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Page 7 PLEASE TYPE OR PRINT ALL INFORMATION <br /> 0722 44 046 008 <br /> STATE ASSIGNED LICENSE NUMBER - - <br /> ALL APPLICANTS OTHER THAN CLUB LICENSE ANSWER THE FOLLOWING <br /> 7.1 DOES THE APPLICANT,A MEMBER OF THE APPLICANT'S IMMEDIATE FAMILY(SPOUSE, CHILDREN, <br /> PARENTS, IN-LAWS OR SIBLINGS)OR ANY PERSON WITH A BENEFICIAL INTEREST IN THE SUBJECT <br /> LICENSE OF THIS APPLICATION, HAVE ANY INTEREST IN ANY OTHER NEW JERSEY ALCOHOLIC <br /> BEVERAGE LICENSE? <br /> XX Yes No <br /> IF THE ANSWER IS "YES," COMPLETE THE FOLLOWING BY LISTING THE NEW JERSEY LIQUOR <br /> LICENSE TWELVE DIGIT NUMBER(S)AND THE NAME(S) OF THE PERSON(S) OR CORPORATION(S) <br /> WHO HOLD(S)SUCH INTEREST. USE ADDITIONAL PAGE(S)7 AS NEEDED. <br /> A. License Number 0409 - 44 - 001 - 006 <br /> Name Cherry Hill Wine and Spirits Inc. <br /> (Last Name, First Name, Middle Initial or Corporate Name) <br /> Relationship to Applicant Brother <br /> B. License Number 2019 - 4 - 07 L - pn 5 <br /> Name Cherry Hill Wine and Spirits Inc. <br /> (Last Name, First Name, Middle Initial or Corporate Name) <br /> Relationship to Applicant Brother <br /> **************************************************************************************************************** <br /> C. License Number 0252 - 44 -_005 - <br /> Name E.G. Holding Corporation Inc. <br /> (Last Name, First Name, Middle Initial or Corporate Name) <br /> Relationship to Applicant Self — Robert Trene <br /> 7.2 WOULD ANY PERSON OR CORPORATION NAMED IN THIS APPLICATION FAIL TO QUALIFY FOR <br /> OWNERSHIP OF THE LICENSE IF APPLYING AS AN INDIVIDUAL BECAUSE OF AGE, CRIMINAL <br /> CONVICTION OR PROHIBITED INTERESTS IN OTHER LICENSES? <br /> Yes XX No <br /> IF THE ANSWER IS"YES,"ANSWER THE FOLLOWING BY INSERTING THE NAME OF THE INDIVIDUAL <br /> OR CORPORATION AND THE SOCIAL SECURITY NUMBER AND DATE OF BIRTH,IF AN INDIVIDUAL.USE <br /> ADDITIONAL PAGE(S)7 AS NEEDED. <br /> Name . <br /> (Last Name, First Name, Middle Initial or Corporate Name) <br /> Social Security Number - - OR <br /> NJ Sales Tax Certificate of Authority No. <br /> Date of Birth 1 _I <br />