Tax_Exemption_Letter_2019.pdf

STATE OF ARIZONA

Department of Revenue

Douglas A. Ducey Governor

David Briant

Director www.azdor.gov 1600 West Monroe Street – Mail Code 1300, Phoenix AZ 85007-2650

November 8, 2018

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, 2019 – DECEMBER 31, 2019

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, 2019 through December 31, 2019 for the following business classifications only:

Business 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:

Business 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

Residential Rental(NOT Model Option #4)

Jet Fuel Tax

Jet Fuel Use Tax (Local Option #LL)

Utilities Services (add tax)

Restaurants & Bars (add tax)

Short Term Motor Vehicle Rental (PHX)

Commercial Lease(Not Model Option #4)

Rental/ Lease/ License of TPP

Commercial Lease (add tax-see 213)

Wastewater Utility Service

M.C.T.C.§ Sec. __-660(p)

M.C.T.C.§ Sec.__-445(e)

M.C.T.C.§ Sec. __-422(e)

M.C.T.C.§ Sec. __-422(f)

M.C.T.C.§ Sec. __-480(e)

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. __-446

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.

Laboratory Courier Services Phoenix Indian Medical Center

RFQ-19-PHX-13

mailto:verna.kuwanhoyioma@ihs.gov

Ms. Verna Kuwanhoyioma Department of Health & Human Services Phoenix Area Indian Health Service November 8, 2018

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 e-mail us at TRAHealthcare@azdor.gov. Please submit all renewal requests to this e-mail address or send written renewals to:

Arizona Department of Revenue TRA Healthcare -1300

1600 West Monroe Street Phoenix, AZ 85007-2650

Sincerely, A McGhee Audrey McGhee Sr. Policy Specialist Tax Policy

U:\Teams\TaxResearch\HEALTHCARE\2018 Healthcare Letters\HOSPITAL EXEMPTION\Hospital - DHHS Phoenix Area IHS.doc

Ms. Verna Kuwanhoyioma Department of Health & Human Services Phoenix Area Indian Health Service November 8, 2018

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

Phoenix Area Indian Health Service Eastern AZ District Office, OEHE 5448 S. White Mountain Blvd., Ste. 220 Lakeside, AZ 85929

Phoenix Area Indian Health Service 40 North Central Avenue, Suite 500 Phoenix, AZ 85004

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 401 E. Picacho Road Winterhaven, CA 92283

Phoenix Area Indian Health Service Western Arizona District Office, OEHE 1553 W Todd Drive, STE. 107 Tempe, AZ 85283