Laserfiche WebLink
The Commonwealth of Massachusetts <br /> Alcoholic Beverages Control Commission <br /> 239 Causeway Street Boston,MA 02114 <br /> wwx.mass.gov/abee <br /> RETAIL ALCOHOLIC BEVERAGES LICENSE APPLICATION <br /> MONETARY TRANSMITTAL FORM � � 3 4 - <br /> APPLICATION FOR A NEW LICENSE <br /> APPLICATION SHOULD BE COMPLETED ON-LINE,PRINTED,SIGNED,AND SUBMITTER TO THE LOCAL <br /> LICENSING AUTHORITY. <br /> ECRT CODE:RETA <br /> Please make$200.00 payment here:https://www.mass.gov/epay-for-online-pgyments-abcc <br /> PAYMENT MUST DENOTE THE NAME OFTHE LICENSEE CORPORATION,LLC,PARTNERSHIP,OR INDIVIDUAL <br /> SPAY CONFIRMATION NUMBER bdb2330a-24fe-4d41-8 ad-baG474ac1c27 <br /> A.B.C.C.LICENSE NUMBER(IF AN EXISTING LICENSEE,CAN BE OBTAINED FROM THE CITY) <br /> ENTITY/LICENSEE NAME ASIS Group,Inc. <br /> ADDRESS 44 Falmouth Road <br /> CITY/TOWN Mashpee STATE MA ZIP CODE 02632 <br /> For the following transactions(Check all that apply): <br /> ❑ New License ❑ Change of Location ❑ Change of Class(i.e.Annual/Seasonal) ❑ Change Corporate StructureII.e.Corp1LLQ <br /> ❑ Transfer of License ❑ Alteration of Licensed Premises ❑ ChangeofLicense Type(i.e.club Irestaurant) ❑ Pledge ofCollateral(Ia.ucense/stod) <br /> ❑ Change of Manager ❑ Change Corporate Name ❑ Change of Category(te.AIIAlcohoUWIne.Malti ❑ Management/Operating Agreement <br /> Change of Officers/ Change of Ownership interest ❑ Issuance/Transfer of Stock/New.Stockholder ❑ Change of Hours <br /> ❑ Directors/LLC Managers ❑ (LLC Members/LLP Partners, <br /> Trustees) ❑Other ❑ Change of DBA <br /> THE LOCAL LICENSING AUTHORITY MUST MAIL THIS <br /> TRANSMITTAL FORM ALONG WITH <br /> COMPLETED APPLICATION, AND SUPPORTING DOCUMENTS TO: <br /> ALCOHOLIC BEVERAGES CONTROL COMMISSION <br /> 239 CAUSEWAY STREET <br /> BOSTON,.MA 02241-3396 <br />