Supporting Documentation · Jan 8, 2025
Exhibit A 1 Amendment application filed 4 10 24
d0597015545aa2f0bd7182b46c36971276e239813d9049ea6efb54ad672f2078Indexed text · page 19
Show all pagesPage 10A STATE ASSIGNED LICENSE NUMBER PLEASE TYPE OR PRINT ALL INFORMATION 0722. 33. (915 O01 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 TESCO SSSI OSI III IIIS II III I IOI III III I I TI I TIT TT TI TOS IS I IS I II SII II SII I SSSI SII ISIS IIIS SISOS SI SSI SS IIS 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 fst. stockholder, partner. offger or director: i ason Kirscl Last Name inst Name Middle Initial Home Street Address 3222 Runnymede RE: Number Street Name P.O. Box # Municipality Essex Fells State NJ zip 07021 Se 8 1974 Social Security Number __ 150 __72 =, 7097 Date of Birth op / 973 728 5166 Home telephone number ( ) * Area Exchange Number Office telephone number ( ) - ‘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: Meglio Steven Last Name First Name Middle Initial Home Street Address 60 Roseland Ave. Number Street Name P.O. Box # Municipality __ Caldwell state__NJ Zip - 1 26 1961 Social Security Number__ 136-56 Aedes Date of Birth / / Home telephone
dle Initial Home Street Address 60 Roseland Ave. Number Street Name P.O. Box # Municipality __ Caldwell state__NJ Zip - 1 26 1961 Social Security Number__ 136-56 Aedes Date of Birth / / Home telephone number ( 973 ) 226 - 4300 Area Exchange Number Office telephone number ( ) 2 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 Other (specify)
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- Sep 29, 2026
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