LOCATION PACKET FOR WHOLESALERS, DISTRIBUTORS AND MANUFACTURERS L-LW ?· L-LW (01/2018) The Location…

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Page 1 of 4 Form L-LW (01/2018) LOCATION PACKET FOR WHOLESALERS, DISTRIBUTORS AND MANUFACTURERS L-LW(01/2018) The Location Packet (L-LW) should be completed by all Wholesalers, Distributors and Manufacturers submitting an original, reinstatement, and/or change of location application. This packet (L-LW) along with the Prequalification Packet (L-W) must be submitted to your local TABC office. All statutory and rule references mentioned in this application refer to and can be found in the Texas Alcoholic Beverage Code or Rules located on our website. www.tabc.texas.gov/laws/code_and_rules.asp1. Application for: OriginalReinstatement License/Permit Number Change of Licensed Location License/Permit Number 2. Trade Name of Location3. Location Address4. Business Entity Name/Applicant5. Federal Employer Identification Number (FEIN)INITIAL INFORMATION 6. Do you have a current and active license/permit issued by TABC under the above FEIN? Yes NoIf YES, please indicate the license/permit number of the last license/permit issuedIf NO, complete the Business Packet (L-B). 7. If you hold a current license/permit under the above FEIN has there been any change in the ownership orstructure of the business since the last application was filed? Yes NoIf YES, complete the Business Packet for Reporting Changes (L-BRC). OWNERSHIP/LEASE/SUBLEASE/MANAGEMENT INFORMATION 8. Does the applicant own the land and building at this proposed licensed location? Yes NoIf NO, please complete Owner of Property (L-OP).9. If operating under a lease at this location, indicate:Expiration date(s)/OptionsMonthly rental amount $Other fees and payments to10. Are you operating under a sublease at this location? Yes NoIf YES, complete Sublessor (L-SL) and indicate the following:Expiration date(s)/Options Monthly fee $ 11. Will the license or permit embrace the entire building and grounds at the address shown? Yes NoIf NO, attach a diagram of your premise as required by Section 11.49. Be advised the location will beinspected prior to approval of your application. Page 2 of 4 Form L-LW (01/2018) FINANCE INFORMATION 12. What is the amount of total investment from all sources for this location? $Please be prepared to provide copies of all documents related to the financing of this location.13. List any person, firm, or corporation that has advanced or will advance any money, that holds any mortgageor encumbrances against the assets of the proposed business location, or that has signed or co-signed,guaranteed or financially assisted this business location for which you are seeking a license/permit. If apartnership or corporation, list entity along with partners/officers.(If more space is needed, attach additional page.) SSN or FEIN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Amount $ Name, Corporation, Partner/Officer Terms SSN or FEIN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Amount $ Name, Corporation, Partner/Officer Terms SSN or FEIN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Amount $ Name, Corporation, Partner/Officer Terms SSN or FEIN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Amount $ Name, Corporation, Partner/Officer Terms SSN or FEIN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Amount $ Name, Corporation, Partner/Officer Terms SSN or FEIN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Amount $ Name, Corporation, Partner/Officer Terms SSN or FEIN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Amount $ Name, Corporation, Partner/Officer Terms Page 3 of 4 Form L-LW (01/2018) BONDED WAREHOUSE PERMIT (J / JD) (Wet / Dry) 14. In general terms, specify what other goods and commodities are stored in this warehouse.15. Are you providing services to permit holders other than storage? Yes No 16. Is at least 50% of gross revenue during each three (3) month quarter derived from goods and merchandiseother than alcoholic beverages? Yes No17. Is the location in a wet or dry area? Wet DryBREWERS (B) (Malt greater than 4% of alcohol by weight) 18. Will the applicant engage in the business of brewing and packaging ale in Texas within the three-yearperiod covered by its original license and one successive renewal in quantities to qualify as a bona fidebrewing manufacturer? Yes No19. Do you, the applicant contract with another brewery to produce your product? Yes NoIf Yes, provide the TABC license/permit number of that brewery.Is your product brewed at their location? Yes No20. Do you, the applicant, utilize an alternating proprietorship agreement to produce your product? Yes No If Yes, provide TABC license/permit number of that brewery. Is your product brewed at their location? Yes No MANUFACTURERS (BA) (Malt 4% or less of alcohol by weight) 21. Will the applicant engage in the business of manufacturing and packaging beer in Texas within thethree-year period covered by its original license and one successive renewal in quantities to qualify as abona fide brewing manufacturer? Yes No22. Do you, the applicant contract with another manufacturer to produce your beer product? Yes No If Yes, provide the TABC license/permit number of that manufacturer.Is your product manufactured at their location? Yes No23. Do you, the applicant, utilize an alternating proprietorship agreement to produce your beer product? Yes No If Yes, provide TABC license/permit number of that manufacturer. Is your product manufactured at their location? Yes No MANUFACTURERS (BA) and BREWERS (B) 24. If you are operating under an alternating or contract brewing agreement; do you, the applicant, own a feeinterest (ownership) in a brewing facility? Yes NoIf No, please submit a Fee Interest Bond which must be on file and approved to issue your license/permit.Fee Interest Bond form and instructions can be downloaded from http://www.tabc.state.tx.us/forms/25. Do you, the applicant, hold a Brewers Notice issued by the Alcohol and Tobacco Tax and Trade Bureau ofthe United States Department of the Treasury? Yes NoIf Yes, please provide TTB Brewers Notice Numberand attach copy.MANUFACTURERS (BA), BREWERS (B) and DISTILLERS (D)26. Do you, the applicant, intend to sell for on-premise consumption during the life of this license/permit? Yes No If Yes, have you confirmed with your city and county that it is an allowable privilege? Yes No Page 4 of 4 Form L-LW (01/2018) DISTILLERS (D) 27. Do you, the applicant, intend to sell commemorative bottles for off-premise consumption? Yes NoIf Yes, have you confirmed with your city and county that it is an allowable privilege? Yes NoWHOLESALERS 28. Do you intend to sell ale or malt liquor? Yes NoNOTE: You must submit a territorial agreement from the actual manufacturer of the product.DISTRIBUTORS 29. Does the applicant have an adequate building, storage facilities, sufficient employees, delivery vehicles androlling stock to provide service and sales for each brand of beer in an amount equal to the demand for theproduct from all retailers in applicants assigned territory? Yes NoNOTE: If you are applying for a General Distributors License, Local Distributors License or BranchDistributors License, you must submit a territorial agreement from the actual manufacturer of each beerproduct you are handling.WINERIES 30. Do you hold or have you applied for a Federal Winemakers and Blenders Basic Permit issued by theAlcohol and Tobacco Tax and Trade Bureau (TTB)? Yes NoIf Yes, attach a copy of the Federal Winemakers and Blenders Basic Permit issued by the TTB. Beadvised a copy of this permit must be presented before issuance.31. Do you, the applicant, engage in any activity authorized by the winery permit on the permitted premise ofanother winery? Yes NoIf Yes, provide the TABC winery permit number of that winery and attach copy ofagreement between the permit holders for review.WARNING AND SIGNATURE If Applicant Is: Who Must Sign Individual Individual Owner Partnership Partner Limited Partnership General Partner Corporation Officer Limited Liability Company Officer or Manager EACH LICENSEE OR PERMITTEE SHALL HAVE EXCLUSIVE OCCUPANCY AND CONTROL OF THE ENTIRE LICENSED LOCATION WITH RESPECT TO SALE OF ALCOHOLIC BEVERAGES. ANY ARRANGEMENT THAT SURRENDERS SUCH CONTROL OF THE EMPLOYEES, PREMISES OR BUSINESS, INCLUDING PROFITS AND LOSSES, TO PERSONS OTHER THAN THE LICENSEE OR PERMITTEE IS UNLAWFUL. WARNING: Section 101.69 of the Texas Alcoholic Beverage Code states: a person who makes a false statement or false representation in an application for a permit or license or in a statement, report, or other instrument to be filed with the Commission and required to be sworn commits an offense punishable by imprisonment in the Texas Department of Criminal Justice for not less than 2 nor more than 10 years. BY SIGNING YOU ARE SWEARING TO ALL INFORMATION AND ATTACHMENTS TO THIS PACKET. PRINT NAME SIGN HERE TITLE Before me, the undersigned authority, on this day of , 20 , the person whose name is signed to the foregoing application personally appeared and, duly sworn by me, states under oath that he or she has read the said application and that all the facts therein set forth are true and correct. SIGN HERE NOTARY PUBLIC S E A L Page 1 of 1 Form L-OP (05/2018) OWNER OF PROPERTY L-OP(05/2018) 1. Trade Name of Location2. Indicate if owner of property is: Owner of Land and Building Owner of Land Owner of Building Owner of Boat Note: If land and building are owned by different entities, complete Form L-OP for each entity. 3. Wholesalers (W, X) and Manufacturers (G, Z, B, D) Is the owner of premise information used for a storagepermit (L, K) or Manufacturers Warehouse License (MW)? Yes No4. Owner of Property (Individual or Business Entity)5. Federal Employer Identification Number (FEIN) for Owner of PropertyCOMPLETE THE FOLLOWING: SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner IF YOU NEED MORE SPACE USE ADDITIONAL COPIES OF THIS PAGE Page 1 of 1 Form L-SL (01/2018) SUBLESSOR L-SL(01/2018) 1. Trade Name of Location2. Indicate if you are: Sublessor Concessionaire Management Company of Permittee 3. Business Entity Name for Sublessor, Concessionaire or Management Company4. Federal Employer Identification Number (FEIN) for Sublessor, Concessionaire or Management CompanyCOMPLETE THE FOLLOWING: SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner SSN Issuing State/DL No. Date of Birth (mm/dd/yyyy) Full Legal Name of Individual, Partner, Officer (Last, First, Middle) Title/Owner IF YOU NEED MORE SPACE USE ADDITIONAL COPIES OF THIS PAGE Page 1 of 2 Form L-VEH (05/2018) VEHICLES TRANSPORTING ALCOHOL L-VEH(05/2018)License/Permit Number (not applicable if applying for original application): 1. (BJ) Importers Carriers License Importers License (BI) (E) Local Cartage Permit Package Store (P) & Wine Only Package Store (Q) (ET) Local Cartage Permit Warehouse & Transfer Company (O) Private Carriers Permit Manufacturers (B,D), Wholesalers (W, X, LX), Winery (G), & Brew Pub License (BG with BP)2. Check here if not utilizing vehicles owned or leased by applicant.It is the responsibility of all licensees and permittees to maintain proper liability insurance for each vehicle listed below. All vehicles listed below should operate in accordance of all federal and state regulations. 3. Do you maintain proper liability insurance and operate in accordance of all federal and state motor vehicle laws?+ Yes + No4. If Warehouse or Transfer Company, explain your business as it pertains to the transportation of alcohol.LIST THE VEHICLES OWNED OR LEASED IN GOOD FAITH BY APPLICANT TO BE USED IN CONNECTION WITH THE LICENSE/PERMITMAKE MODEL YEAR LICENSE PLATE NUMBER Page 2 of 2 Form L-VEH (05/2018) LIST THE VEHICLES OWNED OR LEASED IN GOOD FAITH BY APPLICANT TO BE USED IN CONNECTION WITH THE PERMIT CONTINUED MAKE MODEL YEAR LICENSE PLATE NUMBER IF YOU NEED MORE SPACE USE ADDITIONAL COPIES OF THIS PAGE Location Packet for Wholesalers-Distributors-Manufacturers_05-30-18Location Packet for Wholesalers-Distributors-Manufacturers_05-30-18Location Packet for Wholesalers-Distributors-Manufacturers_01-26-18L-LW 01-26-18LOCATION PACKET FOR WHOLESALERS, DISTRIBUTORS AND MANUFACTURERSINITIAL INFORMATIONOWNERSHIP/LEASE/SUBLEASE/MANAGEMENT INFORMATIONFINANCE INFORMATIONBONDED WAREHOUSE PERMIT (J / JD) (Wet / Dry)BREWERS (B) (Malt greater than 4% of alcohol by weight)MANUFACTURERS (BA) (Malt 4% or less of alcohol by weight)MANUFACTURERS (BA) and BREWERS (B)MANUFACTURERS (BA), BREWERS (B) and DISTILLERS (D)DISTILLERS (D)WHOLESALERSDISTRIBUTORSWINERIESL-OP 05-30-2018OWNER OF PROPERTYCOMPLETE THE FOLLOWING:Location Packet for Wholesalers-Distributors-Manufacturers_05-30-18Location Packet for Wholesalers-Distributors-Manufacturers_05-30-18Location Packet for Wholesalers-Distributors-Manufacturers_01-26-18L-SL 01-24-18SUBLESSORCOMPLETE THE FOLLOWING:L-VEH 05-30-18l-lwCheck Box5: l-lwCheckboxreinstatement: L-LWlicperm001: l-lwCheckliclocation: L-LWlicperm002: L-LW2 Trade Name of Location: L-LW3 Location Address: L-LW4 Business Entity NameApplicant: L-LW5 Federal Employer Identification Number FEIN: l-lwGroup2: If YES please indicate the licensepermit number of the last licensepermit issued: l-lwGroup3: l-lwGroup4: l-lwExpiration datesOptions: l-lwMonthly rental amount: l-lwotherfees10: l-lwGroup5: l-lwExpiration datesOptions_2: l-lwmonthlyfee: l-lwGroup6: l-lwundefined1301: l-lwSSN or FEIN: l-lwIssuing StateDL No: l-lwDate of Birth mmddyyyy: l-lwAmount: l-lwName Corporation PartnerOfficer: l-lwTerms: l-lwSSN or FEIN_2: l-lwIssuing StateDL No_2: l-lwDate of Birth mmddyyyy_2: l-lwAmount_2: l-lwName Corporation PartnerOfficer_2: l-lwTerms_2: l-lwSSN or FEIN_3: l-lwIssuing StateDL No_3: l-lwDate of Birth mmddyyyy_3: l-lwAmount_3: l-lwName Corporation PartnerOfficer_3: l-lwTerms_3: l-lwSSN or FEIN_4: l-lwIssuing StateDL No_4: l-lwDate of Birth mmddyyyy_4: l-lwAmount_4: l-lwName Corporation PartnerOfficer_4: l-lwTerms_4: l-lwSSN or FEIN_5: l-lwIssuing StateDL No_5: l-lwDate of Birth mmddyyyy_5: l-lwAmount_5: l-lwName Corporation PartnerOfficer_5: l-lwTerms_5: l-lwSSN or FEIN_6: l-lwIssuing StateDL No_6: l-lwDate of Birth mmddyyyy_6: l-lwAmount_6: l-lwName Corporation PartnerOfficer_6: l-lwTerms_6: l-lwSSN or FEIN_7: l-lwIssuing StateDL No_7: l-lwDate of Birth mmddyyyy_7: l-lwAmount_7: l-lwName Corporation PartnerOfficer_7: l-lwTerms_7: l-lwjjd141: l-lwjjd14121: l-lwGroup7: l-lwGroup8: l-lwGroup9: l-lwGroup10: l-lwIf Yes provide the TABC licensepermit number of that brewery: l-lwGroup11: l-lwGroup12: l-lwIf Yes provide TABC licensepermit number of that brewery: l-lwGroup13: l-lwGroup14: l-lwGroup15: l-lwIf Yes provide the TABC licensepermit number of that manufacturer: l-lwGroup16: l-lwGroup17: l-lwIf Yes provide TABC licensepermit number of that manufacturer: l-lwGroup18: l-lwGroup19: l-lwGroup20: l-lwGroup21: l-lwIf Yes please provide TTB Brewers Notice Number: l-lwGroup22: l-lwGroup23: l-lwGroup24: l-lwGroup25: l-lwGroup26: l-lwGroup27: l-lwGroup28: l-lwGroup29: l-lwIf Yes provide the TABC winery permit number of that winery: l-lwNAME: l-lwTITLE: l-lwBefore me the undersigned authority on this: l-lwday of: l-lw20: 1 Trade Name of Locationlop001: Group2: Group1: 4 Owner of Property Individual or Business Entitylop009: 5 Federal Employer Identification Number FEIN for Owner of Propertylop010: SSNlop011: Issuing StateDL Nolop012: Text2lop013: Full Legal Name of Individual Partner Officer Last First Middlelop014: TitleOwnerlop015: SSNlop016: Issuing StateDL Nolop017: Text2lop018: Full Legal Name of Individual Partner Officer Last First Middlelop019: TitleOwnerlop120: SSNlop021: Issuing StateDL Nolop022: Text2lop023: Full Legal Name of Individual Partner Officer Last First Middlelop024: TitleOwnerlop026: SSNlop027: Issuing StateDL Nolop028: Text2lop029: Full Legal Name of Individual Partner Officer Last First Middlelop030: TitleOwnerlop031: SSNlop032: Issuing StateDL Nolop033: Text2lop034: Full Legal Name of Individual Partner Officer Last First Middlelop035: TitleOwnerlop036: L-sl1 Trade Name of Locationlsl001: l-slSublessorlsl002: l-slConcessionairelsl003: l-slManagement Company of Permitteelsl004: l-sl3 Business Entity Name for Sublessor Concessionaire or Management Companylsl005: l-sl4 Federal Employer Identification Number FEIN for Sublessor Concessionaire or Management Companylsl006: l-slSSNlsl007: l-slIssuing StateDL Nolsl008: l-slText1lsl009: l-slFull Legal Name of Individual Partner Officer Last First Middlelsl010: l-slTitleOwnerlsl011: l-slSSNlsl012: l-slIssuing StateDL Nolsl013: l-slText1lsl014: l-slFull Legal Name of Individual Partner Officer Last First Middlelsl015: l-slTitleOwnerlsl016: l-slSSNlsl017: l-slIssuing StateDL Nolsl018: l-slText1lsl019: l-slFull Legal Name of Individual Partner Officer Last First Middlelsl020: l-slTitleOwnerlsl021: l-slSSNlsl022: l-slIssuing StateDL Nolsl023: l-slText1lsl024: l-slFull Legal Name of Individual Partner Officer Last First Middlelsl025: l-slTitleOwnerlsl026: l-slSSNlsl027: l-slIssuing StateDL Nolsl028: l-slText1lsl029: Full Legal Name of Individual Partner Officer Last First Middlelsl030: l-slTitleOwnerlsl031: l-slSSNlsl032: l-sllsl033: l-slText1lsl034: l-slFull Legal Name of Individual Partner Officer Last First Middlelsl035: l-slTitleOwnerlsl036: LicensePermit Number not applicable if applying for original application: undefined: 4 If Warehouse or Transfer Company explain your business as it pertains to the transportation of alcohol: MAKE 1: MODEL 1: YEAR 1: NUMBER 1: MAKE 2: MODEL 2: YEAR 2: NUMBER 2: MAKE 3: MODEL 3: YEAR 3: NUMBER 3: MAKE 4: MODEL 4: YEAR 4: NUMBER 4: MAKE 5: MODEL 5: YEAR 5: NUMBER 5: MAKE 6: MODEL 6: YEAR 6: NUMBER 6: MAKE 7: MODEL 7: YEAR 7: NUMBER 7: MAKE 8: MODEL 8: YEAR 8: NUMBER 8: MAKE 9: MODEL 9: YEAR 9: NUMBER 9: MAKE 10: MODEL 10: YEAR 10: NUMBER 10: MAKE 11: MODEL 11: YEAR 11: NUMBER 11: MAKE 12: MODEL 12: YEAR 12: NUMBER 12: MAKE 13: MODEL 13: YEAR 13: NUMBER 13: MAKE 14: MODEL 14: YEAR 14: NUMBER 14: MAKE 1_2: MODEL 1_2: YEAR 1_2: NUMBER 1_2: MAKE 2_2: MODEL 2_2: YEAR 2_2: NUMBER 2_2: MAKE 3_2: MODEL 3_2: YEAR 3_2: NUMBER 3_2: MAKE 4_2: MODEL 4_2: YEAR 4_2: NUMBER 4_2: MAKE 5_2: MODEL 5_2: YEAR 5_2: NUMBER 5_2: MAKE 6_2: MODEL 6_2: YEAR 6_2: NUMBER 6_2: MAKE 7_2: MODEL 7_2: YEAR 7_2: NUMBER 7_2: MAKE 8_2: MODEL 8_2: YEAR 8_2: NUMBER 8_2: MAKE 9_2: MODEL 9_2: YEAR 9_2: NUMBER 9_2: MAKE 10_2: MODEL 10_2: YEAR 10_2: NUMBER 10_2: MAKE 11_2: MODEL 11_2: YEAR 11_2: NUMBER 11_2: MAKE 12_2: MODEL 12_2: YEAR 12_2: NUMBER 12_2: MAKE 13_2: MODEL 13_2: YEAR 13_2: NUMBER 13_2: MAKE 14_2: MODEL 14_2: YEAR 14_2: NUMBER 14_2: MAKE 15: MODEL 15: YEAR 15: NUMBER 15: MAKE 16: MODEL 16: YEAR 16: NUMBER 16: MAKE 17: MODEL 17: YEAR 17: NUMBER 17: MAKE 18: MODEL 18: YEAR 18: NUMBER 18: MAKE 19: MODEL 19: YEAR 19: NUMBER 19: MAKE 20: MODEL 20: YEAR 20: NUMBER 20: MAKE 21: MODEL 21: YEAR 21: NUMBER 21: MAKE 22: MODEL 22: YEAR 22: NUMBER 22: MAKE 23: MODEL 23: YEAR 23: NUMBER 23:

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