CTR066284_Contract_Amendment_1.pdf

CONTRACT AMENDMENT

Arizona Department of Economic Security

1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR066284 One (1)

DESCRIPTION/ LABEL: Housing Support Services - Pima County and Balance of State

CONTRACTOR NAME: Community Action Human Resources Agency

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

In accordance with the Special Terms and Conditions, Section 13.0, Contract Term and Option to Extend, the Contract term is extended from July 1, 2024 through June 30, 2025. The rates are not adjusted for the extension period and shall remain the same as the previous Contract term.

ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED

ACKNOWLEDGEMENT AND AUTHORIZATION

This Amendment shall be fully executed by means of electronic approval in APP.

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COMMUNITY ACTION HUMAN

RESOURCES AGENCY

Entity Information

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EXCLUSIONS

Active Exclusions

UJL7MUFCV4H9 4NQB9 Jan 23, 2025

Physical Address 109 N Sunshine BLVD Eloy, Arizona 85131-2159, United States

Mailing Address 109 N. Sunshine BLVD.

Eloy, Arizona 85131-2159, United States

Purpose of Registration Federal Assistance Awards Only

Version

Current Record

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ENTITY INFORMATION

Search Date and Time: 3/27/2024 10:04:27 AM

Entity Details

Entity Name: COMMUNITY ACTION HUMAN

RESOURCES AGENCY

Entity ID: 01330780

Entity Type: Domestic Nonprofit Corporation Entity Status: Active

Formation Date: 10/22/1980 Reason for Status: In Good Standing

Approval Date: 5/25/2018 Status Date:

Original Incorporation Date:

10/22/1980 Life Period: Perpetual

Business Type: Other Services (except Public Administration)

Last Annual Report Filed:

Domicile State: Arizona Annual Report Due Date:

6/22/2024

Years Due:

Original Publish Date: 2/26/1981

Statutory Agent Information

Name: STEPHEN R COOPER Appointed Status: Active

Attention:

Address: 221 N FLORENCE ST , CASA GRANDE, AZ 85122, USA

Agent Last Updated: 5/12/2023 E-mail:

Attention: Mailing Address:

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Title Name Attention Address Date of Taking Office

Last Updated

Director

ESTHER

TURNER

1583 S. OAK ROAD, MARICOPA,

AZ, 85139, Pinal County, USA

11/17/2016 6/20/2019

Director

ANNA M

GUERRA

701 E. BRENDA DRIVE, CASA

GRANDE, AZ, 85122, Pinal County, USA

9/29/2016 6/20/2019

Director

LEONOR T

BURRUEL

13084 S. SUNLAND GIN ROAD,

ARIZONA CITY, AZ, 85123, Pinal County, USA

9/29/2016 6/20/2019

Director

MARIA

SALCIDO

25 N. PINAL AVENUE, SUPERIOR,

AZ, 85173, Pinal County, USA

6/30/2016 5/19/2022

President

JON

THOMPSON

1037 E. LAUREN LANE,

COOLIDGE, AZ, 85128, Pinal County, USA

9/24/2015 6/20/2019

County: Pinal

Principal Information

Address

Attention: Address: 109 N. SUNSHINE BLVD., ELOY, AZ, 85131, USA

County: Pinal Last Updated:

5/12/2023

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