REIGNING GRACE RANCH_REDACTED.PDF

DLLC USE ONLY.

SPECIAL EVENT LICENSE er
APPLICATION FEE $25.00 PER DAY Pete Acceple
CSR:
Acizona Department of Liquor Licenses and Control
$00 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:

Moore Amanda
(Must be an Officer/Member of the No Middle

n Profit Entity) to First
2. Applicant's mailing address:
i City up

Applicant's business phone: 4804662154

3. Applicants home/cell phone:

4. Applicant's email address:
Reigning Grace Ranch - Electric Cowboy Days

ical Pary/Gov., Reigning Grace Ranch

5. Special Event Name:

6. Name of Non-Profit Organization, Candidate or Pol

453219899
#: 17015884 _ i out of State please specify:
(

=
‘Attach letter of good standing) ‘

7. Non-Profit/IRS Tax Exempt Number

8. Arizona Corporation Commission File

9. Event Location Name: Reigning Grace Ranch

10. Event Address: 28614 N 172nd Street , Rio Verde, AZ , 85263

Dates ond Hours of Event - Days must b)
APPLICATION FOR EACH “NON-CONSECUTIVE” DAY **

e consecutive and may not exceed 10 consecutive days.

**SEPARATE APPLICA

Days Date Day of Week sabaphet oth een eA

DAY 1: 11/22/2024 Friday 5:00 PM 10:00 PM

DAY 2: __ _ _

DAY 3:

DAY 4:

DAY 5:

DAY 6:

DAY 7: 7 a RECEIVED

DAY 8: — OCT 03 294

DAY 9: _ MARIC

DAY10: CLERKBOARD OF SUPERVISORS
2/6/2023 Page t of 3

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?
(Ust type and number of police/securlty personnel and type of fencing or control barrlers, If applicable.)

Number of Police 3 ___ Number of Securily Personnel (Fencing Carriers

Must explain security measures: Entire property is enclosed fencing, event space area will also be enclosed.

We will have 3 off duty Arizona Rangers on site along with the full time staff as a supplement.

SECTION 3 What is the purpose of this event?

[4Jon-site consumption (lot-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) [4] 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}

8) [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)

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

Dbispense 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

[dispense and serve alll 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 separated from any alcohol
used during the special event. Must attach letter from the location suspending license for duration of special event

Ospiit 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 alcohol that is dispensed by the licensed retailer.)

(o# sale 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. Hos the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years?
OD Yes LJ No ff yes, atlach letter of explanation.

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

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. }

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)

(Yes [YJ 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 requiring ADA accommodations please call (602}542-2999

Name: Reigning Grace Ranch _ Percentage: 100%

Address; 28150 N Alma School Pkwy STE 103-481, Rio Verde, AZ, 85262

Steel Ccily State ip
Name: Percentage:
Address:

Street City State Tip

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.

SECTIONS 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 diagrarn

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 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) Amanda Moore

. deglare under penaliy of perjury that | am
oa and to the best of my knowledge

Signature

LOCAL GOVERNING BODY

Date Received:

I, recommend Maprroval (] DISAPPROVAL
(Government Official) (Title)

On behalf of

(City, Town, County) Signature Date Phone

The focal 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.

AIDLLC USE ONLY

DAPPROVAL CJ DISAPPROVAL BY: _ DATE:

2/6/2023 Page 3 of 3 ,
Individuals requiring ADA accommodations please Call (602]542-2999

Reigning Grace Ranch

e License Type: Special Event License
¢ Business Name: Reigning Grace Youth Ranch
¢« Business Address: 28614 N 172nd, Rio Verde, AZ, 85263

Property Map - Satellite

Main Property — Structure Indication

(ayuaD
sujusery |
@':

=
=
- *

¢ -
ie* “
a

os

|
«
.«¢
a

*
id

(Google s1289:18"

Event Location

* This is where on the property that the event will be taking place,
along with its Parking designation

* No event participants will be in other locations on the property

| rowel: x (teats

Property Notes

* Event will take place in the designated "Event Space" location on
Property

¢ Event Parking is located at the top and at the entrance to the
property

° Walkways are intentionally and properly marked and lighted for
event participants to navigate the property

* Event Space is clearly set aside from the property to prevent
“wandering”.

Event Space — Floor Plan

Bathroom Trailer

fb)
(S)
>
se
fed)
ep)
~
00
=
a
=
igo)
(a4
ss
(S)
=
=
b-
xe)
fe)
(e}
LL

| =
ance Stage

(GAAAlS
~/

Event Area Dimension Notes

| Securitv Checkpoint

Family Games

e Parking Area #1: 250' x 120'

° Parking Area #2: 230' x 140'

e Event Space: 150' x 80'

¢ Fire Pits: 10' x 10'

¢ Food Truck Parking: 20' x 130'
¢ Bar Service Area: 24' x 10'

e Performance Stage: 20' x 40’
¢ Dance Floor: 20' x 40’

¢ Bathroom Trailer: 36' x 10'

= =° Family Games: 40' x 20'
Dance Floor }j ° Dining Tables Area: 40° x 20'

"Picnic Style |
Dining Tables

* >
Water / Center Bole
.

Jegeones iim

o
S
fe
a
ip)
>
0
S
Ss
=
ia)
oO
as
oO
5
=
Ie
ko)
fe)
fe)
me

Performance Stage

Event Area Notes

¢ Area is open air, but will be fenced off in order to contain alcohol
consumption to the specific area.

* Entrance & Exit section will have a security checkpoint to prevent
Alcohol from leaving the event area

¢ Bathrooms will be provided by a third party Restroom Trailer
company

* Fire Pits each have a water source immediately next to the area.
* Trash Bins will be located around the Rim of the Event Space

* Event Space is lighted by LED Einstein Bulb Lights hung from Poles
Surrounding the Event Space, as wellas stage lighting

Parking & Exfil Diagram

wa ‘c. ty CMa

:
¢
’
'
° ‘

Parking tts

(3 F ’

:
 O Fare! - E008) arin

Parking & Exfil Notes

¢ There are clearly marked roadways for vehicle traffic, at least 100ft
away from all pedestrian walkways

¢ Main Entrance & Exit is located at the East end of the Property,
leading to 172nd.

¢ There is an emergency exit leading to 169th out the West Side of
the property.

¢ There are Event Parking lots on both the East and West Ends of the
property

Security Notes

¢ Security will be serviced by staff, as well as off duty Law Enforcement /
Arizona Rangers

* There will be a Security Check point at the entrance/exit to the Event Space,
as well as at the Entrance/Exit of the property to ensure safety, as well as
alcohol control

* There will be a policy to prevent alcohol from leaving the Event Space to
prevent open container consumption and offsite consumption

* The Event Space will be clearly marked as the only location that alcohol
consumption will be allowed.

* All Alcohol servers will be checking Identification of every patron to prevent
under-age consumption

* All adults of legal drinking age will be given designated wrist bands to help
with the legal consumption of alcohol