Filing Letter to Board in Response to M Bennett Email with Exhibits 12 02 2024

I Page 3 PLEASE TYPE OR PRINT ALL INFORIIIAIION srArE ASsTGNED LTcENSE NUMBER /lQt al - o al - oo t The following questions identify information about the licensed premises. Tl'lis descibes lhe area or p lace which is to be licensed for the sale. service, consuntplion, delivery, receipt or slorage of alcoholic beverages. lf the license is inactive and NOT SITED AT A PLACE OF BUSINESS, ans\aerquestion 3.'l only, enlering N/A for "noi applicable.' llf youuseN/Aasa response to question 3.1, q(estion 2.2 on Page 2 shourd also be answered N/A.l Te N U i> 1l-OF 0 3,,I HOW IIIANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER TI.IIS LICENSE? lf more than one building is to be included under this license, a separate Page 3 is to be submitted covering each building An up{oiale sketch of the entire licensed premises should be submitled for incluslon in ihe State ABC license file. ,., uurlolrc ,.ro. -4 or f To BE LJCENSED. 3.3 rs rHE ENTTRE Br,.o,*n ro ,, ai-ara*, / ,". No lf the answer lo question 3.3 is "N0," specify which floors are to be under license and which ones are noi by answerjng the following questions: 3.4 Basemenl l'rfloor 2"0 fioor 3'd floor _ Yes _ No _Yes _No Yes No _Yes _No Specify each additional lloor number to be included under thjs license: _ Allof il _ All oI it _ Yes _ -- No Yes _ No All of it Yes _ No All of il Yes No lf only part ol any floor ls to be licensed. attach a more detailed explanation wilh sketches to clearly delineaie 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? ',/ u.u *r, Yes ,** No o** LOCATED BEIWEEN BUILDINGS UNDER THIS LICENSE oR BETWEEN LICENSED ADJACENT GROUNDS? y' ./. No IF THE ANSWER IS "YES,'ATTACH A SKETCH OF THE LICENSED AND UNLICENSED AREAS SHOWNG DIMENSIONS FEET. 8.7 DoES -YesTHE AppLtcANT owN THE BUILDING? lF'YES,'lSTHEREA MORTGAGE ON THE BUILDING? DOES THE APPLICANT LEASE THE BUILDING? lN _/ / y"t No r')o _Yes -/ r,,' No _Yes lf there is a mortgage on the property, answer question 3.8. lf lhe licensed premise is leased, answer question 3.9, 3.8 MORTGAGEE (HOLDER OF i'ORTGAGE): (Last Name, First Name, Middle lnitial or Corporate Name) Streel Address Number P.O. Box #_ Streei Name lvlunicipality State zip 3.S LANDLORD (HOLDER OF LEASE) (Lasl Name First Name, Middle

GE): (Last Name, First Name, Middle lnitial or Corporate Name) Streel Address Number P.O. Box #_ Streei Name lvlunicipality State zip 3.S LANDLORD (HOLDER OF LEASE) (Lasl Name First Name, Middle lnilial or Corporate Name) -P.O.Box#_ rf i, i.el Address zip -- - Number Municipality Slreel Name State

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f Page 3 PLEASE ryPE OR PRINT ALL jNFORMATION srArE AssrcNED LTcENSE NUMBER /ZAt 3.i lpf oO t The followi ng questions identify information aboul the licensed prcmises. This describes the area or place wlrich is to be licensed forlhe sale, service, consumption, delivery, receipt or storage of alcoholic beverages. lf the license is inaclive and NOT SITED AT A PLACE OF BUSINESS, ans,rver question 3.1 only, enlering N/A lor 'not applicable.' fll you use N/A as a Esponse lo question 3.1, question 2.2 on Page 2 shourd arso be answered N/A.l h) -rcf Nt ilZ bUr'tfurtlF 3,1 HOW MANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDERTHIS LICENSE? 5 lf more than one building is to be included under lhis license, a separale Page 3 is to be submiited colering each building An up-to-date sketch of he entire licensed premises should be submitled for incluslon in the State ABC license file 3,2 BUILDING NO rO BE LICENSED OF 3.3 IS IHE ENTIRE BUILDING TO BE LICENSED , ,.t '/ No lf the answer to question 3.3 is 'No,' specify which floors are to be under license and whach ones are not by answering the followinq questions: 3.4 Basement l''floor 2* floor 3d floor _Yes _No No -YesYes -No No Specify each additional floor number to be included under this license: _ Yes Allof il _ Yes _ No Allof il Yes _ No All of il Yes _ No Yes _ No AII of it - lf only part ofany floor is to be licensed, attach a more detailed explanalion with sketches to clearly delineate licensed arcas 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 't/,/ No IF THE ANSWER IS "YES,'ATTACH A SKETCH OF THE LICENSEDAND UNLICENSED AREAS SHOWNG DIIV]ENSIONS IN FEFT ./ u/ y., 3.7 DoES THE AppLrcANT owN THE BUTLDTNG? yes BUILDING? DOES THE APPLICANT LEASE THE BUILDING? lF 'YES,' IS THERE A MORTGAGE ON THE No -.Ll ryo --1*o lf there is a mortgage on the property, answer question 3.8. lfthe licensed premise is leased, answer question 3.9. ,". 3,8 IIORIGAGEE {HOLDER OF MORTGAGE); (Last Name, First Name, Middle lnitial or Corporate Name) Streei Address Number P.O.Box#_ zip -- Slreet Name State Municipality 3,9 LANDLORD (HOLDER OF LEASE): -- (Lasl Name, First Name,

GAGE); (Last Name, First Name, Middle lnitial or Corporate Name) Streei Address Number P.O.Box#_ zip -- Slreet Name State Municipality 3,9 LANDLORD (HOLDER OF LEASE): -- (Lasl Name, First Name, Middle lnitial or Corporate Name) ili, ret Address Number P.O. Box # zip Municipality Street Name Stale

/ r Page 3 PLEASE TYPE OR PRINT ALL INFORMATIoN &4t- 33 - 0&{ - 0 o / srArE ASsTGNED Lrcrr.,rsr Nur,,leen The following qlestions identi[y information hboul lhe licensed premises. This describes lhe area or place which as to be licensed for lhe sale, seryice, consun'rption, delivery, receipt or slorage of alcoholic beverages. lf the license is inactive and N OT SITED AT A PLACE OF BUSINESS, answer question 3.l only, entering N/A for "not applicable." fllyoir use N/Aasa response to question 3.l, queslton 2,2 on Page 2 should also be answered N/A.l H.a-tFAa,r,6 /lous<- 3.1 HOW i'ANY SEPARATE BUILDINGS ARE TO BE INCLUDED UNDER THIS LICENSE? 3 lf more than one building is to be included undet this license, a separaie Page 3 is lo be submitted covering each building An up-toiate sketch of the entire licensed premises should be submitied for inclusion in lhe Siate ABC Iicense file. or ( ,., tut,-rtro ro. *( rO BE LICENSED 3,3 IS THE ENTIRE BUILDING TO BE LICENSED? Yes _ No lfthe ansller to question 3.3 is'No," specify which floors are to be under license and which ones are not by answering lhe following questjons: Basement 1'' floor 2e fioor 3'd floor _ Yes _ Yes Yes No No No No Yes Specify each additional floor number to be included under this license: _ - All of it _ Yes _ No All oF it Yes _ No Yes _ No Yes _ No All of il All of it - lfonly 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 IO THE BUILDING UNDER L)CENSE TO BE INCLUDED AS PART OF THE LICENSED PREIVIISES? ,/ ,,/ Yes No 3,6 IS THERE ANY UNLICENSED AREA LOCATED BETWEEN BUILDINGS UNDER THIS UCENSE OR BETWEEN LICENSED ADJACENT GROI]NDS? Yes / ./ . No IFTHE ANSWER IS "YES,'ATTACH A SKEICH OF THE LICENSED AND UNLICENSED AREAS SHOWNG DIMENSIONS tN FEET. 3.7 DOES THE APPLICANT OWN THE BUILDING? BUILDING? DOES THE APPLICANT LEASE THE BUILDING? lF 'YES,' lS THERE A MORTGAGE oN THE - V,,r.Yes No t/ Yes -No Yes il No lf there is a mortgage on the property, answer question 3.8. lfthe licensed premise is leased, answer question 3.9. 3.8 IMORTGAGEE (HOLDER OF [,4ORTGAGE): (Lasl Name, First Name, Middle lnitial or Corporate Name) Streel Address Street Name Number P.O. Box # _ State Municipality zip 3.9 LANDLORD (HOLDER OF LEASE) ili'

TGAGEE (HOLDER OF [,4ORTGAGE): (Lasl Name, First Name, Middle lnitial or Corporate Name) Streel Address Street Name Number P.O. Box # _ State Municipality zip 3.9 LANDLORD (HOLDER OF LEASE) ili' iet --Address P.O. Box # _ - {Last Name, First Name, Middle Initial or Corporate Name) Number Municipality Streel Name state zip --

PLEASE TYPE OR PRINTALL INFORMATION srArEASsrGNEo LrcENs 4.1 ,*u*. ik(- i3 oa"l .a d t IS THE NEAREST ENTRANCE OF THE PLACE TO BE LICENSEO WTHIN 2OO FEET OF THE NEAREST ENTRANCE OF ANY CHURCH OR SCHOOL? -.2!no IF THE ANSWER IS'YES,'ISA WAIVER SIGNED BY THE APPROPRIATE OFFICIALATTACHED TO THIS APPLICATION? Yes -les No 4.2 DOES THE APPLTCANT TNTEND TO USE ANY_VEH|CLES FOR THE TRANSPORT OR DEL|VERY OF Yes --IZ1 No (A TRANSIT JNSIGNIA IS NECESSARY BEFORE ALCOHOLIC BEVERAGES? ALCOHOLIC BEVERAGES IVAY BE TRANSPORTED.) 4,3 HAS THE APPLICANT FILED -AN ANNUAL SPECIAL TAX REGISTRATION AND RETURN FORI\' (TTB F H THE FEDERAL ALCOHOL AND TOBACCO TAX AND TRAOE BUREAU? No IF'YES,'DATE FILED 4.4 ZI IO IOO WLLANY BUSINESS OTHER THAN THE SALE OFALCOHOLIC BEVERAGES BE CONDUCTED ON THE Yes PREMISES TO BE LICENSED? --l IFTHEANSWER IS 'YES," INDICATE THE NATURE OF THE BUSINESS AND WHO WLL CONDUCT IT BY -No RESPoNDING TO THE FOLLOWNG OUESTIONSi .,,.,. \-/f,estaurant --!: Applicenl _Applicant _Catering _ Hotel/l\Iotel _Applicanl _Amusements -Applicant _Applicant _ N.J. Lottery _ Grocery or Delicatessen l|otq apectty)6o Gl-r--;t : (eti Astr .:4L) other Olher Other -_ Other _Other Other _ - ----y{prcant -Applicant Other 4,5 IF SOMEONE OTHER THAN THE APPLICANT WLLOPERATE THE OTHER BUSINESS ON THE LICENSED PREMISES, ANSWER THIS OUESTION, IF THERE IS i.IORE THAN ONE INDIVIDUAL OR COMPANY. ATTACH A SEPARATE PAGE LISTING THE REQUESTEO INFORI\,IATION FOR EACH OPERATOR, Business to be operaled Name of company/individual @ SkeetAddress Number llunicipality zip Street Name State NJ Sales Tax Certificate of Aulhority No

PLEASE TYPE OR PR]NTALL INFORI"IATION Page 5 srArE A.STGNED LrcENs . *urr.* W33-- Ul- 0o I ALL APPLICANTS ANSWER THE FOLLOWNG 5,1 IS THE APPLICANT OR ANY OTHER PERSON i./]ENTIONED IN THIS APPLICATION A POLICE OFFICER OR HOLD ANY POSITION ENTRUSTED WTH THE ENFORCEMENT OF ANY LAWS CONCERNING ALCOHOLIC BEVERAGES IN ANY IIIANNER WI]ATSOEVER? Yes ll No lf the answer rs "Yes," complete the followng. Name of individual Last Name Firsl Name Middle lnitial Title of posilion held Name of Employing Agency 5.2 DOES THE APPLICANT OR ANY OTHER PERSON MENTIONED IN THIS APPLICATION, OR ANY PERSON HAVINGA BENEFICIAL INTEREST IN THE LICENSED BUSINESS, HOLD OFFICE IN THE UNIT No OF GOVERNMENT ISSUING THE LICENSE? Yes IF THE ANSWER IS 'YES.' COMPLETE THE FOLLOWNG Name of lndividual Firsl Name Last Name lladdle lnitial Titre cl Ofice Municipalrty 5,3 DOES THE APPLICANT OR ANY OTHER PERSON I\4ENTIONED IN THIS LICENSE APPLICATION, OR ANYONE WITH A BENEFICIAL INTEREST IN THE LICENSED BUSINESS, DIRECTLY OR INDIRECTLY, HAVEANY INTEREST IN ANY BREWERY, WNERY, DISTILLERY, RECTIFYING AND BLENDING PLANT, II\,IPORTER OR W}IOLESALE ALCOHOLIC BEVERAGE BUSINESS, AS OWNER, PART OWNER, LANDLORD. TENANT, MORTGAGE HOLDER OR AS A STOCKHOLDER, OFFICER, DIRECTOR, AGENT, EMPLOYEE OR OTHERWSE? No IF THE ANSWER IS "YES,'ATTACH AN AFFIDAVIT EXPLAINING THE RELATIONSHIP AND NATURE OF THE INTEREST AND COMPLETE THE FOLLOWNG: A New Jersey license number, ifapplicable B, IF THE BUSINESS SQESI9I HOLD A NEWJERSEY LIQUOR LICENSE, ANSWER THE FOLLOWNG OUESTIONS: Name ofentity conducting business (Corporalion, Partnership or lndividual) (Last Name, First Name, lvliddle lnitialor Corporate Name) SlreetAddress Number P.O. Box #_ I\,,lunicipality zip Type of Business -- - State

PLEASE TYPE OR PRINT ALL INFORMATION Page 6 STATE ASSIGNED LICENSE NUMBER fisf- Sa -0,t*- Oot 6. ALL APPLICANTS ANSWER THE FOLLOWNG HAS THE APPLICANT EVER BEEN DENIEDA LIQUOR LICENSE IN NEWJERSEY? IF THE ANSWER TO THIS QUESTION IS 'YES,' ANSWER THE FOLOWNG: Type of License or Permit Denied: _ _Wholasale _ Manufaclurer Retail Warehouse _ -Yes _ Transporlation unit of Government which denied License or Permit: Date of Denial (approximate if nol known) _l _l _ Reason for Oenial 6.2 HASANY CORPORATION, PARTNERSHIP OR INDIVIDUAL MENTIONED IN THIS APPLICATION, OTHER THAN THE Yes APPLICANT, BEEN OENIED A LIQUOR LICENSE OR PERMIT? -jZ1 No IF THE ANSWER IS'YES,'ANSWER THE FOLLOWNG: No-o ^f E.tit" - Lasl Name First rvpe or License or Permit Denied: llarne ft,:,1,n""* - Unit oI Government which denied License or Permit Middle Initial rransportation -H:f::[re, - Date of Denial (approximat€ if not known) Resson br Denial 6.3 HAS THE APPLICANT OR ANY OTHER PERSON, CORPORATION OR ENTIW MENTIONED IN THIS LICENSE APPLICATION, OR ANYONE WTH A BENEFICIAL INTEREST IN IT, HAD AN INTEREST IN A NEW JERSEY -l WAS SURRENDERED, SUSPENDED OR HAD A PENALTY IMPOSED IN -l ALCOHOLIC BEVERAGE LICENSE WHICH LIEU OF SUSPENSION, NOT RENEWED, REVOKED OR CANCELLEDWTHIN THE lOYEARS PRIOR TOTHE DATE Yes y' No oF THIS APPLICATIoN? tF THE ANSWER lS 'YES," PROVIDE DETAILS OF EACH BELOW lcomplete a separate Page 6 for each actionj: LastName DATE OF ACTTON _t _l Name of lndividual Middle lnitial FiBt Name _ PENALry WAS IMPOSED BY DocKET NO. !ndicate \rihether by Division ofABC or identify Local lssuing Authorityl PENALTY CONSISTED OF; FINED $ NOT RENEWED [amount] REVOKED SUSPENDED (number of days) - OTHER lexplain] 6.4 CANCELLED HAS THE APPLICANT OR ANY OTHER PERSON OR CORPORATION MENTIONED IN THIS LICENSE APPLICATION, oRANYONEVV|TH A BENEFTCTAL TNTEREST rN THE BUS|NJSS UNDER LTCENSE ORTO BE LICENSED, EVER BEEN CONVICTED OF A CRIMINAL OFFENSE? IF THE ANSWER IS "YES,'ANSTiVER THE FOLLOWNG: Name of lndividual Middle lnitial Ftrst Last Name I Conviction Date of Birth Court of Jurisdiclion State Description of offense (specific dtarge) J/:-No A. -Yes ---------- N re Date-/- l-l- - - Disposition (fine, penalty, etc.) Nature of interest in entity to be licensed B. lf applicable, provide the date the Direclor ofthe N.J. Division ofAlcoholic Beverage