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 11 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 1802. 33. 005 _ (011 AFFIDAVIT LICENSE PERIOD APPLIED FOR From_97/01/2021 +, _ 06/30/2022 DATE: ) state of _ VIRGINIA ; ) ss: County ot FAIRFAX ; ) As provided by law (R.S. 33:1-35), (Check One) 4. The Individual Applicant 2. Members of the Partnership Applicant Mark Burnett, President of HGC Basking Ridge, LLC (President/Vice-President) (Corporation or Club Name) consent(s) that the licensed premises and all portions of the building constituting the licensed premises, including all rooms, cellars, closets, out-buildings, passageways, vaults, yards, attics and every part of the structure of which the licensed premises are a part and all buildings used in connection therewith which are in his/her/their possession or under his/her/their control, may be inspected and searched without warrant at all hours by the Director of the Division of Alcoholic Beverage Control, his or her duly authorized deputies, inspectors or investigators and all other sworn law enforcement officers, and being duly sworn according to law, upon his/her/their oath(s), depose(s) and say(s) that he/she is (they are) the person(s) duly authorized to sign the application, that in instance of corporate ownership, the signator is authorized by corporate resolution to sign on behalf of the corporations; and that the contents of this application represent complete disclosure of the fact, and that the contents of this application are true. 3. (Signature of Individual Agent / Sole Proprietor) (Corporations Only) Attestation by Corporate Secretary (Partnership Name) (Signature of Partner) HGC Basking Ridge, LLC Attest: Ma F (Signature of Partner) » MAC EO Secretary (Signature of Corporate President or Vice President) (Signature of Partner) signature Mark Burnett, President Affix Corporate Seal (Signature of Partner) Sworn to ant eens before me ENN lee <3 & 22 st &. this 4 day of Ker 20 > Huaneilis Gam Ranosy COMMISSION (Signature of OfficeSAdministering Oath) 7 AFFIDAVIT MUST BE SIGNED HERE —— NUMBER j = 7902323 BY DULY AUTHORIZED Komberly hun Roaavon NOTARY PUBLIC (Printed Name of Gfficer Administering Oath) an - 49, OR AN ATTORNEY-AT-LAW U\ 30\ TOEN sexgsaes? OF NEW JERSEY (Title of Officer Administering Oath) (Date of Expiration of Commission, if applicable)
State of New Jersey Amendment Application Summary - Department of Law and Public Safety ADMINISTRATIVE AMENDME Division of Alcoholic Beverage Control ‘1 . 9 PO Box 087, Trenton, NJ 08625-0087 File Number: 569955 License Number: 1802-33-005-012 Created By: Anna Perna Date Submitted: Dec 07, 2022 Fee Amount: $0.00 Fees Paid: $0.00 Licensee Information Licensee: HGC BASKING RIDGE LLC Mailing Address: Physical Address: 13873 PARK CENTER ROAD SUITE #203N HERNADON, VA 20171 USA Corporation Number: Incorporation Date: NJ Tax Auth Number: Establishment Information Establishment Type: Consumption. DBA / Trade Names: BASKING RIDGE COUNTRY CLUB Operator: HGC BASKING RIDGE LLC Contact Name: HGC BASKING RIDGE LLC Business Phone: (908) 766-8200 Home Phone: Mobile Phone: Email: Mailing Address: 13873 PARK CENTER ROAD SUITE #203N HERNADON, VA 20171 USA Physical Address: 185 MADISONVILLE ROAD BASKING RIDGE, NJ 07920 USA Preferred Contact Method: Mail
State of New Jersey Amendment Application Summary - Department of Law and Public Safety ADMINISTRATIVE AMENDMENT Division of Alcoholic Beverage Control . . 9 PO Box 087, Trenton, NJ 08625-0087 Bile Number: 569955 License Number: 1802-33-005-012 Created By: Anna Perna Date Submitted: Dec 07, 2022 Fee Amount: $0.00 Fees Paid: $0.00 License Information Previously License Type: Plenary Retail Consumption License License Type Code: 33 License Number: 1802-33-005-012 Term: 12/07/2022 - 06/30/2023 09/30/2022 - 06/30/2023 County: 18 - SOMERSET COUNTY Municipality: 02 - BERNARDS TOWNSHIP Expiration Date: 06/30/2023 Effective Date: 12/07/2022 09/30/2022 Issue Date: 01/19/2023 10/04/2022 Last Major Application Questions 1: IS THIS LICENSE BEING ACTIVELY USED AT AN ACTUAL PREMISE? Myes [No 2: 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 [v|No 3: IN THE PAST 12 MONTHS, HAVE YOU ENTERED INTO AN AGREEMENT IN WHICH YOU OFFERED THE LICENSE OR ANY FINANCIAL INTEREST IN THE LICENSE AS COLLATERAL OR SECURITY TO. A PERSON OR ENTITY NOT NAMED IN THE APPLICATION. (Yes [¥|No 4: IN THE PAST 12 MONTHS, HAS THE LICENSEE BEEN NAMED AS A PARTY TO A LAWSUIT, ARISING FROM CONDUCT IN NEW JERSEY, THAT HAS NOT BEEN DISMISSED AND IN WHICH IT IS ALLEGED THAT THE LICENSEE SERVED AN INTOXICATAED PATRON? Llyes [¥|No
TR#: STATE OF NEW JERSEY Action ID Code DEPARTMENT OF LAW AND PUBLIC SAFETY is te FEE: DIVISION OF ALCOHOLIC BEVERAGE CONTROL A W D U DATE: RETAIL LIQUOR LICENSE APPLICATION STATE ASSIGNED LICENSE NUMBER DATE APPLICATION FILED: 4802 _33 _005 . 012 12 ,; 07 , 2022 [For DIVISION use only ] CODE TYPE OF LICENSE (CHECK ONE) THIS APPLICATION |S FOR: CLASS C LICENSES [R.S. 33:1-12] uv Club A New License 32 Plenary Retail Consumption Person-to-Person Transfer wiBroad Package Privilege (Including Partnership change, * except Limited Partnership) 33 _¥_ Plenary Retail Consumption Place-to-Place Transfer 36 Plenary Retail Consumption (Including expansion of premises) (Hotel/Motel Exception) : é Change of Corporate Structure 37 Plenary Retail Consumption Z (Theatre Exception) Extension of License (to Executor, Receiver, Administrator, etc.) 35 _____ Seasonal Retail Consumption (November 15 through Apri! 30) Renewal of License 34 Seasonal Retail Consumption a Amendment of Application on File (May 1 through November 14) Oth er Plenary Retail Distribution i 43 Limited Retail Distribution OTHER 14 Annual State Permit (R.S, 33:1-42, NJAC 13:2-52) 40 Special Permit for a Golf Facility “JAF 59156 (NJAC 13:2-5.3) This Area is Reserved for Municipal Use Municipal Fee $, Effective Date Ul / (As Stated in Resolution. Date of resolution unless otherwise established.) State Fee $. Date Denied a ne (As Stated in Resolution) Refund Amount $. ‘Special Conditions Attached: Yes Kia Mee pClrei sting VN Sevea\ Chere ? int Name (Last Name, First Name, Middle Ini Vaso )) of Municipal Clerk or ABC Secretary 14 js ‘SiGrature of Municipal Clerk or ABQ Sderetary
Page 2 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 1802_- 33-005 -_012 Application is made on behalf of: 7 1 = An Individual 2 = Business Corporation 7 = Limited Liability Company 3 =A Partnership 4 inincorporated Club 5 = Incorporated Club 6 = Limited Partnership ul NAME(S) AS IT DOES OR WILL APPEAR ON THE LICENSE CERTIFICATE (NOT “TRADE” NAME): License may be held by Individual (Last Name, First Name, Middle Initial), Partnership or Corporation. HGC Basking Ridge, LLC (Last Name, First Name, Middle Initial or Corporate Name) 22 ACTUAL ADDRESS WHERE THE LICENSE IS TO BE USED (SITED PREMISES): Street Address __ 185 Madisonville Road Number Street Name Municipality Basking Ridge (Bernards Township) Zip 07920 - Telephone number of business (_908 )_ 766 -__ 8200 E-mail Address Po Area Exchange Number . 23 If no licensed premises exists or if a mailing address is different than the “actual address” given above, provide the mailing addres (insert N/A if not applicable): Street Address ___ 13873 Park Center Road, Suite 203N Number Street Name P.O. Box # Municipality Herndon State__ VA Zip_20171__-___—————Telephone (_703 )_861 __- __0518 24 | Newdlersey Sales Tex Certicate of Authority No, AAA 25 TRADE NAME(S) UNDER WHICH BUSINESS IS TO BE CONDUCTED. ALL TRADE NAMES MUST BE LISTED AND REGISTERED WITH THE N.J. SECRETARY OF STATE [if a corporation] OR COUNTY CLERK [if a partnership or sole proprietor]: Basking Ridge Country Club 26 THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY ALL APPLICANTS OTHER THAN APPLICANTS FOR A NEW LICENSE: A. IS THE LICENSE ACTIVELY USED AT AN OPERATING PLACE OF BUSINESS? Yes No B. IF NO, GIVE THE DATE THE BUSINESS STOPPED OPERATING (OR THE DATE THE LICENSE WAS ORIGINALLY ISSUED IF NEVER SITED AT AN OPERATING BUSINESS) / / C. IF THE LICENSE IS INACTIVE AND THE APPLICATION IS FOR A TRANSFER, WILL THE LICENSE BE USED AT AN OPERATING PLACE OF BUSINESS AFTER APPROVAL? Yes No 27 THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY AN APPLICANT FOR A NEW LICENSE: A. WILL THE LICENSE BE USED AT AN OPERATING PLACE OF BUSINESS IMMEDIATELY UPON ISSUANCE? Yes No B. IF NO, PROVIDE ANTICIPATED DATE OF LICENSE ACTIVATION: i !
Page 1 of 4 Page 3 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 1802. 33. 005 -_012 The following questions identify information about the licensed premises. This describes the area or place which is to be licensed for the sale, service, consumption, delivery, receipt or storage of alcoholic beverages. If the license is inactive and NOT SITED AT A PLACE OF BUSINESS, answer question 3.1 only, entering N/A for “not applicable.” [If you use N/A as a response to question 3.1, question 2.2 on Page 2 should also be answered N/A.} 3.1. HOW MANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER THIS LICENSE? 4 If more than one building is to be included under this license, a separate Page 3 is to be submitted covering each building, An up-to-date sketch of the entire licensed premises should be submitted for inclusion in the State ABC license file. 3.2 BUILDINGNO._1 _—sor__4 TO BE LICENSED. MAIN BUILDING 3.3. IS THE ENTIRE BUILDING TO BE LICENSED? v Yes No If the answer to question 3.3 is “No,” specify which floors are to be under license and which ones are not by answering the following questions: 3.4 Basement ____Yes ___No Allofit____ Yes ___No 1* floor ____ Yes ____No Allofit____ Yes ___No 2" floor ___Yes ___No Allofit____ Yes ___No 3° floor Yes No Allofit____ Yes ___No Specify each additional floor number to be included under this license: If only part of any floor is to be licensed, attach a more detailed explanation with sketches to clearly delineate licensed areas from unlicensed areas. 3.5 ARE ANY GROUNDS ADJACENT TO THE BUILDING UNDER LICENSE TO BE INCLUDED AS PART OF THE LICENSED PREMISES? v Yes No 3.6 IS THERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDER THIS LICENSE OR BETWEEN LICENSED ADJACENT GROUNDS? Yes _v No IF THE ANSWER IS “YES,” ATTACH A SKETCH OF THE LICENSED AND UNLICENSED AREAS SHOWING DIMENSIONS IN FEET 3.7 DOES THE APPLICANT OWN THE BUILDING? _v¥_Yes ___No IF “YES,” IS THERE A MORTGAGE ON THE BUILDING? _v_Yes ___No DOES THE APPLICANT LEASE THE BUILDING? Yes __v_No If there is a mortgage on the property, answer question 3.8. If the licensed premise is leased, answer question 3.9. 3.8 MORTGAGEE (HOLDER OF MORTGAGE): Ares Capital Corporation (Last Name, First Name, Middle Initial or Corporate Name) Street Address _ 245 Park Avenue Number Street Name P.O. Box # Municipality _New York State_NY Zip 10167 3.9
TGAGE): Ares Capital Corporation (Last Name, First Name, Middle Initial or Corporate Name) Street Address _ 245 Park Avenue Number Street Name P.O. Box # Municipality _New York State_NY Zip 10167 3.9 LANDLORD (HOLDER OF LEASE): N/A (Last Name, First Name, Middle Initial or Corporate Name) Street Address Number Street Name P.O. Box # Municipality State Zip -
Page 3 PLEASE TYPE OR PRINT ALL INFORMATION Page 2 of 4 STATE ASSIGNED LICENSE NUMBER 1802 ___- 33 -_005 -011 The following questions identify information about the licensed premises. This describes the area or place which is to be licensed for the sale, service, consumption, delivery, receipt, or storage of alcoholic beverages. If the license is inactive and NOT SITED AT APLACE OF BUSINESS answer question 3.1 only, entering N/A for “not applicable.” (If you use N/A as a response to questions 3.1, question 2.2 on Page 2 should also be answered N/A). 3.1. HOW MANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER THIS LICENSE? 4 If more than one building is to be included under this license, a separate page number three is to be submitted covering each building. An up-to-date sketch of the entire licensed premises should be submitted for inclusion, in the State ABC license file. 32 BUILDINGNO,_2 oF __4 ToBeLIceNseo, HALFWAY HOUSE 3.3. IS THE ENTIRE BUILDING TO BE LICENSED?_v___Yes No If the answer to question 3.3 is “No,” specify which floors are to be under license and which ones are not by answering the following questions: 3.4 Basement ___Yes ____No Allofit ____Yes ____No 1" floor Yes ____No Allofit Yes ____No 2” floor Yes ____No Allofit ___ Yes ____No 3° floor Yes No Allorit’ _____Yes No Specify each additional floor number to be included under this license: If only part of any floor is to licensed, attach a more detailed explanation with sketches to clearly delineate licensed from unlicensed areas 3.5 ARE ANY GROUNDS ADJACENT TO THE BUILDING UNDER LICENSE TO BE INCLUDED AS PART OF THE LICENSED PREMISES? Yes No 3.6 IS THERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDER THIS LICENSE OR BETWEEN LICENSED ADJACENT GROUNDS? Yes No IF ANSWER IS “YES” ATTACH A SKETCH OF THE LICENSED AND UNLICENSED AREAS SHOWING DIMENSIONS IN FEET. 3.7. DOES THE APPLICANT OWN THE BUILDING? Y_Yes No IF “YES”, IS THERE A MORTGAGE ON THE BUILDING? v Yes No DOES THE APPLICANT LEASE THE BUILDING? Yes v No 3.8 MORTGAGEE (HOLDER OF MORTGAGE): Ares Capital Corporation (Last Name, First Name, Middle Initial or Corporate Name) Street Address 245 Park Avenue Number Street Name P.O. Box # Municipality New York State NY Zip 10167 - 3.9 LANDLORD (HOLDER OF LEASE): NIA (Last Name, First Name, Middle Initial or Corporate Name) Street Address Number Street Name P.O. Box #
Name P.O. Box # Municipality New York State NY Zip 10167 - 3.9 LANDLORD (HOLDER OF LEASE): NIA (Last Name, First Name, Middle Initial or Corporate Name) Street Address Number Street Name P.O. Box # Municipality State Zip -
Page 3 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 1802 _-_33 -_005 -011 The following questions identify information about the licensed premises. This describes the area or place which is to be licensed for the sale, service, consumption. delivery, receipt, or storage of alcoholic beverages. f the license is inactive and NOT SITED AT APLACE OF BUSINESS answer question 3.1 only, entering N/A for “not applicable.” (If you use N/A as a response to questions 3.1, question 2.2 on Page 2 should also be answered N/A). 3.1. HOW MANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER THIS LICENSE? 4 If more than one building is to be included under this license, a separate page number three is to be submitted covering each building An up-to-date sketch of the entire licensed premises should be submitted for inclusion, in the State ABC license file. 3.2 BUILDINGNO. 3 oF _4 POOL HOUSE CONCESSIONS TO BE LICENSED. 3.3. IS THE ENTIRE BUILDING TO BE LICENSED?_v__Yes No If the answer to question 3.3 is “No,” specify which floors are to be under license and which ones are not by answering the following questions: Page 3 of 4 3.4 Basement Yes ____No Allof it Yes ____No 1" floor Yes ____No Allofit _____Yes ____No 2"? floor ____Yes ___No All of it Yes ____No 3" floor Yes No Allor it Yes ____No ‘Specify each additional floor number to be included under this license: If only part of any floor is to licensed, attach a more detailed explanation with sketches to clearly delineate licensed from unlicensed areas. 3.5 ARE ANY GROUNDS ADJACENT TO THE BUILDING UNDER LICENSE TO BE INCLUDED AS PART OF THE LICENSED PREMISES? Yes No 3.6 IS THERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDER THIS LICENSE OR BETWEEN LICENSED ADJACENT GROUNDS? Yes No IF ANSWER IS “YES” ATTACH A SKETCH OF THE LICENSED AND UNLICENSED AREAS SHOWING DIMENSIONS IN FEET. 3.7 DOES THE APPLICANT OWN THE BUILDING? v_Yes No IF “YES”, IS THERE A MORTGAGE ON THE BUILDING? v Yes No DOES THE APPLICANT LEASE THE BUILDING? Yes v No 3.8 MORTGAGEE (HOLDER OF MORTGAGE): Ares Capital Corporation (Last Name, First Name, Middle Initial or Corporate Name) Street Address 245 Park Avenue Street Name Number Municipality New York P.O. Box# State NY Zip 10167 . 3.9 LANDLORD (HOLDER OF LEASE): N/A (Last Name, First Name, Middle Initial or Corporate Name) Street Address Street
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