HAWES TRAIL ALLIANCE_REDACTED.PDF

CSR:
Amount:

DLLC USE ONLY

SPECIAL EVENT LICENSE

APPLICATION FEE $25.00 PER DAY Date Accented:

Arizona Department of Liquor Licenses and Control
800 W. Washington St, 5 Floor Phoenix, AZ 85007
(602) 542-5141
Application MUST be submitted to the Department of Liquor 10 days prior to the event.

SECTION 1 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.

license #:

1. Applicant; _Stapley, Tom

(Must be an Officer/Member of the Non Profit Enfi Itst Middle
2. Applicant's mailing address:
Clty State Zip

3. Applicants home/cell phone| Applicant's business phone; 480-252-5444

4. Applicant's email address:
5, Special Event Name; Stunner Night Rides

6, Name of Non-Profit Organization, Candidate or Political Party/Gov; Hawes Trail Alliance

7. Non-Profit/IRS Tax Exempt Number; 83-3046224
8. Arizona Corporation Commission File #: 1927404 If out of State please specify:

Fe
(Attach letter of good standing)

9. Event Location Name: Usery Mountain Regonal Park
10. Event Address: 3939 N. Usery Pass Rd Mesa, AZ 85207

Dates and Hours of Event - Days must be consecutive and may not exceed 10 consecutive days,

**SEPARATE APPLICATION FOR EACH “NON-CONSECUTIVE” DAY**

oo : Event Start License End
Days - “Date Day of Week Time AM/PM Time AM/PM

bavi: 7/21/2023 Friday 7:00PM 11:59PM

DAY 2:

DAY 3:

DAY 4:

DAY 5:

DAY 6:

e202 & @ NVE

QAATS0Se

DAY 7:

ALNAOS VWdOOlnWh

DAY 8:

SYOSIAYSdNS 40 GuvOg ‘a |

DAY 9:

DAY10:

11/7/2022 Page 1 of 3
Individuals requiring ADA accommodations please call (602)542-2999

SECTION 2 What type of security and control measures will you take to prevent violations of liquor laws at this event?
(List type and number of police/security personnel and type of fencing or control barrlers, if applicable.) .

Number of Police 1
Must explain security measures: Our beer garden is fully enclosed with fencing with only one entrance/exit.

Number of Security Personnel [Fencing Cbarriers

Our licensed bartender ensures all patrons are 21+ and issues wristbands. He/She also

ensures no alcohol leaves the designated beer area.

SECTION 3 What is the purpose of this event?

M]on-site consumption Lloft-site (auction/wine/distilled spirits pull) L]Both

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)

A) Special Event being held on an unlicensed premises will require approval and signature by the Local Governing
Body on page 3. (If checked move to section 4)

B) L1Will this event be held ona currently licensed premises and within the already approved and licensed area?
(Must altach a letter from the licensed premises with an explanation of the option checked below)

Name of Business license Number Phone (Include Area Code)

[Place license in non-use - Special Event Licensee selling all alcoho! without retailer involvement
Must attach leiter from the location suspending license for duration of special event -

[Dispense and serve alll spirituous liquors under retailer's license — Business operates normally, minimum of 25% of gross
revenue from alcohol sales is donated to licensee

Dibispense and serve alll 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 Separated from any
alcohol used during the special event. Must attach letter from the location suspending license for duration of special event

Lspiit premise between special event and retail location - Both the special event licensee and the retailer will conduct
sales of alcohol. (These sales will be done in separate areas. If alcohol is donated or purchased by the special event licensee
it must be in a separate area than the alcohol that is dispensed by the licensed retailer.)

(lot Sale only - Wine/Distilled Spirits Pull, Live or Silent Auctions - Retailer will still be permitted to conduct all normal sale
and service of alcohol.

SECTION 4
1, Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years?
DYes [YI No If yes, attach letter of explanation.

2. How many special event days have been issued to this organization during the calendar year? 0

3. Is the Organization using the services of a Special Event Contractor? (A licensee can utilize the services of a special
event contractor who may purchase and sell alcohol on behalf of the licensee. If no special event contractor is listed, the
licensee is responsible for the sales and service of alcohol. } ‘

[Yes] No ff yes, please provide the Name of the Special Event Contractor: Aravaipa Running

4, 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 the special event Contractor)
C1 Yes[¥1 No if yes, please provide the Name of Licensee: License #:
ooo

11/7/2022 Page 2 of 3
Individuals requiring ADA accommodations please call (602)542-2999

5. List the name of the Individual or Organization that will receive revenues, MUST EQUAL 100 PERCENT,
Attach additional sheet if necessary.

Name: Hawes Trail Alliance Percentage: 100%
Address; 2047 E. Minton St. Mesa, AZ 85213

Street Clty State 2p
Name: Percentage:
Address:

Street City State Zip

Please read A.R.S. § 4-203.02 Special event license: rules and R19-1-205 Requirements for a Special Event license.
ALL ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY,

PULL SEALED CONTAINERS OR THE SPECIAL EVENT LICENSE IS STACKED WITH WINE /CRAFT DISTILLERY FESTIVAL LICENSE,

SECTION 5 License premises 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. Please attach a diagram
of your special event licensed premises. Please show dimensions, serving areas, fencing, barricades, or other control
measures and security position,

If the special event will be held at a location without a permanent liquor license or if the even

that Is not covered by the existing liquor license,
to the Department of Liquor Licenses and Cont

APPLICANT SIGNATURE

° f will be on any portion of a location
thls application must be approved by the local governing body before submitting
rol. Please contact the local governing board for additional information.

Declaration:
I, (Print Name) [29444 Apo » declare under penalty of perjury that | am

authorized to submit this application. | have read fhe contents of this application, and to the best of my knowledge
believe all statements made on this application to be true, correct and complete.

aa oe

| Signature~

LOCAL GOVERNING BODY

Date Received:

I recommend CIAPPROVAL C1 DisappROVAL
(Government Official) (Title)

On behalf of

(City, Town, County) Signature

AZDLLC USE ONLY

CIAPPROVAL LC] DISAPPROVAL BY:

11/7/2022 Page 3 of 3
Individuals requiring ADA accommodations please calli (602)542-2999

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