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8. w ENI ME T-Mar e e 1,,ree ent <br /> LC INTEREST IN AN ALCOHOLIC mmmmm BEVERAGES LICENSE <br /> Has any individual or entity identified to question,8A,and applicable attachments,ever held a direct <br /> individual � ,'V t 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 /> .... rm.. �m ,, ,...ury,,,,r � �...rv�n»�: ........ ._ »»,.n ----- <br /> Came License Type License D Municipality <br /> i ci � <br /> e Name p ty <br /> .. <br /> 8 . PREVIOUSLY HELD MANAGEMENT AGREEMENT <br /> ............... <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 No If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> Licensee Dame License Type Municipality Date(s)of Agreement—"" <br /> 9E. DISCLOSURE OF LICENSE DISCIPLINARY ACTION <br /> ...................... <br /> Have any of the disclosed licenses listed in question 88,8C or 8D ever been suspended,revoked or.cancelled? <br /> Yes © No F7 If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> Date of Action Name e of License City 'Reason for suspension, <br /> ....... .�. ...»» ���mm«����� revocation or <br /> 1 <br /> ........ <br /> � � <<< _..... ��� n �� u�n o�w R ..... �u _ : .....��R�����«::::. rtmw�m <br /> .............................................. <br /> " . TERMS REEMENT <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 [7 No F7 <br /> ........................................ <br /> ................ <br /> .............:R.,._.._._ .,. ..�„.,�,��,����:�,««......�v:�.... .. �n... <br /> d.Management Terra 'Begin Gate e.Management Term End Cate <br /> �................... <br /> f.How will the management company be compensated by the licensee?(check all that apply) <br /> © $per month/year(indicate amount) �I <br /> %of alcohol sales(indicate percentage) <br /> %of overall sales(indicate percentage) <br /> other(please explain =1----------------`------------`-"--- .......................................... ................................................. .................... .. .......................................... <br /> ABCC Licensee officer/LLC Manager Management Agreement Entity Officer/LLC Manager <br /> .Signatucre: Signature: <br /> Title: I - ............... .......... ......................... <br /> Title: <br /> Date: Date- <br /> . ....... , <br /> 12 <br />