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BLACK TIP SUPPLY, INC.

Company Details

Name: BLACK TIP SUPPLY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Apr 2008 (17 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 539661
Place of Formation: IDAHO
File Number: 539661
ZIP code: 83638
County: Valley County
Mailing Address: MIKE CONNER PO BOX 1934 MCCALL, ID 83638-1934

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLACK TIP SUPPLY INC 2023 262514339 2024-07-03 BLACK TIP SUPPLY INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 484120
Sponsor’s telephone number 2083154742
Plan sponsor’s address PO BOX 1934, MCCALL, ID, 83638

Signature of

Role Plan administrator
Date 2024-07-03
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MIKE CONNER Agent 281 NJ CORBET LANE, DONNELLY, ID 83615

President

Name Role Address Appointed On
MIKE D. CONNER President 281 NJ CORBET LANE, DONNELLY, ID 83615 2021-04-14

Filing

Filing Name Filing Number Filing date
Annual Report 0006133855 2025-03-03
Annual Report 0005637549 2024-03-06
Annual Report 0005212479 2023-04-26
Annual Report 0004630939 2022-03-03
Annual Report 0004247488 2021-04-14
Annual Report 0003800984 2020-03-04
Annual Report 0003515421 2019-05-17
Annual Report 0003160534 2018-04-02
Annual Report 0003160532 2017-04-03
Annual Report 0003160531 2016-04-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9108817004 2020-04-09 1087 PPP PO BOX 1934, MCCALL, ID, 83638
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50500
Loan Approval Amount (current) 50500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 436276
Servicing Lender Name Idaho First Bank
Servicing Lender Address 475 E Deinhard Ln, MCCALL, ID, 83638-4800
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MCCALL, VALLEY, ID, 83638-0001
Project Congressional District ID-01
Number of Employees 6
NAICS code 423990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 436276
Originating Lender Name Idaho First Bank
Originating Lender Address MCCALL, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 50868.03
Forgiveness Paid Date 2021-01-07

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
1817156 Interstate 2024-06-28 15000 2023 2 2 Private(Property)
Legal Name BLACK TIP SUPPLY INC
DBA Name -
Physical Address 3925 INDUSTRIAL WAY, LEWISTON, ID, 83501, US
Mailing Address PO BOX 1934, MCCALL, ID, 83638, US
Phone (208) 315-4743
Fax -
E-mail BLACKTIPSUPPLY@GMAIL.COM

Safety Measurement System - All Transportation

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 0
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 16
Total Number of Vehicle Inspections for the measurement period 1
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 1
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 2757001281
State abbreviation that indicates the state the inspector is from ID
The date of the inspection 2024-04-30
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 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 STERLING T
License plate of the main unit BG6542
License state of the main unit ID
Vehicle Identification Number of the main unit 2FZHAZCVX5AN80268
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 2024-04-30
Code of the violation 3965BL
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 3
The time weight that is assigned to a violation 2
The description of a violation Lubrication - Oil or grease leak
The description of the violation group Other Vehicle Defect
The unit a violation is cited against Vehicle main unit
The date of the inspection 2024-04-30
Code of the violation 3939ALRLI
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 6
The time weight that is assigned to a violation 2
The description of a violation Lighting - Tail lamp - Any inoperative
The description of the violation group Lighting
The unit a violation is cited against Vehicle main unit
The date of the inspection 2024-04-30
Code of the violation 39395A4EEUS
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 2
The description of a violation Emergency Equipment - Fire Extinguishers - unsecured
The description of the violation group Emergency Equipment
The unit a violation is cited against Vehicle main unit
The date of the inspection 2024-04-30
Code of the violation 393118DCDL
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 3
The time weight that is assigned to a violation 2
The description of a violation Dressed Lumber/Similar Building Products - Improper Securement of bundles transported using more than one tier.
The description of the violation group Failure to Prevent Movement
The unit a violation is cited against Vehicle main unit

Date of last update: 10 Apr 2025

Sources: Idaho Secretary of State