CTR066192_Debarment_Checks.pdf

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Attached to
Master Agreement AZ|CTR066192
Contract number
CTR066192
Issued by
Arizona

About this file

This document is a compilation of official registration and verification records for Chicanos Por La Causa, Inc. (CPLC), a non-profit organization based in Phoenix, Arizona. The documents include a System for Award Management (SAM.gov) registration, an Arizona Corporations Commission entity profile, an Office of Inspector General (OIG) exclusions search, and a State Procurement Office (SPO) debarred firms list. The organization is registered as a tax-exempt, non-profit corporation incorporated in Arizona on April 17, 1969, with an active status and good standing.

CPLC is classified as a Community Development Corporation with multiple NAICS codes covering services such as community housing, educational support, mental health facilities, child and youth services, elderly and disability services, community food services, and vocational rehabilitation. The organization's primary business address is 1112 E Buckeye Road in Phoenix, Arizona, and it has an active federal registration expiring on March 11, 2025. The documents indicate no exclusions from federal programs, no suspension from state procurement, and an organizational mission focused on raising the economic, educational, and social levels of underprivileged community residents.

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CHICANOS POR LA CAUSA, INC

Unique Entity ID

H4HTRFZTL683

CAGE / NCAGE

3UZN5

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Mar 11, 2025

Physical Address

1112 E Buckeye RD

Phoenix, Arizona 85034-4043

United States

Mailing Address

1112 E Buckeye RD

Phoenix, Arizona 85034-4043

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

Arizona / United States

URL

http://www.cplc.org

Registration Dates

Activation Date

Mar 13, 2024

Submission Date

Mar 11, 2024

Initial Registration Date

May 6, 2004

Entity Dates

Entity Start Date

Apr 17, 1969

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

Corporate Entity (Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

Non-Profit Organization

Last updated by Nancy Lipman on Mar 11, 2024 at 10:02 PM CHICANOS POR LA CAUSA, INC

Apr 16, 2024 04:46:28 PM GMT https://sam.gov/entity/H4HTRFZTL683/coreData?status=null Page 1 of 3

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

Community Development Corporation

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

3UZN5

Points of Contact

Electronic Business

Amanda Bernal 1112 E. Buckeye Road

Phoenix, Arizona 85034

United States

Nancy Lipman 1112 E Buckeye RD

Phoenix, Arizona 85034

United States

Government Business

Maria Spelleri 1112 E. Buckeye Road

Phoenix, Arizona 85034

United States

Nancy Lipman 1112 E. Buckeye Road

Phoenix, Arizona 85034

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

624229

NAICS Title

Other Community Housing Services

611710 Educational Support Services

623220 Residential Mental Health And Substance Abuse Facilities

624110 Child And Youth Services

624120 Services For The Elderly And Persons With Disabilities

624190 Other Individual And Family Services

624210 Community Food Services

624310 Vocational Rehabilitation Services

Product and Service Codes

PSC PSC Name

G005 Social- Geriatric

G099 Social- Other

M1FA Operation Of Family Housing Facilities

U006 Education/Training- Vocational/Technical

X1FA Lease/Rental Of Family Housing Facilities

Y1FA Construction Of Family Housing Facilities

Disaster Response

Last updated by Nancy Lipman on Mar 11, 2024 at 10:02 PM CHICANOS POR LA CAUSA, INC https://sam.gov/entity/H4HTRFZTL683/coreData?status=null Page 2 of 3

This entity does not appear in the disaster response registry.

Last updated by Nancy Lipman on Mar 11, 2024 at 10:02 PM CHICANOS POR LA CAUSA, INC https://sam.gov/entity/H4HTRFZTL683/coreData?status=null Page 3 of 3

4/16/24, 10:17 AM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00758057 1/4

ENTITY INFORMATION

Search Date and Time: 4/16/2024 10:17:23 AM

Entity Details

Entity Name:

CHICANOS POR LA CAUSA, INC.

Entity ID:

00758057

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

4/17/1969

Reason for Status:

In Good Standing

Approval Date:

4/17/1969

Status Date:

10/19/2023

Original Incorporation Date:

4/17/1969

Life Period:

Perpetual

Business Type:

Other - Other - To raise the economic, educational, and social levels of underprivileged residents of the community.

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

10/17/2024 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/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00758057 2/4

Title Name Attention Address Date of Taking Office

Last Updated

Director Delma Herrera

1112 East Buckeye Rd., PHOENIX, AZ, 85034, Maricopa County, USA

1/1/1985 10/19/2023

Director Ted Geisler 1112 East Buckeye Rd., PHOENIX, AZ, 85034, Maricopa County, USA

1/1/2012 10/19/2023

President David Adame

1112 East Buckeye Rd., PHOENIX, AZ, 85034, Maricopa County, USA

1/1/2002 10/19/2023

Years Due:

Original Publish Date:

6/2/1969

Statutory Agent Information

Name:

CT CORPORATION SYSTEM

Appointed Status:

Active

Attention:

Address:

3800 N CENTRAL AVE SUITE 460 , PHOENIX, AZ 85012, USA

Agent Last Updated:

10/19/2023

E-mail:

Attention:

Mailing Address:

3800 N CENTRAL AVE SUITE 460 , PHOENIX, AZ 85012, USA

County:

Maricopa

Principal Information

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/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00758057 3/4

< Previous ... 1 2 3 4 5 ... Next > Page 1 of 5, records 1 to 5 of 22

Go to Page

Title Name Attention Address Date of Taking Office

Last Updated

Director Terry Cain 1112 East Buckeye Rd., PHOENIX, AZ, 85034, Maricopa County, USA

1/27/2016 10/19/2023

Vice- President

Max Gonzales

1112 East Buckeye Rd., PHOENIX, AZ, 85034, Maricopa County, USA

1/1/2017 10/19/2023

Back Return to Search

Return to Results

Document History Name/Restructuring History

Pending Documents Microfilm History

Address

Attention: Maria Spelleri, General Counsel

Address: 1112 E. Buckeye Road, PHOENIX, AZ, 85034, USA

County: Maricopa

Last Updated: 10/19/2023

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(3) javascript:$xhtml.paging(4) javascript:$xhtml.paging(5) javascript:$xhtml.paging(2) 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 https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=00758057 4/4

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

4/16/24, 10:16 AM 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: EntitiesEntities

No Results were found for

Chicanos Por La Causa 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

Search Again

Search conducted 4/16/2024 1:16:06 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#entitySearch 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

4/16/24, 9:55 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)

Register to Vote (https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote)

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/

SAM
ACC
OIG
SPO

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