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r, S Page 10 PLEASE TYPE OR PRINT ALL INFORMATION STATE ASSIGNED LICENSE NUMBER 0722- 44 - 046 - 008 QUESTIONS TO BE ANSWERED BY CORPORATIONS AND LIMITED LIABILITY COMPANIES ONLY. ANY CORPORATION OR LIMITED LIABILITY COMPANY THAT IS REPORTED TO HAVE AN INTEREST IN THE BUSINESS TO BE LICENSED,WHETHER THE LICENSEE COMPANY, THE PARENT CORPORATION OF THE LICENSED COMPANY, HOLDING COMPANY OR OTHERWISE AFFILIATED CORPORATION. ANSWER QUESTIONS ON BOTH PAGE 10 AND PAGE 10A FOR EACH CORPORATION. EACH PAGE 10A FOR 10.1 Name of corporation E.G. Holdine Corporar;on Tnr 10.2 Street address of home office 37'0 Chestnut Street Number Street Name Municipality Union NJ Zip 07083 State — 10.3 NJ Sales Tax Certificate of Authority Number 223358650 10.4 IF CORPORATION ADDRESS IN NUMBER 10.2 ABOVE IS OUT OF STATE,REPORT BELOW THE ADDRESS OF ANY OFFICE LOCATION IN NEW JERSEY. INSERT N/A IF NONE. Street Address N/A Number Street Name Municipality New Jersey Zip - 10.5 IS THE CORPORATION NOW AN EXISTING,VALID CORPORATJON? XX Yes No Jan. 17 1995 NJ. 10.6 DATE',CHARTERED OR INCORPORATED ! ! STATE 10.7 CERTIFICATE OF INCORPORATION NUMBER 0100612883 10.8 IF NOT INCORPORATED UNDER THE LAWS OF NEW JERSEY, HAS THE CORPORATION RECEIVED AN AUTHORIZATION TO CONDUCT BUSINESS IN NEW JERSEY FROM THE NEW JERSEY OFFICE OF THE SECRETARY OF STATE? _Yes No 10.9 HAS THE CORPORATION CHO;TER EVER BEEN REVOKED BY THE OFFICE OF THE SECRETARY OF STATE IN NEW JERSEY? Yes No IF THE ANSWER IS"YES,'INSERT THE DATE OF REVOCATION,OR IF SUSPENDED,THE BEGINNING AND ENDING DATE OF THE SUSPENSION. Date of revocation _ / / Beginning date Ending date 10.10 INSERT THE NAME AND ADDRESS OF THE REGISTERED OR AUTHORIZED AGENT IN NEW JERSEY UPON WHOM SERVICE OF PROCESS IN ANY PROCEEDINGS AGAINST THE APPLICANT, PURSUANT TO THE NEW JERSEY ALCOHOLIC BEVERAGE LAW,THE ALCOHOLIC BEVERAGE TAX LAW OR PROCEEDINGS IN A STATE OR U.S. DISTRICT COURT, MAY BE MADE. Name E.G. Holding Corporation Inc. c/o Stephen Hehl, Esq. (Last Name, First Name,Middle Initial or Corporation) Street Address 370 Ehestnut Street, B. 0. Box 807 Number Street Name Municipality Union New Jersey Zip 07081 - Telephone Number ( 90B ) f,R7 -_7000 Area Exchange Number 10.11 IF THE LICENSED COMPANY IS OWNED BY OTHER CORPORATION(S)OR IS IN A CORPORATE CHAIN,ATTACH A DIAGRAM DEPICTING THE CORPORATE RELATIONSHIPS AND THE PERCENTAGE OF STOCK INTEREST IN THE COMPANY TO BE LICENSED, OWNED BY OTHER CORPORATIONS OR OTHER NON-CORPORATE ENTITITES (INDIVIDUALS,PARTNERSHIPS,ASSOCIATIONS).