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  5. Coastline Dairy Distributors, Inc.

Coastline Dairy Distributors, Inc.

Company Details

Name: Coastline Dairy Distributors, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 15 Oct 2015 (10 years ago)
Identification Number: 001657405
ZIP code: 02888
County: Kent County
Principal Address: 166 LAVAN STREET, WARWICK, RI, 02888, USA
Purpose: DELIVERY OF DAIRY GOODS Title: 7-1.2-1701

Industry & Business Activity

NAICS

424430 Dairy Product (except Dried or Canned) Merchant Wholesalers

This industry comprises establishments primarily engaged in the merchant wholesale distribution of dairy products (except dried or canned). Learn more at the U.S. Census Bureau

Companies doing Dairy product (except dried or canned) merchant wholesalers

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTLINE DAIRY DISTRIBUTORS, INC. 401(K) PROFIT SHARING PLAN 2023 475320132 2024-06-26 COASTLINE DAIRY DISTRIBUTORS INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 812990
Sponsor’s telephone number 4013830650
Plan sponsor’s address 166 LAVAN ST, WARWICK, RI, 02888

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
COASTLINE DAIRY DISTRIBUTORS, INC. 401(K) PROFIT SHARING PLAN 2022 475320132 2023-05-25 COASTLINE DAIRY DISTRIBUTORS INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 812990
Sponsor’s telephone number 4013830650
Plan sponsor’s address 166 LAVAN ST, WARWICK, RI, 02888

Signature of
Role Plan administrator
Date 2023-05-25
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
COASTLINE DAIRY DISTRIBUTORS, INC. 401(K) PROFIT SHARING PLAN 2021 475320132 2022-07-04 COASTLINE DAIRY DISTRIBUTORS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 812990
Sponsor’s telephone number 4013830650
Plan sponsor’s address 166 LAVAN ST, WARWICK, RI, 02888

Signature of
Role Plan administrator
Date 2022-07-04
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
COASTLINE DAIRY DISTRIBUTORS INC 2020 475320132 2021-08-04 COASTLINE DAIRY DISTRIBUTORS INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 812990
Sponsor’s telephone number 4013830650
Plan sponsor’s DBA name COASTLINE DAIRY DISTRIBUTORS
Plan sponsor’s address 166 LAVAN ST, WARWICK, RI, 028881059

Signature of
Role Plan administrator
Date 2021-08-04
Name of individual signing ROBIN OTIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RICHARD W. NICHOLSON, ESQ. Agent NICHOLSON & ASSOCIATES LLC 9 THURBER BOULEVARD SUITE D, SMITHFIELD, RI, 02917, USA

PRESIDENT

Name Role Address
JAMES R OTIS PRESIDENT 20 JOHNSON AVE NORTH KINGSTOWN, RI 02852 USA

SECRETARY

Name Role Address
JAMES R OTIS SECRETARY 20 JOHNSON AVE NORTH KINGSTOWN, RI 02852 USA

DIRECTOR

Name Role Address
ROBIN OTIS DIRECTOR 20 JOHNSON AVE NORTH KINGSTOWN, RI 02852 USA
JAMES R OTIS DIRECTOR 20 JOHNSON AVE NORTH KINGSTOWN, RI 02852 USA

Filings

Number Name File Date
202448929440 Annual Report 2024-03-20
202329413800 Annual Report 2023-02-27
202208926740 Annual Report 2022-01-31
202195773080 Annual Report 2021-04-16
202046515900 Annual Report - Amended 2020-07-27
202044512730 Statement of Change of Registered/Resident Agent 2020-07-10
202035437620 Annual Report 2020-02-24
201986444130 Annual Report 2019-02-12
201860052680 Annual Report 2018-03-09
201734398630 Annual Report 2017-02-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2849227108 2020-04-11 0165 PPP 170 ROYAL LITTLE DR, PROVIDENCE, RI, 02904-1860
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 86150.75
Loan Approval Amount (current) 86150.75
Undisbursed Amount 0
Franchise Name -
Lender Location ID 104771
Servicing Lender Name Navigant CU
Servicing Lender Address 1005 Douglas Pike, SMITHFIELD, RI, 02917-1206
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address PROVIDENCE, PROVIDENCE, RI, 02904-1860
Project Congressional District RI-01
Number of Employees 8
NAICS code 424430
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 104771
Originating Lender Name Navigant CU
Originating Lender Address SMITHFIELD, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 86729.87
Forgiveness Paid Date 2020-12-15

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
2847769 Interstate 2024-08-12 68000 2024 4 4 Auth. For Hire, Private(Property)
Legal Name COASTLINE DAIRY DISTRIBUTORS INC
DBA Name -
Physical Address 166 LAVAN STREET, WARWICK, RI, 02888, US
Mailing Address 166 LAVAN STREET, WARWICK, RI, 02888-1059, US
Phone (401) 383-0650
Fax (401) 383-5521
E-mail OFFICE@COASTLINEDAIRY.COM

Safety Measurement System - All Transportation
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 .2
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 1
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 6.75
Number of inspections with at least one Driver Fitness BASIC violation 1
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 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 2

Inspections
Unique report number of the inspection M035000038
State abbreviation that indicates the state the inspector is from RI
The date of the inspection 2024-02-23
ID that indicates the level of inspection Full
State abbreviation that indicates where the inspection occurred RI
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 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 ISUZU
License plate of the main unit 1BW819
License state of the main unit RI
Vehicle Identification Number of the main unit JALE5W168N7302114
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 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 00DP003032
State abbreviation that indicates the state the inspector is from RI
The date of the inspection 2023-10-05
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred RI
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 GMC
License plate of the main unit 2972301
License state of the main unit IN
Vehicle Identification Number of the main unit 7GZ37TCG3LN006095
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 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 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 00DP002898
State abbreviation that indicates the state the inspector is from RI
The date of the inspection 2023-09-06
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred RI
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 1BW819
License state of the main unit RI
Vehicle Identification Number of the main unit JALE5W168N7302114
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 0084001207
State abbreviation that indicates the state the inspector is from RI
The date of the inspection 2023-06-14
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred RI
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 1BW819
License state of the main unit RI
Vehicle Identification Number of the main unit JALE5W168N7302114
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 00DM000337
State abbreviation that indicates the state the inspector is from RI
The date of the inspection 2023-04-04
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred RI
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 HINO
License plate of the main unit 72054
License state of the main unit RI
Vehicle Identification Number of the main unit JHHRDM2H4JK004528
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 2
Number of Unsafe Driving BASIC violations 2
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

Violations
The date of the inspection 2024-02-23
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 2
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 2023-10-05
Code of the violation 39141A
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 a valid medical certificate in possession or on file with the state drivers licensing agency. History of either fail
The description of the violation group Medical Certificate
The unit a violation is cited against Driver
The date of the inspection 2023-04-04
Code of the violation 39282A1
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 10
The time weight that is assigned to a violation 1
The description of a violation Using a hand-held mobile telephone while operating a CMV
The description of the violation group Phone Call
The unit a violation is cited against Driver
The date of the inspection 2023-04-04
Code of the violation 39216
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 7
The time weight that is assigned to a violation 1
The description of a violation Failing to use seat belt while operating a CMV
The description of the violation group Seat Belt
The unit a violation is cited against Driver

Related by officers

RICHARD W. NICHOLSON, ESQ.

ATWELLS REALTY CORP. Nathanael Greene Fraternal Association THE ONE, INC. B. CARBONE & SONS PLUMBING, INC. Tri-State Trucking, Inc. Tri-State Trucking, LLC RICHARD APPRAISAL COMPANY COMMUNITY LIVING OF RHODE ISLAND INCORPORATED Real Estate & Environmental Management Consulting Co., LLC. The Granite Consulting Group, Inc.

Related by address

166 LAVAN STREET, WARWICK, RI, 02888, USA

G.R.S., INC. D & D Marketing, Inc. The Narragansett Food Group, Inc. J and R Realty LLC

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State

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