Form-A-Fab, Inc. (AZ)
Registration and award facts
SAM.gov registration as of
- Net obligations since FY2014
- $17.97K
- $17,970under this UEI
- FY2026 obligations
- $0†
- Provisional
- Awards and orders
- 1
- with positive net obligations
- Latest action
- Sep 9, 2014
- SAM.gov registration
- Inactive
- Registration expiration date Dec 29, 2017
Registration
- Entity structure
- Corporate Entity (Not Tax Exempt)
- Business start date
- Feb 23, 1971 (55 years)
- Location
- Lake Havasu City, AZ
- State of incorporation
- Arizona
- Purpose of registration
- All Awards
† FY2026 obligations (provisional; DoD awards signed after Jul 27, 2026 are not yet public).
Source: SAM.gov entity registration and FPDS contract actions recorded under UEI CBDNFA1KWY86. GovChime does not check exclusions.
Performance
Net obligations recorded under this UEI since FY2014. Top lists show the largest five by share of this vendor's net obligations; the shares do not sum to 100%.
Net obligations by fiscal year of action
- FY2014: $17,970
Total across 1 fiscal year: $17,970
Top awarding agencies
- Department of Health and Human Services$17,970, 100%
Top awarding sub-agencies
- Indian Health Service$17,970, 100%
Top NAICS by obligations
- 238350Finish carpentry contractors$17,970, 100%
Top product and service codes by obligations
- 7290Miscellaneous household and commercial furnishings and appliances$17,970, 100%
Capabilities
SBA certifications
No certification in the SBA profile data.
Contracts
Latest awards and orders
- HHSI247201400103APoDepartment of Health and Human ServicesIndian Health ServiceLatest action
Contact Info
As of . Source: SAM.gov Points of Contact.
SAM.gov registration for Form-A-Fab, Inc. lists a physical address and a separate mailing address, along with 2 verified points of contact. Past Performance contacts are the recommended outreach channel for due-diligence references; Government Business contacts handle procurement-facing correspondence.
Source: SAM.gov entity registration. Contacts displaying numeric or placeholder names have been filtered (defense-in-depth).
Physical Address
2021 College Dr
Lake Havasu City, AZ, 86403
USA
Mailing Address
2021 College Dr
Lake Havasu City, AZ, 86403
USA
Government Business Contact
Debra Saphiloff
Office Manager
2021 College Drive
Lake Havasu City, AZ, 86403
USA
Electronic Business Contact
Debra Saphiloff
Office Manager
2021 College Drive
Lake Havasu City, AZ, 86403
USA
Additional Details
As of . Source: SAM.gov Entity Registration.
Form-A-Fab, Inc. has no active federal suspension or debarment on record in SAM.gov. Current SAM.gov registration expires December 29, 2017.
Source: SAM.gov entity registration (FAR responses, registration status). Always verify active exclusions against the authoritative record on SAM.gov before contract award.
Compliance & Risk Assessment
Source: SAM.gov FAR responsesSuspension/Debarment Status
SAM.gov registration reports no active exclusion
Public Display
Entity information is publicly displayed
Business Structure
Source: SAM.govRegistration Details
Source: SAM.govInitial Registration
Last Update
Registration Activation
Fiscal Year End
Country of Incorporation
Congressional District