AMENDMENT TO 1ST PAGE AND LETTER FROM ARCHDIOCESE _REDACTED.PDF

AANen*t
Ame Ane ot even

DLLC USE ONLY

Job #:
SPECIAL EVENT LICENSE —
APPLICATION FEE $25.00 PER DAY ,
CSR:
Arizona Department of Liquor Licenses and Control
Chea ¥ 800 W. Washington St. 5" Floor Phoenix, AZ 85007 license #:
RizoNe (602) 542-5141

\ Application MUST be submitted to the Department of Liquor 10 days prior to the event.

SECTION 1 Applicant must be a member of a qualifying nonprofit organization, political party, or Government entity and
authorized by an Officer, Director, or Chairperson of the Organization.

1. Applicant: Thorpe Glenn Richard
(Must be an Officer/Member of the Non Profit Entit

2. Applicant's mailing address:
Clty State Zp

3. Applicants home/cell phone} Applicant's business phone:

4, Applicant's email — =—t (itité‘*r

5, Special Event Name: St Katherine Taverna Night

6. Name of Non-Profit Organization, Candidate or Political Party/Gov: St Katherine Greek Orthodox Church

7. Non-Profit/IRS Tax Exempt Number: 94-2876533

8. Arizona Corporation Commission File #: 01524110 If out of State please specify:
; . (Attach letter of good standing)
9. Event Location Name: St Katherine Greek Orthodox Church Community Center

10. Event Address: 2716 N Dobson Road, Chandler, AZ 85224

Dates and Hours of Event - Days must be consecutive and may not exceed 10 consecutive days.

**SEPARATE APPLICATION FOR EACH “NON-CONSECUTIVE” DAY**

Event Start License End
Time AM/PM Time AM/PM

DAY 1: Feb 11, 2023 Saturday diam ‘41pm

Days Date Day of Week

DAY 2:

DAY 3:

YOO MHS

DAY 4:

DAY 5:

DAY 6: 2O

SUN

DAY 7:

DAY 8:

DAY 9:

DAY 10: 2
11/7/2022 Page 1 of 3 A
Individuals requiring ADA accommodations please call (602)542-2999