Supporting Documentation · Jan 8, 2025
Exhibit A 2 Filing Application Amendment ECCC 101024
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Show all pagesPage 10 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 9722.33 015__—-_(001 QUESTIONS TO BE ANSWERED BY CORPORATIONS AND LIMITED LIABILITY COMPANIES ONLY. ANY CORPORATION OR LIMITED LIABILITY COMPANY THAT IS REPORTED TO HAVE AN INTEREST IN THE BUSINESS TO BE LICENSED, WHETHER THE LICENSEE COMPANY, THE PARENT CORPORATION OF THE LICENSED COMPANY, HOLDING COMPANY OR OTHERWISE AFFILIATED IN THE CORPORATE CHAIN, MUST ANSWER THE FOLLOWING USING A SEPARATE PAGE 10 AND PAGE 10A FOR EACH CORPORATION. ANSWER QUESTIONS ON BOTH PAGE 10 AND PAGE 10A FOR EACH CORPORATION. 10.1 10.2 10.4 10.9 10.10 10.11 Namie‘of corporation Essex County Country Club 350 Mt. Pleasant Ave. Number Street Name West Orange Street address of home office Municipality State NJ Zip 07052 - 220-895-770/000 NJ Sales Tax Certificate of Authority Number IF CORPORATION ADDRESS IN NUMBER 10.2 ABOVE IS OUT OF STATE, REPORT BELOW THE ADDRESS OF ANY OFFICE LOCATION IN NEW JERSEY. INSERT N/A IF NONE. Street Address nia Number Street Name Municipality New Jersey Ap aS Seer ee x IS THE CORPORATION NOW AN EXISTING, VALID CORPORATION? Yes No DATE CHARTERED OR INCORPORATED __5__y__29__y_1887__ state NJ CERTIFICATE OF INCORPORATION NUMBER 0100063426 IF NOT INCORPORATED UNDER THE LAWS OF NEW JERSEY, HAS THE CORPORATION RECEIVED AN AUTHORIZATION TO CONDUCT BUSINESS IN NEW JERSEY FROM THE NEW JERSEY OFFICE OF THE SECRETARY OF STATE? ___X Yes No n/a HAS THE CORPORATION CHARTER EVER BEEN REVOKED BY THE OFFICE OF THE SECRETARY OF STATE IN NEW JERSEY? Yes No IF THE ANSWER IS “YES,” INSERT THE DATE OF REVOCATION, OR IF SUSPENDED, THE BEGINNING AND ENDING DATE OF THE SUSPENSION. Date of revocation / / Beginning date / 1 Ending date I / INSERT THE NAME AND ADDRESS OF THE REGISTERED OR AUTHORIZED AGENT IN NEW JERSEY UPON WHOM SERVICE OF PROCESS IN ANY PROCEEDINGS AGAINST THE APPLICANT, PURSUANT TO THE NEW JERSEY ALCOHOLIC BEVERAGE LAW, THE ALCOHOLIC BEVERAGE TAX LAW OR PROCEEDINGS IN A STATE OR U.S. DISTRICT COURT, MAY BE MADE. Kelly, Joseph, P. (Last Name, First Name, Middle Initial or Corporation) 350 Mt. Pleasant Ave. Name Street Address Number Street Name estas West Orange Municipality New Jersey Zip 07052. Telephone Number (__973__)_731 -__ 1400 Area Exchange Number IF THE LICENSED COMPANY IS OWNED BY OTHER CORPORATION(S) OR IS INA CORPORATE CHAIN, ATTACH A DIAGRAM
ge Municipality New Jersey Zip 07052. Telephone Number (__973__)_731 -__ 1400 Area Exchange Number IF THE LICENSED COMPANY IS OWNED BY OTHER CORPORATION(S) OR IS INA CORPORATE CHAIN, ATTACH A DIAGRAM DEPICTING THE CORPORATE RELATIONSHIPS AND THE PERCENTAGE OF STOCK INTEREST IN THE COMPANY TO BE LICENSED, OWNED BY OTHER CORPORATIONS OR OTHER NON-CORPORATE ENTITITES (INDIVIDUALS, PARTNERSHIPS, ASSOCIATIONS).
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