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Supporting Documentation · Jan 8, 2025

Exhibit A 2 Filing Application Amendment ECCC 101024

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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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