Annual Firm Registration Form - Idaho State Board Of Accountancy

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FR-
Idaho State Board of Accountancy
__________________
PO Box 83720
Office Use Only
Boise ID 83720-0002
(208) 334-2490 (208) 334-2615 Fax
Annual Firm Registration: __________ (Enter Calendar Year)
Answer the questions below or give to your Firm Representative to complete.
Only one form per firm should be submitted. Please see instructions.
1. PUBLIC ACCOUNTING FIRM
: (Main Branch-attach a list of additional sites if any)
Firm Name:
_______________________________________________________________________
Address:
_______________________________________________________________________
City, State, Zip: _______________________________________________________________________
Phone:
(________) ___________________ Fax: (________) ___________________________
EIN Number:
____________________________________________________________________________
____Sole Proprietorship
____Corporation
____Partnership
____PLLC
____LLC _____Other
2. PUBLIC ACCOUNTING SERVICES PERFORMED IN IDAHO OR FOR IDAHO CLIENTS:
A. ______ Taxes and/or ______ Financial Statements without Reports, using Idaho’s Safe Harbor Language
Your Firm is exempt from Peer Review. Complete questions #5, 6, and 7, sign and return. NO registration fee.
B.______ Audits ______ Reviews ______ Compilations ______ Taxes ______ Other _______________
Your Firm is required to undergo a Peer Review. Answer the following questions, sign and return with registration fee.
If your Firm changed the scope of services performed in the last 12 months, please explain:
Stopped performing work that requires a Peer Review? Enter date stopped: ______________________
Started performing work that requires a Peer Review? Enter date of initial report: _________________
.____
C
No public accounting (licensee works in Industry, Government, or Academia, etc) as of date: _________
3. ADMINISTERING ORGANIZATION:
______ AICPA-CPCAF (Center for Public Company Audit Firms.)
______ AICPA review by a State CPA society. List the Society________________________
4. PEER REVIEW DOCUMENTS:
If your Firm completed a Peer Review in the past year, attach copies of the following (unless previously sent to the Board Office.)
1. ______ Peer Review Report dated
__________________________ (mm/dd/yyyy)
2. ______ Letter of Comments, if any
Level of Review:
___ System
___ Engagement
___Report
3. ______ Letter of Response, if any
Results of Review: ___ Unmodified
___ Modified
___Adverse
4. ______ Conditional Acceptance Letter
* *If follow up is required, date requirements must be completed: ____________
5. ______ Final Acceptance Letter
(Send Final Acceptance Letter to ISBA within 30 days of receipt)
If your Firm has not yet undergone a Peer Review, please explain__________________________________________________

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