2000 Application PDF
2000 Application PDF
2000 Application PDF
NOTE r This application must be filed between 2l1l0o and 3131100 y.,ith the Office of the Board of
License Commissioners for Montgomery County, 16650 Crabbs Branch Way, Rockville,
Maryland, otherwise Licensees filing late applications during the month of April may
be fined an amount not to exceed $50 for each day the application is late.
For the Use of: (Circle One) lndividual Partnership Corporation Ltd. Liability Co. (LLC)
Circle One: Beer Wine Beer & Wine Beer, Wine & Liquor
Application is made by the undersigned under the provisions of Article 28 of the Annotated Code of
Maryland, as amended, for a renewal of the license now held, and the applicant(s) submit(s) and certify(ies)
to the following information required thereby:
u. fft;af;grx L,Heureux l4LL2 Chadwick La. Rockville, Md. 20853 (301) 871-8137
(Name) (Home AddressZip Code) (Home Telephone #)
(a) Stockholders:
Name/Addfess Roberr L. Kenndev 3701 Rossmoor B1vd. S.S. Md. Shares Owned: 1
c/o LEISURE WORLD COMMUNITY CORP.
Name/Addless John Hines 3701 Rossmoor B1vd. s.s. Md. _shares Owned: 1
c/o LEISUns WoiiD
NameiAddISS t,eis.re worlrl Foundarion 3701 Rossmoor Blvd. s.S. Mc1. Shares Owned:492
(5) Name of LLC (lF APPLICABLE):
Name/Address Percentage:
Name/Address Percentage:
Name/Address .Percentage:.
Name/Address Percentage:
Name/Address Percentage:
Name/Address Percentage:
Name/Address Percentage:
Name/Address Percentage:
lAlVe hereby certifu that the facts and information set forth in the application upon which the present
license was issued are unchanged: YES 1 x ) No ( ) lf no, EXPLAIN on a separate piece of
paper.
(7) Answer YES or NO: lf answer is YES, EXPLAIN on a separate piece of paper. During the cunent
license year, has the applicant(s) been convicted of any of the following:
re) Offense against Laws of Md. No (f) Offense against Laws of U.S. No
(8) During the cunent license year, have there been any convictions of any of the clerks, agents,
employees or seryants of the licensee for violations of the Alcoholic Beverage Laws of the State of Maryland
cr Montgomery County on the licensed premises? Answer YES ( ) NO ( x ):
f YES EXPLAIN:
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(Signature of
bert E. Su
yn _ Georg
of
izabeth
ffintorvice President)
Robert E. Sul1ivan, President
(Seal) L'Heureux
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t PAGE 83
Witness:
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(ResidenCe) -:ui -a:j::j '
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named individuals are the present officers of I4aryland -Glubhouse Services, Inc.
(Corp. Name)
Treasurer
(Name)
President
Title
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RATIO AFFIDAVIT
BEER, WINE & LIQUOR LICENSE, CLASS B, ON SALE ONLY
HOTEURESTAURANT . HOTEUMOTEL
l/We hereby attest, under the penalty of perjury, that the gro.g. receipts from the sale of alcoholic
beverages in the hotel/restaurant - hotel/motel for the twelve month period immediately preceding the
application for renewal did not exceed the gross receipts from the sale of food.
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County of Montgomery
This certifies that on the 6th dav of March 2000, befcre tlie
subscrrber. a Notary of the State of Maryland, personally appeared, Ted Barron
the applicant named in this food to alcoholic beverage ratio statement, and made oath in due form of law
that the matters and facts contained in said statement are true and correct.
(sEAL)
}IARCIA GROVE
LT'ffiS"H'IL?JH;' ""'
Suite 1700
I lol Wrlson Boulevatd
eriingron. v'c 22209
TEL: ?01-524-1100
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lAlVe hereby agree to keep current all state and local tax obligations
including, but not limited to, state sales and use taxes, withholding taxes, and ad-
missions taxes.
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Signature of Licensee
Robert E. Su11ir-an
Mar::l-aoC Clibhouse Ser.-lr.s --:
Printed Name of Licensee
I4arch 6. 2000
Date
Subscirbeci and sworn to before me, a Notary Public, this otrr day of
March 2000.
(Signature of Applicant)
STATE OF MARYLAND :
SS:
COUNry OF MONTGOMERY :
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, SEAL)
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WHE A UQUOR GITSS B, ON SIILE ONLY
HOTEURH$T - HOTEUMOTEL (,
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lAr/e hereby atteet, under the penalty of perjury, that the grc:s receipts from the sale of alcoholic
preceding the
beverages in the hotel/restaurant - hotel/motel for the twelve month period immediatety
application for renewal did notplrqee$lthe gross receipts tom the sale of food-
Applicant) 1
{signature of
RoE,ERf E gtuur* tt
RFstoeilr
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State of Maryland :
I S8;
Sounty of Montgomery :
*.
This certlfles that on the J7 'ary of .. ///eru'y'--.-. -, 2000' beforelhe
I
.hat the matters and facts corttained in said statement are true and correct-
March 6, 20OO
Sincerely,
Y?-*"t/tLPL
Robert E. Sullivan
General Manager
RES:pmp
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