Supporting Documentation · Dec 4, 2024
Filing Letter to Board in Response to M Bennett Email with Exhibits 12 02 2024
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Page 10 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LTCENSE NUMBER 2020. 33 . 027 . OOI QUESTIONS TO BE ANSWERED BY CORPORATIONS AND LIMITED LIABILITY COMPANIES ONLY, ANY CORPORATION OR LIMITED LIABILIry COMPANY THAT IS REPORTED TO HAVE AN INTEREST IN THE BUSINESS TO BE LICENSED, WHETHER THE LICENSEE COMPANY, THE PARENT CORPORATION OF THE LICENSED COMPANY, HOLDING COMPANY OR OTHERWISE AFFILIATED IN THE CORPORATE CHAIN, MUST ANSWER THE FOLLOWING USING A SEPARATE PAGE lOAND PAGE 1OA FOR EACH CORPORATION- ANSWER QUESTIONS ON BOTH PAGE 1O AND PAGE 1OA FOR EACH CORPORATION. Echo Lake Country Club '10.1 Name of corporation 10.2 Street address of home offic€ 515 Sorins Number Municipality ield Avenue Street Name Westfield state New Jersey zip 07 090 E_MaitAddres 10.3 NJ Sales Tax Certificate of Authority Number 10.4 IF CORPORATION ADDRESS IN NUMBER,IO.2 ABOVE IS OUTOF STATE, REPORT BELOWTHEADDRESS OFANY OFFICE LOCATION IN NEW JERSEY. INSERT N/A IF NONE. Street Address Number Street Name Municipality New Jersey zip Yes _ 10.5 IS THE CORPORATION NOW AN EXISTING, VALID CORPORATION? 10.6 DATE CHARTERED OR -- INCORPOR No STATE - 10.7 cERTtFtcATE oF tNcoRpoRATtoN NUMBE 10.8 IF NOT INCORPORATED UNDER THE LAWS OF NEW JERSEY, HAS THE CORPORATION RECEIVEO AN AUTHORIZATION TO CONDUCT BUSINESS IN NEW JERSEY FROM THE NEW JERSEY OFFICE OFTHE SECRETARY OF No STATE? Yes .I0.9 HAS THE CORPORATION CHARTER EVER BEEN REVOKED BY THE OFFICE OF THE SECREIARY OF STATE IN NEW JERSEY? _ Yes _I:!_ No IF THE ANSWER IS 'YES,' INSERT THE DATE OF REVOCATION, OR IF SUSPENDED, THE BEGINNINGAND ENDING DATE OF THE SUSPENSION Date of revocation I I Beginning date Ending date IO.lO INSERTTHE NAME AND ADDRESS OF THE REGISTERED OR AUTHORIZED AGENT IN NEWJERSEY UPON WHOM SERVICE OF PROCESS IN ANY PROCEEOINGS AGAINST THE APPLICANT, PURSUANT TO THE NEW JERSEY ALCOHOLIC BEVERAGE LAW, THE ALCOHOLIC BEVERAGE TAX LAW OR PROCEEDINGS IN A STATE OR U.S. OISTRICT COURT, MAY BE MADE. Name Echo Lake Countrv Club (Last Name, First Name, Middle lnitial or Corporation) 515 Springfield Avenue Street Address Number Municipality Westfield zio o7o9o -- Street Name New Jersey Telephone Number ( 08 Area 1 232 - 4t4L Exchange Number 10,11 IF THE LICENSED COMPANY IS OWNED BY OTHER CORPORATION(S) OR IS IN A CORPORATE CHAIN, ATTACH A DIAGRAM DEPICTING THE CORPORATE
ersey Telephone Number ( 08 Area 1 232 - 4t4L Exchange Number 10,11 IF THE LICENSED COMPANY IS OWNED BY OTHER CORPORATION(S) OR IS IN A CORPORATE CHAIN, ATTACH A DIAGRAM DEPICTING THE CORPORATE RELATIONSHIPS AND THE PERCENTAGE OF STOCK INTEREST IN THE COMPANY TO BE LICENSEO, OWNED BY OTHER CORPORATIONS OR OTHER NON-CORPORATE ENTITITES (tNDtvtDUALS, PARTNERSHTPS, ASSOCTATTONS).
Page 10A LEASE TypE oR pRrNT ALL TNFoRMAT|oN srArE AssrGNEo L|CENSE NUMBEB 2020 33 - 027- iol ALL APPLICANTS ANSWER THE FOLLOWING IADO PAGES AS NECESSARY] SOLE OWNERS ANO PARTNERSHIPS: Complete the page in tu . LIMITED PAFITNEFISHIP: All in,ormation about a general partner or parlners ol a limited pa.tnership musl be reported. whelher the geoeral partner is an individual or a corporalion. A list ol the names and addresses ot all limited partners must be submitled as an atlachment lo this applicalion wilh an identj,ication of the percentage of each limited partner as it relales to total ownership ol the business entity to be licensed. COFIPOBATIONS: All corporation applicants or licensees and any corporation that has an ownership interesl in the corporation under license or to be licensed must have been reported on page 10. lnlormalion on this page, 1OA. willidentity all oflicers. directors. and stockholders holding one percent or more of the shares ol lhe respective company. Club licenses must list names of olficers and direclors and attach a current membership list. *t**i*i**t*****i*********************************************t***i****** NAME OF COFIPORATION OR CLUB COVEFIED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OB STOCKHOLOER IS A CORPOBATION OR PARTNERSHIP). nt Club Name of individual (last name tirst), stockholder, partner, ollacer or director Fraites Chris topher G. Last Name Middle hrtial Home Street Address Number P.O. Box # M unicipality State zip Dare ol Social Security - number Home lelephone -number oirtn Exchange Number Exchange Number Office Ielephone number of business owned o. controlled Number of shares _ Check position that applies: Sole owner Partner Stockholder President Vice-President Treasurer Direclor Secretary Agenl Receiver IL Executor/Adminislrator - Trustee - Manager (specily) Bene,icrary Olher q/o - - TO ADD Name of rndiv,dual (lasl name lirsl) Frisco, Jr. Lasl Name CI aude E Middle lnilial Firsl Home Street Address Number P.O. Box # Municipalily State zip Social Security numbet - Date ot birttr Home telephone number Exchange Number Exchange Number Office telephone number Number ot shares ol business owned or conlrolled Partner Check posrtion that applies: Sole owner Stockholder -'v Presrdenl Vice-President _ Secrelary zl
mber Exchange Number Office telephone number Number ot shares ol business owned or conlrolled Partner Check posrtion that applies: Sole owner Stockholder -'v Presrdenl Vice-President _ Secrelary zl ireasurer Director Receiver Agenl Ad min istrator Executor/ Ia - Trustee - Manager Beneiiciary Olher (specily) o./o - -
Page 10A STATE ASSIGNED LICENSE NUMBER 2rd56.r.ff oR Pt)lALL ruFoTMAroN SOLE OWNERS AND PARTNERSHIPST Complele this page in full. LIMITED PARTNERSHIPS: All information about a general partner or partners of a limited partnership musl be reported, whether the general partner is an individual or a corporation. A list of the names and addresses of all limited partners must be submitted as an attachment to this applicationwith an identification ofthe percentage ofeach limited partneras it relatesto totalownership ofthe business entity to be licensed. CORPORATIONS: All corporation applicants or licensees and any corporation that has an ownership interest in lhe corporation under license or to be licensed must have been reporled on Page 10. lnformation on this Page, 10A, will identify all officers, directors and stockholders holding one percenl or more oflhe shares ofthe respective company. Club licenses must lisl namesofofficers and directors and attach a current membelship list. TO ADD *******+**********************************************t************t*********************************************** NAME OF CORPORATION OR CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP): TO ADD Name of individual (last name first), stockholder, partner, officer or director: CenErella Robert Middle lnitial Last Name Home Street Address Street Name Number P.O. Box # _ State Municipality zip E-lvlailAddress Date of Birt Social Security Number Home telephone number Number Offlce lelephone number Number Exchange Area Number of shares % of business owned or controlled Sole owner Check position that applaes: President Vice-President _ _ _ 0 Partner Stockholder Secretary Treasurer Director Executor/Administrator Receiver Agent Manager _jL Trustee Olher (specify) Beneficiary Name of individual (last name flrst) , stockholder, partner, officer or director: GilIie George Bruce Middle lnitial Last Name Home Street Address Street Name Number P.O.Box#- State Municipality E-MailAddress zip Date of Birth Social Security Numbe -qg- Home telephone numu Area - Exchange Number Exchange Number Office telephone number (-.-) Area Number of shares 7o of business owned or controlled Sole owner Check position that applies: President xx Trustee - -lvlanager -Vice-President Other
Number Office telephone number (-.-) Area Number of shares 7o of business owned or controlled Sole owner Check position that applies: President xx Trustee - -lvlanager -Vice-President Other (specify) Beneliciary - - - _ _ _ 0 Partner Stockholder Secretary Treasurer Director Agent ExecutoriAdministrator Receiver
PLEASE TYPE OB PFIINT ALL INFOFIMATION Page'10A 2o2Q 33 . 027 - __qqr STATE ASSIGNED LICENSE NUMBEF ALL APPLICANTS ANSWEFI THE FOLLOWING IADD PAGES AS NECESSARY] SOLE OWNEHS AND PARTNERSHIPS: Complete the page in full. LIMITED PABTNEFSHIP: All information about a geneial parlner or partners of a limite( partnership must be reporled, whether the general parlner is an Individual or a corporalion. A list of the names and addresses of all limited partners must be subrnitted as an alachment to this application with an identification of the percentage of each limited partner as it relates to total ownership of the business entity to be licensed. COHPOBATIONS: All corporation applicants or licensees and any corporation that has an ownership inleresl in the corporation under license or to be licensed must have been reported on page 10. lnformation on this page, 10A, will identify all officers, directors, and stockholders holding one percent or more of the shares of the reSpective comp.any. Club licenses must list names of oflicers and directors and attach a current membership list- ************************************************************************ NAME OF COBPOBATTON OR CLUB COVEBED BY THIS PAGE (COMPLETE ONLY lF APPLICANT OR STOCKHOLDEF lS A coRPoRATION OFr PARTNERSHIP). Name 6f i1$yigt"l (last name tirst), stockholder, partner,.f3S"Jp% direclor: J Middle lnitial Last Name Home Street Address Number P.O. Box # State MunicipalitY zip Date ol tiirth Social Security number - Home telephone nurnber Atea (_ Office telephone number Exchange Number Exchange Number ) Area % of business owned or controlled 0 - - Number of shares Stockholder Partner Sole owner Check position that applies: Director Treasurer Secretary President X vice-eresident Receiver Executor/Administrator Agent Manager IL - rrustee - - TO ADD Itame4litividual (last name first) I Stephen Middle lnitial Last Name Home Street Address Number P.O. Box # State MunicipalitY 7in Social Security number Home telephone number Exchange Area Office telephone number Exchange Area 7o of business owned or controlled 0 Number Number Number of shares Stockholder Parlner Sole owner Check position that applies: Direclor Treasurer Secretary Vice-President President XX Trustee - Manager Receiver Executor/Administralor Agent Other (specifY) - Beneficiary . - - - -
PLEASE TYPE OR PBINT ALL INFORMATION Pagq 10A 2o2Q 33. 027-_!![ STATE ASSIGNED LICENSE NUMBER ALL APPLICANTS ANSWER THE FOLLOWING IADD PAGES AS NECESSARY] SOLE OWNERS AND PARTNEHSHIPS: Complete the page in full. LIMITEO PAFTNEBSHIP: All information about a geneial partner or parlners of a limited partnership must be reported, whether the general partner is an individual or a corporalion. A list of the names and addresses of all limited parlners must be submitted as an a[achment to this application with an identification of the percentage of each limited partner as it relales to total ownership of the business entity to be licensed. COBpORATIONS: All corporation applicants or licensees and any corporation that has an ownership inlerest in lhe corporation under license or to be licensed must have been reported on page 10. lnformation on this page, 10A, will identify all oflicers, directors, and stockholders holding one percent or more of the shares of the reSpective company. Club licenses must lisl names of officers and direclors and attach a current membership list. ************************************************************************ NAME OF COBPORATION OR CLUB COVEBED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP). Name ol individual (last name lirst), stockholder' p artner, officer or director: Peter Arbes T Middle Initial First Last Name Home Street Address Streel Name Number P.O. Box # State MunicipalitY a\^ Date or Social Security - number birth Home telephone number Otfice telephone number Area Number of shares 0 Stockholder Parlner Director Treasurer Secretary - Sole owner Check position that applies: Vice-President President Agent Trustee - Manager - Executor/Administrator - Receiver - - - - Number Exchange 0 % of business owned or controlled Ia - Number Exchange Area TO ADD Name pl infvidut[r.", name first): p. Wallace Middle lnitial First Last Name Horne Street Address Name Number P.O. Box fl State MuniciPalitY 7i Date of birth Social Security number - Home telephone number Office telephone number Area Exchange Number At* Exchange Number 0 Number of shares of business owned or controlled Stockholder Partner Sole owner Check position tfiat applies: Direclor president Treasurer 2C
e number Area Exchange Number At* Exchange Number 0 Number of shares of business owned or controlled Stockholder Partner Sole owner Check position tfiat applies: Direclor president Treasurer 2C Secretary Vice-President xX Receiver Executor/Administralor Agent - Truslee - Manager 0 o/o Other (sPecifY) - Beneficiary . - - - -
Page 10A PLEASE TYPE OR PRINT ALL INFOBMAIION STAIE ASSIGNED LICENSE NUMBER 202Q 33 _ 027 _ 00L ALL APPLICANTS ANSWER THE FOLLOWING JADD PAGES AS NECESSARY] SOLE OWNERS AND PARTNERSHIPS: Complete the page in fult. LIMITED PARTNEFISHIP: AII inlormation aboul a geneial partner or parlners ot a limile4 partnership must be reported, whether the general parlner is an individual or a corporalion. A list ot the names and addresses ot all limiled partners musl be submitted as an altachmenl to this applicalion with an idenlilication of the percentage of each limited partner as it relates to lotal ownership ol lhe business entity lo be licensed. COFIPORATIONS: All corporation applicants or licensees and any corporation that has an ownership interesl in the corporation under license or to be licensed must have been reporled on page 1O. lnfo.mation on this page, 10A, willidentify all oflicers, directors, and stockholders holding one percenl or more of the shares of the respeclive company. CIub licenses must list names o, oflicers and direclors and attach a currenl membership list. ** ***** * ** ** * ** * *** ** ******* ********** ** * **** ** **** ** **** * ********* *r.* ** NAME OF COHPORATION OR CLUB COVEFTED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OH PARTNERSHIP). unt Echo Name ol I)dividual (last name firsl), stockholder, parlneL officer or direclor Bond Scott Last Name Middle lnilial Home SIreet Address Number # P.O. Box tv'lunicipality State zrp Date ol birlh Social Security number - - Home telephone number Eichange Nu m ber Exchange Nu m ber Of,ice Ielephone number of business owned or conirolled Number of shales _ position Check lhat applies: Sole owner Partner Stockholder President Vice-President Treasurer Director Secretary IL Trustee Receiver Manager Agenl Execulor/Administrator Beneliciary Other (specify) 0/o - - TO ADD Name of individual (last name firsl): David Brown Lasl Name Middle liitial First Home SIreet Address Number P.O. Box t Slreel Name SIate Municipallty zio Social Security number Home lelephone number - Oltice telephone number €xchange Number Exchange Number ) Number ol shares Stockholder Partner Treasurer Director Vice-Presidenl Secretary Receive. Agent Executor/Administrator Manager - 7o of business owoed or conlrolled Check position that
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- Sep 29, 2026
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