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

Page 2 PLE SEryPE oR PRINTALL INFORMATION S I A'] F ASSICNED LICENSE NUMBER App canon is made on behalfof jL 2.1 - 2. Business Corporation -. tndividual 3 = A PadneBhip 5 = lncorpor6led club 1 = An 6 = Limiled Parlnership NAME(S) AS IT DOES ORWLLAPPEARON THE LICENSE CERTIFICATE (NOT 'TRADE' NAME) Licenselt (Last n()c X'fi ACTUALADDRESS E THE yfutH"rn", ''"'" '"irial) P8dneGhip or coaorauon , Firsl Nam6, Middle lnitialor Coporal€ Name) (Last 2,2 7 = Limlled Liabilily Company 4: lJnincoporated club ENSE IS TO BE USED (SITED PREMISES): L e Municipality ziP rerephone number orbusiness 2.3 ,A#* t -13t Exchange lf no llc.m.d Prrmbcs .xbt3 or if a malllng ad&€33 b difur.nt lhan lhe (lnscn tUA f noi appllc.bL)i ,ectual addlEgt'gh/en abov€, plovlde lh€ malling addGs -'- Slr€€t Name y"-- PO. Box#- Muniopal zip Telephone(-)--- State 2.4 New Jersey Sales Tax certillcate of Aulhodtv No 2.5 TRADE NAME(S) UNDER WHICH BUSINESS IS TO BE CONDUCTED, ALL TRAOE NAMES MUST BE LISTED ie-orsriiiiohiirte t.J. SECRETARY OF STATE lifa coporationloR COUNTY GLERKlifa padnerEhiP or sole proPdetod: AND 0w 2A THEFoLLoWNGoUEsTIoNSAREToBEANSWEREDBYALLAPPLICANTSoTHERTI|,ANAPPLIoANTSFoRANEw LICENSE: e- rs tge,(fcerse lcrvELY usED AT AN oPERATING PtAcE oF BUSINESS? V Y.r No BUstNEss sroPPEo oPERAT|NG (oR rllE DATE THE LlcENsE wAs oRIGINALLY e. ;;;-c'rE rxem;; ISSUED IF NEVER SiTEO AT AN OPERAING AUS ESS): C, IF THE LICENSE IS TNACTIVE AND THE APPLICATION tS FOR A TRANSFER, WLL THE LICENSE BE USED AT AN OPERATING PIACE OF BUSINESS AFIER APPROVAL? Yes ?7 --No THE FOLLOWNG OUESTIONSARE TO AEANSWERED BY AN APPLICANT FOR A NEW LICENSE: A -WLL THE LICENSE BE USED AT AN OPERATING PLACE OF BUSINESS INIMEOIATELY UPON ISSUANCE? No B IF NO, PROVIOE ANTICIPATED DATE OF LICENSE ACTIVATION -Yes