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The Commonwealth of Massachusetts <br /> _ Alcoholic Beverages Control Commission <br /> 239 Causeway Street Boston,MA 02114 <br /> www.massgov/abcc i I ; <br /> r RETAIL ALCOHOLIC BEVERAGES LICENSE APPLICATION <br /> MONETARY TRANSMITTAL FORM <br /> APPLICATION FOR A NEW LICENSE <br /> APPLICATION SHOULD BE COMPLETED ON-LINE,PRINTED,SIGNED,AND SUBMITTED TO THE LOCAL <br /> LICENSING AUTHORITY. <br /> ECRT CODE:RETA <br /> Please make$200.00 payment here:https://www.mass.gov/epay-for-online-payments-abcc <br /> PAYMENT MUST DENOTE THE NAME OF THE LICENSEE CORPORATION,LLC,PARTNERSHIP,OR INDIVIDUAL <br /> EPAY CONFIRMATION NUMBER 9db2330a-24fe-4d 1-88ad-ba6474ac1 c27 <br /> A.B.C.C.LICENSE NUMBER(IF AN EXISTING LICENSEE,CAN BE OBTAINED FROM THE CITY) �— <br /> ENTITY/LICENSEE NAME ASZS Group, Inc. <br /> ADDRESS 44Falmouth Road <br /> CITY/TOWN Mashpee STATE Mq ZIP CODE 02649 <br /> For the following transactions(Check all that apply): <br /> Q New License ❑ Change of Location ❑ Change of Class(i.e.Annual/seasonal ❑ Change Corporate Structure(I.e.corp/LLQ <br /> ❑ Transfer of License ❑ Alteration of Licensed Premises ❑ Change of License Type p.e.dub/restaurant) ❑ Pledge of Collateral(i.e.License/Stock) <br /> ❑ Change of Manager ❑ Change Corporate Name Change of Category(i.e.All Alcohol/Wine,Malt) ❑ Management/Operating Agreement <br /> Change of Officers/ Change of Ownership Interest ❑ IssuancefTransfer of Stock/New Stockholder ❑ Change of Hours <br /> ❑ Directors/LLC Managers ❑ (LLC Members/LLP Partners, ❑ Change of DBA <br /> Trustees) ❑Other <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 />