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

PLEASE TYPE OR PRINTALL INFORMATION Page E STATE ASSIGNED LICENSE NUMBER l^ai.3a_.qr/ aa I ALL APPLICANTS ANSWERTHE FOLLOWNG 8,1 DOES THE APPLICANT OR ANYONE MENTIONEO IN THIS APPLICATION OWE THE STATE OF NEW JERSEY OR THE UNITEO STATES ANY LICENSE FEE, PENALTY, INTEREST OR ALCOHOLIC BEVERAGE TAX WTIICH tl,AS ACCRUED PURSUANT TO THE ALCOHOLIC BEVERAGE TAX tAW THE ALCOHOLIC BEVERAGE IAW OR ANY OTHER NEWJERSEYOR FEDEML LAW? ----yG 8,2 HAS THE LICENSE BEEN ISSUED, OR IS IT BEING REQUESTED TO BE ISSUED, FOR A HOTEL/MOTEL AS AN -ves EXCEPTION TO THE POPULATION RESTRICTION UNDER THE PROVISIONS OF R.S.33i1-12.20? -vas -Y6 IF THE ANSWER IS'YES,' IS IT FOR A HOTEL/MOTEL FACILIry OF 50 OR lOO ROOI\,IS? 100 ROOIVS ROOMS CHECKONE: 8,3 HAS THE LICENSE BEEN ISSUED. OR IS IT BEING REAUESTEO TO BE ISSUED. ASAN EXCEPTION TO THE TWO - 33:1.12.32)JOR A HOTEUMOTEL, RESTAURANT, EOWLING ALLEY OR -50 LAW (R,S, UCENSE LIMITATION INTERNATIoNALAIRPORT? -lZ:No lF THEANSWER !S 'YES,' CHECK ONE OFTHE FOLLOWNG: -Yes HOTEUI OTEL -INTERNATIONALAIRPORT -BOWLINGALLEY -RESTAURANT E,4 LICENSE NUMBER SOUGHTTO 8E TRANSFERRED THE FOLLOr'V]NG ARETO 8E ANSWERED vv}]EN APPLICATION IS FOR A LICENSE TRANSFER. 8.5 IFTHIS ISAREOUEST FORA PERSON.TO.PERSON TRANSFER,INSERT NAME(S)OF PERSON (LASINAME F Si) PARTNERSHIP OR CORPORATION CURRENTLY HOLOING THE LICENSE: (Last Name, First Name, MiddLe lniialor CoQorate Name) 86 IF TI"IIS IS A REOUEST FOR A PLACE.TO.PLACE TRANSFER OF A POCKET LICENSE (NO SITEO PREMISES), MARKAN X HERE: IFTHIS ISA REOUEST FORA PLACE.TCIPLACE TRANSFER OF A SITED LICENSE, INSERT THE ADDRESS OFTHE CURRENTSTTE FROMWHICH THE LICENSE IS TO BETRANSFERRED, Street Addrcss Numb€r Streel Name Municipality Nsw Jersey Zio THE FOLLOWNG ARETO BE ANSWERED BYAPPTICANTS FOR A NEWLICENSE ORA LICENSE TRANSFER, 67 INSERT THE ANTICIPATED OATES WHEN PUBLIC NOTICE OF APPLTCATION WLL BE PUBLISHED PUBLICATION IVAY NOT BE SOONERTHAN THE OATE OF FILING OF THIS APPLICATION. Dale of iirsi noiice I l-lDare ol second notice8.8 NAME OF NEWSPAPER TO PUBLISH NOTICE BY CORPOFATIONS REPORTING A CHANGE OF CORPOFATE 89 THE FOLLOWNG- ARE TO-lBE ANSWEREO STRUCTURE WTIEREIN A NEW STOCKHOLDER ACOUIRES MORE THAN 1 PERCENT OF THE STOCK OF THE LICENSED COMPANY (ONE PUBLICATION OF NOTICE REOUIRED). Date of notice Name ol nev\Epapsr publishing notice THE FOLLOWNG OUESTIONSARE FOR CLUB

CKHOLDER ACOUIRES MORE THAN 1 PERCENT OF THE STOCK OF THE LICENSED COMPANY (ONE PUBLICATION OF NOTICE REOUIRED). Date of notice Name ol nev\Epapsr publishing notice THE FOLLOWNG OUESTIONSARE FOR CLUB LICENSEAPPLICANTS ONLY: 8,10 HAS THE CLUB BEEN IN ACTIVE OPERATION IN THE STATE OF NEW JERSEY FOR AT LEAST THREE YEARS CONTINUOUSLY I!IMEDIATELY PRIOR TOTHE SUBMISSION OF ITSAPPLICATION FORA LICENSE? -/-/- Yes - 8.11 IS THE APPLICANT A CONSTITUENT UNIT, CHARTERED OR OTHERWSE OULY ENFRANCISED CHAPTER OR -NoOF A NATIONAL OR STATE ORDER? -IVTEMBER CLUB _Yes 8.12 tlASTHE CLUB HAO EXCLUSIVE POSSESSIONAND USE OFCLUB OUARTERS FORTHREE CONTINUOUSYEARS? Yes -No 8,13 DOESTHE CLUB HAVE AT LEAST 60 VOTING MEMBERS? _Yes -No _ No