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Fee Waiver BOS Summary Sheet Submitted to Finance on 08/06/18 Item # Administrative Name Business Requested Fee Administrative Address Permit # Permit Type Class Waiver Approved (Approved/Denied) Previous Paid (Yes/No) P1-Jul-18 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 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 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 St Benedict Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18210 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 Martin de Porress $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18851 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 Thomas Aquinas Church $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18849 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 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 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 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 Church of the Ascension Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18960 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 Bridget Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18962 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 Mathew Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18216 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 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 Vincent de Paul $ 590.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-25980 Food Processor 4 Approved P1-Jul-18 Total $ 5,945.00 Special Event- Neighborhood Fair at St P2-Jul-18 St. James Roman Catholic Parish James, April 14, 2018 $ 85.00 19640 North 35th Ave, Glendale, AZ 85308 FD-64936 Temporary Approved P2-Jul-18 Total $ 85.00 P3-Jul-18 St Catherine of Siena Roman Catholic Parish St Catherine of Siena Roman Catholic Parish $ 1,230.00 6401 S. Central Ave., Phoenix, AZ 85042 FD-62762 Plan Review Approved St Catherine of Siena Roman Catholic Parish St Catherine of Siena Roman Catholic Parish $ 650.00 6401 S. Central Ave., Phoenix, AZ 85042 FD-62762 E & D 10+ Seating 3 Approved P3-Jul-18 Total $ 1,880.00 P4-Jul-18 Under God Ministries Under God Ministries $ 260.00 702 E. Broadway Rd., Phoenix, AZ 85040 FD-52433 Food Bank 2 Approved P4-Jul-18 Total $ 260.00 P5-Jul-18 NAOS Inc Pure Heart Church $ 255.00 14240 N. 43rd Ave. Bldg #100, Glendale, AZ 85306 FD-57711 Food Jobber 2 Approved P5-Jul-18 Total $ 255.00 P6-Jul-18 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 P6-Jul-18 Total $ 1,030.00 P7-Jul-18 Grace Luthren Church Grace Luthren Church $ 315.00 1124 N. 3rd St., Phoenix, AZ 85004 FD-61743 E & D 10+ Seating 2 Approved P7-Jul-18 Total $ 315.00 P8-Jul-18 Amazing Grace Café Kitchen on the Street $ 610.00 2650 E. Mohawk Lane #168, Phoenix, AZ 85050 MF-17-0452 Mobile Food Unit 4 Approved P8-Jul-18 Total $ 610.00 P9-Jul-18 Salvation Army The Salvation Army $ 260.00 PO Box 4106, Mesa, AZ 85211 FD-09034 Food Bank 2 Approved Salvation Army The Salvation Army $ 1,030.00 PO Box 4106, Mesa, AZ 85211 FD-09110 E & D 10+ Seating 4 Approved Salvation Army The Salvation Army $ 1,030.00 1375 E. Broadway Rd., Phoenix, AZ 85040 FD-17288 E & D 10+ Seating 4 Approved Salvation Army The Salvation Army $ 315.00 1375 E. Broadway Rd., Phoenix, AZ 85040 FD-17396 E & D 10+ Seating 2 Approved Salvation Army The Salvation Army $ 260.00 1375 E. Broadway Rd., Phoenix, AZ 85040 FD-17395 E & D 0 - 9 Seating 2 Approved Salvation Army The Salvation Army $ 260.00 1375 E. Broadway Rd., Phoenix, AZ 85040 FD-17394 E & D 0 - 9 Seating 2 Approved Salvation Army Salvation Army Phoenix Social Services $ 760.00 2707 E. Van Buren Suite #100, Phoenix, AZ 85008 FD-22318 Boarding Home 5 Approved P9-Jul-18 Total $ 3,915.00 P10-Jul-18 New River Kiwanis Club New River Senior Center $ 315.00 48606 N. 17th Ave., New River, AZ 85087 FD-09116 E & D 10+ Seating 2 Approved P10-Jul-18 Total $ 315.00 P11-Jul-18 Foundation for Senior Living Adult Day Care - Phoenix $ 100.00 3620 N. 4th Ave., Phoenix, AZ 85013 FD-12859 Adult Daycare 3 Approved P11-Jul-18 Total $ 100.00 P12-Jul-18 ICM Food & Clothing Bank ICM Food & Clothing Bank $ 255.00 PO Box 2225, Phoenix, AZ 85002 FD-50920 Food Jobber 2 Approved P12-Jul-18 Total $ 255.00 P13-Jul-18 United Food Bank United Food Bank $ 260.00 245 S. Nina, Mesa, AZ 85210 FD-16482 Food Bank 2 Approved United Food Bank United Food Bank $ 255.00 245 S. Nina, Mesa, AZ 85210 FD-03353 Food Jobber 2 Approved P13-Jul-18 Total $ 515.00 P14-Jul-18 Saguaro Jane's Corp Wittmann Community Center $ 260.00 PO Box 151, Wittmann, AZ 85361 FD-08222 Food Bank 2 Approved P14-Jul-18 Total $ 260.00 P15-Jul-18 Trinity Lutheran Church Trinity Lutheran Church & School $ 280.00 830 Plaza Cir., Litchfield Park, AZ 85340 FD-14274 Service Kitchen 2 Approved P15-Jul-18 Total $ 280.00 P16-Jul-18 Andre House of AZ Inc Andre House Jackson St $ 1,030.00 PO Box 2014, Phoenix, AZ 85001 FD-00185 E & D 10+ Seating 4 Approved P16-Jul-18 Total $ 1,030.00 P17-Jul-18 Arizona Center for Blind Inc Arizona Center for Blind $ 1,030.00 3100 E. Roosevelt , Phoenix, AZ 85008 FD-00041 E & D 10+ Seating 4 Approved P17-Jul-18 Total $ 1,030.00 Page 1 of 4 P18-Jul-18 Mathews Crossing Matthew's Crossing Food Bank $ 260.00 1368 N. Arizona Ave. Suite 112, Chandler, AZ 85225 FD-18940 Food Bank 2 Approved P18-Jul-18 Total $ 260.00 P19-Jul-18 The Cultural Cup Food Bank The Cultural Cup Food Bank $ 260.00 342 E Thomas Rd., Phoenix, AZ 85012 FD-51285 Food Bank 2 Approved P19-Jul-18 Total $ 260.00 Special Event: Cinco De Mayo Fiesta May 5, P20-Jul-18 Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65818 Temporary Approved Special Event: Cinco De Mayo Fiesta May 5, Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65819 Temporary Approved Special Event: Cinco De Mayo Fiesta May 5, Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65820 Temporary Approved Special Event: Cinco De Mayo Fiesta May 5, Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65821 Temporary Approved Special Event: Cinco De Mayo Fiesta May 5, Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65822 Temporary Approved Special Event: Cinco De Mayo Fiesta May 5, Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65823 Temporary Approved Special Event: Cinco De Mayo Fiesta May 5, Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65824 Temporary Approved Special Event: Cinco De Mayo Fiesta May 5, Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65825 Temporary Approved Special Event: Cinco De Mayo Fiesta May 5, Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65826 Temporary Approved Special Event: Cinco De Mayo Fiesta May 5, Arizona Diamondback Foundation 2018 $ 85.00 401 E. Jefferson St., Phoenix, AZ 85004 FD-65827 Temporary Approved P20-Jul-18 Total $ 850.00 Special Event: Flavors of Phoenix 2018, May P21-Jul-18 American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66143 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66145 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66120 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66124 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66125 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66127 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66128 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66130 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66131 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66132 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66133 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66134 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66136 Temporary Approved Special Event: Flavors of Phoenix 2018, May American Liver Foundation 24, 2018 $ 85.00 4545 E. Shea Blvds., Suite 246, Phoenix, AZ 85028 FD-66137 Temporary Approved P21-Jul-18 Total $ 1,190.00 P22-Jul-18 St. Mary’s Food Bank Alliance St Mary's Food Bank Alliance $ 255.00 3131 W. Thomas Rd., Phoenix, AZ 85017 FD-15138 Food Jobber 2 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 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 $ 255.00 2831 N. 31st Ave., Phoenix, AZ 85009 FD-16455 Food Jobber 2 Approved P22-Jul-18 Total $ 2,420.00 Special Event: Benefit for Miss Molly, May P23-Jul-18 Fraternal Order of Eagles 19, 2018 $ 85.00 1712 W. Brodway Rd. #108, Mesa, AZ 85202 FD-66117 Temporary Approved Special Event: 4th of July Celebration, July, Fraternal Order of Eagles 4, 2018 $ 85.00 1712 W. Brodway Rd. #108, Mesa, AZ 85202 FD-66536 Temporary Approved P23-Jul-18 Total $ 170.00 P24-Jul-18 Peoria Unified School District Sunrise Mountain Marketing Store $ 235.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29184 Retail Food 2 Approved 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 P24-Jul-18 Total $ 1,265.00 P25-Jul-18 Boys and Girls Club of Metropolitan Phoenix Special Event: The Big Event, May 5, 2018 $ 85.00 4309 E. Bellview St., Phoenix, AZ 85008 FD-65665 Temporary Approved Boys and Girls Club of Metropolitan Phoenix Special Event: The Big Event, May 5, 2018 $ 85.00 4309 E. Bellview St., Phoenix, AZ 85008 FD-65681 Temporary Approved Page 2 of 4 P25-Jul-18 Total $ 170.00 P26-Jul-18 Joshua Tree Feeding Program Joshua Tree Feeding Program $ 260.00 530 E. McDowell Rd. Ste 107-247, Phoenix, AZ 85004 FD-32104 Food Bank 2 Approved P26-Jul-18 Total $ 260.00 P27-Jul-18 AZCEND Chandler Senior Center $ 230.00 PO Box 591, Chandler, AZ 85244 FD-32527 Service Kitchen 2 Approved P27-Jul-18 Total $ 230.00 P28-Jul-18 Midwest Food Bank Midwest Food Bank $ 260.00 726 E. Baseline Rd., Gilbert, AZ 85233 FD-56125 Food Bank 2 Approved Midwest Food Bank Midwest Food Bank $ 260.00 726 E. Baseline Rd., Gilbert, AZ 85233 FD-56894 Food Processor 2 Approved P28-Jul-18 Total $ 520.00 P29-Jul-18 Lura Turner Homes Civitan House $ 670.00 8640 N. 19th Ave., Suite #14, Phoenix, AZ 85021 FD-00212 Assisted Living 5 Approved P29-Jul-18 Total $ 670.00 P30-Jul-18 ICAN I Can Positive Programs for Chandlers Youth $ 650.00 650 E. Morelos St., Chandler, AZ 85225 FD-20089 E & D 10+ Seating 3 Approved P30-Jul-18 Total $ 650.00 P31-Jul-18 Civitan Foundation Inc Civitan Village $ 580.00 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 P31-Jul-18 Total $ 1,610.00 P32-Jul-18 Banner Health Olive Branch Senior Center $ 1,020.00 11250 N. 107th Ave., Sun City, AZ 85361 FD-13026 E & D 10+ Seating 5 Approved Banner Health Olive Branch Senior Center $ 260.00 11250 N. 107th Ave., Sun City, AZ 85361 FD-28091 Food Bank 2 Approved P32-Jul-18 Total $ 1,280.00 P33-Jul-18 Trinity Baptist Church Trinity Baptist Church $ 1,030.00 2130 E. University Dr., Mesa, AZ 85213 FD-11584 E & D 10+ Seating 4 Approved P33-Jul-18 Total $ 1,030.00 P34-Jul-18 Tempe Community Action Agency Inc. North Tempe Multi-Generational Center $ 475.00 2146 E. Apache Blvd., Tempe, AZ 85281 FD-10388 Senior Food Service 3 Approved P34-Jul-18 Total $ 475.00 P35-Jul-18 UMOM New Day Centers Inc UMOM Women's Shelter $ 760.00 FD-57930 Boarding Home 5 Approved P35-Jul-18 Total $ 760.00 Total Permits $ 32,150.00 Item # Administrative Name Business Fee Used Administrative Address Certificate Type Waiver Approved (Approved/Denied) Date Used Gone to Fin (Y/N) C1-Apr 18 Banner Health Banner Olive Branch Senior Center $ 260.00 11250 N. 7th Ave., Sun City, AZ 85351 Volunteer Approved 5/8/2018 N $ 195.00 5/16/2018 N C1-A- Total $ 455.00 AZCEND (formerly Chandler Christian C4-Apr 18 Community Center) Gilbert & Chandler Senior Centers $ 260.00 345 S. California St., Chandler, AZ 85225 Volunteer Approved 5/18/2018 N C4-A- Total $ 260.00 C5-Apr 18 Joshua Tree Feeding Program Joshua Tree Feeding Program $ 195.00 214 E Willetta St., Phoenix, AZ 85004 Volunteer Approved 5/15/2018 N C5-A- Total $ 195.00 C2-Jul-18 Mesa Public School District #4 Westwood High School $ 130.00 945 W. Rio Salado Parkway, Mesa, AZ 85201 Culinary Approved 5/30/2018 N C2-J- Total $ 130.00 C3-Jul-18 St John Institutional Baptist Church St John Institutional Baptist Church $ 228.00 1428 S. 13th Ave., Phoenix, AZ 85007 Volunteer Approved 7/18/2018 N C3-J Total $ 228.00 Total Food Service Worker Certificates $ 1,268.00 Adjustments Waiver Approved Item # Administrative Name Business Requested Fee Administrative Address Permit # Permit Type Class (Approved/Denied) Comment Original amount approved included P31-Jul-18 Civitan Foundation Inc Civitan Village $ (50.00) 12635 N.42nd St., Phoenix, AZ 85032 FD-38181 Food Catering 5 Approved $50.00 late fee P31-Jul-18 Total $ (50.00) Fee Waiver was previously approved in P32-Jul-18 Banner Health Olive Branch Senior Center $ (260.00) 11250 N. 107th Ave., Sun City, AZ 85361 FD-28091 Food Bank 2 Approved February 2018 P32-Jul-18 Total $ (260.00) Total Adjustments $ (310.00) Grand Total $ 33,108.00 Page 3 of 4 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