CTR074351_A1.pdf

PDF 695 KB Posted

Attached to
Master Agreement AZ|CTR074351
Contract number
CTR074351
Issued by
Arizona

About this file

This document is a Request for Proposal Contract Amendment from the Arizona Department of Health Services, Office of Procurement, involving Southwest Human Development, a domestic nonprofit corporation based in Phoenix, Arizona. The amendment is for Contract No. CTR074351, specifically for HRPP Community Health Nursing Services (CHN), and is Amendment No. 1.

The contract amendment extends the existing contract through November 12, 2026, in accordance with the Special Terms and Conditions, Provision Three (3), which allows for a 5-Year Maximum Contract Extension. The contractor, Southwest Human Development, is a tax-exempt, non-profit organization with a business focus on educational services, primarily providing child care and youth services. The organization is registered in the System for Award Management (SAM) with an active registration set to expire on February 6, 2026, and has no active exclusion records. The contract appears to be related to community health nursing services, though specific service details are not elaborated in the provided documents.

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ENTITY INFORMATION

Search Date and Time: 8/1/2025 1:41:27 PM

Entity Details

Entity Name:

SOUTHWEST HUMAN DEVELOPMENT, INCORPORATED

Entity ID:

01365005

Entity Type:

Domestic Nonprofit Corporation

Entity Status:

Active

Formation Date:

2/23/1981

Reason for Status:

In Good Standing

Approval Date:

3/12/1981

Status Date:

9/24/2019

Original Incorporation Date:

2/23/1981

Life Period:

Perpetual

Business Type:

Other - Other - Other - EDUCATIONAL

Last Annual Report Filed:

Domicile State:

Arizona

Annual Report Due Date:

10/23/2025

Years Due:

Original Publish Date:

4/2/1981

Statutory Agent InformationPrivacy 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

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Title Name Attention Address Date of Taking

Office

Last

Updated

CEO (Chief Executive Officer)

GINGER

WARD

SW HUMAN DEVELOPMENT 2850 N.

24TH STREET, PHOENIX, AZ, 85008,

Maricopa County, USA

2/1/1982 10/4/2018

CFO (Chief Financial Officer)

JEANETTE

RAMOS

Ginger Ward

2850 N 24TH ST, PHOENIX, AZ,

85008, Maricopa County, USA

4/15/2019 9/24/2019

Director Tina Gounder

2850 N. 24th Street, PHOENIX, AZ, 85008, Maricopa County, USA

1/1/2018 10/4/2018

Treasurer Julie Shaw Ginger Ward

2850 N 24TH ST, PHOENIX, AZ,

85008, Maricopa County, USA

12/29/2016 10/8/2024

Chairman of the Board of Directors

Christine Nowaczyk

US Bank, 16220 N Scottsdale Rd, Suite 200, SCOTTSDALE, AZ, 85254, Maricopa County, USA

1/30/2019 10/8/2024

Name:

VIRGINIA MACH-WARD

Appointed Status:

Active

Attention:

Address:

2850 N. 24TH STREET , PHOENIX, AZ 85008, USA

Agent Last Updated:

10/8/2024

E-mail:

Attention:

Mailing Address:

County:

Maricopa

Principal Information

Address

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Document History Name/Restructuring History

Pending Documents Microfilm History

Address: 2850 N 24TH ST, PHOENIX, AZ, 85008, USA

County: Maricopa

Last Updated: 10/8/2024

Entity Principal Office Address

Attention:

Address:

County:

Last Updated:

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SOUTHWEST HUMAN DEVELOPMENT, INCORPORATED

Unique Entity ID

GBLLWPLTRHA7

CAGE / NCAGE

49QZ5

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Feb 6, 2026

Physical Address

2850 N 24TH ST

Phoenix, Arizona 85008-1004

United States

Mailing Address

2850 N. 24TH Street

Phoenix, Arizona 85008-1004

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

Arizona / United States

URL

http://www.swhd.org

Registration Dates

Activation Date

Feb 10, 2025

Submission Date

Feb 6, 2025

Initial Registration Date

Jan 23, 2006

Entity Dates

Entity Start Date

Feb 19, 1981

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 JANNETTE RAMOS on Feb 06, 2025 at 12:40 PM SOUTHWEST HUMAN DEVELOPMENT, INCORPORATED

Aug 01, 2025 08:40:00 PM GMT https://sam.gov/entity/GBLLWPLTRHA7/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

Community Development Corporation

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

49QZ5

Points of Contact

Electronic Business

Jannette RAMOS, Ms.

2850 N. 24TH Street

Phoenix, Arizona 85008

United States

Angela Hernandez, Mrs. 2850 N. 24TH Street

Phoenix, Arizona 85008

United States

Government Business

EVANGELINA DELREAL, Ms.

2850 N 24TH Street

Phoenix, Arizona 85008

United States

JEANETTE RAMOS, Ms. 2850 N. 24TH Street

Phoenix, Arizona 85008

United States

Past Performance

Jake Adams, Mr.

2850 N 24TH Street

Phoenix, Arizona 85008

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

624410

NAICS Title

Child Care Services

624110 Child And Youth Services

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by JANNETTE RAMOS on Feb 06, 2025 at 12:40 PM SOUTHWEST HUMAN DEVELOPMENT, INCORPORATED

Aug 01, 2025 08:40:00 PM GMT https://sam.gov/entity/GBLLWPLTRHA7/coreData?status=null Page 2 of 2

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Source data updated on 7/10/2025 9:01:00 AM EST

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