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The Commonwealth of Massachusetts <br /> Alcoholic Beverages Control Commission <br /> 239 Causeway Street Boston,MA 02114 <br /> www.mass.gpovlabac <br /> RETAIL ALCOHOLIC BEVERAGES LICENSE APPLICATIONZ[1,1. � 1� =.; p, <br /> MONETARY TRANSMITTAL FORM <br /> APPLICATION FOR MULTIPLE AMENDMENTS <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:htt s: www.mass, oy e a -for-online- a ments-abcc <br /> PAYMENT MUST DENOTE THE NAME OF THE LICENSEE CORPORATION,LLC,PARTNERSHIP,OR INDIVIDUAL <br /> SPAY CONFIRMATION NUMBER 9db2330a-24fe.4d4-1-88ad=ba6474ae1 c27 <br /> A.B.C.C.LICENSE NUMBER(IF AN EXISTING LICENSEE,CAN BE OBTAINED FROM THE CITY) 00068-PK-0670 <br /> ENTITY/LICENSEE NAME ASZS Group, Inc., d/b/a Mashpee Mart <br /> ADDRESS 44 Falmouth Road <br /> CITY/TOWN Mashpee STATE MA ZIP CODE 02649 <br /> For the following transactions (Check all that apply): <br /> ❑ New License ❑ Change of Location ❑ Change of Class(i.e.Annual/Seasonal) ❑ Change Corporate Structure(i.e.Corp I LLQ <br /> ❑ Transfer of License ❑ Alteration of Licensed Premises ❑ Change of License Type(i,e.club r restaurant) ❑ Pledge of Collateral(i.e.utense/stock) <br /> F Change of Manager ❑ Change Corporate Name ❑ Change of Category 0,e.All Alcohoirwine,malt) ❑ Management/operating Agreement <br /> Change of Officers/ Change of Ownership Interest Fx� issuance/Transfer of Stock/New Stockholder Change of Hours <br /> Directors/LLC Managers ❑ (LLC Members/LLP Partners, Other El Cha nge of DBA <br /> Trustees) F1 <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 />