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Supporting Documentation · Dec 4, 2024

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

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PLEASE ryPE OR PRINTALL INFORMATION srArE ASSTGNED LTCENS A{ .rurr.* -,1N -L OA- ALL APPLICANTS OTHER THAN CLUB LICENSE ANSWER THE FOLLOWNG 7,1 DOES THE APPLICANT, A MEMBER OF THE APPLICANT'S IMMEDIATE FAI\,IILY (SPOUSE, CHILDREN, PARENTS,IN-LAWS OR SIBLINGS)ORANY PERSON WTH ABENEFICIAL INTEREST IN THE SUBJECT LICENSE OF THIS APPLICAT|ON, HAVE ANY INTEREST IN ANY OTHER NEW JERSEY ALCOHOLIC K BEVERAGE LICENSE? IF THE ANSWER IS 'YES,' COMPLETE THE FOLLOWNG BY LISTING THE NEW JERSEY LIOUOR LICENSE TWELVE DIGIT NUMBER(S) ANO 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 Relationship to Applicant B. Licenbe Numbor Namo (Last Name, First Name, Middle lnitial or Corporale Name) Relationship to Applicant C. License Number Name (Last Name, First Name, Middle lnitialor Corporate Name) Relalionship to Applicant 7,2 WOULD ANY PERSON OR CORPORATION NAMED IN THIS APPLICATION FAIL TO OUALIFY FOR OVVNERSHIP OF THE LICENSE IF APPLYING AS AN INDIVIDUAL BECAUSE OF AGE, CRIIIINAL CONVICTION OR PROHIBITED INTERESTS IN OTHER LICENSES? IF THE ANSWER IS'YES,'ANSWER THE FOLLOWNG BY INSERTING THE NAME OF THE INDIVIDUAL OR CORPORATION AND THE SOCIAL SECURITY NUMBERAND DATE OF BIRTH,IFAN INDIVIDUAL. USE ADDITIONAL PAGE(S) 7 AS NEEDED. social Security Number- oR - - NJ Sal6s Tax Certifcate of Aulhon9 No. Dale of Birth ......,..,............'......._ I _l - -

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