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

PLEASE TYPE OR PRINT ALL INFORMATION Page 2 STATE ASSIGNED LICENSE NUMBER of: Application is made on behalf '2A20 5 't= An lndividual 3= A Partnership 5= lncorporated Club 2.1 - 33 _027 _002 7 = Limited Liability Company 2 = Business Corporation 4 = Unincorporated Club 6 = Limited Partnership NAME(S) AS IT DOES OR WILL APPEAR ON THE LICENSE CERTIFICATE (NOT "TRADE' NAME): License may be held by lndividual (Last Name, First Name, Middle lnitial), PartneBhip or Corporation Echo Lake CountrY Club (Last Name. First Name, Middle lnitial or Corporate Name) 2-2 ACTUAL ADDRESS WHERE THE LICENSE IS TO BE USED (SITED PREMISES) 515 Springfield Avenue Street Address Number Street Name Westfield, New JerseY Municipality Tetephone Number of Business ( zip - 414L S!8\ 232 Area Exchange Number 07090 0399 E-MailAddress lf no licensed premises exists or if a mailing address is different than the "actual address" given above, provide the mailing addres (insert N/A if not applicable): -- Street Address P.O. Box # Number 39 9 l\,tunicipality z.o 0709I-0399 r"r"phor"( Street Name I,Iestfield 908 State New Jersey )_:32 _:l4l 2.4 New Jersey Sales Tax Certificate of Authority No 2.5 TRADE NAME(S) UNDER WHICH BUSINESS IS TO BE CONDUCTED. ALL TRADE NAMES MUST BE LISTED AND nectsreneo Wtrn rne N.J. sEcRETARy oF STATE [if a corporation] oR coUNTY CLERK [if a partnership or sole proprietorl: 2.6 THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY ALL APPLICANTS OTHER THAN APPLICANTS FOR A NEW LICENSE: A. IS THE LICENSE ACTIVELY USED AT AN OPERATING PLACE OF BUSINESS? x Yes _No B. IF NO, GIVE THE DATE THE BUSINESS STOPPED OPERATING (OR THE DATE THE LICENSE WAS ORIGINALLY ISSUED IF NEVER SITED AT AN OPERATING BUSINESS): _t C. _r _ IF THE LICENSE IS INACTIVE AND THE APPLICATION IS FOR A TRANSFER, W|LL THE LICENSE BE USED AT AN OPERATING PLACE OF BUSINESS AFTER APPROVAL? No Yes 2.? THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY AN APPLICANT FOR A NEW LICENSE A. WILL THE LICENSE BE USEO AT AN OPERATING PLACE OF BUSINESS IMMEDIATELY UPON ISSUANCE? Yes B. IF NO, PROVIDE ANTICIPATED DATE OF LICENSE ACTIVATION: ll - -No