CTR066193_Debarrment_Checks.pdf
PDF 879 KB Posted
- Attached to
- Master Agreement AZ|CTR066193
- Contract number
- CTR066193
- Issued by
- Arizona
About this file
This document is a compilation of entity registration and verification documents for Chrysalis Shelter for Victims of Domestic Violence, Inc., a non-profit organization based in Phoenix, Arizona. The documents include registration details from the System for Award Management (SAM.gov) and the Arizona Corporations Commission, confirming the organization's active status as a tax-exempt, charitable domestic nonprofit corporation incorporated on April 9, 1981, with its principal address at 2055 W Northern Avenue in Phoenix, Maricopa County.
The organization is registered for federal assistance awards, with an active registration set to expire on December 6, 2024. As a non-profit entity, Chrysalis Shelter accepts credit card payments and has no active exclusions records. The organization's leadership includes Patricia J. Klahr as President/CEO (since March 12, 1998), Jen Kuenzli as Chairman of the Board of Directors, and other officers such as Cesar Cramton and Mallory Miranda. The entity is represented by CT Corporation System as its statutory agent and is located in Arizona's 08th Congressional District. The organization's website is www.noabuse.org, and its fiscal year ends on June 30th.
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CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC
VIOLENCE, INC.
Unique Entity ID
JG1MYXAQLNJ5
CAGE / NCAGE
5PPR4
Purpose of Registration
Federal Assistance Awards Only
Registration Status
Active Registration
Expiration Date
Dec 6, 2024
Physical Address
2055 W Northern AVE
Phoenix, Arizona 85021-5157
United States
Mailing Address
2055 W. Northern
Phoenix, Arizona 85021-5157
United States
Business Information
Doing Business as
(blank)
Division Name
(blank)
Division Number
(blank)
Congressional District
Arizona 08
State / Country of Incorporation
Arizona / United States
URL
www.noabuse.org
Registration Dates
Activation Date
Dec 11, 2023
Submission Date
Dec 7, 2023
Initial Registration Date
Sep 14, 2009
Entity Dates
Entity Start Date
Apr 9, 1981
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)
Last updated by Patricia Klahr on Dec 07, 2023 at 05:57 PM CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE, INC.
Aug 23, 2024 08:49:37 PM GMT https://sam.gov/entity/JG1MYXAQLNJ5/coreData?status=null Page 1 of 2
Profit Structure
Non-Profit Organization
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
Yes
Debt Subject To Offset
No
EFT Indicator
CAGE Code
5PPR4
Points of Contact
Electronic Business
Becky Martin, Financial Leader 2055 W. Northern Avenue
Phoenix, Arizona 85021
United States
Government Business
PATRICIA KLAHR, CEO
2055 W. Northern Avenue
Phoenix, Arizona 85021
United States
Becky Martin, Financial Leader 2055 W. Northern Avenue
Phoenix, Arizona 85021
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 Patricia Klahr on Dec 07, 2023 at 05:57 PM CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE, INC.
Aug 23, 2024 08:49:37 PM GMT https://sam.gov/entity/JG1MYXAQLNJ5/coreData?status=null Page 2 of 2
ENTITY INFORMATION
Search Date and Time: 8/23/2024 1:54:31 PM
Entity Details
Entity Name:
CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE, INC.
Entity ID:
01375891
Entity Type:
Domestic Nonprofit Corporation
Entity Status:
Active
Formation Date:
4/9/1981
Reason for Status:
In Good Standing
Approval Date:
5/7/1981
Status Date:
2/5/2021
Original Incorporation Date:
4/9/2018
Life Period:
Perpetual
Business Type:
Other - CHARITABLE
Last Annual Report Filed:
Domicile State:
Arizona
Annual Report Due Date:
10/9/2024
Years Due:
Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)
8/23/24, 1:54 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01375891 1/3 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
Title Name Attention Address Date of Taking Office
Last Updated
Other Officer
CESAR
CRAMTON
2055 W NORTHERN AVE,
PHOENIX, AZ, 85021,
Maricopa County, USA
6/18/2015 9/16/2021
Chairman of the Board of Directors
JEN KUENZLI
2055 W NORTHERN AVE,
PHOENIX, AZ, 85021,
Maricopa County, USA
11/19/2009 10/9/2023
President/CEO
PATRICIA J
KLAHR
2055 W NORTHERN AVE,
PHOENIX, AZ, 85021,
Maricopa County, USA
3/12/1998 10/8/2019
Other Officer Mallory Miranda
2055 W NORTHERN AVE,
PHOENIX, AZ, 85021,
Maricopa County, USA
5/1/2019 10/9/2023
Original Publish Date:
6/9/1981
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:
10/9/2023
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)
8/23/24, 1:54 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01375891 2/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts
< Previous ... 1 2 ... Next > Page 1 of 2, records 1 to 5 of 8 Go to Page
Title Name Attention Address Date of Taking Office
Last Updated
Other Officer Mark Krivoruchka
2055 W NORTHERN AVE,
PHOENIX, AZ, 85021,
Maricopa County, USA
5/1/2019 9/16/2021
Back Return to Search
Return to Results
Document History Name/Restructuring History
Pending Documents Microfilm History
Address
Attention:
Address: 2055 W NORTHERN AVE, PHOENIX, AZ, 85021, USA
County: Maricopa
Last Updated: 10/9/2023
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)
8/23/24, 1:54 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=01375891 3/3 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
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