180TH FIELD ARTILLERY REGIMENT ASSOCIATION_REDACTED.PDF

ws LA 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 Ucense #:

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: 180th Field Artillery Regiment Association

If the event will be held on an unlicensed premises, it MUST be approved and signed by the Local Governing
Body Before submitting to the Arizona Department of Liquor.

LOCAL GOVERNING BODY

Date Received:

C approvat C1 DISAPPROVAL

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?
Llyves ¥INo

If yes, MUST attach a letter of explanation/permission 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 retailer involvement.

Cl 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.

LI 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.

Oo 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.)

oO Off Sale only - Wine/Distilled Spirits Pull, Live or Silent Auctions — Retailer will be permitted to conduct all normal
sales and service of alcohol.

5/5/2025 Page 1 of 3
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; Parris Alan Bruce

last Middle
State ap

Cty
Non-profit organization phone: 4807302675

3. Applicants home/cell 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?

Lves (if yes, attach letter of explanation) L“]No
6. Name of non-profit organization: 180th Field Artillery Regiment Association

Arizona Corporation Commission File #: 09355231

7. Non-Profit/IRS Tax Exempt Number: 86-0689808
Required

Required
8. If Out Of State, specify State (Attach letter of good standing):

9, Special Event Name: Novemberfest 2025

10. Event Location Name: Superstition Springs Luxury RV Resort

11. Event Address: 02 S Meridian Rd Apache Junction AZ 85120
SECTION 4

Must list type of security and control measures will you take to prevent violations of liquor laws at this event.

Number of Police 10 Number of Security Personnel [Z]Fencing Vsarriers
Must explain security measures: Event will be held mostly indoors and in the covered patio area
which will be closed off with barriers/fencing and signs posted.

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 [Joft-site (auction/wine/distilled spirits pull) Cleoth

2. How many special event days have already been issued to this organization during the current year? 1
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.

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 positions of security personnel.

[==> ATTACH DIAGRAM =

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,

5/5/2025 Page 2 of 3
Individuals reaquring ADA accommodations please call (602}542-2999

SECTION 5

Dates and Hours of Event - Days must be consecutive and may not exceed 10 days per year.

DAYS DATE DAY OF WEEK ae AR pil ie anand
vaya 11/14/2025 ‘Friday 3pm 9pm
vay2 11/15/2025 Saturday 3pm 9pm
DAY 3
DAY 4
DAY5
DAY 6 ——RECEIVED—
an SEP 1.7 2025
DAY 8
pays cl NR oe SUPERVISORS
DAY 10

SECTION 6

3. 1s the Organization using the services of a DLLC approved Special Event Contractor from the list on our website?

Ces [No If yes, please provide the Name of the Special Event Contractor:

Special Event Contractor Signature:

4. 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)

[ves [Tino if yes, Name of Licensee: Horst Schlembach Liquor License #: 1 2076426

1. 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.

2. Name; 180th Field Artillery Regiment Association _ percentage: 20%
Address: 1811 S Alma School Rd Ste 268 Mesa AZ 85210

Name: ZUR KATE GERMAN RESTAURANT Percentage: 75% *°
Address; 4815 E MAIN STREET SUITE 16 Mesa AZ 85205
Street ty State up

Please read A.R.S. § 4-203.02 and R19-1-205 Special event license rules and Requirements.

Declaration: .
|, (Print Name) Alan B Parris , declare under penalty of perjury that | am

authorized to submit this application. | have read the contents ii to the best of my knowledge believe all statements

made on this application to be true, correct, and complete.

Signature:

5/5/2025 Page 3 of 3

Individuals requiing ADA accommodations please call (602}542-2999

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Superstition Sunrise RV Resort Home
702 S Meridain
Apache Jct AZ 85120

In ref to the diagram the area in yellow is the desired licensed
premises

The green lines indicate the fencing / barriers and signage to control
alcohol on the exterior patio.

The pink lines indicate the 3 in and egress doors into the main building
which is the bulk of the desired licensed premises.

Serving will be conducted by the Zur Kate restaurant staff who operate
a series 12 in Mesa, they will be providing food from their business
and serving food and beer. The beer will be dispensed from “jockey
box” draft system controlled by AZ BLT trained staff.

Superstition Sunrise staff will be on hand to maintain their property
and maintain order within their property and control that alcohol
remains on the licensed premises, they will also help with ID of
attendees as well as the restaurant staff and members of the 180" FA
Regt Assoc will be assisting with those 2 areas of concern.

Seating inside is tables and chairs owned by Superstition Sunrise, set
up in a family style seating arrangement. Tables on the enclosed
patio are industrial style park picnic tables.

= UR | 5

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INTERNAL REVENUE SERVICE
DISTRICT DIRECTOR

P. 0, BOX 2508
CINCINNATI, OH 45201

Pate: JUN 09 2000

180TH FIELD ARTILLERY REGIMENT
ASSOCIATION

PO BOX 60512

PHOENIX, AZ 85062

Dear Applicant:

DEPARTMENT OF THE TREASURY

Employex Identification Number:
86-0689808
DLN:
17053082014020
Contact Person:
C RENEE RAILEY
Contact Telephone Number:
(877) 829-5500
Internal Revenue Code
Section 501{c) (19)
Accounting Period Ending:
December 31
Form 990 Required:
Yes
Addendum Applies:
No

ID# 313172

Based on information supplied, and aesuming your operations will be as
stated in your application for recognition of exemption, we have determined
you are exempt from Federal income tax under section 501(a) of the Internal
Revenue Code as an organization described in the section indicated above.

Unless specifically excepted, you are liable for taxes underx the Federal
Insurance Contributions Act (social security taxes) for each employee’ to whom
you pay $100 or more during a calendar year. And, unless excepted, you are
also liable for tax under the Federal Unemployment Tax Act for each employee
to whom you pay $50 or more during a calendar quarter if, during the current
or preceding calendar year, you had one or more employees at any time in each
of 20 calendar weeks or you paid wages of $1,500 or moxe in any calendar
quarter. If you have any questione about excise, employment, or other Federal
taxes, please address them to this office.

If your sources of support, or your purposes, character, ox method of
eperation change, please let ua know so we can consider the effect of‘ the

change on your exempt status.

In the case of an amendment to your organiza-

tional document or bylaws, please send us a copy of the amended document or
bylaws. Also, you should inform us of all changes in your name or addreas.

In the heading of this letter we have indicated whether you must file Form
990, Return of Organization Exempt From Income Tax. If Yes is indicated, you
are required to file Form 990 only 1£ your gross receipta each year are
normally more than $25,000. However, if you receive a Form 990 package in the
mail, please file the return even if you do not exceed the gross recelpta test.
If you are not required to file, simply attach the label provided, check the
box in the heading to indicate that your annual gross receipts are normally

$25,000 or lesa, and sign the return.

If a veturn is required, it must be filed by the 15th day of the fifth
month after the end of your annual accounting period. A penalty of $20 a day
ida charged when a return is filed late, unless there ie reasonable cause for
the delay. However, the maximum penalty charged cannot exceed $10,000 or 5

Letter 948 (DO/CG)