HAWES TRAIL ALLIANCE_REDACTED.PDF

DLLC USE ONLY

Job #: “|
Arizona Department Liquor License and Control
800 W Washington St. 5! Floor Date Accepted:
Phoenix, AZ 85007-2934 CSR:
azliquor.gov :
602-542-5141 ticense #: |

SPECIAL EVENT LICENSE APPLICATION
FEE $25.00 PER DAY

A service fee of $25.00 will be charged for all dishonored checks (A.R.S § 44-6852
1-10 days consecutive days only, Cash, Checks or Money Orders Only

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: Tom Stapley

2, Applicant's mailing address:

State Zip
ms business phone: 480 252-5444

3. Applicants home/cell phone:

4. Applicant's email address:

SECTION 2 Name of Non-Profit Organization, Candidate or Political Parly/Gov.: Hawes Trail Alliance

SECTION 3 Non-Profit/IRS Tax Exempt Number: 83-3046224
SECTION 4 Event Location: Usery Mountain Regional Park 3939 N Usery Pass Rd Mesa, AZ 85207

SECTION 5 Dates and Hours of Event, Days must be consecutive but may not exceed 10 consecutive days.
See A.R.S. § 4-244(15) and (17) for legal hours of service.

““SEPARATE APPLICATION FOR EAGH “NON-CONSEGUTIVE” DAY**

Event Start License End
Days Date Day of Week Time AM/PM Time AM/PM

DAY I: 11/13/2022 Sunday 10:00AM 5:00PM

DAY 2:

DAY 3:

DAY 4:

DAY 5:

DAY 6:

DAY 7:

DAY 8:

DAY 9:

DAY10:

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Individuals requiring ADA accommodations please call (602)542-9027

SECTION 6 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 contro! barriers, if applicable.)

Number of Police 1 Number of Security Personnel [Fencing Carriers
Explanation: ID checks and wristbands to those 21 years and older. AZ certified bartender will remain

at the entrance/exit of the fenced beer garden for the duration of the event to ensure no alcohol

leaves the designated beer garden. No food/perishables will be served.--Canned beer only.

SECTION 7 Will this event be held ona currently licensed premises and within the already approved premises?

ClYesEINo if yes, Local Governing Body signature is not required.

Name of Business license Number Phone (Include Area Code)

SECTION 8 How is this special event going to conduct all dispensing, serving, and selling of spirituous liquors? Please read
R-19-318 for explanation and check one of the following boxes.

CPlace license in non-use

Dbdispense and serve alll spirituous liquors under retailer's license
M1dispense and serve alll spirituous liquors under special event
Dspiit premise between special event and retail location

SECTION 9 What is the purpose of this event?
[on-site consumption Clottsite {auction/wine/distilled spirits pull} [Both

SECTION 10

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

2. How many special event days have been issued to this organization during the calendar year? 5

3. Is the Organization using the services of a Licensed Contractor?

[1 Yes C1 No if yes, please provide the Name of the Licensed Contractor: Aravaipa Running LLC

4, Is the organization using the services of a series 6, 7, 11, or 12 licensee to manage the sale or service of alcohol?

1 Yes 1 No if yes, please provide the Name of Licensee: License #:

5. The applying non-profit organization must receive 25% of the gross revenues of the total liquor sales. List the names
of the individuals or organizations who will receive the rest of the proceeds, MUST EQUAL 100%.

Name: Hawes Trail Alliance percentage: 100%
Address: 2047 E Minton St Mesa AZ 85213

Street City State Zip
Name: Percentage:
Address:

Street City State Zip
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Individuals requiring ADA accommodations please call (602)542-9027

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,

NO ALCOHOLIC BEVERAGES SHALL LEAVE A SPECIAL EVENT UNLESS THEY ARE IN AUCTION WINE OR DISTILLED SPIRITS
PULL SEALED CONTAINERS OR THE SPECIAL EVENT LICENSE IS STACKED WITH WINE /CRAFT DISTILLERY FESTIVAL LICENSE,

SECTION 1] 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.

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 government before submission
to the Department of Liquor Licenses and Control. Please contact the local governing board for additional application
requirements and submission deadlines, Additional licensing fees may also be required before approval may be granted. For
more information, please contact your local jurisdiction.

SIGNATURE

|, (Print Full Name) _[Ce4_+ Sages hereby swear under penalty of perjury and in compliance
with A.R.S, § 4-210(A)(2) and (3) that | have redd and understand the foregoing and verify that the information and

statements that | have made herein are frue and correct to the best of my knowledge.

Applicant ed DIN

ql

GOVERNING BOARD

Date Received:

recommend Claprroval (1 DISAPPROVAL

(Government Officlal)

On behalf of

(City, Town, County) Signature

DLLC USE ONLY

DCAPPROVAL 1 DISAPPROVAL BY:

ARS. § 41-1030. Invalidity of rules not made according to this chapter; prohibited agency action; prohibited acts by
state employees: enforcement; notice

8, An agency shall not base a licensing decision in whole or in part on a licensing requirement of condition that is not specifically
authorized by statute, rule or state tribal gaming compact. A general grant of authority in statute does not constfitule a basis for imposing a
licensing requirement or condition unless a rule is made pursuant fo that general grant of authority that specifically authorizes the requirement
or condition.

D. This section may be enforced in a private civil action and relief may be awarded against the state. The court may award
reasonable atlorney fees, damages and ail fees associated with the license application fo a party that prevails in an action against the sate
for a violation of this section.

E. A state employee may not intentionally or knowingly violate this section, A violation of this section is cause for disciplinary action
or dismissal pursuant to the agency's adopted personnel policy,

F. This section does noi abrogate the immunity provided by section 12-820.01 or 12-820,02.

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Inclividuals requiring ADA accommodations please call (602}542-9027

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