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

Page 8 PLEASE TYPE OR PRTNTALL INFORMATToN STATE ASSTGNED LTCENSE NUMBER 0222 _ 33 -053 _ 001 ALL APPLICANTS ANSWER THE FOLLOWING 8.1 DOES THE APPLICANT OR ANYONE MENTIONED IN THIS APPLICATION OWE THE STATE OF NEW JERSEY OR THE UNITED STATES ANY LICENSE FEE, PENALry, INTEREST OR ALCOHOLIC BEVERAGE TAX, WHICH HAS ACCRUED PURSUANT TO THE ALCOHOLIC BEVERAGE TAX LAW, THE ALCOHOLIC BEVERAGE LAW. OR ANY OTHER NEW JERSEY OR FEDERAL LAW? No / _Yes 8.2, HAS THE LICENSE BEEN ISSUED, OR IS IT BEING REQUESTEO TO BE ISSUED FOR A HOTEUMOTEL, AS AN EXCEPTION TO IHE POPULATION RESTRTCTTON UNDER THE pROVtStONS OF N.J.S.A. 33:.1-12.20? Yes -jl_No IF THE ANSWER IS YES', IS IT FOR A HOTEUMOTEL FACILITY OF 50 OR 1OO ROOMS? CHECK ONE:_50 ROOMS 100 ROOMS _ 8.3 HAS THE LICENSE BEEN ISSUED, OR IS IT BEING REOUESTED TO BE ISSUED AS AN EXCEPTION TO THE TWO LlcrENsE LlMlrATloN LAw (N.J.s.A. 33i1-12.32) FoR A HorEUMorEL, RESTAURANT, BowLtNG ALLEY oR TNTERNATIONAL AIRPORT? ___!LNo _Yes lF THE ANSWER lS 'YES', CHECK ONE OF THE FOLLOWTNG: _ HOTEUMoTEL THE FOLLOWING ARE TO AE ANSWERED WHEN APPLICATION IS FOR A LICENSE TRANSFER. -RESTAURANT -BOWLINGALLEY -INTERNATIONALAIRPORT s.4 L|oENSE NUMBER SOUGHT TO BE TRANSFERRED 0722 -33 - 053 001 8.5 IF THIS IS A REOUEST FOR A PERSON TO PERSON TRANSFER , INSERT NAME(S) OF PERSON (Last Name Fnst), PARTNERSHIP OR CORPORATION CURRENILY HOLOING THE LICENSE Rock Club (Last Name, F ir6t Name, Middle lnitiel or Corporate Name) 8.6 lF THIS lS A REOUEST FOR A PLACE TO PLACE TRANSFER OF A POCKET LTCENSE (NO STTED PREM|SES) MARK AN X HERE: _ IF THIS IS A REOUEST FOR A PLACE TO PLACE TRANSFER OF A SITED LICENSE, INSERT THE ADDRESS OF THE CURRENT SITE FROM WHICH THE LICENSE IS TO BE TRANSFERREO Street Number Slreet Name Municipa New Jer6ey zip THE FOLLOWNG ARE TO BE ANSWERED BY APPLICANTS FOR A NEW LICENSE OR A LICENSE TRANSFER. 8.7 INSERT THE ANTICIPATED DATES WHEN PUBLIC NOTICE OF APPLICATION WLL BE PUBLISHED, PUBLICATION MAY NOT BE SOONER THAN THE DATE OF FILING OF THIS APPLICATION. 07 114 1 16 oate of second notice 07 t 21 t16 Date of first notice 8.8 NAME OF NEWSPAPER To PUBLISH NoTIcE The WeSt Oranoe Chronicle 8.9 THE FOLLOWNG ARE TO BE ANSWERED BY CORPORATIONS REPORTING A CHANGE OF CORPORATE STRUCTTJRE WHEREIN A NEW STOCKHOLDER ACOUIRES MORE THAN 1 PERCENT OF THE STOCK OF THE LICENSED COMPANY (ONE PUBLICATION OF

E FOLLOWNG ARE TO BE ANSWERED BY CORPORATIONS REPORTING A CHANGE OF CORPORATE STRUCTTJRE WHEREIN A NEW STOCKHOLDER ACOUIRES MORE THAN 1 PERCENT OF THE STOCK OF THE LICENSED COMPANY (ONE PUBLICATION OF NOTICE REOUIRED). Daie of nolice I I Name of newspaper publishihg notice THE FOLLOWING QUESTIONS ARE FOR CLUB LICENSE APPLICANTS ONLY: 8.10 HAS THE CLUB BEEN IN ACTIVE OPERATION IN THE STATE OF NEW JERSEY FOR AT LEAST THREE YEARS CONTINUOUSLY IMMEOIATELY PRIOR TO THE SUBMISSION OF ITS APPLICATION FOR LICENSE? Yea _No N/A 8.I1 IS THE APPLICANT A CONSTITUENT UNIT, CHARTERED OR OTHERWSE DULY ENFRANCHISED CHAPTER OR MEMBER CLUB OF A NATIONAL OR STATE ORDER? _No N/A 8.12 HAS THE CLUB HAD EXCLUSIVE POSSESSION ANO USE OF CLUB QUARTERS FOR THREE CONTINUOUS YEARS? -Yes Ye6 _No N/A 8.13 OOES THE CLUE HAVE AT LEAST 60 VOTING MEMBERS? Yes _No N/A