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The Comnionweak of Mass aeh usetts <br /> Alei holie Beverages Co�ntrol Commission <br /> 95 Fourth Street,Suite 3, Chelsea,MA 02'150-2358 <br /> www.mass.govlabcc <br /> RETAIL ALCOHOLIC BEVERAGES LICENSE APPLICATION <br /> MONETARY TRANSMITTAL FORM <br /> APPLICATION FOR A NEW LICENSE <br /> APPLICATION SHOULD BE COMPLETED ON-LINE) PRINTEDt SiGNED,AND SUBMITTED TO THE LOCAL <br /> LICENSING AUTHORITY. <br /> ECRT CODE: RETA <br /> Please make $200.00 payment here:1ABCC PAYMENT WEBSITE <br /> PAYMENT MUST DENOTE THE NAME OF THE LICENSEE CORPORATION,LLC.,PARTNERSHIP,OR INDIVIDUAL AND INCLUDE THE <br /> PAYMENT RECEIPT <br /> ABCC LICENSE NUMBER IF AN EXISTING LICENSEE,CAN BE OBTAINED FROM THE CITY) <br /> ENTITY/LICENSEE NAME Magni Inc. <br /> ADDRESS <br /> CODE 'CITY/TOWN Mashplee STATE ZIP'MA 02649 <br /> For the foll,owing transactions (Check all that apply): <br /> [X] New License Change of Location IChange of Class(i.e.Annual seasonal) Change Corporate Structure(i.ecorp/1-1-C) <br /> Transfer of License Alteration of Licensed Premises Change of License Type(i.e.club/restaurant) Pledge of Collateral(Le.License/Stock) <br /> Change of Manager Change corporate Name Change of category oe.All Alcohol/Wine,Malt) management/operating Agreement <br /> Change of Officers/ Change of Ownership Interest issuance/Transfer of Stock/New Stockholder Change of Hours <br /> Directors/1-LC Managers (LLC Members/LLP Partners, Other F_ E] Change of DBA <br /> Trustees) <br /> THE LOCAL LICENSING AUTHORITY MUST MAIL THIS <br /> TRANSMITTAL FORM ALONG WITH <br /> COMPLETED APPLICATION� AND SUPPORTING DOCUMENTS TO: <br /> Alc <br /> 0 <br /> 1 ion oholic Beverages Control Comm*ss <br /> 95 Fourth Street, Suite 3 <br /> Chelsea,NIA 02150-2358 <br />