The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete. |
| UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM D
Notice of Exempt Offering of Securities
| | OMB APPROVAL | | OMB Number: | 3235-0076 | | Estimated average burden | | hours per response: | 4.00 |
|
|
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001073429 | | RMX INDUSTRIES INC | | Main Street Equity III, Inc. |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| US CONCRETE INC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| US CONCRETE INC |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK | SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381624 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Alberta Investments Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Alberta Investments Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 331 N. MAIN STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| EULESS | TEXAS | 76039 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381578 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Alliance Haulers Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Alliance Haulers Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 331 N. MAIN STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| EULESS | TEXAS | 76039 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475363 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Atlas Redi-Mix, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2009 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Atlas Redi-Mix, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289956 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Atlas-Tuck Concrete, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| OKLAHOMA |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Atlas-Tuck Concrete, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2112 W. BOIS D'ARC |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| DUNCAN | OKLAHOMA | 73533 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001500759 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Beall Concrete Enterprises, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2007 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Beall Concrete Enterprises, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 331 N. MAIN STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| EULESS | TEXAS | 76039 | 817-835-4100 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381586 | | Concrete XXIX Acquisition, Inc. |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| USC Payroll Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| USC Payroll Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713 499 6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289953 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Central Concrete Supply Co., Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| CALIFORNIA |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Central Concrete Supply Co., Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 755 STOCKTON AVENUE |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| SAN JOSE | CALIFORNIA | 95126 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475370 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Concrete Acquisition III, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2009 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Concrete Acquisition III, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475371 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Concrete Acquisition IV, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2009 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Concrete Acquisition IV, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475372 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Concrete Acquisition V, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2009 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Concrete Acquisition V, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475387 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Concrete Acquisition VI, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2009 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Concrete Acquisition VI, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381583 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Concrete XXXIII Acquisition, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2005 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Concrete XXXIII Acquisition, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713 499 6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381582 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Concrete XXXIV Acquisition, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2005 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Concrete XXXIV Acquisition, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713 499 6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381581 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Concrete XXXV Acquisition, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2005 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Concrete XXXV Acquisition, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713 499 6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381580 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Concrete XXXVI Acquisition, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2005 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Concrete XXXVI Acquisition, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713 499 6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289988 | | Robert J. Baer, Inc. | | Baer Concrete, Incorporated |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Eastern Concrete Materials, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| NEW JERSEY |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Eastern Concrete Materials, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 475 MARKET STREET, THIRD FLOOR |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| ELMWOOD PARK | NEW JERSEY | 07407 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001500762 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Redi-Mix, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2007 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Redi-Mix, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 331 N. MAIN STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| EULESS | TEXAS | 76039 | 817-835-4100 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289943 | | Opportunity Concrete Corporation |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Superior Concrete Materials, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DISTRICT OF COLUMBIA |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Superior Concrete Materials, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 4600 FORBES BOULEVARD SUITE 105 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| LANHAM | MARYLAND | 20706 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475379 | | Concrete XXXII Acquisition, Inc. |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| USC Technologies, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2005 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| USC Technologies, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381587 | | Concrete XXX Acquisition, Inc. |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| US Concrete On-Site, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| US Concrete On-Site, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK, SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713 499 6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289987 | | Concrete XXXI Acquisition, Inc. |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| USC Atlantic, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2005 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| USC Atlantic, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 475 MARKET STREET SUITE 300 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| ELMWOOD PARK | NEW JERSEY | 07407 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001500761 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| USC Management Co., LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2007 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| USC Management Co., LLC |
| Street Address 1 | Street Address 2 |
|---|
| 2925 BRIARPARK | SUITE 1050 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| HOUSTON | TEXAS | 77042 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289948 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| American Concrete Products, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| CALIFORNIA |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| American Concrete Products, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 3049 INDEPENDENCE DRIVE | SUITE A |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| LIVERMORE | CALIFORNIA | 94551 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289978 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Beall Industries, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Beall Industries, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 331 N. MAIN STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| EULESS | TEXAS | 76039 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475364 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Beall Investment Corporation, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Beall Investment Corporation, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 331 N. MAIN STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| EULESS | TEXAS | 76039 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289960 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Beall Management, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Beall Management, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 331 N. MAIN STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| EULESS | TEXAS | 76039 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475367 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Breckenridge Ready-Mix, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Breckenridge Ready-Mix, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 508 E. LINDSEY STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| BRECKENRIDGE | TEXAS | 76424 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289955 | | Hanson Concrete Products, Inc. |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Central Precast Concrete, Inc, |
| Jurisdiction of Incorporation/Organization |
|---|
| CALIFORNIA |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Central Precast Concrete, Inc, |
| Street Address 1 | Street Address 2 |
|---|
| 3049 INDEPENDENCE DRIVE | SUITE A |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| LIVERMORE | CALIFORNIA | 94551 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475376 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Hamburg Quarry Ltd Liability Co |
| Jurisdiction of Incorporation/Organization |
|---|
| NEW JERSEY |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2009 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Hamburg Quarry Ltd Liability Co |
| Street Address 1 | Street Address 2 |
|---|
| 475 MARKET STREEET | THIRD FLOOR |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| ELMWOOD PARK | NEW JERSEY | 07407 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475386 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Ingram Concrete, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2007 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Ingram Concrete, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 4301 DANHIL DRIVE |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| BROWNWOOD | TEXAS | 76801 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381579 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Kurtz Gravel Co |
| Jurisdiction of Incorporation/Organization |
|---|
| MICHIGAN |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Kurtz Gravel Co |
| Street Address 1 | Street Address 2 |
|---|
| 33469 WEST 14 MILE ROAD | SUITE 110 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| FARMINGTON HILLS | MICHIGAN | 48331 | 713 499 6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475377 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Local Concrete Supply & Equipment, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2008 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Local Concrete Supply & Equipment, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 475 MARKET STREET | SUITE 300 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| ELMWOOD PARK | NEW JERSEY | 07407 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475385 | | Master Mix Concrete Limited Liability Company |
| | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Master Mix Concrete, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| NEW JERSEY |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2008 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Master Mix Concrete, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 475 MARKET STREET | THIRD FLOOR |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| ELMWOOD PARK | NEW JERSEY | 07407 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475378 | | Concrete Acquisition I, LLC |
| | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Master Mix, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2007 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Master Mix, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 475 MARKET STREET | THIRD FLOOR |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| ELMWOOD PARK | NEW JERSEY | 07407 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475382 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| MG, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| MARYLAND |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2008 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| MG, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 4600 FORBES BOULEVARD | SUITE 105 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| LANHAM | MARYLAND | 20706 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475381 | | NYC Ready-Mix, LLC | | Concrete XXIII Acquisition, Inc. | | USC Atlantic, Inc. |
| | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| NYC Concrete Materials, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| NYC Concrete Materials, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 475 MAIN STREET | SUITE 300 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| ELMWOOD PARK | NEW JERSEY | 07407 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475380 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Pebble Lane Associates, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2008 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Pebble Lane Associates, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 475 MARKET STREET | SUITE 300 |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| ELMWOOD PARK | NEW JERSEY | 07407 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381592 | | | | Corporation | | X | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Redi-Mix Concrete LP |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Redi-Mix Concrete LP |
| Street Address 1 | Street Address 2 |
|---|
| 331 N. MAIN STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| EULESS | TEXAS | 76039 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001381591 | | | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Redi-Mix GP LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| TEXAS |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Redi-Mix GP LLC |
| Street Address 1 | Street Address 2 |
|---|
| 331 N. MAIN STREET |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| EULESS | TEXAS | 76039 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001475375 | | Concrete Acquisition II, LLC |
| | | Corporation | | | Limited Partnership | | X | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Riverside Materials, LLC |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| | Over Five Years Ago | | X | Within Last Five Years (Specify Year) | 2008 | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Riverside Materials, LLC |
| Street Address 1 | Street Address 2 |
|---|
| 475 MARKET STREET | THIRD FLOOR |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| ELMWOOD PARK | NEW JERSEY | 07407 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289954 | | Concrete XII Acquisition, Inc. |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| San Diego Precast Concrete, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| San Diego Precast Concrete, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2735 CACTUS RD |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| SAN DIEGO | CALIFORNIA | 92154 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289949 | | | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Sierra Precast, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| CALIFORNIA |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Sierra Precast, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 3049 INDEPENDENCE DRIVE | SUITE A |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| LIVERMORE | CALIFORNIA | 94551 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289947 | | Concrete XXVII Acquisition, Inc. |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Smith Pre-Cast, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Smith Pre-Cast, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| 2410 WEST BROADWAY ROAD |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| PHOENIX | ARIZONA | 85041 | 713-499-6200 |
1. Issuer's Identity
| CIK (Filer ID Number) | Previous Names | | Entity Type |
|---|
| 0001289980 | | Carrier Excavation and Foundation Company | | Concrete XI Acquisition, Inc. |
| | X | Corporation | | | Limited Partnership | | | Limited Liability Company | | | General Partnership | | | Business Trust | | | Other (Specify) |
|
| Name of Issuer |
|---|
| Titan Concrete Industries, Inc. |
| Jurisdiction of Incorporation/Organization |
|---|
| DELAWARE |
| Year of Incorporation/Organization |
|---|
| X | Over Five Years Ago | | | Within Last Five Years (Specify Year) | | | | Yet to Be Formed |
|
2. Principal Place of Business and Contact Information
| Name of Issuer |
|---|
| Titan Concrete Industries, Inc. |
| Street Address 1 | Street Address 2 |
|---|
| C/O CAPITOL SERVICES, INC. | 615 SOUTH DUPONT HWY |
| City | State/Province/Country | ZIP/PostalCode | Phone Number of Issuer |
|---|
| DOVER | DELAWARE | 19901 | 713-499-6200 |
3. Related Persons
| Last Name | First Name | Middle Name |
|---|
| Harlan | Michael | W. |
| Street Address 1 | Street Address 2 |
|---|
| 2925 Briarpark | Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | X | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Lundin | Michael | D. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | | Executive Officer | X | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Rayner | Robert | M. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | | Executive Officer | X | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Sutherland | Colin | M. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | | Executive Officer | X | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Green | M. | Terry |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Lindeman | Curt | M. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Davis | Jeff | L. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Roberts | Jeffrey | W. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Spahr | Jeffrey | D. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Konnie | Gary | J. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Johnson | Wallace | H. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| McLaughlin | Douglas | W. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Gentoso | Michael | L. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Cauley | Kent | D. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | X | Executive Officer | | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Davis | Eugene | I. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | | Executive Officer | X | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
| Last Name | First Name | Middle Name |
|---|
| Cellar | Kurt | M. |
| Street Address 1 | Street Address 2 |
|---|
| c/o U.S. Concrete, Inc. | 2925 Briarpark, Suite 1050 |
| City | State/Province/Country | ZIP/PostalCode |
|---|
| Houston | TEXAS | 77042 |
| Relationship: | | Executive Officer | X | Director | | Promoter |
|---|
Clarification of Response (if Necessary):
4. Industry Group
| | Agriculture | | Banking & Financial Services | | | | Commercial Banking | | | Insurance | | | Investing | | | Investment Banking | | | Pooled Investment Fund | | | | Is the issuer registered as
an investment company under
the Investment Company
Act of 1940? | | | | | Other Banking & Financial Services |
| | | Business Services | | Energy | | | | | | | | | | | | |
| | Health Care | | | | | | | | | | | | | Manufacturing | | Real Estate | | | | | | | | | | |
| | Retailing | | Restaurants | | Technology | | | | | | | | Travel | | | | | | | | Tourism & Travel Services |
| | | | Other |
|
5. Issuer Size
| Revenue Range | OR | Aggregate Net Asset Value Range |
|---|
| | No Revenues | | No Aggregate Net Asset Value |
| | $1 - $1,000,000 | | $1 - $5,000,000 |
| | $1,000,001 - $5,000,000 | | $5,000,001 - $25,000,000 |
| | $5,000,001 - $25,000,000 | | $25,000,001 - $50,000,000 |
| | $25,000,001 - $100,000,000 | | $50,000,001 - $100,000,000 |
| | Over $100,000,000 | | Over $100,000,000 |
| X | Decline to Disclose | | Decline to Disclose |
| | Not Applicable | | Not Applicable |
6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
| | Rule 504(b)(1) (not (i), (ii) or (iii)) | | Rule 505 |
| | Rule 504 (b)(1)(i) | X | Rule 506 |
| | Rule 504 (b)(1)(ii) | | Securities Act Section 4(5) |
| | Rule 504 (b)(1)(iii) | | Investment Company Act Section 3(c) |
| | | Section 3(c)(1) | | Section 3(c)(9) |
| | | Section 3(c)(2) | | Section 3(c)(10) |
| | | Section 3(c)(3) | | Section 3(c)(11) |
| | | Section 3(c)(4) | | Section 3(c)(12) |
| | | Section 3(c)(5) | | Section 3(c)(13) |
| | | Section 3(c)(6) | | Section 3(c)(14) |
| |
|
7. Type of Filing
| X | New Notice | | Date of First Sale | 2010-08-26 | | | First Sale Yet to Occur |
| | Amendment |
8. Duration of Offering
| Does the Issuer intend this offering to last more than one year? | | |
9. Type(s) of Securities Offered (select all that apply)
| | Equity | | Pooled Investment Fund Interests |
| X | Debt | | Tenant-in-Common Securities |
| | Option, Warrant or Other Right to Acquire Another Security | | Mineral Property Securities |
| X | Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security | X | Other (describe) |
| U.S. Concrete, Inc. issued the convertible notes in the offering described herein. All other issuers named herein are guarantors of such convertible notes. |
10. Business Combination Transaction
| Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? | | |
Clarification of Response (if Necessary):
11. Minimum Investment
| Minimum investment accepted from any outside investor | $1,000 | USD |
12. Sales Compensation
| Recipient | | Recipient CRD Number | X | None |
|
| (Associated) Broker or Dealer | X | None |
| | (Associated) Broker or Dealer CRD Number | X | None |
|
| Street Address 1 | Street Address 2 |
|---|
| City | State/Province/Country | ZIP/Postal Code |
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States | | All States |
| |
13. Offering and Sales Amounts
| Total Offering Amount | $55,000,000 | USD | |
| Total Amount Sold | $55,000,000 | USD |
| Total Remaining to be Sold | $0 | USD | |
Clarification of Response (if Necessary):
14. Investors
| Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering. | |
| Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: | |
15. Sales Commissions & Finder's Fees Expenses
Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
| Sales Commissions | $0 | USD | |
| Finders' Fees | $0 | USD | |
Clarification of Response (if Necessary):
16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
Clarification of Response (if Necessary):
Signature and Submission
Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.
Terms of Submission
| In submitting this notice, each issuer named above is: |
- Notifying the SEC and/or each State in which this notice is filed of the offering of securities described and undertaking to furnish them, upon written request, in the accordance with applicable law, the information furnished to offerees.*
- Irrevocably appointing each of the Secretary of the SEC and, the Securities Administrator or other legally designated officer of the State in which the issuer maintains its principal place of business and any State in which this notice is filed, as its agents for service of process, and agreeing that these persons may accept service on its behalf, of any notice, process or pleading, and further agreeing that such service may be made by registered or certified mail, in any Federal or state action, administrative proceeding, or arbitration brought against the issuer in any place subject to the jurisdiction of the United States, if the action, proceeding or arbitration (a) arises out of any activity in connection with the offering of securities that is the subject of this notice, and (b) is founded, directly or indirectly, upon the provisions of: (i) the Securities Act of 1933, the Securities Exchange Act of 1934, the Trust Indenture Act of 1939, the Investment Company Act of 1940, or the Investment Advisers Act of 1940, or any rule or regulation under any of these statutes, or (ii) the laws of the State in which the issuer maintains its principal place of business or any State in which this notice is filed.
- Certifying that, if the issuer is claiming a Rule 505 exemption, the issuer is not disqualified from relying on Rule 505 for one of the reasons stated in Rule 505(b)(2)(iii).
|
Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.
For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.
| Issuer | Signature | Name of Signer | Title | Date |
|---|
| US CONCRETE INC | /s/ Michael W. Harlan | Michael W. Harlan | President and Chief Executive Officer | 2010-09-09 |
| Alberta Investments Inc. | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Alliance Haulers Inc. | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Atlas Redi-Mix, LLC | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Atlas-Tuck Concrete, Inc. | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Beall Concrete Enterprises, LLC | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| USC Payroll Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| Central Concrete Supply Co., Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| Concrete Acquisition III, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | President | 2010-09-09 |
| Concrete Acquisition IV, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | President | 2010-09-09 |
| Concrete Acquisition V, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | President | 2010-09-09 |
| Concrete Acquisition VI, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | President | 2010-09-09 |
| Concrete XXXIII Acquisition, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | President | 2010-09-09 |
| Concrete XXXIV Acquisition, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | President | 2010-09-09 |
| Concrete XXXV Acquisition, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | President | 2010-09-09 |
| Concrete XXXVI Acquisition, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | President | 2010-09-09 |
| Eastern Concrete Materials, Inc. | /s/ Michael W. Harlan | Michael W. Harlan | President and Secretary | 2010-09-09 |
| Redi-Mix, LLC | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Superior Concrete Materials, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| USC Technologies, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| US Concrete On-Site, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| USC Atlantic, Inc. | /s/ Michael W. Harlan | Michael W. Harlan | Vice President and Secretary | 2010-09-09 |
| USC Management Co., LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| American Concrete Products, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| Beall Industries, Inc. | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Beall Investment Corporation, Inc. | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Beall Management, Inc. | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Breckenridge Ready-Mix, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| Central Precast Concrete, Inc, | /s/ Curt M. Lindeman | Curt M.Lindeman | Vice President and Secretary | 2010-09-09 |
| Hamburg Quarry Ltd Liability Co | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Ingram Concrete, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| Kurtz Gravel Co | /s/ Michael W. Harlan | Michael W. Harlan | Vice President and Secretary | 2010-09-09 |
| Local Concrete Supply & Equipment, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | President and Secretary | 2010-09-09 |
| Master Mix Concrete, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | President and Secretary | 2010-09-09 |
| Master Mix, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | President and Secretary | 2010-09-09 |
| MG, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| NYC Concrete Materials, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | President and Secretary | 2010-09-09 |
| Pebble Lane Associates, LLC | /s/ Curt M. Lindeman | Curt M. Lindeman | President and Secretary | 2010-09-09 |
| Redi-Mix Concrete LP | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Redi-Mix GP LLC | /s/ Michael W. Harlan | Michael W. Harlan | President | 2010-09-09 |
| Riverside Materials, LLC | /s/ Wallace H. Johnson | Wallace H. Johnson | President and Secretary | 2010-09-09 |
| San Diego Precast Concrete, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| Sierra Precast, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| Smith Pre-Cast, Inc. | /s/ Curt M. Lindeman | Curt M. Lindeman | Vice President and Secretary | 2010-09-09 |
| Titan Concrete Industries, Inc. | /s/ Michael W. Harlan | Michael W. Harlan | Vice President and Secretary | 2010-09-09 |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
* This undertaking does not affect any limits Section 102(a) of the National Securities Markets Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot routinely require offering materials under this undertaking or otherwise and can require offering materials only to the extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.
