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Arizona Department of Liquor Licenses and Control DLLC USE ONLY https://www.azliquor.gov Job tt: (602) 542-5141 Date Accepted: Lc: SPECIAL EVENT LICENSE APPLICATION FEE $25.00 PER DAY License ff MUST be submitted to the Department of Liquor 10 days prior to the event. SECTION 1 Name of Non-Profit Organization, Candidate or Political Party: US heel Gu TaN If the event will be held on an unlicensed premises, it \VIUST be approved and signed by the Local Governing Body Before submitting to the Arizona Department of Liquor. LOCAL GOVERNING BODY Date Received; \ Government Official Title On behalf of City, Town, County Signature SECTION 2 Will the event be at a location with a current liquor license and within the approved and licensed area? Clves FA No (if no skip to section 3) If yes, MUST attach a letter of explanation/permission/suspension from the licensed location and choose ONE option below. Name of Licensed Location, Liquor License Number [-] Suspend license for the duration of the Special Event; Licensee selling all alcohol without retailer involvement. Letter of suspension required. (C1 Dispense and serve all spirituous liquors under retailer’s license — Business operates normally, minimum of 25% of gross revenue from alcohol sales will be donated to licensee. Letter of permission required. [)_ Dispense and serve all spirituous liquors under special event - The special event licensee is in charge of selling alcohol that was purchased or donated by the special event licensee. The retailers existing alcohol inventory must be kept separate from any alcohol used during the special event. Letter of suspension required. (1 Split premises between special event and licensed location - Both the special event licensee and the licensed location will conduct sales of alcohol, (These sales must be done in separate areas, If alcohol is donated or purchased by the special event licensee, it must be in a separate area from the alcohol that is dispensed by the licensed location.) Letter of explanation and permission required. [)_ Off Sale only - Wine/ Distilled Spirits Pull, Live or Silent Auctions — Retailer will be permitted to conduct all normal sales and service of alcohol. Letter of permission required, 10/28/2025 Page 1 of 4 Individuals requiring ADA accommodations please call (602)542-2999 o SECTION 3 Applicant MUST be a member of a qualifying nonprofit organization, political party, or Government entity and authorized by an Officer, Director, or Chairperson of the Organization. stennifec 1. Applicant: Gove Matarese ast 2. Applicant’s mailing, address; 3. Applicants home/cell phone: Non-profit organization phone: 4. Applicant's email address 5, Has the applicant been c , ed within the last five (5) years? Clves (ifyes, attach letter of explanation) 4} N SECTION 4 1, Name of non-profit organization: Wheel Fun 2. Non-Profit/IRS Tax Exempt Number: 84 «QOSUUSS _ Arizona Corporation Commission File #:_1 4SS 0S lo Required Required 3. If Out Of State, specify State (Attach letter of good standing): 4.Special Event Name: TOntO MOuntain Rides, SECTION 5 Usery MOuntain RegiOnal Park 5. Event Location Name: 6. Buant address: 3939 N Usery Pass Rd. Mesa, AZ 85207 SECTION 6 Must list type of security and control measures will you take to prevent violations of liquor laws at this event. Number of Police _1_ Number of Security Personnel *t7rencing Dbarriers Our beer garden is fully fenced in with one entrance/exit, Our licensed bartender ensures every Must explain security measures: is 21+, distributes wristbands and keeps all alcohol from leaving the designated area, 1, How is this special event going to conduct all dispensing, serving, and selling of spirituous liquors? Check one of the following boxes. (R-19-318) bt ee consumption Clott-site (auction/wine/distilled spirits pull) C] Both 2. How many special event days have already been issued to this organization during the current year? 10/28/2025 Page 2 of 4 Individuals requiring ADA accommodations please call (602)542-2999 SECTION 7 Dates and Hours of Event - Days must be consecutive and may not exceed 10 days per year. DAYS DATE DAY OF WEEK rei ais MK DAY 4 11/15/2026 Sunday 9:00AM 6:00PM DAY 2 DAY 3 _ RECEIVED _ DAY 5 JUN 1 12026 DAY 6 MARICOPA COUNTY CLERK BOARD OF SUPERVISORS DAY 7 DAY 8 DAY 9 DAY 10 SECTION 8 1, Is the Organization using the services of a DLLC approved Special Event Contractor from the list on our website? Ves [no if yes, please provide the Name of the Special Event Contractor; Noah Dogherty Special Event Contractor Signature: we oy oy 2. Is the organization using the services of a series 6, 7, 11, or 12 licensee to manage the sale or service of alcohol? (Licensees who hold a series 6, 7, 11, or 12 license are automatically qualified to be a special event contractor) Coes" Ino if yes, Name of Licensee: Liquor License #: 3.List the name of the Organization/individual that will receive revenues: MUST EQUAL 100 PERCENT, APPLYING NON-PROFIT MUST RECEIVE A MINIMUM OF 25% OF THE PROCEEDS, Name:_ AD hee Fun Percentage: JOO es Name: Percentage: Address: Street City State Zip Please read A.R.S. § 4-203.02 and R19-1-205 Special event license rules and Requirements. 10/28/2025 Page 3014 Individuals requiting ADA accommodations please call (602)542-2999 SECTION 9 Licensed location diagram: The licensed premises for your special event is the area in which you are authorized to sell, dispense, or serve alcoholic beverages under the provisions of your license. => ATTACH DIAGRAM x Must attach a diagram of your special event showing the area where alcohol will be sold served, and consumed. Must include dimensions of event area, fencing, barricades or other control measures, and include positions of security personnel. NO ALCOHOLIC BEVERAGES SHALL LEAVE A SPECIAL EVENT UNLESS THEY ARE IN SEALED CONTAINERS FOR AN AUCTION OR WINE/ DISTILLED SPIRITS PULL, OR THE SPECIAL EVENT LICENSE IS STACKED WITH A WINE /CRAFT DISTILLERY FESTIVAL LICENSE, Declaration: |, (Print Name) SennrCer Gore aheure oe. , declare under penalty of perjury that | am authorized to submit this application. | have read the contents and to the best of my knowledge believe all statements made on this application to be true, correct, and complete. Signature: SPECIAL EVENT DIAGRAM AND SAFETY PLAN STANDARDS Diagrams do not need to be overly complicated, they can be hand drawn. However, we do not accept photographs or aerial views that do not show the premises clearly. The diagram should clearly depict the special event area in relation to the entire premises. Each diagram must include: e Overview of the location e The event area clearly outlined with black marker e Where alcohol will be served/stored e All entrances and exits e Where security will be positioned e Square footage of event area e Show North, East, South, West 10/28/2025 page 4of4 Individuals requiring ADA accommodations please call (602) 542-2999 Cx Bags gk EE i Security Table Your paragraph text mE: Entrance/Exit 20'X20' Tent No Walls ° 1 Power Strip 25'x25' Snow Fencing e 1 Trash Cans 10 Tables e 13 T-Posts 55 Folding Chairs e 21 over A- 2 Sets of String Xmas Lights ¢,4me sign