FFYH_Updated_W-9__2025_Redacted.pdf
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- Attached to
- Master Agreement AZ|CTR071425
- Contract number
- CTR071425
- Issued by
- Arizona
About this file
This document is an Arizona State Department of Administration Substitute W-9 form for Firm Foundation Youth Homes Inc, a non-profit organization. The form is a request for taxpayer identification number and certification, which must be submitted to the State of Arizona agency with whom the organization is conducting business. The form covers key administrative details including the organization's taxpayer identification number (45-4558884), entity type (Corporation), and vendor contact information.
The form indicates that Firm Foundation Youth Homes Inc is a non-profit organization (501(c) status) that is not a veteran-owned business. The organization has selected no minority business indicators and is providing this documentation as part of its formal business engagement with a state agency. The form was completed and certified by Marlene McCormick, the Executive Director, on 3/13/2025, and requires the organization to certify its tax identification information, citizenship status, and compliance with backup withholding and FATCA reporting requirements.
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