RANCHO LOS CAPORALES-11.7.2026_REDACTED.PDF

Arizona Department of Liquor Licenses and Control DLLC USE ONLY
https://www.azliquor.gov Job #:
ic:
SPECIAL EVENT LICENSE
APPLICATION FEE $25.00 PER DAY License #:
MUST be submitted to the Department of Liquor 10 cays prior to the event.
SECTION 1
Name of Non-Profit Organization, Candidate or Political Party: Rancho Los Caporales
if the event will be held on an unlicensed premises, it !Vi\ 5! be approved and signed by the Local Governing
Body Before submitting to the Arizona Department of Liquor.
LOCAL GOVERNING BODY
C2 approvat C pisappROVvAL
SECTION 2
Will the event be at a location with a current liquor license and within the approved and licensed area?
Lives [JNo(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
C) Suspend license for the duration of the Special Event; Licensee selling all alcoho! without retailer involvement.
Letter of suspension required
C) Dispense and serve all spirituous liquors under retailer's Business operates normally, minimum of 25% of
Rconee =
gross revenue from alcohol sales will be donated to licensee. | etter o/ permission required ;
Cj 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
C) 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 licensee, it must be in a area from the alcohol that is dispensed by the licensed
aoe ~~ erly
location.) Le! explanation and permission require
Cc Off Sale only - Wine/ Distilled Spirits Pull, Live or Silent Auctions — Retailer will be permitted to conduct all normal
sales and service of alcohol. (etter of permission required
10/28/2025 Page 1 of 4
Infinit nec fing ADA ar crenmariniions: nian ood [A171 549-9999

SECTION 3
Arturo
_Cossio
1. Applicant: Se
—,
=
Po
2. Applicant's mailing address Sorte 7
Oty
Ext. 102
3. 6233930671
Non-profit organization phone
3. Applicants home/cell 2
ocsdvcce:
4, Applicant's email
been convicted of a felony, or had a liquor license revoked within the last five (5) years?
5. Has the applicant
Clyes (if yes, attach letter of explanation) \) No
SECTION 4
Rancho Los Caporales
1. Name of non-profit organization: =
41 -2472867 Arizona Corporation Commission File # 4335243
2. Non-Profit/IRS Tax Exempt Number:
N/A
3. f Out Of State, specify State (Attach letter of good standing):
Torneo Charros
4. Special Event Name:
SECTION 5
Rancho Los Caporales
5. Event Location Name:
2912 S 339th Ave Tonopah, AZ 85354
6. Event Address:
SECTION 6
Two (2) Number of Police Seven (7) Number of Security Personnel [Fencing [V Barriers
One (1) guard for approximately every twenty-eight (28) peoples.
Must explain security measures:
One (1) at the entrence, two (2) at the exit, parking lot and the rest sectioned out throught the evnt 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)
On-site consumption (_] off-site (auction/wine/distilled spirits pull) [ ] Both
Zero (0)
2. How many special event days have already been issued to this organization during the current year?
individ reaw @ing ADA Accrenmonriniine nieces Cot (AV 449.9999

SECTION 7
consecutive and may not exceed 10 days per year
Dates and Hours of Event - Days must be EVENT
START EVENT END
DAYS DATE DAY OF WEEK TIME AM/PM TIME AM/PM
pavt Now. #8202 Sotuday 12pm Ope __—
DAY 2
DAY 3
DAY 4
DAY 5
DAY 6
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?
Cres ho if yes, please provide the Name of the Special Event Contractor:
Special Event Contractor Signature:
2. ls 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)
Lures bo i yes, Name OF Lbeisee; Liquor LICense #:
2 biet the narme af the Oreontration findhddiual that will rarcaive reavaniac:
MUST EQUAL 100 PERCENT, APPLYING NON-PROFIT MUST RECEIVE A Miniiviuivt Ur 25% Ut INt PRULEEUD.
aoaress: 212s. 339 Ave __“Tonopal_ Az. BS3S4___
Name: \O Percentage: Re? ey °
natrece BAZ S. BBA Ave ~loncpan Az BSS 4
Please read A.K.>. 9 4-2U5.UzZ and K1LY-1-2U> ypeciat event license rules ana Kequirements.
VOFPAII02S Paoe 3 of 4

SECTION 9
for special event is the area in which you are
Licensed location diagram: The licensed premises your
alcoholic beverages under the provisions of your license.
authorized to sell, dispense, or serve
of special event show ing the area where alcoho! will be sold
Must attach a diagram your
served, and consumed, Must include dimensions of event ared fencing, barricades,
control and include 7 nl positions —see iw of cer security ; personnel. nore of
or other measures,
BEVERAGES SHALL LEAVE A SPECIAL EVENT UNLESS THEY ARE IN SEALED CONTAINERS FOR AN AUCTION OR
NO ALCOHOLIC
SPIRITS PULL, OR THE SPECIAL EVENT LICENSE IS STACKED WITH A WINE / CRAFT DISTILLERY FESTIVAL LICENSE
WINE/DISTILLED
Declaration:
Arturo Cossio declare under penalty of perjury that | am
i, (Print Name) _,
authorized to submit this application. | have read the contents and to the be: f 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 4 of 4
individva’s requiting ADA accommodations please coll (602)542-299?

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