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

Page 6 PLEASE TYPE OR PRINTALL INFORI,ATION STATE ASSIGNED LICENSE NUMBER ALL APPLICANTS ANSWER THE FOLLOWNG 61 -. - ves HAS THE APPLIoANT EVER BEEN oENIED A LIaUOR LICENSE lN NEW JERSEY? IF THE ANSVIER TO THIS QUESTION IS 'YES,' ANSWER THE FOLOWNG: Type of License or Permit Deniedr -Retal -Warehouse -\\thdesale Unir oI Govemmeni wnrch denred License or Pemit -Manufactu€r Dafe of Denial (approximale if not known) 6,2 HAS ANY CORPORATION, PARTNERSHIPOR INDIVIDUAL MENTIONED IN APPLICANT, BEEN OENIEDA LIQUOR LICENSE OR PERMIT? IFTHE ANSWER IS 'YES," ANSWER THE-/FOLLOWNG:-l -Yes Name of Entity Typ€ of Lic.ns! or Pelrnit DGni€d: -Transportaiion APPLICATION, OTHER THAN THE No Middle lnitial _ Retail _ Werehols€ - Pemlt Licenseor Unil ol Govemment which denied Oate of Deni6l (approximale il nol knovm) -Yiuo - Transportation I / ReasonforDenial 6.3 HAS THE APPLICANT OR ANY OTHER PEFSON, CORPOFATION OR ENTITY MENTIONEO IN THIS TICENSE appIICaiIoru oR ANYONE WTH A BEIGFICIAL INTEREST IN IT, HAD AN INTEREST IN A NEW JERSEY oR HAoA PENALTY lMPosED lN SUSPENDED - l,^,/As SURRENDERED, ar coiorrC eeveRAoe LlcENsE wH lcH THE 1O YEARS PRIOR TO THE DATE OR CANCELLEDWTHIN I.IEU OT SUSPCIISIOI'I, I'IOT RENEWE+JEVOKED No OF THIS APPIICATION? --.1tr tteelswen ts'yes,tRovlDE DETAILS OF EACH BELOW (Complete a sepamle Page 6 for each actionl: -Yes - OATE OF ACTION PENALTY WAS TMPOSED BY DOCKET NO Ilndicaie rhether by Olvision of ABC or deniify Local lssuing -/-/- PENALTY CONSISTED OFi NOT RENEWEO FINED $ lamountl REVOKED SUSPENDED - - OTHER lexp]ainl 6.4 HAS THE APPLICAMT OR ANY OTHER PERSON OR TION I\,IENTIONEO INTHIS LICENSE APPLICATION NESS UNDER LICENSEORTO BE LICENSEO, EVER BEEN -OR ANYONEWTH A BENEFICIAL INTEREST IN THE No CONVICTED OF ACRIMINAL OFFENSE? A, IF TIIE ANSWER IS "YES,'ANSWER THE FOLLOWNG Name ol Indivkiual tr3t Namo Deta of Birlh CANCELLED / First Name Middle lnilial convicton Date coud ofJunsddion state Descndion of ;fiensa (specinc cnarse) - -,/ Disposition (fine, penally, elc.) Naturc ol interest in enlily lo be licen!€d B, -/ - Itaootrc€ble. Drovde thedalathe oi€clorofthe N J. / ortisapprov'irg oisqualmcaton rcmovar -/ - o lsron ofAlcohoxc Beve.age controlrssued an orde'app'oving (No license may be issued without an oder trom riri oimiror bt ttre Division ot aroholic Beverage Control

rg oisqualmcaton rcmovar -/ - o lsron ofAlcohoxc Beve.age controlrssued an orde'app'oving (No license may be issued without an oder trom riri oimiror bt ttre Division ot aroholic Beverage Control delermining no disqualification or rcmoling disqualificaton.) (see R.S. 33:1-31.2 and ltLA.lq. 13:2-15 ) Prcvide Agency oockol No. r[NNI-- - -/-