| Entity Name: | COAST TO COAST FORMS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COAST TO COAST FORMS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Jul 2016 (9 years ago) |
| Document Number: | L16000135160 |
| FEI/EIN Number |
81-4711372
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8470 BELVEDERE RD, WEST PALM BEACH, FL, 33411, US |
| Mail Address: | 8470 BELVEDERE RD, WEST PALM BEACH, FL, 33411, US |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| LORD KENNETH J | Manager | 931 NW 53RD CT., FORT LAUDERDALE, FL, 33309 |
| Weeks Charles | Chief Financial Officer | 8470 BELVEDERE RD, WEST PALM BEACH, FL, 33411 |
| Marquez Tito | Vice President | 8470 BELVEDERE RD, WEST PALM BEACH, FL, 33411 |
| LORD KENNETH J | Agent | 931 NW 53RD CT., FORT LAUDERDALE, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-06 | 8470 BELVEDERE RD, 2ND FLOOR, WEST PALM BEACH, FL 33411 | - |
| CHANGE OF MAILING ADDRESS | 2018-03-06 | 8470 BELVEDERE RD, 2ND FLOOR, WEST PALM BEACH, FL 33411 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-02-05 |
| AMENDED ANNUAL REPORT | 2023-12-19 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-07-19 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-07-03 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-01-19 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 344437090 | 0418800 | 2019-11-06 | 18600 PARK BLVD., WESTON, FL, 33332 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Inspection |
| Activity Nr | 1443710 |
| Health | Yes |
| Type | Complaint |
| Activity Nr | 1514293 |
| Safety | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19040029 B03 |
| Issuance Date | 2019-11-21 |
| Abatement Due Date | 2020-01-10 |
| Current Penalty | 564.0 |
| Initial Penalty | 1128.0 |
| Final Order | 2019-12-16 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Related Event Code (REC) | Complaint |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.29(b)(3): Each recordable injury or illness on the OSHA 300 Log and 301 Incident Report was not recorded within seven (7) calendar days of receiving information that a recordable injury or illness has occurred: On or about 11/06/2019, at 18600 Vista Park Blvd, Weston FL 33332 jobsite, the employer did not record on the OSHA 300 an injury that required treatment beyond first aid and occurred on 10/30/2019. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6610808402 | 2021-02-10 | 0455 | PPS | 8470 Belvedere Rd Fl 2, West Palm Beach, FL, 33411-3225 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4105927102 | 2020-04-12 | 0455 | PPP | 931 NW 53RD CT, FORT LAUDERDALE, FL, 33309-3106 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1041216 | Intrastate Non-Hazmat | 2023-11-03 | 11000 | 2022 | 1 | 1 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 3 |
| 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 | 3 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 6.66 |
| 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 | 7 |
| 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 | 9008001308 |
| State abbreviation that indicates the state the inspector is from | FL |
| The date of the inspection | 2024-10-03 |
| ID that indicates the level of inspection | Walk-around |
| State abbreviation that indicates where the inspection occurred | FL |
| 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 | 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 | N4469R |
| License state of the main unit | FL |
| Vehicle Identification Number of the main unit | 4GTJ7C1322J700074 |
| 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 | 9008001097 |
| State abbreviation that indicates the state the inspector is from | FL |
| The date of the inspection | 2024-04-02 |
| ID that indicates the level of inspection | Walk-around |
| State abbreviation that indicates where the inspection occurred | FL |
| 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 | ISUZU |
| License plate of the main unit | N4469R |
| License state of the main unit | FL |
| Vehicle Identification Number of the main unit | 4GTJ7C1322J700074 |
| 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 | 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 | 3118009409 |
| State abbreviation that indicates the state the inspector is from | FL |
| The date of the inspection | 2024-03-18 |
| ID that indicates the level of inspection | Walk-around |
| State abbreviation that indicates where the inspection occurred | FL |
| 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 | N4469R |
| License state of the main unit | FL |
| Vehicle Identification Number of the main unit | 4GTJ7C1322J700074 |
| 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 | 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 |
Violations
| The date of the inspection | 2024-04-02 |
| Code of the violation | 3939ALTSI |
| 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 | 6 |
| The time weight that is assigned to a violation | 2 |
| The description of a violation | Lighting - Turn signal - Any inoperative on the rearmost vehicle. |
| The description of the violation group | Lighting |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2024-04-02 |
| Code of the violation | 3939ALSLI |
| 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 - Stop lamps - Any inoperative. |
| The description of the violation group | Lighting |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2024-04-02 |
| Code of the violation | 39311A1LBL |
| 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 - Backup lamp missing |
| The description of the violation group | Lighting |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2024-03-18 |
| Code of the violation | 39216D |
| 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 | 2 |
| The description of a violation | Driver - Failed to use seat belt while operating a CMV |
| The description of the violation group | Seat Belt |
| The unit a violation is cited against | Driver |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
