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Amount ‘ DLLC USE ONLY Job #: SPECIAL EVENT LICENSE Date Accepted: APPLICATION FEE $25.00 PER DAY CSR: Arizona Department of Liquor Licenses and Control 800 W. Washington St. 5" Floor Phoenix, AZ 85007 HConse (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: FE Racing / Robert Sweador (Must be an Officer/Member of the N i st Middle 2. Applicant's mailing address Street City State Zip 3. Applicants home/cell phone Applicant's business phone: 4. Applicant's email ices 8 Hours of the Showdown 5. Special Event Name: FE Racing Inc. 6. Name of Non-Profit Organization, Candidate or Political Party/Gov.: 88-1073373 4, 23343787 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: Usery Regional Park 10. Event Address: 3939 N. Usery Pass Rd. Mesa, AZ 85207 Dates and Hours of Event - Days must be consecutive and may not exceed 10 consecutive days. **SEPARATE APPLICATION FOR EACH “NON-CONSECUTIVE” DAY** ye bate bey SEWeels Bri fCTeM pay1. & Nov 2, 2024 Saturday 1000AM 1000PM DAY 2: DAY 3: DAY 4: DAY 5: DAY 6: ‘ 5 DAY 7: r MECEIVED DAY 8: OCT 04 2024 DAY 9: CLERK BoAgoT COUNTY DAY10: ERVISORS 2/6/2023 Page 1 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? (List type and number of police/security personnel and type of fencing or control barriers, if applicable.) 0 Number of Police 4 Number of Security Personnel MFencing [Barriers We will have volunteers on hand to check ID's and distribute wrist bands. the Must explain security measures: beer garden will be fenced off around on the the ramadas and beer will not be allowed outside SECTION 3 What is the purpose of this event? [ZJon-site consumption Lioft-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 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) CPlace 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 Lbispense and serve alll spirituous liquors under retailer's license — Business operates normally, minimum of 25% of gross revenue from alcohol sales is donated to licensee Libispense 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 Lisplit 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.) Lot 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 J No If yes, attach letter of explanation. 2. How many special event days have been issued to this organization during the calendar year? none so far 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. } CO Yes IY] 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 the special event contractor) (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 Name: FE Racing Inc. Percentage: 100% Address: 477 E Phelps Street, Gilbert AZ 85295 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 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) Robert Sweador , 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, correct and complete LOCAL GOVERNING BODY Date Received: L, 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 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. 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