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Fee Waiver BOS Summary Sheet Submitted to Finance on 05/03/17 Item # Administrative Name Business Requested Fee Administrative Address Permit # Permit Type Class Waiver Approved (Approved/Denied) Previous Paid (Yes/No) P1-Apr-17 Boys & Girls Club of Metro Phoenix Boys & Girls Club $ 315.00 4309 E. Belleview St. Bldg #14, Phoenix, AZ 85008 FD-14001 E & D 10+ Seating 2 Approved Boys & Girls Club of Metro Phoenix Boys & Girls Club $ 315.00 4309 E. Belleview St. Bldg #14, Phoenix, AZ 85008 FD-14080 E & D 10+ Seating 2 Approved Boys & Girls Club of Metro Phoenix Boys & Girls Club-Gabel Branch $ 515.00 4309 E. Belleview St. Bldg #14, Phoenix, AZ 85008 FD-15904 School Food Service 3 Approved Boys & Girls Club of Metro Phoenix Peoria Boys & Girls Club $ 260.00 4309 E. Belleview St. Bldg #14, Phoenix, AZ 85008 FD-00002 E & D 0-9 Seating 2 Approved Boys & Girls Club of Metro Phoenix Rosenzweig Boys & Girls Club $ 230.00 4309 E. Belleview St. Bldg #14, Phoenix, AZ 85008 FD-06560 Service Kitchen 2 Approved Boys & Girls Club of Metro Phoenix Boys & Girls Club $ 260.00 4309 E. Belleview St. Bldg #14, Phoenix, AZ 85008 FD-04399 E & D 0-9 Seating 2 Approved Boys & Girls Club of Metro Phoenix Boys & Girls Club of Metro Phoenix - Sands $ 230.00 4309 E. Belleview St. Bldg #14, Phoenix, AZ 85008 FD-23607 Service Kitchen 2 Approved Boys & Girls Club of Metro Phoenix Keickhefer Boys Club $ 230.00 4309 E. Belleview St. Bldg #14, Phoenix, AZ 85008 FD-00049 Service Kitchen 2 Approved Boys & Girls Club of Metro Phoenix IG Homes Boys Club $ 315.00 4309 E. Belleview St. Bldg #14, Phoenix, AZ 85008 FD-00028 E & D 10+ Seating 2 Approved P1-Apr-17 Total $ 2,670.00 P2-Apr-17 Compassion In Action Compassion In Action $ 260.00 PO Box 2932, Chandler, AZ 85244 FD-04394 Food Bank 2 Approved P2-Apr-17 Total $ 260.00 P3-Apr-17 Westside Head Start Catholic Charities Glendale Lamar $ 230.00 7400 W. Olive Ave Suite #10, Peoria, AZ 85345 FD-06940 Service Kitchen 2 Approved Westside Head Start Catholic Charities Sine Head Start $ 230.00 7400 W. Olive Ave. Ste. #10, Peoria, AZ 85301 FD-11057 Service Kitchen 2 Approved Westside Head Start Catholic Charities Glendale Ocotillo $ 230.00 7400 W. Olive Ave. Ste. #10, Peoria, AZ 85301 FD-06941 Service Kitchen 2 Approved Westside Head Start Catholic Charities Buckeye Head Start $ 230.00 7400 W. Olive Ave. Ste. #10, Peoria, AZ 85301 FD-07005 Service Kitchen 2 Approved P3-Apr-17 Total $ 920.00 P4-Apr-17 Oakwood Creative Care Oakwood Creative Care $ 230.00 PO Box 1213, Mesa, AZ 85211 FD-00162 Service Kitchen 2 Approved P4-Apr-17 Total $ 230.00 P5-Apr-17 St Mary's Food Bank St Mary's Food Bank $ 255.00 2831 N. 31st Ave, Phoenix, AZ FD-00183 Food Jobber 2 Approved St Mary's Food Bank St Mary's Food Bank $ 620.00 2831 N. 31st Ave, Phoenix, AZ FD-00223 Damage Foods 4 Approved St Mary's Food Bank St Mary's Food Bank $ 530.00 2831 N. 31st Ave, Phoenix, AZ FD-22640 Food Catering 5 Approved P5-Apr-17 Total $ 1,405.00 P6-Apr-17 Desert Heights Charter Schools Desert Heights Charter Schools $ 260.00 3540 W Union Hills Dr, Glendale, AZ 85308 FD-39618 E & D 0-9 Seating 2 Approved Desert Heights Charter Schools Desert Heights Charter Schools $ 245.00 3540 W Union Hills Dr, Glendale, AZ 85308 NF-03048 Plan Review Approved Desert Heights Charter Schools Desert Heights Charter Schools $ 185.00 3540 W Union Hills Dr, Glendale, AZ 85308 NF-03048 School Grounds Approved P6-Apr-17 Total $ 690.00 P7-Apr-17 A New Leaf E Valley Transitional Training $ 315.00 868 E. University Dr., Mesa, AZ 85203 FD-04703 10+ Seating 2 Approved A New Leaf East Valley Mens Center $ 760.00 868 E. University Dr., Mesa, AZ 85203 FD-34435 Boarding Home 5 Approved P7-Apr-17 Total $ 1,075.00 P8-Apr-17 The Family School The Family School $ 230.00 1127 W. McDowell Rd., Phoenix, AZ 85007 FD-06419 Service Kitchen 2 Approved P8-Apr-17 Total $ 230.00 P9-Apr-17 Christian Life Outreach Mom's Pantry $ 315.00 13440 N. Cave Creek Rd., Phoenix, AZ 85022 FD-56616 Plan Review Approved Christian Life Outreach Mom's Pantry $ 260.00 13440 N. Cave Creek Rd., Phoenix, AZ 85022 FD-52898 Food Bank 2 Approved Christian Life Outreach Mom's Pantry $ 260.00 13440 N. Cave Creek Rd., Phoenix, AZ 85022 FD-56616 Food Processor 2 Approved P9-Apr-17 Total $ 835.00 P10-Apr-17 Midwest Food Bank Midwest Food Bank $ 615.00 725 E. Baseline Rd., Gilbert, AZ 85233 FD-56125 Plan Review Approved Midwest Food Bank Midwest Food Bank $ 615.00 725 E. Baseline Rd., Gilbert, AZ 85233 FD-56894 Plan Review Approved P10-Apr-17 Total $ 1,230.00 P11-Apr-17 Southwest Autism Research and Resource Center Benifical Beans $ 315.00 300 N. 18th St., Phoenix, AZ 85006 FD-56444 Plan Review Approved P11-Apr-17 Total $ 315.00 P12-Apr-17 S.T.A.R. -Stand Together and Recover Stand Together and Recover $ 100.00 3003 N. Central Ave. Ste. 675, Phoenix, AZ 85012 FD-14147 Adult Daycare 3 Approved S.T.A.R. -Stand Together and Recover Stand Together and Recover $ 1,030.00 3003 N. Central Ave. Ste. 675, Phoenix, AZ 85012 FD-05319 E & D 10+ Seating 4 Approved S.T.A.R. -Stand Together and Recover Stand Together and Recover $ 530.00 3003 N. Central Ave. Ste. 675, Phoenix, AZ 85012 FD-10795 Food Catering 5 Approved P12-Apr-17 Total $ 1,660.00 P13-Apr-17 Society of St Vincent de Paul Society of St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-14189 Food Jobber 2 Approved Society of St Vincent de Paul Society of St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-14188 Food Jobber 2 Approved Society of St Vincent de Paul Society of St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-14053 Food Jobber 2 Approved Society of St Vincent de Paul Society of St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-14096 Food Jobber 2 Approved Society of St Vincent de Paul Society of St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-14098 Food Jobber 2 Approved Society of St Vincent de Paul Society of St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-14097 Food Jobber 2 Approved Society of St Vincent de Paul St Mark Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-18230 Food Jobber 2 Approved Society of St Vincent de Paul St Edward The Confessor Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-18218 Food Jobber 2 Approved Society of St Vincent de Paul Society of St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-14247 Food Jobber 2 Approved Society of St Vincent de Paul St Vincent de Paul $ 230.00 PO Box 13600, Phoenix, AZ 85002 FD-09661 Service Kitchen 2 Approved Society of St Vincent de Paul Corpus Christi Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-18212 Food Jobber 2 Approved Society of St Vincent de Paul St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-01316 Food Jobber 2 Approved Society of St Vincent de Paul St Vincent de Paul Mesa $ 315.00 PO Box 13600, Phoenix, AZ 85002 FD-00155 E & D 10+ Seating 2 Approved Society of St Vincent de Paul St Vincent de Paul $ 255.00 PO Box 13600, Phoenix, AZ 85002 FD-00151 Food Jobber 2 Approved Society of St Vincent de Paul St Vincent de Paul $ 650.00 PO Box 13600, Phoenix, AZ 85002 FD-03017 E & D 10+ Seating 3 Approved Society of St Vincent de Paul St Vincent de Paul $ 1,030.00 PO Box 13600, Phoenix, AZ 85002 FD-00180 E & D 10+ Seating 4 Approved Society of St Vincent de Paul Ozanam Manor $ 760.00 PO Box 13600, Phoenix, AZ 85002 FD-00165 Boarding Home 5 Approved P13-Apr-17 Total $ 6,045.00 P14-Apr-17 Northminister Food Bank Northminister Food Bank $ 260.00 13001 N. 35th Ave., Phoenix, AZ 85029 FD-28623 Food Bank 2 Approved Page 1 of 3 P14-Apr-17 Total $ 260.00 P15-Apr-17 Roosevelt Action Asociation Special Event: Chilli Cook Off 03-18-17 $ 85.00 PO Box 2788, Phoenix, AZ 85002 FD-56370 Temporary Permit Approved Roosevelt Action Asociation Special Event: Chilli Cook Off 03-18-17 $ 85.00 PO Box 2788, Phoenix, AZ 85002 FD-56371 Temporary Permit Approved P15-Apr-17 Total $ 170.00 P16-Apr-17 St Timothys Catholic Church Paz de Cristo $ 1,030.00 424 W. Broadway Rd., Mesa, AZ 85210 FD-00225 E & D 10+ Seating 4 Approved St Timothys Catholic Church Paz de Cristo $ 530.00 424 W. Broadway Rd., Mesa, AZ 85210 FD-00217 Food Catering 5 Approved P16-Apr-17 Total $ 1,560.00 P17-Apr-17 Phoenix Gospel Mission Phoenix Gospel Mission $ 760.00 1468 N. 26th Ave., Phoenix, AZ 85009 FD-04499 Boarding Home 5 Approved Phoenix Gospel Mission Changing Lives $ 760.00 1468 N. 26th Ave., Phoenix, AZ 85009 FD-31511 Boarding Home 5 Approved P17-Apr-17 Total $ 1,520.00 P18-Apr-17 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 P18-Apr-17 Total $ 1,290.00 P19-Apr-17 Mount of Olives Mount of Olives $ 260.00 3546 E. Thomas Rd., Phoenix, AZ 85018 FD-08476 Food Bank 2 Approved P19-Apr-17 Total $ 260.00 P20-Apr-17 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 P20-Apr-17 Total $ 315.00 P21-Apr-17 YWCA of Maricopa County YWCA Seniors Citizens $ 1,030.00 8561 N. 61st Ave., Glendale, AZ 85302 FD-00004 E & D 10+ Seating 4 Approved P21-Apr-17 Total $ 1,030.00 P22-Apr-17 Matthews Crossing Mathew's Crossing Food Bank $ 260.00 1368 N. Arizona Ave. Suite #112, Chandler, AZ 85225 FD-18940 Food Bank 2 Approved P22-Apr-17 Total $ 260.00 P23-Apr-17 Chandler Christian Community Center Chandler Christian Community Center $ 260.00 PO Box 591, Chandler, AZ 85244-0591 FD-00149 Food Bank 2 Approved P23-Apr-17 Total $ 260.00 P24-Apr-17 Resurrection Street Ministries Resurrection Street Ministries $ 260.00 891 W. Boxelder Pl., Chandler, AZ 85225 FD-22245 Food Bank 2 Approved P24-Apr-17 Total $ 260.00 P25-Apr-17 Interfaith Services Benevilla $ 230.00 8133 W. Cactus Rd., Peoria, AZ 85381 FD-43581 Service Kitchen 2 Approved P25-Apr-17 Total $ 230.00 P26-Apr-17 Central AZ Shelter Services Steele's Common Ground Clubhouse $ 230.00 1735 NW. Grand Ave., Phoenix, AZ 85007 FD-05807 Service Kitchen 2 Approved P26-Apr-17 Total $ 230.00 P27-Apr-17 Neighborhood Ministries Neighborhood Ministries $ 1,030.00 1918 W. Van Buren St., Phoenix, AZ 85009 FD-06044 E & D 10+ Seating 4 Approved P27-Apr-17 Total $ 1,030.00 P28-Apr-17 National Advocacy & Training Network Cup O'Karma Café Chandler Library $ 315.00 PO Box 51357, Phoenix, AZ 85076-1357 FD-36494 E & D 10+ Seating 2 Approved P28-Apr-17 Total $ 315.00 P29-Apr-17 Naos Pure Heart Church $ 260.00 14240 N. 43rd Ave., Glendale, AZ 85306 FD-52620 E & D 0-9 Seating 2 Approved P29-Apr-17 Total $ 260.00 Special Event: My Nana's Salsa Challenge P30-Apr-17 Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-56741 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-56742 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-56743 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57586 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57587 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57588 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57589 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57590 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57591 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57592 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57593 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57594 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57595 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57596 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57597 Temporary Permit Approved Special Event: My Nana's Salsa Challenge Arizona Hemophilia Association March 25 & 26 2017 $ 85.00 826 N. 5th Ave., Phoenix, AZ 85003 FD-57598 Temporary Permit Approved P30-Apr-17 Total $ 1,360.00 P31-Apr-17 Feeding Hope Feeding Hope $ 260.00 8527 W. College Dr., Phoenix, AZ 85037 FD-47912 Food Bank 2 Approved P31-Apr-17 Total $ 260.00 Page 2 of 3 P32-Apr-17 Foundation and Senior Living Tempe Adult Day Care $ 230.00 1201 E. Thomas Rd., Phoenix, AZ 85014 FD-07464 Service Kitchen 2 Approved Foundation and Senior Living Peoria Community Center $ 650.00 8335 W. Jefferson St. Ste. #1, Peoria, AZ 85345 FD-00006 E & D 10+ Seating 3 Approved Foundation and Senior Living The Wise Old Owl $ 1,020.00 255 N. Washington St., Wickenburg, AZ 85358 FD-00052 E & D 10+ Seating 5 Approved P32-Apr-17 Total $ 1,900.00 P33-Apr-17 Peoria Unified School District #11 Peoria High School Culinary Arts $ 1,030.00 6330 W. Thunderbird Rd., Glendale, AZ 85306 FD-29237 E & D 10+ Seating 4 Approved P33-Apr-17 Total $ 1,030.00 P34-Apr-17 Desert Mission Food Bank Desert Mission Food Bank $ 260.00 9229 N. 4th st., Phoenix, AZ 85020 FD-01126 Food Bank 2 Approved P34-Apr-17 Total $ 260.00 P35-Apr-17 Grace Community Church Grace Community Church $ 650.00 1200 E. Southern Ave., Tempe, AZ 85282 FD-43315 E & D 10+ Seating 3 Approved P35-Apr-17 Total $ 650.00 Special Event: Flavors of the West 2017, P36-Apr-17 The Honey Foundation April 8, 2017 $ 85.00 13817 W. Van Buren St., Goodyear, AZ 85338 FD-57878 Temporary Permit Approved Special Event: Flavors of the West 2017, The Honey Foundation April 8, 2017 $ 85.00 13817 W. Van Buren St., Goodyear, AZ 85338 FD-57879 Temporary Permit Approved Special Event: Flavors of the West 2017, The Honey Foundation April 8, 2017 $ 85.00 13817 W. Van Buren St., Goodyear, AZ 85338 FD-57880 Temporary Permit Approved Special Event: Flavors of the West 2017, The Honey Foundation April 8, 2017 $ 85.00 13817 W. Van Buren St., Goodyear, AZ 85338 FD-57881 Temporary Permit Approved P36-Apr-17 Total $ 340.00 Total Permits $ 32,615.00 Item # Administrative Name Business Fee Used Administrative Address Certificate Type Waiver Approved (Approved/Denied) Date Used Gone to Fin (Y/N) C1-Apr-17 Roosevelt Action Asociation Roosevelt Action Asociation $ 20.00 1210 N. 5th Ave., Phoenix, AZ 85003 Volunteer Approved 3/17/2017 N C1-Apr-17 Total $ 20.00 Total Certificates $ 20.00 Item # Administrative Name Business Fee Used Administrative Address Certificate Type Waiver Approved (Approved/Denied) Date Used Gone to Fin (Y/N) C2 St Timothys Catholic Church Paz de Cristo $ 195.00 424 W. Broadway Rd., Mesa, AZ 85210 Volunteer Approved 4/29/2017 N C2 Total $ 195.00 Total Classes $ 195.00 Grand Total $ 32,830.00 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 3 of 3