WEST VALLEY TRAIL ALLIANCE_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 Heense:#:

(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: Murphy, Brian

(Must be an Officer/Member of the Non Profit Entity) Last First Middle
2. Applicant's mailing address: es

City State Zip

3. Applicants home/cell — Applicant's business phone: 720-935-3798

4. Applicant's email address:

Vertigo Night Rides

5. Special Event Name:

West Valley Trail Alliance

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

47-4882625
20547510

7. Non-Profit/IRS Tax Exempt Number:

If out of State please specify:

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

9. Event Location Name: White Tank Mountain Regional Park

20304 West White Tank Mountain Rd. Waddell, AZ 85355

10. Event Address:

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

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

DAY 1: 8/8/2025 Friday 7:00PM 11:59PM
DAY 2:
DAY 3:
DAY 4:
DAY 5: RE C EIVED—
DAY 6:
DAY 7: MAY 1 2 2025
DATS: SrER MARICOPA SOUNTY
‘SANG: OARD OF SUPERVISORS
DAY10:
2/6/2023 Page 1 of 3

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

SECTION 2 Whai! type of security and contro! measures will you take to prevent violations of liquor faws at this event?
(List type and number of police/secutity personnel and type of fencing or control barriers, if applicable.)

i

Number of Police Number of Security Personne! [Fencing CBarriers

Our beer garden is fully enclosed by fencing with one entrance/exit.

Must explain security measures:

It is manned by our licensed bartender who ensures each patron is 21+ and issues wristbands.He/She also ensures no alcoho! leaves the designated beer area.

SECTION 3 What is the purpose of this event?

{¥10n-site consumption Lof-site (auction/wine/distilled spirits pull) [Both

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 heid on an unlicensed premises will require approval and signature by the Local Governing
Body on page 3. (If checked move to section 4)

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

Name of Business license Number Phone (Include Area Code}

Clpiace 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

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

LJbispense and serve all 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

Lispiit premise between special event and retail location - Both the special event licensee and the retailer will conduct
sales of alcohol, (These sates 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 alcohol that is dispensed by the licensed retailer.)

Clot Sate only - Wine/Distilled Spirits Pull, Live or Silent Auctions — Retailer will still be permitted to conduct all 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 [7] No If yes, attach letter of explanation.

2, How many special event days have been issued to this organization during the calendar year? 0

3. 1s 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 alcoho! on behalf of the licensee. If no special event contractor is listed, the licensee is
responsible for fhe sales and service of alcohol. }

Aravaipa Running LLC

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

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 tne special event contractor)

D Yes ¥INo 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 requiring ADA accommodations please call (602}542-2999

West Valley Trail Alliance Percentage: 100%

Name:
Address: 14295 W. Roanoke Ave. Goodyear, AZ 85395
Street City State lip
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.

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.

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) Brian Murphy , 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, — a, ws

Si ure

LOCAL GOVERNING BODY

Date Received:
I recommend LIAPPROVAL [1 DISAPPROVAL
(Government Official) (Title)
On behalf of , , ,
(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 fo 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

DIAPPROVAL CL] DISAPPROVAL BY: DATE:

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

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