Fillable Application Charity Wine 3 (Commonwealth of Massachusetts)

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Application Charity Wine 3 (Commonwealth of Massachusetts)

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The Application Charity Wine 3 (Commonwealth of Massachusetts) form is 3 pages long and contains:

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  • 9 check-boxes
  • 39 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Commonwealth of Massachusetts

BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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RETAIL ALCOHOLIC BEVERAGES LICENSE APPLICATION
MONETARY TRANSMITTAL FORM
APPLICATION SHOULD BE APPROVED BY THE LOCAL LICENSING AUTHORITY BEFORE IT IS SENT
TO THE ABCC.
REVENUE CODE: RETA
IF USED EPAY, CONFIRMATION NUMBER:
A.B.C.C. LICENSE NUMBER (IF AN EXISTING LICENSEE, CAN BE OBTAINED FROM THE CITY):
CHARITY NAME:
ADDRESS:
CITY/TOWN: STATE ZIP CODE
The
Commonwealth of Massachusetts
Alcoholic Beverages Control Commission
95 Fourth Street, Suite 3
Chelsea, MA 02150
www.mass.gov/abcc
CHECK PAYABLE TO ABCC OR COMMONWEALTH OF MA: NO FEE
TRANSACTION TYPE (Please check all relevant transactions):
Change of Hours
Change of DBA
Charity Wine License
THE LOCAL LICENSING AUTHORITY MUST MAIL THIS TRANSMITTAL
FORM ALONG WITH THE COMPLETED APPLICATION, AND SUPPORTING
DOCUMENTS TO:
ALCOHOLIC BEVERAGES CONTROL COMMISSION
95 Fourth Street, Suite 3
Chelsea, MA 02150
Print Form
Charity Wine License Application
Name of Applicant:
Contact Person
Phone Number:
2. Type of License Requested:
3. Event Information:
Charity Wine Pouring License
1. Qualified Charity Applicant Information:
The Commonwealth of Massachusetts
Alcoholic Beverages Control Commission
95 Fourth Street, Suite 3
Chelsea, MA 02150
www.mass.gov/abcc
Zip CodeStateCity/Town:Address of Applicant:
Fax Number:
NOTE: 1. Attach Certificate of Good Standing from the Secretary of the Commonwealth
2. Attach a copy of the Certificate of Solicitation from the Public Charities Division of the MA Attorney General's
Office
(Certificate must be current to the date of the event)
Charity Wine Auction License Charity Wine Partnership License
*Donated Wine Only
Date(s) of Event:
These events are only permitted at one of the locations specified below. Please check the one that applies.
Address of Applicant's Corporate Headquarters:
Address of Applicant's Usual Place of Business:
Address of Licensee:
Name of Licensee : ABCC License #
*Attach letter of consent from Licensee
Describe Area to be Licensed:
*If additional space is needed, please use the last page*
4. Who Donated Wine:
Name Donated
I hereby swear under the pains and penalties of perjury that the information I have provided in this application is
true and accurate; I hereby acknowledge I have read and understand the attached conditions.
Signature: Date
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Application Charity Wine 3 (Commonwealth of Massachusetts)

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Completed 18 July 2020

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