GHOSTLIGHT THEATRE_9.4-9.7-REDACTED.PDF

CSR:

Amount:
DLLC USE ONLY
Job #:
SPECIAL EVENT LICENSE —
APPLICATION FEE $25.00 PER DAY
CSR:
Arizona Department of Liquor Licenses and Control -
800 W. Washington St. 5" Floor Phoenix, AZ 85007 License #:

(602) 542-5141
Application MUST be submitted to the Department of Liquor 10 days prior to the event.

SECTION _1 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: VINES LAURA MICHELLE
(Must be an Officer/Member of the Non Profi
re, = =©6CCCCCC Cd
City State lp
3. Applicants home/cell phone: | Applicant's business phone: 623-777-9717

"ROCK OF AGES" MUSICAL - WEEKEND #1
GHOSTLIGHT THEATRE

5. Special Event Name:

6. Name of Non-Profit Organization, Candidate or Political Party/Gov.:

7. Non-Profit/IRS Tax Exempt Number: 27-1656052 (501c3)

8. Arizona Corporation Commission File #: 15861071 If out of State please specify:

(Attach letter of good standing)
9. Event Location Name: GHOSTLIGHT THEATRE
10. Event Address: 13041 W. CAMINO DEL SOL, SUN CITY WEST, AZ 85375

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

**SEPARATE APPLICATION FOR EACH “NON-CONSECUTIVE” DAY**

Event Start License End
Bays Dale Day sleek Time AM/PM Time AM/PM

oe 9/04/2025 THURSDAY 6:30PM 10:00PM
SS aya: 9/05/2025 FRIDAY 6:30PM 10:00PM
Spay se 9/06/2025 SATURDAY 1:30PM 10:00PM

_ EBAY de 9/07/2025 SUNDAY 1:30PM 5:00PM
es Spay 5
OusEay 6:

. “DAY 8:

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DAY 9:

DAY10:

2/6/2023 Page 1 of 3
Individuals reauirina ADA accommodations please call (602)542-2999

SECTION 2 What type of security and control measures will you take to prevent violations of liquor laws at this event?
{list type and number of polilce/securlty personnel and type of fencing or control barriers, if applicable.)

0 Number of Police 1 Number of Security Personnel ClFencing [Barriers

Must explain security measures: We will have stantions set up outside the main entrance to block off the bathrooms

and side corridor with an employee stationed to prevent patrons from taking any open containers out of the venue.

SECTION 3 What is the purpose of this event?

(Jon-site consumption (ClO#-site (auction/wine/distilled spirits pull) CBoth

How is this special event going to conduct ail dispensing, serving, and selling of spirituous liquors?
Check one of the following boxes. {R-19-318}

A) iv] Special Event being held on an unlicensed premises will require approval and signature by the Local Governing
Body on page 3. {If checked move to section 4}

B) (C] Will this event be held on a curently licensed premises and within the already approved and licensed area?
(Must attach a letter from the licensed premises with an explanation of the option checked below)

Name of Business License Number Phone (Include Area Code)

(Place license in non-use - Special Event Licensee selling all alcoho! without retailer involvement
Must attach letter from the location suspending license for duration of special event

dispense and serve all spirituous liquors under retailer's license ~ Business operates normally, minimum of 25% of gross
revenue from alcohol sales is donated fo licensee

Cbispense and serve alll 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 separated from any alcoho!
used during the special event. Must attach letter from the location suspending license for duration of special event

Csplit premise between special event and retail location - Both the special event licensee and the retailer will conduct
sales of alcohol. (These sales will be done in separate areas. if alcohol is donated or purchased by the special event licensee
it must be in a separate area than the alcoho! that is dispensed by the licensed refailer.}

Loft sale only - Wine/Distilled Spirits Pull, Live or Silent Auctions — Retailer will sfill be permitted to conduct al normal sale and
service of alcohol.

SECTION 4

1. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years?

(1 Yes IY] No If yes, attach letter of explanation.
0

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

3. Is the Organization using the services of a Special Event Contractor? (A licensee can utilize the services of a special event
contractor who may purchase and sell alcohol on behalf of the licensee, If no special event contractor Is listed, the licensee is
responsible for the sales and service of alcohol. }

(1 Yes [¥] No If yes, please provide the Name of the Special Event Contractor:

4. 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 the special event contractor}

(1 Yes [¥] No if yes, please provide the Name of Licensee: License #:

5. List the name of the Individual or Organization that will receive revenues, MUST EQUAL 100 PERCENT.
Attach additional sheet if necessary.

2/6/2023 Page 2 of 3
Individuals reauirina ADA accommodations please cat [602}542-2999

GHOSTLIGHT THEATRE Percentage: _ 100%

Name:
Address: 13541 W. CAMINO DEL SOL SUN CITY WEST AZ 85375
Street City State Zip
Name: Percentage:
Address:
Street City State Zip

Please read A.R.S. § 4-203.02 Special event license: rules and R19-1-205 Requirements for a Special Event License.
ALL ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY.

ECTION 5 License premises diagram. The licensed premises for your special event is the area in which you are
authorized fo sell, dispense or serve alcoholic beverages under the provisions of your license. Please attach a diagram
of your special event licensed premises. Please show dimensions, serving areas, fencing, barricades, or other control

measures and security position.

==> ATTACH DIAGRAM

If the special event will be held at a location without a permanent liquor license or if the event will be on any portion of a location
that is not covered by the existing liquor license, this application must be approved by the local governing body before submitting
to the Department of Liquor Licenses and Control. Please contact the local governing board for additional information.

APPLICANT SIGNATURE

Declaration:

|, (Print Name) LAURA VINES , declare under penalty of perjury that | am
authorized to submit this application. | have read the contents of this application, and to the best of my knowledge
believe all statements made on this application to be true, correct and complete.

“Lau Ml Minn

Signature
LOCAL GOVERNING BODY
Date Received:
| I, recommend LIAPPROVAL C1] DISAPPROVAL |
(Government Official) (Title)
On behalf of i
(City, Town, County) Signature Date Phone

The local governing body (city, town or municipality where the fair/festival will take place) may require additional
applications to be completed and submitted. Please check with local government as to how far in advance they require
these applications to be submitted. Additional licensing fees may also be required before approval may be granted.

AZDLLC USE ONLY

CIAPPROVAL EL] DISAPPROVAL BY: DATE:

2/6/2023 Page 3 of 3
Individuals reauirina ADA accommodations please call [602)542-2999

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