CTR066188_Debarment_Check.pdf

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Attached to
Master Agreement AZ|CTR066188
Contract number
CTR066188
Issued by
Arizona

About this file

The documents represent an official corporate registration and compliance check for Alice's Place, a domestic nonprofit charitable corporation based in Winslow, Arizona. The organization is registered with the Arizona Corporations Commission and is currently active with an entity ID of 09647180. It was originally incorporated on October 2, 2000 and is classified as a tax-exempt corporate entity with a perpetual life period. The nonprofit has filed its most recent annual report in 2024 and maintains good standing with the state.

Alice's Place has an active federal registration with a Unique Entity ID of PLCNFEGCM9L5 and is registered for federal assistance awards only, with an expiration date of March 19, 2025. The organization is located in Navajo County, Arizona, with a physical address at 218 N Williamson AVE in Winslow and a mailing address of P.O. Box 904. Key leadership includes Theresa Warren as Executive Director, Greg Hackler as Vice President, and Ken Havlicek as President. The organization has been verified as not being debarred or suspended from doing business with the State of Arizona, and it is not listed on any federal exclusion databases, indicating its compliance with governmental procurement standards.

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4/10/24, 4:20 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=09647180 1/3

ENTITY INFORMATION

Search Date and Time: 4/10/2024 4:20:18 PM

Entity Details

Entity Name:

ALICE'S PLACE

Entity ID:

09647180

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

10/2/2000

Reason for Status:

In Good Standing

Approval Date:

6/2/2018

Status Date:

Original Incorporation Date:

10/2/2000

Life Period:

Perpetual

Business Type:

Other - CHARITABLE

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

6/2/2025

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/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=09647180 2/3

< Previous ... 1 2 ... Next > Page 1 of 2, records 1 to 5 of 6 Go to Page

Title Name Attention Address Date of Taking Office

Last Updated

Vice- President

GREG

HACKLER

218 Williamson, WINSLOW, AZ, 86047, Navajo County, USA

1/18/2021 4/21/2022

Secretary

CHRISTINE

SPANN

500 W ASPINWALL, WINSLOW,

AZ, 86047, Navajo County, USA

1/18/2021 4/19/2021

Director Ernest Cano 1309 E. Oak St., WINSLOW, AZ, 86047, Navajo County, USA

5/18/2017 6/2/2018

President Ken Havlicek 248 Papago, WINSLOW, AZ, 86047, Navajo County, USA

1/18/2021 4/19/2021

Director Josephine Begay

405 W. Third St, WINSLOW, AZ, 86047, Navajo County, USA

4/1/2019 4/6/2020

1/2/2001

Statutory Agent Information

Name:

THERESA WARREN

Appointed Status:

Active

Attention:

Address:

1201 North Park Drive, WINSLOW, AZ 86047, USA

Agent Last Updated:

3/26/2024

E-mail:

Attention:

Mailing Address:

County:

Navajo

Principal Information

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) javascript:$xhtml.paging(2) javascript:$xhtml.paging(2) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=09647180 3/3

Back Return to Search

Return to Results

Document History Name/Restructuring History

Pending Documents Microfilm History

Address

Attention: Theresa Warren

Address: 218 N. Williamson Ave., WINSLOW, AZ, 86047, USA

County: Navajo

Last Updated: 3/26/2024

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) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

4/10/24, 4:21 PM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

Visit our tips page to learn how to best use the Exclusions Database. If you experience technical difficulties, please email the webmaster at webmaster@oig.hhs.gov.

Exclusions Search Results: Exclusions Search Results: IndividualsIndividuals

No Results were found for

Alice Place

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

Search Again

Search conducted 4/10/2024 7:21:01 PM EST on OIG LEIE Exclusions database.

Source data updated on 4/10/2024 9:00:00 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#singleSearch https://oig.hhs.gov/exclusions/exclusions-help.asp#singleSearch javascript:__doPostBack('ctl00$cpExclusions$lbGridBackToSearch','') javascript:__doPostBack('ctl00$cpExclusions$lbBackToSearch','') https://oig.hhs.gov/notices/official-site.asp

ALICE'S PLACE

Unique Entity ID

PLCNFEGCM9L5

CAGE / NCAGE

4ZES4

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Mar 19, 2025

Physical Address

218 N Williamson AVE

Winslow, Arizona 86047-3721

United States

Mailing Address

P.O. Box 904

Winslow, Arizona 86047-0904

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 02

State / Country of Incorporation

Arizona / United States

URL

(blank)

Registration Dates

Activation Date

Mar 21, 2024

Submission Date

Mar 19, 2024

Initial Registration Date

Feb 5, 2008

Entity Dates

Entity Start Date

Oct 2, 2000

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.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

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

Non-Profit Organization

Last updated by Theresa Warren on Mar 19, 2024 at 05:38 PM ALICE'S PLACE

Apr 10, 2024 11:06:31 PM GMT https://sam.gov/entity/PLCNFEGCM9L5/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

Domestic Shelter

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

4ZES4

Points of Contact

Electronic Business

THERESA Warren, Executive Director P.O. Box 904

Winslow, Arizona 86047

United States

Gregory Hackler P.O. Box 904

Winslow, Arizona 86047

United States

Government Business

THERESA Warren, Executive Director P.O. Box 904

Winslow, Arizona 86047

United States

Gregory Hackler P.O. Box 904

Winslow, Arizona 86047

United States

Past Performance

THERESA Warren P.O. Box 904

Winslow, Arizona 86047

United States

Gregory Hackler P.O. Box 904

Winslow, Arizona 86047

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 Theresa Warren on Mar 19, 2024 at 05:38 PM ALICE'S PLACE

Apr 10, 2024 11:06:31 PM GMT https://sam.gov/entity/PLCNFEGCM9L5/coreData?status=null Page 2 of 2

4/10/24, 4:15 PM 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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AZ.Gov (https://az.gov/search/) (https://az.gov)

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://openbooks.az.gov/ https://www.azoca.gov/ https://www.azoca.gov/ https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote https://az.gov/search/ https://az.gov/search/ https://az.gov/ https://az.gov/ https://spointra.az.gov/ https://spointra.az.gov/ https://spointra.az.gov/compliance https://spointra.az.gov/compliance https://spointra.az.gov/compliance/debarred-and-suspended-firms 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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