WEST VALLEY ARTS COUNCIL_REDACTED.PDF

Arizona Department of Liquor Licenses and Control DLLC USE ONLY
https://www.azliquor.gov Job #:
(602) 542-5141
Date Accepted:
LC:
SPECIAL EVENT LICENSE
APPLICATION FEE $25.00 PER DAY License #:
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: West Valley Arts Council
If the event will be held on an unlicensed premises, it MMUST be approved and signed by the Local Governing
Body Before submitting to the Arizona Department of Liquor.
LOCAL GOVERNING BODY
Date Received:
C] apprRovAL CI pisAPPROVAL
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?
[lyves [INo(if no skip to section 3)
if yes, MUST attach a letter of explanation/permission/suspenslon 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 retaller involvement.
Letter of suspension required.
[_] 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 alcoho!
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.
[_] 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.
[_] OffSale 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

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.
1. Applicant: Knecht Kathy
ag Middle
2. Applicant’s mailing address
Cty State Zip
3, Applicants home/cell phone! Non-profit organization phone: 623-584-2626
4. Applicant's email address
5. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years?
(_lves (if yes, attach letter of explanation) “| No
SECTION 4
West Valley Arts Council
1. Name of non-profit organization:
94-2769484 00772535
2. Non-Profit/IRS Tax Exempt Number: Arizona Corporation Commission File #:
Required Required
3. If Out Of State, specify State (Attach letter of good standing):
Night to Remember
4. Special Event Name:
SECTIONS
Flite Goodyear Historic Hangar
5, Event Location Name:
1300 S Litchfield Rd Suite 210F, Goodyear, AZ 85338
6 Bvent Addresa:
SECTION 6
Must list type of security and control measures will you take to prevent violations of liquor laws at this event.
2
Number of Police Number of Security Personnel [_]Fencing ]sarriers
Enclosed building 2 Arizona Rangers posted on each side of the entrance Party
Must explain security measures:
space has fencing within the space, Sidewalk is blocked by concrete barriers and perimeter around the outside yard |s fenced,
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)
(J on-site consumption (_Joff-site {auction/wine/distilled spirits pull) Both
2. How many special event days have already been issued to this organization during the current year? 6}
10/28/2025 Page 2014
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 Paar bl Aba
11/14/2026 Saturday 6pm 10pm
navi
DAY 2
DAY 3
DAY 4
RECEIVED
sa
SEP 1 8 2096
DAY 6
MARICOPA
DAY 7 COUNTY
—— CLERK BOARD OF
SUPERVISORS
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?
M Culinary Concepts, Doug Janison
[Ves LINo if yes, please provide the Name of the Special Event Contractor:
4
{ et g j
Special Event Contractor Signature: .
2, Is the organization using the services of a series 6, Fi, 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)
[_Wes [¥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.
West Valley Arts Council H 279 0,
Name: biavcentages
19126 N Civic Center Plaza Suite 102, Surprise, AZ 85374
Address;
Street City State Zip
19912 W Camelback Rd, __ Litchfield AZ 85340
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 3 of 4
Individuals requiring ADA accommodations please call (602)542-29997

SECTION 9
Licensed location diagram: The licensed premises for your special event is the area in which you are
_authorized authorized to to sell, sell, dispense, or serve alcoholic beverages under the provisions of your license.
ran
™ ATTACH DIAGRAM
ust ha diagram of your special event showing the area where alcohol will be sold
served, and consumed. Must include dimensio ent area, fencing, barricades,
r control measures, and include positions ecur. ersonnel,
Db ITS PULL | ED WITHA LLE ICENSE.
Declaration:
Kathrin D. ne NM fF
|, (Print Name) , 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.
Kyl /) Mule
Signature: 4Vl bf. ’
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 4 of 4
Individuals requiring ADA accommedations please call (402)542-2999

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5	1	22	1	16	2	927	2360	35	41	36.790947	ta
5	1	22	1	16	3	1248	2377	36	15	82.452881	oa
4	1	22	1	17	0	888	2382	117	67	-1	
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4	1	22	1	18	0	888	2434	117	51	-1	
5	1	22	1	18	1	888	2434	31	28	44.556122	a
5	1	22	1	18	2	931	2447	74	38	34.610474	oe
4	1	22	1	19	0	888	2475	374	51	-1	
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5	1	23	1	1	1	1704	794	15	1787	95.000000	 
2	1	24	0	0	0	1748	1081	128	26	-1	
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4	1	24	1	1	0	1748	1081	128	26	-1	
5	1	24	1	1	1	1748	1084	69	23	96.333405	86.67
5	1	24	1	1	2	1826	1081	50	26	95.134796	feet
2	1	25	0	0	0	1744	1678	129	24	-1	
3	1	25	1	0	0	1744	1678	129	24	-1	
4	1	25	1	1	0	1744	1678	129	24	-1	
5	1	25	1	1	1	1744	1678	70	24	94.929939	86.67
5	1	25	1	1	2	1823	1678	50	24	96.564934	feet
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3	1	26	1	0	0	1741	2273	129	24	-1	
4	1	26	1	1	0	1741	2273	129	24	-1	
5	1	26	1	1	1	1741	2273	70	24	96.707870	86.67
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