ST. ROSE PHILIPPINE DUCHESNE CATHOLIC PARISH_REDACTED.PDF

This Application for Bingo License Packet includes:
« Arizona Form 833 — Application for Bingo License
e Arizona Form 830 — Affidavit

e Arizona Form 832 —
Endorsement by Local Governing Body

It is advisable that you obtain and review a copy of the
Arizona Revised Statutes on “Games of Bingo” and the
Administrative Rules prior to initiating an application.
These documents outline qualifications and requirements
for obtaining a bingo license and may be obtained from:

* www.azileg.gov/ and
* www.azsos.gov/public_services/table_of_contents.htm

All forms must be complete and legible. Please type or
print using black ink only. Forms are available in a fillable
pdf format at Arizona Department of Revenue (ADOR)
web site www.azdor.gov, Be sure to include on your
application a telephone number where you (or another
party responsible for the games) can be reached during
the day.

The bingo license package for new license and appropriate
fees must be sent to and approved by the local governing
body (the city council for incorporated cities or the county
board of supervisors for unincorporated areas) prior
to submission to the ADOR Bingo Section. Upon their
approval or disapproval, the local governing body will
forward the license package to the ADOR Bingo Section.

Endorsement By Local Governing Body Form

Compiete lines 2, 3, and 4 of Arizona Form 832,
Endorsement by Local Governing Body and submit to
your local governing body with the bingo license package.
A bingo license cannot be issued until this form is
received by the ADOR Bingo Section.

As part of the review of your application for a bingo license,

the ADOR Bingo Section will conduct an analysis of
any purchase agreement for either equipment and/
or_real property to determine that such agreement

is_bona fide. This analysis Is conducted pursuant to
A.R.S. 5-406.F. The Bingo Section does not “approve”
these agreements as to content or other legal ramifications.
You are strongly advised to consult with independent legal
counsel to determine your rights and obligations under
these agreements.

if you need additional forms or have any questions, please
call the ADOR Bingo Section in Phoenix at (602) 716-7801.

! Arizona Department of Revenue Application for Bingo License Packet

CHECKLIST:

Send copies of all documents listed below unless otherwise
noted. Before mailing, check to make sure that you have
included the following:

sot Original completed Application for Bingo License
(Arizona Form 833).

2 original completed affidavits (Arizona Form 830).
Class B and Class C applicants must include a
completed affidavit for each person participating
in the conduct of your games. Class A applicants
must include a complete affidavit for each person
participating as a manager, proceeds coordinator
and supervisors.

3] Rental agreement if more than one licensee is using
the same rented premises in which to hold bingo.

4C] Application for Special Bonus Game (Arizona Form
831) available at www.azdorgov. If you do not
conduct special bonus games do not complete the

application.
sLZ’ License fee payable to the Arizona Department of
Revenue:
License Type Fee
Class A $10.00
Class B $50.00
CiClass C7 $200.00>

sk’ The local governing body fee will be payable to the
appropriate local governing entity:

License Type Fee
Class A $5.00
lass. B

$25.00
Ci class c $50.00

Wit applying as a quallfied organization, a current
membership fist must be submitted and must
indicate initial membership dates for all members
of the applicant organization. Any person from any
branch of the applicant who will be participating in the
operation of bingo games must be included on the
membership list.

ahd it applying as a qualified organization, the following
must be submitted: charter_documents, articles

of incorporation, corporate” bylaws, articles of
&8s0clation, minutes “oF the Steblshrnent meeting,
afd minutes of meetings for two years (wo months of
cath year) mnmediately pro tole date choesionnn
forthe applicant, parent and auxiliary.

eC] Purchase agreement for real property (where
applicable).

10k’ Purchase agreement/bill of sale for bingo equipment
and supplies.

10 Original local governing body endorsement,

ADOR 10334 (2/20)

Arizona Form 833 Application for Bingo License

¢ Type or print in black ink and complete all information requested on this form. If you do not, your application will be returned. All
information is subject to verification. If you need more space, attach additional sheets,
* All bingo licenses expire one year from the date of issue. To continue conducting live bingo games, you must renew your license
prior to the expiration date pursuant to A.R.S. §§ 5-403(C) and 5-410.
' gent Rowe pra ine Duchesne Catholic Parish Falsification - of. information
aint Rose Philippine Duchesne Catholic Paris contained inthis application

2a Mailing Address
2825 W. Rose Canyon Circle constitutes a Class 6 felony.
2b City State ZIP Code REVENUE USE ONLY. 00 NOT MARK IN THIS AREA,

Anthem AZ 85086
3a Administrative Office Location

2825 W. Rose Canyon Circle
3b City State ZIP Code

Anthem AZ 85086
4a Name of Contact Person

Paul Novak
4c E-mail Address ¢ Fax No. PM go] RCVD

5 Class B and Class C license applicants only: If applying as a qualified organization, check one box to indicate the type of

organization:

1 Charitable O Social Religious [I Veterans

CO Fraternal (O Volunteer Fire Department [] Homeowners Association C1] Nonprofit Ambulance Service
6 Class B and Class C license applicants only applying as a qualified organization, provide parent or auxiliary Information:

6a Parent Name 6b Auxiliary Name

St. Rose Philippine Duchesne Catholic Parish

Address -- Number and Street, Rural Rt., Apt. No. [Address — Number and Street, Rural Rt., Apt. No.

2825 W. Rose Canyon Circle

City State ZIP Code City State ZIP Code

Anthem AZ 85086
7 Class B and Class C license applicants only applying as a qualified organization, ist the current officers or Board of.

Ta Name 7b Name

Reverand Francisco "Bing" Colasito Paul Novak

Title Title

Pastor Chairman, Parish Development Council

Address -- Number and Street, Rural Rt., Apt. No. Address — Number and Street, Rural Rt., Apt. No.

ZIP Code

State

State ZIP Code

7d Name

Title Title
Address — Number and Street, Rural Rt., Apt. No. Address — Number and Street, Rural Rt., Apt. No.
City State ZIP Code City State ZIP Code

8 Class B and Class C license applicants only: Bingo checking account information:
Checking Account Number Bank Name Bank Branch

Continued on page 2 >

ADOR 10334 (2/20)

Applicant's Name (as shown on page 1)
Saint Rose Philippine Duchesne Catholic Parish

APPLICATION FOR BINGO LICENSE

9 Class B and Class C license applicants only: Bingo interest-bearing account information:

Account Number Bank Name

Bank Branch

10 Class B and Class C license applicants only: List all officers and/or supervisors authorized to sign checks from the accounts
listed above. If applying as a qualified organization, all supervisors must be members of the applicant:
10a Name 10b Name
Francisco "Bing" Colasito Richard Johnston
Title Title
Pastor Accountant
11 List the name(s) of the one or two persons who will serve as managers. If applying as a qualified organization, these persons
must be members of the applicant. Each parson must submit an affidavit.
1a Name tb Name
Patrick Schwindt Gary Isbrandt
Title Title
Manager Assistant Manager
12 List the name of the one person designated as proceeds coordinator. If applying as a qualified organization, this person must be
an officer or director and a member of the applicant. Each person must submit an affidavit.
Name Title
Francisco "Bing" Colasito Pastor
13. List the name(s) of the person(s) who will serve as supervisor. If applying as a qualified organization, each person must be a
member of the applicant. Each person must submit an affidavit. If additional names are required, please attach affidavits.
13a Name 13b Name
Paul Novak
Title Title
Chairman, Parish Development Council
14 List the name(s) of the person(s) who will serve as assistants. If applying as a qualified organization, each person must be a
member or new member of the applicant. Except for "Class A" licensees, each person must submit an affidavit
14a Name 14b Name
Thomas Henrich Brian Woods
44c Name 14d Name
16 Street address of the PHYSICAL location where live bingo will be played:
2825 W. Rose Canyon Circle, Anthem, AZ 85086 |
16 Games of Bingo must not exceed 5 days a week. Indicate the time on each respective day that live bingo will be played:
SUN MON TUE WED THUR ERI SAT.
Oam. a.m. Dam. Dam. Olam. Olam. Olam.
. i p.m.|_5:00 Blp.m|5:00 _Bgo.m.). Op.m.)..5:00 _Bdp.m.}, 5:00 Rlp.m.}. p.m.
Continued on page 3 >
ADOR 10334 (2/20) Arizona Form 833 Page 2 of 6

Applicant's Name (as shown on page 1)

Saint Rose Philippine Duchesne Catholic Parish APPLICATION FOR BINGO LICENSE

47 Indicate the type of premises where bingo will be played. Check one box:
a‘ Neither rent nor mortgage will be paid from bingo funds.

b [J Rented or leased. Attach rental affidavit and copy of rental agreement.
Landlord's Name Address - Number and Street, Rural Rt., Apt. No.

Telephone Number (with area code) Ciy State ZIP Code

c (% Owned solely by the organization. Attach copy of mortgage, deed of trust, purchase agreement, escrow agreement, or
other related document.

Address — Number and Street, Rural Rt., Apt. No.

State ZIP Code

d (1) Owned jointly with other organization. Attach copy of mortgage, deed of trust, purchase agreement, escrow agreement, or
other related document:

1) Hoider of Mortgage Address — Number and Street, Rural Rt., Apt. No.
Telephone Number (with area code) City State ZIP Code
2) Co-Owner Holder: Address — Number and Street, Rural Rt., Apt. No.
Telephone Number (with area code) City State ZIP Code
3) Co-Owner Holder: Address — Number and Street, Rural Rt, Apt. No.
Telephone Number (with area code) City State ZIP Code

18 List bingo licensees who are or will be conducting bingo in the same premises as you and those licensees located within 1,000
feet of your premises:

18a Name 18b Name

None

Address — Number and Street, Rural Rt., Apt. No. Address ~- Number and Street, Rural Rt., Apt. No.

City State ZIP Code City State ZIP Code

Continued on page 4 >

ADOR 10334 (2/20) Arizona Form 833 Page 3 of 5

Applicant's Name (as shown on page 1)

Saint Rose Philippine Duchesne Catholic Parish

APPLICATION FOR BINGO LICENSE
19 Expected bingo expenses:

a Mortgage: $0.00 per month
Payable to

Address — Number and Street, Rural Rt., Apt. No.
Telephone number (with area code)

City State ZIP Code
b Rent: $0.00 per} month CJ hour (J occasion
Payable to Address — Number and Street, Rural Rt., Apt. No.

Telephone number (with area code)

City State ZIP Code

c Janitorial Services: $0.00 per [J month (CJ hour (J occasion
Payable to Address — Number and Street, Rural Rt., Apt. No.
Telephone number (with area code) City State ZIP Code
d Accounting Services: $0.00 per month Ghour (7 occasion
Payable to Address — Number and Street, Rural Rt., Apt. No.
Telephone number (with area code) City State ZIP Code
e Security Services: $0.00 per (7 month [hour 1 occasion
Payable to Address -- Number and Street, Rural Rt., Apt. No.

Telephone number (with area code)

City State ZIP Code

f Bingo Supplies: $.1.500.00.

, per_week

Payable to Address — Number and Street, Rural Rt., Apt. No.

Cactus Bingo 3210 E. Roeser Rd.

Telephone number (with area code) City State ZIP Code
(602) 268-2848 Phoenix AZ 85040

20 Who is your five bingo supplier? (For all bingo supplies). Do you foresee purchasing/renting machines as “technological aids for
your live bingo games?
Cactus Bingo - Purchase of new machine

Continued on page 5 >

ADOR 10334 (2/20)

Arizona Form 833 Page 4 of 5

Applicant's Name (as shown on page 1)
Saint Rose Philippine Duchesne Catholic Parish

APPLICATION FOR BINGO LICENSE

I, Paul M. Novak , under penalty of perjury and upon oath, declare that I am duly authorized to sign
and file this application. I hereby swear or confirm that I have read the foregoing application and know the contents thereof and that
all information provided has been fully, accurately, and truthfully completed to the best of my knowledge.

~Geer 2 ¥} 2/; 202 Chairman, Parish Development Council
DATE

APPLICANT'S SIGNATURE THLE

Please mail to:
Arizona Department of Revenue
1600 W Monroe Street, Division Code 22
Phoenix, AZ 85007

B (602) 716-7801

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
(Approved (1) Disapproved {IClassALicense (JClassBLicense [Class C License

Reviewer's Name (please print) Date License Number Effective Date Expiration Date

ADOR 10334 (2/20) Arizona Form 833 Page § of 5

Affidavit Bingo |

Arizona Form
830

This affidavit must be completed by each person who wishes to assist in the conduct of any game of binge. If any information is blank or incorrect, the
affidavit will be returned to you, Alt information is subject to verification. Disclosure of your Social Security Number (SSN) Is voluntary. This Information
may be used to establish positive Identification for purposes of criminal background checks Pursuant to A.R.S. § 5-404.

Licensee's Name License Number

Saint Rose Philippine Duchesne Catholic Parish
Posilion (check ihe appropriate boxes):

[Manager Bi Supervisor] Proceed Coordinator _[] Assistant a USE ONLY. DO NOT MARK IN THIS AREA.

Affiant's Name

Paul Novak

PM RCVD

n omplete the following section:
Member? Date Joined Organization
Rives OCNo 09012004
Officers? Officer Title
BlYes  CINo ___iChairman
Do you have an affidavit on file for any other licensee?
(1 Yes No___ If *Yes", list license number(s):_

1, Paul Novak , the above-named affiant, under penalty of perjury, upon oath, depose

AFFIANTS NAME
and say that I will conduct or assist in conducting all bingo games in compliance with the terms of the license, Arizona Revised

Statutes, Title 5, Chapter 4, and the rules of the licensing authority. 1am of good moral character and have never been convicted of
any misdemeanor involving moral turpitude or felony. I have not and shall not receive any reward, compensation or recompense
for my participation in the conduct of bingo games except as provided for by law, I hereby swear or confirm that I have read
and understand the foregoing and verify that the information and statements made herein are true and correct to the best of my

knowledge.

; Signature of Affant

Date

Please mail to:
. Arizona Department of Revenue
1600. W Monroe Street, Division Code 22
Phoenix, AZ 85007

@ (602) 716-7804

ADOR 10327 (2/20)

Arizona Form .
830 Affidavit Bingo

This affidavit must be completed by each person who wishes to assist in the conduct of any game of bingo. If any information is blank or incorrect, the
affidavit will be returned to you. All Information Is subject to verification. Disclosure of your Social Security Number (SSN) is voluntary. This information

may be used to establish positive Identification for purposes of criminal background checks pursuant to A.R.S, § 5-404.

Licensee's Name
Saint Rose Philippine Duchesne Catholic Parish

License Number

Position (check the appropriate A

[1 Manager] Supervisor

Affiant's Name ,. —

we ode 7

Proceed Coordinator _[[] Assistant REVENUE USE ONLY, DO NOT MARK IN THIS AREA.

PM RCVD

one NO, (with area code}

If licensee is a qualified organization, complete the following section:

Member? Date Joined Organization
Yes [No er} 20/8

Officers? Officer Title

ves OINo Davee

Do you have an affidavit on file for any other licensee?
QD Yes ho if “Yes”, list license number(s):

1 Francicrp “Bing! Colasifo

and say that I will conduct or assist in conducting all bingo games in compliance with the terms of the license, Arizona Revised

the above-named affiant, under penalty of perjury, upon oath, depose

Statutes, Title 5, Chapter 4, and the rules of the licensing authority. I am of good moral character and have never been convicted of
any misdemeanor involving moral turpitude or felony. 1 have not and shall not receive any reward, compensation or recompense
for my participation in the conduct of bingo games except as provided for by law. 1 hereby swear or confirm that I have read

and understand the foregoing and verify that the information and statements made herein are true and correct to the best of my
knowledge.

Signature of Affiant |

6) /as/aé

Date

Piease mall to:
Arizona Department of Revenue
1600 W Monroe Street, Division Code 22
Phoenix, AZ 85007

B (602) 716-7801

ADOR 10327 (2/20)

Arizona Form "i 7
830 Affidavit Bingo.

This affidavit must be completed by each person who wishes to assist In the conduct of any game of bingo. If any information Is blank or Incorrect, the

affidavit will be returned to you. All information Is subject to verification. Disclosure of your Sodal Security Number (SSN) Is voluntary, This information
may be used to establish positive identification for purposes of criminal background checks pursuant to A.R.S. § 5-404.
Licensee’s Name

License Number
Saint Rose Philippine Duchesne Catholic Parish
Position (check the appropriate boxes):

a Manager Oo Supervisor, [ ] Proceed Coordinator__[] Assistant REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

Affiant's Name
PATRICK Scupnd oT

PM a0) RCVD

If licensee is a qualified organization, complete the following section:

Member? Date Joined Organization
Yes _[INo 2006

Officers? Officer Title

O Yes No Mand ¢ee

Do you have an affidavit on file for any other licansea?
Dyes  fIYNo ___If"Yes”, list license number(s):

I,_* PATRICK S CHK MITT , the above-named affiant, under penalty of perjury, upon oath, depose
AFFIANTS NAME

and say that I will conduct or assist in conducting all bingo games in compliance with the terms of the license, Arizona Revised

Statutes, Title 5, Chapter 4, and the rules of the licensing authority. I am of good moral character and have never been convicted of
any misdemeanor involving moral turpitude or felony. I have not and shall not receive any reward, compensation or recompense
for my participation in the conduct of bingo games except as provided for by law. I hereby swear or confirm that I have read

and understand the foregoing and verify that the information and statements made herein are trne and correct to the best of my
knowledge.

Signature of Affiant ~

//29/2©26

Date

Please mail to:

Arizona Department of Revenue
1600 W Monroe Street, Division Cade 22
Phoenix, AZ 86007

@ (602) 716-7801

ADOR 10327 (2/20)

Arizona Form :
atv Bingo

This affidavit must be completed by each person who wishes to assist in the conduct of any game of bingo. If any information Is blank or incorrect, the
affidavit will be returned to you. All information is subject to verification. Disclosure of your Social Security Number (SSN) Is voluntary. This information
may be used to establish positive identification for purposes of criminal background checks pursuant to A.R.S. § 5-404.

Licensee’s Name

License Number
Saint Rose Philippine Duchesne Catholic Parish
Position (check the appropriate boxes):

Li franager [1 Supervisor__[) Proceed Coordinator [1 Assistant

eq USE ONLY. DO NOT MARK IN THIS AREA.
88}

Affiants Name ---
Gacy Tsheaadt

PM RCVD

If licensee is a qualified organization, complete the following section:

Member? Date Joined Organization

aes DNo 2006

Officers? Officer Title

OYes No Assictany Manacee

Do you have an affidavit on file for any other licensee?
C1 Yes GiNo If “Yes”, list license number(s):

1 CARY /([SBRANDT

, the above-named affiant, under penalty of perjury, upon oath, depose
7 RFFIANT'S NAME
and say that I will conduct or assist in conducting all bingo games in compliance with the terms of the license, Arizona Revised

Statutes, Title 5, Chapter 4, and the rules of the licensing authority. | am of good moral character and have never been convicted of
any misdemeanor involving moral turpitude or felony. I have not and shall not receive any reward, compensation or recompense
for my participation in the conduct of bingo games except as provided for by law. I hereby swear or confirm that | have read

and understand the foregoing and verify that the information and statements made herein are true and correct to the best of my

knowledge.

Signature of Anat

o1/2 af 2012p

Date

Please mail to:
Arizona Department of Revenue
4600 W Monroe Street, Division Code 22
Phoenix, AZ 85007

@ (602) 716-7801

ADOR 10327 (2/20)

Arizona Form

830 Affidavit

Bingo

This affidavit must be completed by each person who wishes to assist in the conduct of any game of

bingo. If any Information Is blank or incorrect, the

affidavit will be returned to you. All information is subject to verification. Disclosure of your Social Security Number (SSN) ts voluntary. This information
may be used to establish positive identification for purposes of criminal background checks pursuant to A.R.S. § 5-404.

Licensee's Name
Saint Rose Philippine Duchesne Catholic Parish

License Nu;

Az (31K 9329S

Position (check the appropriate boxes):

[7] Manager [7] Supervisor _[[] Proceed Coordinator PM assistant

Affiant’s

fe USE ONLY. DO NOT MARK IN THIS AREA,

fea] PM

ao} RCVD

If licensee is a qualified organization, complete the following section:

Member? Date Joined Organization
Yes [No O2,

Officers? Officer Title

ClYes _ BANo 61s Hind

Do you have an affidavit on file for any other licensee?

Clyes  BYNo _If*Yes", jist license number(s):

and say that I will conduct or assist in conducting all bingo games in compliance with

knowledge.

_— ™,
1, bor (4a) Zs 7 PALE S , the above-named affiant, under penalty of perjury, upon oath, depose
Al

Statutes, Title 5, Chapter 4, and the rules of the licensing authority. J am of good moral character and have never been convicted of
any misdemeanor involving moral turpitude or felony. 1 have not and shall not receive any reward, compensation or recompense
for my participation in the conduct of bingo games except as provided for by law. I hereby swear or confirm that I have read

and understand the foregoing and verify that the information and statements made herein are true and correct to the best of my

Poe

the terms of the license, Arizona Revised

Lda

Signature of Affiant

1-83 -AORC

Date

Please mail to:
Arizona Department of Revenue

Phoenix, AZ 85007

1600 W Monroe Street, Division Code 22

@ (602) 716-7801

ADOR 10327 (2/20)

Arizona Form
830 Affidavit

This affidavit must be completed by each person who wishes to assist in the conduct of any game of bingo. If any information Is blank or Incorrect, the
affidavit will be retumed to you, All Information Is subject to verification. Disclosure of your Social Security Number (SSN) Is voluntary. This information
may be used to establish positive Identification for Purposes of criminal background checks pursuant to A.R.S. § 5-404.

Licansee’s Name License Number
BS} @ Phil Duchesne Catholic Parish
Position (oheck the @ppropriate boxes);
Manager Supervisor Proceed Coordinator Assistant cha USE ONLY, DO NOT MARK IN THIS AREA.
[Afflants Name

PM RCVD

licensee is a qualified organization, complete the following section:

Member? Date Joined Organization
Yes _[INo 06/201 g
Officers? Offices Title
Yes [No Ars Shao
Do you have an, affidavit on file for any other licensee?
Cl Yes No __If "Yes", list license numberfs);

I,_FAomas J Hepes. , the above-named affiant, under penalty of perjury, upon oath, depose
and say that I will conduct or assist in conducting all bingo games in compliance with the terms of the license, Arizona Revised
Statutes, Title 5, Chapter 4, and the rules of the licensing authority, Iam of good moral character and have never been convicted of
any misdemeanor involving moral turpitude or felony. I have not and shall not receive any reward, compensation or recompense
for my participation in the conduct of bingo games except as provided for by law, I hereby swear or confirm that i have read

and understand the foregoing and verify that the information and statements made herein are true and correct to the best of my
knowledge.

ignature lant
DIATE
Date

Street, Division Code 22
» AZ 85007

TE (602) 716-7801

ADOR 10927 (2/20)

St. [ROSE

DU C HVE S'N EE

POR Et Eee BUN CE

February 19, 2026

Arizona Department of Revenue

Bingo Section
1600 W. Monroe St.
Phoenix, AZ 85007

SUBJECT: Organization Membership List

Father Francisco “Bing” Colasito
Paul Novak

Brian Woods

Thomas Henrich

Patrick Schwindt

Gary Isbrandt

Padl M. Novak
(chairman

Parish Development Council

Pastor

Chairman
Assistant
Assistant
Manager

Manager

May 2015
May 2004
April 2002
June 2019
February 2006

October 2006

2825 W Rose Canyon Circle
Anthem, AZ 85086

Ph: 623-465-9740
vvau.stroseanthem.com

STATE OF ARIZONA
ARIZONA CORPORATION COMMISSION

CERTIFICATE OF GOOD STANDING

I, the undersigned Executive Director of the Arizona Corporation Commission, do
hereby certify that:

ST. ROSE PHILIPPINE DUCHESNE ROMAN CATHOLIC PARISH ANTHEM
ACC Business ID: 14588793
a Domestic Nonprofit Corporation, was authorized to transact business or conduct

affairs in the state of Arizona on 1st day of July, 2008;

That all annual reports owed to date by said corporation have been filed or delivered
for filing, and all annual filing fees owed to date have been paid; and

That, according to the records of the Arizona Corporation Commission, said
Domestic Nonprofit Corporation is in good standing in the State of Arizona as of the
date this Certificate is issued.

IN WITNESS WHEREOF, I have hereunto
set my hand, affixed the official seal of the
Arizona Corporation Commission, and
issued this Certificate on this date: 2nd day
of February, 2026

wegl a 4. Cor K

DOUGLAS R. CLARK,
EXECUTIVE DIRECTOR

Business ID.: 14588793
Certificate No.: 2602130418108151
Certificate may be verified online at:

arizonabusinesscenter.azcc. gov

STATE OF ARIZONA
ARIZONA CORPORATION COMMISSION

CERTIFICATE OF GOOD STANDING

This Certificate relates only to the legal existence of the above-named business as of
the date this Certificate is issued, and is not an endorsement, recommendation, or
approval of the entity’s condition, business activities, affairs, or practices.

IN WITNESS WHEREOEF, I have hereunto
set my hand, affixed the official seal of the
Arizona Corporation Commission, and
issued this Certificate on this date: 2nd day
of February, 2026

Daweh. 4. CloK

DOUGLAS R. CLARK,
EXECUTIVE DIRECTOR

Business ID.: 14588793
Certificate No.: 2602130418108151
Certificate may be verified online at:

arizonabusinesscenter,azcc. gov

0900016459464

NA EAN MENT OF REVENUE STATE OF ARIZONA

ATTN: Taxpayer Services
1600 WEST MONROE STREET Department of Revenue

PHOENIX, AZ 85007

Michael Carvelli
Assistant Director

& Tom Waters
er Administrator
March 12, 2009

al

ST ROSE PHILIPPINE ROMAN CATHOLIC PARISH ANTHEM

2825 W ROSE CANYON CIR
ANTHEM AZ 85086

Congratulations on completing the Withholding registration. We want to provide you with information
that will make your experience with us a positive one. O41
jor

Information you need to file successfully: eg

a

1. Your Federal Identification Number (EIN) 36-4644267 is also the account number used for your ,
Arizona employer withholding. Always reference this number in all correspondence or telephone calls

regarding your Withholding Tax.

2. You listed your business start date is July 1, 2008. Withholding returns are due quarterly. You are
required to file and remit payment by the last day of the month following the close of each period.
Remember that you must file every return whether or not you have sales and/or tax to report.

3. If your withholding averages more than $1,500 per quarter, you must submit payments on the same
schedule as your federal withholding.

4. You will receive Form A1-QRT if you are a monthly or quarterly filer. You will be notified if you qualify
to be an annual filer, in which, you will need to use Form A1-APR. itis imperative that you include your
EIN number when you file these returns to get credit for your payment.

5. For additional information on filing and payment options, including on-line payment and account
inquiries, visit our website at www.AZTaxes. gov.

Please note additional information enclosed that will assist you with doing business in the
State of Arizona.

RCRRR622 PT70-019

Visit us on the web at hitp:/www.azdor.gov

i
|

STATE OF ARIZONA

Office of the
CORPORATION COMMISSION

CERTIFICATE OF GOOD STANDING
To all to.whom these presents. shall come, greeting:

<, Brian C, MoNeil, Executive Director of tha Arizona Corporation
Commission, do heraby certify that

*f*ST. ROSE PHILIPPINE DUCHESNE ROMAN CATHOLIC PARISH ANTHEM * #* *

a. domestic: nonprofit corporation organized under tha laws of the Stata of
Arizona, did incorporate on July 1, 2008,

I further certify that according to the records of. the Arizona
Corporation Comuiasion, as of the date set forth hereunder; the paid
oorporation is not administratively. dissolved for. failure to comply. with
the provisions of the Arizona Nonprofit Corporation Act) and that.ite. most
yecent Annual Report, subject to the provisions of A.R.S9:; sections
10-3122, 10-3123, 10-3125, & 10-11622, has been delivered to the Arizona
Corporation Commission. for filing; and that the said corporation hag not
filed Articles of Dissolution as.of the date of this certificate.

This certificate xelates only to the legal existence of the above
named entity as of the date issued. This certit#icate 1a not to ba
construed as an endorsement, recommendation, or notice of approval of. the
entity’s# condition or business activities and practices.

IN: WITNESS WHEREOF, I have hereunto set my.
hand. and affixed the official seal of the
Arizona Corporation Commission, Done at
Phoenix, the Capital, this 15th Day of
July, 2008, A.D,

ta fA DH

Executivé Direct6r ‘Af

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JUN g 8 2008 ARTICLES OF INCORPORATION 02468670

em<ESSUS> OF

ST. ROSE PHILIPPINE DUCHESNE ROMAN CATHOLIC PARISH ANTHEM

The undersigned, acting as incorporators of a nonprofit corporation under the Arizona
Nonprofit Corporation Act ("ANCA"), Arizona Revised Statutes Sections 10-3101 through 10-
11702, hereby adopts the following Articles of Incorporation for such corporation:

ARTICLE 1. Name and Effective Date. The name of the corporation is St. Rose
Philippine Duchesne Roman Catholic Parish Anthem (the "Corporation"). The effective date

upon which the Corporation shall be deemed to have been incorporated is July 1, 2008.

ARTICLE IL. Purpose and Character of Affairs. The Corporation is organized and

shall be operated exclusively for charitable, educational, religious and literary purposes within
the meaning of ILR.C. Section 501(c)(3), These purposes shall include, but are not limited to,
operating as a parish of the Roman Catholic Church of the Diocese of Phoenix, managing the
temporal affairs of the parish, and serving the spiritual and temporal needs of people in strict i
conformity with and subject to the laws and disciplines of the Roman Catholic Church, including
all applicable provisions of Canon Law of the Roman Catholic Church, The Corporation may
carry out its purposes directly or by making gifts, grants or other payments to other qualified
organizations, In these Articles, the term "ILR.C.” means the Internal Revenue Code and
reterences to provisions thereof are to such provisions as they are from time to time amended and
to corresponding provisions of any future United States Internal Revenue Law. Except as
otherwise provided in these Articles, the Corporation also may transact any and all lawful
business for which nonprofit corporations may be organized under the laws of Arizona, as

amended from time to time.

ARTICLE Ul. Activities and Restrictions.

Section 1. No dividends, liquidating dividends, or distributions shall be declared or paid
by the Corporation to any private individual including any parishioner, officer or director of the

Corporation.

Section 2, No substantial part of the activities of the Corporation shall consist of carrying
on propaganda or otherwise attempting to influence legislation, unless by appropriate election a
greater part is permitted without jeopardizing the Corporation's exemption under LR.C. Section
501(c}(3). The Corporation shall neither participate in, nor intervene in, any political campaign
on behalf of (or in opposition to) any candidate for public office, including the publishing or

distribution of any staternents.

Section 3. No part of the net earnings or net income of the Corporation shall inure to the
benefit of any private individual including any parishioner, officer or director of the Corporation;
provided, however, that such a person may receive reasonable compensation for personal
services rendered, or reimbursement for reasonable expenses incurred, which are necessary to

carrying out the exempt purposes of the Corporation.

-~  ~ Section-4. Notwithstanding any other provision of these Articles of Incorporation, the
Corporation shall not carry on any other activities not permitted to be carried on by a
Corporation exempt from federal income tax under LR.C. Section 501{c)(3), or by a Corporation,
contributions to which are deductible under LR.C. Section 170(c)(2).

ARTICLE IV. Members. The Corporation shall have no members.

ARTICLE V. Board of Directors.

Section 1. The affairs of the Corporation shall be managed by its Board of Directors,
which shall consist of such number of persons as shall be fixed by the Bylaws from time to time,
but shall not be less than the number of directors required by the ANCA. The terms of office,
qualifications, method of election, and voting rights of the directors shall be as specified in the

Bylaws.

Section 2. The number of directors constituting the initial Board of Directors shall be
three (3). The names and addresses of the initial directors are:

Rev. Mark E. Harrington
2825 W. Rose Canyon Circle
Anthem, AZ 85086

Bishop ‘Thomas J. Olmsted
400 E. Monroe St.
Phoenix, AZ 85004 -

Rev. Fredrick J. Adamson
400 E. Monroe St.
Phoenix, AZ 85004

ARTICLE VI. Incorporators. The names and addresses of the incorporators are:

Rev. Mark E. Harrington
2825 W. Rose Canyon Circle
Anthem, AZ 85086

Bishop Thomas J. Olmsted
400 E. Monroe St.
Phoenix, AZ 85004

Rev. Fredrick J. Adamson
400 E. Monroe St.
Phoenix, AZ 85004

- ARTICLE Vil. Amendment. These Articles of Incorporation may be amended by .the
directors of the corporation by vote of two thirds of the number of those directors in office at the
time that the amendment is adopted who have the authority under the bylaws to vote, provided
that no amendment shall substantially change the original purposes of the Corporation.

ARTICLE VII. Indemnification, To the fullest extent permitted by the ANCA as the
same exists or may be hereafter amended, the Corporation shal] indemnify and advance expenses
to any person who incurs expenses or liabilities by reason of the fact he or she is or was an
officer, director, employee or agent of the Corporation or is or was serving at the request of the
Corporation as a director, officer, employee or agent of another foreign or domestic corporation,
partnership, joint venture, trust, employee benefit plan or other entity. The foregoing
indemnification and advancement of expenses shall be mandatory in al] circumstances in which
the same are permitted by law, and shall include the indemnitee’s spouse if such spouse incurs
expenses or liabilities by reason of the fact he or she is or was married to an officer, director,
employce or agent of the Corporation or to someone who is or was serving at the request of the
Corporation as a director, officer, employee or agent of another forcign or domestic corporation,
partnership, joint venture, trust, employee benefit plan or other entity. No repeal, amendment or
modification of this article, whether direct or indirect, shal! eliminate or reduce its effect with
respect to any matter giving rise to indemnification and advancement of expenses occurring prior

to such repeal, amendment or modification.

ARTICLE IX, Director Liability. To the fullest extent permitted by the ANCA as the
same exists or may be hereafter amended, no director of the Corporation shall be liable to the
Corporation for monetary damages for any action taken or any failure to take any action as a
director. No repeal, amendment or modification of this article, whether direct or indirect, shall
eliminate or reduce its effect with respect to any act or failure to take any action as a director. No
repeal, amendment or modification of this article, whether direct or indirect, shall eliminate or
reduce its effect with respect to any act or failure to act of a director of the Corporation occurring

prior to such repeal, amendment or modification.

ARTICLE X. Dissolution, In the event of the dissolution of the Corporation, the Board
of Directors shall, after paying or making provision for the payment of all of the liabilities of the
Corporation, distribute all of the assets of the Corporation exclusively to one or more
organizations then qualifying as tax exempt organizations under LR.C. Sections 170(c)(2),
501(c)(3), 2055(a)(2) and 2522(aX(2) (except that no private foundation as defined by LR.C.
Section 509(a) shall be a recipient), and then organized and operated exclusively for charitable,
educational or religious purposes consistent with the Roman Catholic Church, as the Board of
Directors shall determine. Any of such assets not so distributed shall be distributed, in
accordance with all applicable provisions of Canon Law of the Roman Catholic Church, to the

Roman Catholic Church of the Diocese of Phoenix.

ARTICLE Xi. Principal Office and Statutary Agent,

Section. J. The mailing and street address of the principal office of the Corporation is:

2825 W. Rose Canyon Circle
Anthem, AZ 85086