Initial Firm Registration - Oregon Board Of Accountancy Page 7
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PCAOB REGISTRATION
A) Is the firm required to be registered with the PCAOB?
B) Has any PCAOB inspection resulted in a disciplinary order?
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CERTIFICATION
I affirm to the truth and accuracy of all statements, answers and representations in this application.
I further affirm that:
A) Every person who performs public accounting services in Oregon or for Oregon clients on behalf of the firm:
1) Holds an active Oregon permit issued under ORS 673.150 if principal place of business is in Oregon or,
2) Holds a valid permit from another jurisdiction and is substantially equivalent pursuant to
ORS 673.153, if principal place of business is not in Oregon.
B) The following individuals associated with the Firm who do not have a principal place of business in Oregon or
hold an active permit issued under ORS 673.150 or qualify under substantial equivalency pursuant to ORS
673.153:
Licensees responsible for management and registration of the firm,
Licensees responsible for supervision of attest or compilation services, and
Licensees who authorize the signature for reports on financial statements issued on behalf of the firm.
C) A simple majority of the ownership of the firm is held by individuals who hold an active CPA license in any
jurisdiction, or public accountants licensed under ORS 673.100.
D) The firm is in compliance with the requirements of ORS 673.160, ORS 673.320, OAR 801-010-0345 and
OAR 801-030-0020(6). Information is available on the Board’s website:
adminrules.aspx.
Signature of licensed owner/managing partner
License Number
Date
Printed name of licensee
License Number
Issuing State
2015 INITIAL FIRM REGISTRATION PG 4
Questions? Please contact: (503) 378-2264 / angel.m.legler@oregon.gov or kimberly.fast@oregon.gov / 503-378-2268
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