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F-6 Permit Application DLC 4257 - Ohio
| F-6 Permit Application Form. This is a Ohio form and can be used in Division Of Liquor Control Department Of Commerce Statewide . |
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Ohio Department of Commerce - Division of Liquor Control 6606 Tussing Road, P.O. Box 4005, Reynoldsburg, Ohio 43068-9005 Telephone No. (614) 387-7407 - http://www.com.ohio.gov/liqr F-6 PERMIT APPLICATION An F-6 permit may be issued to a nonprofit organization that is exempt from federal income taxation under the "Internal Revenue Code of 1986, "100 Stat.2085, 26 U.S.C.A. 501(c)(3), as amended, to sell wine at an event organized and conducted by, and for the benefit of, the nonprofit organization. No F-6 permit shall be effective for more than seventy-two consecutive hours, and sales of wine under the permit shall be confined to the same hours permitted to the holder of a D-2 permit. The Division shall not issue more than six F-6 permits per calendar year to the same nonprofit organization, (please see Page 2 to reference the entire statute, 4303.206). APPLICATION SHOULD BE FILED 30 DAYS PRIOR TO EVENT THE FEE FOR AN F-6 PERMIT IS $50.00 CAREFULLY READ THE GENERAL INSTRUCTIONS FOR FILING F-6 APPLICATION SECTION (A) Full Name of Non-Profit Organization: PROPOSED F-6 PERMIT PREMISES INFORMATION Street Address (Where Function Will Be Held - BE SPECIFIC): Township (if outside city limits): Mail and/or Fax Permit and Correspondence To: Name: State: Zip Code: Street Address: Phone #: Name: City: Fax #: Title: City: Zip Code: County: Individual responsible for the compliance with Ohio's liquor laws in conjunction with the sale and consumption of alcoholic beverages: Date and Time Function Will Begin: Date and Time Function Will End: Date Function Begins: Date Function Ends: Time Function Begins: Time Function Ends: am am pm pm SECTION (B) 1. 2. Name: Residence Address: Phone: Name: Residence Address: Phone: APPLICANT/ORGANIZATION'S INFORMATION Submit a copy of the organization's 501(C)(3) designation from the IRS Please provide the following information on the TOP FOUR OFFICERS: Title: Name: Residence Address: Phone: Title: Name: Residence Address: Phone: Title: Title: Taxing District Permit Number Receipt # FOR OFFICE USE ONLY Reviewer Action: Remarks: DLC 4257 Rev. 8-2010 American LegalNet, Inc. www.FormsWorkFlow.com ยง 4303.206 F6 permit. (A) The division of liquor control may issue an F-6 permit to a nonprofit organization that is exempt from federal income taxation under the "Internal Revenue Code of 1986," 100 Stat. 2085, 26 U.S.C.A. 501(c)(3), as amended, to sell wine at an event organized and conducted by, and for the benefit of, the nonprofit organization. (B) An F-6 permit may be issued to a nonprofit organization if the premises of the event for which the F-6 permit is sought is located in a precinct, or at a particular location in a precinct, in which the sale of wine is otherwise permitted by law. The premises of the event for which an F-6 permit is issued shall be clearly defined and sufficiently restricted to allow proper enforcement of the permit by state and local law enforcement officers. If an F-6 permit is issued for all or a portion of the same premises for which another class of permit is issued, that permit holder's privileges shall be suspended in that portion of the premises in which the F-6 permit is in effect. (C) A holder of an F-6 permit may charge an admission price to attend the event for which the permit is issued, which price includes the consumption of wine or sale of wine by the individual drink. (D) A holder of an F-6 permit may sell wine in its original sealed container by auction at the event for which the permit is issued. (E) Nothing in this chapter or Chapter 4301. of the Revised Code or any rule adopted by the liquor control commission prevents the holder of an F-6 permit from obtaining wine by donation from a manufacturer, supplier, or wholesale distributor of wine or from any person who is not the holder of a permit issued by the division of liquor control. (F) Notwithstanding any contrary provision of section 4301.24 of the Revised Code or of any rule adopted by the liquor control commission, employees of a manufacturer, supplier, or wholesale distributor may assist the holder of an F-6 permit in serving wine at the event for which the permit is issued. (G) The division shall prepare and make available an F-6 permit application form and may require applicants for the permit to provide information necessary for the administration of this section. (H) No F-6 permit shall be effective for more than seventy-two consecutive hours, and sales of wine under the permit shall be confined to the same hours permitted to the holder of a D-2 permit. The division shall not issue more than six F-6 permits per calendar year to the same nonprofit organization. (I) The fee for an F-6 permit is fifty dollars. SECTION (C) 1. Will the event be organized and conducted by the applicant? If "NO", please explain: 2. Is the event conducted for the benefit of the applicant? If "NO", please explain: 3. Is the event being held on the premises of a current holder of a permit issued by the Ohio Division of Liquor Control? If "YES", please complete Section D below, "Consent of Permit Holder". SECTION (D) - (Complete this Section, only if you answered "YES" to Question 3 above) CONSENT OF PERMIT HOLDER This location is a liquor permit premises, permit number . The permit holder will suspend those permit privileges in the portion of the permit holder premises where the F-6 liquor permit event will take place, as that portion is indicated on the "Diagram of Proposed Permit Premises for F-6 Liquor Permit." _________________________________________________ (Signature of general manager or equivalent officer) YES NO YES NO YES NO _______________________________________________ (Title) _________________________________________________ (Print Name) _______________________________________________ (Day time telephone number) SECTION (E) - (Applicant's Signature & Notarization) State of Ohio, I, (Please Print) County, ss being first duly sworn, according to law, depose and say that the statements and answers made in the foregoing application are true. ___________________________________________________________________________ (Signature of Officer of Organization) _____________________ (Title) _______________ (Date) (Residence Address) (To be completed by Notary Public) (City) (State) (Zip Code) (Area Code & Telephone Number) Sworn to before me and subscribed in my presence this ______________day of _____________________________________, 20 _____________. _____________________________
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