State of California Department of Alcoholic Beverage Control SUPPLIER ENTERTAINMENT PERMIT AUTHORIZED BY BUSINESS AND PROFESSIONS CODE SECTION 25600.5 Pursuant to Business and Professions Code section 25600.5, qualified supplierlicensees may conduct certain events, at which distilled spirits, wine, food, entertainment and ground transportation may be given, free of charge, to invited consumers (see reverse for specific allowances, limitations and prohibitions). The statute requires that a supplier-licensee conducting such an event disclose to the Department the below information, along with payment of an administrative fee ($200.00) for each event. LICENSE NUMBER RECEIPT NUMBER TOTAL FEE ($200.00 per event) $ Must be submitted at least 30 days prior to date of event. SECTION 1 1. LICENSEE NAME(S) 2. LICENSE NUMBER 3. CONTACT PERSON 4. CONTACT PHONE NUMBER 5. NUMBER OF EVENTS CONDUCTED THIS CALENDAR YEAR BY LICENSEE WITH ATTENDANCE EXCEEDING 100 PEOPLE 6. NUMBER OF EVENTS CONDUCTED THIS CALENDAR YEAR BY LICENSEE WITH ATTENDANCE NOT EXCEEDING 100 PEOPLE 7. EVENT DATE 8. EVENT HOURS 9. ESTIMATED ATTENDANCE From 10. LOCATION OF EVENT (Street Address) To 1 11. NUMBER OF EVENTS AUTHORIZED BY BUSINESS & PROFESSIONS CODE SEC. 25600.5 HELD BY LICENSEE AT THIS LOCATION THIS CALENDAR YEAR SECTION 2 EVENT HELD ON PREMISES OF A HOTEL 12. NAME OF LICENSED RETAILER 13. RETAILER'S LICENSE NUMBER SECTION 3 EVENT HELD AT UNLICENSED LOCATION 14. NAME OF LICENSED CATERER TO SERVE GUESTS AT EVENT 15. CATERER'S LICENSE NUMBER FOR EACH EVENT FOR WHICH A CATERER AUTHORIZATION IS REQUIRED, THIS FORM SHOULD BE SUBMITTED TO THE DEPARTMENT IN CONJUNCTION WITH FORM ABC-218, SUBMITTED BY THE HOLDER OF A CATERER'S PERMIT SECTION 4 I declare under penalty of perjury that to the best of my knowledge these statements are true and correct. I have reviewed and fully understand the privileges and limitations set forth in Business and Professions Code Section 25600.5. LICENSEE / AUTHORIZED AGENT NAME (Please Print) LICENSEE / AUTHORIZED AGENT SIGNATURE DATE SIGNED ABC-212 (3/14) American LegalNet, Inc. www.FormsWorkFlow.com BUSINESS AND PROFESSIONS CODE SECTION 25600.5 Notwithstanding any other provision of this division, a manufacturer of distilled spirits, distilled spirits manufacturer's agent, out-of-state distilled spirits shipper's certificate holder, winegrower, rectifier, or distiller, or its authorized unlicensed agent, may provide, free of charge, entertainment, food, and distilled spirits, wine, or nonalcoholic beverages to consumers at an invitation-only event in connection with the sale or distribution of wine or distilled spirits, subject to the following conditions: (a) No licensee, other than those specified in this section, may conduct or participate in any portion of an event authorized by this section. A licensee authorized to conduct an event pursuant to this section shall not be precluded from doing so on the basis of holding any other type of alcoholic beverage license. (b) An event authorized by this section shall be conducted on either the: (1) Premises for which a caterer's authorization has been issued, except that any event held on the premises of a licensed winegrower shall not be authorized to provide any distilled spirits other than brandy. (2) Premises of a hotel holding an on-sale beer and wine or on-sale general license, except an event shall not be conducted in the lobby area of a hotel or in any portion of a hotel that is identified, promoted, or otherwise designated by the hotel as a club, nightclub, or other similar entertainment venue. For purposes of this paragraph, "hotel" means any hotel, motel, resort, bed and breakfast inn, or other similar transient lodging establishment, but it does not include any residential hotel as defined in Section 50519 of the Health and Safety Code. (c) A hotel where the event authorized by this section is being conducted shall maintain, during all times while exercising its license privileges, other areas within the licensed premises that shall be made readily available to the public not attending the authorized event. (d) Except as provided in paragraph (2) of subdivision (b), an event authorized by this section shall not be conducted on premises for which a permanent retail license has been issued. (e) Except for fair market value payments authorized pursuant to this section, a retail licensee, including the licensed caterer or the licensed hotel, shall not receive, nor shall the licensee conducting the event give, any other item of value or benefit in connection with events authorized by this section. (f) The person authorized by this section to provide, free of charge, entertainment, food, and beverages shall be present during the event. (g) The person authorized by this section to provide, free of charge, entertainment, food, and beverages shall have sole responsibility for providing payment for the entertainment, food, beverages, and rental fees at the event. Payments for entertainment, food, beverages, and rental fees shall not exceed fair market value. No other licensed person shall be authorized, under this section, to provide any portion of these payments. (h) Requests for attendance at the event shall be by invitation sent to consumers over 21 years of age at a specific address via mail or email, by telephone, or presented in person. Invitations or other advertisements of the event shall not be disseminated by any other means. Invitations shall not be sent by the authorized person or their authorized unlicensed agent inviting all of the employees of a retail licensee or a chain of retail licensees under common ownership to an authorized event. (i) Attendance at the event shall be limited to consumers who receive and accept an invitation to the event. Invited consumers may each invite one guest. All attendees shall be over 21 years of age. The total number of consumers and their guests allowed at any event authorized by this section shall not exceed 600 people. Admittance to the event shall be controlled by a list containing the names of consumers who accepted the invitation and their guests. The persons identified in this section shall be responsible for compliance. (j) No premium, gift, free goods, or other thing of value may be given away in connection with the event, except as authorized by this division. (k) The duration of any event authorized by this section shall not exceed four hours. (l) (1) Subject to paragraph (3), a perso