ARIZONA HELLENIC FOUNDATION_REDACTED.PDF

Arizona Department of Liquor Licenses and Control DLLC USE ONLY

hitps://www.aaliquér.gov Job
(602) 542-5141 ey are
SPECIAL EVENT LICENSE "
Ucense it;

APPLICATION FEE $25.00 PER DAY

MUST be submitted to the Department of Uquor 10 days prior to the event.

SECTION 1
Name of Non-Profit Organization, Candidate or Political Party: ARIZONA HELLENIC FOUNDATION

If the event will be held on an unicensed premises, it MUST be approved and signed by the Local Governing
Body Before submitting to the Arizona Department of Liquor.

Date Recelved:

4,

Gaveranen Official

On behalf of

‘Oy, Town, County Signature

SECTION 2
Will the event be at a location with a current liquor fleense and within the approved and Ilcensed area?
Clyes —_[#}No (if no skip to section 3)

VWyes, MUST attach a letter af explanation/permission/suspension [rom the llceneed location aul choose ONE option belovs,

Name of Ucensed Location Liquér Ucense Number

[[] Suspend license for the duration of the Special Event; Licensee selling all alcohol without retailer Invelvernent.
Latter of suspension vequired.

QO Dispense and serve all spirituous Nquors under retailer's Hcense ~ Business operates normuilly, minimum of 25% of
gross revenue fromm alcahal sales will be donated to Horntee. (etter of permilsdon required,

(2) Dispense and serve ail spirituous liquors under special event - The special event licansee is in charge of selling aloohol
thal was purchased or donated by the special avent flcansea, The retailers existing alcohol liventory must be kept
separate from any alcohol used during the special evant. Lettar of suspension required,

CJ Split premises between special event and licensed location - Both the special event licensee and the Heensed
location will conduct sales of alcohol. (These sales must be done in separate areas, If alcohol is donated or purchased
by the special event licansee, it must be ina separate area {rom the alcohol that ls dispensed by the Ilcensed
location, Letter of explanation and permission required

Cr Off Sale only - Wine/Distiiled Spirtts Pull, Uve or Slant Auctlans ~ Retaller will be permitted to conduct all normal
sales and service of alcohol. Letter of permission required

EEG PRGDS Pegg 1 ot 4
lneividuok feq.aing ADA anconnodatare plasms fel (602]542-99

SECTION 3

Applicant MUST be a member of a qualifying nonprofit organtzation, political party, ay Government entity and
authorized by an Officer, Director, or Chairperson of the Organization,

1. Applicant: EVRIPIDOU ARISTOTELIS KYRIAKOU

tet
2. Applicant's mailing address
| a a
3, Applicants home/cell phone: _ Non-profit organization phone: NIA
4. Applicant's email —

5. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years?
C]ves (If yes, attach letter of explanation) LINO

SECTION 4

1. Name of non-profit organization: Arizona Hellenic Foundation

2. Nor Profit/IRS Tax Exernpt Number: 77-0638993 Arizona Corporation Commission File Hi: 41030212
Required Required
4.1 Out Of State, specify State (Attach letter of good standing):
APOKRIES DINNER/DANCE

4, Special Event Name:

SECTION $
ST, KATHERINE GREEK ORTHODOX CHURCH

5. Event Location Name:

2716 N Dobson Rd,, Chandler, AZ 85224

6. Event Address:

SECTIONG

fdust [Ist type of security and contral measures will you take to prevent violations of Iquor laws at this event.

Number of Police 2 Number of Security Personnel [rencing [Jaariers
The avant will ba held Indoors, no alcohol sales or consumplion allowed outside. The

Must explain security measures:
security guards are to ensure that no alcohol is consumed outside.

1. How is this special event going to conduct all dispansing, serving, and selling of spirituous Equors?
Check one of the following boxes, (R-19-318)

[on-site consumption CJottaite (auction/wine/distilled spiats pull) Cleoth

1h RO26. 0 In
2, How many special event days have already bean Issued to this organization during the current year? 1 n2088-0 0 2028

B/8/ RRS Paya 2 of A
Ihiiduol rcp ing ADA oncamnnrintnes pecras £08 (402/542-7799

SECTION 7

Dates and Hours of Event - Days must be consecutive and may not exceed 10 days per year,

DAYS DATE DAY OF WEEK OE ARATea wine Anim
ov, 2-7-2026 = Saturday 5pm 11:59 pm
DAY 2
DAY 3
DAY 4
DAY 5
ave . RECEIVED
DAY 7 NOV 07 2025
DAY 9
DAY 10

SECTION 8

1. Is the Organization using the services of a DLLC approved Speclal Event Contractor from the list on our website?

[Wes [Ino if yes, please provide the Name of the Special Event Contractor:

Speclal Event Contractor Signature:

2. Is the organization using the services of a series 6, 7, 11, or 12 licensee ta manage the sale ar service of alcohol?
{Licensees who hald a series 6, 7, 11, of 12 licanse ate automatically qualified to be a special event contractor)

(CoNes Mn t yes, Name of Ucensee: Liquor License ft:

3.LIst the name of the Organization/individual that will recelve revenues:

name: ARIZONA HELLENIG FOUNDATION percentage: 100%
Address; 2716 N DOBSON RD. #1 CHANDLER AZ 85224
, Street te sate bp
Name: _ Percentage:
Address:
Steet cay Sake a
Please read A.R.S. § 4-203.02 and R19-1-205 Special event license rules and Requirements,
SALON Page dot4

ledivatucds mepaing ADA accomodation, please nel (607)642-2099

SECTION 9

Licensed location diagram: The licensed premises for your special event Is the area In which you are
authorized to sell, dispense, or serve alcoholic beverages under the provisions of your license.

=> ATTACH DIAGRAM |

ust attach a di f your special h h. H A will
erved, and co ed, Must include dimensions of event area, fencing, barricades,
or other control measures, and include positions of security personnel,

NO ALCOHOLIC BEVERAGES SHALL LEAVE A SPECIAL EVENT UNLESS THEY ARE IN SEALED CONTAINERS FOR AN AUCTION OR
WINE/DISTILLED SPIRITS PULL, OR THE SPECIAL EVENT LICENSE 1S STACKED WITH A WINE /CRAFT DISTILLERY FESTIVAL LICENSE,

Declaration:
|, (Print Name) ARISTOTELIS K. EVRIPIDOU , declare under penalty of perjury that lam |]

authorized to submit this application. | have read the contents and to the best of my knowledge believe all statements fj

made on this application to be true, correct, and complete.

signature: Lal Boda fmrAp io

SPECIAL EVENT DIAGRAM AND
SAFETY PLAN STANDARDS

Diagrams do not need to be overly complicated, they can be hand drawn. However, we
do not accept photographs or aerial views that do not show the premises clearly. The
diagram should clearly depict the special event area in relation to the entire premises.

Each diagram must include:
e Overview of the location
e The event area clearly outlined with black marker
e Where alcohol will be served/stored
All entrances and exits
¢ Where security will be positioned
« Square footage of event area
e Show North, East, South, West

5/5/2025 pagedola
Inckviciunts requiring ADA accommodations please coll (02)542-2797

SPECIAL EVENT LICENSED PREMISES DIAGRAM
(This diagram must be completed with this application)

ace

special Event Diagram: (Show dimensions, serving areas, and label type of enclosure and security positions)
NOTE: Show nearest cross streets, highway, or road If location doesn't have an address,

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