F-7 Permit Application {DLC 4268}

Ohio Department of Commerce - Division of Liquor Control 6606 Tussing Road, P.O. Box 4005, Reynoldsburg, Ohio 43068-9005 Telephone No. (614) 644-2360 - http://www.com.state.oh.us F-7 PERMIT APPLICATION NONPROFIT ORGANIZATION FOR A QUALIFIED GOLF EVENT APPLICATION SHOULD BE FILED 30 DAYS PRIOR TO EVENT THE FEE FOR AN F-7 PERMIT IS $450.00 An F-7 permit may be issued to a "nonprofit organization" to sell beer, wine, mixed beverages, and spirituous liquor by the individual drink at a "qualified golf event" until 1 A.M. not to exceed eight days. Only two F-7 permits may be issued per calendar year to an applicant. "Nonprofit organization" means any unincorporated association or nonprofit corporation that is not formed for the pecuniary gain or profit of, and whose net earnings or any part of whose net earnings is not distributable to, its members, trustees, directors, officers, or other private persons. "Qualified golf event" means a golf tournament or other golf competition event that is hosted by the nonprofit organization to which an F-7 permit is issued, that is sanctioned by a recognized national golf organization, that includes the sale of food for consumption on the premises for which the F-7 permit is issued, and that makes contributions to charity from the proceeds of the event that equal in the aggregate at least $200,000. "Recognized national golf organization" means the United States Golf Association; the Professional Golf Association of America (PGA); the PGA Tour, including the Champions Tour and the Nationwide Tour; the LPGA Tour; or the successors of any of the previously listed organizations. TO PROPERLY FILE YOUR F-7 APPLICATION, CAREFULLY READ THE GENERAL INSTRUCTIONS LOCATED ON PAGE 5 SECTION (A) Name of Nonprofit Organization PROPOSED F-7 PERMIT PREMISES INFORMATION Street Address (Where Function Will Be Held - BE SPECIFIC) Township (Only if Unincorporated Area) City State Zip Code County OHIO Mail Permit and Correspondence To: Name: Individual responsible for the compliance with Ohio's liquor laws in conjunction with the sale and consumption of alcoholic beverages: Date and Time Function Will Begin: Address: Phone: Name: ________________________________________ Title: ____________________ Phone # ( ) _________________________________ Date and Time Function Will End: SECTION (B) 1. APPLICANT/ORGANIZATION'S INFORMATION List the name of the "Qualified Golf Event" (golf tournament or other golf competition): ______________________________________________________________________________________ Please provide the following information on the TOP FOUR OFFICERS: Title: CEO Name Residence Address Phone Title: Name Residence Address Phone FOR OFFICE USE ONLY Title: Title: President 2. Name Residence Address Phone Name Residence Address Phone Taxing District Permit Number Receipt # DLC 4268 Reviewer Action: Remarks: Rev. 1-07 American LegalNet, Inc. www.FormsWorkflow.com SECTION (C) 1. Is the applicant a "Nonprofit organization" meaning any unincorporated association or nonprofit corporation that is not formed for the pecuniary gain or profit of, and whose net earnings or any part of whose net earnings is not distributable to, its members, trustees, directors, officers, or other private persons? ........................................................... YES 2. Is the "Qualified golf event" a golf tournament or other golf competition meeting the following criteria: a) Is the qualified golf event hosted by the nonprofit organization to which an F-7 permit is being issued? ...................... YES b) Please indicate that the golf tournament or other golf competition is sanctioned by a recognized national golf organization by placing an X by the appropriate organization: United States Golf Association The Professional Golf Association of America (PGA) The PGA Tour, including the Champions Tour and the Nationwide Tour; the LPGA Tour; or the successors of any of the previously listed organizations c) Does the event include the sale of food for consumption on the premises for which the F-7 permit is being issued? ... YES d) Will the proceeds from the event make contributions to charity that equal in the aggregate at least $200,000.00? ...................................................................................................................................................................... YES 3. Please check the appropriate box indicating whether the property on which the applicant's event will be held is owned or leased by the nonprofit organization: Owned Leased 4. Is the applicant's premises located in an area in which the qualified golf event is conducted and to other areas contiguous to those areas in which the qualified golf event is conducted, which areas are specifically designated for food and beverage consumption and hospitality for the qualified golf event? ............................................... YES 5. Is the premises clearly defined and sufficiently restricted to allow proper supervision by state and local law enforcement personnel regarding the use of the permit? ................................................................................................. YES NO NO NO NO NO NO Note: The application must be signed by the President or Chief Executive Officer of the Organization. State of Ohio, ____________________________________________County, ss I/We ___________________________________________________, being first duly sworn, according to law, depose (Print Name and Title) and say that I/We are at least twenty-one (21) years of age and the statements and answers made in the foregoing application are true. __________________________________________ (Signature of President or Chief Executive Officer) ______________________________ (Print Name) Sworn to before me and subscribed in my presence this ________ day of ________________________________, 20_______. _________________________________________________________ Notary Public Expiration Date EOE/ADA SERVICE PROVIDER Page 2 FOR TTY USERS DIAL ORS 1-800-750-0750 American LegalNet, Inc. www.FormsWorkflow.com CONSENT OF REAL PROPERTY OWNER / NOTIFICATION OF CHIEF PEACE OFFICER FORM SECTION (D) CONSENT OF REAL PROPERTY OWNER FOR THE F-7 APPLICATION (This portion must be completed by the owner of the property location where the event is to be held) If applicant is owner of real property mark box and sign form. I/We, being the owner of the realty located at _____________________________________