Louisiana > Statewide > Office Of Alcohol And Tobacco Control
Application For Wholesale Malt Beverage Permit - Louisiana
| Application For Wholesale Malt Beverage Permit Form. This is a Louisiana form and can be used in Office Of Alcohol And Tobacco Control Statewide . |
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120606 State of Louisiana Office of Alcohol and Tobacco Control 8549 United Plaza Blvd, Suite 220 P.O. Box 66404 Baton Rouge, LA 70896-6404 Telephone (225) 925-4041 ยท Fax (225) 925-3975 Page 1 of 2 1. Type of Permit: FOR OFFICE USE ONLY Permit Number: Sequence Number: Application for Wholesale Malt Beverage Permit * Malt Beverages NOT containing more than six percent alcohol by volume as defined in L.R.S. 26:241(18)(a) *"Wholesale dealer" of malt beverages containing not more than six percent alcohol by volume" means those persons who sell malt beverage containing not more than six percent alcohol by volume and alcoholic beverages of low alcoholic content to licensed wholesale dealers or licensed retail dealers exclusively, within the state or to any person for delivery beyond the borders of the state to a licensed dealer in that state and who conduct a bona fide wholesale business and maintain a warehouse or warehouses for the storage and warehousing of malt beverages and alcoholic beverages of low alcoholic content in the area where domiciled and licensed by the state, and conduct and maintain systematic and regular solicitations, distributions, delivery, and sales of said beverages to licensed retail dealers located within the boundaries of each parish, municipality, or geographic area, as contractually defined between the wholesaler and his supplier, in which the wholesale dealer makes any sales or delivery. ** Malt Beverages containing MORE than six percent alcohol by volume as defined in L.R.S. 26:241(18)(b) **"Wholesale dealer of malt beverages containing more than six percent alcohol by volume" means those persons who sell malt beverages containing more than six percent alcohol by volume and alcoholic beverages of low alcoholic content to licensed wholesale dealers or licensed retail dealers exclusively, within the state or to any person for delivery beyond the borders of the state to a licensed dealer in that state and who conduct a bona fide wholesale business and maintain a warehouse or warehouses for the storage and warehousing of malt beverages and alcoholic beverages of low alcoholic content in the area where domiciled and licensed by the state, and conduct and maintain systematic and regular solicitations, distributions, delivery, and sales of said beverages to licensed retail dealers located within the boundaries of each parish, municipality, or geographic area, as contractually defined between the wholesaler and his supplier, in which the wholesale dealer makes any sales or delivery. 2. Type of Ownership: Individual Corporation (Requires certificate and corporate documents) LLC (Requires certificate and organizational documents) 4. Trade Name of Business (if applicable): Partnership (Requires written agreement) 3. Applicant's Name (individual, partnership, corporation, LLC): 5. Primary Contact Person (Last, First, Middle) & Title: 6. Business Phone #: 7. Business FAX #: ( 8. Location Address (street/city/state/zip): ) - ( ) - 9. Location Parish/County 10. Mailing Address (street/city/state/zip): 11. Does this business maintain an active email address? Yes No If yes, apply the email address below. Yes No If yes, enter the Internet Address below. 12. Does this applicant maintain an active Business Web Site? 13. Does this applicant allow individual consumers to purchase alcoholic beverage products directly from the business Web Site listed in question number Yes No N/A twelve (12) of this application? 13a. Does this applicant allow individual consumers to purchase alcoholic beverage products directly from the business by any means? If yes, please explain below or in an attachment. 14. Does this applicant's operation meet the definition of "wholesale dealer" as set forth in L.R.S. 26:241(18)(a) and L.R.S. 26:241(18)(b)? If no, please explain below or in an attachment. Yes No Yes No 15. Has this applicant read L.R.S. 26:359 with reference to the importation and warehousing of malt beverages? Yes No Note: Each applicant wishing to obtain a "wholesale dealer" permit is encouraged to become familiar with L.R.S. 26:359. 16. If applicant is a partnership, corporation, or LLC, list the name, address, title, and percentage of ownership of each partner or stockholder. Please provide an attachment relative to this section if necessary. Note: A Schedule "A" must be completed and attached for the manger, owner, each partner, officer, director, financial backer, and any stockholder owning more than 5 percent of the stock, if applicable. Name: Title: % of Stock American LegalNet, Inc. www.FormsWorkflow.com Page 2 of 2 17. Is applicant a new ownership to succeed an established on-going business? If yes, name of previous owner: 17a. Trade Name of Business: 17b. Permit Number: 17c. Class and Type: 18. Does this applicant have knowledge of two (2) separate beer taxes (STATE AND LOCAL), tax reports, and payment of taxes? If no, please explain below or in an attachment. Yes No Yes No 19. Has applicant applied to local authorities for a "wholesale dealer" permit? If no, please explain below or in an attachment. Yes No 20. Does this applicant know of the beer cash laws and regulations? Yes No If no, please explain below or in an attachment. Note: Each applicant wishing to obtain a "wholesale dealer" permit is encouraged to become familiar with beer cash laws and regulations (Title 55:VII). 21. Does this applicant maintain warehouse space? Owned by applicant Yes No If yes, select below how warehouse space is maintained. Dedicated exclusively for this applicant's use in a public warehouse Leased by applicant 22. Is the warehouse space maintained by this applicant sufficient to store, at one time, a stock of alcohol equal to at least 10% of its annual case Yes No volume of alcohol sales at wholesale to retailers? 23. Does this applicant maintain, at all times, a stock of alcohol in its warehouse which is owned by the applicant, not consigned, and which cost $50,000 Yes No or more to acquire? 24. Does this applicant maintain delivery equipment? Owned by applicant 25. Will this applicant maintain brand representation? Yes Yes No If yes, select below how equipment is maintained. Dedicated exclusively for this applicant's use in a public warehouse No If yes, provide the details requested in questions 26 & 27 of this application. Leased by applicant 26. List, *by attachment, each brand of malt beverage this business intends to sell NOT containing more than six percent alcohol by volume, the ma
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