| Name: | PAVEMENT SPECIALTIES OF IDAHO, INC. |
| Jurisdiction: | Idaho |
| Legal type: | General Business Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 10 Jan 2001 (24 years ago) |
| Financial Date End: | 31 Jan 2026 |
| Entity Number: | 418785 |
| Place of Formation: | IDAHO |
| File Number: | 418785 |
| ZIP code: | 83709 |
| County: | Ada County |
| Mailing Address: | 4850 S HENRY ST BOISE, ID 83709-5643 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAVEMENT SPECIALTIES OF IDAHO 401(K) PLAN | 2023 | 820529029 | 2024-05-07 | PAVEMENT SPECIALTIES OF IDAHO | 35 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-07 |
| Name of individual signing | EVELYN LORENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-05-07 |
| Name of individual signing | KEITH LEWIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 237990 |
| Sponsor’s telephone number | 2083227000 |
| Plan sponsor’s address | 4850 S HENRY ST, BOISE, ID, 837095643 |
Plan administrator’s name and address
| Administrator’s EIN | 820529029 |
| Plan administrator’s name | EVELYN LORENSEN |
| Plan administrator’s address | 4850 S HENRY ST, BOISE, ID, 837095643 |
| Administrator’s telephone number | 2083227000 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-04 |
| Name of individual signing | EVELYN LORENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 237990 |
| Sponsor’s telephone number | 2083227000 |
| Plan sponsor’s address | 4850 HENRY STREET, BOISE, ID, 83709 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-28 |
| Name of individual signing | EVELYN LORENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 237990 |
| Sponsor’s telephone number | 2083227000 |
| Plan sponsor’s address | 4850 HENRY STREET, BOISE, ID, 83709 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-29 |
| Name of individual signing | EVELYN LORENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-06-29 |
| Name of individual signing | KEITH LEWIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 237990 |
| Sponsor’s telephone number | 2083227000 |
| Plan sponsor’s address | 4850 HENRY STREET, BOISE, ID, 83709 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-17 |
| Name of individual signing | EVELYN LORENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| R KEITH LEWIS | Agent | 4850 HENRY ST, BOISE, ID 83709 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Keith Lewis | President | 4850 HENRY ST, BOISE, ID 83709 | 2020-12-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006006185 | 2024-12-04 |
| Annual Report | 0005497943 | 2023-12-04 |
| Annual Report | 0005011767 | 2022-12-05 |
| Annual Report | 0004512389 | 2021-12-03 |
| Annual Report | 0004083355 | 2020-12-03 |
| Annual Report | 0003703668 | 2019-12-09 |
| Annual Report | 0003396585 | 2019-01-14 |
| Annual Report | 0002787405 | 2017-11-30 |
| Annual Report | 0002787403 | 2016-11-29 |
| Annual Report | 0002787401 | 2016-01-08 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 339545865 | 1032500 | 2014-01-10 | VARIOUS SCHOOL SITES, MERIDIAN, ID, 83642 | |||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3426827103 | 2020-04-11 | 1087 | PPP | 4850 HENRY ST, BOISE, ID, 83709-5643 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 969416 | Interstate | 2023-06-08 | 100000 | 2023 | 16 | 22 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 3 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | .25 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 3 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 7.33 |
| Total Number of Vehicle Inspections for the measurement period | 2 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 2.5 |
| Unsafe Driving BASIC Roadside Performance Measure Value | .68 |
| Number of inspections with at least one Driver Fitness BASIC violation | 1 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 1 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 2 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 1 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 1 |
Inspections
| Unique report number of the inspection | 4046000074 |
| State abbreviation that indicates the state the inspector is from | ID |
| The date of the inspection | 2024-07-09 |
| ID that indicates the level of inspection | Walk-around |
| State abbreviation that indicates where the inspection occurred | ID |
| Time weight of the inspection | 3 |
| Number of Out-Of-Service violations related to Driver | 0 |
| Number of Out-Of-Service violations related to vehicle | 0 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 0 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | TRUCK TRACTOR |
| Description of the make of the main unit | PETERBILT |
| License plate of the main unit | YL3032 |
| License state of the main unit | ID |
| Vehicle Identification Number of the main unit | 1XP5DB9X9KN275070 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Vehicle Maintenance BASIC inspection | Y |
| Total number of BASIC violations | 2 |
| Number of Unsafe Driving BASIC violations | 0 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 0 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 2 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
| Unique report number of the inspection | 3000004948 |
| State abbreviation that indicates the state the inspector is from | ID |
| The date of the inspection | 2023-07-15 |
| ID that indicates the level of inspection | Driver-Only |
| State abbreviation that indicates where the inspection occurred | ID |
| Time weight of the inspection | 1 |
| Number of Out-Of-Service violations related to Driver | 0 |
| Number of Out-Of-Service violations related to vehicle | 0 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 0 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | STRAIGHT TRUCK |
| Description of the make of the main unit | ISU |
| License plate of the main unit | KZ18949 |
| License state of the main unit | ID |
| Vehicle Identification Number of the main unit | 54DB4W1B9KS811136 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Total number of BASIC violations | 2 |
| Number of Unsafe Driving BASIC violations | 2 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 0 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 0 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
| Unique report number of the inspection | 3300004007 |
| State abbreviation that indicates the state the inspector is from | ID |
| The date of the inspection | 2023-07-17 |
| ID that indicates the level of inspection | Full |
| State abbreviation that indicates where the inspection occurred | ID |
| Time weight of the inspection | 1 |
| Number of Out-Of-Service violations related to Driver | 1 |
| Number of Out-Of-Service violations related to vehicle | 0 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 1 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | STRAIGHT TRUCK |
| Description of the make of the main unit | FRHT |
| License plate of the main unit | YK8886 |
| License state of the main unit | ID |
| Vehicle Identification Number of the main unit | 1FUPFDYB4TP786464 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Vehicle Maintenance BASIC inspection | Y |
| Total number of BASIC violations | 4 |
| Number of Unsafe Driving BASIC violations | 0 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 1 |
| Number of Controlled Substances/Alcohol BASIC violations | 1 |
| Number of Vehicle Maintenance BASIC violations | 2 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
Violations
| The date of the inspection | 2024-07-09 |
| Code of the violation | 3939AHLLH |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 6 |
| The time weight that is assigned to a violation | 3 |
| The description of a violation | Lighting - Headlamp(s) fail to operate on low and high beam |
| The description of the violation group | Lighting |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-07-17 |
| Code of the violation | 39395F |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 2 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Emergency Equipment - Stopped vehicle warning devices missing or improper |
| The description of the violation group | Emergency Equipment |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-07-15 |
| Code of the violation | 3922SLLS2 |
| Name of the BASIC | Unsafe Driving |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 4 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | State/Local Laws - Speeding 6-10 miles per hour over the speed limit |
| The description of the violation group | Speeding 2 |
| The unit a violation is cited against | Driver |
| The date of the inspection | 2023-07-15 |
| Code of the violation | 39216 |
| Name of the BASIC | Unsafe Driving |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 7 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Failing to use seat belt while operating a CMV |
| The description of the violation group | Seat Belt |
| The unit a violation is cited against | Driver |
| The date of the inspection | 2023-07-17 |
| Code of the violation | 3963A1LC |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 4 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Brake - Leak from air chamber |
| The description of the violation group | Brakes All Others |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2023-07-17 |
| Code of the violation | 39141A1NPH |
| Name of the BASIC | Driver Fitness |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 1 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Operating a property-carrying vehicle without possessing a valid medical certificate - no previous history |
| The description of the violation group | Medical Certificate |
| The unit a violation is cited against | Driver |
| The date of the inspection | 2023-07-17 |
| Code of the violation | 3903E |
| Name of the BASIC | Controlled Substances/Alcohol |
| The violation is identified as Out-Of-Service violation | Y |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 10 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Driver prohibited from performing safety sensitive functions per 382.501(a) in the Drug and Alcohol Clearinghouse |
| The description of the violation group | Alcohol Jumping OOS |
| The unit a violation is cited against | Driver |
Date of last update: 07 Apr 2025
Sources: Idaho Secretary of State
