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  5. POLLY A. PETERSON, PH.D., CRC, LLC

POLLY A. PETERSON, PH.D., CRC, LLC

Company Details

Name: POLLY A. PETERSON, PH.D., CRC, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Apr 2010 (15 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 288271
Place of Formation: IDAHO
File Number: 288271
ZIP code: 83705
County: Ada County
Principal Address: 413 S SIERRA DR BOISE, ID 83705-1553

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MQ94DN46K878 2024-12-05 413 S SIERRA DR, BOISE, ID, 83705, 1553, USA 413 S. SIERRA DRIVE, BOISE, ID, 83705, 5113, USA

Business Information
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2023-12-08
Initial Registration Date 2009-07-24
Entity Start Date 1992-06-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 541990

Points of Contacts
Electronic Business
Title PRIMARY POC
Name POLLY A PETERSON
Address 413 S. SIERRA DRIVE, BOISE, ID, 83705, USA
Title ALTERNATE POC
Name POLLY A PETERSON
Address 211 HILLVIEW DRIVE, BOISE, ID, 83712, 8113, USA
Government Business
Title PRIMARY POC
Name POLLY A. PETERSON
Address 413 S. SIERRA DRIVE, BOISE, ID, 83705, USA
Title ALTERNATE POC
Name POLLY A PETERSON
Address 211 HILLVIEW DRIVE, BOISE, ID, 83712, 8113, USA
Past Performance
Title PRIMARY POC
Name POLLY A PETERSON
Address 211 HILLVIEW DRIVE, BOISE, ID, 83712, 8113, USA
Title ALTERNATE POC
Name POLLY A PETERSON
Address 211 HILLVIEW DRIVE, BOISE, ID, 83712, 8113, USA

Agent

Name Role Address
POLLY PETERSON Agent 413 S. SIERRA DRIVE, BOISE, ID 83705

Manager

Name Role Address Appointed On
Peterson P A Manager 413 S SIERRA DR, BOISE, ID 83705-1553 2021-03-03

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005818182 2024-07-12
Dissolution/Revocation - Administrative 0005804655 2024-07-06
Application for Reinstatement 0005321687 2023-07-13
Dissolution/Revocation - Administrative 0005318672 2023-07-13
Annual Report 0004732649 2022-05-04
Annual Report 0004189742 2021-03-03
Annual Report 0003831372 2020-04-03
Annual Report 0003484014 2019-04-19
Annual Report 0002162353 2018-03-20
Annual Report 0002162352 2017-04-23

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV 28321325AV0840024 2025-04-01 No data No data
Unique Award Key CONT_IDV_28321325AV0840024_2800
Awarding Agency Social Security Administration
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 250000.00

Description
Title THIS BLANKET PURCHASE AGREEMENT SERVES TO PROVIDE VOCATIONAL EXPERT WITNESSES TO THE SSA FOR HEARINGS BEFORE AN ADMINISTRATIVE LAW JUDGE (ALJ) APPEALING DENIAL OF CERTAIN BENEFITS ADMINISTERED BY SSA. THESE HEARINGS INVOLVE CLAIMS FOR BENEFITS AUTHOR
NAICS Code 624310: VOCATIONAL REHABILITATION SERVICES
Product and Service Codes R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS

Recipient Details
Recipient POLLY A. PETERSON, PH.D CRC, LLC
UEI MQ94DN46K878
Recipient Address UNITED STATES, 413 S SIERRA DR, BOISE, ADA, IDAHO, 837051553
No data IDV 28321325AV1040024 2025-04-01 No data No data
Unique Award Key CONT_IDV_28321325AV1040024_2800
Awarding Agency Social Security Administration
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 250000.00

Description
Title VOCATION EXPERT CONSULTING SERVICES, NATIONWIDE -- THE PURPOSE OF THIS MODIFICATION IS TO CANCEL THIS BLANKET PURCHASE AGREEMENT (BPA) DUE TO AN ERROR IN ASSIGNED REGION. THE BPA WILL BE RE-ISSUED UNDER THE CORRECT REGION.
NAICS Code 624310: VOCATIONAL REHABILITATION SERVICES
Product and Service Codes R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS

Recipient Details
Recipient POLLY A. PETERSON, PH.D CRC, LLC
UEI MQ94DN46K878
Recipient Address UNITED STATES, 413 S SIERRA DR, BOISE, ADA, IDAHO, 837051553
BPA AWARD 9902 2012-09-30 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_9902_2800_SS11511180099_2800
Awarding Agency Social Security Administration
Link View Page

Description
Title VE EXPRESS REPORTING IGF::CT::IGF
NAICS Code 624310: VOCATIONAL REHABILITATION SERVICES
Product and Service Codes R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS

Recipient Details
Recipient POLLY A. PETERSON, PH.D CRC, LLC
UEI MQ94DN46K878
Legacy DUNS 834534468
Recipient Address 211 HILLVIEW DR, BOISE, 837128113, UNITED STATES
No data IDV SS11511180099 2011-09-30 No data No data
Unique Award Key CONT_IDV_SS11511180099_2800
Awarding Agency Social Security Administration
Link View Page

Description
Title ME/VE/VHR EXPRESS REPORTING
NAICS Code 624310: VOCATIONAL REHABILITATION SERVICES
Product and Service Codes R424: EXPERT WITNESS

Recipient Details
Recipient POLLY A. PETERSON, PH.D CRC, LLC
UEI MQ94DN46K878
Legacy DUNS 834534468
Recipient Address 211 HILLVIEW DR, BOISE, 837128113, UNITED STATES
BPA AWARD 0001 2011-09-30 2011-09-30 2011-09-30
Unique Award Key CONT_AWD_0001_2800_SS11511180099_2800
Awarding Agency Social Security Administration
Link View Page

Description
Title ME/VE/VHR EXPRESS REPORTING
NAICS Code 624310: VOCATIONAL REHABILITATION SERVICES
Product and Service Codes R424: EXPERT WITNESS

Recipient Details
Recipient POLLY A. PETERSON, PH.D CRC, LLC
UEI MQ94DN46K878
Legacy DUNS 834534468
Recipient Address 211 HILLVIEW DR, BOISE, 837128113, UNITED STATES

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1557347810 2020-05-21 1087 PPP 413 S. Sierra Drive, Boise, ID, 83705
Loan Status Date 2022-03-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 6800
Loan Approval Amount (current) 6800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 96211
Servicing Lender Name Idaho Central CU
Servicing Lender Address 4400 Central Way, CHUBBUCK, ID, 83202-5096
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Boise, ADA, ID, 83705-0001
Project Congressional District ID-02
Number of Employees 1
NAICS code 541618
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 96211
Originating Lender Name Idaho Central CU
Originating Lender Address CHUBBUCK, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 6867.63
Forgiveness Paid Date 2021-05-25

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P1111605 POLLY A. PETERSON, PH.D CRC, LLC - MQ94DN46K878 413 S SIERRA DR, BOISE, ID, 83705-1553
Capabilities Statement Link -
Phone Number 208-331-1936
Fax Number 208-361-0177
E-mail Address pollypeterson1@gmail.com
WWW Page -
E-Commerce Website -
Contact Person POLLY PETERSON
County Code (3 digit) 001
Congressional District 02
Metropolitan Statistical Area 1080
CAGE Code 5LM49
Year Established 1992
Accepts Government Credit Card Yes
Legal Structure LLC
Ownership and Self-Certifications Self-Certified Small Disadvantaged Business, Woman Owned
Business Development Servicing Office BOISE DISTRICT OFFICE (SBA office code 1087)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 541990
NAICS Code's Description All Other Professional, Scientific and Technical Services
Buy Green Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Apr 2025

Sources: Idaho Secretary of State

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