2016 TOHONO OODHAM APPLICATIONS 5.PDF

Created: 09/09/2015
Last updated: 05/19/2016
Page 1
General information
Organization Native American Connections
Contact First name Jennifer
Contact Last name Dangremond
Contact e-mail j.dangremond@nativeconnections.org
Contact phone number 602-254-3247
Address
Street 4520 North Central Avenue, Ste. 600
City Phoenix
State AZ
ZIP Code 85012
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
125,000
1 of 1

Depaitirieiii of the Ti eusitiry
Ta,te,-,pal Revenue Service
P.O. Box 2508 In reply refer to: 0248674152
Cincinnati OH 45201 June 24, 2011 LTR 4168C E0
86-0293585 000000 00
00014856
BOOC: TE
NATIVE AMERICAN CONNECTIONS INC
4520 NORTH CENTRAL AVENUE
PHOENIX AZ 85012-1828
13542
Employer Identification Number: 86—0293585
Person to Contact: MS IVEY
Toll Free Telephone Number: 1-877-829—5500
Dear TAXPAYER:
This is in response to your June 15, 2011, request for information
regarding your tax-exempt status.
Our records indicate that you were recognized as exempt under
section 501(c)(3) of the Internal Revenue Code in a determination
letter issued in JUNE 1975.
Our records also indicate that you are not a private foundation within
the meaning of section 509(a) of the Code because you are described in
section(s) 509(a)(1) and 170(b)(1)(A)(vi).
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to you or
for your use are deductible for Federal estate and gift tax purposes
if they meet the applicable provisions of sections 2055, 2106, and
2522 of the Code.
Please refer to our website www.irs.gov/eo for information regarding
filing requirements. Specifically, section 6033(j) of the Code
provides that failure to file an annual information return for three
consecutive years results in revocation of tax—exempt status as of
the filing due date of the third return for organizations required to
file. We will publish a list of organizations whose tax- exempt
status was revoked under section 6033(j) of the Code on our website
beginning in early 2011.

0268674152
June 24, 2011 LTR 4168C EU
86-0293585 000000 00
00014857
NATIVE AMERICAN CONNECTIONS INC
4520 NORTH CENTRAL AVENUE
PHOENIX AZ 85012-1828
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
S. A. Martin, Operations Manager
Accounts Management Operations

Proposal in Support of the Patina Wellness Center
Opening June 2016
Native American Connections’ (NAC) mission is improving the lives of individuals and families through
Native American culturally appropriate behavioral health, affordable housing, and community
development services. Since 1972, NAC has been recognized as an innovative Native American
multiservice organization working to improve community health and wellness along with increasing
housing stability. NAC’s Behavioral Health Services include residential and intensive outpatient
substance use treatment and recovery programs; children and family outpatient services; community-
based child & family teams; and an Adolescent Intensive Outpatient Program for Substance Use. NAC’s
Housing Program includes permanent supportive housing for the chronically homeless, disabled
homeless and persons living with HIV/AIDS; transitional living for homeless youth and women; and
affordable housing communities for families and the elderly.
a) Perceived Need – Patina Wellness
NAC has provided services at Guiding Star and Indian Rehabilitation since 1978 and elected to relocate
both programs to the new, 70-bed Patina Wellness Center. NAC’s decision to establish Patina was based
upon the desire to create a physical environment that incorporated indigenous healthcare design that
promotes health and wellness. Opening in June 2016, the Patina Wellness Center is located in central
Phoenix just off the light rail at 3rd Street and Virginia. Patina will provide residential treatment for a
minimum of 400 men and women each year. This includes about 25 women who are pregnant or post-
partum along with 40-50 dependent children who may live with their mother or father during treatment.
In 2010 (and updated in 2012), NAC commissioned American Indian Health Management and Policy to
complete a feasibility study in order to quantify the unmet need for NAC’s services at Patina. This study
clearly indicates the impact the Wellness Center could have on the local community, as well as,
throughout Arizona. Of all individuals receiving substance abuse treatment, 40% were located within
Maricopa County, 94% were adults, 19% had co-occurring serious mental illness and 26% had a co-
occurring general mental health disorder. NAC serves all that come for services, however, our expertise
lies in addressing the unique needs of the Native American population. While some decline is now
being recognized, Native Americans continue to have the highest incidence of alcohol and substance
abuse of any ethnic group in the country. A 2009 Indian Health Services report indicates while the need
for treatment is higher than any other race, only about 12% of Native Americans who needed treatment
in a specialty facility actually received it.
When looking at the rate of substance and alcohol use disorders among Native Americans, one must also
factor in community-level risk factors. Historical trauma resulting from colonization, forced
assimilation and relocation continue to impact the daily lives of tribal community members. Generations
of men and women have used alcohol as a coping mechanism such that Native Americans report a
higher proportion of family history with alcohol than all other races. In particular, fetal alcohol
syndrome is more prevalent among Native Americans than any other race. When asked, Native
American youth were more likely to perceive no risk from substance abuse.
1

b) Benefit to Target Population
Since 1972, thousands of men and women achieved sobriety and began their recovery at Native
American Connections’ residential treatment programs; Indian Rehabilitation and Guiding Star. Our
program alumni have gone on to become valued employees of NAC, returned to leadership positions in
their tribal communities and have fostered recovery and wellness within their own families.
Open to all who are looking for quality substance abuse and recovery services in a caring and holistic
environment, Patina includes 70 residential treatment beds for men and women. The 70 new beds are a
significant increase over the 48 beds currently available at Guiding Star and Indian Rehabilitation. The
design of the residential areas allows for flexibility to configure the beds as needed to meet the varying
number of men and women who seek recovery services at one time. In addition, the Wellness Center
will feature specialized services for pregnant and post-partum women and support services for
dependent children and extended family members through our Circle of Strength Program. Part of
NAC’s strength is our capacity to provide a continuum of services to help individuals and families gain
stability. After program completion, families who need additional supports may move to the transitional
housing program located on the Patina Campus to ease the return to independent living. As they become
more comfortable with their recovery and have gained some financial stability, families may then move
to one of NAC’s housing communities including Cedar Crossing, a new 74-unit affordable housing
community located adjacent to Patina.
The Patina Wellness Center will combine evidence based practices for substance abuse with Native
American healing and ceremonies, integrated medical care and alternative therapies to provide a holistic
environment that heals the mind, body and spirit. Client centered program goals include:
1. At Native American Connections, we believe that healing from substance abuse and co-occurring
disorders cannot be separated from culture and spirituality. Native American traditional healing
practices and cultural enhancement activities are both core and complementary interventions in
promoting wellness and long-term recovery. These practices and activities will be woven throughout
the Wellness Center and include sweat lodges, smudging/purification, talking circles, songs and
drumming, Red Road teachings, Native crafts, storytelling, cultural presentations, Positive Indian
Parenting and NAC’s Circle of Strength.
2. Decreasing client drug and alcohol use by engaging clients in Dialectical Behavior Therapy (DBT)
which helps the client recognize triggers, build coping skills and change patterns of behavior.
Medication therapy will also be available as needed for those clients with co-occurring disorders.
Looking to heal the mind, body and soul, clients will engage in wellness checks and health education
classes along with alternative healing practices such as yoga, massage, acupuncture, and art therapy.
3. Increasing long-term recovery success by engaging clients in their own self-care and recovery by
providing AA/NA meetings, Peer Support and Recovery Coaches.
4. Addressing education, employment and income through on-site life skills classes, independent living
skills, and access to a business center with computers and a library with educational materials.
2

Patina Wellness Center Development Budget 2015-2016
I. ACQUISITION COST
Land 1,100,000
Closing costs & Legal Fees 22,500
TOTAL ACQUISITION COST 1,122,500
II. DIRECT CONSTRUCTION COST
Demolition & Abatement 65,000
Landscaping 55,000
Site Work 125,000
Commercial Kitchen 330,000
Building 3,451,405
Security Cameras 85,000
Fencing 35,000
Sales Tax 252,000
Permits & Fees paid for by General Contractor 42,000
General Requirements 203,450
Builder's Overhead 81,380
Builder's Profit 203,450
HC Contingency 341,800
TOTAL CONSTRUCTION COST 5,270,485
III. PROFESSIONAL FEES
Architect Fee - Design 146,600
Architect Fee - Supervision 17,160
Engineering fee 82,875
Soils Report & Special Inspections 12,000
Land Survey, Environmental, Appraisal 7,000
Legal Fees 26,000
Permits and Accounting Fees 85,000
LEED Registration & Energy Modeling 44,000
TOTAL PROFESSIONAL FEES 420,635
IV. FINANCING LOAN COSTS
Construction Loan Fee & Interest 150,000
Taxes - Construction Period Only 17,500
Title & Recording, Inspection Fees, Insurance 43,200
TOTAL CONSTRUCTION LOAN COST 210,700
V. MISCELLANEOUS SOFT COSTS
Soft Cost Contingency 18,940
Furniture, Fixtures & Equipment 250,000
Marketing 25,000
TOTAL MISCELLANEOUS SOFT COSTS 293,940
VI. PROJECT MGMT OVERHEAD & FEES
Project Management Overhead/Fee 144,000
TOTAL DEVELOPER'S OVERHEAD & FEES 144,000
VII. PROJECT RESERVES
Debt Service& Replacement Reserves 137,740
TOTAL PROJECT RESERVES 137,740
TOTAL DEVELOPMENT COST 7,600,000
VIII. SOURCES
Permanent Loan 4,320,000
NAC Equity Contribution 1,280,000
City of Phoenix (Received) 115,000
APS (Received) 40,000
Hickey Family Foundation (Awarded - multiyear) 500,000
Gila River (Awarded - multiyear) 500,000
Salt River Pima Maricopa Indian Community 25,000
Grants/Fundraising 820,000
TOTAL SOURCES 7,600,000
3

c) Budget & Request for Funding
NAC is requesting $125,000 from the Tohono O’odham Nation for capital expenses.
NAC has maintained financially feasible and sustainable operations at Guiding Star and Indian
Rehabilitation since opening in 1978 and has used this experience to develop the financial modeling for
the new Wellness Center. The annual service operating costs of the Wellness Center will be funded
through an array of long-term behavioral health contracts many of which have been in place for decades.
This includes contracts that benefit Tohono O’odham members living in urban areas and those that come
to NAC for services via a tribal community referral.
d) Other Requests for Funding
NAC received support for the Patina Wellness Center from:
 Gila Indian River Community – three year award totaling $500,000
 Salt River Pima Maricopa Indian Community – single year award of $25,000
e) Previous 12% Support
 2008-2009 Gila River Indian Community, Ft. McDowell Yavapai Nation, Salt River Pima
Maricopa and Tohono O’odham totalling $500,000 to the Phoenix Indian Center and Native
American Connections for the development of the Native American Service Center located at
4520 North Central Avenue in Phoenix.
f) Contact Person:
Ms. Jennifer Dangremond, Grants Manager j.dangremond@nativeconnections.org; 602-254-3247; 4520
North Central Avenue, Ste. 600, Phoenix AZ 85012; 602-256-7356
g) Priority Area
The Patina Wellness Center falls into the Tohono O’odham Nation’s interest in prioritizing health care
programs. NAC has been providing behavioral health care since 1972 and was among the first substance
abuse treatment and behavioral health agencies to be licensed by the state of Arizona. NAC’s services
are open to all and the population typically includes 40% Native American, 30% Hispanic, 20%
Caucasian and 10% African American. About 50% of clients seeking treatment at Guiding Star and
Indian Rehabilitation are homeless. Today, NAC holds contracts with the local regional behavioral
health authority (RBHA) and tribal behavioral health authorities (TRBHAs). Working in greater
partnership with Indian Health Services and tribal communities, NAC will be improving the availability
of services needed by Native Americans living in the metro Phoenix area along with those who may be
living in tribal communities with limited or no treatment services available. Further, the increased bed
capacity at the new Patina Wellness Center, will allow for more immediate access to residential
treatment for referrals coming through HIS and our tribal partners.
h) Governmental Agent: Maricopa County
4

Created: 02/01/2016
Last updated: 05/11/2016
Page 1
General information
Organization North County Fire & Medical District
Contact First name Tim
Contact Last name Van Scoter
Contact e-mail tvanscoter@ncfmd.az.gov
Contact phone number 602-881-2733
Address
Street 18818 N. Spanish Garden Drive
City Sun City West
State AZ
ZIP Code 85375
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
135,000
1 of 1

NORTH COUNTY FIRE & MEDICAL DISTRICT
Internationally Accredited ~ ISO Class 1 Designated Agency
18818 N. Spanish Garden Drive ⦁ Sun City West, Arizona 85375 ⦁ (623) 544-5400 ⦁ Fax (623) 544-5455 ⦁ www.ncfmd.az.gov
May 23, 2016
Chairman Edward Manuel
The District proudly Tohono O’odham Nation
serves the PO Box 837
communities of: Sells, AZ 85634
Sun City West RE: North County Fire & Medical District – Local Government Agency Status

Coldwater Ranch

Corte Bella Chairman Manuel:

Cross River The North County Fire & Medical District (formally the Fire District of Sun City West) is a local
 government “Special District” under the Arizona Revised Statues 48-805 and is a not for profit
Dos Rios government entity with an Internal Revenue Service issued Employer Identification Number of
 86-0503076. IRS verification letter is attached to this letter.
Marisol Ranch

Pinnacle Peak
County Island Respectfully,

Rancho Cabrillo

Rancho Silverado Tim Van Scoter
 Assistant Chief
Rio Sierra North County Fire & Medical District

Sundero

and other
unincorporated
portions of
Maricopa County


Tohono O’odham Nation – 12% Gaming Distribution
Narrative
Introduction
North County Fire & Medical District (formerly the Sun City West Fire District) is requesting
funding from the Tohono O’odham Nation – 12% Gaming Distribution grant program to replace
our only brush truck / wildland engine. The District has not had the funds to replace this 12 year-
old essential, but undependable, engine due to significant economic difficulties. The continued
funding shortfalls have rendered us incapable of replacing the vehicle ourselves.
The District’s financial issues are the bi-product of the recent recession coupled with antiquated
fire district funding laws. From 2008-2013, the District experienced a 33% decline in overall
property valuation ($166 million lost). Additionally, nearly 10% of our property value is now
tax-exempt. Collectively, this represents a fiscal impact of nearly $10.4 million in lost revenue.
To further hamstring the District’s financial stability, the passage of Prop 117 now limits our
property value growth to 5% a year. Therefore, it will take the District over 10 years before
property values return to even 2008 levels. In addition to the recession and Prop 117 related
issues, the Arizona Legislature has restricted fire district funding with a tax rate cap, levy
increase cap, and continued reductions to commercial, unoccupied land and centrally assessed
property tax rates.
North County Fire & Medical District serves a diverse geographic area located northwest of
Phoenix, Arizona and is roughly 45 square miles in size with a population of approximately
45,000. The District provides fire protection, EMS and ambulance service, public assistance/non-
emergency response, and other services from four fire stations. In 2015, the District responded to
nearly 10,000 calls for assistance. A large portion of the District is rural county areas with lower
income families.
The requested brush truck / wildland engine will assist the District in effectively and safely
responding to fire and medical emergencies especially in the more rural and difficult to reach
portions of the District. The new wildland engine will make a significant difference by providing
safe, effective and improved emergency responses for our community.
a) Explain the perceived need and explain how the proposal will address that need.
The District protects a 45 square mile area. Roughly half of this response area is very rural in
nature with large areas of desert and mountainous terrain containing hundreds of private homes
and structures. Many of these areas have unimproved roads and are not well suited for large fire
engines. The District’s ability to respond in these areas is currently limited by our lack of a
reliable front-line brush/wildland vehicle and also by not having a back-up brush unit when the
front-line unit is unavailable due to maintenance or other reasons. The purchase of a new front-
line brush truck/wildland engine will greatly enhance our ability to effectively provide services.
If the proposed grant is funded, the District’s current brush/engine would be placed into a back-

up or reserve capacity. The unit would also be placed on the state-wide resource list for wildland
fire response to other areas to assist state and federal agencies including the Tohono O’odham
Nation. Overall, the new wildland engine will increase the level of safety and protection for our
community, our firefighters, and Arizona as a whole.
b) Describe the population who will benefit from the proposal if approved.
The population within the District boundaries is approximately 45,000 residents. 35,000 (77%)
of those residents are senior citizens at an average age of 76 with 88% on a fixed income per the
2010 Census. In addition to their elevated demand for medical assistance, the District’s seniors
are very vulnerable to fires or other disasters due to limited mobility and hearing and visual
impairments. These traits place them in a high-risk category per the U.S. Fire Administration.
Beyond our primary service area, the District also makes its resources available to other
communities and regions through mutual aid, automatic aid and cooperator agreements.
Therefore, those who will benefit from this grant request extend well beyond the citizens of the
District. Our brush truck, pumpers, and personnel have responded to wildland fires threatening
lives and property throughout the state and nation. District personnel have worked with federal
and other crews throughout the State of Arizona including the Tohono O’odham Nation. We
have a proud history of helping anyone who requests our assistance.
The District’s mission is:
To protect life and property and to enhance the well-being of all those we serve.
c) Include a budget of the requested funds, with the total amount requested clearly
notated.
BUDGET DETAILS
QUANTITY ITEM DESCRIPTION PRICE
1 each Type 6 – Brush Truck/Wildland Engine (Requested Funds) $135,000
1 each Equipment for Brush Truck (District In-kind Funds) $20.000
Total Project Costs $155,000
Vehicle suppliers have been consulted to develop this funding request and to ensure the success
of the project. The District has written policies on procurement for capital items such as
proposed in this project. The District will document all the steps for the project including
development of specifications, requests for bids, delivery and placing the brush truck into
service. The District has received the Distinguished Budget Presentation Award for four years
from the Government Finance Officers Association of the United States (GFOA). The program
awards state and local governments for preparing financial documents of the very highest quality
that reflect both the guidelines established by the National Advisory Council on State and Local
Budgeting and the GFOA’s best practices on budgeting and documentation. This project would

follow the same best practices and public records can be produced to show that the funds were
used as intended.
d) List any other funding requests that have been made for this or substantially related
proposals and provide the status of those requests.
In 2015, the District requested grant funding from the Gila River Indian Community 12% grant
funding program for this project and was not selected. There are currently no other requests for
this project or any related project to any other entities or grant programs.
e) Indicate whether the entity has already received a 12% distribution from the Tohono
O’odham Nation or other Arizona Tribes, along with the amount and date awarded.
This is the first time that North County Fire & Medical District has requested funds from the
Tohono O’odham Nation - 12% Gaming Distribution. The District has never received funding
from any tribal/state shared revenue grant programs. The Tohono O’odham and other tribal
gaming facilities are well supported by the citizens of the Fire District including the residents of
the Sun City West retirement community.
f) Identify a designated contact person and alternate contact person for follow-up,
including e-mail address, phone number, mailing address and fax numbers for these
persons.
Primary Contact: Tim Van Scoter, Assistant Chief
Office – 623-544-5400
Cell – 602-881-2733
tvanscoter@ncfmd.az.gov
Alternative Contact: Mary Dalton, Assistant Chief
Office – 623-544-5400
Cell – 928-713-4581
mdalton@ncfmd.az.gov
Organization: North County Fire & Medical District
18818 N. Spanish Garden Drive
Sun City West, AZ 85375
www.ncfmd.az.gov
FAX – 623-544-5455
g) Indicate which priority area the proposal falls under.
As a public safety organization, this funding request by North County Fire & Medical District
directly satisfies the priority funding area focus on Public Safety as outlined.

Conclusion
The District’s rural areas and largely senior demographics have made this project critically
important as we attempt to maintain our ability to properly protect our citizenry. The District is
dedicated to the goal of purchasing and equipping this new front-line Type 6 Brush
Truck/Wildland Engine to replace the District’s only brush truck; an aging and increasingly
unreliable vehicle. However, our continued funding restrictions have rendered us incapable of
replacing the apparatus ourselves.
We have taken a number of steps to reduce expenses and prioritize emergency services delivery.
To date, reductions have included salary freezes and the elimination of 25% of our
admin/support staff. We have also instituted a non-emergency inter-facility ambulance transport
program, refinanced our long-term debt, expanded utilization of our Fire Corp volunteers and
signed a long-term solar lease. We also reduced employee benefits (including leave time accrual)
and moved personnel to a high deductible health plan.
In addition to these actions, we are working with State Legislators to educate them on the
financial crisis faced by Arizona fire districts. We hope these efforts will result in legislation that
will allow our citizens, through an election process, to vote on a tax rate override that will
provide adequate emergency service funding.
With the awarding of this grant, the proposed timeline for the brush truck purchase would
include a start date as early as July 1, 2016, or the date the project is funded by your grant
program. The finish date would be on or before June 30, 2017 (the end of our fiscal year). The
timeline is flexible and the District would be open to any timeline or changes necessary to meet
your program funding goals and requirements.
The benefit for the District’s mostly senior population is that the grant funds will allow us to
provide adequate emergency apparatus to support our emergency responses and reduce risks.
The requested wildland engine will increase the level of safety and protection for our
community, neighboring communities, state/federal partners and all of the potential communities
served when this new brush truck is deployed on wildland fire assignments.
Thank you, Tohono O’odham Nation, for your consideration of this grant application and for the
opportunity to apply for this vital funding.

Created: 05/10/2016
Last updated: 05/11/2016
Page 1
General information
Organization Northwest Valley Connect
Contact First name Kathryn
Contact Last name Chandler
Contact e-mail kchandler@northwestvalleyconnect.org
Contact phone number 623-282-9304
Address
Street 16752 N Greasewood St
City Surprise
State AZ
ZIP Code 85378
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
60,000
1 of 1


Northwest Valley Connect: Providing Mobility Coordination in the Northwest Valley and
Transportation Options for seniors and persons with disabilities.
Northwest Valley Connect was created by Sun Health and Benevilla, and is led by board members
from the two organizations, as well as senior community members. With the expertise of our staff,
and the support of our volunteers, we hope to realize our objectives towards improving the quality
of life of communities by way of empowering them with better transportation to Health care and
more.
The Northwest Valley of Phoenix, Arizona, has a large population of senior citizens and persons with
disability, but does not have a well‐coordinated transportation system that caters to them. There is a
great need to create better awareness of transportation needs, as well as to improve transportation
options.
Our current projects seek to address these very needs. Our Call‐Click‐Connect Mobility Center is a
call center and website that help people identify available means of transport at any time. Ride
Connect is a volunteer driver program that seeks to offer rides and door‐through‐door service to
seniors when there are no available services to meet his or her needs. Group Connect is a group trip
program that provides low cost, social trips from the area to local and metro malls, events, museums
and to the new casino in Glendale. Many group trips have waiting lists. All of these projects have
been successful in the Northwest Valley; we increasingly find that there are many more residents
who require our services.
Our work is made possible by partnerships with organizations within the community, and the mutual
sharing of resources with them. In future, we hope to extend our scope by undertaking more such
partnerships. We have two vehicles now and one accessible van on the way. One idea offered by
my Board of Directors is to suggest a sponsorship of grant funding in exchange for a logo of the
sponsor on our vehicles.
We are seeking grants to continue our ongoing projects, as well as to help us kick‐start new
initiatives, that include a coordinated dispatch system and a Taxi Connect program. With more donor
and grant support, we will also be able to expand our geographical reach beyond the Northwest
Valley.
The Call‐Click‐Connect Mobility Center was launched by NVC in September of 2014. It is a service that
directs community residents to available public, private and volunteer transportation resources
based upon their need.
Our Mobility Center operators ask some general questions to determine the kind of trip a caller
wants to make (medical appointment, shopping, social, etc.), the level of service needed (wheel‐chair
accessible vehicle, help through the door, a helping hand or arm to guide a person who is sight‐
impaired, etc.), the location of pick‐up and drop‐off, and the time and day.

Our Provider Database has about 82 providers of transportation in with various services (including
individual providers who specialize in taking clients to doctor’s appointments and then make sure
they understand medications and doctor’s orders; taxi companies that provide transportation for
long‐distance trips, small local taxi companies; specialized transportation for bariatric riders in
wheelchairs or on stretchers; and bus routes). Our Mobility Center hours are 8am to noon and 1pm
to 5pm, Monday through Friday, with an answering machine catching calls after hours.
NVC will continue to develop and build on the Provider Database, maintain the website, develop the
education program for Call Agents in order to give best information to callers, and gather
information about existing needs, and share this information with area providers to advocate for
new/expanded service.
The Call Center Volunteers answered 1457 calls in 2015, helping many people find the transportation
option for the trip they needed. In the first quarter of 2016 the call center had 900 callers, with a
projected 3800 calls for 2016. The majority of the calls have come from the Northwest Valley
although there have been calls from those as far away as Mesa, Anthem, Avondale and Wittmann..
Of the calls received 53% of the trips requested were for medical appointments. 38% of the calls
were requesting trips for social trips such as church, concerts, restaurants, and more. 9% of the
callers are looking to go shopping. Most callers don’t or can’t drive. In some cases as they are
now ready to ‘give up the keys’ and are preparing for this life changing experience. NVC
provides mobility coaching, travel training and will help with ADA Paratransit paperwork.
Type of Trips ‐ 1st Quarter 2016
4%
26%
MEDICAL
SOCIAL
70%
SHOPPING
NVC’s Group Connect program strives to serve those who no longer drive or who have to limit their
driving. The group trips are scheduled as social trips to allow those residents to go as a group to the
mall, baseball games, casinos and other social outings. NVC’s Mobility Manager provides the
coordination of group trips in a calendar that includes all of the areas senior and community centers in
order to provide more options for residents, the ability to fill trip vehicles (lessening the need to cancel
trips that do not fill) and reducing duplication of service. NVC’s group trips are provided at a minimal
cost to the rider.

In addition to transportation coordination, NVC is working to fill identified gaps in transportation
services in the West Valley with a hybrid of volunteer and paid driver transportation services, paying
special attention to the evening hours and weekends, times when available services are almost
nonexistent. While many regular appointments can be arranged for weekday travel, others, such as
urgent care, hospital discharges, church and social visits, cannot. This is where NVC’s professionally
managed transportation service will make a difference.
The Ride Connect transportation service will be professionally managed using paid dispatcher
services and transportation software to ensure efficiency of operations and trips. The service will be
provided using passenger vehicles and a grant funded accessible Minivan.
Passenger vehicles are a combination of both volunteer-owned vehicles and vehicles that will be
donated by community residents.
NVC’s Ride Connect launched May 2015 with volunteer drivers transporting clients whose trips are
not available by other providers. 90% of these trips are medical appointments. Riders are asked to
help cover the cost of their ride with a donation. Volunteer drivers use their own vehicles and are paid
a mileage reimbursement. Our drivers offer an added assistance needed for door through door
transportation.
a. NVC has made large strides in its first two years of service and has filled a need for those
searching for transportation in the Northwest Valley where transportation options are limited.
A dispatcher/project coordinator focusing on using our new routing software to its greatest
efficiency and effectiveness is our goal. We are requesting the funding to pay for the salary,
benefits and operational support for this position for the next year.
At this time the Executive Director/Mobility Manager along with a number of volunteers are
doing the scheduling for the volunteer call operators and drivers. It is a disjointed system that
is not efficient. Hiring the dispatcher/project coordinator for this function will free the
Executive Director up to focus on the development of NVC – fundraising, marketing,
community relations and more. This position would also be responsible for coordinating with
Benevilla and their driver supervisors. NVC received a 5310 (MAP-21) grant funding routing
software as a joint project with Benevilla.
b. This project will benefit the seniors and persons with disabilities in the west valley of Metro
Phoenix area of more than 800,000 people. More than 150,000 of these residents are seniors.
NVC is projected to provide 3600 trips a year and Benevilla is projected to provide 33,000
trips a year. Our goal is to share this routing software and its efficiency as a mobility
management project with other agencies in the area to provide more rides using the resources
we have.

c. NVC Grant Request Budget:
Dispatcher/project coordinator position for $45,000
one year – Salary + benefits
Computer and office supplies $1000
Cell phone + service for a year $1000
Travel for training $1000
Operations support $2000
Facility costs $10,000
Total request Budget $60,000
d. No grant request has been made to another organization for this position and the support
requested here. NVC was awarded 2015 5310 MAP-21 grant funding for the Routing
software, for an accessible minivan with ramp, for partial funding of the Mobility Manager
position, for operating assistance to help with the mileage reimbursement for volunteer
drivers, vehicle insurance and volunteer retention, and for a taxi voucher program. All of the
5310 applications have been recommended for funding – the Routing software at 100% of
request, the vehicle at 100% of funding request, the operating at 100% of request, the mobility
manager position at 80% of requested funding, and the taxi voucher program at 100% of
funding request. This process goes through a number of MAG committees before it is
finalized and approved. At this point it has gone through the first two committees without
changes. NVC as a nonprofit has a fundraising plan and has an ongoing fundraising program
from donor organizations and individuals.
e. NVC has never received a 12% distribution from the Tohono O’odham Nation or any other of
Arizona’s tribes.
f. NVC contact information: Kathryn Chandler/Executive Director –PO Box 9303 Surprise Az
85374 kchandler@northwestvalleyconnect.org 623-282-9304 c-928-607-9467 fax 623-282-
9301 Alternate contact – Joanne Thomson/ Chair of NVC Board of Directors – 16752 N
Greasewood St Surprise Az 85378 JThomson@benevilla.org (623) 584-4999
g. NVC’s priority is on getting the one position to be both dispatcher/projects coordinator.
h. NVC is a nonprofit and will work with Maricopa County to receive the funds that the Tohono
O’odham chooses to empower our organization with to help those in need of transportation
for their healthcare needs and quality of life in the northwest valley.


Last updated: 05/12/2016
Page 1
General information
Organization Phoenix Children's Hospital Foundation
Contact First name Angela
Contact Last name Gordillo
Contact e-mail grants@phoenixchildrens.com
Contact phone number 602-933-2686
Address
Street 2929 E. Camelback Road #122
City Phoenix
State AZ
ZIP Code 85016
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
100,000.00
1 of 1

ra IRS Department of the Treasury
Internal Revenue Service
P.O. Box 2508 In reply refer to: 0752857589
Cincinnati OH 45201 Jan. 27, 2014 LTR 4168C 0
74-2421549 000000 00
00024899
BODC: TE
PHOENIX CHILDRENS HOSPITAL
FOUNDATION
% DENNIS BRUNS
1919 E THOMAS RD
PHOENIX AZ 85016-7710
009067
Employer Identification Number: 74-2421549
Person to Contact: CUSTOMER SERVICE
Toll Free Telephone Number: 1-877-829-5500
Dear PHOENIX CHILDRENS HOSPITAL FO:
This is in response to your Jan. 15, 2014, request for information
regarding your tax-exempt status.
Our records indicate that you were recognized as exempt under
section 501(c)(3) of the Internal Revenue Code in a determination
letter issued in AUGUST 1986.
Our records also indicate that you are not a private foundation within
the meaning of section 509(a) of the Code because you are described in
section(s) 509(a)(1) and 170(b)(1)(A)(vi).
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to you or
for your use are deductible for Federal estate and gift tax purposes
if they meet the applicable provisions of sections 2055, 2106, and
2522 of the Code.
Please refer to our website www.irs.gov/eo for information regarding
filing requirements. Specifically, section 6033(j) of the Code
provides that failure to file an annual information return for three
consecutive years results in revocation of tax-exempt status as of
the filing due date of the third return for organizations required to
file. We will publish a list of organizations whose tax-exempt
status was revoked under section 6033(j) of the Code on our website
beginning in early 2011.

Phoenix Children's
Hospital Foundation 2929 E. Camelback Rd. #122 Phoenix, AZ 85016 I (602) 933 4483 I GivetoPCHF.org
Government Maricopa County Contact Melody Henderson
Entity: 301 W. Jefferson St., Information: Maricopa County Government
10th Floor Relations
Phoenix, AZ 85003 (602) 506-2798
Applicant Phoenix Children's Organization Steven Schnall
Organization: Hospital Foundation Contact: Senior Vice President and Chief
2929 East Camelback Development Officer
Road, Suite 122 (602) 933-2665
Phoenix, AZ 85016 Fax (602)933-2644
sschnall@phoenixchildrens.com
Alternate Angela Gordillo
Contact: Grant Coordinator
(602) 933-2686
Fax (602)933-2644
agordillo@phoenixchildrens.com
May 23, 2016
Chairman Edward Manuel
Tohono O'odham Nation
P.O. Box 837
Sells, Arizona 85634
ATTN: Doreen McPaul
Dear Chairman Manuel and Ms. McPaul,
Phoenix Children's Hospital is grateful for this opportunity to partner with the Tohono O'odham
Nation. Below, we are pleased to present our application for a 12% Tribal Gaming Grant request in the
tribe's priority area of Health Care.
Explain the perceived need and how the proposal will address that need. A child is diagnosed with
cancer every three-and-a-half minutes. In the United States, cancer kills more children than asthma,
diabetes, cystic fibrosis, and congenital anomalies combined. One in five children diagnosed with
a2PCHF GivetoPCHF.org
Phoenix Children's Hospital Foundation

cancer will not survive. In 2015, Phoenix Children's diagnosed 307 children with cancer.
We are dedicated to responding to the most crucial needs in pediatric health care. Today, our greatest
need is to expand Phoenix Children's Center for Cancer and Blood Disorders — Arizona's only pediatric
cancer center offering Phase 1 clinical trials and recognized by U.S. News & World Report's Best
Children's Hospitals as a premiere destination for children's cancer treatment. We recently launched
Hope Lives Here: The Comprehensive Campaign to Build the New Center for Cancer and Blood Disorders
at Phoenix Children's Hospital.
Our current center, built in the 1960s, is simply too small to accommodate the growing number of
patients who need our care each year. We had 22,000 appointments in 2015 compared to 8,900 in
2007. Between 2014 and 2015 alone, we experienced a 20 percent increase in patient volume.
Our current center also lacks modern sensibilities, which could jeopardize patient safety and
inconveniences families. And because the outpatient building, where approximately 90 children a day
receive infusion and other regimented treatments, is not housed within our main tower, the clinical
and ancillary services our patients require is fragmented.
In response to this growing need, we have committed to building the new cancer center where more
children can receive treatment in a state-of-the-art space and top talent physicians can lead clinical
care and translational research.
This comprehensive campaign will provide:
Additional Space
We are at capacity. Nationwide, the number of children diagnosed with cancer grows each year. That,
coupled with the population growth of children in Arizona means we will continue to treat more
children with cancer. The expansion will increase exam rooms from 13 to 18 and infusion chairs from
13 to 21, and include 15 private infusion rooms, six open infusion bays, and two treatment rooms. It
will also house a nourishment room, a family consult room, two preparation and recovery rooms, and a
playroom.
Increased Safety
Patients fighting cancer are some of the very sickest we treat. Yet right now, patients may need to
travel to five different areas within the hospital on a single day. Their care needs to be consolidated
into one space. The new Center will have treatment rooms on site, so patients won't have to be
transferred to operating rooms for simple procedures. They will be closer to the Emergency
Department, Imaging, and inpatient areas, while an on-site pharmacy will allow easy access to
medications, and the nearby lab means quicker turnaround times for results.
Better Efficiency
A better design will lead to better care. Nurses will be more visible to families and closer to patients,
giving them the ability to spend more time providing direct patient care. By streamlining services, the
same staff will be able to treat more patients as they spend less time traveling back and forth across
campus and work areas.
Describe the population who will benefit from the proposal if approved. Last year Phoenix Children's
Hospital served 161,000 children - three percent were Native American, eight percent were African-
American, 41 percent were white and 43 percent were Hispanic/Latino. Many traveled to us from
across the state and Southwest region, from other states and some from other countries. Our main
campus houses 433 licensed pediatric beds and 75 medical subspecialties. In addition, we have
specialty and urgent care centers in Mesa, Scottsdale, Avondale, Yuma, Flagstaff, and Glendale.

At Phoenix Children's Hospital, our goal is to increase access to health care for high-risk, underserved,
and uninsured populations. In fact, we are quickly becoming a regional and national destination for
some of the sickest children. More than half of our families are Medicaid beneficiaries living at or
below the federal poverty level.
The most recent census data indicates that there are 1,835,000 children under age 19 living in Arizona.
With that number anticipated to grow to 2,000,000 by 2020, we can expect that the need for The
Center's comprehensive care and advanced treatments will also see tremendous growth. As one of our
Centers of Excellence, children with the highest complexity and needs are entrusting our physicians
and nurses to provide cutting edge treatment. We are committed to never turn a child away that
needs our help. We must act now to ensure we are able to care for the children who need us most now
and in the near future.
Requested funds, project budget and other funding commitments/requests for this project. We
respectfully invite Tohono O'odham Nation to support this life-saving campaign through a $100,000
gift. A gift at this level will be recognized through a naming opportunity. The Tohono O'odham Infusion
Room will serve as a lasting gesture of support to the children and families braving this fight. Your gift
will demonstrate commitment to our cause, and mobilize other communities across the state to join in
support. As a leader in our philanthropic community, your partnership has the power to be a game-
changer in this fight. Listed below you will find our project budget.
Item Description Total Cost
Construction (construction, equipment, furnishings) $7,500,000.00
Division Chief Endowment (and operating support) $2,500,000.00
Clinical Research (endowment and operating support) $2,500,000.00
Basic and Translational Research (endowment and operating support) $2,500,000.00
Total $15,000,000.00
Listed below, please find the sources and amounts of all funds solicited for or committed to Hope Lives
Here: The Comprehensive Campaign to Build the New Center for Cancer and Blood Disorders.
Source Amount Status
Lone Spur Café LLC $5,000 Submitted/Pending
Frank M. Ewing Foundation $10,000 Submitted/Pending
Arizona Cancer Foundation for Children $100,000 Submitted/Pending
Children's Cancer Network $100,000 Submitted/Pending
Individual Donor $100,000 Submitted/Pending
Individual Donor $250,000 Submitted/Pending
Individual Donor $1,000,000 Submitted/Pending
Del E. Webb Foundation $250,000 Submitted/Pending
BHHS Legacy Foundation $500,000 Submitted/Pending
McKenzie Monks Foundation $1,000,000 Submitted/Pending
Individual Donor $5,000 Submitted/Pending
Tohono O'odham Nation $100,000 Submitted/Pending
Total Pending YTD $3,420,000
Source Amount Status
Special Events/Beach Ball 2015 $1,552,034 Committed

PCHF Board and PCH Employee Giving $1,450,509 Committed
Individual Donors $1,164,547 Committed
Virginia G. Piper Charitable Trust $5,000 Committed
Alex's Lemonade Stand $15,000 Committed
The Grossman Foundation $500 Committed
The Pace Fund $30,000 Committed
Arizona Diamondbacks Foundation $10,000 Committed
Jaydie Lynn King Foundation $1,000,000 Committed
Hannah Huckfeldt Foundation $100,000 Committed
Total Committed YTD $5,327,590
Indicate whether the entity has already received a 12% distribution from Tohono O'odham Nation or
other Arizona Tribes, along with the amount and date awarded. Since 2010, Phoenix Children's Hospital
has partnered with the Tohono O'odham Nation, the Salt River Pima Maricopa Indian Community (SRPMIC) and
the Fort McDowell Yavapai Nation to enhance and expand our facilities and pediatric medical subspecialty
services. Most recently, we were grateful to receive a 2015 12% distribution grant award of $130,000 from
SRPMIC to support both the Condition Critical: Emergency Department Expansion Campaign and to significantly
grow clinical and patient support services within the Cardiometabolic risk Assessment, Research and Education
(CARE) Program. The Salt River Pima Maricopa Indian Community has also awarded the following 12%
distribution funds: $250,000 for CARE Program in 2010; $200,000 for CARE Program in 2012; $175,000 in 2013
for CARE Program; and $150,000 for CARE Program and The Cerebral Palsy and Spina Bifida Clinic. In 2013, Fort
McDowell Yavapai Nation awarded a $4,000 12% distribution grant in support of our Palliative Care Program. In
2011, The Tohono O'odham Nation gifted $50,000 to support the building of the West Valley Specialty and
Urgent Care Clinic in Avondale. If awarded, The Tohono O'odham Nation will be the first tribe that has secured
naming rights in the new Center for Cancer and Blood Disorders.
Include the name of city, town, or county an agreement will be made with if funds are granted.
Phoenix Children's Hospital will enter into agreement with Maricopa County to accept the funds on our behalf,
should Tohono O'odham nation grant our request.
Your gift will bring hope to the hundreds of children and youth fighting the greatest fight of their young lives.
When you help the more than 300 patients newly-diagnosed with cancer each year, you are not only giving
them the best treatment available; you're giving them the best chance for survival. Should you have any
questions please contact me at sschnall@phoenixchildrens.com or (602)933-2665. Thank you for Tohono
O'odham Nation's continued support, commitment and partnership with Phoenix Children's Hospital!
With gratitude,
SteJeh S. Schnall
Senior Vice President and Chief Development Officer

Created: 05/13/2016
Last updated: 05/24/2016
Page 1
General information
Organization Paz de Cristo
Contact First name Arlen
Contact Last name Westling
Contact e-mail arlenw@pazdecristo.org
Contact phone number 489-464-2370
Address
Street 424 W Broadway Rd
City Mesa
State AZ
ZIP Code 85283
From what tribe is the organization requesting the grant?
Tohono O’odham Nation
Total grant amount request
15,000
1 of 1

INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY
P. 0. BOX 2508
CINCINNATI, OH 45201
Employer Identification Number:
Date: OCT 3 1 2008 26-1669496
DLN:
PAZ DE CRISTO COMMUNITY CENTER 17053234302038
C/0 STEPHEN L WEST Contact Person:
30 W FIRST ST DIANE M GENTRY ID# 31361
MESA, AZ 85201-6654 Contact Telephone Number:
(877) 829-5500
Accounting Period Ending:
June 3 0
Public Charity Status:
170(b) (1) (A)(vi)
Form 990 Required:
Yes
Effective Date of Exemption:
December 12, 2007
Contribution Deductibility:
Yes
Addendum Applies:
No
Dear Applicant:
We are pleased to inform you that upon review of your application for tax
exempt status we have determined that you are exempt from Federal income tax
under section 501(c)(3} of the Internal Revenue Code. Contributions to you are
deductible under section 170 of the Code. You are also qualified to receive
tax deductible bequests, devises, transfers or gifts under section 2055, 2106
or 2522 of the Code. Because this letter could help resolve any questions
regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c)(3) of the Code are further classified
as either public charities or private foundations. We determined that you are
a public charity under the Code section(s) listed in the heading of this
letter.
Please see enclosed Publication 4221-PC, Compliance Guide for 501(c)(3) Public
Charities, for some helpful information about your responsibilities as an
exempt organization.
Letter 947 (DO/CG)

-2-
PAZ DE CRISTO COMMUNITY CENTER
We have sent a copy of this letter to your representative as indicated in your
power of attorney.
Sincerely,
Robert Choi
Director, Exempt Organizations
Rulings and Agreements
Enclosures: Publication 4221-PC
Letter 947 (DO/CG)

Tohono O'odham Nation
Request for Proposal
Perceived Need and how we will address the need:
We believe our request falls in the priority areas of Health Care. Our food programs focus on
the intersections between food insecurity and health. Food insecurity has been linked with
adverse diet-related health outcomes in family members of all ages including children. Statistics
show that those families living in poverty have a higher rate of medical expenses than those
with higher incomes. This is often due to the price variations between healthier and less
healthy foods. Our request is for $15,000 to supplement the acquisition of healthier foods.
While we receive many donations of food, we often receive more foods that are high carbs like
bread, pastries and desserts and fewer fruits, vegetables and protein.
Population and who will benefit
Paz de Cristo serves the poor and hungry in the East Valley. We average over 7,000 visits from
2,400 unique individuals per month from people looking for food, clothing and supportive
services. We distribute an average of 300 evening meals each day. About 55% of our evening
meal guests are homeless and the majority are unemployed. While most of these guests are
single adults, there are many families that participate in our evening meal service.
Our food box distribution averages about 1,300 food boxes per month. These recipients are
mostly working poor, unemployed, single parent households and senior citizens.
Our supportive services help our guests engage in the broader community and include
vouchers for Arizona I.D.’s and birth certificates, bus passes for medical appointments, showers,
haircuts, as well as employment assistance.
Demographics:
 White: 55%
 Hispanic: 29%
 African American: 9%
 Native American: 5%
 Asian 2%

Mission, Vision and Values:
 Mission Statement: To feed, clothe, and empower the unemployed, under-employed
and homeless in the East Valley.
 Vision Statement: To empower our guests to reach their full potential by removing
barriers to self-sufficiency. Paz de Cristo exists to help our guests achieve self-reliance,
personal pride and self-respect leading to improved economic standing, respect for
others, and citizenship participation.
 Value Statement: We believe everyone is a child of God and deserves to treated with
dignity and respect.
Scope of Services:
 Meal Service Program – Evening meals served on location, 7 days a week, 365 days a
year. We serve an average of 300 meals each evening with about 55% of our guests
being homeless and the majority being unemployed.
 Food Box Program – Emergency food box distribution serves the working poor, single
parent households and senior citizens. We average about 1,400 food boxes each month.
This includes food boxes to individuals, case workers, and area service organizations.
Food boxes are distributed three times each month.
 Empowerment Program - CEO (Career Employment Opportunity) Job Search Assistance
includes access to computers and the internet for job searches and application
submission, assistance with creating resumes, interview coaching, access to showers,
work clothes for interviews, bus tickets to get to the interview, and monthly bus passes
for the first month on the job. Last quarter of this year we had made 300 visits.

Budget
Kitchen and Food Pantry Operational Budget 2016-17
Tohono
EXPENSES Total Other O'odham
Costs Funders Request
Direct
Personnel Expenses 231,019 231,019
In-Kind: Food, Facility Rental, Services 737,000 737,000 0
Supplies: Kitchen, Food Related, Other 34,060 19,060 15,000
Facilities Operations: Occupancy, Security, Other 88,179 88,179
Insurance 11,500 11,500
0
Indirect 0
Printing 3,800 3,800
Professional Fees: Payroll and Accounting 3,300 3,300
Technology Maintenance, Equipment 12,840 12,840
0
Total Budget $1,121,698 1,106,698 $15,000

Other Requirements:
 No other funding request for this proposal is currently outstanding
 We have not received a 12% distribution from the Tohono O’odham Nation or other
tribes
 Contact Persons:
o Arlen Westling Phone: 480-454-2370 x204 Fax: 480-464-2377
o arlenw@pazdecristo.org
o 424 W. Broadway Rd. Mesa, AZ 85210
 Alternate Contact Person;
o Christine Oliviero Phone: 480-464-2370 x203 Fax: 480-464-2377
o christineo@pazdecristo.org
o 424 W. Broadway Rd. Mesa, AZ 85210
 Priority Area:
o Health Care
 Maricopa County Melody Henderson [mailto:mhenders@mail.maricopa.gov]

Paz de Cristo
Community Center
Anti-Discrimination Statement
Paz de Cristo is committed to anti-discrimination in all its programs and activities on the basis of
race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation,
or marital or family status. Paz de Cristo in an equal opportunity provider and employer.
Board of Director President Signature
Revised 8/20/2010

Paz de Cristo
Community Center
______________________________________________________________
Who We Are
• Mission Statement: To feed, clothe, and empower those in need in the Phoenix East Valley.
• Value Statement: We believe that everyone is a child of God and deserves to be treated with dignity and respect.
• Vision Statement: To empower our guests to reach their full potential by removing barriers to self-sufficiency.
• Volunteer Driven: Each month, approximately 750 individuals from more than 20 faith based communities, civic
groups, businesses, and schools work together to serve families and individuals in crisis. The majority of our
funding comes from individual donations.
• Community Impact: We average over 7,000 visits from 2,400 unique individuals per month from people looking
for food, clothing and supportive services
What We Do
• Meal Service – Evening meals served on location, 7 days a week, 365 days a year. We serve an average of 300
meals each evening with about 55% of our guests being homeless and the majority being unemployed.
• Food Box Program – Emergency food Box distribution serves the working poor, single parent households and
senior citizens. We average about 1,300 food boxes each month. This includes food boxes to individuals, case
workers, and area service organizations.
• Empowerment Programs – Services that help our guests engage in the broader community and become self-
reliant. These programs include showers and haircuts, hygiene products, prescription help, clothing, mail service
and job search assistance providing one-on-one support with resumes, bus passes, internet usage and training.
Agency Contact
• Executive Director - Arlen Westling, Phone: 480-464-2370, arlenw@pazdecristo.org
Paz de Cristo  424 W. Broadway Rd., Mesa, AZ 85210  Phone 480-464-2370  www.pazdecristo.org