SPECIAL EVENT LICENSE FOR ALL THE COPPER RAIN FOUNDATION_REDACTED.PDF

RECEIVED

NOV 03. 20?3
LESR: MARICOPA COUNTY
Amount: CLERK BOARD OF SUF VISORS
; ‘ == DLLC USE ONLY

Job #:

SPECIAL EVENT LICENSE Site AECopIeE

APPLICATION FEE $25.00 PER DAY ;
CSR:

Arizona Department of Liquor Licenses and Control -
800 W. Washington St. 5"" Floor Phoenix, AZ 85007 license #:

a (602) 542-5141
Ww 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: Craigs, Chelsea
(Must be an Officer/Member of the Non Profit Entity) Last First Middle
City State up

one:

3. Applicants home/cell phone!

4. Applicant's email address

Desert Farm Lights

5. Special Event Name:

6. Name of Non-Profit Organization, Candidate or Political Party/Gov:_Lne Copper Rain Foundation

7. Non-Profit/IRS Tax Exempt Number: 87-2647772

8. Arizona Corporation Commission File #: a 394 rah ] it out of State please specify:

(Attach letter of good standing)

9. Event Location Name: Desert Farm Lights
10. Event Address: 14629 W Peoria Avenue Waddell, AZ 85355

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

**SEPARATE APPLICATION FOR EACH “NON-GONSECUTIVE” DAY**

‘Days Date Day of Week ious aaa
DAY 1: 12-18-23 Mon 5:00pm 10:00pm
DAY 2: 12-19-23 Tue 5:00pm 10:00pm
DAY 3: 12-20-23 Wed 5:00pm 10:00pm
DAY 4: 12-21-23 Thur 5:00pm 10:00pm
DAY 5: 12-22-23 Fri 5:00pm 10:00pm
DAY 6: 12-23-23 Sat 5:00pm 10:00pm
DAY 7: \2Z242% Soy 5:00pm 10:00pm
DAY 8:

DAY 9:

DAY10:

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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 bamlers, if applicable.)

2 Number of Police Number of Security Personnel [Fencing Cbariers

ust explain security measures: We have fencing around the peremeter of the event. We will have security roaming the event and

at the enterance and exit

SECTION 3 What is the purpose of this event?

On-site consumption [of-site (auction/wine/distilled spirits pull) Dboth
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) Cwill this event be held ona currently licensed premises and within the already approved and licensed area?
(Must attach a leiter from the licensed premises with an explanation of the option checked below)

Name of Business Ucense Number Phone (include Area Code)

(Place 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

Didispense 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

Cbispense 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 alcoho!
used during the special event. Must attach letter from the location suspending license for duration of special event

Cspit 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.)

Loft 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?

D 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?

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 CINo If yes, please provide the Name of the Special Event Contractor, Pour Masters

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)

(1 Yes 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.

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Individuals requiring ADA accommodations please call (602)542-2999

Name: West Valley Events and Marketing, LLC “Percentage: 75%

Street Clty State ip
Name: Copper Rain Foundation Percentage: 25%
Address: 4918 E. Evans Dr. Phoenix az 85032

Street City State up

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 § 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.

It 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: (\ ( ‘ 3
|, (Print Name) We\SeyG MO \ , declare under penalty of perjury that | am

authorized to submit this application. | have read the ednignis of this appt€dtion, and to the bést Okmy knowledge
believe all statements made on this application to be true, correct and complate.
cron| Cr

Q** Signaturd 7” (

LOCAL GOVERNING BODY
Date Received:

1, recommend DIAPPROVAL CI DISAPPROVAL
(Government Official) (Tite)

On behalf of

(City, Town, County) Signature

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.

AZDLLC USE ONLY

CIAPPROVAL [I DISAPPROVAL BY:

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Individuals requiring ADA accommodations please call (602)542-2999

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