New Alcoholic Beverage Retailers Permit Application Page 4
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13D.
Number of members as of date of this application: _____________
Attach two (2) copies of a listing of the membership, including
names and addresses of each member, to this application.
E.
Does the club, as organized or incorporated, meet the statutory
definition of a club as found in Section 67-1-5 (n), 1972 MCA?
_____________ If "no", explain fully: ______________________
_____________________________________________________
_____________________________________________________
F.
Will any club member, officer, agent or employee receive a salary
or other compensation or any profit from the distribution or sale of
alcoholic beverages to the club or to the members or guests of the
club beyond any salary or compensation as decided by the
directors or other governing body paid from the general revenue of
the club? _____________ If "yes", explain fully: _____________
_____________________________________________________
_____________________________________________________
G.
The following items concerning the club must be filed with this
application.
1. Articles of Association _______________________________
2. Charter of Incorporation ______________________________
3. Copy of Bylaws ____________________________________
STATEMENT OF OWNERSHIP
ALCOHOLIC BEVERAGE RETAILER PERMIT APPLICATION
I.
Name of business ___________________________________________
II.
Will this business be operated as a sole ownership by the person
applying for this permit? _____________ If "yes", submit a PERSONAL
RECORD (Form 1001), a SUMMARY FINANCIAL STATEMENT (Form
2007), and two (2) properly executed fingerprint cards with a certified
check for $24.00 made payable to the ABC FF with this application.
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