Liquor Warehouse License Application

UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 1625 South 900 West · PO Box 30408 · Salt Lake City, UT 84130-0408 · (801) 977-6800 · FAX (801) 977-6888 www.abc.utah.gov "LIQUOR WAREHOUSE LICENSE" APPLICATION CHECKLIST The items below should be completed and submitted by the 10th of the month or earlier, so that your application can be processed in a timely manner. All licensing requirements must be fully satisfied in order to complete your application. You will be notified of the next Utah Alcoholic Beverage Control Commission meeting when your application will be considered for issuance of a license. 1.___ Completed application form (enclosed). 2.___ Ownership entity organizational papers for business: a) if a corporation, submit a copy of articles of incorporation; b) if a partnership, submit a copy of written agreement; c) if a limited liability company, submit a copy of articles of organization. 3.___ Criminal History background Check information (see application form). 4.___ Written consent from either city/town council or county commission whichever is applicable (form enclosed). 5.___ Copy of current local business license. 6.___ $10,000 Liquor Warehouse cash or corporate surety bond (form enclosed). 7.___ Certificate of public liability insurance. 8.___ Scaled floor plan of warehouse premises (8 1/2 x 11) highlighting areas where liquor, wine and heavy beer will be stored. 9.___ $300 application fee (non-refundable). 10.___ $850 license fee (refundable if license is not granted). Make checks payable to UDABC. Enclosed for your information are copies of Utah law and commission rules pertaining to liquor warehouses. If you have any questions concerning these forms or the application process, please contact our Licensing and Compliance Division at (801) 977-6800. Effective 7.1.11 v.7.18 Page 1 of 23 American LegalNet, Inc. www.FormsWorkFlow.com UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL APPLICATION FOR LIQUOR WAREHOUSE LICENSE 1. 2. 3. Applicant/Organization:_____________________________________________________________ Business Name:___________________________________________________________________ Location: ________________________________________________________________________ Street City State Zip Mailing address:___________________________________________________________________ Street or P O Box City State Zip Warehouse phone:________________ e-mail: ________________________ Fax:_______________ Contact person:______________________________________ Phone: ________________________ Owner of real property and building:____________________________________________________ Ownership: Check appropriate box and provide the requested information in the space below. (add additional sheets if necessary) [] Applicant is an individual: List below information for: (a) Individual (b) Managers (a) All Partners (b) Managers (a) Any Stockholder owning at least 20% of the corporation (b) All Corporate officers and Directors 4. 5. 6. 7. 8. [] Applicant is a partnership: List below information for: [] Applicant is a corporation: List below information for: (c) All Managers [] Applicant is a limited liability company (LLC): List below information for: (a) Any members owning at least 20% of the company (b) All Managers TITLE____________NAME_______________________HOME ADDRESS_________________________________ HOME PHONE#______________DR LIC#_____________SS#______________DOB__________%OWNED_____ Are you a United States Citizen? ________ If no, must attach a copy of residency status. TITLE____________NAME_______________________HOME ADDRESS_________________________________ HOME PHONE#______________DR LIC#_____________SS#______________DOB__________%OWNED_____ Are you a United States Citizen? ________ If no, must attach a copy of residency status. TITLE____________NAME_______________________HOME ADDRESS_________________________________ HOME PHONE#______________DR LIC#_____________SS#______________DOB__________%OWNED_____ Are you a United States Citizen? ________ If no, must attach a copy of residency status. Effective 7.1.11 v.7.18 Page 2 of 23 American LegalNet, Inc. www.FormsWorkFlow.com 9 Criminal History. The law prohibits any person who has been convicted of a felony under any federal or state law or any violation of any federal or state law or local ordinance concerning the sale, manufacture, distribution, warehousing, adulteration, or transportation of alcoholic beverages from being in the alcoholic beverage business. The law also prohibits any person who has been convicted of any crime involving moral turpitude or, on two or more occasions within the last five years, has been convicted of driving under the influence of alcohol, or any drug, or the combination of alcohol and any drug from being in the alcohol business. This proscription also applies to any officers, partners, managers, managing agents, directors, stockholders who hold at least 20% of the total issued and outstanding stock of an applicant corporation, members who own at least 20% of an applicant limited liability company and to an person employed to act in a supervisory or managerial capacity. Please list all criminal offenses other than minor traffic offenses of which you or any of the above persons have ever been convicted: CRIMINAL OFFENSE DATE OF CONVICTION NAME __________________________________________________________________________________ ______________________________________________________________________________________ In addition, a criminal history background check must be furnished on each person listed above and in subparagraph 6. This may be done as follows: a. Utah residents: If any person listed has been a resident of Utah for at least two years, he/she shall submit a fingerprint card to the DABC and consent to a fingerprint criminal background check by the Utah Bureau of Criminal Identification. b. Non Residents: Out of state residents or persons who have resided in Utah for less than two years shall submit a fingerprint card to the DABC and consent to a fingerprint criminal background check by the Federal Bureau of Investigation (F.B.I). An informed consent and release of liability form is included with this information. Fingerprint cards are available at law enforcement agencies. You may download the fingerprint card at this web address: http://www.fbi.gov/hq/cjisd/pdf/fpcardb.pdf Submit the form(s) to the DABC with a processing fee of: · $20.00 per card for BCI background checks, or · $39.25 per