The Commonwealth of Massachusetts Department of the State Treasurer Alcoholic Beverages Control Commission 239 Causeway Street Boston, MA 02114 RAILROAD/CAR APPLICANTS PROCEDURES FOR APPLYING FOR/OR RENEWAL OF A LICENSE Enclosed application is to be completed when applying for a new license and renewal of a license. The following must be submitted with your application: 1. LICENSE FEE: MASTER LICENSE: $500.00 plus $50.00 for each Certified Copy, (Must have a Certified Copy on each vehicle which is transporting alcoholic beverages.) Payable to the Commonwealth of Massachusetts. 2. NEW APPLICANTS - If a corporation - approved copy of Articles of Organization issued by the Secretary of State in Massachusetts. (RENEWAL APPLICANTS: need only submit Articles of Organization if there are changes/amendments in the articles currently on file. 3. Requirements of the Public Health Security and Bioterrorism Preparedness and Response Act of 2002, Public Law 107-188 (“the Bioterrorism Act of 2002”). Renewal applications must be submitted by November 30th of the calendar year. IMPORTANT - payment and mailing procedures - all applicants must complete the enclosed monetary transmittal form, attach your payment and application to the transmittal form and mail to: BANK OF AMERICA - ALCOHOLIC BEVERAGES CONTROL COMMISSION POST OFFICE BOX 3396 BOSTON, MA 02241-3396 OUR WEBSITE ADDRESS: www.mass.gov/abcc If you should need assistance on applying for or renewing a license, please contact, Theresa Strianese, (617) 727-3040 x 21. American LegalNet, Inc. www.FormsWorkFlow.com The Commonwealth of Massachusetts Department of the State Treasurer Alcoholic Beverages Control Commission 239 Causeway Street Boston, MA 02114 2010 RAILROAD OR CAR LICENSE APPLICATION (M.G.L. CH. 138 SEC. 13) APPLICANT NAME:__________________________________________________________________ (TYPE OR PRINT) ADDRESS:___________________________________________________________________________ TELEPHONE NUMBER (AREA CODE):_______________________________________________ The undersigned, being a railroad or car corporation operating a line of railroad or cars within the Commonwealth, hereby applies for a license to sell alcoholic beverages to passengers for consumption in its cars. Describe the cars to be licensed (Give their names or numbers, and state whether they are dining, club, buffet, or lounge cars.) ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ The foregoing statements made under the penalties of perjury. Signature:_____________________________ (Title) Date Pursuant to M.G.L. Ch. 62C, Sec. 49A, I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all state tax returns and paid all state taxes required under law. ____________________ Social Security Number ______________________________________ Signature of Individual Date or Corporate Name __________________________ Federal Identification Number By:___________________________________ Corporate Officer Date (if applicable) FEE: $500.00 plus $50.00 (certified copy for each car) Payable to the Commonwealth of Massachusetts. American LegalNet, Inc. www.FormsWorkFlow.com The Commonwealth of Massachusetts Department of the State Treasurer Alcoholic Beverages Control Commission 239 Causeway Street Boston, MA 02114 2010 RAILROAD TRANSPORTATION APPLICATION (M.G.L. CH. 138, SEC. 22) NAME OF RAILROAD:________________________________________________________ ADDRESS:___________________________________________________________________ TELEPHONE NUMBER (AREA CODE)________________________________________ The undersigned being a Railroad Company __________________________________________, hereby applies for a permit NAME OF RAILROAD COMPANY to TRANSPORT alcoholic beverages not to be consumed by passengers for their Railroad Car ___________during the year 20_____. Have you registered with the Food and Drug Administration?________________________ FDA Registration No. ______________ Date of Registration:________________________ The foregoing statements are made under the penalties of perjury. Signature___________________________________ (DATE) Title_______________________________________ IMPORTANT NOTICE PAYMENT AND MAILING PROCEDURES All applicants must complete a monetary transmittal form. Attach your payment and application to the transmittal form and mail to: ALCOHOLIC BEVERAGES CONTROL COMMISSION POST OFFICE BOX 3396 BOSTON, MA 02241-3396 FEE: $1,500.00 (check payable to the Commonwealth of Massachusetts) American LegalNet, Inc. www.FormsWorkFlow.com MONETARY TRANSMITTAL FORM 1 THIS TRANSMITTAL MUST ACCOMPANY YOUR APPLICATION IN ORDER TO ASSURE PROPER CREDIT. PLEASE DO NOT SEND CASH. PLEASE MAKE YOUR CHECKS PAYABLE TO COMMONWEALTH OF MASSACHUSETTS, ABCC. MAIL THIS TRANSMITTAL ALONG WITH YOUR CHECK AND COMPLETED APPLICATION TO: BANK OF AMERICA - ALCOHOLIC BEVERAGES CONTROL COMMISSION POST OFFICE BOX 3396 BOSTON, MA 02241-3396 APPLICANT MUST COMPLETE THE FOLLOWING: NAME: ADDRESS: CITY/TOWN: DATE: STATE: LICENSE NAME AIRLINE MASTER FOR SALE TO PASSENGERS AIRLINE (EACH FLIGHT) BROKERS BONDED WAREHOUSE SALESMAN TRANSP. FOR SALESMAN RAILROAD MASTER FOR SALE TO PASSENGERS RAILROAD (EACH RR CAR) STEAMSHIP SHIP CHANDLER TRANSPORTATION & DELIVERY WAREHOUSEMAN PERMIT TO TRANSPORT NOT FOR CONSUMPTION RR, SHIP, OR AIRLINE ZIP CODE: REV. CODE # OF FEE PERMITS AMOUNT REQUESTED TOTAL 3094 3094 3007 3095 3011 3097 ________ ________ ________ ________ ________ ________ $ 500.00 $ 50.00 $ 5000.00 $ 1000.00 $ 200.00 $ 150.00 $ ________ $ ________ $ ________ $ ________ $ ________ $ ________ 3009 3009 3010 3099 3097 3095 ________ ________ ________ ________ ________ ________ $ 500.00 $ 50.00 $ 500.00 $ 1000.00 $ 150.00 $ 500.00 $ ________ $ ________ $ ________ $ ________ $ ________ $ ________ 3097 ________ $ 1500.00 $ ________ CHECK TOTAL $_________ American LegalNet, Inc. www.FormsWorkFlow.com