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pyly <br /> ne Commonwealth of'Mass chus tts <br /> Alcoholic Beverages Control 'ommisfion <br /> a � 95 rc `I Street, 'rite.. , :" el .ea C110 <br /> N <br /> .. ........ <br /> "A' <br /> www.rrr�cgsF cc <br /> ........ .,� 7 <br /> rp <br /> RETAIL ALCOHOLIC BEVERAGES LICENSE APPLICATION <br /> MONETARY TRANSMITTAL FORM <br /> APPLICATION SHOULD BE COMPLETED CAN-LINE, PRINTED..SIGNED.,AND SUBMITTED TO THE LOCAL <br /> LICENSING AUTHORITY. <br /> ECRT CODE.- RETA <br /> Please i''r1ake$200.00 payment <br /> a meat here*htt Y Yr _Q ...*,. <br /> av e.. a - r-cn,,,,one �..: mE s a cc <br /> .... <br /> PAYMENT MUST DENOTE THE NAME OF THE LICENSEE CORPORATION,LLC,PARTNERSHIP,OR INDIVIDUAL <br /> CO <br /> NFIRMATION 11192019�1 : � 7P«... <br /> Y'CONFIRMATION NUMBER MST <br /> ............ <br /> A►.B. .+C.LICENSE NUMBER(IF AN EXISTING LICENSEE,CAN BE OBTAINED FROM THE CIT"1i') r1 <br /> NEW ,SEA►� .:.:. �_�.,,�,., ,.: . ,. < <br /> ENTITY LICENSEE NAME U RESOURCES MANAGEMENT, IN r <br /> ADDRESS EANE T DRIVE <br /> CITY/TOWN MA►, H P EE STATE M ZIP CODE 02649 <br /> For the following transactions (Check,all that apply): <br /> New License Change of Location F� Change of Class o.e.Annual/Seasonal) E] Change Corporate Structure(i.e.Carp/LLCM <br /> Transfer of License Alteration of Licensed Premises � Change of License Type(i.e.club/restaurant) 0 Pledge'of Collateral U,e,License/Stack) <br /> Change of Manager 'E] Change Corporate Name � Change of Category(Le.All Alcohol/Wine,Malt) D Management/Operating Agreement <br /> Change of Officers/ Change of Ownership Interest issuance/Transfer of Stock/New Stockholder Change of Hours <br /> Directors/LLC Managers (LLC Members/LLP Partners, <br /> Trustees) Other E] Change of aBA <br /> THE LOCAL LItENSING AUTHORITY MUST MAIL THIS <br /> TRANSMITTAL FORM ALONG WITH <br /> COMPLETED APPLICATION, A►NC SUPPORTING DOCUMENTS TO: <br /> ALCOHOLIC BEVERAGES CONTROL COMMISSION <br /> 95 Fourth Street,. Suite 3 <br /> Chelsea, MA 02150- 8 <br />