Attach_F_-FY18_Tax_Exempt.pdf

STATE OF ARIZONA

Department of Revenue

Douglas A. Ducey Governor

David Briant Director www.azdor.gov1600 West Monroe Street – Mail Code 1300, Phoenix AZ 85007-2650

December 12, 2017

Ms. Verna Kuwanhoyioma Department of Health & Human Services Phoenix Area Indian Health Service

Email: verna.kuwanhoyioma@ihs.gov

EXEMPTION LETTER FOR A QUALIFYING HOSPITAL

ORGANIZATION: DEPARTMENT OF HEALTH & HUMAN SERVICES, U.S. PUBLIC HEALTH SERVICE,

PHOENIX AREA INDIAN HEALTH SERVICE

EXEMPTION PERIOD: JANUARY 1, 2018 – DECEMBER 31, 2018

Based on a review of the information you provided, the Arizona Department of Revenue grants this Exemption Letter to Phoenix Area Indian Health Service. As a Qualifying Hospital, Phoenix Area Indian Health Service is entitled to an exemption from the Arizona Transaction Privilege Tax and the Use Tax for the period of January 1, 2018 through December 31, 2018 for the following business classifications only:

Code Exempt Classification Statutory Reference 4 Utilities A.R.S. §42-5063(C)(3)(a) 8 Pipeline A.R.S. §42-5067(B)(1) 9 Publication A.R.S. §42-5065(B)(2)(a)

10 Job Printing A.R.S. §42-5066(B)(3)(a) 11 Restaurant A.R.S. §42-5074(B)(7) 14 Personal Property Rental A.R.S. §42-5071(B)(2)(a) 17 Retail A.R.S. §42-5061(A)(25)(a) 29 Use Tax A.R.S. 42-5159(A)(13)(a), (b), (c)

The organization is also entitled to an exemption from the Cities Privilege Tax and the Use Tax for the following business classifications only:

Code Exempt Classification Statutory Reference 4 Utilities M.C.T.C.§ Sec. __-480(e) 9 Publication M.C.T.C.§ Sec. __-435(f) 10 Job Printing M.C.T.C.§ Sec. __-425(b)(5) 11 Restaurant M.C.T.C.§ Sec. __-455(c) 17 Retail M.C.T.C.§ Sec. __-465(p)

Use Tax Jet Fuel Tax Jet Fuel Use Tax (Local Option #LL) Restaurants & Bars (add tax) Short Term Motor Vehicle Rental (PHX) Commercial Lease(Model Option#4) Rental/ Lease/ License of TPP Wastewater Utility Service

M.C.T.C.§ Sec. __-660(p) M.C.T.C.§ Sec. __-422(e) M.C.T.C.§ Sec. __-422(f) Local City Code M.C.T.C.§ Sec. 14-452 M.C.T.C § Sec. __-445(e) M.C.T.C.§ Sec. __-450(c)(5) M.C.T.C.§ Sec. __-485(b)

All locations claimed to be exempt by this organization are listed in Appendix “A” to this Exemption Letter.

Ms. Verna Kuwanhoyioma Department of Health & Human Services Phoenix Area Indian Health Service December 12, 2017

This Exemption Letter is good only for the dates listed above. The Department may rescind this Exemption Letter if any of the information relied upon in granting this Letter is found to be inaccurate or if your organization ceases to qualify as an exempt entity under Arizona law.

The Department does not issue exemption numbers. An Arizona Department of Revenue Transaction Privilege Tax Exemption Certificate (Arizona Form 5000HC) is used to document the applicability of exemptions from tax. Present a copy of this Exemption Letter to your vendors to substantiate your exempt status along with a properly completed Arizona Form 5000HC for the Appendix “A” location for which your organization is claiming an exemption.

Your organization must reapply to the Department annually, at least thirty (30) days before the expiration of this Exemption Letter, in order to avoid any lapse in your exempt status.

Information about the procedure and required documentation for obtaining an Exemption Letter can be found in Arizona Transaction Privilege Tax Procedure (TPP) 15-1 on the Department’s website. If you have any further questions, contact the Department at (602) 716-6803 or visit our website at www.azdor.gov. Please submit all renewal requests or written inquiries to:

Arizona Department of Revenue TRA Healthcare -1300

1600 West Monroe Street Phoenix, AZ 85007-2650

Sincerely, LC Heugly Len Heugly Tax Analyst Tax Policy

U:\Teams\TaxResearch\HEALTHCARE\2017 Healthcare Letters\HOSPITAL EXEMPTION\Hospital - DHHS Phoenix Area IHS.doc

Ms. Verna Kuwanhoyioma Department of Health & Human Services Phoenix Area Indian Health Service December 12, 2017

Appendix A

Phoenix Area Indian Health Service

Dba Phoenix Indian Medical Center 4212 North 16th Street Phoenix, Arizona 85016

Dba Colorado River Service Unit 12033 Agency Road Parker, Arizona 85344

Dba Peach Springs Health Center P.O. Box 190 Peach Springs, Arizona 86434

Dba Havasupai Indian Health Station Supai, Arizona 86435

Dba Whiteriver Service Unit P.O. Box 860 Whiteriver, Arizona 85941

Dba Desert Vision Youth Wellness Center P.O. Box 458 Sacaton, Arizona 85247

Dba Cibecue Health Center P.O. Box 37 Cibecue, Arizona 85941

Dba Desert Vision Youth Wellness Center 198 South Skill Center Road Sacaton, Arizona 85147

Dba Hopi Health Care Center P.O. Box 4000 Polacca, Arizona 86042

Dba Fort Yuma Service Unit P.O. Box 1368 Yuma, Arizona 85366