973.0
Final Order	2019-07-26
Nr Instances	1
Nr Exposed	2
Gravity	5
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.1200(g)(1): The employer did not have a material safety data sheet for each hazardous chemical in use: (a) On February 7, 2019 and times prior thereto; the employer had not maintained Safety Data Sheets for hazardous chemicals in the workplace. Employees are exposed to hazardous chemicals including but not limited to DTM Low VOC Urethane Hardener, 3M Heavy-Bodied Seam Sealer - Base and Accelerator, and FASTLINE Etching Primer when painting parts. NOTE: Abatement certification is required for this item.
Citation ID	01003B
Citaton Type	Serious
Standard Cited	19101200 H01
Issuance Date	2019-07-02
Abatement Due Date	2019-07-22
Current Penalty	0.0
Initial Penalty	0.0
Final Order	2019-07-26
Nr Instances	1
Nr Exposed	2
Gravity	5
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.1200(h)(1): Employees were not provided effective information and training on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard that the employees had not been previously trained about was introduced into their work area: (a) On February 7, 2019 and times prior thereto; the employer had provided training to employees for hazardous chemicals in the workplace. Employees are exposed to hazardous chemicals including but not limited to DTM Low VOC Urethane Hardener, 3M Heavy-Bodied Seam Sealer - Base and Accelerator, and FASTLINE Etching Primer when painting parts. NOTE: Abatement certification is required for this item.
Citation ID	02001
Citaton Type	Other
Standard Cited	19100147 C04 I
Issuance Date	2019-07-02
Current Penalty	0.0
Initial Penalty	0.0
Final Order	2019-07-26
Nr Instances	1
Nr Exposed	5
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.147(c)(4)(i): Procedures were not developed, documented and utilized for the control of potentially hazardous energy when employees were engaged in activities covered by this section:(a)(LOCATION)(IDENTIFY SPECIFIC OPERATIONS AND/OR CONDITIONS)(IDENTIFY MACHINERY OR EQUIPMENT)(THIS INCLUDES ENFORCEMENT OF PROCEDURES) (a) On or about February 7, 2019; the energy control program did not outline specific procedures for employees performing bandsaw blade changes on the Hemsaw Bandsaw, Model VT100LM-60. Note: Abatement certification is not required for this item.

Loan Status Date	2020-12-18
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	1343600
Loan Approval Amount (current)	1343600
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	74899
Servicing Lender Name	Washington Trust Bank
Servicing Lender Address	717 W Sprague Ave, SPOKANE, WA, 99201-3915
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Unanswered
Project Address	RATHDRUM, KOOTENAI, ID, 83858-8376
Project Congressional District	ID-01
Number of Employees	106
NAICS code	332710
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	74899
Originating Lender Name	Washington Trust Bank
Originating Lender Address	SPOKANE, WA
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	1351808.84
Forgiveness Paid Date	2020-11-27

Legal Name	BAY SHORE SYSTEMS INC
DBA Name	-
Physical Address	14206 N OHIO STREET, RATHDRUM, ID, 83858, US
Mailing Address	14206 N OHIO STREET, RATHDRUM, ID, 83858, US
Phone	(208) 687-3311
Fax	(208) 687-4153
E-mail	GPERRY@BAYSHORESYSTEMS.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months)	4
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	4
Vehicle Maintenance BASIC Roadside Performance measure value	0
Total Number of Vehicle Inspections for the measurement period	3
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

Inspections

Unique report number of the inspection	CV44126343
State abbreviation that indicates the state the inspector is from	KY
The date of the inspection	2024-07-10
ID that indicates the level of inspection	Full
State abbreviation that indicates where the inspection occurred	KY
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	2
Total number of Out-Of-Service violations	0
Total number of Out-Of-Service violations related to Hazardous Materials	0
Hazardous substance labeling is required	N
Description of the type of the main unit	STRAIGHT TRUCK
Description of the make of the main unit	FORD
License plate of the main unit	KAU573
License state of the main unit	ID
Vehicle Identification Number of the main unit	1FDFF6LT9NDA14539
Decal number of the main unit	34372326
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	0
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	0
Number of Hazardous Materials Compliance BASIC violations	0
Unique report number of the inspection	X001005387
State abbreviation that indicates the state the inspector is from	WA
The date of the inspection	2023-07-13
ID that indicates the level of inspection	Driver-Only
State abbreviation that indicates where the inspection occurred	WA
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	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	DODGE
License plate of the main unit	C98284Y
License state of the main unit	WA
Vehicle Identification Number of the main unit	3C63R3HL4NG285427
Description of the type of the secondary unit	SEMI-TRAILER
Description of the make of the secondary unit	UNPUBLISHE
License plate of the secondary unit	TT6832
License state of the secondary unit	ID
Vehicle Identification Number of the secondary unit	1N9GU25287N275072
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	0
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	0
Number of Hazardous Materials Compliance BASIC violations	0
Unique report number of the inspection	W416002745
State abbreviation that indicates the state the inspector is from	WA
The date of the inspection	2023-03-29
ID that indicates the level of inspection	Full
State abbreviation that indicates where the inspection occurred	WA
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	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	ISU
License plate of the main unit	BH8471
License state of the main unit	ID
Vehicle Identification Number of the main unit	JALE5W165G7304115
Decal number of the main unit	32280048
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	0
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	0
Number of Hazardous Materials Compliance BASIC violations	0
Unique report number of the inspection	W428005029
State abbreviation that indicates the state the inspector is from	WA
The date of the inspection	2023-02-08
ID that indicates the level of inspection	Full
State abbreviation that indicates where the inspection occurred	WA
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	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	ISU
License plate of the main unit	KV7309
License state of the main unit	ID
Vehicle Identification Number of the main unit	JALE5W165G7304115
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	1
Number of Controlled Substances/Alcohol BASIC violations	0
Number of Vehicle Maintenance BASIC violations	2
Number of Hazardous Materials Compliance BASIC violations	0

Violations

The date of the inspection	2023-02-08
Code of the violation	39617C
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	Operating a CMV without proof of a periodic inspection
The description of the violation group	Inspection Reports
The unit a violation is cited against	Vehicle main unit
The date of the inspection	2023-02-08
Code of the violation	3939
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	1
The description of a violation	Inoperable Required Lamp
The description of the violation group	Clearance Identification Lamps/Other
The unit a violation is cited against	Vehicle main unit
The date of the inspection	2023-02-08
Code of the violation	39141A1NPH
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	1
The description of a violation	Operating a property-carrying vehicle without possessing a valid medical certificate - no previous history
The description of the violation group	Medical Certificate
The unit a violation is cited against	Driver