Exhibit O1 Response to OPRA 2023 1491_Final_Redacted

s Check position that applies: ~~ Sole owner —— Partner ~~ Stockholder wees President Vice-President Secretary ____ Treasurer Director _“Trustee. - ____ Manager ____ Agent ___ Executor/Administrator _ Receiver Other (specify) RESPONSE TO OPRA 2023-1491 000016

Page 10A PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBERO OD, BA -O1S= “CO| ALL APPLICANTS ANSWER THE FOLLOWING [ADD PAGES AS NECESSARY] SOLE OWNERS-AND PARTNERSHIPS: Complete this page ‘in full. LIMITED PARTNERSHIPS: All information about a general partner or partners of a limited partnership must be reported, whether the general pariner is an individual or a corporation. A list of the names and addresses of all-limited partners-must be submitted as an f attachment to this application with an identification of the percentage of each limited partner as it relates to total ownership of the business entity to be licensed, CORPORATIONS: ‘All corporation applicants or licensees and any corporation that has an ownership interest in the corporation under license or to:be licensed must have been reported on Pagé 10. Information ‘on this Page, 10A, will identify all officers, directors and stockholders holding one percent or more of the shares of the respective company. ‘Club licenses must list names of officars and directors and attach a current membership list. FEES TO IIIS IOC III OO IIIT IT II TCI TCI TT III SOP TI ISIS IIT II IIS IIT I TI IA III II ISI IIS IISA ISI I II ISA IA NAME “OF-CORPORATION OR ‘CLUB COVERED BY THIS .PAGE {COMPLETE pay IF-APPLICANT OR STOCKHOLDER ISA GO) eee OR PA| TAR Name of. oo (last name a Saat sane Officer or diréctor. ( wats Wout Last'Namef Home Street Address Municipality Social Secnty Numbe Home ilephone nun 46 Office ileahone numbed = Area -sExchange = Number % of businessowned or. controlled fee Number of shares Sole owner Pattner Stockholder ae : i i ~) Director _. Check position that applies; = President" ~_-— = Vice-President Secretary + ~~ Treasurer Trustee = Manager = Agent = Executor/Administrator. Receiver Beneficiary Other (Specify), Name of individual. (ies fname first), stockholder, partner, officer.or: director. Last:Nam Middle Initial Home Street Address Social Security Number Home telephone number Office telephone number. Area Exchange © Number % of business owned or controlled Number of shares Check position that applies: ~~ ‘Sole ‘owner ___\ Partner “+ Stockholder ee __ President ___ Vice-President. ___ Secretary ___ Treasurer Director Trustee __ Manager Agent ___ Executor/Administrator _ Receiver iciary ____ Other (specify) eer RESPONSE TO OPRA 2023-1491 000017

Page 140A PLEASE TYPE OR PRINT ALL-INFORMATION STATE ASSIGNED LICENSE’ nuMBERO IDO. 5 ey = OlS - Col ALL APPLICANTS ANSWER THE FOLLOWING [ADD PAGES AS NECESSARY] SOLE OWNERS AND PARTNERSHIPS: Complete this page in full. LIMITED PARTNERSHIPS: All information about a general_partner or partners of a limited partnership must be reported, whether the general partner is an individual or a corporation. A list of the names and addresses of all limited partners must be submitted as an attachment to this application with an identification of the percentage of each limited partner as it relates to total ownership of the business entity fo-be licensed. CORPORATIONS: All corporation applicants or licensees and any corporation that has an ownership interest in the corporation under license’ or to be licensed must have been reported on ‘Page 40!" Information on this Page, 40A, will identify all officers, directors and stockholders holding one percent ormore of the shares of the respective company. Clubilicenses must list names Of officers and directors and attach a current membership list » JE II JO IIIS ICI I TE IOI TIO TIE ITI IOI TTT IAT I IIIT I IOI II IIT I III ITI TIT IIIS SOS IA IIS OS IIT IIIA ISS III SNS I NAME “OF CORPORATION OR*CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP): 4 e z : BeOS SR Com kc C10 Napne of individual (lastihame first), stockholder, partner, officer or director S10 Bendel’ Middle" Initial hone number : Area = Exchange Number % of business owned or controlled Number of shares Check position that applies: Sole owner Partner Stockholder President Vice-President Secretary ‘Treasurer 2 Director = Trustee Manager Agent = Executor/Administrator Receiver Beneficiary Other (specify) Name pf individual (last name first) stockholder, partner, officer or director: ese Maen Last Name Home Street Address P.O. Box# Municipality Zp O00 \ Social Security Number Home telephone numbe: Office telephone number: Area Exchar Number % of business owned or controlled + Number of shares . Check position that applies: Sole owner Partner Stockholder / President Vice-President Secretary Treasurer Direct Manager “Agent Executor/Administrator Receiver Other RESPONSE TO OPRA 2023-1491 000018

Page 11 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER Ole 3 fee) 2 ols = Co | AFFIDAVIT. LICENSE PERIOD APPLIED FOR state ot Nw “DecSey FROM TO DATE: County of eesen SS: As provided by law (R.S. 33;1-35), (Check One) 1, The Individual Applicant 2. Members of the Partnership Applicant » SMnws M ORE) 151 MD of Essex Covaty Coonhy Cl (President President) (Corporation or Club Name) consent(s) that the licensed premises and all portions of the building constituting the licensed premises, including all rooms, cellars, closets, out-buildings, passageways, vaults, yards, attics and every part of the structure of which the licensed premises are a part and all buildings used in connection therewith which are in his/her/their possession or under his/her/their control, may be inspected and searched without warrant at all hours by the Director of the Division of Alcoholic Beverage Control, his or her duly authorized deputies, inspectors or investigators and all other sworn law enforcement officers, and being duly sworn according to law, upon his/her/their oath(s), depose(s) and say(s) that hBYshe is (they are) the person(s) duly authorized to sign the application, that in instance of corporate ownership, the signator is. authorized orporate resolution disclosure of the fact, and that the ¢ont ign on behalf of the corporations; and that the contents of this application represent complete its of this application are true. eee ‘Agent / Sole Proprietor) (Corporations Only) Attestation by Corporate Secretary (Partnership Name) (Signature of Partner) Attest: \ Corporate IG (Signature of Partner) r ee be A AA Secretary (Signature of Corporate President or Vice President) (Signature of Partner) Signature Affix Corporate Seal (Signature of Partner) Sworn to and subscribed before me merase dyn MUAZ yf 2 AFFIDAVIT MUST BE SIGNED HERE > ead UU tc (Sjgnafure of Officer Administering Oath) De a BY DULY AUTHORIZED NOTARY PUBLIC OR AN ATTORNEY-AT-LAW. OF NEW JERSEY Joscon lA. Vers Td Name of Officer Administering Oath) fpo seh ta, ft Cpe (Title of Offiger Administering Oath (Date of Expiration of Ole [fe Sie OF wv. it Commission, if applicable) RESPONSE TO OPRA 2023-1491 000019

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