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Supreme Beverage Company, Inc.

Details

Name: Supreme Beverage Company, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Apr 1963 (62 years ago)
Entity Number: 000-017-981
Register Number: 000017981
ZIP code: 35213
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 57 OVERBROOK ROADBIRMINGHAM, AL 35213
Registered Office Mailing Address: P.O. BOX 2479DECATUR, AL 35602
Authorized Capital: $5,874
Paid Share Capital: $5,500

Activities DEAL IN BEVERAGES

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELFARE HEALTH PLAN - SUPREME BEVERAGE 2020 630459214 2022-04-05 SUPREME BEVERAGE COMPANY, INC 139
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-03-01
Business code 424800
Sponsor’s telephone number 2565341482
Plan sponsor’s DBA name SUPREME BEVERAGE COMPANY
Plan sponsor’s mailing address 5860 ENDEAVOR WAY, TANNER, AL, 356713005
Plan sponsor’s address 5860 ENDEAVOR WAY, TANNER, AL, 356713005

Plan administrator’s name and address

Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 800 CORPORATE PKWY STE 100, BIRMINGHAM, AL, 352425470
Administrator’s telephone number 8669665457

Number of participants as of the end of the plan year

Active participants 163

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing WILSON SHEPHERD
Valid signature Filed with authorized/valid electronic signature
SUPREME BEVERAGE LIFE INSURANCE PLAN 2020 630459214 2021-04-19 SUPREME BEVERAGE COMPANY, INC. 194
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1989-08-10
Business code 424800
Sponsor’s telephone number 2565341482
Plan sponsor’s mailing address PO BOX 131028, 3900 MONTCLAIR RD FL 1, BIRMINGHAM, AL, 352132429
Plan sponsor’s address 5860 ENDEAVOR WAY, TANNER, AL, 35671

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2021-04-19
Name of individual signing SUZIE BULLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-19
Name of individual signing SUZIE BULLOCK
Valid signature Filed with authorized/valid electronic signature
WELFARE HEALTH PLAN FOR SUPREME BEVERAGE 2019 630459214 2020-10-14 SUPREME BEVERAGE COMPANY, INC 130
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-03-01
Business code 424800
Sponsor’s telephone number 2565341482
Plan sponsor’s DBA name SUPREME BEVERAGE COMPANY
Plan sponsor’s mailing address 5860 ENDEAVOR WAY, TANNER, AL, 356713005
Plan sponsor’s address 5860 ENDEAVOR WAY, TANNER, AL, 356713005

Plan administrator’s name and address

Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 800 CORPORATE PKWY STE 100, BIRMINGHAM, AL, 352425470
Administrator’s telephone number 8669665457

Number of participants as of the end of the plan year

Active participants 139

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing WILSON SHEPHERD
Valid signature Filed with authorized/valid electronic signature
SUPREME BEVERAGE LIFE INSURANCE PLAN 2019 630459214 2020-07-30 SUPREME BEVERAGE COMPANY, INC. 193
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1989-08-10
Business code 424800
Sponsor’s telephone number 2565341482
Plan sponsor’s mailing address 5860 ENDEAVOR WAY, TANNER, AL, 356713005
Plan sponsor’s address 5860 ENDEAVOR WAY, TANNER, AL, 356713005

Number of participants as of the end of the plan year

Active participants 194

Signature of

Role Plan administrator
Date 2020-07-30
Name of individual signing SUZIE BULLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-30
Name of individual signing SUZIE BULLOCK
Valid signature Filed with authorized/valid electronic signature
WELFARE HEALTH PLAN FOR SUPREME BEVERAGE 2018 630459214 2019-10-14 SUPREME BEVERAGE COMPANY, INC 134
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-03-01
Business code 424800
Sponsor’s telephone number 2052518010
Plan sponsor’s DBA name SUPREME BEVERAGE COMPANY
Plan sponsor’s mailing address 3217 AIRPORT HWY, BIRMINGHAM, AL, 352221259
Plan sponsor’s address 5865 OLD LEEDS RD, STE A, BIRMGINAHAM, AL, 35210

Plan administrator’s name and address

Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 800 CORPORATE PKWY STE 100, BIRMINGHAM, AL, 352425470
Administrator’s telephone number 8669665457

Number of participants as of the end of the plan year

Active participants 130

Signature of

Role Plan administrator
Date 2019-10-13
Name of individual signing WILSON SHEPHERD
Valid signature Filed with authorized/valid electronic signature
WELFARE HEALTH PLAN FOR SUPREME BEVERAGE 2018 630459214 2019-10-03 SUPREME BEVERAGE COMPANY, INC 134
Three-digit plan number (PN) 501
Effective date of plan 2017-03-01
Business code 424800
Sponsor’s telephone number 2052518010
Plan sponsor’s DBA name SUPREME BEVERAGE COMPANY
Plan sponsor’s mailing address 3217 AIRPORT HWY, BIRMINGHAM, AL, 352221259
Plan sponsor’s address 5865 OLD LEEDS RD, STE A, BIRMGINAHAM, AL, 35210

Plan administrator’s name and address

Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 800 CORPORATE PKWY STE 100, BIRMINGHAM, AL, 352425470
Administrator’s telephone number 8669665457

Number of participants as of the end of the plan year

Active participants 130

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing WILSON SHEPHERD
Valid signature Filed with authorized/valid electronic signature
SUPREME BEVERAGE LIFE INSURANCE PLAN 2018 630459214 2019-07-04 SUPREME BEVERAGE COMPANY, INC. 190
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1989-08-10
Business code 424800
Sponsor’s telephone number 2565341482
Plan sponsor’s mailing address 5860 ENDEAVOR WAY, TANNER, AL, 356713012
Plan sponsor’s address 5860 ENDEAVOR WAY, TANNER, AL, 356713012

Number of participants as of the end of the plan year

Active participants 193

Signature of

Role Plan administrator
Date 2019-07-04
Name of individual signing SUZIE BULLOCK
Valid signature Filed with authorized/valid electronic signature
WELFARE HEALTH PLAN FOR SUPREME BEVERAGE 2017 630459214 2018-10-15 SUPREME BEVERAGE COMPANY, INC 150
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-03-01
Business code 424800
Sponsor’s telephone number 2052518010
Plan sponsor’s DBA name SUPREME BEVERAGE COMPANY
Plan sponsor’s mailing address 3217 AIRPORT HWY, BIRMINGHAM, AL, 352221259
Plan sponsor’s address 5865 OLD LEEDS RD, STE A, BIRMGINAHAM, AL, 35210

Plan administrator’s name and address

Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 800 CORPORATE PKWY STE 100, BIRMINGHAM, AL, 352425470
Administrator’s telephone number 8669665457

Number of participants as of the end of the plan year

Active participants 133
Retired or separated participants receiving benefits 1

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing WILSON SHEPHERD
Valid signature Filed with authorized/valid electronic signature
SUPREME BEVERAGE LIFE INSURANCE PLAN 2017 630459214 2018-11-01 SUPREME BEVERAGE COMPANY, INC. 352
Three-digit plan number (PN) 503
Effective date of plan 1989-08-10
Business code 424800
Sponsor’s telephone number 2565341482
Plan sponsor’s mailing address 5860 ENDEAVOR WAY, TANNER, AL, 356713012
Plan sponsor’s address 5860 ENDEAVOR WAY, TANNER, AL, 356713012

Number of participants as of the end of the plan year

Active participants 190

Signature of

Role Plan administrator
Date 2018-10-31
Name of individual signing SUZIE BULLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-31
Name of individual signing SUZIE BULLOCK
Valid signature Filed with authorized/valid electronic signature
SUPREME BEVERAGE HEALTH INSURANCE PLAN 2016 630459214 2017-11-01 SUPREME BEVERAGE COMPANY, INC. 213
Three-digit plan number (PN) 502
Effective date of plan 1989-08-01
Business code 424800
Sponsor’s telephone number 2565341482
Plan sponsor’s DBA name SUPREME BEVERAGE COMPANY
Plan sponsor’s mailing address PO BOX 2027, HUNTSVILLE, AL, 358042027
Plan sponsor’s address 2100A JACKSON AVE, HUNTSVILLE, AL, 35805

Plan administrator’s name and address

Administrator’s EIN 630459214
Plan administrator’s name SUPREME BEVERAGE COMPANY, INC.
Plan administrator’s address 2100A JACKSON AVE NW, HUNTSVILLE, AL, 358052950
Administrator’s telephone number 2565341482

Number of participants as of the end of the plan year

Active participants 150

Signature of

Role Plan administrator
Date 2017-10-31
Name of individual signing SUZIE BULLOCK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
SCHILLECI, MICHAEL Agent

Incorporator

Name Role
SCHILLECI, JOSEPH B Incorporator
SCHILLECI, MARY G Incorporator
SCHILLECI, MARY L Incorporator

Events

Event Date Event Type Old Value New Value
2003-10-02 Name Merged No data North Alabama Beverage Co., Inc., a close corp.
2002-12-27 Capital Change $5,500 Authorized $5,500 Paid In $5,874 Authorized $5,500 Paid In
1999-03-26 Capital Change $63,358 Authorized $20,000 Paid In $5,500 Authorized $5,500 Paid In
1985-07-08 Capital Change $75,262 Authorized $20,000 Paid In $63,358 Authorized $20,000 Paid In
1983-12-12 Capital Change $2,076,200 Authorized $20,000 Paid In $75,262 Authorized $20,000 Paid In
1980-06-24 Capital Change $50,000 Authorized $20,000 Paid In $2,076,200 Authorized $20,000 Paid In

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
339739203 0418300 2014-04-22 2712 SOUTHSIDE DRIVE, TUSCALOOSA, AL, 35401
Inspection Type Planned
Scope Records
Safety/Health Safety
Close Conference 2014-04-28
Emphasis P: SSTARG14, N: SSTARG14
Case Closed 2014-05-13
339717704 0418300 2014-04-18 2100-A JACKSON AVENUE, HUNTSVILLE, AL, 35805
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2014-04-21
Emphasis L: FORKLIFT, P: SSTARG14, N: SSTARG14
Case Closed 2014-07-03

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19100178 L04 III
Issuance Date 2014-06-04
Current Penalty 2000.0
Initial Penalty 3825.0
Final Order 2014-06-12
Nr Instances 1
Nr Exposed 4
Gravity 5
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.178(l)(4)(iii): An evaluation of each powered industrial truck operator's performance was not being conducted at least once every three years: (a) On or about 04/18/2014 - Shipping/Receiving area, four employees operating a forklift were last certified by the company on June 18, 2010.
339637134 0418300 2014-03-19 3217 MESSER-AIRPORT HIGHWAY, BIRMINGHAM, AL, 35222
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2014-03-31
Emphasis L: FORKLIFT
Case Closed 2014-03-27

Related Activity

Type Complaint
Activity Nr 877059
Health Yes
310314141 0418300 2006-09-21 3217 AIRPORT HIGHWAY, BIRMINGHAM, AL, 35202
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2006-09-29
Emphasis N: SSTARG05
Case Closed 2006-12-15

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19100178 Q07
Issuance Date 2006-10-18
Abatement Due Date 2006-10-30
Current Penalty 1125.0
Initial Penalty 1500.0
Nr Instances 1
Nr Exposed 3
Gravity 02
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100178 L06
Issuance Date 2006-10-18
Abatement Due Date 2006-10-30
Nr Instances 1
Nr Exposed 2
Gravity 02
Citation ID 02001
Citaton Type Other
Standard Cited 19040032 A01
Issuance Date 2006-10-18
Abatement Due Date 2006-11-06
Current Penalty 750.0
Initial Penalty 1000.0
Nr Instances 1
Nr Exposed 9
Gravity 00
Citation ID 02002
Citaton Type Other
Standard Cited 19101200 E01
Issuance Date 2006-10-18
Abatement Due Date 2006-11-06
Nr Instances 1
Nr Exposed 9
Gravity 01
302318266 0418300 1999-01-05 3217 AIRPORT HIGHWAY, BIRMINGHAM, AL, 35202
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 1999-01-06
Emphasis N: GSINTARG
Case Closed 1999-03-03

Violation Items

Citation ID 01001
Citaton Type Other
Standard Cited 19040002 A
Issuance Date 1999-01-11
Abatement Due Date 1999-03-01
Nr Instances 2
Nr Exposed 107
Gravity 00
Citation ID 01002
Citaton Type Other
Standard Cited 19100132 D02
Issuance Date 1999-01-11
Abatement Due Date 1999-02-12
Nr Instances 1
Nr Exposed 107
Gravity 01
Citation ID 01003
Citaton Type Other
Standard Cited 19101001 J02 I
Issuance Date 1999-01-11
Abatement Due Date 1999-03-01
Nr Instances 1
Nr Exposed 107
Gravity 01
Citation ID 01004
Citaton Type Other
Standard Cited 19101200 E01
Issuance Date 1999-01-11
Abatement Due Date 1999-02-12
Nr Instances 1
Nr Exposed 2
Gravity 01
302318274 0418300 1999-01-05 3217 AIRPORT HIGHWAY, BIRMINGHAM, AL, 35202
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 1999-01-05
Emphasis N: GSINTARG
Case Closed 1999-01-27

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19100036 B04
Issuance Date 1999-01-07
Abatement Due Date 1999-01-27
Current Penalty 1400.0
Initial Penalty 1400.0
Nr Instances 1
Nr Exposed 5
Gravity 02
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100036 B06
Issuance Date 1999-01-07
Abatement Due Date 1999-02-25
Nr Instances 1
Nr Exposed 5
Gravity 02
Citation ID 01001C
Citaton Type Serious
Standard Cited 19100037 Q01
Issuance Date 1999-01-07
Abatement Due Date 1999-01-27
Nr Instances 1
Nr Exposed 5
Gravity 02
Citation ID 01002
Citaton Type Serious
Standard Cited 19100038 A01
Issuance Date 1999-01-07
Abatement Due Date 1999-02-25
Current Penalty 1050.0
Initial Penalty 1050.0
Nr Instances 1
Nr Exposed 5
Gravity 01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1768537307 2020-04-28 0459 PPP 5860 ENDEAVOR WAY, TANNER, AL, 35671-3005
Loan Status Date 2021-01-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1899600
Loan Approval Amount (current) 1899600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TANNER, LIMESTONE, AL, 35671-3005
Project Congressional District AL-05
Number of Employees 215
NAICS code 424810
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1911049.64
Forgiveness Paid Date 2020-12-08

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State