RANCHO LOS CAPORALES-3.6.2027_REDACTED.PDF

Arizona Department of Liquor Licenses and Control DLLC USE ONLY
Job #:
https://www.azliquor.gov
(602) 542-5141 a
tc:
SPECIAL EVENT LICENSE
License #:
APPLICATION FEE $25.00 PER DAY
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 ||US! be approved and signed by the Local Governing
Body Before submitting to the Arizona Department of Liquor.
LOCAL GOVERNING BODY
Date Received:
C2 approvat C] pisaPpPpROVAL
SECTION 2
Will the event be at a location with a current liquor license and within the approved and licensed area?
Clyes [v]No (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] license: for the duration of the Special Event; Licensee selling all alcohol without retailer involvement.
nome?
tter of son required
[-] Dispense and serve all spirituous liquors under retailer's license — Business minimum of 25% of
oe on
gross revenue from alcohol sales will be donated to licensee. Letter of perm sean requir
[_] 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 retaliers alcohol inventory must be kept
—
separate from any alcohol used during the special event. Letter of suspension re
[_] 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
Cj 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
lactic ink recidrine ADA Ac rcremmortoiions mers emb [AY71S49-29099

SECTION 3
Cossio
1. Applicant
Last
2. Applicant's mailing address: —EE
_
6233930671 Ext. 10 102
ea .
3. Applicants home/cell Non-profit organization phone: ery
S. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years?
Cj Yes (if yes, attach letter of explanation) No
SECTION 4
Rancho Los Caporales
1. Name of non-profit organization:
2. Non-Profit/IRS Tax Exempt Number: 41-2472867 Arizona Corporation Commission File & pe) 33 S5248
N/A
3. If 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 (V]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
2. How many special event days have already been issued to this organization during the current year? Zero (0)
0/28/2025 Page 2 of 4
lwiteetindk rec ding 2DA neem viition: mierne oof [AY S49-7999

SECTION 7
be consecutive and may not exceed 10 days per year.
Dates and Hours of Event - Days must
EVENT START EVENT END
DAYS DATE DAY OF WEEK TIME AM/PM TIME AM/PM
DAY 2
DAY 3
DAY 4
DAY5
DAY 6
DAY 7
DAY 8
DAY 9
DAY 10
SECTION 8
1. ls the Organization using the services of a DLLC approved Special Event Contractor from the list on our website?
Ces Sho if yes, please provide the Name of the Special Event Contractor:
Special Event Contractor Signature:
2. Is the organization using the services of a series 6, 7, 11, or 12 licensee to manage the sale or service of alcohol?
(Lice who hold a series 6, 7, 11, or 12 license are automatically qualified to be a special event contractor)
:
(Wes 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
Name: Pancho los Coparales Percentage: 15%
Address: +n YA 9s2s
.
Street Cry State
Ayton Cassio 2s°/ °.
Name: Percentage:
address: BAI2. S. 33th Ave ~ Tonapain A2 Ss 3s4
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
lneduicttins reriiin|n ANA canmmnncintion ae nian col lATKAI.29609

SECTION 9
Licensed location 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.
@&
=> ATTACHDIAGRAM
Must attach a diagram of your special event showing the area where alcohol will be sold
served, and consumed. Must include dimensions of event areg, fencing, barric odes,
or other control measures, and include positions of security personne!
NO ALCOHOLIC BEVERAGES SHALL LEAVE A SPECIAL EVENT UNLESS THEY ARE IN SEALED CONTAINERS FOR AN AUCTION OR
WINE/DISTILLED SPIRITS PULL, OR THE SPECIAL EVENT LICENSE IS STACKED WITH A WINE /CRAFT DISTILLERY FESTIVAL LICENSE.
Declaration:
|, (Print Name) Arturo Cossio ___. declare under penalty of perjury that | am
authorized to submit this application. | have read the contents and to the 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
« Square footage of event area
e Show North, East, South, West
10/28/2025 page 4 of 4
Individvat’ requiring ADA Gocommodations please coll (602}542-2999

\ ee)
334 oN
Ave
Ease Se
sexsyaints BATHROOM ROW BLEACHERS STALL CHEMICAL RESTROOM ENTRANCE
3
10 ewes
PL | “
iT 330" 9 w=
PT me
VENDERS
food
DEE
VENDERS [Pusue’)
. b | GLI ST
~ . cok @
0226 © 0 FENCE MAIN oe ae PAs ve
PL
wer m eer HORSE! :
stonsing ares ett
SOY-33- STORAGE = 4
Cm nN ALCOHOL STORAGE = =
ICE
EASING “I
bor pet CORRALS BARN BARN 2 £2.98
Pace ae? NO S
a EX
|
stencng oe A DUMPSTER
© Tsp
4,
KH LEV LEZ E
EXISTING OPENINGS $04~33-026W
WAL wt SHED SF os SFR:
OX 1,008 , SH 1,056
PL PL
PAVER DRIVE~WAY
£X
3 SF CARPORT F
SHED
EX $00 Ns EX NA
EX [504—23~026x
VACANT:
~ |
RESIDENCE 980SF
EX 4.
PL PL 504~53-026¥
VACANT: