Case File Activity Diary Sheet (revised 12/11/19) Inspection Number: Initial Visit/Open Date: 04/13/2020 UPA Number: 1570498 Nashville Received Date: Establishment Name: Nike TN, Inc. Send to Attention of: CSHO ID-Opt Insp No.: V8893 Send copy to Union: Inspection Type: Complaint Case Closed Date: File Type: Trade Secret Information: no Repeat/willful/FTA citations: no Sampling Sheets included: no Safety/Health Violations Rev’d (by whom): Green Card Tracking #s: Citation Received Date: Actions/Events related to case (chronological order, date, action, initials) Date 04/13 Initials Complaint Received No Complainant Contact Information; No Jurisdiction – No Hazard Alleged Case file closed; electronically submitted to Nashville Reviewed Administrator Review: Abatement Complete: JC Citation Issued Date: Penalty Paid: Division of Business Services Department of State State of Tennessee 312 Rosa L. Parks AVE, 6th FL Nashville, TN 37243-1102 Tre Hargett Secretary of State Filing Information Name: NIKE TN, INC. General Information SOS Control # Filing Type: Status: Duration Term: 000342741 For-profit Corporation - Foreign 12/29/1997 8:34 AM Active Perpetual Registered Agent Address UNITED AGENT GROUP INC. 205 POWELL PL BRENTWOOD, TN 37027-7522 Formation Locale: OREGON Date Formed: 12/18/1997 Fiscal Year Close 5 Principal Address 8400 WINCHESTER RD MEMPHIS, TN 38125-8225 The following document(s) was/were filed in this office on the date(s) indicated below: Date Filed Filing Description 07/29/2019 2019 Annual Report Image # B0738-8482 Principal Address 1 Changed From: 1 SW BOWERMAN DR To: 8400 WINCHESTER RD Principal City Changed From: BEAVERTON To: MEMPHIS Principal State Changed From: OR To: TN Principal Postal Code Changed From: 97005-6453 To: 38125-8225 Principal County Changed From: No value To: SHELBY COUNTY 08/31/2018 2018 Annual Report B0593-1209 04/28/2018 Registered Agent Change (by Entity) B0542-6044 Registered Agent Organization Name Changed From: NATIONAL REGISTERED AGENTS, INC. To: UNITED AGENT GROUP INC. Registered Agent Physical Address 1 Changed From: 300 MONTVUE RD To: 205 POWELL PL Registered Agent Physical City Changed From: KNOXVILLE To: BRENTWOOD Registered Agent Physical County Changed From: KNOX COUNTY To: WILLIAMSON COUNTY Registered Agent Physical Postal Code Changed From: 37919-5546 To: 37027-7522 01/26/2018 Registered Agent Change (by Agent) *B0478-4997 Registered Agent Physical Address 1 Changed From: 800 S GAY ST To: 300 MONTVUE RD Registered Agent Physical Address 2 Changed From: STE 2021 To: No Value Registered Agent Physical Postal Code Changed From: 37929-9710 To: 37919-5546 4/13/2020 4:32:15 PM Page 1 of 3 Filing Information Name: NIKE TN, INC. 08/30/2017 2017 Annual Report B0436-7686 11/22/2016 2016 Annual Report B0319-0223 11/01/2016 Notice of Determination B0310-6839 08/26/2015 2015 Annual Report B0147-2924 08/26/2014 2014 Annual Report A0263-0836 07/29/2013 2013 Annual Report A0193-0414 02/06/2013 Registered Agent Change (by Agent) 7142-1640 Registered Agent Physical Address 1 Changed From: 2300 HILLSBORO RD To: 800 S GAY ST Registered Agent Physical Address 2 Changed From: STE 305 To: STE 2021 Registered Agent Physical City Changed From: NASHVILLE To: KNOXVILLE Registered Agent Physical County Changed From: DAVIDSON COUNTY To: KNOX COUNTY Registered Agent Physical Postal Code Changed From: 37212-4927 To: 37929-9710 08/01/2012 2012 Annual Report A0136-2336 Principal Address 1 Changed From: ONE BOWERMAN DRIVE To: 1 SW BOWERMAN DR 05/13/2011 2011 Annual Report A0072-1014 08/05/2010 2010 Annual Report A0038-1933 06/15/2009 2009 Annual Report 6553-0245 11/20/2008 Registered Agent Change (by Agent) 6893-2556 Registered Agent Physical Address Changed 06/10/2008 2008 Annual Report 6326-2374 10/19/2007 2007 Annual Report 6148-0790 06/26/2006 2006 Annual Report 5816-0314 Mail Address Changed 07/12/2005 2005 Annual Report 5505-0412 12/07/2004 Registered Agent Change (by Entity) 5295-0369 Registered Agent Physical Address Changed Registered Agent Changed 09/27/2004 Registered Agent Change (by Agent) 5243-0482 Registered Agent Physical Address Changed 06/24/2004 2004 Annual Report 5169-0895 06/30/2003 2003 Annual Report 4852-1414 12/10/2002 Registered Agent Change (by Entity) 4664-1636 Registered Agent Physical Address Changed Registered Agent Changed 08/29/2002 2002 Annual Report 08/06/2001 Application for Reinstatement 4/13/2020 4:32:15 PM 4589-0611 4255-2251 Page 2 of 3 Filing Information Name: NIKE TN, INC. 08/06/2001 Administrative Amendment 4255-3036 08/06/2001 Administrative Amendment 4261-0408 Mail Address Changed 08/06/2001 1999 Annual Report 4261-0408 08/06/2001 2001 Annual Report 4261-0410 05/08/2000 Registered Agent Change (by Agent) 3904-0013 Registered Agent Physical Address Changed 01/24/2000 Dissolution/Revocation - Administrative ROLL 3807 11/19/1999 Notice of Determination ROLL 3768 01/27/1998 Administrative Amendment 3431-2935 Fiscal Year Close Changed 3428-0271 12/29/1997 Initial Filing Active Assumed Names (if any) 4/13/2020 4:32:15 PM Date Expires Page 3 of 3 Notice of Alleged Safety or Health Hazards Complaint Number Establishment Name Nike TN, Inc. Site Address 5151 East Shelby Drive Memphis, TN 38118 Site Phone Mailing Address 901-366-6453 1570498 Site FAX 5151 East Shelby Drive Memphis, TN 38118 Management Official Telephone Type of Business Primary SIC Primary NAICS 423910 - Sporting and Recreational Goods and Supplies Merchant Wholesalers HAZARD DESCRIPTION/LOCATION. Describe briefly the hazard(s) which you believe exist. Include the approximate number of employees exposed to or threatened by each hazard. Specify the particular building or worksite where the alleged violation exists. Is my workplace considered essential? Source 1 Has this condition been brought to the attention of: Please indicate Your Desire to Reveal Source: No The Undersigned believes that a violation of an Occupational Safety or Health Standard exists which is a job safety or health hazard at the establishment named on this form (Mark “X” in ONE) __Employee __Federal Safety and Health Committee __Representative of Employees __Other (specify) Complainant Name Telephone Complainant Address Complainant E-mail Address Send UPA Results? Signature No If no UPA results sent, why? Date If you are an authorized representative of employees affected by this complaint, please state the name of the organization that you represent and your title: Organization Name: Your Title: OFFICIAL USE ONLY: Reporting ID 0454721 Receipt Received By Information gibbs.tiffany Receipt Type Send OSHA-7? Date: 04/13/2020 Yes No Time: 08:00 AM Online Industry & Ownership Primary NAICS Complaint Evaluation Evaluated By CSHO Assigned Supervisor(s) Assigned V8893 V8893 Electronic Complaint Number 423910 - Sporting and Recreational Goods and Supplies Merchant Wholesalers Ownership Private Sector Subject Is this a Valid Complaint? No Formality Nonformal Severity Safety Health Migrant Farmworker Camp? Discrimination No (Mark X if applicable) Complaint Actions Action Date Action Type Date Response Communication Type of Letter/Reason Due Method 04/13/2020 Do Inspection = N No Jurisdiction; No Hazard Alleged 04/13/2020 Valid = N No Jurisdiction Complaint Responses Date Response Type Response Received Received Transfer to (Name) Transfer to Category Strategic Initiatives National Emphasis Local/State Emphasis Evaluation Transfer Date Evaluated By Other Other – Status Additional Codes Type ID Value Description N 16 COVID-19 Response activities related to the COVID-19 Coronavirus Close Complaint Comments: Y From: To: Subject: Date: Attachments: Jeffrey Campbell Tiffany Gibbs FW: [EXTERNAL] OAH Tuesday, April 7, 2020 8:26:31 AM VoiceMessage.wav     From: Wendy Fisher Sent: Tuesday, April 7, 2020 7:57 AM To: Jeffrey Campbell Subject: FW: [EXTERNAL] OAH       From: DOLNCC [mailto:dol-ncc@dolncc.dol.gov] Sent: Monday, April 6, 2020 11:20 PM To: Wendy Fisher Subject: [EXTERNAL] OAH   *** This is an EXTERNAL email. Please exercise caution. DO NOT open attachments or click links from unknown senders or unexpected email - STS-Security. *** Hello, The Department of Labor National Contact Center (DOL-NCC) which operates the OSHA toll-free telephone service (1-800-321-OSHA) has received an after business hours inquiry which took place within your jurisdiction. Attached is the transcript providing detailed information of a call received about an Occupational Safety & Health related concern. The transcript was produced from information left on a voicemail box from the customer calling to report their OSHA concern. The DOLNCC has produced this transcript for your records and to take action if you deem necessary. For immediate assistance with problems or for help in sending the transcript to another office or jurisdiction, please contact the DOL-NCC by calling the OSHA toll-free telephone number at 1-800-321-6742 during the hours of 4:30pm to 8:00am. When contacting the DOL-NCC about a particular transcript, please provide a detailed description about your inquiry so that we may provide you with an informed response. Please refer all other inquiries to your OSHA Regional Coordinator. Thank you for your time and assistance with regards to this inquiry. The caller selected option: Transcript # 02243034   Hazardous Complaint Date/Time Received – Mailbox 4/6/2020 5:52 PM Actual Call Type: Date/Time Retrieved from Mailbox   Other/Information     4/7/2020 12:18 AM   Establishment  Nike Name: Establishment  5151 East Shelby Drive Memphis, TN38118 Address: Establishment   Phone #: Caller’s Contact Information – Potential Privacy Data  Anonymous Anonymous Caller’s Name:              111-111-1111 Caller’s Phone#: Caller Provided Narrative:  Summary: Caller would like guidance on whether or not the workplace can be considered essential, and also has questions concerning the CDC's 6-foot distance rule.   Workplace or Caller’s Zip Code: Date/Time referred to OSHA:   OSHA Reporting ID:  38118     454700 Immediate referral:   No  OSHA Office: Tennessee      Referred to CSHO:     OSHA Phone #:       Special Considerations: Transcriber Name: Joseph T.  Researched possible address and zip code from information   provided by the caller.     Action:  Will forward to the local OSHA office.   Contacted Authorities -----------------------------Contact Date/Time Contact (EST) Name/Phone Contact Comment Made Contact? *For assistance or information about this OSHA escalation transcript please contact the OSHA toll-free number (1-800-321-6742). Please refer all other inquiries to your OSHA 800# Regional Coordinator.