HAWES TRAIL ALLIANCE_REDACTED.PDF

CSR:

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

(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: Stapley, Tom

(Must be an Officer/Member of the No: First Middle
2. Applicant's mailing address:

City State Zip

3. Applicants home/cell phone:

4. Applicant's email addres:

5, deeatal Even Naows Tonto Mountain Rides

Candidate or Political Party/Gov.: Hawes Trail Alliance
83-3046224

File #; 1929404

& Name of Non-Profit Organization,

7. Non-Profit/IRS Tax Exempt Number:

If out of State please specify:

8. Arizona Corporation Commission
(Attach letter of good standing)

9. Event Location Name: Usery Mountain Regonal Park

10. Event Address: 9939 N. Usery Pass Rd Mesa, AZ 85207

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

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

te 11/9/2025 Sunday 9:00AM 7:00PM
DAY 2:
DAY 3:

DAY 4: RECEIVED
DAY 5: \G-7-2-2025

DAY 6:

MARICOPA eo .
CLER r

DAY 7:

DAY 8:

DAY 9:

DAY 10:

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Individuals requiring 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 police/security personnel and type of fencing or control barlers, if applicable.)

Number of Police L.__-_».__-— Number of Security Personnel (Fencing Cbarriers

Must explain security measures; Our beer garden is fully enclosed with fencing with only one entrance/exit.

Our licensed bartender ensures all patrons are 21+ and issues wristbands. He/She also ensures no alcohol teaves the designated beer area.

SECTION 3 What is the purpose of this event?

[on-site consumption [lott-site (auction/wine/distilled spirits pull) Claoth

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)

A) [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) (1) will this event be held on a currenily 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 fetter from the location suspending license for duration of special event

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

[Dispense and serve all spirituous liquors under special event - The special event licensee /s in charge of selling alcohol that was
purchased or donated by the special event licensee. The refailers existing alcohol inventory must be separated from any alcohol
used during the special event. Must attach lelter from the location suspending license for duration of special event

Ckpiit 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 retailer.)

(lof sale only - Wine/Distilled Spirits Pull, Live or Silent Auctions — Retailer will stil! be permitted to conduct al! normal sate 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?
Cl yes [1No If yes, attach letter of explanation.

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

3.1s the Organization using the services of a Special Event Contractor? (A licensee can ulilize 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. }

yes] No If yes, please provide the Name of the Special Event Contractor: Aravaipa Running LLC

4.\s 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 fo be the special event contractor)

C] 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.

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Individuals requiring ADA accommodations please call {602}542-2999

Name: Hawes Trail Alliance Percentage; 100%

Address: 2547 E. Minton St. Mesa, AZ 85213

Street City State Zip
Name: Percentage:
Address:

Street City State lip

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.

SECTION 5 License premises 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. Please attach a diagram
of your special event licensed premises. Please show dimensions, serving areas, fencing, barricades, or other control
measures and security position.

Ifthe 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) om Stapley , 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 TT De, =

. Signature

LOCAL GOVERNING BODY
Date Received:
l, recommend LIAPPROVAL [1 DISAPPROVAL
(Government Official) (Title)
On behalf of i 7 3
(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 submilted. Additional licensing fees may also be required before approval may be granted.

AZDLLC USE ONLY

CIAPPROVAL CL] DISAPPROVAL BY:

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Individuals requiring ADA accommodations please call (602)542-2999