BRIARWOOD COUNTRY CLUB_REDACTED.PDF

Maricopa County — Formal (2024-10-23)

Extracted text (via ocr_local) 23137 characters

This Application for Bingo License Packet includes:
e Arizona Form 833 — Application for Bingo License
e Arizona Form 830 — Affidavit

e Arizona Form 832 —
Endorsement by Local Governing Body

It is advisable that you obtain and review a copy of the
Arizona Revised Statutes on “Games of Bingo” and the
Administrative Rules prior to initiating an application.
These documents outline qualifications and requirements
for obtaining a bingo license and may be obtained from:

° www.azleg.gov/ and
° www.azsos.gov/public_services/table_of_contents.htm

All forms must be complete and legible. Please type or
print using black ink only. Forms are available in a fillable
pdf format at Arizona Department of Revenue (ADOR)
web site www.azdor.gov. Be sure to include on your
application a telephone number where you (or another
party responsible for the games) can be reached during
the day.

The bingo license package for new license and appropriate
fees must be sent to and approved by the local governing
body (the city council for incorporated cities or the county
board of supervisors for unincorporated areas) prior
to submission to the ADOR Bingo Section. Upon their
approval or disapproval, the local governing body will
forward the license package to the ADOR Bingo Section.

Endorsement By Local Governing Body Form

Complete lines 2, 3, and 4 of Arizona Form 832,
Endorsement by Local Governing Body and submit to
your local governing body with the bingo license package.
A bingo license cannot be issued until this form is
received by the ADOR Bingo Section.

As part of the review of your application for a bingo license,

the ADOR Bingo Section will conduct _an analysis of
any purchase agreement for either equipment and/
or_ real property to determine that such agreement

is_bona fide. This analysis is conducted pursuant to
A.R.S. 5-406.F. The Bingo Section does not “approve”
these agreements as to content or other legal ramifications.
You are strongly advised to consult with independent legal
counsel to determine your rights and obligations under
these agreements.

If you need additional forms or have any questions, please
call the ADOR Bingo Section in Phoenix at (602) 716-7801.

_ Arizona Department of Revenue |

Application for Bingo License Packet

CHECKLIST:

Send copies of all documents listed below unless otherwise
noted. Before mailing, check to make sure that you have
included the following:

1[] Original completed Application for Bingo License
(Arizona Form 833).

2] Original completed affidavits (Arizona Form 830).
Class B and Class C applicants must include a
completed affidavit for each person participating
in the conduct of your games. Class A applicants
must include a complete affidavit for each person
participating as a manager, proceeds coordinator
and supervisors.

3] Rental agreement if more than one licensee is using
the same rented premises in which to hold bingo.

4] Application for Special Bonus Game (Arizona Form
831) available at www.azdor.gov. If you do not
conduct special bonus games do not complete the

application.
5L] License fee payable to the Arizona Department of
Revenue:
License Type Fee
{Class A $10.00
Class B $50.00
Class C $200.00

6L] The local governing body fee will be payable to the
appropriate local governing entity:

License Type Fee
Class A $5.00
Class B $25.00
Class C $50.00

7L] If applying as a qualified organization, a current
membership list must be submitted and must
indicate initial membership dates for all members
of the applicant organization. Any person from any
branch of the applicant who will be participating in the
operation of bingo games must be included on the
membership list.

8] If applying as a qualified organization, the following
must be submitted: charter documents, articles
of incorporation, corporate bylaws, articles of
association, minutes of the establishment meeting,
and minutes of meetings for two years (two months of
each year) immediately prior to the date of application
for the applicant, parent and auxiliary.

9] Purchase agreement for real property (where
applicable).

10] Purchase agreementbill of sale for bingo equipment
and supplies.

11] Original local governing body endorsement.

ADOR 10331 (2/20)

Arizona Form 833

Application for Bingo License

information is subject to verification. If you need more space, attach additional sheets.

¢ All bingo licenses expire one year from the date of issue. To continue conducting live bingo games, you must renew your license
prior to the expiration date pursuant to A.R.S. §§ 5-403(C) and 5-410.

1 Applicant's Name
Briarwood Country Club

2a Mailing Address
20800 N 135th Ave

Falsification of information
contained in this application
constitutes a Class 6 felony.

2b City
Sun City West

State ZIP Code
AZ 85375

3a Administrative Office Location

20800 N 135th Ave

3b City
Sun City West

State ZIP Code

AZ 85375

4a Name of Contact Person
Maureen Algerio

4c E-mail Address

4b Telephone No.

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

4c Fax No.

PM RCVD

5 Class B and Class C license applicants only: If applying as a qualified organization, check one box to indicate the type of

organization:

1 Charitable 0 Social

O Fraternal 0 Volunteer Fire Department

O Religious

0 Veterans

0 Homeowners Association 01 Nonprofit Ambulance Service

6 Class B and Class C license applicants only applying as a qualified organization, provide parent or auxiliary information:

6a Parent Name

6b Auxiliary Name

Address — Number and Street, Rural Rt., Apt. No.

City

State ZIP Code City

State ZIP Code

7 Class B and Class C license applicants only applying as a
Directors of the organization:

qualified organization, list the current officers or Board of.

Ta Name

7b Name

Title

Address — Number and Street, Rural Rt., Apt. No.

City State ZIP Code City State ZIP Code
7c Name 7d Name
Title Title

Address — Number and Street, Rural Rt., Apt. No.

City

State ZIP Code City

State ZIP Code

8 Class B and Class C license applicants only: Bingo checking account information:

Checking Account Number

Bank Name

Bank Branch

Continued on page 2 >

ADOR 10334 (2/20)

Applicant's Name (as shown on page 1)

Briarwood Country Club

APPLICATION FOR BINGO LICENSE

9 Class B and Class C license applicants only: Bingo interest-bearing account information:

Account Number Bank Name

Bank Branch

Class B and Class C license applicants only: List all officers and/or supervisors authorized to sign checks from the accounts
listed above. If applying as a qualified organization, all supervisors must be members of the applicant:

10a Name

10b Name

Title

List the name(s) of the one or two persons who will serve as managers. If applying as a qualified organization, these persons
must be members of the applicant. Each person must submit an affidavit.

11a Name 11b Name
Maureen Algerio

Title Title
Controller

List the name of the one person designated as proceeds coordinator. If applying as a qualified organization, this person must be
an officer or director and a member of the applicant. Each person must submit an affidavit.

Name
Joann Volistedt

Title
Receptionist

List the name(s) of the person(s) who will serve as supervisor. If applying as a qualified organization, each person must bea
member of the applicant. Each person must submit an affidavit. If additional names are required, please attach affidavits.

13a Name 13b Name
Maureen Algerio

Title Title
Controller

List the name(s) of the person(s) who will serve as assistants. if applying as a qualified organization, each person must bea
member or new member of the applicant. Except for “Class A” licensees, each person must submit an affidavit.

Accounting Assistant

14a Name 14b Name
Lisa Hull
44c Name 14d Name

Street address of the PHYSICAL location where live bingo will be played:
20800 N 135th Ave Sun City west, AZ 85375

Games of Bingo must not exceed 5 days a week. Indicate the time on each respective day that live bingo will be played:

SUN MON TUE WED THUR FRI SAT
Dam. Olam. Olam. Olam. Olam. Oa.m. Oa.m.
p.m.) —Op.m.| 6:00 __.Bdp.m. sCp.m. —Cp.m. sOp.m. sCp.m.

Continued on page 3 >

ADOR 10334 (2/20)

Arizona Form 833 Page 2 of 5

Applicant's Name (as shown on page 1)

Briarwood Country Club

APPLICATION FOR BINGO LICENSE

17 Indicate the type of premises where bingo will be played. Check one box:

a [J Neither rent nor mortgage will be paid from bingo funds.

b (J Rented or leased. Attach rental affidavit and copy of rental agreement.

Landlord's Name

Address — Number and Street, Rurai Rt., Apt. No.

Telephone Number (with area code)

City State ZIP Code

c (J Owned solely by the organization. Attach copy of mortgage, deed of trust, purchase agreement, escrow agreement, or

other related document:

1) Holder of Mortgage

Address — Number and Street, Rural Rt., Apt. No.

Telephone Number (with area code) City State ZIP Code
2) Co-Owner Holder: Address — Number and Street, Rural Rt., Apt. No.
Telephone Number (with area code) City State ZIP Code
3) Co-Owner Holder: Address — Number and Street, Rural Rt., Apt. No.
Telephone Number (with area code) City State ZIP Code

48 List bingo licensees who are or will be conducting bingo in the same premises as you and those licensees located within 1,000

feet of your premises:

18a “Sha

18b Name

Address — Number and Street, Rural Rt., Apt. No.

City State

ZIP Code

City State ZIP Code

Continued on page 4 >

RECEIVED

AUG 2 1 2024
MARICOPA COUNTY

PERVISORS
CLERK BOARD OF SU wy o/

ADOR 10334 (2/20)

Arizona Form 833

Page 3 of 5

Applicant's Name (as shown on page 1)

Briarpwood Country Club

APPLICATION FOR BINGO LICENSE

19 Expected bingo expenses:

a Mortgage: $ en

per month

Payable to

‘Address — Number and Street, Rural Rt., Apt. No.

Telephone number (with area code)

City

State ZIP Code

b Rent: $

per (J month (hour 1 occasion

Payable to

Address — Number and Street, Rural Rt., Apt. No.

Telephone number (with area code)

City

State ZIP Code

c Janitorial Services: $_________..

per (J month (hour ©) occasion

Payable to

Address — Number and Street, Rural Rt., Apt. No.

Telephone number (with area code)

City

State ZIP Code

d Accounting Services: $_________

per month (hour (J occasion

Payable to

Address — Number and Street, Rural Rt., Apt. No.

Telephone number (with area code)

City

State ZIP Code

e Security Services: $ —____.

per (J month [hour ( occasion

Payable to

‘Address — Number and Street, Rural Rt., Apt. No.

Telephone number (with area code)

City

State ZIP Code

f Bingo Supplies: $__100

, per Mon

Payable to

WWYAZON >

‘Address — Number and Street, Rural Rt., Apt. No.

Telephone number (with area code)

City

State ZIP Code

20 Who is your live bingo supplier? (For all bingo supplies).

your live bingo games?
Limazs n

Do you foresee purchasing/renting machines as “technological aids for

Continued on page 5 >

ADOR 10334 (2/20)

Arizona Form 833

Page 4 of 5

pee Name (as shown on page 1)
B

riarwood Country Club APPLICATION FOR BINGO LICENSE

1, Maureen Algerio , under penalty of perjury and upon oath, declare that 1 am duly authorized to sign
and file this application. I hereby swear or confirm that I have read the foregoing application and know the contents thereof and that
all information provided has been fully, accurately, and truthfully completed to the best of my knowledge.

Wa wree Mere q| ) u| OY Controller

APPHICANT'S ATE TITLE

Please mail to:
Arizona Department of Revenue
4600 W Monroe Street, Division Code 22
Phoenix, AZ 85007

® (602) 716-7801

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

(Approved (J Disapproved (IClassALicense (Class B License

(Class C License

Reviewer's Name (please print) Date License Number Effective Date

Expiration Date

ADOR 10334 (2/20) Arizona Form 833

Page 5 of 5

Arizona Form
830

Affidavit

Bingo

This affidavit must be completed by each person

who wishes to assist in the conduct of any game of bingo. If any information is blank or incorrect, the
affidavit will be returned to you. All information is subject to verification. Disclosure of your Social Security Number (SSN) is voluntary. This information
may be used to establish positive identification for purposes of criminal background checks pursuant to A.R.S. § 5-404.

Licensee's Name

Briarwood Country Club

License Number

Position (check the appropriate boxes):

[Manager [1] Supervisor il Proceed Coordinator C1 Assistant
Affiant's Name

Joann Vollstedt

Social Security Number Date of Birth

one No. (with area code)

Work Phone No. (with area code,

(623) 584-5600

REVENUE USE ONLY, DO NOT MARK IN THIS AREA.

RCVD

If licensee is a qualified organization, complete the following section:

Member? Date Joined Organization
OYes [INo

Officers? Officer Title

Dyes DINo

OYes [DINo

Do you have an affidavit on file for any other licensee?
If “Yes”, list license number(s):

1, Joann Vollstedt

AFFIANT S NAME

knowledge.

and say that I will conduct or assist in conducting all bingo games in compliance with the terms of the license, Arizona Revised
Statutes, Title 5, Chapter 4, and the rules of the licensing authority. I am of good moral character and have never been convicted of
any misdemeanor involving moral turpitude or felony. I have not and shall not receive any reward, compensation or recompense
for my participation in the conduct of bingo games except as provided for by law. I hereby swear or confirm that I have read

and understand the foregoing and verify that the information and statements made herein are true and correct to the best of my

, the above-named affiant, under penalty of perjury, upon oath, depose

Date

Please mail to:
Arizona Department of Revenue

1600 W Monroe Street, Division Code 22

Phoenix, AZ 85007

ADOR 10327 (2/20)

®B (602) 716-7801

Arizona Form
830

This affidavit must be completed by each person who wishes to assist in the conduct of any game of bingo. If any information is blank or incorrect, the
affidavit will be returned to you. All information is subject to verification. Disclosure of your Social Security Number (SSN) is voluntary. This information
may be used to establish positive identification for purposes of criminal background checks pursuant to A.R.S. § 5-404.

Affidavit Bingo

Licensee’s Name License Number

Briarwood Country Club
Position (check the appropriate boxes):

Bad Manager _& Supervisor__[7] Proceed Coordinator (1 Assistant REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

Affiant's Name

Maureen Algerio
Social Security Number

Date of Birth

ZIP Code

PM RCVD
. (with area code) Work Phone No. (with area code)
(623) 556-8803
If licensee is a qualified organization, complete the following section:
Member? Date Joined Organization
Clyes [I No
Officers? Officer Title
DlYes [No
Do you have an affidavit on file for any other licensee?
DlYes [INo _ If“Yes’, list license number(s):
I, Maureen Algerio , the above-named affiant, under penalty of perjury, upon oath, depose

AFFIANT S NAME
and say that I will conduct or assist in conducting all bingo games in compliance with the terms of the license, Arizona Revised

Statutes, Title 5, Chapter 4, and the rules of the licensing authority. 1 am of good moral character and have never been convicted of
any misdemeanor involving moral turpitude or felony. T have not and shall not receive any reward, compensation or recompense
for my participation in the conduct of bingo games except as provided for by law. T hereby swear or confirm that I have read
and understand the foregoing and verify that the information and statements made herein are true and correct to the best of my

knowledge.

Signature of Affiant 7 U7

fis/ey

Date

Please mail to:
Arizona Department of Revenue
4600 W Monroe Street, Division Code 22
Phoenix, AZ 85007

® (602) 716-7801

ADOR 10327 (2/20)

Details for Order ia

Print this page for your records,

Order Placed: September 4, 2024

Amazon.com order number: iS

Order Total: $119.96 _

Not Yet Shipped

Items Ordered Price
1 of: Bulk Purchase--set of 48 Dab-o-ink 3 Oz Bingo Daubers $56.95
Sold by: martysbingo (seller profile) | Product question? Ask Seller
Supplied by: Other

Condition: New

1 of: American Games Bingo Paper Game Cards - 3 Card ~ 10 Bingo Sheets - 100 Books - 10 Colors, Made in USA $27.95
Sold by: martysbingo (seller profile) | Product question? Ask Seller

Supplied by: Other

Condition: New
1 of: American Games INC 3 on Yellow Bingo Paper Cards - 1000 Sheets - 3000 Cards $27.95
Sold by: martysbingo {seller profile) | Product question? Ask Seller

Supplied by: Other

Condition: New

Shipping Address:

JoAnn Vollstedt

20800 N 135TH AVE

SUN CITY WEST, AZ 85375-2545
United States

Shipping Speed:
FREE Prime Delivery

Payment information

Payment Method: Item(s) Subtotal: $112.85

Billing address . Total before tax: $112.85
JoAnn Vollstedt Estimated tax to be collected: $7.11

| hereby certify that PIONEER TITLE AGENCY, INC.

this is a true & exact 1550 E. Missouri Ave., Phoenix, AZ 85014
copy of the original. Phone: (602) 943-0184
Pioneer Title Agency, Inc. Combined Settlement Statement

By: Dea Final

Escrow i Close Date: 08/09/2024 Proration Date: Date Prepared: 8/12/2024

Buyer(s)/Borrower(s): Canyon Industrial Partners, LLC, an Arizona limited liability company

Seller(s): Swing First Golf, LLC, an Arizona limited liability company
Property: Type 2 Non-Irrigation GFGW Rights
AZ
Buyer Debit Buyer Credit Description Seller Debit Seller Credit
TOTAL CONSIDERATION:
2,601,210.00 Total Consideration 2,601,210.00
25,000.00 | Earnest Deposit
2,585,000.00 | Buyer closing funds
ESCROW CHARGES
2,354.00 Escrow Charge to Pioneer Title Agency, Inc. 2,354.00
15.00 Wire Fees to Pioneer Title Agency, Inc. 15.00
30.00 Courier & Fed Ex Fees to Pioneer Title 30.00
Agency, Inc.
RECORDING FEES:
45.00 Record SWD ($30 x 3) to Pioneer Title 45.00
Agency, Inc.
15.00 Record Partial Release to Pioneer Title 15.00
Agency, Inc.
ADDITIONAL CHARGES:
750.00 ADWR Transfer Fees ($500. x 3) to ADWR 750.00
Loan paydown for partial release to Alerus 50,000.00
Bank fee to Alerus 300.00
2,604,419.00 2,610,000.00 |Sub Totals 53,509.00 2,601,210.00
5,581.00 Refund Due Buyer Proceeds Due Seller 2,547,701.00
2,610,000.00 2,610,000.00 j Totals 2,601,210.00 2,601,210.00

Printed by Donna Walt on 8/12/2024 - 1:11:42PM Page 1 of 1

OFFICIAL RECORDS OF
MARICOPA COUNTY RECORDER
STEPHEN RICHER
20240425822 08/12/2024 09:41
ELECTRONIC RECORDING

7250MAD00238-3-7-1--
sotor

CITY OF ARIZONA §

COUNTY OF MARICOPA §

PARTIAL RELEASE OF LIEN
(DEED OF TRUST)

This Partial Release of Lien, made as of the hid day of August, 2024, by Alerus
Financial, N.A., chartered under the laws of the United States of America, having an address at
2300 S Columbia Rd, Grand Forks, ND 58201 (“Lender”), the legal and equitable owner of
that certain PROMISSORY NOTE dated June 15, 2023, by Swing First Golf, LLC
(“Borrower”) in favor of Lender in the original principal amount of TWO MILLION FIVE
HUNDRED AND FORTY SEVEN THOUSAND AND NO DOLLARS ($2,547,000.00)
(“Note”), as described in and secured by the DEED OF TRUST dated June 15, 2023, from
Borrower to Alerus Financial, N.A., organized or registered in the United States of America
under the laws of the State of Arizona, having an address at 4686 E Van Buren Ste 150, Phoenix,
AZ 85008 (“Trustee”) for the benefit of Lender, recording number 20230313957, in the official
real property records of Maricopa County Arizona (“Deed of Trust”).

For Ten Dollars ($10.00) and other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, Lender hereby releases and discharges from the
lien of the Deed of Trust that certain property more particularly described on Exhibit A attached
hereto, holding, and retaining the lien of said Deed of Trust with respect to all other property
and collateral described therein, and not otherwise previously released by Lender.

IN WITNESS WHEREOE, Lender has duly executed this Partial Release of Lien as of
the date first written above.

LENDER:

Alerus Financial, N.A.

By: WAcbaf) Weitere

Name: Michael Morano
Title: Regional Credit Officer

CITY OF ARIZONA §

COUNTY OF MARICOPA §

The foregoing instrument was acknowledged before me this g = day of August, 2024,
by_fWreheet Méeleweé as Regional Credit Officer of Alerus Financial,
N.A., on behalf of such entity.

ma
GIVEN under my hand and Notarial Seal this bia day of August, _ 2024.

A wea
ANNA B GARCIA Notary: Lge Pye:

Notary Public, State of Arizona,
Maricopa County

Commission #630855 Printed Name: Kana 2B Ged

My Commission Expires

May 05, 2026

Notary Public, State of Arizona

My Commission Expires: SKI 20r-G

After Recording Return to:
Alerus Financial, N.A.
4686 E Van Buren, Ste 150
Phoenix, AZ 85008

ona Form 832 Endorsement by Local Governing Body Bingo

FOR OFFICIAL USE ONLY PURSUANT TO A.R.S. § 5-404.A

e License Applicants: Complete lines 2, 3, and 4. Submit with entire license package to local governing body.

e Local Governing Body: Complete and return with license package to the Department of Revenue Bingo Section.
A.R.S. §§ 5-409 and 5-410

(J New Application

(J Change of Location

Date

License Number

From (Name of local governing body)

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

Address (number and street, PO Box)

City

State

ZIP Code

Phone No. (with area code)

PM RCVD

1 This is to certify that on a hearing was conducted pursuant to Arizona Revised Statute, Title 5,
Chapter 4, in the matter of:
D1 Application for a bingo license by the following applicant.
D Application for a bingo license location transfer.

2 Applicant's Name

Briarwood Country Club

3 Location/Address where live bingo will be conducted:

City

State |ZIP Code

20800 N 135th Ave Sun City West AZ 85375
4 Fillin the time on the days live bingo will be played:
SUN MON TUE WED THUR FRI SAT
Oa.m. Oa.m. 4: Olam. Olam. Oa.m. Dam. Ola.m.
Cp.m.|. Op.m, |. 6:00 ‘S5tp.m, . =Cp.m.. : p.m. |. —Op.m. »Cp.m.

5 Who is your live bingo supplier? L
VWYVGZOY

6 Recommendation for the application: [] Approved

0 Disapproved

7 Specific reasons for disapproval are hereby listed pursuant to A.R.S. § 5-404.1:

PRINTED NAME

This endorsement must be signed by a delegated authority of the local governing body.

SIGNATURE

DATE

TITLE

Please mail to:
Arizona Department of Revenue
4600 W Monroe Street, Division Code 22

Phoenix, AZ 85007

® (602) 716-7801

ADOR 10326 (2/20)