Michigan Department of Licensing and Regulatory Affairs Liquor Control Commission (MLCC) Constitution Hall - 525 W. Allegan, Lansing, MI 48933 Mailing Address: PO Box 30005, Lansing, MI 48909 Toll Free (866) 813-0011 • www.michigan.gov/lcc Business ID: Request ID: (For MLCC use only) Club Resolution (Authorized by MAC R436.1127) INSTRUCTIONS: Clubs are required to provide a certified copy of the resolution requesting a license, adopted at a bona-fide club meeting. This resolution must be adopted at a meeting of the organization and passed by a majority or the members. This resolution (LC-107) provides the resolution wording and certification required to meet Commission requirements. Return the Certified Resolution to the address above at the attention of the CLUB UNIT. At a meeting of (Name of Organization) ____________________________________________ Held at (Address) ___________________________________________ on (Date) __________, the following resolution was adopted by this organization and is part of the minutes of the organization as required by Rule 436.1127 of the Michigan Administrative Code: It is further RESOLVED that in the event this license is issued, (Name) __________________, of (Address) ____________________________________________ will be in charge of the bar operation. Number of member in organization at time of meeting Number of members present _______ _______ Number of voting in favor of resolution _______ Address or premises for which license is requested is (Street) ___________________________ (City) _______________________ (Township) __________________ (County) _____________ * Fill in township only when premises will come under the township jurisdiction. I, the undersigned, hereby certify that I am the secretary of the __________________________ _________________________________________ and that this resolution is a true copy of the resolution passed by the membership of our organization on (Date) ______________________. Secretary Signature: ______________________________ LC-107 (Rev. 06/14) AUTHORITY: MAC R436.1127 COMPLETION: Mandatory PENALTY: No License LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. American LegalNet, Inc. www.FormsWorkFlow.com