WISCONSIN CLUB OF SUN CITY_REDACTED.PDF

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 license #
(602) 542-514]

“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.

ae Lund Daryl Bert
1. Applicant:
(Must be an Officer/Member of the No} tf
City State Tip
3. Applicants home/cell phone: Applicant's business phone:

4. Applicant's email address!
Wisconsin Picnic of Sun City

5. Special Event Name:

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

7. Non-Profit/IRS Tax Exempt Number: WI Club 61-1849230 _RCSC 86-0214132
8. Arizona Corporation Commission File #:

\f out of State please specify:

9. Event Location Name: (Attach letter of good standing)
Sun Bowl Sun City AZ 85351

10. Event Addres¥q999 NN 107th Avenue Sun City AZ 85351

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

\TION FOR EACH “NON-CONSE

Days Date Day of Week a ale AIM ae EM

DAY 1: 3/13/2025 Thursday 10:00AM 3:30PM

DAY 2:

DAY 3:

DAY 4:

DAY 5:

DAY 6:

DAY 7:

DAY 8: RECEIVED

DAY 9: SEP 26 2024

DAY10: MARICOPA COUNTY
2/6/2023 Page 1 of8 CLERK BOARD OF SUPERVISORS

Individuals requiring ADA accommodations please call oer x | YE

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 bartiers, if applicable.)

1LES Officer Number of Police 1 OF 2 Number of Security Personnel (Fencing [Barriers

Must explain security measures: Law Enforcement Specialists have been contracted to provide Security 1 police officer.

The Sun City Posse will also have 1-2 members present.

SECTION 3 What is the purpose of this event?

[On-site consumption (Jott-site (auction/wine/distilled spirits pull) [oth
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)

B) [-] Will this event be held on a currently 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 letter from the location suspending license for duration of special event

[Dispense 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

LIDispense 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

[split 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 fhe alcoho! that is dispensed by the licensed retailer.)

(lott 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, Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years?

(1 Yes [YZ] No If yes, attach letter of explanation.

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

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. }

(1 Yes I No If yes, please provide the Name of the Special Event Contractor:

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 to be the special event contractor)

(Yes [YJNo 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

Wisconsin Club of Sun City 100%

Name: Percentage:
Address: 11815 N 97th Avenue Sun City AZ 85351
Street City State Zip
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_S 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.
RAM
PAY

ATTACH DIAG

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) Daryl Lutidclare under penalty of perjury that | am
authorized to submit this application. thaveread the contents of this application, and to the best of my knowledge

believe all statements made on this application to be true, correct and complete.

A

LOCAL GOVERNING BODY
Date Received:

\ recommend [CIAPPROVAL [1] DISAPPROVAL
(Government Official) {Tifle)

On behalf of

(City, Town, County) Signature

The local governing body (city, fown or municipality where the fair/festival will fake 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 submitted. Additional licensing fees may also be required before approval may be granted.

AZDLLC USE ONLY

CIAPPROVAL CJ DISAPPROVAL BY: DATE:

2/6/2023 Page 3 of 3
Individuals requiting ADA accommodations please call (602)542-2999

Aerial View Sun Bowl Sun City AZ
10220 N 107th Avenue Sun City AZ 85351
Site of the Wisconsin Picnic March 13, 2025

Applicant for Special Event Liquor License

Daryl Lund, Past President WI Club of Sun City
11815 N 97" Avenue Sun City AZ

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*) [ LAW ENEORCEMENT
SS) sreciaiss, nic

September 13, 2024

To whom it may concern,

This letter serves as a notice that Wisconsin Club of Sun City has hired/contracted Law
Enforcement Specialists for one off-duty officer for their event on 3/13/2025 from 10am-330pm. If
you have any questions, please contact our scheduling supervisor Becky Bernal, at 623-825-6700

or email info@lesaz.com. Thank you

Chri
Scheduling Coordinator

P.O. Box 11656, Glendale, AZ 85318 Office: 623-825-6700 Fax: 623-825-6718 Email: info@lesaz.com

RECEIVED JAN 08 2024

CLUB REQUEST FOR RCSC SANCTIONED EVENT

[ Club: Date of request: _
Wisconsin Glub January 4, 2024
Name of Event: leds ened ny | Date(s) of Event:
ohsin Club Picnic: Boe March 43, 2025 :

“Location:
Sun Bowl

Times: :
10:00am 4:00pm : ey es Tae BA ed . .
Expected Attendance: Is this a yearly event? If yes, how many years:
1500 yes 10+ years

Clean- “up p will be required by the Club, How many club volunteers will be involved. to: assure >the event tis a a

success?
Estimated100

ls there sufficient parking for the event, or will there be overflow parking that could impact residents in the
area of the event? Please describe.

yes
12 |-tf ves who?
if so, when ?

Yes Every March for the past 10+ years

Shows « he Sui E arié of the fesidents, especially from
Club President Phone .
/

For Clubs Office use only
To Chartered ~
Received by Clubs: /gla0a4 Clubs Supervisor:
Approved: fag ]aoau Club notified: Hos /202 u
Denied: Club notified:
Reason:
= Club Request for Sanctioned Event Page 1of4 FORM BP:12-11 (June 2019)
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