CTR063969_A4_FE.pdf

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Master Agreement AZ|CTR063969
Contract number
CTR063969
Issued by
Arizona

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This document is a Contract Amendment issued by the Arizona Department of Health Services' Office of Procurement for an Accelerated Nursing Program Scholarship Component (Contract No. CTR063969). The amendment involves Arizona State University as the contractor, with Salina Bednarek, EdD, RN and Judith F. Karshmer, PhD serving as authorized signatories. The procurement officer is Emmanuel Benjamin, and the amendment was digitally signed by Gina Corwin.

The amendment extends the existing contract through June 29, 2026, as permitted under the Special Terms and Conditions, Provision Three (3), which allows for a maximum 5-year contract extension. All other provisions of the original contract remain unchanged. The document represents a standard administrative contract extension for the nursing program scholarship component, with no apparent modifications to the substantive terms of the original agreement beyond the date extension.

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Other files

File Type Posted
CTR063969 Contract Amendment 3.pdf PDF
2022-06-30 COI CTR063969.pdf PDF
CTR063969_A2_Executed_final.pdf PDF
CTR063969_Contract_Docs.pdf PDF
CTR063969_Pricing.xlsx XLSX spreadsheet
2025-01-25 COI.pdf PDF
CTR063969_A1_executed_with_debarment_checks.pdf PDF

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REQUEST FOR PROPOSAL

CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18TH AVE., STE. #530

PHOENIX, ARIZONA 85007

CONTRACT NO.: CTR063969 AMENDMENT NO.: FOUR (4) PROCUREMENT OFFICER:

EMMANUEL BENJAMIN

Revised 06.18.2024

ACCELERATED NURSING PROGRAM COMPONENT B - SCHOLARSHIPS

Effective upon signature by both parties it is mutually agreed that the Contract is amended as follows:

1. Pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extension (5 Year Maximum) the Contract is hereby extended through June 29, 2026.

ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY

Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date

The above referenced Contract Amendment is hereby executed this _____ day of __________ 2025 at Phoenix, Arizona

(To be filled out by Procurement Office)

Contractor Signature Contractor Signature

5/14/25 5/14/2025

Contractor Signature Date Contractor Signature Date Salina Bednarek, EdD, RN Clinical Assistant Professor

Judith F. Karshmer, PhD, PMHCNS-BC, FAAN

Dean and Professor

Authorized Signatory’s Name and Title

Authorized Signatory’s Name and Title

ARIZONA STATE UNIVERSITY

Contractor’s Name Procurement Officer Signature

Gina Corwin

Digitally signed by Gina Corwin Date:

2025.05.22 08:07:37 -07'00'

SEARCH CRITERIA

Entity Name:

ARIZONA STATE UNIVERSITY

Entity Type:

Statutory Agent Name:

N/A

Entity Status:

Principal Name:

N/A

Name Type:

Entity Number:

N/A

Entity County:

Search Results

Entity ID Entity Name Entity Type

Entity County

A

00318757

ALUMNI ASSOCIATION OF THE TEMPE NORMAL SCHOOL

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Unidentified

00465988

ARIZONA STATE COLLEGE AT TEMPE FOUNDATION

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Domestic Nonprofit Corporation

Maricopa V D

02023540

ARIZONA STATE UNIVERSITY ALUMNI ASSOCIATION

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Domestic Nonprofit Corporation

Maricopa C A W

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

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Entity ID Entity Name Entity Type

Entity County A

00318757

ARIZONA STATE UNIVERSITY ALUMNI ASSOCIATION

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Unidentified

01677234

ARIZONA STATE UNIVERSITY COLLEGE OF BUSINESS FOUNDATION

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Domestic Nonprofit Corporation

Maricopa

JO

C

01607137

ARIZONA STATE UNIVERSITY COLLEGE OF LAW ALUMNI ASSOCIATION

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Domestic Nonprofit Corporation

Maricopa Te

01607137

ARIZONA STATE UNIVERSITY COLLEGE OF LAW ALUMNI ASSOCIATION S

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Domestic Nonprofit Corporation

Maricopa Te

01498188

ARIZONA STATE UNIVERSITY COLLEGE OF LAW ALUMNI ASSOCIATION.

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Domestic Nonprofit Corporation

L13977621

ARIZONA STATE UNIVERSITY DIVISION II HOCKEY CLUB, LLC

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Domestic

LLC

Maricopa

L13551925

ARIZONA STATE UNIVERSITY ENERGY CENTER LLC

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Domestic

LLC

Maricopa

C C S

IN

L10380597

ARIZONA STATE UNIVERSITY ENERGY MANAGEMENT LLC

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Domestic

LLC

Maricopa

C C S

IN

L10380597

ARIZONA STATE UNIVERSITY ENERGY SERVICES LLC

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Domestic

LLC

Maricopa

C C S

IN

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Entity Type

Entity County A

17270735

ARIZONA STATE UNIVERSITY FENCING CLUB INC.

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Domestic Nonprofit Corporation

Maricopa C P

00465988 ARIZONA STATE UNIVERSITY FOUNDATION (/PublicBusinessSearch/PublicBusinessInfo?

entityNumber=00465988&__ncforminfo=SuX_UWZajXNcFYtmbyZ0Dxe-myMtKn46ER2fDGxOMLyrqmkMBzfyF7rOhRmaVQ8gVbIhGOrhmLQ3R5OkDx_r50WxlPIJSuIS)

Domestic Nonprofit Corporation

Maricopa V D

00465988 ARIZONA STATE UNIVERSITY FOUNDATION (/PublicBusinessSearch/PublicBusinessInfo?

entityNumber=00465988&__ncforminfo=SuX_UWZajXNcFYtmbyZ0Dxe-myMtKn468L1071YzQIIh3c_Gnl44_ozHe2Ev11w9J4vJEiImE2WY3eVVwShXnHv_jxXw63Ux)

Domestic Nonprofit Corporation

Maricopa V D

00465988

ARIZONA STATE UNIVERSITY FOUNDATION FOR A NEW AMERICAN UNIVERSITY

(/PublicBusinessSearch/PublicBusinessInfo?

entityNumber=00465988&__ncforminfo=SuX_UWZajXNcFYtmbyZ0Dxe-myMtKn46YHfxJR4tbEL- N2leYdyylwPpbYzhkFTk95e1tAt7YLLjRmtCL3dR1YCUMY_UCMrN)

Domestic Nonprofit Corporation

Maricopa V D

00921861

ARIZONA STATE UNIVERSITY LAW SCHOOL ALUMNI ASSOCIATION

(/PublicBusinessSearch/PublicBusinessInfo?

entityNumber=00921861&__ncforminfo=SuX_UWZajXNcFYtmbyZ0Dxe-myMtKn46AYPYY_tUK5RXI6kMxq6g6KdzhPhVQlYidtpzEeQ5-si0DhRmHchstIy32oXnyX8l)

Unidentified

23580359 Arizona State University Mens Club Basketball (/PublicBusinessSearch/PublicBusinessInfo?

entityNumber=23580359&__ncforminfo=SuX_UWZajXNcFYtmbyZ0Dxe-myMtKn46fRD5BNZUKRieQU78zTm9_8VDKGegTiYr_y1JnIU_M1pD_OCBRuoabQuZTYpFe00X)

Name Reservation

L11201649

ARIZONA STATE UNIVERSITY NANOTECHNOLOGY LLC

(/PublicBusinessSearch/PublicBusinessInfo?

entityNumber=L11201649&__ncforminfo=SuX_UWZajXNcFYtmbyZ0Dxe-myMtKn46Jjo8zgv48UQD_NHr9N-058ZjpwfJu7HiHslMFVyJo0Pmlbsx2JLyssMqK-SOsRbX)

Domestic

LLC

Maricopa

C C S

IN

14088768

ARIZONA STATE UNIVERSITY NETWORK OF ENLIGHTENED WOMEN

(/PublicBusinessSearch/PublicBusinessInfo?

entityNumber=14088768&__ncforminfo=SuX_UWZajXNcFYtmbyZ0Dxe-myMtKn46St_wUl78BsSCOcPsi_8T33oIhcEU1ami1a0Uk4HBuLJr1i_7ZbrbHTonz-No12OP)

Domestic Nonprofit Corporation

Maricopa C S

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5/7/25, 3:53 PM Arizona Corporation Commission https://ecorp.azcc.gov/EntitySearch/PublicSearch 4/4 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts

SEARCH CRITERIA

SEARCH RESULTS

Entity Name:

ARIZONA STATE UNIVERSITY

Entity Type:

Statutory Agent Name:

N/A

Entity Status:

Principal Name:

N/A

Name Type:

Entity Number:

N/A

Entity County:

Entity ID Entity Name Entity Type

Entity County

01065920 ARIZONA STATE UNIVERSITY POLICE ASSOCIATION, INC. (/BusinessSearch/BusinessInfo?

entityNumber=01065920&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZeplIgm_sjllLSk_LJejwhEPPHm2E_RI504aeIgu0v6nje8XzYUnuQ1ad3L8vbZks)

Unidentified

01639348 ARIZONA STATE UNIVERSITY RESEARCH PARK, INC. (/BusinessSearch/BusinessInfo?

entityNumber=01639348&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZoJQ8M9ed8FIOHgMkRt_JBfkwPHjirbWQZnmRUXTv8D0YFaeqJF046_ZsY7fJE0l_)

Domestic Nonprofit Corporation

Maricopa

18007928 ARIZONA STATE UNIVERSITY SHOOTING SPORTS INC (/BusinessSearch/BusinessInfo?

entityNumber=18007928&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZf9EcA322Thlh3cbqLEW58w3plKB7ME3GLnV3POF-kEg5kV598yfb4Z6adMr1b74N)

Domestic Nonprofit Corporation

Maricopa

13994744 ARIZONA STATE UNIVERSITY STUDENTS FOR LIFE (/BusinessSearch/BusinessInfo?

entityNumber=13994744&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZrUXfqASELqo6XqBudMmYXTGw8jz4nrwTqkEn904VFwR_RjQPSALktKnAItAPb_nf)

Domestic Nonprofit Corporation

Maricopa

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

5/7/25, 3:53 PM Arizona Corporation Commission https://ecorp.azcc.gov/EntitySearch/PublicSearch 1/3 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01065920&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZeplIgm_sjllLSk_LJejwhEPPHm2E_RI504aeIgu0v6nje8XzYUnuQ1ad3L8vbZks https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01065920&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZeplIgm_sjllLSk_LJejwhEPPHm2E_RI504aeIgu0v6nje8XzYUnuQ1ad3L8vbZks https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01065920&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZeplIgm_sjllLSk_LJejwhEPPHm2E_RI504aeIgu0v6nje8XzYUnuQ1ad3L8vbZks https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01065920&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZeplIgm_sjllLSk_LJejwhEPPHm2E_RI504aeIgu0v6nje8XzYUnuQ1ad3L8vbZks https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01639348&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZoJQ8M9ed8FIOHgMkRt_JBfkwPHjirbWQZnmRUXTv8D0YFaeqJF046_ZsY7fJE0l_ https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01639348&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZoJQ8M9ed8FIOHgMkRt_JBfkwPHjirbWQZnmRUXTv8D0YFaeqJF046_ZsY7fJE0l_ https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01639348&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZoJQ8M9ed8FIOHgMkRt_JBfkwPHjirbWQZnmRUXTv8D0YFaeqJF046_ZsY7fJE0l_ https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01639348&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZoJQ8M9ed8FIOHgMkRt_JBfkwPHjirbWQZnmRUXTv8D0YFaeqJF046_ZsY7fJE0l_ https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=18007928&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZf9EcA322Thlh3cbqLEW58w3plKB7ME3GLnV3POF-kEg5kV598yfb4Z6adMr1b74N https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=18007928&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZf9EcA322Thlh3cbqLEW58w3plKB7ME3GLnV3POF-kEg5kV598yfb4Z6adMr1b74N https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=18007928&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZf9EcA322Thlh3cbqLEW58w3plKB7ME3GLnV3POF-kEg5kV598yfb4Z6adMr1b74N https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=18007928&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZf9EcA322Thlh3cbqLEW58w3plKB7ME3GLnV3POF-kEg5kV598yfb4Z6adMr1b74N https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=13994744&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZrUXfqASELqo6XqBudMmYXTGw8jz4nrwTqkEn904VFwR_RjQPSALktKnAItAPb_nf https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=13994744&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZrUXfqASELqo6XqBudMmYXTGw8jz4nrwTqkEn904VFwR_RjQPSALktKnAItAPb_nf https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=13994744&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZrUXfqASELqo6XqBudMmYXTGw8jz4nrwTqkEn904VFwR_RjQPSALktKnAItAPb_nf https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=13994744&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZrUXfqASELqo6XqBudMmYXTGw8jz4nrwTqkEn904VFwR_RjQPSALktKnAItAPb_nf http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

Entity Type

Entity County

07356299 ARIZONA STATE UNIVERSITY WATER SKI TEAM INC. (/BusinessSearch/BusinessInfo?

entityNumber=07356299&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZcUIhD2RQZxk5bCuNrgw2EWuBEf5BGwdLkRSQeq2TdB3mBCmjyMSP0C3EieJ548ol)

Domestic Nonprofit Corporation

Maricopa

S9227669 Arizona State University Women's Club Soccer (/BusinessSearch/BusinessInfo?

entityNumber=S9227669&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZfnaId9PIFrLSq5hqQpGCOK4PbQjOJR5HnaOJk0jES3HIJy-fmhziLM8zaDqZhc8V)

Trade Name

21031002 ARIZONA STATE UNIVERSITY WOMEN'S ICE HOCKEY (/BusinessSearch/BusinessInfo?

entityNumber=21031002&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZMDoIDQokSWwYV8NKtI_knCMSI5nEc2HKHVMIIp-81Ab6fCVhMUTfwNp0ZjkfvyoM)

Domestic Nonprofit Corporation

Maricopa

1888815

ARIZONA STATE UNIVERSITY WOMEN'S RUGBY FOOTBALL CLUB

(/BusinessSearch/BusinessInfo?entityNumber=1888815&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZmF-LScNnqp_gbsiaSFoexfmh1eIwDEI9GgF9PNY9lBtdvKOcTEY7PnOqi7lIlgk3)

Domestic Nonprofit Corporation

Maricopa

L10380597 ENERGY MANAGEMENT SERVICES (MAIN) LLC (/BusinessSearch/BusinessInfo?

entityNumber=L10380597&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZfa1y-hqjVS2Bm3dn- EvQW8R4ZLzo1L4LJzGkqaqjZFVczHbRHq6RRzD9-JRjtLO6)

Domestic

LLC

Maricopa

18007928

GUN DEVIL SHOOTING SPORTS AT ARIZONA STATE UNIVERSITY, INC.

(/BusinessSearch/BusinessInfo?entityNumber=18007928&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZK_DZsqfFQ77xMmR6zLgcFiJd5-kSQMFn50yqf39mANwl4s6ckKdgVwGECxXHx7iN)

Domestic Nonprofit Corporation

Maricopa

L11201649 NANOTECHNOLOGY RESEARCH LLC (/BusinessSearch/BusinessInfo?

entityNumber=L11201649&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZjjMG4flI9Zt35P8Un7jN1L1mskV1-pMowbroxdj3qUkDBkYJzpTdTyxeQP3dmY59)

Domestic

LLC

Maricopa

L13551925 POLYTECHNIC CAMPUS ENERGY CENTER LLC (/BusinessSearch/BusinessInfo?

entityNumber=L13551925&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZ4Uez_tckKZQD241RbXSd53ji__WZkX8DmOV3oTiGD5Uc3cdKr-GYNmtkna6MqPp3)

Domestic

LLC

Maricopa

01639348 PRICE-ELLIOTT RESEARCH PARK, INC. (/BusinessSearch/BusinessInfo?

entityNumber=01639348&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZC1KlFVBkBgIWDY139NjTLvMgCi3tUbU6BQU59vtPc4WaaG_0UKZ6O5kk5GbJTop1)

Domestic Nonprofit Corporation

Maricopa

01607137

THE SANDRA DAY O'CONNOR COLLEGE OF LAW AT ARIZONA STATE UNIV

(/BusinessSearch/BusinessInfo?entityNumber=01607137&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZAetRYetR3VBatiEWklusp7m9H-gMOmj_fe0SaVkUMS2zOmH9MaJRYgxTrL97mqNt)

Domestic Nonprofit Corporation

Maricopa

21031002 WOMEN'S ICE HOCKEY AT ARIZONA STATE UNIVERSITY (/BusinessSearch/BusinessInfo?

entityNumber=21031002&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZU4wKNj- 0d5xRxKA9llKpTcfJROzxf3FyKPMogVaND_OgrRNpHE7SUfQeh0FGIKX-)

Domestic Nonprofit Corporation

Maricopa

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5/7/25, 3:53 PM Arizona Corporation Commission https://ecorp.azcc.gov/EntitySearch/PublicSearch 2/3 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=07356299&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZcUIhD2RQZxk5bCuNrgw2EWuBEf5BGwdLkRSQeq2TdB3mBCmjyMSP0C3EieJ548ol https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=07356299&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZcUIhD2RQZxk5bCuNrgw2EWuBEf5BGwdLkRSQeq2TdB3mBCmjyMSP0C3EieJ548ol https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=07356299&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZcUIhD2RQZxk5bCuNrgw2EWuBEf5BGwdLkRSQeq2TdB3mBCmjyMSP0C3EieJ548ol https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=07356299&__ncforminfo=0h0XHG0ZJ3q2U0VEp-x4MyehgtdiDRjZcUIhD2RQZxk5bCuNrgw2EWuBEf5BGwdLkRSQeq2TdB3mBCmjyMSP0C3EieJ548ol 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Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

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Exclusions Search Results: Exclusions Search Results: EntitiesEntities

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ARIZONA STATE UNIVERSITY

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Search conducted 5/7/2025 6:54:07 PM EST on OIG LEIE Exclusions database.

Source data updated on 4/10/2025 10:01:00 AM EST

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ARIZONA STATE UNIVERSITY

Unique Entity ID

G5Y3S6WCFFP8

CAGE / NCAGE

5XE94

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Jan 6, 2026

Physical Address

1151 S Forest AVE

Tempe, Arizona 85287-0001

United States

Mailing Address

Box 870303

Student Business Services

Tempe, Arizona 85287-0303

United States

Business Information

Doing Business as

ARKANSAS STATE UNIVERSITY

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 04

State / Country of Incorporation

(blank) / (blank)

URL

(blank)

Registration Dates

Activation Date

Jan 8, 2025

Submission Date

Jan 6, 2025

Initial Registration Date

Mar 10, 2010

Entity Dates

Entity Start Date

Mar 1, 1885

Fiscal Year End Close Date

Jun 30

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.gov) 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 displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov 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

U.S. Government Entity

Entity Type

US State Government

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by Shonte Boehnke on Jan 06, 2025 at 01:11 PM ARIZONA STATE UNIVERSITY

May 07, 2025 10:56:30 PM GMT https://sam.gov/entity/G5Y3S6WCFFP8/coreData?status=null 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.

Government Types

U.S. State Government

Other Entity Qualifiers

Educational Institution

State Controlled Institution of Higher Learning

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

5XE94

Points of Contact

Electronic Business

SHERRI LAWRENCE

P. O. Box 870303

Tempe, Arizona 85287

United States

ARLENE DELA CRUZ P. O. Box 870303

Tempe, Arizona 85287

United States

Government Business

Nicole Petruzzella P. O. Box 870303

Tempe, Arizona 85287

United States

Shonte Boehnke P. O. Box 870303

Tempe, Arizona 85287

United States

Past Performance

Scott Gardner P. O. Box 870303

Tempe, Arizona 85287

United States

Service Classifications

NAICS Codes

Primary NAICS Codes NAICS Title

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Shonte Boehnke on Jan 06, 2025 at 01:11 PM ARIZONA STATE UNIVERSITY

May 07, 2025 10:56:30 PM GMT https://sam.gov/entity/G5Y3S6WCFFP8/coreData?status=null Page 2 of 2

File details come from the government source that posted it. Updated .