COOPERATIVE SUPPLY INC.

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COEUR D ALENE, ID, 838161709

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COEUR D ALENE, ID, 838161709

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COEUR D ALENE, ID, 838161709

Signature of

Role	Plan administrator
Date	2022-07-06
Name of individual signing	MANUEL AZEVEDO
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COUER D ALENE, ID, 838161709

Signature of

Role	Plan administrator
Date	2021-07-08
Name of individual signing	MANUEL AZEVEDO
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COUER D ALENE, ID, 838161709

Signature of

Role	Plan administrator
Date	2020-07-15
Name of individual signing	MANUEL AZEVEDO
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COUER D ALENE, ID, 838161709

Signature of

Role	Plan administrator
Date	2019-07-08
Name of individual signing	BRIAN BORG
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COUER D ALENE, ID, 838161709

Signature of

Role	Plan administrator
Date	2018-06-04
Name of individual signing	BRIAN BORG
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COUER D ALENE, ID, 838161709

Signature of

Role	Plan administrator
Date	2017-05-12
Name of individual signing	BRIAN BORG
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COUER D ALENE, ID, 838161709

Signature of

Role	Plan administrator
Date	2016-04-21
Name of individual signing	BRIAN BORG
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1991-01-01
Business code	115110
Sponsor’s telephone number	2086643716
Plan sponsor’s address	P.O.BOX 1709, COUER D ALENE, ID, 838161709

Signature of

Role	Plan administrator
Date	2015-04-01
Name of individual signing	BRIAN BORG
Valid signature	Filed with authorized/valid electronic signature

Loan Status Date	2021-10-14
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	103552
Loan Approval Amount (current)	103552
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	41844
Servicing Lender Name	First Interstate Bank
Servicing Lender Address	401 N 31st St, BILLINGS, MT, 59101-1200
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Coeur D Alene, KOOTENAI, ID, 83814-5330
Project Congressional District	ID-01
Number of Employees	14
NAICS code	447110
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Cooperative
Originating Lender ID	41844
Originating Lender Name	First Interstate Bank
Originating Lender Address	BILLINGS, MT
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	104159.13
Forgiveness Paid Date	2021-09-01

Loan Status Date	2020-12-17
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	103560
Loan Approval Amount (current)	103560
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	41844
Servicing Lender Name	First Interstate Bank
Servicing Lender Address	401 N 31st St, BILLINGS, MT, 59101-1200
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	COEUR D ALENE, KOOTENAI, ID, 83814-5330
Project Congressional District	ID-01
Number of Employees	14
NAICS code	447190
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Cooperative
Originating Lender ID	41844
Originating Lender Name	First Interstate Bank
Originating Lender Address	BILLINGS, MT
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	104155.82
Forgiveness Paid Date	2020-11-12

Legal Name	COOPERATIVE SUPPLY INC
DBA Name	-
Physical Address	5831 N GOVERNMENT WAY, DALTON GARDENS, ID, 83815, US
Mailing Address	P O BOX 1709, COEUR D ALENE, ID, 83816-1709, US
Phone	(208) 664-3716
Fax	(208) 765-3942
E-mail	PAYABLES@CO-OPSUPPLY.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months)	8
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	8
Vehicle Maintenance BASIC Roadside Performance measure value	.83
Total Number of Vehicle Inspections for the measurement period	7
Controlled Substances and Alcohol BASIC Roadside Performance measure value	0
Unsafe Driving BASIC Roadside Performance Measure Value	1
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	1

Inspections

Unique report number of the inspection	W012001976
State abbreviation that indicates the state the inspector is from	WA
The date of the inspection	2023-10-02
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	1
Number of violations related to Hazardous Materials	1
Total number of Out-Of-Service violations	1
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	KW
License plate of the main unit	BG6231
License state of the main unit	ID
Vehicle Identification Number of the main unit	3BKDXB0X75F072639
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	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	1700003840
State abbreviation that indicates the state the inspector is from	ID
The date of the inspection	2023-06-28
ID that indicates the level of inspection	Driver-Only
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	PTRB
License plate of the main unit	BG9578
License state of the main unit	ID
Vehicle Identification Number of the main unit	1NPFLB0X63D801869
Description of the type of the secondary unit	SEMI-TRAILER
Description of the make of the secondary unit	UNK
License plate of the secondary unit	TK3387
License state of the secondary unit	ID
Vehicle Identification Number of the secondary unit	1BN1T2941MP234070
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	1
Number of Unsafe Driving BASIC violations	1
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	A400000252
State abbreviation that indicates the state the inspector is from	WA
The date of the inspection	2023-05-31
ID that indicates the level of inspection	Walk-around
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	1
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	KW
License plate of the main unit	BG6231
License state of the main unit	ID
Vehicle Identification Number of the main unit	3BKDXB0X75F072639
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	1500004249
State abbreviation that indicates the state the inspector is from	ID
The date of the inspection	2023-04-25
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	1
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	CHEV
License plate of the main unit	BG743
License state of the main unit	ID
Vehicle Identification Number of the main unit	1GBG6H1J7MJ102385
Decal number of the main unit	32717271
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	W403010159
State abbreviation that indicates the state the inspector is from	WA
The date of the inspection	2023-04-20
ID that indicates the level of inspection	Walk-around
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	1
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	KW
License plate of the main unit	BG6231
License state of the main unit	ID
Vehicle Identification Number of the main unit	3BKDXB0X75F072639
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	A132000560
State abbreviation that indicates the state the inspector is from	WA
The date of the inspection	2023-01-16
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	1
Number of violations related to Hazardous Materials	1
Total number of Out-Of-Service violations	1
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	PTRB
License plate of the main unit	BG9578
License state of the main unit	ID
Vehicle Identification Number of the main unit	1NPFLB0X63D801869
Decal number of the main unit	32280010
Description of the type of the secondary unit	SEMI-TRAILER
Description of the make of the secondary unit	BEAT
License plate of the secondary unit	TK3387
License state of the secondary unit	ID
Vehicle Identification Number of the secondary unit	1BN1T2941MP234070
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	1
Number of Hazardous Materials Compliance BASIC violations	0
Unique report number of the inspection	1182000074
State abbreviation that indicates the state the inspector is from	WA
The date of the inspection	2024-07-24
ID that indicates the level of inspection	Walk-around
State abbreviation that indicates where the inspection occurred	WA
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	1
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	PETERBILT
License plate of the main unit	BG9578
License state of the main unit	ID
Vehicle Identification Number of the main unit	1NPFLB0X63D801869
Description of the type of the secondary unit	FULL TRAILER
Description of the make of the secondary unit	BEALL INC
License plate of the secondary unit	TK3387
License state of the secondary unit	ID
Vehicle Identification Number of the secondary unit	1BN1T2941MP234070
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	2023-10-02
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	2023-10-02
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	2023-10-02
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	2023-06-28
Code of the violation	39210A3
Name of the BASIC	Unsafe Driving
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	5
The time weight that is assigned to a violation	1
The description of a violation	Failure to stop at railroad crossing - CMV requiring display of HM placards
The description of the violation group	Dangerous Driving
The unit a violation is cited against	Driver
The date of the inspection	2023-01-16
Code of the violation	3963A1LC
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	4
The time weight that is assigned to a violation	1
The description of a violation	Brake - Leak from air chamber
The description of the violation group	Brakes All Others
The unit a violation is cited against	Vehicle secondary unit