CTR063970_A3_FE.pdf

PDF 415 KB Posted Jan 18, 2023

Attached to: Master Agreement AZ|CTR063970
Contract number: CTR063970
Issued by: Arizona

About this file

Written by GovTribe AI · Oct 4, 2025

This document is a Request for Proposal Contract Amendment from the Arizona Department of Services, Office of Procurement, specifically Amendment Number Three for Contract Number CTR063970. The amendment involves Creighton University, a non-profit educational institution located in Omaha, Nebraska, and relates to the Accelerated Nursing Program Component B - Scholarships.

The contract amendment extends the existing contract through June 29, 2026, pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extension provision. The amendment allows for a five-year maximum contract extension. The document includes verification that Creighton University is an active, registered entity in good standing, with a Unique Entity ID of NH64NT271S93, classified as a corporate entity (tax exempt) and a non-profit organization. The university's primary NAICS code is 611310 for Colleges, Universities, and Professional Schools, and it has no active exclusion records in the OIG database.

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Other files

File	Type	Posted
2020.07.01_COI.pdf	PDF	Jan 18, 2023
CTR063970_Contract_Docs.pdf	PDF	Jan 18, 2023
CTR063970_Pricing.xlsx	XLSX spreadsheet	Jan 18, 2023
Creighton_University_CTR063970_A1_executed_with_debarment_checks.pdf	PDF	Jan 18, 2023
CTR063970_A2_Executed1.pdf	PDF	Jan 18, 2023
2024.07.01_COI__2_.pdf	PDF	Jan 18, 2023

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Denel Pickeri ng

Digitally signed by Denel Pickering Date:

2025.05.21 17:36:04 -07'00'

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Creighton University

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CREIGHTON UNIVERSITY

Unique Entity ID

NH64NT271S93

CAGE / NCAGE

0RC75

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Apr 1, 2026

Physical Address

2500 California Plaza

Omaha, Nebraska 68178-0133

United States

Mailing Address

2500 California PLZ

Omaha, Nebraska 68178-0002

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Nebraska 02

State / Country of Incorporation

Nebraska / United States

URL

(blank)

Registration Dates

Activation Date

Apr 3, 2025

Submission Date

Apr 1, 2025

Initial Registration Date

Jan 4, 2002

Entity Dates

Entity Start Date

Jan 1, 1887

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?

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 Beth Herr on Apr 01, 2025 at 04:52 PM CREIGHTON UNIVERSITY

May 07, 2025 11:38:47 PM GMT https://sam.gov/entity/NH64NT271S93/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.

Other Entity Qualifiers

Private University or College

Educational Institution

Financial Information

Accepts Credit Card Payments

Debt Subject To Offset

EFT Indicator

CAGE Code

0RC75

Points of Contact

Electronic Business

Beth Herr, Director Sponsored Programs

Administration

2500 California Plaza

Omaha, Nebraska 68178

United States

Barbara Bittner 2500 California Plaza

Omaha, Nebraska 68178

United States

Government Business

BETH HERR

2500 California Plaza

Omaha, Nebraska 68178

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

611310

NAICS Title

Colleges, Universities, And Professional Schools

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Beth Herr on Apr 01, 2025 at 04:52 PM CREIGHTON UNIVERSITY

May 07, 2025 11:38:47 PM GMT https://sam.gov/entity/NH64NT271S93/coreData?status=null Page 2 of 2

Corporation Position Name Address

President DANIEL S HENDRICKSON 2500 CALIFORNIA PLZ

OMAHA, NE 68178

USA

Secretary JAMES S JANSEN 2500 CALIFORNIA PLZ

OMAHA, NE 68178

USA

Treasurer JOHN J JESSE, III 2500 CALIFORNIA PLZ

OMAHA, NE 68178

USA

Director DIANE DUREN 840 LOVELAND DRIVE

OMAHA, NE 68114

USA

Director DANIEL S HENDRICKSON 2500 CALIFORNIA PLZ

OMAHA, NE 68178

USA

Director MARK HENKELS 2500 CALIFORNIA PLAZA

OMAHA, NE 68178

USA

CREIGHTON UNIVERSITY

Wed May 7 18:36:28 2025

SOS Account Number 0202940 Status Active

Principal Office Address

2500 CALIFORNIA PLZ

OMAHA, NE 68178

Registered Agent and Office Address

JAMES S. JANSEN

2500 CALIFORNIA PLAZA

OMAHA, NE 68178

Nature of Business

TO PROVIDE POST SECONDARY AND GRADUATE EDUCATION

Entity Type Non Profit (Dom) Corp Qualifying State: NE Date Filed Mar 03 1960

Next Report Due Date Jan 01 2027 Nonprofit Type Public Benefit Has Members No

5/7/25, 4:36 PM Nebraska Secretary of State - Corporation and Business Entity Searches - Detail https://www.nebraska.gov/sos/corp/corpsearch.cgi?acct-number=0202940 1/4

Associated Entities

Account Number Name Type Status

1404497 CREIGHTON MEDICAL

ASSOCIATES

Trade Name Inactive

10150927 CREIGHTON PEDIATRIC

THERAPY

Trade Name Active

10259496 CREIGHTON THERAPY AND

WELLNESS:

OCCUPATIONAL, PHYSICAL

AND SPEECH THERAPY

Trade Name Active

10072462 CREIGHTON UNIVERSITY

MEDICAL CENTER-SAINT

JOSEPH HOSPITAL

Trade Name Inactive

0657441 CREIGHTON UNIVERSITY

SEAL

Trademark Inactive

10099501 ONE PROGRAM, ONE YEAR,

ONE CHOICE

Service Mark Inactive

10099500 ONE: ONLINE NURSING

EDUCATION

Service Mark Inactive

10141162 PHYSICIANS HEALTH

CLINIC, A CREIGHTON

UNIVERSITY MEDICAL

CENTER AFFILIATED CLINIC

Trade Name Inactive

10140750 PRIMARY CARE

ASSOCIATES, A CREIGHTON

UNIVERSITY MEDICAL

CENTER AFFILIATED CLINIC

Trade Name Inactive

Filed Documents To purchase copies of filed documents check the box to the left of the document code. If no checkbox appears, contact the Secretary of State's office to request the document(s).

Document Date Filed Price

Amendment Mar 03 1960 $1.80 = 4 page(s) @ $0.45 per page

Articles Perpetual Mar 03 1960 $3.60 = 8 page(s) @ $0.45 per page

Amendment/New Name Aug 19 1968 $2.70 = 6 page(s) @ $0.45 per page

Change of Agent or Office Aug 12 1969 $0.90 = 2 page(s) @ $0.45 per page

Change of Agent or Office Jun 22 1990 $0.45 = 1 page(s) @ $0.45 per page https://www.nebraska.gov/sos/corp/corpsearch.cgi?acct-number=0202940 2/4

Document Date Filed Price

Change of Agent or Office Jan 13 1995 $0.45 = 1 page(s) @ $0.45 per page

Tax Return Mar 08 1999 $0.45 = 1 page(s) @ $0.45 per page

Tax Return Apr 02 2001 $0.45 = 1 page(s) @ $0.45 per page

Change of Agent or Office May 31 2001 $0.45 = 1 page(s) @ $0.45 per page

Tax Return Mar 21 2003 $0.45 = 1 page(s) @ $0.45 per page

Tax Return Feb 25 2005 $1.35 = 3 page(s) @ $0.45 per page

Change of Agent or Office May 31 2006 $0.45 = 1 page(s) @ $0.45 per page

Tax Return Feb 28 2007 $3.15 = 7 page(s) @ $0.45 per page

Tax Return Feb 19 2009 $0.90 = 2 page(s) @ $0.45 per page

Tax Return Jan 27 2011 $0.90 = 2 page(s) @ $0.45 per page

Change of Agent or Office Oct 14 2011 $0.45 = 1 page(s) @ $0.45 per page

Tax Return Jan 24 2013 $0.90 = 2 page(s) @ $0.45 per page

Tax Return Jan 15 2015 $1.35 = 3 page(s) @ $0.45 per page

Tax Return Jan 23 2017 $0.90 = 2 page(s) @ $0.45 per page

Nonprofit Biennial Report Jan 29 2019 $0.90 = 2 page(s) @ $0.45 per page

Nonprofit Biennial Report Jan 25 2021 $0.90 = 2 page(s) @ $0.45 per page

Nonprofit Biennial Report Apr 24 2023 $0.90 = 2 page(s) @ $0.45 per page

Nonprofit Biennial Report Feb 13 2025 $0.90 = 2 page(s) @ $0.45 per page

Good Standing Documents To purchase documents attesting to the entity's good standing check the box next to the document title.

If you need your Certificate of Good Standing Apostilled or Authenticated for use in another country, you must contact the Nebraska Secretary of State's office directly for information and instructions. Documents obtained from this site cannot be Apostilled or Authenticated.

https://www.nebraska.gov/sos/corp/corpsearch.cgi?acct-number=0202940 3/4

Select All | Select None

Online Certificate of Good Standing with Electronic Validation

$6.50 This certificate is available for immediate viewing/printing from your desktop. A Verification ID is provided on the certificate to validate authenticity online at the Secretary of State's website.

Certificate of Good Standing - USPS Mail Delivery

$10.00 This is a paper certificate mailed to you from the Secretary of State's office within 2-3 business days.

https://www.nebraska.gov/sos/corp/corpsearch.cgi?acct-number=0202940 4/4 javascript:checkAll(document.getElementById('addInfoForm'), 'filecheck', true);

javascript:checkAll(document.getElementById('addInfoForm'), 'filecheck', false);

File details come from the government source that posted it. Updated Oct 4, 2025.