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8, AMENDMENT-Man.......... ent A reement <br /> .................-9.__.— <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 /> .......... ............................. rrrrrrrrrrr .............. mRr............ <br /> ......................................._"­,..................... ............. <br /> Name License Type License Name Municipality <br /> .......... <br /> ........... ............ ............. <br /> ........... .................. ....... <br /> ...................... <br /> ....................... ro.ro .............. <br /> 8D. P R EVIOU SLY H ELD MANAGEMENT AG REEM ENT <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 Name License Type Municipality Date(s)of Agreement <br /> ............­1......... .............................................. ...................... <br /> .......... <br /> ............ <br /> E.«r�rrc�[ IS Lt SURE 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 /> -——---------------------"'-­­--_­­­1111.............................................. <br /> Date of Action Name of License City Reason for sus pension,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 /> d.Management Term Begin Date e.Management Term End Date <br /> .................... <br /> f.How will the management company be compensated by the licensee?(check all that apply) <br /> Q $per month/year(indicate amount) <br /> %of alcohol sales(indicate percentage) <br /> %of overall sales(indicate percentage) <br /> �-——---------------- <br /> Eother(please explain) ........................................................................................ ....... .........------------- -------.--- ..................... <br /> ABCC Licensee Officer/LLC Manager Management Agreement Entity Offlicer/LLC Manager <br /> Signature: Signature:1 <br /> I-—-------- ...... ..................................... ............... ...... <br /> Title: Title: <br /> ............................ ..... .................. ..... <br /> ............. <br /> Date: Date: <br /> ........... ............................. .......................I ......... .......... ............___..................___........._ <br /> 12 <br />