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

Page I PLEASE TYPE OR PRINTALL INFORMATION STATE ASSIGNED LICENSE NUMBER ALL APPLICANTS ANSWER lHE FOLLOWNG OR ANYONE MENTIONED IN THIS APPLICATION OWE THE STATE OF NEW JERSEY OR 8,1 DOES THE APPLICANT -.- THE UNITED STATES ANY LICENSE FEE, PENALTY, INTEREST OR ALCOHOLIC BEVERAGE TAX WTIICH HAS ACCRUED PUREUANT TO THE ALCOHOLIC BEVERAGE TAX LAW THE ALCOHOLIC BEVERAGE I.AW OR ANY OTHER NEWJTRSEYOR FEOERAL LAW? Ye Jm A,Z TgE T.rcE'TISC BEEN ISSUEO, OR IS IT BEING REAUESTEO TO EE ISSUED, FOR A HOTEL/MOTEL AS AN -TNS EXCEPT|oN 10 THE POPULATTON RESTRICTION UNDER THE PROVISIONS OF R.S. 33:1-12.20? Yes No IF THEANSWER IS'YES.'IS IT FORA HOTEUMOTEL FACILITYOF 50 OR 1OO ROOMS? 100 ROOMS ROOMS CHECKONE: -L _50 _ 8,3 HAS THE LICENSE BEEN ISSUED, OR IS IT BEING REQUESTED TO BE ISSUED, ASAN EXCEPTION TO THETWO LICENSE LIMITATION LAW (R,S, 33:1J2,32) FOR A HOTEUMOTEL. RESTAURAMT, BOWLING ALLEY OR INTERNATIONALAIRPORT? _!Z: NO lF THE ANSWER tS "YES,' CHECK ONE oF THE FOLLOWNG: HOTEUMOTEL -YES -INTERNATIONALAIRPORT -EOWLINGALLEY -RESTAURANT 8,4 LICENSE NUMEER SOUGHTTO 8E TRANSFERREO THE FOLLOWNG ARETO BEANSWERED WHENAPPLICATION IS FORA LICENSE TMNSFER, 85 TRANSFER,INSERT NAME(S) OF PERSON (LASI NAME Fi6t), PARTNERSHIPORCORPORATIONCURRENTLYHOLOINGTHE LICENSEI IF THIS IS A REQUEST FORA PERSON-TO.PERSON -. lnitialor-.Corporate Name) (la$ Name, Firsl Name, Middle 8,6 IF THIS IS A REOIJEST FOR A PLACE.TO.PLACE TRANSFER OF A POCKET LICENSE {NO SITED PREMISES), IIIARK AN X HERE: IFTHIS ISA REOUEST FORA PLACE.TO.PLACE TRANSFER OFASITED LICENSE. INSERTTHEADDRESS OFTHE CURRENT SIIE FROMWTIICH THE LICENSE IS TO BETRANSFERREO, StreatAdd€sg Number Slrcet Name New Jers€Y Munidpality zip THE FOLLOWNG ARE TO BE ANSWEREO BYAPPTICANTS FORA NEW LICENSE ORA LICENSE TRANSFER. 87 INSERT THE ANTICIPATEO DAIES WHEN PUBLIC NOTICE OF APPLICATION WIL BE PUBLISHED. PUALICATION II4AY NOT BE SOONER THAN THE DATE OF FILING OF THIS APPLICATION, -'- Date of flIsl notice I Oale of second notice I 8.8 NAME OF NEWSPAPER TO PUBLISH NOTICE E.9 THE FOLLOWNG ARE TO BE ANSWERED BY CORPORATIONS REPORTING A CHANGE OF CORPORATE - ACOUIRES MORE THAN 1 PERCENT OF THE STOCK OF THE - A NEW -lSTOCKHOLDER STRUCTURE WHEREIN - -l- LICENSED COMPANY (ONE PUELICATION OF NOTICE REOUIRED), OaG of notic€ Name of newsoEoer publishing notce THE FOLLOWNG QUESTIONSARE FOR CLUB LICENSE

THE - A NEW -lSTOCKHOLDER STRUCTURE WHEREIN - -l- LICENSED COMPANY (ONE PUELICATION OF NOTICE REOUIRED), OaG of notic€ Name of newsoEoer publishing notce THE FOLLOWNG QUESTIONSARE FOR CLUB LICENSE APPLICANTS ONLY: -/-/AEEN IN ACTIVE OPERATION IN THE STATE OF NEW JERSEY FOR AT LEAST THREE YEARS 810 HAS THE CLUB C9(TINUOUSLY IM[,lEDIATELY PRIOR TOTHE SUBMISSION OF ITS APPLICATION FOR A LICENSE? No ' Yes- 8 11 IS TH-E APPLICANT A CONSTITUENT UNIT, CHARTERED OR OTHERWISE DULY ENFFIANCISED CHAPTER OR MEMBER CLUBOFA NATIONAL OR STATE ORDER? t'lo ves -1- 8,12 HAS T-HE CLUA HAD EXCLUSIVE POSSESSIONANO USEOF CLUB OUARTERS FORTHREE CONTINUOUSYEARS? -l_Ye3 813 DOESTHE CLUB HAVE AT LEAST 60 VOTING MEMBERS? .-Yss -No No - -