Redacted Application Job #398844- Sprouts #0053.pdf
Extracted text (via ocr_local)
24747 characters
Department of Liquor Licenses and Control
Received in the Buckeye City Clerk's office May 26, 2026 at 3:23 p.m. by LCA
State of Arizona
Created 05/14/2026 @ 11:05:06 AM
Local Governing Body Report
LICENSE
Number: Type: 010 BEER AND WINE
STORE
Name: SPROUTS FARMERS MARKET #0053
State: Pending
Issue Date: Expiration Date:
Original Issue Date:
Location: 20975 W ROOSEVELT STREET
BUCKEYE, AZ 85326
USA
Mailing Address:
Phone: a
Alt. Phone:
AGENT
Name: AMY S NATIONS
Gender: Female
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email rs
OWNER
Name: SF MARKETS LLC (FN)
Contact Name: AMY S NATIONS
Type: LIMITED LIABILITY COMPANY
AZ CC File Number: R16640078 State of Incorporation: DE
Incorporation Date: 03/04/2011 a
Correspondence Address: (g () D ant ~
CHANDLER, AZ 85244
USA
Alt. Phone: | \D \2
Email es
Officers / Stockholders
Name: Title: % Interest:
Page 1 of 8
SPROUTS FARMERS MARKETS HOLDINGS LLC —— Member, Stockholder 100.00
WALTER WADE WILLIAMSON MULTI- SEE CASE NOTE
GARY DAVID DAHL MULTI- SEE CASE NOTE
ANDREW SANTOS GARZA MULTI- SEE CASE NOTE
SF MARKETS LLC (FN) - MULTI- SEE CASE NOTE
Name: ANDREW SANTOS GARZA
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
SF MARKETS LLC (FN) - Member,Stockholder
Name: SPROUTS FARMERS MARKETS HOLDINGS LLC
Contact Name: AMY S NATIONS
Type: LIMITED LIABILITY COMPANY
AZ CC File Number: State of Incorporation:
Incorporation Date:
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
SPROUTS FARMERS MARKETS INC - President
Name: NICHOLAS GREGORY KONAT
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email: es
SPROUTS FARMERS MARKETS INC - CLO
Name: BRANDON FREDERICK LOMBARDI
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email: Pe
Page 2 of 8
SF MARKETS LLC (FN) - MULTI- SEE CASE NOTE
Name: GARY DAVID DAHL
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
SF MARKETS LLC (FN) - MULTI- SEE CASE NOTE
Name: WALTER WADE WILLIAMSON
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
SPROUTS FARMERS MARKETS HOLDINGS LLC -
Member,Stockholder
Name: SPROUTS FARMERS MARKETS INC
Contact Name: AMY NATIONS
Type: CORPORATION
AZ CC File Number: State of Incorporation: AZ
Incorporation Date:
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
SPROUTS FARMERS MARKETS INC - Vice
President
Name: DEREK JAMIL MIRZA
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email es
Page 3 of 8
MANAGERS
Name: CRAIG LEONARD MEDINA
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
KRRKEKRKREKKREEKREREREEERER ER EER EKER RE EKREREREREKEEREKRREKEERKE
Name: GABRIEL DANIEL NOTTINGHAM
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
KREKKEKRKEEKERKEKEKRE KER REERRERREEER EK EEE EERERERERERERRREREE
Name: STEVEN MICHAEL PERRAULT
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
detede de dete tede etek ke ek etek aR RRR RRR RRR KEE
Name: TERESA LYNN MEDINA
Gender: Female
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
Page 4 of 8
HEKKKKKKEK KKK KKEREER ERE RREEKR KEE KER ERER ERE KK ER REE EERE REEEE
Name: CHRISTOPHER JAY LARSEN
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
KRERKEKKKKKEKE KE KKK EERE KEKE KERR EEE ER ERERER ERE RE RR ERERERER
Name: STEVE PENNINGTON
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
RKEKKREKEKRKREREKRREREREE RE RERERERERERER ERE ER RERRERERERER
Name: MICHAEL MARTIN DONAHUE
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
HRKKKEKKKEK KER KERR RRRKE KK EEK EK REE EKER EREKEK EKER REEREREK
Name: GREGORY PAUL WAGNER
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
Page 5 of 8
REKKRKEKKEKEKEKREKERER ERR RE KERR RE EKER ERK REERERERERERRERE
Name: ERNIE ESTEBAN ALVARADO
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
KREEKEKEEKRKERKR ER KEKE REE ER EEEKRE EKER EKER ERRERERREEEREREREREE
Name: JENNIFER EVE TRUESDILL
Gender: Female
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
KRKEKEKKREEEE KERR REE ERR REE KER ER EERE ERERREERERRERRRERER
Name: CHARLES WAYNE RAKOWITZ
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email:
Hekedek dete ke kedekekkkkkekktkkkhkkk kh hehehehehe keh keke
Name: DAVID JOHN SPARANO
Gender: Male
Correspondence Address:
CHANDLER, AZ 85244
USA
Alt. Phone:
Email: es
APPLICATION INFORMATION
Application Number: 398844
Application Type: New Application
Page 6 of 8
Created Date: 04/30/2026
QUESTIONS & ANSWERS
010 Beer and Wine Store
)
2)
3)
4)
5)
6)
oD)
8)
9)
Are you applying for an Interim Permit (INP)?
No
Provide name, address, and distance of nearest school.
(If less than one (1) mile note footage)
4,703 Feet
Blue Horizons Elementary School
20070 W Blue Horizons Pkwy, Buckeye, AZ 85326
Are you one of the following? Please indicate below.
Property Tenant
Subtenant
Property Owner
Property Purchaser
Property Management Company
Property Tenant
EVT ROOSEVELT VERRADO LLC
2710 ECAMELBACK RD STE 210, PHOENIX, AZ 85016
Is there a penalty if lease is not fulfilled?
Yes
What is the penalty?
Still owe term
Is the Business located within the incorporated limits of the city or town of which it is located?
Yes
What is the total money borrowed for the business not including the lease?
Please list each amount owed to lenders/individuals.
Zero
Are there walk-up or drive-through windows on the premises?
No
Does the establishment have a patio?
No
Is your licensed premises now closed due to construction, renovation or redesign or rebuild?
Yes
If yes, what is your estimated completion date?
08/2026
10S Beer and Wine Store Sampling
1) Have you uploaded a sampling privileges form?
No
A Document of type SAMPLING PRIVILEGES is required.
DOCUMENTS
DOCUMENT TYPE FILE NAME UPLOADED DATE
ALIEN STATUS AmyAlienStatus.pdf 04/30/2026
MISCELLANEOUS SproutsTraining.pdf 04/30/2026
ORGANIZATIONAL DOCUMENTS __ SproutsFlowchart.pdf 04/30/2026
DIAGRAM/FLOOR PLAN Sprouts53Diagram.pdf 04/30/2026
Page 7 of 8
QUESTIONNAIRE Sprouts53Questionnaires.pdf 04/30/2026
SAMPLING PRIVILEGES Sprouts53Sampling.pdf 04/30/2026
Page 8 of 8
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Sprouts Structure Chart
1 No individual investor holds a 10% or greater interest in Sprouts
Farmers Market, Inc. (Delaware).
Public Investors
100%
Sprouts Farmers
Market, Inc.
(Delaware)
Member
100% |
<— Nicholas Konat - President
Derek Mirza- Vice President
Brandon F. Lombardi — Chlef Legal Officer
Sprouts Farmers
Markets Holdings, LLC
(Delaware)
Member
100%
SF Markets, LLC
(FN)
(Delaware)
Privileged & Confidential
As of 2024
Arizona Department of Liquor Licenses and Control DULC USE ONLY
https://www.azliquor.gov lishoraOr, itl
(602) 542-5141 uy tH
SAMPLING PRIVILEGE cof Q/ a
FOR SERIES 9 AND 10 ONLY ora
A non-refundable $100 fee will apply | er
License #:
Applicant’s Name: Amy S. Nations (Zlagent ~ or~C)sole proprietor
Business Name: __ Sprouts Farmers Market
Business Address: 20975 W. Roosevelt St. Buckeye, AZ 85326
Street Address State County ip Code
Oty
Mailing Address: _ Chandler AZ Maricopa 85244
Street Address Ory ‘State County ip Code
Business Phone #: Pending Daytime Contact +:
Email Address:
Series #10 Beer and Wine Store Only
| declare that! qualify as:_]Premises that has at least 75% of shelf space dedicated to beer and wine
[Premises that is 5,000 square feet or larger
SIGNATURE
—==
Declaration:
|, (Print Name!
authorized to submit this application. | have read the contents and to the best of my knowledge believe alt state:
made on this application to be true, correct, and complete. 4 Pe
Signature: 2p ede LAL AHS
Zz
Amy S. Nations declare under penalty of perjury that | am
Date Received:
4
Government Official
On behalf of
DLLC USE ONLY
Investigations: ClApproval Cpisapproval by:
Director Signature required for Disapprovals:
5/5/2025
Individuals requiring ADA accommodations please call {602)542-5141
Arizona Department of Liquor Licenses and Control
https://www.azliquor.gov
(602) 542-5141
Personal Information
Questionnaire
ATTENTION APPLICANT: This is a legally binding document. An investigation of your background will be
conducted. Incomplete applications will not be accepted. False or misleading answers may result in the denial or
revocation of a license or permit and could result in criminal prosecution.
THE COMPLETED QUESTIONNAIRE NEEDS TO BE SUBMITTED TO THE DEPARTMENT WITH FEE, AND FD-258
FINGERPRINT CARD, THAT HAS BEEN SEALED IN AN ENVELOPE, AND SIGNED OR INITIALED BY THE FINGERPRINT TECHNICIAN, MUST
INCLUDE THE FINGERPRINT VERIFICATION FORM. MUST BE COMPLETED BY A RECOGNIZED FINGERPRINT SERVICE OR LAW
ENFORCEMENT AGENCY. FE Cowen
) 1-01 2OUS
Agent: a person who
Is designated by
sonicat or leva SECTION - 1 INDIVIDUAL INFORMATION
to receive
communications from
the department and to [AGENT CICONTROLLING PERSON () MANAGER
file and sign
documents submitted
to the department on 14. Name: Nations Amy Ss.
First Middle
behalf of the applicant Last
races asc | 2, social Security : iS circ 031 Sars
Is not a manager. a
sassy |, onvers cose A steed: zona
(NOT a public record)
Controlling Person: ||5. Are youa resident of Arizona? [/JYes [No Dateofresidency: 08 /24 /1969
person directly or
indecty possessing | 6, Email address:
control of an applicant
ania 7. Home Adcress: i
AAS. §4-101(10). |
f 8. Daytime phone #: i —d Alternative phone ll
Manager: An
Individual (not an
entity) approved by
the Department of
Uguor who has the
authority to organize,
direct, carry out,
control or to
otherwise operate the
day-to-day operations
of a liquor-licensed
business.
SECTION 2 — LICENSED BUSINESS INFORMATION
1. License Number:
): Sprouts Farmers Market #0053
2. Business Name (doing business as)
3. Business Address: 20975 W. Roosevelt St. Buckeye, AZ 85326
ARS. §4-101(22) and
ARS. §4-202(C)
5/5/2025 Page lof2
individuals requiring ADA accommodations please Call (602)542-2999
Lig, Dept PH Lae
om
SECTION 3 — DAY TO DAY OPERATION OF BUSINESS
Must attach copies of Basic and Management Title 4 training certificates for person managing the day to day
operation of the licensed business.
Who is managing the day to day operations? Chagent Controlling Person [ZJManager
Name of persons who will be handling the day to day operations: David Spara no
SECTION 4 — BACKGROUND
if you answer “YES” to any Question 1 through 5 YOU MUST attach a signed statement. Give complete details inciuding
dates, agencies Involved and dispositions. CHANGES TO QUESTIONS 1-5 MAY NOT BE ACCEPTED
1. Have you owned, or been a controlling person of any entities that held a liquor Yes [] No [|
license in Arizona, or any jurisdiction, in the past 5 years?
2. Have you been cited, arrested, indicted, convicted, or required to appear in Yes [] No
court for violation of ANY criminal law or ordinance, regardless of the
disposition, even if dismissed or expunged, within the past 5 years?
3. Has an entity in which you are or have been a controlling person had an Yes [J No
application or license rejected, denied, revoked, or suspended in or outside of
Arizona within the last 5 years? A.R.S.54-202(D
4. Have you had ANY administrative law citations, compliance actions, or Yes [[] No ra}
consents, in any jurisdiction in the past 5 years? (Do not include civil traffic
tickets)
A.R.S.§4-202,4-210
*Administrative Law Violations are any civil penalties, fines, suspension,
or revocations of your liquor license.
5. Has anyone EVER obtained a judgement against you the subject of which Yes [1] No
involved fraud or misrepresentation?
SIGNATURE —_
I, (Print Full Name) Amy S - Nations hereby swear under penalty of perjury and in
compliance with A.R.S. § 4-210(A)(2) and (3) that | have read and understand the foregoing and verify that |
the information and statements that ! have i are true and correct to the best of my knowledge.
3/5/2026
ae =
Date:
5/5/2025 Page 2 of 2
Incividuals requiring ADA accommodations please call (602)542-2999
Arizona Department of Liquor Licenses and Control
https://www.azliquor.gov DLLC USE ONLY
(602) 542-5141 sort AaR8UUy
Se See eee or,
ALIEN STATUS i Sa
— —— — 2 License #:
Title 1V of the federal Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (the "Act"), 8 U.S.C. §
1621, provides that, with certain exceptions, only United States citizens, United States non-citizen nationals, non-
exempt "qualified aliens" (and sometimes only particular categories of qualified aliens), nonimmigrant, and certain
aliens paroled into the United States are eligible to receive state, or local public benefits. With certain exceptions, a
professional license and commercial license issued by a State agency is a State public benefit.
Arizona Revised Statutes § 41-1080 requires, in general, thata person applying for a license must submit documentation
to the license agency that satisfactorily demonstrates the applicant’s presence in the United States is authorized under
federal law.
Directions: All applicants must complete Sections |, Il, and IV. Applicants who are not U.S. citizens or nationals
must also complete Section Ill.
Submit this completed form and a copy of one or more document(s) from the attached “Evidence of U.S. Citizenship,
U.S. National Status, or Alien Status” with your application for license or renewal. If the document you submit does
not contain a phi ra 1u must also provide a government issued document that contains your photograph. You
must submit supporting legal documentation (i.e. marriage certificate) if the name on your evidence is not the same
as your current legal name.
SECTION I— APPLICANT INFORMATION
Amy S. Nations
APPLICANT NAME (Print ortype)
—
| SECTION I! — CITIZENSHIP OR NATIONAL STATUS
Are you a citizen or national of the United States? Yes O No - If yes, indicate place of birth:
Morenci Arizona counny Greenlee
City State
If you answered Yes, 1) Attach a legible copy of a document from the list below.
Arizona Driver's License
2) Nameof document:
If you answered No, you must complete Sections Ill.
5/5/2025 Page 1of3
Individuals requiring ADA accommodations please call (602}542-2999
EVIDENCE OF U.S. CITIZENSHIP, U.S. NATIONAL STATUS, OR ALIEN STATUS
You must submit supporting legal documentation (i.e. marriage certificate) if the name on your evidence is not
the same as your current legal name.
Evidence showing authorized presence in the United State includes the following:
Te
10.
12;
5/5/2025
An Arizona driver license issued after 1996 or an Arizona non-operating identificationcard.
A driver license issued by a state that verifies lawful presence in the UnitedStates.
A birth certificate or delayed birth certificate showing birth in one of the 50 states, the District of Columbia,
Puerto Rico (on or after Jan. 13, 1941), Guam, the U.S. Virgin Islands (on or after January 17, 1917), American
Samoa, or the Northern Mariana Islands (on or after November 4, 1986, Northern Mariana Islands local time)
A United States certificate of birth abroad.
A United States passport. ***Passport must be signed***
A foreign passport with a United States visa.
An 1-94 form with a photograph.
A United States citizenship and immigration services employment authorization document or refugee
travel document.
AUnited States certificate of naturalization.
AUnited States certificate of citizenship.
. Atribal certificate of Indian blood.
A tribal or bureau of Indian affairs affidavit of birth.
. Any other license that is issued by the federal government, any other state government, an agency of this state
ora political subdivision of this state that requires proof of citizenship or lawful alien status before issuing the
license.
Page 2 of 3
Individuals requiring ADA accommadations please call (602)542-2999
Applicants who are not citizens or nationals of the United States. Please indicate alien status by checking the
appropriate box. Attach a legible copy of a document from the attached list or other document as evidence
of your status.
Name of document provided
Qualified Alien Status (8 U.S.C.§§ 1621(a)(1),-1641(b) and (c))
oO 1.An alien lawfully admitted for permanent residence under the Immigration and Nationality Act (INA)
()2.an alien who is granted asylum under Section 208 of the INA.
([)3.A refugee admitted to the United States under Section 207 of the INA.
C4 analien paroled into the United States for at least one year under Section 212(d)(5) of theINA.
O 5.An alien whose deportation is being withheld under Section 243(h) of the INA.
CJé.analien granted conditional entry under Section 203(a)(7) of the INA as in effect prior to April 1, 1980.
((17.An alien who is a Cuban/Haitian entrant.
()8.An alien who has, or whose child or child's parent is a "battered alien" or an alien subject to extreme
cruelty in the United States
Nonimmigrant Status (8 U.S.C. § 1621(a)(2))
9. Anonimmigrant under the Immigration and Nationality Act (8 U.S.C § 1101 et seq.] Non-immigrants are
persons who have temporary status for a specific purpose. See 8 U.S.C § 1101(a)(15).
Alien Paroled into the United States for Less Than One Year (8 U.S.C. § 1621(a)(3))
10. An alien paroled into the United States for less than one year under Section 212(d)(5) of the INA
Other Persons (8 U.S.C § 1621(c)(2)(A) and (C)
11. A nonimmigrant whose visa for entry is related to employment in the United States, or
12. A citizen of a freely associated state, if section 141 of the applicable compact of free association approved
in Public Law 99-239 or 99-658 (or a successor provision) is in effect [Freely Associated States include the
Republic of the Marshall Islands, Republic of Palau and the Federate States of Micronesia.
48 U.S.C. § 1901 etseq.];
13. A foreign national not physically present in the United States.
14. Otherwise Lawfully Present
15. Aperson not described in categories 1-13 who is otherwise lawfully present in the United States.
PLEASE NOTE: The federal Personal Responsibility and Work Opportunity a0 eae may make persons
10/23/2025
Date
Amy S. Nations
Print Name
5/5/2025
Individuals requiring ADA c€commodations please call (602)542-2999
Lage, Dea TH ba
on
ie
cr
an
fi 2) Arizona Department of Liquor Licenses and Control
Personal Information ie D\l
Questionnaire ll
ATTENTION APPLICANT: This Is a legally binding document. An investigation of your background will be
conducted. Incomplete applications will not be accepted. False or misleading answers may result in the denial or
revocation of a license or permit and could result in criminal prosecution.
QUESTIONNAIRE NEEDS TO BE SUBMITTED TO THE DEPARTMENT ALONG WITH A $22. FEE, AND FD-258
FINGERPRINT CARD, THAT HAS BEEN SEALED IN AN ENVELOPE, AND SIGNED OR INITIALED BY THE FINGERPRINT TECHNICIAN, MUST
INCLUDE THE FINGERPRINT VERIFICATION FORM. MUST BE COMPLETED BY A RECOGNIZED FINGERPRINT SERVICE OR LAW
ENFORCEMENT AGENCY. FP ven
Agent: a person who
is designated by an
applicant or licensee
to receive
SECTION - 1 INDIVIDUAL INFORMATION
communications from
the department and to ClaGent [ICONTROLLING PERSON CI manacer
file and sign
documents submitted 7 .
to the departmenton |! 4 Name-__Lombardi Brandon Frederick
behalf of the applicant ioe cing
or ieersee-anaeet |!2. social Security # MN Birth Date:
‘@ public record) (NOT s public record)
3. Driver's License — State Issued: Arizona
(NOT @ public record}
5. Are you a resident of Arizona? L/]Yes [No Date of residency: 01 704 j. 1992
ARS. §4-202(A).
Controlling Person:
person directly or
indirectly possessing 6. Email address: Pe
control of an applicant
pane 7.Home Address
ARS. $4-101(10).
8. Daytime phone (EE aiternative phone +: i
Manager: An
Individual (not an
entity} approved by
the Department of
Uquor who has the
authority to organize,
direct, carry out.
control or to
otherwise operate the
day-to-day operations
of a liquor-licensed
business.
SECTION 2 — LICENSED BUSINESS INFORMATION
1. License Number:
2. Business Name (doing business as): Sprouts Farmers Market # 0053
3. Business Address: 209/95 W. Roosevelt St. Buckeye, AZ 85326
AR.S, §4-101(22) and
ARS. $4-202(C)
5/5/2025 Page 1 of 2
Individuals requiring ADA accommodations please call (602)542-2999
https://www.azliquor.gov DLLC USE ONLY ,
(602) 542-5141 be ZORA ieale
SECTION 3 — DAY TO DAY OPERATION OF BUSINESS
Must attach coples of Basic and Management Title 4 training certificates for person managing the day to day
operation of the licensed business.
Who Is managing the day to day operations? hgent [Ccontrotiing Person [Manager
Name of persons who will be handling the day to day operations: David John Sparano
SECTION 4 — BACKGROUND
if You answer “YES” to any Question 1 through S YOU MUST attach a slmned statement. Sive complete details including
dates, agencies Involved and dispositions, CHANGES TO QUESTIONS 1-5 MAY NOT BE ACCEPTED
1. Have you owned, or been a controlling person of any entitles that held a liquor Yes No []
license In Arizona, or any jurisdiction, In the past 5 years?
2. Have you been cited, arrested, Indicted, convicted, or required to appear in Yes [] No [JJ
court for violation of ANY criminal law or ordinance, regardless of the
disposition, even if dismissed or expunged, within the past 5 years?
3. Has an entity in which you are or have been a controlling person had an Yes [1 No
application or license rejected, denied, revoked, or suspended in or outside of
Arizona within the last 5 years? A.A.S.§4-202(D
4. Have you had ANY administrative law citations, compliance actions, or Yess [] wo
consents, In any jurisdiction In the past 5 years? (Do not include civil traffic
tickets)
ARS, §4-202,4-210
“Administrative Law Violations are any civil penaities, fines, suspension,
or revocations of your liquor license.
5. Has anyone EVER obtained a judgement against you the subject of which Yes CF] No
Involved fraud or misrepresentation?
SIGNATURE
| (Print Full Wame) Btandon Frederick Lombard... swear under penalty of perjury and in
compliance with A.R.S. § 4-210{A)(2) and (3) that | have read and understand the foregoing and verify that
the apes fements that | have made herein are true and correct to the best of my knowledge.
Pa, -_
== ———
/5{2025 Page 2 of 2
Individuos requiring ADA accommodations plese call (602)542-2997
Bert PHL 4s
Frets 3 OLE
1. Sprouts Farmers Market owns and operetes over 400 stores located in the following
states, Arizona, California, Colorado, Delaware, Florida, Georgia, Kansas,
Loulsiana, Maryland, New Jersey, New Mexico, North Carolina, Okiahoma,
Pennsytvania, South Caroline, Tennessee, Texes, Utah, Virginie, Weshington, and
Wyoming.
3. In 2020 store #804, OK, received violation for cashier not having alcohol license on
hand, fine paid.
In 2020 store #410, CA, received Viclation for selling to a minor, fine paid.
in 2020 store #812, OK, received violation for selling to a minor, fine paid.
In 2020 store 805, OK, received violation for selling to a minor, fine paid,
an store 682, TN, recsived violetian for cashiers not having alcoho! training certification,
paid.
In 2021 store 482, AL, received violation for alcohol record keeping for one yaar, person in
Charge notice at store, CO! for Uquor, received wamings/dismiseat on all changes, but changed
fee forrecord keeping fine paid.
tn 2021, store 582, TN, recalved violation for selling to e minor, fine paid.
tn 2021, store #263, CA, received violation for selling to a minor, penalty stayed with no penalty
fee and no suspension - we wili be on probation for one year.
fn 2021, store 808, OK, received violation for sailing to a minor, fine peid.
in 2021, store 803, OK, received violation for selling to a minor, fine paid.
§n 2021, store #583, TN, received violation for selling to a minor, fine patd.
In 2021, store 519, GA, received violation for selling to @ minor, fine paid.
In 2022, store #284, CA, received vicistion for selling to a minor, fine paid.
In 2022, store £706, NM, received violation for selling to a minor, fine paid.
tn 2022, store #263, CA, recelved vicistion for selling to a minor, case diemisead and closed (no
fine or suspension).