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APPLICATION FOR A NEW LICENSE <br /> 6A.INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE <br /> Does any individual or entity identified in question 6,and applicable attachments,ts, I list in any <br /> directo r indirect,Attach additional or financial <br /> interest in any other license to sell alcoholic beverages. Yes F No ❑ Y <br /> necessary,utilizing the table format below. <br /> Name <br /> License Type License Name Municipality <br /> ASZS Group,Inc d/b/a Mashpee Mart Retail Annual-Wine&Malt Beverages Town ofMashpee,MA <br /> Annual-Wine&Malt Beverages Town of Mashpee,MA <br /> Zohaib Shahid Retail <br /> 6B. PREVIOUSLY HELD INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE <br /> Has any individual or entity identified identified in question 6,and applicable attachments,ever held a direct or indirect,beneficial or <br /> financial interest in a license to sell alcoholic beverages,which is not presently held? Yes ❑ No ❑X <br /> If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> Name License Type <br /> License Name Municipality <br /> 6C. DISCLOSURE OF LICENSE DISCIPLINARY ACTION <br /> Have any of the disclosed licenses listed in question 6Aor 6B ever been suspended,revoked or cancelled? <br /> Yes E] No If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> Cit Reason for suspension,revocation or cancellation <br /> Date of Action Name of License Y <br /> 7. OCCUPANCY OF PREMISES <br /> Please complete all fields in this section. Please provide proof of legal occupancy of the premises. <br /> • If the applicant entity owns the premises,a deed is required. <br /> • If leasing or renting the premises,a signed copy of the lease is required. <br /> • If the lease is contingent on the approval of this license,and a signed lease is not available,a copy of the unsigned lease and a letter <br /> of intent to lease,signed by the applicant and the landlord,is required. <br /> • If the real estate and business are owned by the same individuals listed in question 6, either individually or through separate <br /> business entities,a signed copy of a lease between the two entities is required. <br /> Please indicate by what means the applicant will occupy the premises Le7a�se:��� <br /> Landlord Name Theodore Kyros,Trustee <br /> := <br /> Landlord Email <br /> Landlord Phone --' <br /> Landlord Address <br /> Rent per Month F2=,500=.00 <br /> Lease Beginning Date FJanuary1,201 <br /> Lease Ending Date FDecember 31,202���-�---' Rent per Year F$30,000-00 <br /> Will the Landlord receive revenue based on percentage of alcohol sales? QYes Q No 3 <br />