Annual Club License Application - Department of Arizona

Please complete this form to submit your annual club license application and submit it directly to The Department staff and Cub Committee right here today!

ANY APPLICATION THAT IS NOT COMPLETED BY THE DEPARTMENT HEADQUARTERS NLT 30 NOVEMBER OF EACH YEAR WILL BE PLACED IN SUSPENSE.

ANY APPLICATION THAT IS NOT COMPLETED BY 15 DECEMBER WILL BE FLAGGED TO REPORT TO THE ARIZONA DEPARTMENT OF LIQUOR LICENSE AND CONTROL.

IF THE MOST RECENT 990 IS NOT AVAILABLE, UPLOAD AN EXPLANATION FROM YOUR TAX PREPARER.

Is this submission for a renewal license or a new license? *

Renewal
New

1. Name of Post *

Post Address *

Address Line 1

Address Line 2

City

State

Zip Code

Post # *

Post Phone Number *

Post Email *

2. Post Club Committee Chairman *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

3. Head Steward or Club Manager *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

4. Arizona State Liquor License Number *

License Type *

5. Statutory Agent *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

6. Is Post Incorporated? Y/N? *

File Number *

Date Filed *

7. Is the Club Complying with Social Security, Federal, State and Industrial Commission Laws Concerning Employees? Y/N? *

8. Has a Form 990 Been Filed With The Federal IRS? Y/N? *

Date Filed *

9. Are Rules and Regulations of The Department of Arizona Being Complied With and is a Copy of The Department Club Rules Framed and Displayed? Y/N? *

10. Are Club Privileges Being Extended to Only Members of The American Legion, American Legion Auxiliary, and Sons of The American Legion and Bona Fide Guests of the Above? Y/N? *

NOTE: COPY OF 990 FORM (1st page) AND CORPORATION REPORT MUST BE UPLOADED WITH THIS APPLICATION TO THE DEPARMENT HEADQUARTERS.

THIS IS AN ANNUAL REPORT AND MUST BE FILED WITH DEPARTMENT HEADQUARTERS BY NOVEMBER 30TH EACH YEAR.

FAILURE TO FILE OR NEGATIVE ANSWERS TO ABOVE QUESTIONS COULD COST YOUR POST THE RIGHT TO OPERATE A CLUB ROOM.

Please Upload The 1st Page of Your 990 Here! *

Click or drag a file to this area to upload.

File type must be .PDF

Please Upload a Copy of Your Corporation Report Here! *

Click or drag a file to this area to upload.

File type must be .PDF

Person Filing Application *

First

Last

Title *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email (Receive Confirmation) *

Signature

Clear Signature

Once you hit send, a copy of this form will be delivered to the email provided in the section seecking who the form is being submitted by.
This serves as your receipt for this report.