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DLLC USE ONLY SPECIAL EVENT LICENSE _ APPLICATION FEE $25.00 PER DAY Date Accepted: Arizona Department of Liquor Licenses and Control - 800 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 7 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: Robyn Heimbuch L. (Must be an Officer/Member of the No! Middle City State Tip 3. Applicants home/cell — ~—si Applicant's business phone: 480-226-1357 4. Applicant's email address} Frenzy Hills Rides 5. Special Event Name: Bob's Free Bikes 6, Name of Non-Profit Organization, Candidate or Political Party/Gov.: 61-1801839 7. Non-Profit/IRS Tax Exempt Number: 8, Arizona Corporation Commission File #: 21179116 If out of State please specify: (Attach letter of good standing) 9. Event Location Name; McDowell Mountain Regional Park 10. Event Address: 16300 McDowell Mountain Park Dr, Fort McDowell, AZ 85264 Daies and Hours of Event - Days must be consecutive and may not exceed 10 consecutive days. ** SEPARATE APPLICATION FOR EACH “NON-CONSECUTIVE” DAY** Days Date Day of Week Ribas kept DAY I: 12/8/24 Sunday 8:00am 7:00pm DAY 2: DAY 3: DAY 4: DAY 5: DAY 6: REGEIVED— DAY 7: SEP 05 2024 DAY 8: MARICOPA COUNTY DAY 9: CLERK BOARD OF SUPERVISORS DAY10: 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? (Uist type and number of police/security personnel and type of fencing or control balers, if applicable.) 2 0 Number of Police Number of Security Personnel [Fencing Cbaniers Must explain security measures; Our beer garden is fully enclosed by fencing with one entrance/exit. itis manned by our licensed bartender who ensures each patron is 21+ and issues wristbands.He/She also ensures no alcohol leaves the designated beer area. SECTION 3 What is the purpose of this event? [On-site consumption (loff-site (auction/wine/distilled spirits pull) CDoboth 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 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) Clplace 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 to licensee Cdispense and serve all 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 Cisplit 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 alcoho! 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.) (lof Sale only - Wine/Distilled Spirits Pull, ve or Silent Auctions — Retailer wil 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? Cl Yes [1 No if yes, attach letter of explanation. 2, How many special event days have been issued to 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 o 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 CINo If yes, please provide the Name of the Special Event Contractor: Aravaipa Running LLC 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 o 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: Bob's Free Bikes Address: 13771 N Fountain Hills Fountain Hills, AZ 85268 Percentage: 75% Street Clty State lip Name: Aravaipa Running LLC Percentage: 25% Address: 2401 S. 24th St, Phoenix, AZ 85034 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. 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. 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 fo the Department of Liquor Licenses and Control. Please contact the local governing board for additional information. APPLICANT SIGNATURE Declaration: |, (Print Name) Robyn Heimbuch, Treasurer , 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, corre: Signature LOCAL GOVERNING BODY Date Received: I, recommend CIAPPROVAL [1 DISAPPROVAL (Government Official) (Title) On behalf of (City, Town, County) Signature The local governing body (city, town or municipality where the fair/festival will take place) may require additonal applications to be completed and submitted. Please check with local government as fo 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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