Town CrierWest Orange, New Jersey
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Supporting Documentation · Jan 8, 2025

Exhibit A 2 Filing Application Amendment ECCC 101024

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# Municipality _ North Caldwell state__NJ Zip 07006 - - 1977 Social Security Number _ 144 007 8 18G08 Date of Birth 8 ! / Home telephone number ( 973 ) 418 - 3252 Area Exchange Number Office telephone number ( 973 ) 731 - 1400 Area Exchange Number % of business owned or controlled Number of shares Check position that applies: Sole owner Partner Stockholder President X Vice-President Secretary Treasurer Director Trustee Manager Agent Executor/Administrator Receiver Beneficiary Other (specify)

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Page 10A PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER __0722._ 33 _ 001 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 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 Page 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 officers and directors and attach a current membership list. seer Het seek Heke: * eek cores JO oe a NAME OF CORPORATION OR CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP): Essex County Country Club Name of individual (last name first), stockholder, partner, officer or director: Russell Guy Last Name a First Name Middle Initial Home Street Address 18 Richwood Place Number 1, Street Name Denville NJ P.O. Box # Municipality State Zip 07834 Social Security Number __154 > 463171 Date of Birth 3 1__2 ;_1954 Home telephone number ( 973 ) 62! - 6368 Area Exchange Number Office telephone number (_973 _)__731 -_1400 ‘Area Exchange Number % of business owned or controlled Number of shares Check position that applies: Sole owner Partner Stockholder President Vice-President Secretary Treasurer Director Trustee Manager Agent Executor/Administrator Receiver Beneficiary Other (specify) Name of individual (last name first) , stockholder, partner, officer or director: Rotio Christopher Last Name First Name Middle Initial Home Street Address 58 Mackay Ave, Number Thicke Street Name N P.O, Box # Municipality _Waldwie State J Zip 07463. a 78 0561 1 7 1984 Social Security Number 142 - - Date of Birth I / Home telephone number ( 973 )__ 390 - 0600 Area Exchange Number Office telephone number (_973__)_731 -__1400 Area

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State J Zip 07463. a 78 0561 1 7 1984 Social Security Number 142 - - Date of Birth I / Home telephone number ( 973 )__ 390 - 0600 Area Exchange Number Office telephone number (_973__)_731 -__1400 Area Exchange Number % of business owned or controlled Number of shares Check position that applies: Sole owner Partner Stockholder President Vice-President x Secretary Treasurer Director Trustee Manager Agent Executor/Administrator Receiver Beneficiary Other (specify)

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Page 10A PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 0722.33. O15 001 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 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 Page 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 officers and directors and attach a current membership list. Jeet seek sete oes HESS II IIIS ISSO ISIS II IIE III ITI I I RII I III II NAME OF CORPORATION OR CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP) Essex County Country Club Name of individual (last name first), stockholder, partner, officer or director: Kelly Joseph Last Name First Name Middle Initial Home Street Address 8 Danbury Ct. 1404 Number Street Name NY P.O. Box#t Municipatty _ Suffern State Zip 10901 aa Saka nah aL 74 8 21 1968 Social Security Number Lat - - goe8 Date of Birth / / Hometelephone number (_973 732 oN i Area Exchange Number Email address: jkelly@essexcountycc.com Office telephone number (__973 )_731 -_ 1400 Area Exchange Number % of business owned or controlled Number of shares Check position that applies: Sole owner Partner Stockholder President Vice-President Secretary Treasurer Director Trustee X. Manager Agent Executor/Administrator Receiver Beneficiary Other (specify) Name of individual Mast iame ish , Stockholder, partner, officer or director: onzalez Willy LastName 5 Westwood Dr. Nditti Name Middle Initial Home Street Address Number Street Name P.O. Box # Municipality West Orange State NJ Zip 07052 21 Social Security Number__148__- +7788 Date of Birth 9 /_ 30 )_1983 Home telephone number (_273 )_ 640 -__

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ome Street Address Number Street Name P.O. Box # Municipality West Orange State NJ Zip 07052 21 Social Security Number__148__- +7788 Date of Birth 9 /_ 30 )_1983 Home telephone number (_273 )_ 640 -__ 9642 Area Exchange Number Office telephone number (__973__)__ 734 ____ 1400 Area Exchange Number % of business owned or controlled Number of shares Check position that applies: Sole owner Partner Stockholder President Vice-President Secretary Treasurer Director Trustee X Manager Agent Executor/Administrator Receiver Beneficiary Other (specify)

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Page 10A PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 0722. 33. 915 001 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 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 Page 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 officers and directors and attach a current membership list. FEI OSI III OOO IIIS ESSE ISI III III III II III III IOI SOT I I I I TOI III SI ISIS ISIS II IAS I I IISA SS SAS II II IIIS I III ISS. NAME OF CORPORATION OR CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP): Essex County Country Club Name of individual (last name first), stockholder, partner, officer or director: Penaherrera David Home Steet Ne"? 1gPearl Street "Name Middle Initial Number Street Name P.O. Box # Municipality Passaic state___NJ Zip _07055__- Social Security Number : - 99 - eoee Date of Birth 5 / 16 / ae Home telephone number (__201 __) 702 ___ 4156 Area Exchange Number Office telephone number (_973 )_731 -_1400 Area Exchange Number % of business owned or controlled Number of shares Check position that applies: ___ Sole owner ___ Partner ___ Stockholder President Vice-President ___ Secretary ____ Treasurer ___ Director Trustee Manager __ Agent ___Executor/Administrator ___ Receiver _____ Beneficiary ___Other (specify) Name of individual (last name first) , stockholder, partner, officer or director: Gonzales Leandro Ane te aha 104 Davis Ave. First Name Middle Initial Number ___ Street Name P.O. Box # Municipality Harrison State MN) Zip 07029 - Social Security Number_150 ‘19 -__ 8637 Date of Birth _ 10 ;_18 ;__ 1996 Home

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aha 104 Davis Ave. First Name Middle Initial Number ___ Street Name P.O. Box # Municipality Harrison State MN) Zip 07029 - Social Security Number_150 ‘19 -__ 8637 Date of Birth _ 10 ;_18 ;__ 1996 Home telephone number (___201 ) 919 - 4490 Area Exchange Number Office telephone number (_973__)_731 -_1400 Area Exchange Number % of business owned or controlled Number of shares Check position that applies: ___ Sole owner ____ Partner ___ Stockholder President _ Vice-President _ Secretary _ __— Treasurer ____ Director Trustee __X_ Manager ___ Agent ___ Executor/Administrator ___ Receiver Beneficiary Other (specify)

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Page 10A PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 0722.33. O15 001 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 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 Page 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 officers and directors and attach a current membership list. ereerees TEI III III I I I I II I II II I I III IIA cons Henn Hott ae NAME OF CORPORATION OR CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP): Essex County Country Club Name of individual (last name first), stockholder, partner, officer or director: Purcell Patric Last Name . «a First Name Middle Initial Home Street Address 131 Marion Drive Number Street Name P.O. Box # Municipality _ West Orange State NJ Zip__07052_- : an 2 Social Security Number_ 146. 9721 Date of Birth 12 pile Home telephone number (__973__)__ 204 -___ 1498 Area Exchange Number Office telephone number (_ 973) _731 -_ 1400 Area Exchange Number ‘% of business owned or controlled Number of shares Check position that applies: Sole owner Partner Stockholder President Vice-President Secretary Treasurer Director Trustee Manager Agent Executor/Administrator Receiver Member, Board of Governors Beneficiary x Other (specify) Name of individual (last name first) , stockholder, partner, officer or director: Lavoie Justin Last Name First Name Middle Initial Home Street Address 14 Meadow Lane Number Street Name N P.O. Box # Municipality __ VeTona State Zip 07044 ee ad 1974 Social Security Number 020 -_ 52 -__ 7568 Date of Birth 6 ;_ 12 Home telephone number ( 973 ) 571 ._9397 Area

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dow Lane Number Street Name N P.O. Box # Municipality __ VeTona State Zip 07044 ee ad 1974 Social Security Number 020 -_ 52 -__ 7568 Date of Birth 6 ;_ 12 Home telephone number ( 973 ) 571 ._9397 Area Exchange Number Office telephone number (_973 )_731 .__ 1400 Area Exchange Number % of business owned or controlled Number of shares Check position that applies: Sole owner Partner Stockholder President Vice-President Secretary Treasurer Director Trustee Manager Agent Executor/Administrator Receiver Beneficiary ___X Other (specify) __ Member, Board of Governors

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PLEASE TYPE OR PRINT ALL INFORMATION Page 10A 0722. 33. . O15 _ 001 STATE ASSIGNED LICENSE NUMBER 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 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 Page 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 officers and directors and attach a current membership list. SEES IAI I III II III I TO III FEISS SSSI II II IOI I III IIIS seek seek NAME OF CORPORATION OR CLUB COVERED BY THIS PAGE (COMPLETE ONLY IF APPLICANT OR STOCKHOLDER IS A CORPORATION OR PARTNERSHIP): Essex County Country Club Name of individual (last name first), stockholder, partner, officer or director: Rakela Esteban Last Name Fi irst Name Middle Initial Home Street Address _93.1 Washington Stree Number Street Name P.O. Box # Municipality Hoboken State NJ Zip _07030 1977 Social Security Number__476 (04 5071 Date of ith 9 y_}9 Home telephone number (201 _)__238 2375 Area Exchange Number Office telephone number (_973__)_ 731 1400 Area Exchange Number % of business owned or controlled Number of shares Check position that applies: Sole owner Partner Stockholder President Vice-President Secretary Treasurer Director Trustee Manager Agent Executor/Administrator Receiver Beneficiary _X _ Other (specify) Member, Board of Governors Name of individual (last name first) , stockholder, partner, officer or director: Murzenski Michael LastName 1921 Grand St, PHA First Name Middle Initial Home Street Address 2 Number Hobok Street Name P.O. Box# Municipality ppeken tate NJ Zip _ 07030 1969 Social Security Number _ 141 29288 6182 Date of Birth? I Home telephone number (_201 )__ 424 -__3154 Area

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