VULTURE CITY PRESERVATION INC. 10.14 REDACTED .PDF

I CSR: 
Amount: 
SPECIAL EVENT LICENSE 
APPLICATION FEE $25.00 PER DAY 
Arizona Department of Liquor Licenses and Control 
800 W. Washington St. 51" Floor Phoenix, AZ 85007 
DLLC USE ONLY 
Job ff: 
Dote Accepted: 
CSR: 
license #: 
SECTION 1 Applicant must be a member of a qualifying nonproflt organization. polttlcal party, or Government entity and 
authorized by an Officer, Director. or Chairperson of the Organization. 
1. Applicant: Robin Moriarty 
(Must boon Officer/Member of the Non Profit Enttty) Lost 
first 
Middle 
2. Appliconl's moiling address: 
 
Street 
Clly 
Stole 
Zip 
3. Applicants home/cell phone: 
 
Appliconl's business phone: 877-425-9229 
4. Applicant's email address: 
 
s. Special Event Nome: Vulture City Paracon 
6. Nome of Non-Profit Organization. Condidole or Political Porty/Gov.: Vulture City Preservation Inc. 
~ No~Prom~RSTox~empt Numbe~_8_5_-0_8_7_6_0_5_6 
_ ______ _____ _______ ~ 
s. Arizona Corporation Commission File #:,J3ol 0/2g If out o f State p lease specify: ______ 
_ 
(Alloch lelt•r or good standing) 
9. Event Location Nome: Vulture City Ghost Town 
10. Event Address: 36610 N355th Avenue, Wickenburg AZ 85390 
2/6/2023 
Oates and Hours of Event - Days must be consecutive and may not exceed 10 consecutive days. 
Days 
DAY 1: 
DAY2: 
DAY3: 
DAY 4: 
l".>AY ,c;,, 
DAY6: 
DAY 7: 
DAY8: 
DAY9: 
DAYl O: 
**SEPARATE APPLICATION FOR EACH "NON-CONSECUTIVE" DAY"" 
Date 
Day of Week 
10/14/23 
Saturday 
Page 1 o f3 
Event Start 
Time AM/PM 
?:OOPM 
License End 
Time AM/PM 
10PM 
RECEIVED 
JUL O' 6 2023 
MARICOPA COUNTY 
OLERK~t:RVISORS 
Individuals requhlng ADA accommodotions please coll (602)542-2999

SECTION 2 What type of security ond control measures will you ioke to prevent violations of liquor lows a l lhis event? 
(list typo and number of pollco/securlty personnel and type of fencing or control barriers, 11 applicable.) 
_______ Number of Police _2 ______ Number of Security Personnel 
0 Fencing 
0 Barriers 
.M.Y.fil explain security measures: There will be 2 staff members tending bar with an additional 2 security volunteers. 
All staff will be trained according to the policies and procedures outlined by the AZ. Department of Liquor Licenses and Control 
SECTION 3 What is the purpose of this event? 
[Z]on-slte consumption 
Doff-site (auction/wine/distilled spirits pull) 
How is this special event going to conduc t oll dispensing. serv ing. and selling of spiriluous liquors? 
Check one of the following boxes. (R- 19-318) 
0Both 
A) IZI Special Even! being held on an unlicensed premises will require approval and signature by the Local Governing 
Body on page 3. (If checked move lo section 4) 
B) 0 Will this event be held on a cu1Tently licensed premises and within the already approved and licensed area? 
(Must attach a letter from the licensed premises with on explanation of the option c hecked below) 
No mo of Business 
llccme Numbor 
0 Ploce license in non-use - Special Event Licensee selling oil alcohol wilhout retaile1 involvement 
Must attach letter from the location suspending license for duration of special event 
Phono (Include Arco Codo) 
0 Dispense and serve all spirituous liquors under retailer's license - Business opera tes normally. minimum of ?5% of gross 
revenue from alcohol sci/es is donated to licensee 
0 Dispense and serve all spirituous liquors under special event - The special event licensee is in c harge of selling olcohol lhal was 
pvrchosed or d onated by the speciol oven/ licensee. 1 he re/oilers exis/ing alcohol invenlory mus/ be seporc1tod from a ny ofcohof 
used du1ing the special event. Must attach letter from the location suspending license for duration of special event 
0 Split premise between special event and retail location - 8olh the special event licensee and the retailer will conduct 
sales of alcohol. (These solos will be done in separate oreos. If olcohol is donoled or purchased by /he special oven/ licensee 
ii mus/ be in o separole orca lhon /he olcohol lhol is dispensed by /he licensee/ re/oiler.) 
O o tt Sole only • Wlne/Disfllled Spirlls Pull, Live or Silent Auctions - Retollor will still be permit led lo conduct oil no1mol solo and 
service of c:1/cohol. 
SECTION 4 
1. Hos the applicant been convicted of a felony, or hod a liquor license revoked within the lost five (5) years? 
0 Yes IZI No If yes. attach letter of explanation. 
2. How many special event days hove been issued to lhis organization during the calendar year? _O ______ _ 
3. Is fhe Organization using the services of a Special Event Contractor? (A licensee con utilize the services of o special event 
contractor who moy purchase and sell o/cohot on behalf of the licensee. If no special event controclor is listed, the licensee is 
responsible for /he soles and service of alcohol. ) 
D Vo< CZI No If V"< r-l<=>n<n rvewirl<=> lhi:> NnmA n f lhP Sl"'f"\l""i1'"11 Fvt=>nl ron lr1'"1r-ln r: 
'1. Is !he orgonizalion using lhe 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 ore oulomotic olly qualified to be lhe special event contractor) 
0 Yes IZJ No if yes, please provide the Name or Licensee:---------- License#:--------
5. Lisi the norne of the Individual or Organization that will receive revenues. MUST EQUAL 100 PERCENT. 
Attach addlllonot sheet If necessary. 
2/6/2023 
Poge 2 of 3 
tndividvols 1equlring ADA occommodolions please coll (602)542-2999

Nome: Vulture City Preservation Inc. 
Percentage: _1_0_0_o/c_o _______ _ 
Address: 
 
 
 
Street 
City 
Stato 
l ip 
Name: ______________ ____ _____ Percentage:-- ---------
Address: -------------------------------------~ 
Strnt 
City 
Slate 
tip 
Please read A.R.S. § 4-203.02 Soeclgl event license: rules and Rl 9- 1-205 Regv!rements for g Spec!gl Event License. 
ALL ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY. 
NO ALCOHOLIC BEYERAGES SHALL LEAYE A SPECIAL EYENI UNLESS THEY ARE IN AUCTION WINE OR p lSJ!LLEp SPIRITS PULL 
SEALED CONTAINERS OR JHE SPECIAL EVENT LICENSE IS STACKEp WITH WINE /CRAFT QISDLLERY FESIIYAL LICENSE 
SECJ!ON 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. 
II 11imf 
ATTACH DIAGRAM ... II 
IF the speclal event will be held at a locaHon without a permanent liquor llcense or If the event wlll be on any portion of a location 
that Is not covered by the existing liquor license, this oppllcatlon must be approved by the local governing body before submitting 
to the Deportment of Liquor Licenses and Control. Please contact the local governing board tor oddltlonal /nformatlon. 
APPLICANT SIGNATURE 
Declaration: 
I. (Print Nome) Robin Moriarty 
, declare under penally of perjury that I am 
authorized to submit this appllcolion. I have read the contents of this a 
llcation. and to the best of my knowledge 
believe all statements made on this application to be true, correct n c 
LOCAL GOVERNING BODY 
Date Received:--------
I, _________ ___ 
_ 
- ----- -----recommend 0APPROVAL 
0 DISAPPROVAL 
(Government Offlclal) 
(nHe) 
On behalf of ___ ________ ----------
-
_____ ,--------
(City. Tawn. Caunty) 
SlgnalUte 
Date 
Phone 
The local governing body (city, town or municipality where the fair/festival will take place) may require additional 
applications to be completed and submitted. Please check with local government as to how far In advance they require 
these appllcallons to be submitted. Add/Ilona/ licensing fees may also be required before approval may be granted. 
AZDLLC USE ONLY 
11 
D APPROVAL 0 DISAPPROVAL BY, ______
_ _______ DATE: ____ ___ 
_ 
2/6/2023 
Page 3 of 3 
Individuals requiring ADA occommodalions please coll (602)542-2999

Covered Bar I Serving Area 
(Note, 2 attendants at bar at all times) 
Q 
Q 
Roped Picnic 
Area