WISCONSIN CLUB OF SUN CITY_REDACTED.PDF

Arizona Department of Liquor Licenses and Control DLLC USE ONLY
Job #:
https://www.azliquor.gov
(602) 542-5141 tanned
e
SPECIAL EVENT LICENSE
License #:
APPLICATION FEE $25.00 PER DAY
MUST be submitted to the Department of Liquor 10 days prior to the event.
SECTION 1
Wisconsin Club of Sun City
Name of Non-Profit Organization, Candidate or Political Party:
if the event will be held on anunlicensed premises, it UST be approved and signed by the Local Governing
Body Before submitting to the Arizona Department of Liquor.
LOCAL GOVERNING BODY
Date Received:
C approvat CI DISAPPROVAL
I,
Government Official
On behalf of
City, Town, County
SECTION 2
Will the event be at a location with a current liquor license and within the approved and licensed area?
Clyves [VINo(if no skip to section 3)
If MUST attach a letter of explanation/permission/suspension from the licensed location and choose ONE option below.
yes,
Name of Licensed Location Liquor License Number
[-] Suspend license for the duration of the Special Event; Licensee selling all alcohol without retailer 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 alcohol
C]
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
C]
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.
Off Sale 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.
Lund
1. Applicant: Daryl Bert
last iddle
|i ec ee ee
2. Applicant’s mailing address:
Gty State Zip
3. Applicants home/cell phone Non-profit organization phone:
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?
L_lves (if yes, attach letter of explanation) \¥|No
SECTION 4
1. Name of non-profit organization: Wisconsin Club of Sun City
61-1849230 00732461
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):
Wisconsin Picnic
4. Special Event Name:
SECTION 5
5, Event Location Name: SUN Bowl Sun City AZ 85351
10220 N 107th Avenue Sun City AZ 85351
6. Event Address:
SECTION 6
Must list type of security and control measures will you take to prevent violations of liquor laws at this event.
o 1
Number of Police Number of Security Personnel [_IFencing [_learriers
Must explain security measures; Law Enforcement Specialist supplies one off duty officer.
Sun City supplies two SC Posse members. All three roam the premises.
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 [_loff-site (auction/wine/distilled spirits pull) []Both
0
2. How many special event days have already been issued to this organization during the current year?
10/28/2025 Page 2 of 4
Individuals requiring ADA accommodations please call (602)542-2999

SECTION 7
Dates and Hours of Event - Days must be consecutive and t not mt exceed 40 days per year.
may
10:00AM 3:30PM
03/11/2027 Thursday
DAY 1
DAY 2
DAY 3
DAY 4
DAYS RECEIVED
DAY 6 BeF-0 6-259% 4!
UUl
v
DAY 7
MARICOPA COUNTY
CLERK BOARD OF SUPERVISORS
DAY 8
DAY 9
DAY 10
SECTION 8
1. fs the Organization using the services of a DLLC approved Special Event Contractor from the list on our website?
[Wes [no 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?
(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.
Wisconsin . . Club of Sun City . 100% °
Name; Percentage:
11815. N 97th Avenue = Sun City AZ 85351
Address;
Street ty State ap
Name: Percentage:
Address:
Street Gty State tip
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)542-2999

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.
ATTACH DIAGRAM
Must attach a diagram of your special event showing the area where alcohol will be sold,
served, and consumed. Must include dimensions of event area, fencing, barricades,
or other control measures, and include positions of security personnel.
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 1S STACKED WITH A WINE /CRAFT DISTILLERY FESTIVAL LICENSE,
Declaration:
Dary! Lund declare under penalty of perjury that | am
1, (Print Name) ,
authorized to submit this application, | have read the contents and to the best of my knowledge believe ail statements
made on this application to be true, correct, and complete.
Des wd Suma
Signature:
ed \
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 accommodations please calf (602)542-2799

22. 21. 20. 19. 18. 17. 16. 15. 14. 13. 12. 11. 10. 9. i 8. 1 7. 6. 5. 4. 3. 2. 1.
HAND UW FOOD NESCOES GRILLS TICKETS PORTA BAND PODIUM PRIZES SILENT BEER SODA SALES RAFFLE SARGENTO MAP VOLUNTEER ATTENDEE
ENTRANCE SUPPORTERS TREASURER &
WASH / CAMPUSES SERVICE & POTTIES CANOPIES AUCTION WATER
EXIT WARMER CHECK-IN NAMETAGS
\~3' CHAIRS ~8' TABLE
LONG &
2CHAIRSPERTABLE SQ.TABLECOUNT PERTABLE TABLE CHAIR
COUNT COUNT
16 8 140 70 FOR és,
RCSC: %

List of Attachments for Special Event Liquor License Application
Wisconsin Club of Sun City
1. Aerial View of Sun Bowl
2. Letter Affirming Wisconsin Club Is a Chartered Club of Recreations
Centers of Sun City
3. Wisconsin Picnic is a Sanctioned Event of RCSC
4. RCSC is registered with the Arizona Corporations Commission

Aerial View Sun Bowl Sun City AZ
10220 N 107th Avenue Sun City AZ 85351
Site of the Wisconsin Picnic March 11, 2027
Applicant for Special Event Liquor License
Daryl Lund, Past President WI Club of Sun City
4 %
os MIRE ry
a ar ee SE oa 5 J

September 14, 2026
Arizona Department of Liquor Licenses and Control
800 W. Washington, 5th Floor
Phoenix, AZ 85007
Dear DLLC,
This letter is to confirm the Wisconsin Club of Sun City is in good standing with the Recreation
Centers of Sun City. If there are any questions regarding the status of the Wisconsin Club of Sun
City, please connect with the Chartered Club Office ' i
Best Regards,
re)
Rebecca Hill
Manager, Recreation Centers of Sun City
a

SUN CITY
> RECEIVED Man 9 8 2026
ARIZO NA
Beit CLUB REQUEST FOR RCSC SANCTIONED EVENT
Date of Request: — [3/3/2026
Club: |Wisconsin Club
Name of Event: !Wisconsin Picnic
4u549\
First Choice of Date(s): 13/41/2027
Second Choice of Date(s):
Location: Sun Bowl
Times: 6:00am - 4:00pm
Number of Volunteers: 130
Expected Attendance: /|1750
Is this a yearly event/has It If yes, how many 15+
_[¥°° years/when:
been hosted previously?
is the event sponsored by any
Wisconsin Club
person/organization? Who?
will bring in Items to service the event (i.e. porta
Detail any items the club/sponsor
potties, bleachers food, etc)
Food and band
sufficient parking for the event, or will there be overflow parking that could
is there
residents around the avent? Please describe.
impact
yes
Club President: |Greg Smith
For Club Office use only
3 | al ole Clubs Supervisor: Onda. ULE
Received by clubs:
lure
Date
“7 (eo [We
SI s/ 2le Club Notifled;
Approved; Date
Date
Club Notified;
Denied: Dale
Date
tO eid at Z120 py)
(6D) will psed
Reason: ¥f Batic uo
Form BP:12-41 (Dec 2024}

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