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The Commonwealth of Massachusetts <br /> Alcoholic Beverages Control Commission <br /> 239 Causeway Street Boston,MA 02.1.14 <br /> www.mass.gov/ahcc <br /> APPLICATION FOR MULTIPLE AMENDMENTS <br /> Z. BUSINESS ENTITY INFORMATION <br /> Entity Name Municipality ABCC License Number <br /> ASZS Group,Inc.,d/b/a Mashpee Mart__7 I Town of Mashpee,MA 100068-PK-0670 <br /> Please provide a narrative overview of the transaction(s)being applied for.On-premises applicants should also provide a description of <br /> the intended theme or concept of the business operation.Attach additional pages,if necessary. <br /> Change of Manager on existing license,change of officers and directors of corporation,and change of ownership interest in the corporation. <br /> APPLICATION CONTACT <br /> The application contact is the person who should be contacted with any questions regarding this application. <br /> Name Title Email Phone <br /> [Robert F.Mills Attorney rmills@wynnandwynn.com 508-775-3665 ext.215 <br /> 2. AMENDMENT-Change of License Classification <br /> E] Chan a of License CategoryLast-Approved License Category <br /> All Alcohol,Wine and Malt, <br /> Wine Malt and Cordials Requested New License Category <br /> ❑ Change of License Class Last-Approved License Class <br /> Seasonal or Annual <br /> Requested New License Class <br /> [] <br /> Change of License Type* Last-Approved License Type <br /> i.e. Restaurant to Club <br /> *Certain License Types Requested New License Type <br /> CANNOT change once issued* <br /> 3 AMENDMENT-Change of Business Entity Information <br /> ❑ Change of Corporate Name Last-Approved Corporate Name: <br /> Requested New Corporate Name; <br /> ❑j Change of DBA Last-Approved DBA: <br /> Requested New DBA: <br /> [] Change of Corporate Structure Last-Approved Corporate Structure <br /> LLC,Corporation,Sole <br /> Proprietor,etc Requested New Corporate Structure <br /> 4. AMENDMENT-Pled a Information <br /> ❑ Pledge of License <br /> To wham is the pledge being made: <br /> ❑ Pledge of Inventory <br /> ❑ Pledge of Stock <br /> 6 <br />