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

Page 10 PLEASE ryPE OR PRINT ALL INFORI\,IATION srarEAssrGNED LrcENse NuMeea /J o.}1 ' oJy- oo i ,, QUESTIONS TO BE ANSWERED BY CORPORATIONS ANO LIMITED LIABILITY CONIPANIES ONLY, ANY CORPORATTON OR LIMITED LIABILITY COMPANYTHAT IS REPORTEDTO HAVE AN INTEREST IN THE BUSINESS TO BE LICENSEO. WHETHER THE LICENSEE COMPANY, THE PARENT CORPORATION OF THE LICENSED COMPANY, HOLDING COMPANY OR OTHERWSE AFFITIATED IN THE CORPORATE CIIAIN, MUSTANSWERTHE FOLLOWNG USINGASEPARATE PAGE lOANO PAGE 1OA FOR PAGE D PAGE 1OA FOR coR EACH CORPORATION, ANSWER OUESTI at 10.1 Name ol corporalion 102 Street address of home office Uirry-t ztp a(flto "or" /W 10.3 NJ Sales Tax Cedinc€rc ofAuihonly Number '10.4 IF CORPOfIATION AODRESS IN NUMBER 10.2 ABOVE IS OUT OF STATE, REPORT BELOWTHEAODRESS OFANY INSERT N/A IF NONE, OFFICE LOCAT ION IN NEW Number zip No 10.5 IS THE CORPORATION NOWAN EXISTING, V 10.6 OATE CHARTEREO OR INCORPORATED 10.7 CERTIFICATE OF INCORPORATION NUI\,1BER 10.8 IF NOT INCORPORATED UNDER THE LA\AIS OF NEW JERSEY, HAS THE CORPORATION RECEIVED AN AUTHORIZATION TO CONDUCT BUSINESS IN NEW JERSEY 6ROM THE NEW JERSEY OFFICE OF THE SECRETARY oF srArE? 10.9 -Ye3 -No 4)/A HAS THE coRpoMTroN CI|ARTJ:R EVER BEEN REVoKED BYTHE oFFlcE oF THE SECRETARY oF srATE lN NEWJERSEY? ---]Z: NO IFTHEANSWER IS YES,'INSERTTHE DATE OF REVOCATION, OR IFSUSPENDEO, THE BEGINNINGAND ENDING -Y€3 OATE OF TIIE SUSPENSION, Beginning dals Ending dale 10,10 INSERT THE NAME AND AODRESS OF THE REGISTEREO OR AUTHORIZEO AGENT IN NEWJERSEY UPON WHOI\'I SERVICE OF PROCESS IN ANY PROCEEDINGS AGAINST THE APPLICANI, PURSUANT TO THE NEW JERSEY ALCOHOLIC BEVEF{AGE TAW, THE ALCOHOLIC BEVERAGE TAX LAW OR PROCEEDINOS IN A STATE OR U,S DISTRICT COURT, €s .) [. rfla.; n.Slrt tf # (3 (Lasl Filsl Name, Middle lnitialor llro ok=, zp D'19 ?L Telephone Number 3t -l G '|L . ,9 oF, E(chang€ Number Aroa 10.11 lF THE LTCENSED COMPANY lS OWNED BY OTHER CORPOFATION(S) OR lS lN A CORPORATE CHAIN, ATTACH A DNGBEM DEPICTING THE CORPORATE RELATIONSHIPS ANDTHE PERCENTAGE OF STOCK INTEREST IN THE COMPANY TO BE LICENSED, OWNEO BY OTHER CORPORATIONS OR OTHER NON'CORPORATE ENTITITES (tNDIVIOUALS, PARTNERSHIPS, ASSOCIATIONS).