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Supporting Documentation · Jan 8, 2025

Exhibit A 1 Amendment application filed 4 10 24

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TR#: STATE OF NEW JERSEY DEPARTMENT OF LAW AND PUBLIC SAFETY FEE: DIVISION OF ALCOHOLIC BEVERAGE CONTROL DATE RETAIL LIQUOR LICENSE APPLICATION STATE ASSIGNED LICENSE NUMBER DATE APPLICATION FILED: 0722, «33 015-001 4, A, 2024 [For DIVISION use only ] CODE TYPE OF LICENSE (CHECK ONE) THIS APPLICATION IS FOR: CLASS C LICENSES [R.S. 33:1-12] 31 Club A New License 32 Plenary Retail Consumption Person-to-Person Transfer wiBroad Package Privilege (Including Partnership change, x except Limited Partnership) 33 Plenary Retail Consumption Place-to-Place Transfer 36 Plenary Retail Consumption (including expansion of premises) (Hotel/Motel Exception) Change of Corporate Structure 37 Plenary Retail Consumption —— (theatre Exception) Extension of License (to Executor, —— “Receiver, Administrator, etc.) 35 Seasonal Retail Consumption (November 15 through April 30) Renewal of License 34 Seasonal Retail Consumption Amendment of Application on File (May 1 through November 14) Other 44 Plenary Retail Distribution 43 Limited Retail Distribution OTHER 14 Annual State Permit (R.S. 33:1-42, NJAC 13:2-52) 40 Special Permit for a Golf Facility —— “"(NJAC 13:2-5.3) This Area is Reserved for Municipal Use Municipal Fee $. v/ . Effective Date (As Stated in Resoaion Date of rasolaion unless otherwise established.) State Fee $__AV/# Date Denied / / (As Stated in Resolution) Refund Amount $. Special Conditions Attached: Yes No toni. aon ‘a Ks or Print Name (Last Name, Fir8t Name, Middle Initial) of Municipal Clerk or ABC Secretary , (pA Uy ignatyre of Municipal Cletk or ABC Secretary

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