Application For Liquor License Menard County Illinois Page 2

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liquor beyond the amount of such salary as may be fixed and voted at any annual meeting by the
members or its board of directors or other governing body out of the general revenue of the club?______
9.
Have your ever applied for a state liquor license before?______________________________________________
If so, when?_________________________________________________________________________________
Where was the business located?________________________________________________________________
10.
Have you ever had a liquor license revoked?_______________________________________________________
If yes, why?_________________________________________________________________________________
11.
Have you ever had a liquor license application denied?_______________________________________________
If yes, why?_________________________________________________________________________________
12.
If applicant is a partnership, state date on which partnership was formed:________________________________
13.
If applicant is a corporation, state:
a.
Date of incorporation:__________________________________________________________________
b.
The objects for which the corporation was organized:_________________________________________
____________________________________________________________________________________
c.
The names and addresses of all corporate officers and directors:_________________________________
____________________________________________________________________________________
____________________________________________________________________________________
d.
The State of incorporation:_______________________________________________________________
e.
If foreign corporation, date became qualified under Illinois Business Corporation Act to transact business
in Illinois:____________________________________________________________________________
14.
State your citizenship:_________________________________________________________________________
a.
If a naturalized citizen, state the time & place of naturalization:_________________________________
____________________________________________________________________________________
15.
State the character of the business for which the license is sought:______________________________________
16.
State your place of birth:_______________________________________________________________________
17.
Have you ever been convicted of gambling or a felony under any State or Federal law?_____________________
a.
If yes, give particulars:__________________________________________________________________
18.
Have you ever been convicted of the crime of pandering or other crime or misdemeanor involving moral
turpitude:___________________________________________________________________________________

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