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8. AMENDMENT-Mangy gpm rjtAgreement <br /> ............ --p- <br /> 8C. 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 /> 8D, 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 /> ...................................... ..................... <br /> Licensee Name License Type Municipality Date(s)of Agreement <br /> ............ ............ .................... <br /> ......................................... . ........................................ .............. ...... ...... ............. <br /> rvrvry <br /> .................................. .............. .................. ........... ........ <br /> ............. ..... .... ............... <br /> 8E. DISCLOSURE OF LICENSE DISCIPLINARY ACTION <br /> Have any of the disclosed licenses listed in question 813,8C or 8D ever been suspended,revoked or cancelled? <br /> Yes D No [] If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> ................. <br /> Date of Action Name of License city Reason for suspension,revocation or cancellation <br /> .............................. <br /> ........................................................................ <br /> ............. ....... ...........------ <br /> ................. ........................... ........... <br /> 8F. TERMS OF AGREEMENT <br /> ............................- <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 E] No <br /> .................... ........................ ......... ......... <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 /> $ per month/year(indicate amount) <br /> 0/6 of alcohol sales(indicate percentage) <br /> ....................................... <br /> El %of overall sales(indicate percentage) ........... <br /> E] other(please explain) ........... ....................... ------------------------------ ................................... .............. ......................................... <br /> ............... . ................. <br /> ABC C Licensee Officer/LLC Manager Management Agreement Entity Officer/LLC Manager <br /> Signature: Signature. <br /> - <br /> .................................. ........... <br /> .......... .......................... ........... <br /> Title: Title: <br /> .......... ....... ....... <br /> Date: Date: <br /> .. .................. <br /> . ......... <br /> 12 <br />