CTR066199_Debarment_Check.pdf
PDF 870 KB Posted
- Attached to
- Master Agreement AZ|CTR066199
- Contract number
- CTR066199
- Issued by
- Arizona
About this file
Mt. Graham Safe House, Inc. is a domestic nonprofit corporation registered in Arizona, established on July 28, 1995. The organization is currently active and in good standing with the Arizona Corporations Commission, with its last annual report filed in 2023 and an annual report due on 10/28/2024. The entity is classified as a charitable organization and operates in Graham County, Arizona, with its principal address located in Safford, Arizona.
The organization is registered in the System for Award Management (SAM.gov) with an active registration expiring on November 7, 2024. Its primary service classifications include temporary shelters, child and youth services, services for the elderly and persons with disabilities, individual and family services, and emergency relief services. Mt. Graham Safe House, Inc. is designated as a domestic shelter and appears in the disaster response registry. The organization serves Graham, Greenlee, and Cochise counties in Arizona and has a fiscal year end date of June 30. Its NAICS codes indicate it provides various social service supports, with a primary focus on temporary shelters and community support services.
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4/16/24, 8:56 AM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=07539539 1/3
ENTITY INFORMATION
Search Date and Time: 4/16/2024 8:55:56 AM
Entity Details
Entity Name:
MT. GRAHAM SAFE HOUSE, INC.
Entity ID:
07539539
Entity Type:
Domestic Nonprofit Corporation
Entity Status:
Active
Formation Date:
7/28/1995
Reason for Status:
In Good Standing
Approval Date:
7/28/1995
Status Date:
9/16/2019
Original Incorporation Date:
7/28/1995
Life Period:
Perpetual
Business Type:
Other - CHARITABLE
Last Annual Report Filed:
Domicile State:
Arizona
Annual Report Due Date:
10/28/2024
Years Due:
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=07539539 2/3
Title Name Attention Address Date of Taking Office
Last Updated
President ED LOPEZ
PO BOX 1202, THATCHER,
AZ, 85552, Graham County, USA
8/16/2022 10/25/2022
CEO (Chief Executive Officer)
Jeanette Aston
1601 S 20TH AVE,
SAFFORD, AZ, 85546,
Graham County, USA
6/15/2008 9/16/2019
Secretary Dawna Lizzaraga po box 1202, SAFFORD, AZ, 85548, Graham County, USA
5/18/2021 10/23/2023
Director Arnold Lopez
1601 S 20TH AVE,
SAFFORD, AZ, 85546,
Graham County, USA
5/18/2021 10/25/2022
Original Publish Date:
8/28/1995
Statutory Agent Information
Name:
JEANETTE ASTON
Appointed Status:
Active
Attention:
Address:
1601 S 20th ave, SAFFORD, AZ 85546, USA
Agent Last Updated:
10/23/2023
E-mail:
Attention:
Mailing Address:
PO BOX 1202 , SAFFORD, AZ 85548, USA
County:
Graham
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/corporations/corporation-contacts https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=07539539 3/3
Page 1 of 1, records 1 to 5 of 5
Title Name Attention Address Date of Taking Office
Last Updated
Vice-President Tom Powers
1601 S 20TH AVE,
SAFFORD, AZ, 85546,
Graham County, USA
8/16/2022 10/25/2022
Back Return to Search
Return to Results
Document History Name/Restructuring History
Pending Documents Microfilm History
Address
Attention: Jeanette Aston
Address: 1601 S 20TH AVE, SAFFORD, AZ, 85546, USA
County: Graham
Last Updated: 10/23/2023
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) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts
4/16/24, 8:57 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
Mt Graham Safe House
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 11:57:05 AM 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
MT. GRAHAM SAFE HOUSE, INC.
Unique Entity ID
E6TXW4VQXYY5
CAGE / NCAGE
4LXQ5
Purpose of Registration
All Awards
Registration Status
Active Registration
Expiration Date
Nov 7, 2024
Physical Address
1601 S 20TH AVE
Safford, Arizona 85546-4010
United States
Mailing Address
PO Box 1202
Safford, Arizona 85548-1202
United States
Business Information
Doing Business as
MT GRAHAM SAFE HOUSE INC
Division Name
(blank)
Division Number
(blank)
Congressional District
Arizona 06
State / Country of Incorporation
Arizona / United States
URL
http://www.mtgrahamsh.org
Registration Dates
Activation Date
Nov 10, 2023
Submission Date
Nov 8, 2023
Initial Registration Date
Dec 7, 2006
Entity Dates
Entity Start Date
Dec 15, 1995
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 JEANETTE DOIL ASTON on Nov 08, 2023 at 03:30 PM MT. GRAHAM SAFE HOUSE, INC.
Apr 16, 2024 03:35:55 PM GMT https://sam.gov/entity/E6TXW4VQXYY5/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
Yes
Debt Subject To Offset
No
EFT Indicator
CAGE Code
4LXQ5
Points of Contact
Electronic Business
JEANETTE ASTON, EXECUTVIE DIRECTOR
PO Box 1202
Safford, Arizona 85548
United States
Government Business
Jessica Dominguez, HR Admin Assistant PO Box 1202
Safford, Arizona 85548
United States
Past Performance
JEANETTE ASTON, EXECUTIVE DIRECTON
PO Box 1202
Safford, Arizona 85548
United States
Service Classifications
NAICS Codes
Primary
Yes
NAICS Codes
624221
NAICS Title
Temporary Shelters
624110 Child And Youth Services
624120 Services For The Elderly And Persons With Disabilities
624190 Other Individual And Family Services
624230 Emergency And Other Relief Services
Disaster Response
Yes, this entity appears in the disaster response registry.
Bonding Levels Dollars
(blank) (blank)
States
Arizona
Counties
AZ: Greenlee, Graham, Cochise
Metropolitan Statistical Areas
(blank)
Last updated by JEANETTE DOIL ASTON on Nov 08, 2023 at 03:30 PM MT. GRAHAM SAFE HOUSE, INC.
Apr 16, 2024 03:35:55 PM GMT https://sam.gov/entity/E6TXW4VQXYY5/coreData?status=null Page 2 of 2
4/16/24, 9:16 AM Debarred and Suspended Firms | SPO Intranet https://spointra.az.gov/compliance/debarred-and-suspended-firms 1/2
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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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