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

Page 2 PLEASE TYPE OR PRINT ALL INFORMATION srArE ASST.NED LrcENsE NUMBER Appli€lon is made or beh att ot: // 0-f ?i -og4 -tlo I { 5 = lncorporated Club 21 7 : Limited Liabillty Company 2 = Business Corporation 4 = Unincorporared club 6 = Limited Padnership NAI!,{E(S)AS IT DOES OR WLLAPPEAR ON THE LICENSE CERTIFICATE (NOT 'TRADE' NAME): N lnitial), Parlnership or Corporation ndividual ( (Last Name, Filst Name, Middle lnilial 22 ACTUAL AOOR ESS WHERE THE LICENSE IS TO US (91 ED PRE[,IISES): ,,r-0.f-@- b);rtvl rerephone numbe, or business 0O I 23 1tr01) 1 Area Exchange llno licensed premises exists o r ifa mailing addr*s is different than th6 'aclual address' given above, provide the mailing add€s (insert N/A if not applicable): Streel Name Number P.O Box#- MuniciPality ziP Telephon6(_)_-_ Stale 2.4 New Jersey Sales Tax Certificale ofAulhody No 25 TRAOE NAI\4E(S) UNDER WHICH BUSINESS IS TO BE CONOUCTEO ALL TRADE NAI\,!ES MUST BE LISTED AND REGISTEREDWIH THE N.J. SECRETARY oF STATE [if a corPorationl OR COUNTY oLERK [if a panneEhP orsole proprieior]: 2.6 THE FOLLOWNG OUESTIONS ARE TO BEANSWERED BYALL APPLICANTS OTHER TTIAN APPLICANTS FOR A NEW -' LICENSE: tstuf)zt NSEACTIVELY USEDATAN OPERATING PLACE OF BUSINESS? B, IF NO. GIVE THE DATE THE BUSINESS STOPPED OPERATING (OR THE DATE THE LICENSE WAS ORIGINALLY ISSUEO IF NEVER SITED AT AN OPERATING BUSINESS): C, IF THE LICENSE IS INACTIVE AND THE APPLICATION IS FOR A TF,qNSFER, WLL THE LICENSE BE USED AT AN OPERATING PLACE OF BUSINESSAFTER APPROVAL? 2,7 THE FOLLOWNG OUESTIONS ARETO BE ANSWERED AYAN APPLICANT FORA NEW LICENSE A wlLL THE LICENSE BE USED AT AN OPERATING PLACE OF BUS|NESS IMMEOIATELY UPON ISSUANCE? No B IF NO, PROVIDE ANTICIPATED OATE OF LICENSE ACTIVATION -Yes