CTR056116_Debarment_Checks.pdf

PDF 892 KB Posted

Attached to
Master Agreement AZ|CTR056116
Contract number
CTR056116
Issued by
Arizona

About this file

The documents provided are registration and corporate records for Civitan Foundation Inc., a non-profit charitable organization incorporated in Arizona on September 8, 1967. The organization is registered in the System for Award Management (SAM) with an active registration status, a Unique Entity ID of D7G7LJRE6HY5, and is located in Phoenix, Arizona. The foundation is structured as a corporate entity with tax-exempt status and is classified as a non-profit organization.

The foundation is classified under the NAICS code 624190 for "Other Individual and Family Services" and has a Product and Service Code (PSC) of G099 for "Social - Other" services. The organization has been in good standing and filed its most recent annual report in 2022, with its next annual report due on May 8, 2023. The corporate leadership includes a board of directors with positions such as Chairman (John Day), Secretary and Treasurer (E Edward Trapp), and Vice-President (Frank Nightingale). The foundation has no active exclusions records and is authorized to be displayed in public SAM search results, indicating its eligibility for potential government contracts or awards.

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CIVITAN FOUNDATION INC

Unique Entity ID

D7G7LJRE6HY5

CAGE / NCAGE

4QBV3

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Apr 11, 2023

Physical Address

12635 N 42ND ST

Phoenix, Arizona 85032-7601

United States

Mailing Address

12635 N 42ND ST

Phoenix, Arizona 85032-7601

United States

Business Information

Doing Business as

(blank)

Division Name

Civitan Foundation Inc

Division Number

(blank)

Congressional District

Arizona 06

State / Country of Incorporation

Arizona / United States

URL

http://www.civitanfoundationaz.org

Registration Dates

Activation Date

Apr 13, 2022

Submission Date

Apr 11, 2022

Initial Registration Date

Apr 6, 2007

Entity Dates

Entity Start Date

Sep 7, 1967

Fiscal Year End Close Date

Dec 31

Immediate Owner

CAGE

(blank)

Legal Business Name

(blank)

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or

2.C.F.R. 200 Appendix XII. Their responses are not displayed in SAM. They are sent to FAPIIS.gov for display as applicable. Maintaining an active registration in SAM demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

No

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

Non-Profit Organization

Last updated by Jeanne Anastasopoulos on Apr 11, 2022 at 01:51 PM CIVITAN FOUNDATION INC https://sam.gov/entity/D7G7LJRE6HY5/coreData?status=Active Page 1 of 2

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Other Entity Qualifiers

Foundation

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

4QBV3

Points of Contact

Electronic Business

Dawn M Trapp, CEO

12635 N 42ND ST

Phoenix, Arizona 85032

United States

Jeanne Anastasopoulos 12635 N 42ND ST

Phoenix, Arizona 85032

United States

Government Business

DAWN M Trapp, CEO

12635 N 42ND ST

Phoenix, Arizona 85032

United States

Past Performance

DAWN M. TRAPP M Trapp

12635 N 42ND ST

Phoenix, Arizona 85032

United States

Pam Wilson 12635 N 42ND ST

Phoenix, Arizona 85032

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

624190

NAICS Title

Other Individual And Family Services

Product and Service Codes

PSC PSC Name

G099 Social- Other

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Jeanne Anastasopoulos on Apr 11, 2022 at 01:51 PM CIVITAN FOUNDATION INC https://sam.gov/entity/D7G7LJRE6HY5/coreData?status=Active Page 2 of 2

7/7/22, 10:57 AM Arizona Corporation Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00716997 1/3

ENTITY INFORMATION

Search Date and Time: 7/7/2022 10:57:05 AM

Entity Details

Entity Name:

CIVITAN FOUNDATION, INC.

Entity ID:

00716997

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

9/8/1967

Reason for Status:

In Good Standing

Approval Date:

9/8/1967

Status Date:

Original Incorporation Date:

9/8/1967

Life Period:

Perpetual

Business Type:

CHARITABLE

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

5/8/2023

Years Due:

Original Publish Date:Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00716997 2/3

Title Name Attention Address Date of Taking Office

Last Updated

Chairman of the Board of Directors

JOHN DAY

12635 N 42ND ST,

PHOENIX, AZ, 85032,

Maricopa County, USA

11/20/2019 4/24/2020

Secretary

E EDWARD

TRAPP

12635 N 42ND ST,

PHOENIX, AZ, 85032,

Maricopa County, USA

11/20/2018 4/24/2020

Treasurer

E EDWARD

TRAPP

12635 N 42ND ST,

PHOENIX, AZ, 85032,

Maricopa County, USA

11/20/2018 4/24/2020

Vice-President

FRANK

NIGHTINGALE

12635 N 42ND ST,

PHOENIX, AZ, 85032,

Maricopa County, USA

11/20/2019 4/24/2020

10/17/1967

Statutory Agent Information

Name:

E EDWARD TRAPP

Appointed Status:

Active

Attention:

Address:

3519 EAST SHEA BLVD #135 , PHOENIX, AZ 85028, USA

Agent Last Updated:

5/6/2022

E-mail:

Attention:

Mailing Address:

County:

Maricopa

Principal Information

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00716997 3/3

< Previous ... 1 2 ... Next > Page 1 of 2, records 1 to 5 of 9 Go to Page

Title Name Attention Address Date of Taking Office

Last Updated

Director Phil Solinsky 12635 N 42nd St, PHOENIX, AZ, 85032, Maricopa County, USA

11/20/2019 4/24/2020

Back Return to Search

Return to Results

Document History Name/Restructuring History

Pending Documents Microfilm History

Address

Attention:

Address:

12635 N 42ND ST, PHOENIX, AZ, 85032, USA

County:

Maricopa

Last Updated:

4/13/2018

Entity Principal Office Address

Attention:

Address:

County:

Last Updated:

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) javascript:$xhtml.paging(2) javascript:$xhtml.paging(2)

7/7/22, 10:57 AM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

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Exclusions Search Results:

Exclusions Search Results:

EntitiesEntities

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Civitan Foundation Inc

If no results are found, this individual or entity (if it is an entity search) is not currently excluded. Print this Web page for your documentation

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Search conducted 7/7/2022 1:57:45 PM EST on OIG LEIE Exclusions database.

Source data updated on 6/10/2022 8:00:00 AM EST

Return to Search

An official website of the United States government. Here's how you know > https://oig.hhs.gov/exclusions/exclusions-help.asp#generalSearch mailto:webmaster@oig.hhs.gov https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch javascript:__doPostBack('ctl00$cpExclusions$lbGridBackToSearch','') javascript:__doPostBack('ctl00$cpExclusions$lbBackToSearch','') https://oig.hhs.gov/notices/official-site.asp

7/7/22, 10:55 AM Debarred and Suspended Firms | SPO Intranet https://spointra.az.gov/compliance/debarred-and-suspended-firms 1/2

Visit OpenBooks (https://openbooks.az.gov) Ombudsman-Citizens Aide (https://www.azoca.gov)

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Home (/) » Compliance (/compliance) » Debarred and Suspended Firms (/compliance/debarred-and-suspended-firms)

Debarred and Suspended Firms SPO is responsible for maintaining a list of firms that are suspended or debarred from doing business with the State of Arizona.

THERE ARE NO SUSPENDED OR DEBARRED FIRMS AT THIS TIME.

COMPLIANCE

Agency Procurement Authority (/compliance/agency-procurement-authority)

Control Self-Assessment (CSA) (/compliance/control-self-assessment-csa)

Procurement Compliance Reviews (PCR) (/compliance/procurement-compliance-reviews-pcr)

Compliance Hotline (/compliance/compliance-hotline)

Debarred and Suspended Firms (/compliance/debarred-and-suspended-firms) https://openbooks.az.gov/ https://www.azoca.gov/ https://azdhs.gov/preparedness/epidemiology-disease-control/infectious-disease-epidemiology/index.php#novel-coronavirus-home https://az.gov/search/ https://az.gov/ https://spointra.az.gov/ https://spointra.az.gov/compliance https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/compliance/agency-procurement-authority https://spointra.az.gov/compliance/control-self-assessment-csa https://spointra.az.gov/compliance/procurement-compliance-reviews-pcr https://spointra.az.gov/compliance/compliance-hotline https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/

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