WY - DUNS - Dept of Family Services PDF

View Details - Entity Registration | System for Award Management Page 1 of 4
Ann vom Eigen Log Out
2300 Capitol Ave

Family Services, Wyoming Department of
Entity
Cheyenne, WY, 82002-3644 ,
DUNS: 809915754 CAGE Code: 388H1 UNITED STATES
Status: Active
Dashboard Entity Overview Expiration Date: 11/14/2017

Purpose of Registration: Federal Assistance Awards Only
Entity Registration
Core Data
Entity Registration
Assertions
Reps & Certs Entity Registration
POCs
Please see below for the entire Entity Registration record. If you would like have a copy of this list please use the Print
button.
Reports
Service Contract Report
BioPreferred Report
Current Record
Exclusions
Active Exclusions DUNS Number: 809915754
D&B Legal Business Name: Family Services, Wyoming Department of
Inactive Exclusions Doing Business As: (none)
Excluded Family
Members
Core Data [Expand All] | [Collapse All]
Business & TIN Information:
Business Information:
Business Start Date: 04/25/2005
Fiscal Year End Close Date: 06/30
Company Division Name:
Company Division Number:
Corporate URL:
Congressional District: WY 00
Initial Registration Date: 04/25/2005
Submission Date: 11/14/2016
Activation Date: 11/14/2016
Expiration Date: 11/14/2017
Physical Address:
Address Line 1: 2300 Capitol Ave
City: Cheyenne
State/Province: WY
Country: UNITED STATES
ZIP/Postal Code: 82002 - 3644
Mailing Address:
Address Line 1: 2300 CAPITOL AVE. 3RD FLOOR
Address Line 2:
City: CHEYENNE
State/Province: WY
ZIP/Postal Code: 82001
Sensitive Identifiers:
EIN: 830208667
IRS consent:
Tax Payer Name: Wyoming State Auditor
Address Line 1: 2300 CAPITOL AVE
Address Line 2:
City: CHEYENNE
State: WY
Type of Tax: Applicable Federal Tax
Tax Year: (Most Recent Tax Year) 2005
Name of Individual Executing Consent: Nick Baird
Title of the Individual Executing Consent: CHIEF FINANCIAL OFFICER
TIN Consent Date: 03/20/2015
CAGE/NCAGE Code
CAGE: 388H1
General Information
Country of Incorporation:
https://www.sam.gov/portal/SAM/?navigationalstate=JBPNS_rO0ABXdcACJqYXZheC5m... 3/6/2017
State of Incorporation:
Company Security Level:
Highest Employee Security Level:
Business 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 Type
U.S. State Government
Entity Structure
U.S. Government Entity
Entity Type
US State Government
Purpose of Registration
Federal Assistance Awards
Financial Information
Do you accept credit cards as a method of payment? No

Account Details:
CAGE Code: 388H1
Electronic Funds Transfer:
Automated Clearing House (ACH):
Executive Compensation Questions
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) respond to Proceedings questions in accordance with FAR 52.209-7,
FAR 52.209-8, or 2.C.F.R. 200 Appendix XII. Their responses are not displayed in SAM. They are sent to FAPIIS.gov for display
as applicable. Maintaining an active registration in SAM demonstrates the registrant responded to the proceedings questions.
SAM Search Authorization
I authorize my entity's non-sensitive information to be displayed in SAM public search results: Yes
Points of Contact [Expand All] | [Collapse All]
Mandatory Points of Contact:
Accounts Receivable POC

Title: Chief Financial Officer
First Name: Nick
Middle Name:
Last Name: Baird
Email: nick.baird@wyo.gov
US Phone: (307)777-2412
Extension:
NON US Phone:
Notes:
Electronic Business POC

First Name: Nick
Middle Name:
Last Name: Baird

US Phone: (307)777-2412
Extension:
NON US Phone:
Notes:
Address Line 2:
City: CHEYENNE
State/Province: WY
Government Business POC

First Name: Nick
Middle Name:
Last Name: Baird
US Phone: (307)777-2412
Extension:
NON US Phone:
Notes:
Address Line 2:
City: CHEYENNE
State/Province: WY
Optional Points of Contact:
Past Performance POC

First Name: PAUL
Middle Name:
Last Name: YAKSIC
Email: pyaksi@state.wy.us
US Phone: (307)777-6100
Extension:
NON US Phone:
Notes:
Address Line 2:
City: CHEYENNE
State/Province: WY
Past Performance Alternate POC

Title:
First Name: TESTA
Middle Name:
Last Name: PACHECO
Email: testa.pacheco@wyo.gov
US Phone: (307)777-2412
Extension:
NON US Phone:
Notes:
Address Line 2:
City: CHEYENNE
State/Province: WY
Electronic Business Alternate POC

Title:
First Name: TESTA
Middle Name:
Last Name: PACHECO
US Phone: (307)777-2412
Extension:
NON US Phone:
Notes:
Address Line 2:
City: CHEYENNE
State/Province: WY
Government Business Alternate POC

Title:
First Name: TESTA
Middle Name:
Last Name: PACHECO
US Phone: (307)777-2412
Extension:
NON US Phone:
Notes:
Address Line 2:
City: CHEYENNE
State/Province: WY
Search Records FAPIIS.gov

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View Details - Entity Registration | System for Award Management Page 1 of 4

Ann vom Eigen Log Out

2300 Capitol Ave

Dashboard Entity Overview Expiration Date: 11/14/2017

Business & TIN Information:

Name of Individual Executing Consent: Nick Baird

Title of the Individual Executing Consent: CHIEF FINANCIAL OFFICER

TIN Consent Date: 03/20/2015

U.S. State Government

U.S. Government Entity

Federal Assistance Awards

Do you accept credit cards as a method of payment? No

Executive Compensation Questions

SAM Search Authorization

Points of Contact [Expand All] | [Collapse All]

Mandatory Points of Contact:

Accounts Receivable POC

Electronic Business POC

Last Name: Baird

Government Business POC

Optional Points of Contact:

Past Performance POC

Past Performance Alternate POC

Electronic Business Alternate POC

Government Business Alternate POC

Search Records FAPIIS.gov

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