CTR066290_Debarment_Check.pdf

PDF 556 KB Posted

Attached to
Master Agreement AZ|CTR066290
Contract number
CTR066290
Issued by
Arizona

About this file

The documents comprise an entity registration and compliance verification for Old Concho Community Assistance Center (OCCAC), a domestic nonprofit corporation registered in Arizona. The organization is active in the System for Award Management (SAM.gov) with a Unique Entity ID of HWLXHJGJFC19, valid through April 2, 2025, and located in Concho, Apache County, Arizona. The entity is structured as a tax-exempt corporate entity with a nonprofit organizational status, focused on charitable business activities.

The organization is registered for federal assistance awards and has no active exclusions or suspensions from doing business with the state or federal government. Its fiscal year ends on June 30, with an initial registration date of July 18, 2012, and an entity start date of March 4, 1998. The key points of contact include Kevin Davis as Executive Director and Case Manager, and Marilyn Johnson as Executive Director. The entity accepts credit card payments and is not currently listed on any debarment or suspension lists for the State of Arizona or federal government.

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Text version

OLD CONCHO COMMUNITY ASSISTANCE CENTER INC

Unique Entity ID

HWLXHJGJFC19

CAGE / NCAGE

6TRG3

Purpose of Registration

Federal Assistance Awards Only

Registration Status

Active Registration

Expiration Date

Apr 2, 2025

Physical Address

35432 HWY 180A

Concho, Arizona 85924

United States

Mailing Address

P.O. Box 50

Concho, Arizona 85924-0050

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

(blank)

Registration Dates

Activation Date

Apr 4, 2024

Submission Date

Apr 2, 2024

Initial Registration Date

Jul 18, 2012

Entity Dates

Entity Start Date

Mar 4, 1998

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 Kevin Davis on Apr 02, 2024 at 12:06 PM OLD CONCHO COMMUNITY ASSISTANCE CENTER INC

Jun 20, 2024 07:22:33 PM GMT https://sam.gov/entity/HWLXHJGJFC19/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.

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

6TRG3

Points of Contact

Electronic Business

Kevin Davis, Executive Director P.O. Box 50

Concho, Arizona 85924

United States

Kevin Davis, Case Manager P.O. Box 50

Concho, Arizona 85924

United States

Government Business

Kevin Davis, Executive Director P.O. Box 50

Concho, Arizona 85924

United States

Marilyn Johnson, Executive Director P.O. Box 50

Concho, Arizona 85924

United States

Past Performance

Marilyn Johnson, Executive Director P.O. Box 50

Concho, Arizona 85924

United States

Jessica Hancock, Bookkeeper P.O. Box 50

Concho, Arizona 85924

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 Kevin Davis on Apr 02, 2024 at 12:06 PM OLD CONCHO COMMUNITY ASSISTANCE CENTER INC

Jun 20, 2024 07:22:33 PM GMT https://sam.gov/entity/HWLXHJGJFC19/coreData?status=null Page 2 of 2

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OLD CONCHO COMMUNITY ASSISTANCE CENTER

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Search conducted 6/20/2024 3:18:09 PM EST on OIG LEIE Exclusions database.

Source data updated on 6/10/2024 8:00:00 AM EST

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6/20/24, 12:18 PM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1 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

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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)

6/20/24, 11:57 AM Debarred and Suspended Firms | SPO Intranet https://spointra.az.gov/compliance/debarred-and-suspended-firms 1/2 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/

STATEWIDE POLICIES (HTTP://AZ.GOV/POLICIES) SITE MAP (/SITEMAP)

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Debarred and Suspended Firms _ SPO Intranet

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