Michigan Workers Compensation Placement Facility Depopulation Report Page 1 Assigned Risk Renewals: April/May/June Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge DANIEL EIZANS STRATEGIC SERVICES LLC ADA 5561051A 419 5/13/2020 8810 JOHNSON HOMES INC ADA 4417810A 750 5/25/2020 5645 LOYL HOMES LLC ADA 5861977A 243 5/3/2020 8810 LUONTO LLC ADA 4356209A 2,604 5/10/2020 9015 MERIDIAN CABLING SOLUTIONS LLC ADA 5862809A 481 5/8/2020 5190 PIZZA PARLIAMENT LLC ADA 5704650A 735 5/10/2020 9058 REIMERSMA BUILDERS ADA 2201550A 1,417 6/21/2020 5645 THREE SEASONS LAWN CARE & MAINTENANCE ADA 3657108A 2,237 5/15/2020 9102 0.95 LLC TIP TOP GRAVEL CO ADA 0824453A 7,769 5/10/2020 4000 1.41 13 % TRI ACOUSTIC CORPORATION ADA 0070602A 750 4/13/2020 5445 WMC SALES LLC ADA 4499743A 1,017 5/6/2020 3724 0.95 WYNN PAINTING ADA 4867777A 800 5/17/2020 5476 GREENLEAF EXPRESS INC ADDISON 5502195B 1,080 5/11/2020 8017 0.95 TOMMYS TEMP SERVICES LLC ADDISON 5722438A 777 6/8/2020 8017 ABLE AUTO TOWING LLC ADRIAN 5845777A 3,020 6/18/2020 7208 ADRIAN FUELS LLC ADRIAN 4977289A 544 4/19/2020 8017 AKERS DAVID ADRIAN 0991112A 1,151 4/26/2020 5476 BROWN AND SONS ROOFING AND SIDING LLC ADRIAN 5715180A 768 5/11/2020 5645 0.95 DOWN UNDER TRENCHING LLC ADRIAN 2692562A 14,718 6/10/2020 7600 1.46 13 % ELITE GROUP INTERNATIONAL INC ADRIAN 4435206A 3,173 4/4/2020 8387 0.95 FASCO EMPLOYMENT INC ADRIAN 0943622A 18,237 5/18/2020 4558 1.00 GERRYS OUTDOOR SERVICES LLC ADRIAN 4971647A 2,150 4/23/2020 0106 0.95 HOWELL HOLDINGS LLC ADRIAN 5735050A 3,369 6/1/2020 7720 0.95 IMAGINEERING AND MORE LLC ADRIAN 5720087A 326 6/12/2020 8810 JORDAN HOME SERVICES LLC ADRIAN 5995205A 751 6/12/2020 0042 L K N TRUCKING LLC ADRIAN 5591767A 750 4/23/2020 7219 RUTTKOFSKY BUILDERS INC ADRIAN 3456218A 750 5/18/2020 5645 SPAULDING AND SONS ADRIAN 5991080A 750 4/24/2020 5462 TORRES DANIEL ADRIAN 5984530A 750 4/12/2020 5476 TWO HUNDRED 56 ROBOTICS LLC ADRIAN 5857619A 311 4/21/2020 5191 MAPLE HILL ADULT FOSTER CARE AFTON 5530318A 504 5/10/2020 9053 MIDWAY SPRING INC AFTON 3650634A 505 6/24/2020 8395 ALANSON SHEET METAL INC ALANSON 0138630A 689 6/9/2020 5550 0.95 BAY FRONT PARK CAFE ALANSON 5865956A 339 6/25/2020 8017 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 2 Assigned Risk Renewals: April/May/June Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge BUILT RIGHT CONSTRUCTION AND REMODELING ALANSON 6000509A 3,255 6/16/2020 5437 LLC MURPHY SCOTT ALANSON 5016916A 751 6/7/2020 7208 T D LEMIEUR ROOFING LLC ALANSON 5865050A 18,255 5/16/2020 5551 NELSON LARRY ALBION 1005200A 750 6/3/2020 6217 RUSTY 4 FARMS ALBION 0251267A 17,257 5/4/2020 2731 1.55 30 % YOUNGS GAS SERVICE LLC ALBION 0970263A 3,635 6/1/2020 8350 0.95 GREENWORLD MAINTENANCE LLC ALDEN 2249200A 750 5/4/2020 0042 0.95 ABC SERVICES AND FOXFIRE FARM LLC ALGONAC 3792692A 18,084 4/17/2020 9015 1.58 13 % AHEE MASONRY LLC ALGONAC 3612392A 751 6/3/2020 5022 ALT VACANCY SOLUTIONS INC ALGONAC 5383455A 748 4/4/2020 9015 BLUE WATER MATERIALS LLC ALGONAC 3824993A 2,754 6/25/2020 4000 0.95 DEERBROOK BUILDERS LLC ALGONAC 3185494A 1,557 5/31/2020 5437 0.89 DISCOUNT PEST CONTROL LLC ALGONAC 5984114A 652 4/11/2020 9015 HIGGINS FRAMING ALGONAC 5182166A 5,335 4/16/2020 5645 1.45 13 % POLITO A ALGONAC 3204855A 750 5/16/2020 5645 PRECISION CUT TILE & MARBLE LLC ALGONAC 5127629A 750 4/17/2020 5348 WHITENACK CONSTRUCTION LLC ALGONAC 5872928A 750 6/5/2020 5437 WINNERS CIRCLE BAR INC ALGONAC 0198986A 488 6/4/2020 9058 YOKOM JAMES ALGONAC 3597610A 750 5/6/2020 5437 ALLEGAN COUNTY AGRICULTURAL SOCIETY ALLEGAN 1602829A 5,630 5/1/2020 9015 0.88 ARM SERVICES INC ALLEGAN 5402360A 588 5/8/2020 9015 BIG REDS WRECKER LLC ALLEGAN 5694000A 5,831 4/6/2020 7208 0.91 FIRST PLACEMENT EMPLOYMENT GROUP INC ALLEGAN 2162270A 32,846 5/25/2020 8059 IDR CUSTOM CARPENTRY LLC ALLEGAN 5397790A 750 4/27/2020 5645 MARK P JANKE CONSULTING FORESTER LLC ALLEGAN 5256852A 755 4/3/2020 8601 POPPEMA NATHAN ALLEGAN 5469279A 750 6/13/2020 5020 S AND T SEAMLESS GUTTERS AND COVERS ALLEGAN 5848245A 720 4/2/2020 5538 SKY TRAIL MANAGEMENT AND DEVELOPMENT ALLEGAN 4469941A 3,202 5/4/2020 9015 LLC STARS AND STRIPES ROOFING LLC ALLEGAN 5878454A 800 6/27/2020 5551 TJM SERVICES ALLEGAN 5007046A 750 5/12/2020 8810 BATT CHARLES B ALLEN 3522709A 750 5/31/2020 0106 SENSIBLE CONSTRUCTION LLC ALLEN 1527460A 750 4/30/2020 5551 BIG V LANDSCAPING ALLEN PARK 1829262A 801 6/30/2020 0042 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 3 Assigned Risk Renewals: April/May/June Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge COSTA ALLEN PARK INC ALLEN PARK 2625075B 756 4/9/2020 9058 0.95 FOURNIER HAL ALLEN PARK 5257239A 750 4/3/2020 5476 GIBSON DAVID ALLEN PARK 3270505A 720 4/4/2020 5538 GNOSIS LLC ALLEN PARK 6008747A 536 6/29/2020 8387 GRAND RIVER BARBER COMPANY LLC ALLEN PARK 5876010A 440 6/9/2020 9586 HERNANDEZ CLEANING SERVICES LLC ALLEN PARK 5984297A 657 4/12/2020 8810 LIVIDINI LANDSCAPING LLC ALLEN PARK 5142440A 750 4/3/2020 0042 0.95 MI LAKES TILE COMPANY ALLEN PARK 5853974A 750 4/12/2020 5348 PHYSICIAN BILLING MANAGEMENT INC ALLEN PARK 3795950A 1,605 6/1/2020 9015 0.95 SLOAN AND SON HOME IMPROVEMENT ALLEN PARK 3206912A 1,442 6/7/2020 5645 T WIN SERVICES ALLEN PARK 0105236A 800 5/19/2020 5476 TUCCINI ORTHODONTIC LABORATORY INC ALLEN PARK 2498880A 451 5/26/2020 4692 BELLMER TERRAN ALLENDALE 5992150A 750 5/3/2020 5476 DAVE BOSCH BUILDER INC ALLENDALE 4358163A 750 6/13/2020 5645 JMB DEMOLITION LLC ALLENDALE 4445600A 4,047 4/26/2020 7380 0.92 KRUZEL BRIAN ALLENDALE 5983819A 750 4/10/2020 5445 LJ HEINLEN TRANSPORTATION LLC ALLENDALE 3103714A 750 5/9/2020 7208 MATT PETERS CONSTRUCTION ALLENDALE 6003656A 750 6/12/2020 5645 NORTHSTAR CONSTRUCTION AND RENOVATION ALLENDALE 5409543A 750 6/30/2020 5645 LLC SMOES GRADING AND CONTRACTING LLC ALLENDALE 5985293A 1,606 4/13/2020 6217 ULBERG BUILDERS LLC ALLENDALE 5269725A 750 5/25/2020 5437 0.95 VICTORY CHEERLEADING COMPANY LLC ALLENDALE 3508269A 681 6/5/2020 9063 W S SERVICES ALLENDALE 2877716A 750 6/7/2020 5437 WIERSEMA JACOB ALLENDALE 5995078A 750 5/14/2020 5645 B M V TRANSPORT INC ALLENTON 2864576A 750 4/28/2020 7208 1.27 13 % COMFORT CARE COMPANION LLC ALLENTON 5993261A 538 5/15/2020 8835 DIVINE FLOOR SERVICES LLC ALLENTON 4882733A 1,636 6/29/2020 5437 0.95 LUNA MASONRY INC ALLENTOWN 3180271A 750 5/29/2020 5022 STURDY BUILT STRUCTURES LLC ALLIANCE, OH 5877466A 4,632 6/18/2020 5040 BJORN EXCAVATING LLC ALLOUEZ 5872367A 2,720 6/1/2020 6217 ALL AMERICAN PEST CONTROL LLC ALMA 4988124A 2,786 5/23/2020 9015 0.95 NEW HORIZONS REALTY INC ALMA 5877741A 354 6/16/2020 8742 RAMON ANTHONY ALMA 5697948A 482 4/4/2020 5190 RJ LOTT CONTRACTING LLC ALMA 5731542A 4,461 6/1/2020 5437 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 4 Assigned Risk Renewals: April/May/June Employer Name City RISK ID# Est. Annual Expire Date Class Exp. Mod Pool Premium Code Surcharge MMH SOLUTIONS INC ALMONT 3021351A 750 5/11/2020 5403 0.93 PERFECTIONIST ALUMINUM ALMONT 5862353A 2,285 5/4/2020 5538 A 1 TREE SERVICE LLC ALPENA 5262720A 2,968 4/17/2020 0106 0.95 A AND L CONSTRUCTION ALPENA 4386779A 1,134 6/15/2020 5645 BIGGBEAN LLC ALPENA 5861691A 1,694 5/9/2020 8017 CAMPERS COVE RV PARK & CANOE LIVERY INC ALPENA 4067908A 2,269 4/1/2020 9015 0.95 ENVIRONMENTAL AND ASBESTOS SERVICES INC ALPENA 4752880A 494 4/20/2020 8601 MORGAN FOREST PRODUCTS ALPENA 4067436A 750 5/10/2020 2702 MURPHY CONTRACTING SERVICES ALPENA 5985803A 750 4/16/2020 5645 BEAVER WOOD TREE SERVICE LLC ALTO 4864441A 9,652 6/30/2020 0106 0.90 BOVERHOF BUILDERS INC ALTO 2714221A 761 5/29/2020 8742 CUTLER JUSTIN ALTO 5856779A 750 4/20/2020 0042 DVB INC ALTO 3453987A 750 4/11/2020 5645 GROOT SERVICES LLC ALTO 5880360A 561 6/28/2020 9102 KEN GRACHAN LLC ALTO 5999537A 333 5/31/2020 8601 LEROUX CONSTRUCTION LLC ALTO 5596580A 750 5/9/2020 5645 IPROLE INC ANAHEIM, CA 5110556A 356 5/8/2020 8742 FIRST CLASS CARPENTRY LLC ANCHORVILLE 5719399A 750 5/24/2020 5437 OARS COMPANIES INC ANGELS CAMP, CA 6004377A 267 6/14/2020 8810 A 2 SUPPLY CHAIN SERVICES LLC ANN ARBOR 5869951A 800 4/19/2020 5645 AARON HAMMER LLC ANN ARBOR 5555418A 1,540 5/11/2020 0042 0.95 ABRAMSON FRANCES ANN ARBOR 5983797A 573 4/16/2020 0913 ADVANCED THERAPEUTIC SOLUTIONS LLC ANN ARBOR 5685516A 812 6/14/2020 8835 AIS CONSTRUCTION INC ANN ARBOR 5732433A 750 4/26/2020 5551 ALI BABA DARI INC ANN ARBOR 0826383A 3,025 5/6/2020 9058 0.95 ANDY KIRSHNER FILMS LLC ANN ARBOR 5856159A 384 4/19/2020 9156 ANN ARBOR BUBBLE SOCCER LLC ANN ARBOR 5672066A 2,030 6/5/2020 9015 ANN ARBOR HOSPITALITY LLC ANN ARBOR 2716194A 2,703 5/4/2020 9052 1.29 13 % ANN ARBOR SHUTTLE SERVICE INC ANN ARBOR 2492504B 8,998 6/30/2020 7212 ANTHONYS GOURMET PIZZA INC ANN ARBOR 0143049A 3,120 6/8/2020 9058 0.95 ATLAS INSTALLERS LLC ANN ARBOR 5987903A 606 4/20/2020 9521 ATP PAINTING LLC ANN ARBOR 4395875A 751 4/24/2020 5476 B SQUARED PAINTING LLC ANN ARBOR 5547873A 1,423 4/19/2020 5437 0.95 BENDIT RACHEL ANN ARBOR 3925587A 723 5/18/2020 0908 0.95 BERGHOF SYSTEMS INC ANN ARBOR 5127270A 269 4/17/2020 8810 12/24/2019 7:17:00 AM /CaomReports/QuarterlyAR Depopulation Report Michigan Workers Compensation Placement Facility Depopulation Report Page 5 Assigned Risk Renewals: April/May/June Employer Name City RISK ID# Est.