Change Of Structure Application - New Mexico Regulation And Licensing Department Page 2

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New Mexico Regulation and Licensing Department  Alcohol and Gaming Division
Rev.
PO Box 25101 ▪ Santa Fe, NM 87504-5101 ▪ Phone: (505) 476-4875 ▪ Fax: (505) 476-4595
05/16
▪
aming
CHANGE OF STRUCTURE APPLICATION
1. The non-refundable application fee of $200.00, must be enclosed or the application will be returned to you. If including
additional license(s), it is $10.00 per additional license and you must include an Application Page for each License.
Keep a copy of application packet for your records.
2. Pages 1, 5, and 6 of the application must be signed and notarized.
3. Note that all supporting documentation submitted must be in the name of the APPLICANT. If the applicant is a
Corporation, LLC, Partnership, or Trust, the Tax Registration Certificate, Leases, Deeds, Bills of Sale, etc. must be in
the name of that entity.
P
1 – A
, $200.00 Fee
AGE
PPLICATION
1. Tax Registration Certificate – A copy of the New Mexico Tax Registration Certificate (CRS Identification Number)
in the name of the Applicant issued by the New Mexico Taxation & Revenue Department. Applicants may obtain this
documentation at any field office, or call (505) 827-0700.
2. Instrument of Conveyance (Bill of Sale, Assignment, Lease, etc.), in the name of Applicant.
PAGE 3 - REQUIRED FOR CORPORATIONS/ LIMITED LIABILITY COMPANIES/ PARTNERSHIPS/ TRUSTS
Full disclosure totaling 100% is required. Each individual, Officer, Director, Member, Manager, Partner and each Shareholder applying
for license must complete the Personal Data Information and Affidavit Form. Each individual, Officer, Director, Member,
Manager, Partner and each Shareholder who owns a 10% interest or more must be Fingerprinted.
PAGE 5 - DESIGNATED RESIDENT AGENT, $50.00 Fee
PAGE 6 – PERSONAL INFORMATION DATA AND AFFIDAVIT
APPLICABLE LAW:
NMSA §60-6B-6. Corporate licensees; limited partnership licensees; reporting.
60-3A-1 NMSA 1978
A. A corporation that holds a license issued under the Liquor Control Act [
] shall notify the director within thirty
days after the occurrence of any change in the officers, directors or holders of more than ten percent of the voting stock of the
corporation, giving the names and addresses of the new officers, directors or stockholders. A corporate licensee shall also notify the
director immediately of a change of agent by filing a new power of attorney. The director shall by regulation define what corporate
changes, including but not limited to transfer of stock, merger and consolidation, constitute transfers of ownership of corporate licenses
and shall, upon making such a determination, order appropriate compliance with the Liquor Control Act, provided that a transfer of
ownership of a corporate license shall not be deemed to occur where ultimate ownership of the corporation does not change.
B. A limited partnership that holds a license issued under the Liquor Control Act shall notify the director within thirty days after
the occurrence of any change of general partners or of limited partners contributing ten percent or more of the total value of
contributions made to the limited partnership or entitled to ten percent or more of the profits earned or other compensation by way of
income paid by the limited partnership. The director shall by regulation define what limited partnership changes constitute transfers of
ownership of limited partnership licenses and shall, upon making such determination, order appropriate compliance with the Liquor
Control Act, provided that a transfer of ownership of a licensee that is a limited partnership shall not be deemed to occur where
ultimate ownership of the limited partnership does not change.
C. A legal entity that is not a corporation or limited partnership and that holds a license issued under the Liquor Control Act shall
notify the director within thirty days after the occurrence of any change in the trustees, partners, owners or members of more than a ten
percent interest in the entity, giving the names and addresses of the new trustees, partners or owners. The director shall by regulation
define what entity changes constitute a transfer of ownership of such entity's license and shall, upon making such determination, order
appropriate compliance with the Liquor Control Act, provided that a transfer of ownership of a licensee shall not be deemed to
occur where there is no change in the ultimate ownership of the legal entity
Please Note: The Director may require additional information or supporting documentation to complete the application.

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