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6. MENTIVIENT C <br /> p,f OfficersStock or Ownershj Interest <br /> ........... <br /> 613. CURRENT OFFICERS STOCK OR OWNERSHIP INTEREST <br /> ........... ..--I. ....... ... ...................- <br /> List the individuals and entities of the current ownership. Attach additional pages if necessary utilizing the format below. <br /> Name of Pri.ncipal Title/Position Percentage of Ownership <br /> .............. ....... <br /> 1'C"HR I ST-O P HER"D CARD..... .................................................. PRESIDENT/DIRECTOR 0% <br /> I ....... .............-';�...... L.--_................................... ....... .......................................................................—--—------ <br /> Name of Principal Title/Position Percentage of Ownership............... ....... ............ ....................... <br /> 0-0�----—----.............................. <br /> 0 <br /> LORRAINE J COFFEY SECRETARYNP/DIRECTOR <br /> ............. ..................... ................ ............ <br /> Name of Principal Title/Position Percentage of Ownership <br /> ............. .............. <br /> SUE HOOVERTREASURER/VICE PRESIDENT <br /> Name of Principal Title/Position Percentage of Ownership <br /> ........... <br /> NEW SEABURY PROPERTIES,LLC OWNERT0% <br /> 1 <br /> ................................. "I�Ill""I'l"-"","-,�,�,�,�,�l- ........... ........... ... .................................................. ...... <br /> Name of Principal Title/Position Percentage of Ownership <br /> ...................... <br /> NEW SEABURY REAL ESTATE HOLDINGS,LP OWNER 0% <br /> ................. ................. ............................................ .......­.................................................................................... <br /> Name of Principal ........ ............................. Title/Position -—----------- Percentage of Ownership <br /> ............................................ ....................... <br /> .............. <br /> AREP REAL ESTATE HOLDINGS,LLC OWNER 100% <br /> ............ <br /> A. INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE <br /> -—-------- ................ ('--................... . ......... <br /> Does any individual or entity identified in question 6,and applicable attachments, have any director indirect,beneficial or financial <br /> I <br /> interest in any other license to sell alcoholic beverages? Yes No If yes,list in table below.Attach additional pages,if <br /> necessary,utilizing the table format below. License Ty F F <br /> ................... <br /> ............. <br /> Name <br /> .pe License Name Municipality <br /> ............. <br /> ...................................... ......................... ........................ Wm.................................... .......... ............... .......................................................... ............ ........... <br /> ...................... ................... ........... �........... <br /> 6B. PREVOUSLY HELD INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE <br /> .......:moon. ... .►................ .................. ............................... ............... ............- <br /> Has any individual or entity identified identified in question 6,and applicable attachments,ever held a direct or indirect,beneficial& <br /> financial interest in'a license to sell alcoholic beverages,which is not presently held? Yes No <br /> If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> ............. ............................................ ........... <br /> Name License Type License Name Municipality <br /> 17 <br /> ................ ................. ..................... <br /> ......................................................... <br /> .......... ........... .......... ............. <br /> 6C. DISCLOSURE OF LICENSE DISCIPLINARY ACTION <br /> ................ ...........1- <br /> Have any of the disclosed licenses listed in question 6A or 613 ever been suspended,revoked o,r cancelled? <br /> Yes Fj No T If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> ........... .................... ........------------------ .......................----............"'i.................... <br /> Date of Action Name of License City Reason for suspension,revocation or cancellation <br /> .tion...... <br /> ................­--­........... .................... ................. -—-------------- <br /> .................................................... ........ <br /> ............. ........................ . .......... <br /> ..................... ................ .................. .............................................................. ........................... ................. ...............—,'..................... .... <br />