MARICOPA TRAIL + PARK FOUNDATION_REDACTED.PDF

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 License #:

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: Maricopa Trail + Park Foundation

If the event will be held on anunlicensed 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:

C1 approval C1 visappRovaL

Government Official Title

On behalf of

City, Town, County Signature Date
SECTION 2
Will the event be at a location with a current liquor license or special event license and within the approved and licensed area?
Llves VINo

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

CL] Suspend license for the duration of the Special Event; Licensee selling all alcohol without retailer involvement.

[] _ 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.

CI 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.

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 special event licensee, it must be in a separate area from the alcohol that is dispensed by the licensed

location.)
Ol 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.
Brian Douglas

2 Appcan’snetng +e Ae
City State Zip

3. Applicants home/cell ——llo—E—Ee Non-profit organization phone: 623-235-6897

4. Applicant's email a —Csid

5. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years?
Lyes (if yes, attach letter of explanation) VI No

4. Applicant; Derrick

Last

6. Non-Profit/IRS Tax Exempt Number: 20-0707991 Arizona Corporation Commission File #: 10952170
Required Required

7. \f Out Of State, specify State (Attach letter of good standing):

8. Special Event Name: Javelina Jundred

9. Event Location Name: McDowell Mountain Regional Park

10. Event Address: 16300 McDowell Mountain Drive, Fort McDowell, Arizona 85264
SECTION 4

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

4 Number of Police 2 Number of Security Personnel [Fencing [V Barriers

Must explain security measures: Event ID check & wristband for patrons 21 years and older will be issued
at event entry/registration. Area for alcohol consumption and sales is designated and limited.

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)

[YJ on-site consumption Lloft-site (auction/wine/distilled spirits pull) []Both

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 consumed. Must include dimensions of event area, fencing, barricades or other control
measures, and positions of security personnel.

===> ATTACH DIAGRAM 4am

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 requiring 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. ATE patonwene’ SUSAN > SRE
pay1 10/24/2025 Friday 10:00 AM 9:00 PM
DAY 2 10/25/2025 Saturday 10:00 AM 2:00 AM
pay3 _- 10/26/2025 Sunday 9:00 AM 1:00 PM
DAY 4
DAY 5
DAY 6 REC El VED
DAY? AUG 1-3-2025
DAY 8
DAY 9 CLERK HOASS ane ouNTy
DAY 10

SECTION 6

3. Is 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: Noah Dougherty; Aravaipa Running

Special Event Contractor Signature: Aah. Dougherty

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)

Les [Vo if yes, Name of Licensee: Liquor License #:

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: Maricopa Trails + Park Foundation Percentage: 80
Address; 805 N 4th Ave, Suite 703 Phoenix, AZ 85003
Street City State Zip
Name: Aravaipa Running LLC Percentage: 20
Address: 2401 S 24th Street Phoenix, AZ 85034
Street City State Zip

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

Declaration:
|, (Print Name) Brian Derrick , declare under penalty of perjury that | am
authorized to submit this application. | have read the contents and to the best of my knowledge believe all statements

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

Signature: Pace Dero

5/5/2025 Page 3 of 3
Individuals requiring ADA accommodations please call (602)542-2999

Javelina Jundred 100 Mile Endurance Run Event:
Beer Garden and Serving Areas

The event lot has barricades blocking the entrance and exits of the main event and will be monitored by security. The Beer Garden
serving area will have a licensed bartender checking ID's at the point of sale. Event specific wristbands will be distributed to those 21
and over. The second serving area is the disco in picture two. A small bar will open at 7:00 pm and the serving area and a bartender
will be inside the disco which is a fenced in arena.. Security is posted on the outside checking ID and distributing wristbands to 21 and

over. Both areas are controlled event locations within the McDowell Mountain Regional Park.
Main
Event’ (ee Courselfenced area ® BAR/SERVING AREA ID CHECK > 4 sWoRN & onrnacr

SERVING AREA 1
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