CTR066204_Debarment_Checks.pdf

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Attached to
Master Agreement AZ|CTR066204
Contract number
CTR066204
Issued by
Arizona

About this file

Time Out Inc is a nonprofit organization registered in Arizona, with an active status in the System for Award Management (SAM.gov) and the Arizona Corporations Commission. Founded on May 11, 1992, the organization is based in Payson, Arizona, and operates as a tax-exempt corporate entity focused on social services. The organization is currently in good standing, with its most recent annual report filed in 2023 and an upcoming annual report due date of October 11, 2024.

The organization's primary service classifications include temporary shelters (NAICS 624221), other individual and family services (NAICS 624190), and other community housing services (NAICS 624229). Its organizational leadership includes a board with positions such as President, Vice President, Treasurer, Secretary, and Director, with recent leadership changes in 2022. The organization has a physical address at 203 E Aero Drive in Payson and is registered for all award types, with its current SAM registration active until July 4, 2024. No exclusions or debarments are noted in the provided documentation, and the organization appears to be a community-focused nonprofit providing shelter and social support services.

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Text version

TIME OUT INC

Unique Entity ID

W39VRSG22MM5

CAGE / NCAGE

4EV50

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Jul 4, 2024

Physical Address

203 E Aero DR

Payson, Arizona 85541-5566

United States

Mailing Address

P.O. Box 306

Payson, Arizona 85547-0306

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

http://timeoutshelter.org/

Registration Dates

Activation Date

Jul 7, 2023

Submission Date

Jul 5, 2023

Initial Registration Date

May 26, 2006

Entity Dates

Entity Start Date

May 6, 1992

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 Trish Klaver on Jul 05, 2023 at 01:59 PM TIME OUT INC

Apr 16, 2024 04:31:36 PM GMT https://sam.gov/entity/W39VRSG22MM5/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

4EV50

Points of Contact

Electronic Business

Trish Klaver, CEO PO Box 306

Payson, Arizona 85547

United States

Patricia Klaver, Bookkeeper P.O. Box 306

Payson, Arizona 85547

United States

Government Business

Trish Klaver, CEO PO Box 306

Payson, Arizona 85547

United States

Elena Warner, Director of Operations P.O. Box 306

Payson, Arizona 85547

United States

Past Performance

Elena Warner, Director of Operations P.O. Box 306

Payson, Arizona 85547

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

624221

NAICS Title

Temporary Shelters

624190 Other Individual And Family Services

624229 Other Community Housing Services

Product and Service Codes

PSC PSC Name

G099 Social- Other

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Trish Klaver on Jul 05, 2023 at 01:59 PM TIME OUT INC

Apr 16, 2024 04:31:36 PM GMT https://sam.gov/entity/W39VRSG22MM5/coreData?status=null Page 2 of 2

4/16/24, 10:00 AM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=02420040 1/3

ENTITY INFORMATION

Search Date and Time: 4/16/2024 9:59:48 AM

Entity Details

Entity Name:

TIME OUT, INC.

Entity ID:

02420040

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

5/11/1992

Reason for Status:

In Good Standing

Approval Date:

5/14/1992

Status Date:

10/8/2019

Original Incorporation Date:

5/11/1992

Life Period:

Perpetual

Business Type:

Other - Non-Profit

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

10/11/2024

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=02420040 2/3

Title Name Attention Address Date of Taking Office

Last Updated

Treasurer

MOLLY

CLOUSTON

1017 N SCENIC DRIVE, PAYSON,

AZ, 85541, Gila County, USA

6/1/2020 7/22/2022

Vice- President

BECKY

JONES

2507 E GOLDEN ASTER CIRCLE,

PAYSON, AZ, 85541, Gila County, USA

5/16/2022 8/14/2023

President

HANNAH

LUSK

601 E LORENE ST, PAYSON, AZ,

85541, Gila County, USA

5/16/2022 7/22/2022

Director

KRISTIN

CROAK

PO BOX 3013, PAYSON, AZ,

85547, Gila County, USA

10/1/2017 7/22/2022

Secretary

GARY

CORDELL

1700 W BIRCH DRIVE, PAYSON,

AZ, 85541, Gila County, USA

9/21/2020 7/22/2022

Original Publish Date:

7/1/1992

Statutory Agent Information

Name:

Marilyn Knauss

Appointed Status:

Active 5/20/2022

Attention:

Address:

2102 E Rim Club Drive, PAYSON, AZ 85541, USA

Agent Last Updated:

8/14/2023

E-mail:

Attention:

Mailing Address:

County:

Gila

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=02420040 3/3

< Previous ... 1 2 ... Next > Page 1 of 2, records 1 to 5 of 7 Go to Page

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Return to Results

Document History Name/Restructuring History

Pending Documents Microfilm History

Address

Attention:

Address: 203 E Aero Drive, PAYSON, AZ, 85541, USA

County: Gila

Last Updated: 8/14/2023

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

4/16/24, 10:01 AM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

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Time Out 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

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Search conducted 4/16/2024 1:01:03 PM EST on OIG LEIE Exclusions database.

Source data updated on 4/10/2024 9:00:00 AM EST

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4/16/24, 9:55 AM Debarred and Suspended Firms | SPO Intranet https://spointra.az.gov/compliance/debarred-and-suspended-firms 1/2

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THERE ARE NO SUSPENDED OR DEBARRED FIRMS AT THIS TIME.

COMPLIANCE

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Compliance Hotline (/compliance/compliance-hotline)

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