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16,11,111.,"A'MEN'DMENT-Chgngpof officersStock or Owners.,hjp Interest <br /> 613. CURRENT OFFICERS,,.STOCK OR OWNERSHIP INTEREST <br /> .OFFICER...........-- .................... <br /> List the individuals and entities of the current ownership. Attach additional pages if necessary utilizing the format below. <br /> Name of Principal Title/Position Percentage of Ownership <br /> I , ...........—, f "II.Ill""I.,,,,,,�'ll""I'll""I'll",'ll"I.............. <br /> PHER D CARD ECTOR ............... i0% <br /> ..................... ........................ .................................... --- ..................... ......................... <br /> Name of Principal Title/Position <br /> ........... ...........- Percentage of Ownership <br /> ......... .......................................';...................................................................—,I .... ............. .................. ........ <br /> .................... <br /> LORRAINE J COFFEY ETARY/VP/DIRECTOR 0% <br /> .........................._J [��C ....................... 1-11-11111-111-11 <br /> Name of Principal............ Title/Positio,n Percentage of Ownership <br /> ..................ICE <br /> OOVER TREASURER/VICE PRESIDENT 0% <br /> ........... ............. ............ <br /> Name of Principal Title/Position Percentage of Ow* ersh i' <br /> .............................. n P <br /> ,NEW SEABURY PROPERTIES.,LLC OWNER 100% <br /> Name of Principal Title/Position <br /> ............... Pe"r-cle9tage of Ownership <br /> ....................................... <br /> NEW SEABURY REAL ESTATE HOLDINGS,LPc WNER 100% <br /> ........... ....... ....... <br /> Name of Principal Title/Position Percentage of Ownership <br /> 'L........................................................................................ ............ ..................................................................................................................... ................................................................................. ...... ............................................... ........... <br /> AREP REAL ESTATE HOLDINGS,.LLC OWNER 100% <br /> 11111-1-............. <br /> 6A.INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE <br /> Does any individual or entity identified in question 6,and applicable attachments, have any direct or indirect,beneficial or financial <br /> interest in any other license to sell alcoholic beverages? Yes r7 No F] If yes,list in table below.Attach additional pages,if <br /> necessary,utilizing the table format below. <br /> ............... .......... <br /> Name License Type License Name Municloality <br /> ............................................................................. -—--------............................................ <br /> ............................. ..................... .... ....................... .................. .......... <br /> 68. PREVIOUSLY HELD INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE <br /> W <br /> .................... ........ <br /> an individual or entity identified identified in question 6,and applicable attachments,ever held a direct or indirect,beneficial or <br /> financial interest in a license to sell alcoholic beverages,which is not presently held? Yes © No M <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 /> ——---------------------------------- <br /> ............................ <br /> ..................... .......... <br /> ....................... ......................... <br /> 6C. DISCLOSURE OF LICENSE DISCIPLINARY ACTION <br /> .......................... ................ <br /> Have any of the disclosed licenses listed in question 6A or 613 ever been suspended,revoked or cancelled? <br /> Yes F7 No r-1 If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> ....... .......11.........-—-------------------- ............... <br /> Date of i Name of License City ... eason for su--spension,revocation or cancellation <br /> ........... ....................... <br /> -—--------------------- <br /> ............... ............ <br /> ..................... ............ ............... <br /> . ....................... ............................ ................ ...... ........... .........._J <br /> 9 <br />