MISSOURI DEPARTMENT OF PUBLIC SAFETY DIVISION OF ALCOHOL AND TOBACCO CONTROL APPLICATION FOR SUNDAY LICENSE TYPE OR USE ONLY BLACK INK TO COMPLETE THIS APPLICATION LEGAL NAME OF ENTITY DOING BUSINESS AS PHYSICAL LOCATION ADDRESS OR LOCATION OF ENTITY'S PRINCIPAL OFFICE (STREET ADDRESS) CITY, STATE, ZIP CODE BUSINESS TELEPHONE NUMBER MAILING ADDRESS (IF DIFFERENT FROM ABOVE) The undersigned (individual) (partnership) (corporation) (limited liability company) hereby makes application to the Supervisor of Alcohol and Tobacco Control of the State of Missouri for a license authorizing the sale of retail liquor by the drink on Sundays, and for the purpose of inducing the Supervisor to issue it said license makes the statements and answers herein set out. The undersigned agrees that if the license herein applied for is granted, and the licensee shall violate any law of the State of Missouri or particularly any provision of the Liquor Control Law or any Rule or Regulation of the Supervisor of Alcohol and Tobacco Control or permit any other person to do so upon the licensed premises, the Supervisor may suspend, revoke, fine, place on probation or otherwise discipline such license. Applicant further agrees that he will permit the Supervisor of Alcohol and Tobacco Control and his agents at all times to inspect the licensed premises and every part of the building and plot of ground under his control and upon which the licensed premises are located, and also any place where applicant may have intoxicating liquor stored. SIGN APPROPRIATE CLASSIFICATION (A) (B) (C) (D) (E) (F) (G) (H) (I) OR (J) (A) – RESTAURANT BAR. I/we certify that I/we am/are operating a restaurant on the premises and that the restaurant produces from the sale of prepared meals or food consumed on the premises at least fifty percent (50%) of the total gross income of the business or produces an annual gross income of at least $200,000 from the sale of prepared meals or food consumed on the premises, or the premises has at least forty rooms for the overnight accommodation of transient guests, (Attach verification of food and alcohol sales unless qualifying by forty rooms) in accordance with Section 311.097.1, RSMo. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE (B) – FEDERAL INCOME TAX EXEMPT ORGANIZATION. I/we certify that the establishment for which I/we make application for a license is a charitable, fraternal, religious, service or veteran’s organization which has obtained an exemption from payment of federal income taxes as provided in Section 501 (c) (3), 501 (c) (4), 501 (c) (5), 501 (c) (7), 501 (c) (8), 501 (c) (10), 501 (c) (19), or 501 (d) of the U.S. Internal Revenue Code of 1954, as amended, in accordance with Section 311.090.2, RSMo. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE (C) – AMUSEMENT PLACE. I/we certify that the establishment for which I/we make application for a license is an establishment whose business building contains a square footage of at least six thousand square feet and where games of skill commonly known as billiards, volleyball, indoor golf, bowling or soccer are usually played, or has a dance floor of at least two thousand five hundred square feet, or is an outdoor golf course with a minimum of nine holes, and the establishment has annual gross receipts of at least one hundred thousand dollars, of which at least fifty thousand dollars of such gross receipts is in nonalcoholic sales, in accordance with Section 311.098.1, RSMo. (Attach schedule of gross receipts including nonalcoholic sales.) SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE (D) – ST. LOUIS SPORTS STADIUMS. I/we certify that the establishment for which I/we make application, to sell only five percent (5%) malt liquor on Sunday for on-premises consumption, is a sports stadium primarily used for professional sporting events in a city not within a county, in accordance with Section 311.273, RSMo. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE Application for Sunday License - Page 1 American LegalNet, Inc. www.FormsWorkFlow.com (E) - JACKSON COUNTY SPORTS STADIUM. I/we certify that the restaurant bar for which I/we make application is located in a first class county having a charter form of government containing all or part of a city of at least 350,000 population and is located on the grounds of a sports stadium used primarily for professional sporting events, in accordance with Section 311.097.4, RSMo. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE (F) - PLACE OF ENTERTAINMENT (ST. LOUIS CITY, ST. LOUIS COUNTY, KANSAS CITY, JACKSON COUNTY). I/we certify that the establishment for which I/we make application for a license is located in the City of St. Louis, St. Louis County, Kansas City or Jackson County, has gross annual sales in excess of $250,000 and has been in operation for at least one year, in accordance with Section 311.102, RSMo. (Attach schedule of gross receipts.) SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE (G) - DANCE BALLROOM (ST. LOUIS CITY). I/we certify that the establishment for which I/we make application for a license is a dance ballroom that is at least fifty years old, located in a business district of a city not within a county, with a seating capacity of at least six hundred persons, and with a dance floor of at least four thousand eight hundred square feet, in accordance with Section 311.093, RSMo. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE (H) - COMMON EATING AND DRINKING AREA. I/we certify that the establishment for which I/we make application for a license to sell intoxicating liquor by the drink at retail not for consumption on the premises where sold but for consumption in a common eating and drinking area meets the requirements set out in Section 311.096.1, RSMo. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE (I) - CONVENTION TRADE. I/we certify that the establishment for which I/we make application for a license is located in a city not within a county or a home rule city with more than four hundred thousand inhabitants and located in more than one county, and that such establishment is also located in a resort area, convention trade area, or enterprise zone area, and that its annual gross receipts are at least $150,000, at least $60,000 of which is in nonalcoholic sales, in accordance with Section 311.089, RSMo. The Convention Trade license fee is $600 per year. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE (J) - WINE SHOP. I/we certify that the establishment for which I/we make application for a license uses automated wine dispensing equipment to dispense wine tastings by the glass at retail for consumption on the premises where sold, so long as at least fifty percent of the total sales of the wine shop are from package sales, in accordance with Section 311.087, RSMo. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE STATE OF MISSOURI COUNTY OF I/We, , of lawful age, being first duly sworn upon my/our oath(s), depose and say that I/we have read this application and fully understand same and that I/we know the contents thereof and the answers and statements contained therein and that the same are true. SIGNATURE OF MANAGING OFFICER, OWNER OR PARTNER DATE SIGNATURE OF PARTNER DATE SIGNATURE OF PARTNER DATE SIGNATURE OF PARTNER DATE NOTARY INFORMATION NOTARY PUBLIC EMBOSSER OR STATE OF COUNTY (OR CITY OF ST. LOUIS) BLACK INK RUBBER STAMP SUBSCRIBED AND SWORN BEFORE ME, THIS ` DAY OF NOTARY PUBLIC SIGNATURE YEAR MY COMMISSION USE RUBBER STAMP IN CLEAR AREA BELOW. EXPIRES NOTARY PUBLIC NAME (TYPED OR PRINTED) FOR OFFICE USE ONLY - DO NOT WRITE IN AREA BELOW Based on the information contained herein, the undersigned forward this application for consideration by the Supervisor of Alcohol and Tobacco Control and hereby recommend that this application be approved and the license issued. AGENT DISTRICT SUPERVISOR STATE SUPERVISOR American LegalNet, Inc. www.FormsWorkFlow.com Application for Sunday License - Page 2