Supporting Documentation · Dec 11, 2024
Exhibit O1 Response to OPRA 2023 1491_Final_Redacted
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Show all pagesPage 2 PLEASE TYPE OR PRINT ALL INFORMATION a ( STATE ASSIGNED LICENSE NumBER OIZZ-. B3. OLS. OO Application is made on behalf of: _. 5) 1= An Individual 2 = Business Corporation 7 = Limited Liability Company 3 =A Partnership 4 = Unincorporated Club = Incorporated Club 6 = Limited Partnership 21 NAME(S) AS IT DOES OR WILL APPEAR ON THE LICENSE CERTIFICATE (NOT “TRADE” NAME): License may be held by Individual (Last Name, First Name, Middle aly! Partnership or, aa ion. Esse x La tj CER eee us (Last Name, First Name, Middle as or Corporate Name) 22 ACTUALADDRESS WHERE wee ae =P BE USED (SITED PREMISES). Bei Sa ett ocr ue INGORE Number Street Name a Municipality \XD ust elas = & — ZOD See Hy Telephone number of business Area Number 2.3 Ifno licensed premises exists or if a mailing address is different than the “actual address" given above, provide the mailing addres (insert N/A jif not applicable): Street Address Number Street Name P.O. Box# Municipality State Zip sete etemes eee et eee elephonel( ee ees 24 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 REGISTERED WITH THE N.J. SECRETARY OF STATE [if a corporation] OR COUNTY CLERK [if a partnership or sole proprietor]; Esseye COSA S Coote ClOb5 26 THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY ALL APPLICANTS OTHER THAN APPLICANTS FOR A NEW. LICENSE: A. 1S WHE LICENSE ACTIVELY USED AT AN OPERATING PLACE OF BUSINESS? 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): / / C. IF THE LICENSE IS INACTIVE AND THE APPLICATION IS FOR A TRANSFER, WILL THE LICENSE BE USED AT AN OPERATING PLACE OF BUSINESS AFTER APPROVAL? Yes iene No 2.7 THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY AN APPLICANT FOR'A NEW LICENSE: A. WILL THE LICENSE BE USED AT AN OPERATING PLACE OF BUSINESS IMMEDIATELY UPON ISSUANCE? Yes No B. IF NO, PROVIDE ANTICIPATED DATE OF LICENSE ACTIVATION: / i RESPONSE TO OPRA 2023-1491 000004
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