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PAVEMENT SPECIALTIES OF IDAHO, INC.

Company Details

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

form 5500

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
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 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
PAVEMENT SPECIALTIES OF IDAHO 401 (K) PLAN 2022 820529029 2023-05-04 PAVEMENT SPECIALTIES OF IDAHO, INC 37
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
PAVEMENT SPECIALTIES OF IDAHO 401(K) PLAN 2022 820529029 2023-07-28 PAVEMENT SPECIALTIES OF IDAHO 37
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
PAVEMENT SPECIALTIES OF IDAHO 401(K) PLAN 2021 820529029 2022-06-29 PAVEMENT SPECIALTIES OF IDAHO 32
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
PAVEMENT SPECIALTIES OF IDAHO 401(K) PLAN 2020 820529029 2021-05-17 PAVEMENT SPECIALTIES OF IDAHO 26
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

Agent

Name Role Address
R KEITH LEWIS Agent 4850 HENRY ST, BOISE, ID 83709

President

Name Role Address Appointed On
Keith Lewis President 4850 HENRY ST, BOISE, ID 83709 2020-12-03

Filing

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

Date of last update: 18 Dec 2024

Sources: Idaho Secretary of State