NATIVE AMERICAN CONNECTIONS APPLICATION.PDF

Admin Tribe Selection
Last updated: 09/09/2015
This is my Form.
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Please select to which tribe this Organization has applied to:
Salt River
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Created: 09/09/2015
Last updated: 09/16/2015
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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
What is the name of the program or project for which your organization is requesting grant funds?
Patina Wellness
For what grant amount has the organization requested from the tribe?
250,000.00
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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status was revoked under section 6033(j) of the Code on our website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

SALT RIVER PIMA-MARICOPA
INDIAN COMMUNITY
10005 E. Osborn Road, Scottsdale, Arizona 85256 Phone 480-362-7520 1 Fax 480-362-7593
12% Gaming Contributions Application
Date of Application: August 4, 2015
Organization Name: Native American Connections
Organization/Municipal Government Street & Mailing Address: 4520 N. Central Ave., Ste.600
Phoenix AZ 85012
Contact Person and Project Manager if different from Contact Person: Diana Yazzie Devine
Title: President/CEO
Address: 4520 North Central Avenue, Ste. 600 Phoenix AZ 85012
Phone: 602-254-3247
Fax: 602-256-7356
Email Address: d.devine@nativeconnections.org
Project Name: Patina Wellness Center
Please provide a brief description of the project submitted to the 12% SRPMIC Grant program.
Native American Connections is requesting a $250,000 grant to support the construction of the
Patina Wellness Center. The Patina Wellness Center will combine evidence based practices for
substance abuse treatment with Native American healing and ceremonies, integrated medical
care and alternative therapies to provide a holistic environment that heals the mind, body and
spirit. The opening of Patina will significantly expand the number of beds and reduce wait times
for substance abuse treatment.
Beginning Date of Project: January 2015 End Date of Project: June 2016
Geographic Area to be served: Arizona
** Attach Detailed Budget**

Amount of Total Project: $7,600,000 Amount of 12% Request: $250,000
(No Multi-Year Request will be accepted)
If the Amount of funding received is less than the amount needed for the project, do you have other
funds to complete the project? (Please Explain):
Native American Connections is currently working to fill a $950,000 funding gap for the construction of
the Patina Wellness Center. A gap in the capital contributions would require additional debt to complete
the project. This would have significant impact to NAC as operating funds would need to be reallocated
towards debt service coverage.
If you receive SRPMIC 12 % funding, will it be spent (Check One):
X Monthly towards construction draws
e Quarterly
E Lump Sum
List of SRPMIC 12% funds you have received in the past.
$200,000 was contributed to the Native American Community Service Center Capital Campaign in 2011.
List any other 12 % grant funds your organization may be seeking from other Tribal Governments
in 2015-2016.
Gila River Indian Community $500,000 Multiyear Awarded June 2015
List any other funds you have received from the Salt River Pima-Maricopa Indian Community
(Enterprises Included) and identify the amount and the source:
NAC has not received any other funds from the Salt River Pima -Maricopa Indian Community.
Funding for project/programs may be based on available funding. As such, if funding were not
available for the full the amount of request how would you prioritize funding.
A.) Furniture, fixtures and equipment for the childcare center.
B.) Furniture, fixtures and equipment for the Talking Circle Room.
C.) Furniture, fixtures and equipment for the Arts & Cultural Therapy Room.
D.)
Which municipal governmental entity will serve as your pass through or accept 12% funds on your
behalf? Maricopa County will serve as the municipal governmental entity. Ms. Amanda Nash is aware
of this application.

By execution of the 12% Gaming Contribution Grant Application the undersigned agrees that the
information contained in the Application is true to the best of the Applicants knowledge. The
Applicant shall notify the SRPMIC if any information in this Application changes.
C, August 7, 2015
Signature for the Applicant Date
Diana Yazzie Devine, President/CEO
Name and Title
The Application shall be signed by the senior elected official of the local government, or in the case
of a non-profit entity, the Chief Executive Officer authorizes to commit the non-profit entity to
apply for, accept, and implement an award from the SRPMIC utilizing 12% Gaming
Contributions.

Patina Wellness Center
NATIVE AMERICAN CONNECTIONS
Native American Connections' mission: Improve the lives of individuals and families through Native
American culturally appropriate behavioral health, affordable housing, and community development
services.
Since 1972, Native American Connections (NAC) has grown from a grassroots organization providing
substance abuse recovery services for homeless Native Americans to a multiservice organization that offers
a continuum of care of supportive behavioral health, housing and community support services for Native
American individuals and families throughout the Southwest.
NA C's multiple service sites align with two main goals: increase health & wellness and increase housing
stability. Current programs and services include:
• 200 units/apartments within 5 permanent supportive housing programs serving homeless, homeless
disabled, individuals living with HIV/AIDS and chronically homeless men and women;
• 340 units/apartments within 7 affordable housing communities for low-income individuals and families,
and the elderly;
• 36 beds within 2 transitional living programs for homeless youth (HomeBase Youth Services) and
women;
II 48 beds within 2 residential substance abuse treatment programs serving individuals who are
experiencing the negative effects of substance abuse and co-occurring illnesses;
• 2500 clients served annually within Intensive Outpatient Programs for single adults, families and
adolescents—providing intensive outpatient counseling, education & treatment, Circle of Strength for
Families;
• 250 children served annually within the Children's General Mental Health program—serving children in
need of mental health support due to behavioral challenges, family difficulties, and substance abuse
within the family;
• 200 clients served annually within Adult Outpatient Services—General Mental Health (psychiatric
evaluations, medication management, counseling, case management); and services for Transition Age
Youth (TAY).
Summary of Request
NAC has provided highly successful substance abuse and co-occurring disorders treatment at Guiding Star
and Indian Rehabilitation for four (4) decades; however, both properties/facilities are in need of significant
improvements in order to maintain licensure by the State and have really long outlived their useful life.
Therefore, NAC decided to relocate both programs to the newly constructed Patina Wellness Center located
in Central Phoenix within walking distance of the Heard Museum.
In 2013, NAC began the development of the Patina Wellness Center ("Patina") by partnering with the
Arizona State University's Healthcare Initiatives of the Herberger Institute for Architectural Design. The 6-

month student led effort resulted in the designing of a new space that blends Native American traditions
and customs with a practical, energy efficient, green design that maximizes the space available. This new
40,000 square foot physical space recognizes the importance of creating an environment that fosters a sense
of place, community, safety, wellness and culture.
When completed in May 2016, the Patina Wellness Center will provide residential substance abuse and co-
occurring disorders treatment for a minimum of 500 men and women annually, including women who are
pregnant or post-partum along with 40-50 dependent children who may live with their mother/father during
treatment.
NAC is seeking a grant from the Salt River Pima-Maricopa Indian Community in the amount of $250,000 to
support the $4.2 million construction costs.
Goals and Activities
Since 1972, over 15,000 thousand men and women began their recovery and achieved sobriety at Indian
Rehabilitation and Guiding Star, Native American Connections' residential treatment programs. Our
program graduates 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.
New facility construction and bed expansion goals include:
1. By June 2016, NAG will complete construction and open the Patina Wellness Center bringing Indian
Rehabilitation and Guiding Star into one new location located at 337 E. Virginia in Central Phoenix.
2. Patina will include 74 residential treatment beds for men and women. — increasing the number of
NAC's residential beds by 28 beds. By increasing the number of beds and people served, this will
significantly decrease the waiting time making treatment much more accessible.
3. The design of Patina provides the most flexibility in accepting individuals, families, married couples,
single parents and their children (including fathers with children).
4. Patina 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.
5. Individuals and families who need additional housing supports after completion of the Patina
program may continue into one of the 4 transitional housing units located within the campus.
6. Once client/tenants become more comfortable with their recovery and have gained some financial
stability, individuals/families may move into one of NAC's supportive housing communities
including the newly constructed 74-unit Cedar Crossing 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:
Native American Connections Wellness Center Page 2

1. Decreasing client drug and alcohol use by engaging clients in mapping and implementing their individual
and family modality choices which include: Traditional Native Healing Practices, Dialectical Behavior
Therapy (DB1) which helps the client recognize triggers, build coping skills and change patterns of
behavioral, group therapy and peer support, and medication therapy 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, physical
recreation, and art therapy.
2. Increasing long-term recovery success by engaging clients in their own self-care and recovery by
providing AA meetings, Peer Support and Recovery Coaches.
3. Addressing education, employment and income through on-site life skills classes, independent living
skills, workforce development, and access to a business center with computers and a library with
educational materials.
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 will be woven throughout the Patina 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.
Target Population
NAC commissioned American Indian Health Management and Policy to complete a feasibility study in 2010
(updated in 2012) in order to quantify the unmet need for NAC's services at the Patina Wellness Center.
This study clearly indicates the impact that Patina will have on the community.
A February 2014 Urban Indian Health Institute report indicates that American Indians (Al) have the
highest rates of past year heavy daily drinking compared to all races (21.9% vs 15.790; highest rates of
alcohol dependence (20.9% vs 12.990); highest alcohol attributed deaths (11.790 vs 7.9 90). A 2009 Indian
Health Services report indicates while the need for treatment is higher than any other race, only about 12 9 0
of Native Americans who needed treatment in a specialty facility actually received it. And, of all Arizona
adult individuals receiving substance abuse treatment, 1990 had co-occurring serious mental illness and 2690
had a co-occurring general mental health disorder.
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.
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. NA C's services are open to
all populations and demographics indicate 45 0 0 Native American, 25°0 Hispanic, 209 .0 Caucasian and 100 0
African American. Over 50% of clients seeking treatment at Guiding Star and Indian Rehabilitation are
Native American Connections Wellness Center Page 3

homeless. Today, NAC holds contracts with the local regional behavioral health authority (RBI-IA) and
tribal behavioral health authorities (TRBHAs) while continuing to navigate a variety of key challenges such
as care coordination. By establishing the Patina Wellness Center, NAC will be working in greater
partnership with Indian Health Services and tribal communities to improve 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.
In the last fiscal year, NAG provided services to 37 individuals from the Salt River Pima-Maricopa Indian
Community. This includes 28 individuals who received care through the Regional Behavioral Health
Authority rather than using tribal resources. In addition, eleven (11) SRPMIC family members are residents
within NAC's housing communities.
Native American Connections is committed to increasing services and improving access to Native American
individuals and families living in both urban and tribal communities within .Arizona and the Southwest.
Project Timeline
NAC began construction of the 40,000 square foot, 80-bed Patina Wellness Center in February 2015 and
anticipates opening the Center in May 2016. We anticipate full occupancy by September 2016. A Program
Development Manager is in place to coordinate the integration of Indian Rehabilitation and Guiding Star
into one program; adapt and/or develop new curriculum as needed, implement a richer staff training
program and develop/implement new health initiatives such as smoking cessation.
Partnerships
NAC has several partners involved in the development, future operations and supportive services at the
Patina Wellness Center including:
• Mercy Maricopa Integrated Care (RHBA), TRHBAs and Tribes from across Arizona (including Salt
River and Gila River), health plans, corrections and PIMC and other area medical providers -
providing referrals, fee for service reimbursement, wellness checks, additional support services.
• Phoenix Indian Medical Center and Native Health — providing medical services
• ASU School of Health Innovations — providing physicals and wellness checks
• Southwest Human Development, Families First, Child Crisis Nursery, Local elementary schools —
providing Children's services
Sustainability
NAC has maintained financially feasible and sustainable operations at Guiding Star and Indian
Rehabilitation for over 40 years (since inception in the late 70s) and has used this experience to develop the
financial modeling for the new Patina Wellness Center. The annual operating costs of the Patina 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 the Salt River Pima-Maricopa Indian Community
members living in urban areas and those that come to NAG for services via a tribal community referral.
Native American Connections Wellness Center Page 4

Native American Connections - Wellness Center
Development Budget:Jan 2015 - May 2016
L ACQUISITION COST
Land 1,100,000
Closing costs 15,000
Legal Fees 7,500
TOTAL ACQUISITION COST 1,122,500
IL DIRECT CONSTRUGTION 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
I IC Contingency 341,800
TOTAL CONSTRUCTION COST 5,270,485
ILL PROFESSIONAL FEES
Architect Fee -Design 146,600
Architect Fee -Supervision 17,160
Engineering fee 82,875
Soils Report & Special Inspections Immo
Land Survey, Environmental, Appraisal 7,000
Legal Fees 26,090
Permits and Accounting Fees 85,000
LEED Registration 6, Energy Modeling 44,000
TOTAL PROFESSIONAL FEES 420,635
IV. FINANCING LOAN COSTS
Construction Loan Fee & !Merest 150,000
Taxes Construction Period Only 17,500
Title & Recording 18,000
Inspection Fees 10,200
Insurance During Construction 15,000
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/Feu 90,000
Consultant Fee 54,000
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
Private Family Foundation 500,000
Gila River 509,000
Grants/Fundraising 845,000
TOTAL SOURCES 7,600,000