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8. AMENDMENT-Managg_mept A.,rgeMgM <br /> 8.C. PREVIOUSLY HELD INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE <br /> ...................................... <br /> Has any individual or entity identified in question 8A,and applicable attachments.,ever held a direct or indirect,beneficial or financial <br /> interest in a license to sell alcoholic beverages,which is not presently held? <br /> Yes No 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 /> .......... <br /> ............................................ <br /> ......................................................................................................................... ...................... ..................... <br /> .......... ........................ ....... <br /> -8. 1). PREVIOUSLY HELD MANAGEMENT AGREEMENT <br /> Has any individual or entity identified in question 8A,and applicable attachments,ever held a management agreement with any <br /> other Massachusetts licensee? <br /> Yes F7 No If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> ........... ................... <br /> Licensee Name License Type Municipality Date(s)of Agreement <br /> ............. .................... ..... .................... <br /> nRnnRn <br /> ........................ ....................... .............. <br /> ........... .......... ............... <br /> .................... ...................... <br /> 8E..DISCLOSURE OF LICENSE DISCIPLINARY ACTION <br /> ...................................... ........................................................................................................... <br /> Have any of the disclosed licenses listed in question 8B,8C or 8D ever been suspended,revoked or cancelled? <br /> Yes 0 No Q If yes,list in table below.Attach additional pages,lifnecessary,utilizing the table format below. <br /> ------------ <br /> ­Cate t ion e' of—Licens........... RR city Reason for suspension,revocation or cancellation <br /> .............. <br /> ................................ ......................... <br /> ..................... ............................ ............................................. ...................... <br /> ........... ........... ...... ................... <br /> 8F, TERMS OF AGREEMENT <br /> a.Does the agreement provide for termination by the licensee? Yes No <br /> b.Will the licensee retain control of the business finances? Yes No <br /> c.Does the management entity handle the payroll for the business? Yes No <br /> ............... .................................................................................. <br /> d.Management Term Begin Date e.Management Term End Date ..................................... .......';---------- <br /> f.How will the management company be compensated by the licensee?(check all that apply) <br /> Fj $per month/year(indicate amount) <br /> %of alcohol sales(indicate percentage) ............... ................. <br /> .................................................... . ...... <br /> F� %of overall sales(indicate percentage) .............. <br /> other(please explain) <br /> ..........................................................................-—-——--------------------------------------- .............. .................................. <br /> L........................................... ............... ...... ........... ....... <br /> ABCC Licensee Officer/LLC Manager Management Agreement Entity Officer/LLC Manager <br /> ture:S <br /> Signature:� igna i1—-1-1............. <br /> .......... <br /> Title: <br /> Title: <br /> Date: Date: <br /> ........ ......................... . ... ................ <br /> 12 <br />