THE HARDEN EDUCATION AND RECREATION THERAPY FOUNDATION_REDACTED.PDF

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SPECIAL EVENT LICENSE 
APPLICATION FEE $25.00 PER DAY 
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Arizona Department of Liquor Licenses and Control 
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800 W. Washington St. 5th Floor Phoenix, AZ 85007 
DLLC USE ONl Y 
Job#: 
Date Accepted: 
CSR: 
license#: 
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(602) 542-5141 
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Application MUST be submitted to the Department of Liquor 10 days prior to the event. 
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SECJION 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: Harden Chelsea 
(Must be an Olfieer /Member of the Non Prolll Entity) Lost 
first 
Middle 
2. Applicant's moiling address:
 
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City 
State 
lip 
3. Applicants home/ceU phone:
 
Applicant's business phone: 480-730-2675 
4. Appliconf's email address: 
 
5. Special Event Name: _B_o_H_o_H_o __________ _ _ ____ ___________ _ 
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The Harden Education and Recreation Therapy Foundation 
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on- ro 1 rganiza ton, an 1 a e or o 11ca 
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l. No~~Wl~~ &~~~mboc _8_2_-_1_2_2_8_4_6_9 ____________________ _ 
8. Arizona Corporation Commission File #: 21763237 
If out of State please specify: _____ _ 
(Attach letter ol good s1anding} 
9. Event Location Name: None 
- - ------------------------------
10. Event Ad dress: 15225 E Riggs Rd, Gilbert AZ 85298 
2/6/2023 
Dates and Hours of Event - Days must be consecutive and may not exceed 10 consecutive days. 
Days 
DAY 1: 
DAY 2: 
DAY3: 
DAY 4: 
DAY 5: 
DAY 6: 
DAY7: 
DAY8: 
DAY9: 
DAYlO: 
**SEPARATE APPLICATION FOR EACH "NON-CONSECUTIVE" DAY..,. 
Date 
11/18/2023 
11/19/2023 
Doy of Week 
Saturday 
Sunday 
Page 1of3 
Event Start 
Time AM/PM 
10am 
10am 
Individuals requiring ADA accommodations please call (602)542-2999 
License End 
Time AM/PM 
Spm 
3pm 
RECEIVED
10/23/2023
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS

SECTION 2 What type of security and control measures will you take to prevent violations of liquor laws at this event? 
(Ust type and number of police/security personnel and type of fencing or control barJiers, If applicable.) 
_O ______ ,Number of Police _3 _ _____ 
Number of Security Personnel 
IZl=encing 
0Barriers 
Must explain security measures: Event area will be entirely enclosed by event fencing. Security will be present at both 
emrance/exits to ensure no alcohol enters or leaves premises, and roaming event area. ID check stations with wristbands issued to 21 +. Bartenders are Tille 4 trained. 
SECTION 3 What is the purpose of this event? 
[ZJOn-slle consumption 
DOH-site (audion/wine/distilled splrtts pull) 
How is this special event going to conduct all dispensing, serving, and selfing of spirituous liquors? 
Check one of !he following boxes. (R-19-318} 
Dsoth 
A) IZ!Special Event being held on on unlicensed premises will require approval and signature by the Local Governing 
Body on page 3. (If checked move to section 4) 
B} Owrn this event be held on a currently licensed premises and within the already approved and licensed area? 
(Mvst attach a letter from the licensed premises wtth an explanation of the option checked below} 
Nome ol Business 
License Number 
0Place license in non-use - Special Event Ucensee selling all alcohol without retailer involvement 
Must attach letter from the location suspending license for duration of special event 
Phone (Include Area Code} 
Ooispense and serve all spirituous liquors under retailer's license - Business operates normally, minimum of 25% of gross 
revenue from alcohol soles is donated to licensee 
0Dispense and serve all spirituous liquors under special event - The special event licensee is in charge of selling alcohol that wos 
purchased or donated by the special event licensee. The re/oilers existing alcohol inventory must be separated from any alcohol 
used during the special event. Must attach letter from the locatlon suspending license for duration of special event 
Osplit premise between special event and retail location - Both the special event licensee and the retailer will conduct 
so/es of alcohol. (These sales will be done in separate areas. If alcohol is donated or purchased by the special event licensee 
it must be in a separate area than the alcohol that is dispensed by the licensed retailer.) 
00ff Sale only - Wine/Distilled Spirits Pull, Uve or Silent Auctions - Retailer will still be permitted to conduct all normal sole and 
service of alcohol. 
SECTION 4 
1. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years? 
D Yes [Z] No If yes, attach letter of explanation. 
2. How many special event days have been issued to this organization during the calendar year? _o ______ _ 
3. Is the Organization using the services of a Special Event Contractor? (A licensee can utilize the services of a special event 
contractor who may purchase and sell alcohol on behalf of the licensee. If no special event contractor is listed, the licensee is 
responsible for the sales and service of alcohol. ) 
0 Yes D No If yes, please provide the Name of the Special Event Contractor: _L_iq_u_id_C_a_te_r_e_rs ______ _ 
4. Is the organization using the services of a series 6. 7, 11, or 12 licensee to manage the sale or service of alcohol? 
(Licensees who hold a series 6, 7. 11. or 12 license are automatically qualified to be the special event contractor) 
D Yes [Z] No if yes, p tease provide the Name of licensee:---------- License #: --------
5. List the name of the Individual or Organization that will receive revenues, MUST EQUAL 100 PERCENT. 
Attach additional sheet if necessary. 
2/6/2023 
Page2 of 3 
lndlviduols requiring ADA accommodations please call (602)542-2999

Nome: The Harden Education and Recreation Therapy Foundation Percentage: _2_5 _________ _ 
Address: 3735 W Beardsley Rd, Glendale AZ. 85308 
Sfree1 
City 
state 
Dp 
Nome: Desert Party People 
Percenfage: _7_5 _________ _ 
Address: 7056 E Onza Ave, Mesa AZ. 85212 
sweet 
City 
Zip 
fleose read A.R.S. § 4-203.02 Soecial event license: rules and R19-1-205 Requirements for a Soeclal Event license. 
ALL ALCOHOLIC IEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY. 
NO ALCOHOLIC BEVERAGES $1:fALL LEAVE A SPECIAL EVENT UNLESS THEY ARE IN AUCTION WINE OR DISTILLED SPIRIT$ EULL 
SEALEp CONTAINERS OR THE SPECIAL EVENT LICENSE IS STACU:p WITH WINE /CRAFT PISTILURY FESTIVAL LICENSE. 
SECTION S License premises diagram. The licensed premises for your special event is fhe area in which you are 
authorized to sell, dispense or serve alcoholic beverages vnder fhe provisions of your license. Please attach a diagram 
of your special event licensed premises. Please show dimensions, serving areas, fencing, barricades, or other control 
measures and security position. 
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ATTACH D AGRAM +mi ~ 
If the spec la I event wiD be held at a locatton without a permanent liquor license or if the event wil be on any portion of a location 
that is not covered by the existing liquor license, this appllcaHon must be approved by the local governing body before submftling 
to the Department of liquor Licenses and Conbo!. Pleaie contact the local governing board fot additional information. 
APPLICANT SIGNATURE 
peclaratlon: 
I, {Print Name) Chelsea Harden 
declare under penalty of perjury that l am 
authorized to submit this application. I have reod the contents of this appfication, and to the best of my knowledge 
believe all statements made on fhis application to be true, correct and complete. ()-\~ 
Signature 
LOCAL GOVERNING BODY 
" 
Dote Received:--------
I, ____________ _ 
___________ recommend 
0 APPROVAL 0 DISAPPROVAL 
( Govetnment otficial) 
(Title) 
On behalf of ________________ ______ _, _____ _, ---------
(City, Town, Covn1y) 
Signature 
Dote 
Phone 
The local governing body (city, town 01 municipality where the fair/festival will take place) may reqvire additional 
applicatlons to be completed and submitted. Please check with local government as to how~a1 in advance they require 
these applications to be submitted. Additional licensing fees may also be required before approval may be granted. 
AZDLlC USE ONLY 
II 
O APPROVAL D DISAPPROVAL 
BY ______________ DATE:---- ----
2/6/2023 
Poge3of3 
Individuals requfing ADA occommodotions please call (602)542-2999 
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