Supporting Documentation · Jan 8, 2025
Exhibit A 2 Filing Application Amendment ECCC 101024
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Show all pagesPage 11 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 0722.33. 015-001 AFFIDAVIT LICENSE PERIOD APPLIED FOR From _2024 to _2025 DATE State of New Jersey ; ) ss County of _ Essex ) ) As provided by law (R.S. 33:1-35), (Check One) 1. The Individual Applicant 2, Members of the Partnership Applicant 3 Joseph Kelly, Manager of Essex County Country Club (President/Vice-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 he/she is (they are) the person(s) duly authorized to sign the application, that in instance of corporate ownership, the signator is authorized by corporate resolution to sign on behalf of the corporations: and that the contents of this application represent complete disclosure of the fact, and that the contents of this application are true. (Signature of Individual Agent / Sole Proprietor) (Corporations Only) Attestation by Corporate Secretary (Parinership Name) (Signature of Partner) Essex County County Club Attest Corporate V7) (Signature of Partner) \ By { Secretary (Signaturg 3 Corporate Rresident or Vice President) (Signature of Partner) Signature By: Jos¢ph Kelly Affix Corporate Seal Title: Manager (Signature of Partner) Sworn to and subscribed before me this Lr day of ty KY (Signature of Officer Administering Gt, B. Saccomanno Notary Public of New Jersey ‘oinmission Expires May 19, 2027 AFFIDAVIT MUST BE SIGNED HERE ---- BY DULY AUTHORIZED : NOTARY PUBLIC (Printed Name of Officer Administering Oath) My C OR AN ATTORNEY-AT-LAW iy OF NEW JERSEY (tle of Officer Administering Oath) (Cate of Expiration of Commission, if applicable)
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- Sep 29, 2026
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