NATIONAL MULTIPLE SCLEROSIS SOCIETY REDACTED.PDF

I 
CSR· 
Am~unt: 
AUG 14 2023 
MARICOPA COUNTY 
CLERK BOARD OF SUPERVISORS 
SPECIAL EVENT LICENSE 
APPLICATION FEE $25.00 PER DAY 
DLLC USE ONLY 
Job#: 
Date Ac:c:epted: 
CSR: 
Uc:ense #: 
SECTION 1 Applicant must be a member of a qualifying nonprofit organization, political par1y, or Government entity and 
authorized by an Officer, Director, or Chairperson of the Organization. 
1. Applicant: Ford, Wes 
(Must be an Officer/Member of the Nan Profit Entity) last 
fin! 
Middle 
2. Applicant's mailing address: 
City 
State 
Zip 
Street 
3. Applicants home/cell phone: 
 
Applicant's business phone: 480-455-3955 
4. Applicanrs email address: 
 -=-~~~~~~~~~~~~~~~~~~-
5. Special Event Name: Bike MS: Arizona 
6. Name of Non-Prom organization. candidate or Political Party/Gov.: National Multiple Sclerosis Society 
7. Non-Profit/IRS Tax Exempt Number._1_3_-5_66_19_3_5 ___________________ _ 
Q. Arizona Corporation Commission File #: F07718786 If out of State please specify:, _____ _ 
(Attach letter af good standing) 
9. Event Location Name: McDowell Mountain Regional Park 
1o. Event Address: 16300 McDowell Mountain Park Dr, Fort McDowell, AZ 85264 
Q, 
2/6/20Z3 
Dates and Hours of Event· Days must be consecutive and may not exceed 10 consecutive days. 
**SEPARATE APPLICATION FOR EACH "NON-CONSECUTIVE" DAY** 
Days 
DAYl: 
DAY2: 
DAY3: 
DAY4: 
DAYS: 
DAY6: 
DAY7: 
DAYS: 
DAY9: 
DAYJO: 
Date 
10/7/2023 
10/8/2023 
Day of Week 
Saturday 
Sunday 
Page 1 of3 
Event Start 
llmeAM/PM 
12pm 
10am 
lmfrviducls reauillna ADA occommoda11ons olease call ( 6021542-2999 
License End 
. TtmeAM/PM 
8pm 
2pm

SECTION 2 What type of security and control measures will you take to prevent violations of liquor laws at this event? 
(Ust type and number of pollce/securlty personnel and type of fencing or control barriers, If appRcable.) 
______ ,Number of Police 1 
Number of Security Personnel 
0=encing 
0Barriers 
Q) uu.tt 
I · 
'fy 
We Will have 1 hired security onslle during the event The beer garden Will be fenced off from the rest of the 
~exp ain secun 
measures: _______ __: ___ _:_ __________________ _ 
event and alcohol will be cotained within. Bartenders will be hired to check for proper identification and pouring alcohol. 
SECTION 3 What is the purpose of this event? 
0on-site consumption 
Dort-site (auctlon/wlne/dlstlOed spirits pull) 
How is this special event going to conduct all dispensing, serving. and selling of spirituous Uquors? 
Check one of the following boxes. (R-19-318} 
Oeoth 
A) 0 Special Event being held on an unDcensed premises will require approval and signature by the Local Governing 
Body on page 3. (If checked move to section 4) 
B) 0 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) 
Nome of Business 
Ucense Number 
DPlace license In non-use -Special Event Ucensee selling all alcohol without reta11er involvement 
Must attach letter from the location suspending Dcense for duration of special event 
Phone (Include Area Code) 
0Dispense and serve all spirituous liquors under retailer's license-Business operates normally. minimum of 25% of gross 
revenue from alcohol soles is donated to licensee 
O
ODispense 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 lefter from the location suspending license for duration of special event 
0Split 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 ls donated or purchased by the special event licensee 
it must be In a separate area than the alcohol that is dispensed by the licensed retaffer.} 
Doff Sale only • Wine/Distilled Spirits Pull, Uve or Silent Auctions - Retaffer will still be permitted to conduct oil normal sale and 
service of alcohol. 
SECTION4 
1. Has the applicant been convicted of a felony. or had a liquor license revoked within the last five (5) years? 
D Yes ca No If yes. attach letter of explanation. 
2. How many special event days have been issued to this organization during the calendar year? _O _____ _ 
3. Is the Organization using the services of a Special Event Contractor? (A licensee can uf11ize 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. } 
0 Yes D No If yes. please provide the Name of the Special Event Contractor: Hey Bartender, LLC and Adventurous Stills 
4. ls 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) 
\ 0 0 Yes 0 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 ff necessary. 
216/2023 
Page2of3 
lndMduals reauirlna NJA accommodallons olease coll 16021542-2999

Name: National Multiple Sclerosis Society 
Percentage:_1_0_0 ________ _ 
Address:
S!Jeet 
City 
Stale 
Zip 
() Name: ______________________ Percentage: __________ _ 
Address:_---:::---;--------------.,,----------=-:-------==-----
street 
City 
stale 
Zip 
Please read A.R.S. § 4-203.02 Special event llcense: rules and Rl 9-1-205 Requirements for a Special Event License. 
All ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY. 
NO ALCOHOLIC BEVERAGE$ SHALL LEAVE A SPECIAL EVENT UNLESS THEY ARE IN AUCTION WINE OR PISJILLED SPIRITS PULL 
SEALED CONJAINERS OR THE SPECIAL EVENT LICENSE IS STACKED W!JH WINE /CRAFT DISTILLERY FESTIVAL LICENSE. 
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 Rcense or if the event will be on any portion of a locaHon 
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 f01 additional lnformalfon. 
0 
APPLICANT SIGNATURE 
Declaration: 
I, (Print Name) Wes Ford 
decl 
authorized to submit this application. I have read the contents of this a 
believe all statements made on this application to be true, correct a 
LOCAL GOVERNING BODY 
Date Received: _______ _ 
of perjury that I am 
he b st of my knowledge 
Sign ure 
I. ________________________ recommend DAPPROVAL DDISAPPROVAL 
(Government Olllclal) 
(lllle) 
On behalf of----------~-----------· _____ _, _______ _ 
(CHy, Tawn, 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 appllcaffons to be submitted. Additional licensing fees may also be required before approval may be granted. 
AZDLLC USE ONLY 
oil DAPPROVAI. 0 D~APPROVAL BY: _____________ DATE: _______ 
_ 
2/612023 
Page3 of 3 
lnc:fivlduals reaulrlna ADA accommodallons Please call I 6021542-2999

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2023 Chan11&1: 
1. B&ar Garden MUST be bigger 1nd 111.!ded 
l. GlmH Bl91 not u1ed too much 
3_ ware Expo tenta too far S"WBY 
4. Hi.ad mora raatrooma, 21>22 got nry '"Mi 
5. SUge hatgh.t hlllhBf' 11 b&ttsr for DJ, won• for M&gan 
G. Bluetootn epeet:ara al10W1 ror bettsr MMllld 1n ·113cr 
1. Do W9 need the Ion& rnlroom north ot' VIP punig? 
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2. Mak• aure 11emca1 coraa rrom genBf'ltar 1ra long enougn 
s. Do11 ·rerlK"' truca need 11ectdcal7 
4. C1n Ice truck plug Into e1Bcbtc.11t !'91troom117 
5_ PoHtlon arch wnara tnere 11 no ruta or asna 
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