CTR067941 A1.pdf

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County of Mohave, Department of Public Health

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Search conducted 11/21/2024 11:56:21 AM EST on OIG LEIE Exclusions database.

Source data updated on 11/8/2024 8:00:00 AM EST

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An official website of the United States government. Here's how you know >

11/21/24, 9:56 AM 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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Core Data

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Responsibility / Qualification

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Core Data

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Expiration Date

COUNTY OF MOHAVE

Entity Information

Unique Entity ID

KKE6CJTM8CS1

CAGE/NCAGE

37FX0 Aug 1, 2025

11/21/24, 9:55 AM SAM.gov https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1722534158170253 1/6 https://sam.gov/ https://sam.gov/ javascript:void(0) javascript:void(0) https://sam.gov/ https://sam.gov/search/ https://sam.gov/reports/awards/standard https://sam.gov/data-services https://sam.gov/help https://sam.gov/workspace/profile/feeds https://sam.gov/workspace/profile/feeds/notification https://sam.gov/workspace/profile/workspace javascript:void(0) javascript:void(0);

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BUSINESS INFORMATION

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.

Physical Address

700 W Beale ST Kingman, Arizona 86401-5711, United States

Mailing Address P.O. Box 7000 Kingman, Arizona 86402-7000, United States

Purpose of Registration Federal Assistance Awards Only

Version

Current Record

Doing Business As (blank)

URL

(blank)

Division Name (blank)

Division Number (blank)

Congressional District Arizona 09

State/Country of Incorporation (blank), (blank)

Owner CAGE Legal Business Name

Immediate Owner

(blank) (blank)

Highest Level Owner

(blank) (blank)

Registration Dates

Entity Dates

Activation Date Aug 5, 2024

Submission Date Aug 1, 2024

Initial Registration Date Mar 15, 2005

Entity Start Date Jul 1, 1998

Fiscal Year End Close Date Jun 30

11/21/24, 9:55 AM SAM.gov https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1722534158170253 2/6

SAM SEARCH AUTHORIZATION

Yes

ENTITY TYPES

FINANCIAL INFORMATION

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Business Types

Entity Structure U.S. Government Entity

Entity Type US Local Government

Profit Structure (blank)

Organization Factors

(blank)

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.

Government Types

U.S. Local Government, County

Other Government Entities Housing Authorities Public/Tribal

Payments https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1722534158170253 3/6

ACCOUNT DETAILS

EFT Indicator 0000 CAGE Code 37FX0

POINTS OF CONTACT

Electronic Business

Government Business

Accepts Credit Card Payments No

Debt Subject To Offset No

Primary Point of Contact

Michael Smith

Address Mohave County Community Services 700 W. Beale Street Kingman, Arizona 86402-7000 United States

Primary Point of Contact

Michael Smith

Address Mohave County Community Services https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1722534158170253 4/6

Past Performance

700 W. Beale Street Kingman, Arizona 86402-7000 United States

Alternate Point of Contact

Terry Baughn

Address 700 W. Beale ST P.O. Box 7000 Kingman, Arizona 86402-7000 United States

Primary Point of Contact

Michael Smith

Address Mohave County Community Services 700 W. Beale Street Kingman, Arizona 86402 United States

Our Website

About This Site

Our Community

Our Partners

Acquisition.gov

11/21/24, 9:55 AM SAM.gov https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1722534158170253 5/6 https://sam.gov/about/this-site https://interact.gsa.gov/group/integrated-award-environment-iae-industry-community https://acquisition.gov/

WARNING

SAM.gov An official website of the U.S. General Services Administration

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This is a U.S. General Services Administration Federal Government computer system that is "FOR OFFICIAL USE ONLY." This system is subject to monitoring. Individuals found performing unauthorized activities are subject to disciplinary action including criminal prosecution.

This system contains Controlled Unclassified Information (CUI). All individuals viewing, reproducing or disposing of this information are required to protect it in accordance with 32 CFR Part 2002 and GSA Order CIO 2103.2 CUI Policy.

11/21/24, 9:55 AM SAM.gov https://sam.gov/entities/view/KKE6CJTM8CS1/coreData?status=Active&emrKeyValue=1245139~1722534158170253 6/6 https://www.fsd.gov/gsafsd_sp?id=kb_category&kb_category=ccf4380a1ba67410fe314000f54bcb16&kb_id=f66d8e6cdb76d4100d73f81d0f9619c https://sam.gov/alerts https://usaspending.gov/ https://grants.gov/ https://sam.gov/about/partners https://sam.gov/about/terms-of-use https://sam.gov/about/terms-of-use#privacy https://sam.gov/about/terms-of-use#restricted https://www.gsa.gov/reference/freedom-of-information-act-foia https://sam.gov/about/accessibility https://sam.gov/help https://sam.gov/content/status-tracker https://www.fsd.gov/gsafsd_sp/?id=gsa_landing https://sam.gov/about/external-resources https://sam.gov/about/contact https://www.gsa.gov/