WORLD RIDE-SAGUARO SOIREE APPLICATION REDACTED.PDF

CSR:
Amount:

— — — — = DLLC USE ONLY

SPECIAL EVENT LICENSE _
APPLICATION FEE $25.00 PER DAY

Arizona Department of Liquor Licenses and Control
800 W. Washington St. 5" Floor Phoenix, AZ 85007
(602) 542-5141
Application MUST be submitted to the Department of Liquor 10 days prior to the event.

Date Accepted:

CSR:

license #:

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; Cornelius, Julie Sara
(Must be an Officer/Member of the No it E Last First Middle
2. Applicant's mailing “cr lla
City State Zip
3. Applicants home/cell — a Applicant's business phone:

5. Special Event Name: Saguaro Soiree

6. Name of Non-Profit Organization, Candidate or Political Party/Gov: World Ride
7. Non-Profit/IRS Tax Exempt Number: 82-3676618
8. Arizona Corporation Commission File #: If out of State please specify;Utah

. (Attach letter of good standing)
9. Event Location Name: Usery Regional Park, Mesa AZ

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**

DAY 1: 11/12/23 Sunday 8:00AM 6:00PM
DAY 2:
DAY 3:
DAY 5:
DAY 6: JUL 81 2023
DAY 7: “eueniioano OF SU unl ASORS
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 barriers, if applicable.)

Number of Police 1 Number of Security Personnel Fencing CBarriers

Must explain security measures: Our beer garden is fully fenced in with one entrance/exit. Our licensed bag

ensures every patron is 21+ and distributed wristbands. He/She also ensures no alcohol leaves the

designated beer area.

SECTION 3 What is the purpose of this event?

[Zlon-site consumption [loft-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) CL) will this event be held ona 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)

LoPlace 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

LDispense 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

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

Lspiit 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 fZINo If yes, attach letter of explanation.

2. How many special event days have been issued to this organization during the calendar yeare

3. Is the Organization using the services of a Special Event Contractor? (A licensee can ulilize 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. }

. Aravaipa Runnin
Wes No If yes, please provide the Name of the Special Event Contractor: P g

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)

C1 Yes {ZI No if yes, please provide the Name of Licensee: License #:

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

5. List the name of the Individual or Organization that will receive revenues, MUST EQUAL 100 PERCENT.
Attach additional sheet if necessary.

: 0,
Name: World Ride Percentage: 100%
Street City State Tip
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.
It he 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

peace

Declaration:
|, (Print Name) Julie Cornelius , 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 mm

| Signature

LOCAL GOVERNING BODY

| Date Received:
L, recommend LIAPPROVAL L DISAPPROVAL
(Government Official) (Title)
On behalf of ; ji ,
(City, Town, County) Signature Date Phone |
AZDLLC USE ONLY
T= === = ——= ——<—== — —= = — = oe |
CIAPPROVAL C0 DISAPPROVAL _ BY: DATE:

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

Tonto Mountain Rides

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