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 4 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER _1802_- 33. 005-011 41 4.2 4.3 44 ‘d ¥ 45 IS THE NEAREST ENTRANCE OF THE PLACE TO BE LICENSED WITHIN 200 FEET OF THE NEAREST ENTRANCE OF ANY CHURCH OR SCHOOL? Yes _v_No IF THE ANSWER IS “YES,” IS A WAIVER SIGNED BY THE APPROPRIATE OFFICIAL ATTACHED TO THIS APPLICATION? Yes No DOES THE APPLICANT INTEND TO USE ANY VEHICLES FOR THE TRANSPORT OR DELIVERY OF ALCOHOLIC BEVERAGES? Yes _v¥__No (A TRANSIT INSIGNIA IS NECESSARY BEFORE ALCOHOLIC BEVERAGES MAY BE TRANSPORTED.) HAS THE APPLICANT FILED AN ANNUAL SPECIAL TAX REGISTRATION AND RETURN FORM (TTB F 5630.5) WITH THE FEDERAL ALCOHOL AND TOBACCO TAX AND TRADE BUREAU? Yes _v¥__No (Tobe filed upon license transfer approval) IF “YES,” DATE FILED ! / WILL ANY BUSINESS OTHER THAN THE SALE OF ALCOHOLIC BEVERAGES BE CONDUCTED ON THE PREMISES TO BE LICENSED? _v¥__ Yes No IF THE ANSWER |S “YES,” INDICATE THE NATURE OF THE BUSINESS AND WHO WILL CONDUCT IT BY RESPONDING TO THE FOLLOWING QUESTIONS: _v__ Restaurant _v¥__ Applicant ___ Other _¥_ Catering _¥__ Applicant _____ Other ____ Hotel/Motel ____ Applicant _____ Other ____ Amusements ____ Applicant ___ Other ___NJ. Lottery _—__ Applicant ___ Other ___ Grocery or Delicatessen ____ Applicant ___ Other _vY___ Other (specify) Golf and Pool _v Applicant _____ Other IF SOMEONE OTHER THAN THE APPLICANT WILL OPERATE THE OTHER BUSINESS ON THE LICENSED PREMISES, ANSWER THIS QUESTION. IF THERE IS MORE THAN ONE INDIVIDUAL OR COMPANY, ATTACH A SEPARATE PAGE LISTING THE REQUESTED INFORMATION FOR EACH OPERATOR. Business to be operated NA Name of company/individual (Last Name, First Name or Corporate Name) Street Address Number Street Name Municipality State Zip - NJ Sales Tax Certificate of Authority No.
Page 5 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 1802. 33. 005. (011 5.1 5:2 5.3 ALL APPLICANTS ANSWER THE FOLLOWING IS THE APPLICANT OR ANY OTHER PERSON MENTIONED IN THIS APPLICATION A POLICE OFFICER OR HOLD ANY POSITION ENTRUSTED WITH THE ENFORCEMENT OF ANY LAWS CONCERNING ALCOHOLIC BEVERAGES IN ANY MANNER WHATSOEVER? Yes _¥__No If the answer is “Yes,” complete the following: N/A Last Name First Name Middle Initial Name of individual Title of position held Name of Employing Agency DOES THE APPLICANT OR ANY OTHER PERSON MENTIONED IN THIS APPLICATION, OR ANY PERSON HAVING A BENEFICIAL INTEREST IN THE LICENSED BUSINESS, HOLD OFFICE IN THE UNIT OF GOVERNMENT ISSUING THE LICENSE? Yes _¥__No IF THE ANSWER IS “YES,” COMPLETE THE FOLLOWING: Name of Individual __N/A Last Name First Name Middle Initial Title of Office Municipality DOES THE APPLICANT OR ANY OTHER PERSON MENTIONED IN THIS LICENSE APPLICATION, OR ANYONE WITH A BENEFICIAL INTEREST IN THE LICENSED BUSINESS, DIRECTLY OR INDIRECTLY, HAVE ANY INTEREST IN ANY BREWERY, WINERY, DISTILLERY, RECTIFYING AND BLENDING PLANT, IMPORTER OR WHOLESALE ALCOHOLIC BEVERAGE BUSINESS, AS OWNER, PART OWNER, LANDLORD, TENANT, MORTGAGE HOLDER OR AS A STOCKHOLDER, OFFICER, DIRECTOR, AGENT, EMPLOYEE OR OTHERWISE? Yes _¥__No IF THE ANSWER IS “YES,” ATTACH AN AFFIDAVIT EXPLAINING THE RELATIONSHIP AND NATURE OF THE INTEREST AND COMPLETE THE FOLLOWING A. New Jersey license number, if applicable - - B. IF THE BUSINESS DOES NOT HOLD A NEW JERSEY LIQUOR LICENSE, ANSWER THE FOLLOWING QUESTIONS: Name of entity conducting business (Corporation, Partnership or Individual) “ (Last Name, First Name, Middle Initial or Corporate Name) Street Address Number Street Name P.O. Box # Municipality State Zip = Type of Business
Page 6 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER _1802_. 33. 005 _ (011 6.1 62 63 64 ALL APPLICANTS ANSWER THE FOLLOWING HAS THE APPLICANT EVER BEEN DENIED A LIQUOR LICENSE IN NEW JERSEY? Yes _v¥__No IF THE ANSWER TO THIS QUESTION IS “YES,” ANSWER THE FOLOWING: Type of License or Permit Denied Retail Wholesale Transportation Warehouse Manufacturer Unit of Government which denied License or Permit: _ N/A Date of Denial (approximate if not known) # / Reason for Denial HAS ANY CORPORATION, PARTNERSHIP OR INDIVIDUAL MENTIONED IN THIS APPLICATION, OTHER THAN THE APPLICANT, BEEN DENIED A LIQUOR LICENSE OR PERMIT? Yes _¥__No IF THE ANSWER IS “YES,” ANSWER THE FOLLOWING: Name of Entity__ N/A Last Name First Name Middle Initial Type of License or Permit Denied: Retail Wholesale Transportation Warehouse Manufacturer Unit of Government which denied License or Permit: Date of Denial (approximate if not known) ! 1 Reason for Denial HAS THE APPLICANT OR ANY OTHER PERSON, CORPORATION OR ENTITY MENTIONED IN THIS LICENSE APPLICATION, OR ANYONE WITH A BENEFICIAL INTEREST IN IT, HAD AN INTEREST IN A NEW JERSEY ALCOHOLIC BEVERAGE LICENSE WHICH WAS SURRENDERED, SUSPENDED OR HAD A PENALTY IMPOSED IN LIEU OF SUSPENSION, NOT RENEWED, REVOKED OR CANCELLED WITHIN THE 10 YEARS PRIOR TO THE DATE OF THIS APPLICATION? Yes VY No IF THE ANSWER IS “YES,” PROVIDE DETAILS OF EACH BELOW [Complete a separate Page 6 for each action]: Name of Individual _ N/A Last Name First Name Middle Initial DATE OF ACTION / f DOCKET NO. PENALTY WAS IMPOSED BY: [Indicate whether by Division of ABC or identify Local Issuing Authority] PENALTY CONSISTED OF FINED $ NOT RENEWED. [amount] SUSPENDED REVOKED CANCELLED (number of days) OTHER [explain] HAS THE APPLICANT OR ANY OTHER PERSON OR CORPORATION MENTIONED IN THIS LICENSE APPLICATION, OR ANYONE WITH A BENEFICIAL INTEREST IN THE BUSINESS UNDER LICENSE OR TO BE LICENSED, EVER BEEN CONVICTED OF A CRIMINAL OFFENSE? Yes _¥_No A. IF THE ANSWER IS “YES,” ANSWER THE FOLLOWING: Name of Individual ___N/A Last Name First Name Middle Initial Date of Birth ! / Conviction Date I / State Court of Jurisdiction Description of offense (specific charge) Disposition (fine, penalty, etc.) Nature of interest in entity to be licensed B. Ifapplicable, provide the date the Director of the N.J. Division of Alcoholic Beverage
of offense (specific charge) Disposition (fine, penalty, etc.) Nature of interest in entity to be licensed B. Ifapplicable, provide the date the Director of the N.J. Division of Alcoholic Beverage Control issued an order approving or disapproving disqualification removal / / (No license may be issued without an order from the Director of the Division of Alcoholic Beverage Control determining no disqualification or removing disqualification.) (See R.S. 33:1-31.2 and NJ.A.C. 13:2-15.) Provide Agency Docket No. :[NN]-
Page 7 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 1802. 33 - 005. (011 71 ALL APPLICANTS OTHER THAN CLUB LICENSE ANSWER THE FOLLOWING DOES THE APPLICANT, A MEMBER OF THE APPLICANT'S IMMEDIATE FAMILY (SPOUSE, CHILDREN, PARENTS, IN-LAWS OR SIBLINGS) OR ANY PERSON WITH A BENEFICIAL INTEREST IN THE SUBJECT LICENSE OF THIS APPLICATION, HAVE ANY INTEREST IN ANY OTHER NEW JERSEY ALCOHOLIC BEVERAGE LICENSE? Y_Yes No IF THE ANSWER IS “YES,” COMPLETE THE FOLLOWING BY LISTING THE NEW JERSEY LIQUOR LICENSE TWELVE DIGIT NUMBER(S) AND THE NAME(S) OF THE PERSON(S) OR CORPORATION(S) WHO HOLD(S) SUCH INTEREST. USE ADDITIONAL PAGE(S) 7 AS NEEDED. A. License Number __2013 -__ 33 -__ 013 -__ 004 Name __HGC Shackamaxon, LLC (Scotch Plains) (Last Name, First Name, Middle Initial or Corporate Name) Relationship to Applicant __ Sister Company IOI IIIA IIIA I TICS II IIIT EIST ETI III II III I I I III III III IIIA I ISIS ISIS ISIS ISAS SII B. License Number _ 1022 -_33 - _001 - 005 Name _ HGC Stanton Ridge, LLC (Readington Township) (Last Name, First Name, Middle Initial or Corporate Name) Relationship to Applicant __Sister Company LIES OOS SO SEIS IIIS IIS IIIS GI I gC TI I I I I TT I I TI I I I I I I TI II TI TTI ITT C. License Number - - w Name (Last Name, First Name, Middle Initial or Corporate Name) Relationship to Applicant In EHS ESE SEI O nC OO OSS So Sa OS III II I I I I ao Ica a I I I I I TT I I I TT TT TT TT TA 7.2 WOULD ANY PERSON OR CORPORATION NAMED IN THIS APPLICATION FAIL TO QUALIFY FOR OWNERSHIP OF THE LICENSE IF APPLYING AS AN INDIVIDUAL BECAUSE OF AGE, CRIMINAL CONVICTION OR PROHIBITED INTERESTS IN OTHER LICENSES? Yes _¥__No IF THE ANSWER IS “YES,” ANSWER THE FOLLOWING BY INSERTING THE NAME OF THE INDIVIDUAL OR CORPORATION AND THE SOCIAL SECURITY NUMBER AND DATE OF BIRTH, IF AN INDIVIDUAL. USE ADDITIONAL PAGE(S) 7 AS NEEDED Name (Last Name, First Name, Middle Initial or Corporate Name) Social Security Number - - OR NJ Sales Tax Certificate of Authority No. Date of Birth / /
Page 8 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER _1802_- 33 - 005 _ (011 ALL APPLICANTS ANSWER THE FOLLOWING 8.1 DOES THE APPLICANT OR ANYONE MENTIONED IN THIS APPLICATION OWE THE STATE OF NEW JERSEY OR THE UNITED STATES ANY LICENSE FEE, PENALTY, INTEREST OR ALCOHOLIC BEVERAGE TAX WHICH HAS ACCRUED PURSUANT TO THE ALCOHOLIC BEVERAGE TAX LAW, THE ALCOHOLIC BEVERAGE LAW OR ANY OTHER NEW JERSEY OR FEDERAL LAW? Yes _¥_No 8.2 HAS THE LICENSE BEEN ISSUED, OR IS IT BEING REQUESTED TO BE ISSUED, FOR A HOTEL/MOTEL AS AN EXCEPTION TO THE POPULATION RESTRICTION UNDER THE PROVISIONS OF R.S. 33:1-12.207 Yes _¥ No IF THE ANSWER IS “YES,” IS IT FOR A HOTEL/MOTEL FACILITY OF 50 OR 100 ROOMS? CHECK ONE 50 ROOMS 100 ROOMS 83 HAS THE LICENSE BEEN ISSUED, OR |S IT BEING REQUESTED TO BE ISSUED, AS AN EXCEPTION TO THE TWO LICENSE LIMITATION LAW (R.S. 33:1-12.32) FOR A HOTEL/MOTEL, RESTAURANT, BOWLING ALLEY OR INTERNATIONAL AIRPORT? _y¥__Yes ____No IF THE ANSWER IS “YES,” CHECK ONE OF THE FOLLOWING: HOTEUMOTEL _v_ RESTAURANT _____ BOWLING ALLEY ____ INTERNATIONAL AIRPORT THE FOLLOWING ARE TO BE ANSWERED WHEN APPLICATION IS FOR A LICENSE TRANSFER 84 LICENSE NUMBER SOUGHT TO BE TRANSFERRED 1802-33. = 0S. 5 O11 85 IF THIS IS A REQUEST FOR A PERSON-TO-PERSON TRANSFER, INSERT NAME(S) OF PERSON (Last Name First), PARTNERSHIP OR CORPORATION CURRENTLY HOLDING THE LICENSE: DH of Basking Ridge, LLC (Last Name, First Name, Middle Initial or Corporate Name) 86 IF THIS IS A REQUEST FOR A PLACE-TO-PLACE TRANSFER OF A POCKET LICENSE (NO SITED PREMISES), MARK AN X HERE: IF THIS IS A REQUEST FOR A PLACE-TO-PLACE TRANSFER OF A SITED LICENSE, INSERT THE ADDRESS OF THE CURRENT SITE FROM WHICH THE LICENSE IS TO BE TRANSFERRED. Street Address Number Street Name Municipality New Jersey Zip * THE FOLLOWING ARE TO BE ANSWERED BY APPLICANTS FOR A NEW LICENSE OR A LICENSE TRANSFER. 87 INSERT THE ANTICIPATED DATES WHEN PUBLIC NOTICE OF APPLICATION WILL BE PUBLISHED. PUBLICATION MAY NOT BE SOONER THAN THE DATE OF FILING OF THIS APPLICATION. Date of first notice 8 ae 2022 || a2 Bl ANAM / Date of second notice _08 / 2022 _& jalaa 8.8 NAME OF NEWSPAPER TO PUBLISH NOTICE __ Courier News 89 THE FOLLOWING ARE TO BE ANSWERED BY CORPORATIONS REPORTING A CHANGE OF CORPORATE STRUCTURE WHEREIN A NEW STOCKHOLDER ACQUIRES MORE THAN 1 PERCENT OF THE STOCK OF THE LICENSED COMPANY
Courier News 89 THE FOLLOWING ARE TO BE ANSWERED BY CORPORATIONS REPORTING A CHANGE OF CORPORATE STRUCTURE WHEREIN A NEW STOCKHOLDER ACQUIRES MORE THAN 1 PERCENT OF THE STOCK OF THE LICENSED COMPANY (ONE PUBLICATION OF NOTICE REQUIRED). Date ofnotice /_ Name of newspaper publishing notice THE FOLLOWING QUESTIONS ARE FOR CLUB LICENSE APPLICANTS ONLY: 8.10 HAS THE CLUB BEEN IN ACTIVE OPERATION IN THE STATE OF NEW JERSEY FOR AT LEAST THREE YEARS. CONTINUOUSLY IMMEDIATELY PRIOR TO THE SUBMISSION OF ITS APPLICATION FOR A LICENSE? Yes No 8.11 IS THE APPLICANT A CONSTITUENT UNIT, CHARTERED OR OTHERWISE DULY ENFRANCISED CHAPTER OR MEMBER CLUB OF A NATIONAL OR STATE ORDER? Yes No 8.12 HAS THE CLUB HAD EXCLUSIVE POSSESSION AND USE OF CLUB QUARTERS FOR THREE CONTINUOUS YEARS? Yes No 8.13 DOES THE CLUB HAVE AT LEAST 60 VOTING MEMBERS? Yes No
Page 9 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 1802. 33. 005 011 ALL APPLICANTS ANSWER THE FOLLOWING 9.1 DOES ANY INDIVIDUAL, PARTNERSHIP, CORPORATION OR ASSOCIATION OTHER THAN THE APPLICANT HAVE AN INTEREST DIRECTLY OR INDIRECTLY IN THE LICENSE APPLIED FOR OR IS THE STOCK OF ANY STOCKHOLDER HELD IN ESCROW OR PLEDGED IN ANY WAY? Yes _V¥__No IF THE ANSWER IS “YES,” ANSWER THE FOLLOWING USING A SEPARATE PAGE 9 FOR EACH INDIVIDUAL OR CORPORATION OF INTEREST. ATTACH A SEPARATE PAGE OF EXPLANATION IF MORE SPACE IS NEEDED. Nauieror Individual (Last Name First) or Corporation (Last Name, First Name, Middle Initial or Corporate Name) Social Security Number =, = OR NJ Sales Tax Certificate of Authority Number Street Address Number Street Name P.O. Box # Municipality State Zip - Describe Nature of Interest 9.2 DOES ANY INDIVIDUAL, PARTNERSHIP, CORPORATION OR ASSOCIATION HOLD ANY CHATTEL MORTGAGE OR CONDITIONAL BILL OF SALE OR OTHER SECURITY INTEREST ON ANY FURNITURE, FIXTURES, GOODS OR EQUIPMENT TO BE USED IN CONNECTION WITH THE BUSINESS TO BE OPERATED UNDER THE LICENSE APPLIED FOR? Yes _v¥__No IF THE ANSWER IS “YES,” ANSWER THE FOLLOWING USING A SEPARATE PAGE 9 FOR EACH INDIVIDUAL OR CORPORATION TO BE REPORTED. ATTACH A SEPARATE PAGE OF EXPLANATION IF MORE SPACE IS NEEDED. Namie of Individual (Last Name First) or Corporation (Last Name, First Name, Middle Initial or Corporate Name) Social Security Number -, - OR NJ Sales Tax Certificate of Authority Number Street Address Number Street Name P.O. Box # Municipality State Zip - Describe Nature of Interest 9.3 HAS THE APPLICANT AGREED TO PERMIT ANYONE NOT HAVING AN OWNERSHIP INTEREST IN THE LICENSE TO RECEIVE OR AGREED TO PAY ANYONE (BY WAY OF RENT, SALARY OR OTHERWISE) ALL OR ANY PERCENTAGE OF THE GROSS RECEIPTS OR NET PROFIT OR INCOME DERIVED FROM THE BUSINESS TO BE CONDUCTED UNDER THE LICENSE APPLIED FOR? Yes _¥ No IF THE ANSWER IS “YES,” ANSWER THE FOLLOWING USING A SEPARATE PAGE $ FOR EACH INDIVIDUAL OR CORPORATION TO BE REPORTED. ATTACH A SEPARATE PAGE OF EXPLANATION IF MORE SPACE IS NEEDED. Namaof Individual (Last Name First) or Corporation Last Name First Name Middle Initial Social Security Number - - OR NJ Sales Tax Certificate of Authority Number Street Address Number Street Name P.O. Box# Municipality State Zip Describe Nature of Interest APPLICANTS THAT ARE
nitial Social Security Number - - OR NJ Sales Tax Certificate of Authority Number Street Address Number Street Name P.O. Box# Municipality State Zip Describe Nature of Interest APPLICANTS THAT ARE SOLE PROPRIETORS OR PARTNERSHIPS GO TO PAGE 10A. CORPORATIONS AND LIMITED LIABILITY COMPANIES COMPLETE PAGE 10.
HGC BASKING RIDGE, LLC Organization Chart | Steele HGC FLF Borrower, LLC 100% Member | Steele HGC Inv estment II, LLC 100% Member | Steele HGC Investment, LLC | 100% Member HGC Holdings, LLC 100% Member HGC Holdi ngs Ill, LLC 100% Member HGC Basking Ridge, LLC Applicant
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