| Name: | IMPACT DAIRY SUPPLY, INC. |
| Jurisdiction: | Idaho |
| Legal type: | General Business Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 16 Dec 2002 (22 years ago) |
| Financial Date End: | 31 Dec 2025 |
| Entity Number: | 446568 |
| Place of Formation: | IDAHO |
| File Number: | 446568 |
| ZIP code: | 83605 |
| County: | Canyon County |
| Mailing Address: | 3601 ARTHUR ST CALDWELL, ID 83605-6058 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IMPACT DAIRY SUPPLY, INC. 401(K) PLAN | 2023 | 020659762 | 2024-10-11 | IMPACT DAIRY SUPPLY, INC. | 5 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-11 |
| Name of individual signing | BRYAN COLLINGWOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 115110 |
| Sponsor’s telephone number | 2088802107 |
| Plan sponsor’s address | 3601 ARTHUR STREET, CALDWELL, ID, 83605 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-12 |
| Name of individual signing | BRYAN COLLINGWOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 115110 |
| Sponsor’s telephone number | 2088802107 |
| Plan sponsor’s address | 3601 ARTHUR STREET, CALDWELL, ID, 83605 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-12 |
| Name of individual signing | BRYAN COLLINGWOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 115110 |
| Sponsor’s telephone number | 2088802107 |
| Plan sponsor’s address | 3601 ARTHUR STREET, CALDWELL, ID, 83605 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-13 |
| Name of individual signing | BRYAN COLLINGWOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 115110 |
| Sponsor’s telephone number | 2088802107 |
| Plan sponsor’s address | 3601 ARTHUR STREET, CALDWELL, ID, 83605 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-15 |
| Name of individual signing | BRYAN COLLINGWOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 115110 |
| Sponsor’s telephone number | 2088802107 |
| Plan sponsor’s address | 3601 ARTHUR STREET, CALDWELL, ID, 83605 |
Signature of
| Role | Plan administrator |
| Date | 2019-07-23 |
| Name of individual signing | BRYAN COLLINGWOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 115110 |
| Sponsor’s telephone number | 2088802107 |
| Plan sponsor’s address | 3601 ARTHUR STREET, CALDWELL, ID, 83605 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-15 |
| Name of individual signing | BRYAN COLLINGWOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 115110 |
| Sponsor’s telephone number | 2088802107 |
| Plan sponsor’s address | 3601 ARTHUR STREET, CALDWELL, ID, 83605 |
Signature of
| Role | Plan administrator |
| Date | 2017-09-20 |
| Name of individual signing | BRYAN COLLINGWOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 115110 |
| Sponsor’s telephone number | 2088802107 |
| Plan sponsor’s address | 3601 ARTHUR STREET, CALDWELL, ID, 83605 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-05 |
| Name of individual signing | BRYAN COLLINGWOOD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 115110 |
| Sponsor’s telephone number | 2088802107 |
| Plan sponsor’s address | 3601 ARTHUR STREET, CALDWELL, ID, 83605 |
Signature of
| Role | Plan administrator |
| Date | 2016-01-28 |
| Name of individual signing | REBECCA ROBINSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-01-28 |
| Name of individual signing | REBECCA ROBINSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BRYAN COLLINGWOOD | Agent | 3601 ARTHUR ST, CALDWELL, ID 83605 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Bryan D Collingwood | President | 3601 ARTHUR ST, CALDWELL, ID 83605-6058 | 2021-11-03 | No data |
| BRYAN D COLLINGWOOD | President | 17149 STIEHL CREEK DR, NAMPA, ID 83687 | 2020-11-03 | 2021-11-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005961579 | 2024-11-04 |
| Annual Report | 0005481625 | 2023-11-16 |
| Annual Report | 0005075273 | 2023-01-19 |
| Annual Report | 0004477083 | 2021-11-03 |
| Annual Report | 0004050246 | 2020-11-03 |
| Annual Report | 0003742501 | 2020-01-09 |
| Annual Report | 0003373573 | 2018-12-17 |
| Annual Report | 0002891899 | 2017-11-06 |
| Annual Report | 0002891898 | 2016-11-09 |
| Annual Report | 0002891897 | 2015-10-23 |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2253032 | Intrastate Non-Hazmat | 2013-01-22 | 9000 | 2012 | 3 | 3 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 5 |
| 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 | 5 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 3.5 |
| Total Number of Vehicle Inspections for the measurement period | 5 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 10 |
| 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 | 1 |
Inspections
| Unique report number of the inspection | 3247006418 |
| State abbreviation that indicates the state the inspector is from | ID |
| The date of the inspection | 2024-12-11 |
| ID that indicates the level of inspection | Walk-around |
| State abbreviation that indicates where the inspection occurred | ID |
| 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 | 3 |
| 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 | Y |
| 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 | YK7521 |
| License state of the main unit | ID |
| Vehicle Identification Number of the main unit | 1FT8W4DT4KEC32393 |
| Description of the type of the secondary unit | SEMI-TRAILER |
| Description of the make of the secondary unit | CHARMAC TR |
| License plate of the secondary unit | 8581TI |
| License state of the secondary unit | ID |
| Vehicle Identification Number of the secondary unit | 4RYC263G9PT123435 |
| 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 |
| Hazardous Materials Compliance 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 | 0 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 0 |
| Number of Hazardous Materials Compliance BASIC violations | 1 |
| Unique report number of the inspection | 2866009042 |
| State abbreviation that indicates the state the inspector is from | ID |
| The date of the inspection | 2024-05-14 |
| ID that indicates the level of inspection | Full |
| State abbreviation that indicates where the inspection occurred | ID |
| 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 | 3 |
| 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 | Y |
| 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 | YK7521 |
| License state of the main unit | ID |
| Vehicle Identification Number of the main unit | 1FT8W4DT4KEC32393 |
| Decal number of the main unit | 34020903 |
| 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 | 8581TI |
| License state of the secondary unit | ID |
| Vehicle Identification Number of the secondary unit | 4RYC263G9PT123435 |
| Decal number of the secondary unit | 34020904 |
| 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 |
| Hazardous Materials Compliance 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 |
| Unique report number of the inspection | 16B0004368 |
| State abbreviation that indicates the state the inspector is from | ID |
| The date of the inspection | 2023-05-16 |
| ID that indicates the level of inspection | Full |
| State abbreviation that indicates where the inspection occurred | ID |
| 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 | 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 | Y |
| Description of the type of the main unit | TRUCK TRACTOR |
| Description of the make of the main unit | FORD |
| License plate of the main unit | YK7523 |
| License state of the main unit | ID |
| Vehicle Identification Number of the main unit | 1FT8W4DT0NED89987 |
| Decal number of the main unit | 32717431 |
| Description of the type of the secondary unit | SEMI-TRAILER |
| Description of the make of the secondary unit | CHAH |
| License plate of the secondary unit | 1625TH |
| License state of the secondary unit | ID |
| Vehicle Identification Number of the secondary unit | 4RYL262G6FT115177 |
| Decal number of the secondary unit | 32717430 |
| 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 |
| Hazardous Materials Compliance 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 |
Violations
| The date of the inspection | 2024-12-11 |
| Code of the violation | 172203C2HMSPS |
| Name of the BASIC | Hazardous Materials Compliance |
| 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 | 3 |
| The time weight that is assigned to a violation | 3 |
| The description of a violation | HM (Shipping Papers) - Shipper HM shipping paper does not list RQ as required |
| The description of the violation group | Documentation - HM |
| The unit a violation is cited against | Vehicle main unit |
Date of last update: 08 Apr 2025
Sources: Idaho Secretary of State
