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Fee Waiver BOS Summary Sheet Submitted to Finance on 07/30/19 Item # Administrative Name Business Requested Fee Administrative Address Permit # Permit Type Class Waiver Approved (Approved/Denied) Previous Paid (Yes/No) P1-Jul-19 St Mary's Food Bank St Mary's Food Bank $ 120.00 3003 W. Thomas Rd., Phoenix, AZ 85009 MF-18-0099 Food Peddler 2 Approved St Mary's Food Bank St Mary's Food Bank $ 120.00 3003 W. Thomas Rd., Phoenix, AZ 85009 MF-18-0102 Food Peddler 2 Approved St Mary's Food Bank Alliance St Mary's Food Bank Alliance $ 255.00 2831 N. 31st Ave., Phoenix, AZ 85009 FD-16455 Food Jobber 2 Approved St Mary's Food Bank Alliance St Mary's Food Bank Alliance $ 1,030.00 2831 N. 31st Ave., Phoenix, AZ 85009 FD-16515 E & D 10+ Seating 4 Approved St Mary's Food Bank Alliance St Mary's Food Bank Alliance $ 620.00 2831 N. 31st Ave., Phoenix, AZ 85009 FD-00136 Damaged Foods 4 Approved St Mary's Food Bank Alliance St Mary's Food Bank Alliance $ 260.00 2831 N. 31st Ave., Phoenix, AZ 85009 FD-06456 Food Processor 2 Approved P1-Jul-19 Total $ 2,405.00 P2-Jul-19 Childrens Academy Inc Childrens Academy $ 390.00 727 W. Townley Ave., Phoenix, AZ 85018 FD-35188 Daycare Food Services 3 Approved P2-Jul-19 Total $ 390.00 Special Event: Laveen Spring Arts Festival, P3-Jul-19 Laveen Education Foundation April 5, 2019 $ 85.00 5001 W. Dobbins Ave., Laveen, AZ 85339 FD-72418 Temporary Approved P3-Jul-19 Total $ 85.00 P4-Jul-19 Neighborhood Ministries Neighborhood Ministries $ 1,030.00 1918 W. Van Buren St., Phoenix, AZ 85009 FD-06044 E & D 10+ Seating 4 Approved Neighborhood Ministries Neighborhood Ministries $ 260.00 1918 W. Van Buren St., Phoenix, AZ 85009 FD-72663 Food Bank 2 Approved P4-Jul-19 Total $ 1,290.00 P5-Jul-19 Civitan Foundation Inc Civitan Village $ 530.00 12635 N. 42nd St., Phoenix, AZ 85032 FD-38181 Food Catering 5 Approved Civitan Foundation Inc Civitan Village $ 1,030.00 12635 N. 42nd St., Phoenix, AZ 85032 FD-32094 E & D 10+ Seating 4 Approved P5-Jul-19 Total $ 1,560.00 Special Event: 35th Annual My Nana's Salsa P6-Jul-19 Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72932 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72933 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72934 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72935 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72936 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72937 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72938 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72939 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72940 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72941 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72942 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72943 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72944 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72945 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72946 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72947 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72948 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72949 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72950 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72951 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72952 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72953 Temporary Approved Page 1 of 4 Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72954 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72955 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72956 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72957 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72958 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72959 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72960 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72961 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72962 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72963 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72964 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72965 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72966 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72967 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72968 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72969 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72970 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72971 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72972 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72973 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72974 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72975 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72976 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72977 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72978 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72979 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72980 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72981 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72982 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72983 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72984 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72985 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72986 Temporary Approved Page 2 of 4 Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72987 Temporary Approved Special Event: 35th Annual My Nana's Salsa Arizona Hemophilia Association Challenge, April 13, 2019 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-72988 Temporary Approved P6-Jul-19 Total $ 4,845.00 P7-Jul-19 United Cerebral Palsy of Central AZ Café Without Limits $ 260.00 1802 W Parkside Ln., Phoenix, AZ 85027 FD-16197 E & D 0 - 9 Seating 2 Approved P7-Jul-19 Total $ 260.00 P8-Jul-19 Local First Arizona Foundation El Rancho Community Kitchen $ 1,030.00 407 E Roosevelt St., Phoenix, AZ 85004 FD-62298 E & D 10+ Seating 4 Approved P8-Jul-19 Total $ 1,030.00 Special Event: Tequilia & Tortilia, April 28, P9-Jul-19 The Joy Bus 2019 $ 85.00 3375 E. Shea Blvd., Suite #C-1, Phoenix, AZ 85028 FD-73068 Temporary Approved P9-Jul-19 Total $ 85.00 P10-Jul-19 ICM Food & Clothing Bank ICM Food & Clothing Bank $ 255.00 PO Box 2225, Phoenix, AZ 85002 FD-50920 Food Jobber 2 Approved P10-Jul-19 Total $ 255.00 Pure Heart Church - Food Pantry Building P11-Jul-19 NAOS Inc #100 $ 255.00 14240 N. 43rd Ave., Bldg #100, Glendale, AZ 85306 FD-57711 Food Jobber 2 Approved P11-Jul-19 Total $ 255.00 P12-Jul-19 ICAN I Can Positive Programs For Chandler Youth $ 650.00 650 E. Morelos St., Chandler, AZ 85225 FD-20089 E & D 10+ Seating 3 Approved P12-Jul-19 Total $ 650.00 P13-Jul-19 Foundation For Senior Living Adult Day Care - Phoenix $ 100.00 3620 N 4th Ave., Phoenix, AZ 85013 FD-12859 Adult Daycare 3 Approved P13-Jul-19 Total $ 100.00 P14-Jul-19 Phx Center For Blind Inc Arizona Center For Blind $ 1,030.00 3100 E. Roosevelt St., Phoenix, AZ 85008 FD-00041 E & D 10+ Seating 4 Approved P14-Jul-19 Total $ 1,030.00 Special Event: Flavors of Phoenix, May 23, P15-Jul-19 American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-73521 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-73517 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-73485 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-73486 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-72614 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-72681 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-72677 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-72675 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-72678 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-72616 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-72619 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-72622 Temporary Approved Special Event: Flavors of Phoenix, May 23, American Liver Foundation 2019 $ 85.00 4545 E. Shea Blvd, Suite 246, Phoenix, AZ 85028 FD-72624 Temporary Approved P15-Jul-19 Total $ 1,105.00 P16-Jul-19 Trinity Lutheran Church Trinity Lutheran Church & School $ 230.00 830 Plaza Cir., Litchfield Park, AZ 85340 FD-14274 Service Kitchen 2 Approved P16-Jul-19 Total $ 230.00 P17-Jul-19 Society of St Vincent de Paul Church Ascension Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18960 Food Jobber 2 Approved Society of St Vincent de Paul Church of the Resurrection Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18959 Food Jobber 2 Approved Society of St Vincent de Paul Most Holy Trinity Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-19064 Food Jobber 2 Approved Society of St Vincent de Paul St Mary Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-19083 Food Jobber 2 Approved Society of St Vincent de Paul St Francis Xavier Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18226 Food Jobber 2 Approved Society of St Vincent de Paul Blessed Sacrament Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18214 Food Jobber 2 Approved Society of St Vincent de Paul Society of St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18622 Food Jobber 2 Approved Society of St Vincent de Paul St Bridget Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18962 Food Jobber 2 Approved Society of St Vincent de Paul All Saints Catholic Church $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18961 Food Jobber 2 Approved Society of St Vincent de Paul St Thomas Aquinas Church $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18849 Food Jobber 2 Approved Society of St Vincent de Paul St Williams Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18850 Food Jobber 2 Approved Society of St Vincent de Paul St Martin de Porres $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18851 Food Jobber 2 Approved Society of St Vincent de Paul St Augustine Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18854 Food Jobber 2 Approved Society of St Vincent de Paul St Benedict Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18210 Food Jobber 2 Approved Page 3 of 4 Society of St Vincent de Paul Society of St Vincent de Paul Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18215 Food Jobber 2 Approved Society of St Vincent de Paul Sacred Heart Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18219 Food Jobber 2 Approved Society of St Vincent de Paul St Thomas The Apostle Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18222 Food Jobber 2 Approved Society of St Vincent de Paul St Matthew Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18216 Food Jobber 2 Approved Society of St Vincent de Paul St Daniel The Prophet Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18231 Food Jobber 2 Approved Society of St Vincent de Paul St Anthony Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18217 Food Jobber 2 Approved Society of St Vincent de Paul Holy Family Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18221 Food Jobber 2 Approved Society of St Vincent de Paul St Vincent de Paul $ 590.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-25980 Food Processor 4 Approved P17-Jul-19 Total $ 5,945.00 P18-Jul-19 Saguaro Jane's Corp Wittmann Community Center $ 260.00 PO Box 151, Wittmann, AZ 85361 FD-08222 Food Bank 2 Approved P18-Jul-19 Total $ 260.00 P19-Jul-19 Peoria Unified School District Peoria High School Culinary Arts $ 1,030.00 6330 W Thunderbird Rd., Glendale, AZ 85306 FD-29237 E & D 10+ Seating 4 Approved Peoria Unified School District #11 Sunrise Moutain Marketing Store $ 235.00 6330 W Thunderbird Rd., Glendale, AZ 85306 FD-29184 Retail Food 2 Approved P19-Jul-19 Total $ 1,265.00 P20-Jul-19 Banner Olive Branch Senior Center Olive Branch Senior Center $ 1,020.00 11250 N. 107th Ave., Sun City, AZ 85361 FD-13026 E & D 10+ Seating 5 Approved P20-Jul-19 Total $ 1,020.00 P21-Jul-19 Andre House of AZ Andre House Jackson Street $ 1,030.00 PO Box 2014, Phoenix, AZ 85001 FD-00185 E & D 10+ Seating 4 Approved P21-Jul-19 Total $ 1,030.00 P22-Jul-19 Tempe Community Action Agency North Tempe Multi-Generational Center $ 475.00 2146 E. Apache Blvd., Tempe, AZ 85281 FD-10388 Senior Food Service 3 Approved P22-Jul-19 Total $ 475.00 P23-Jul-19 AZCEND Chandler Senior Center $ 230.00 PO Box 591, Chandler, AZ 85244 FD-32527 Service Kitchen 2 Approved P23-Jul-19 Total $ 230.00 Total Permits $ 25,800.00 Item # Administrative Name Business Fee Used Administrative Address Certificate Type Waiver Approved (Approved/Denied) Date Used Gone to Fin (Y/N) C8-Feb-19 Resurrection Street Ministry Resurrection Street Ministry $ 162.50 1135 E. Main St., Mesa, AZ 85203 Volunteer Volunteer 5/7/2019 N C8-Feb-19 $ 162.50 Total Food Service Worker Training Classes $ 162.50 Adjustments Item # Administrative Name Business Requested Fee Administrative Address Permit # Permit Type Class Comments Was listed on Summary sheet at P3-Apr-19 Foundation & Senior Living Peoria Community Center $ (155.00) 1201 E. Thomas Rd., Phoenix, AZ 85014 FD-01626 Adult Daycare 3 $255.00. Should be $100.00 P3-Apr-19 Total $ (155.00) Jag Sagar Bharatiya Ekta Mandir/Indo American Cultural and Religious Foundation Was listed on Summary sheet at P23-Apr-19 of Arizona Bharariya Ekta Mandir $ (50.00) PO Box 35275, Phoenix, AZ 85069 FD-12403 E and D 10 + Seating 2 $365.00 Should be $315.00 P23-Apr-19 Total $ (50.00) Total Adjustments $ (205.00) Grand Total $ 25,757.50 An alphanumeric item # is used above The first digits indicate the item number as it originally appreared on the summary sheet The middle letters indicate the month of the BOH meeting The last two digits indicate the year of the BOH meeting Page 4 of 4