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

PLEASE TYPE OR PRINT ALL INFORMATION Page 7 STATE ASSIGNED LICENSE NUMBER ALL APPLICANTS OTHER THAN CLUB LICENSE ANSWER THE FOLLOWING 7 .1 DOES THE APPLICANT, A MEMBER OF THE APPLICANT'S IMMEDIATE FAMILY (SPOUSE, CHILDREN, PARENTS, IN.LA\A/S OR SIBLINGS) OR ANY PERSON WTH A BENEFICIAL INTEREST IN THE SUBJECT LICENSE OF THIS APPLICATION, HAVE ANY INTEREST IN ANY OTHER NEW JERSEY ALCOHOLIC BEVERAGE LI9ENSE? Yes J No IF THE ANSWER IS 'YES,' COMPLETE THE FOLLOWNG BY LISTING THE NEW JERSEY LIQUOR LICENSE TWELVE DIGIT NUMBER(S) AND 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 Name (Last Name, First Name, Middle lnitial or Corporate Name) Relationship to Applicant ***********t***********t*************i*t*****r**********t*t***a***'lt'l'lt***************************:r:r******r**+* B. License Number Name (Last Name, First Name, Middle lnitial or Corporate Name) - Relationship to APPIicant *********:l*********************t********t******************t**********a**'r************************************'r* C. License Number - Name (Last Name, First Name, Middle lnitial or Corporate Name) - Relationship to Applicant *********t********+********i++******+*ti********tt****att***********************t*t****************ar*********** 7.2 WOULD ANY PERSON OR CORPORATION NAMED IN THIS APPLICATION FAIL TO QUALIFY FOR OWNERSHIP OF THE LICENSE IF APPLYING AS AN INDIVIDUAL BECAUSE OF AGE, CRIMINAL coNVlcTloN oB PROHIBITED INTERESTS lN OTHER LICENSES? Yes V No IF THE ANSWER IS'YES,'ANSWER THE FOLLOWING BY INSERTING THE NAME OF THE INDIVIDUAL OR CORPORATION AND THE SOCIAL SECURITY NUMBER AND DATE OF BIRTH, IF AN INDIVIDUAL. USE ADDITIONAL PAGE(S) 7 AS NEEDED, Name (Last Name, First Name, Middle lnitial or Corporate Name) Social Security Number--- OR - NJ Sales Tax Certificate of Authority No. I Date of Birth - -l