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Application for New Brewery, Micro Brewery, or Brewpub
Contacts &
1 Location

Application

2 Information

Business

3 Information

Review and

4 Submit

5 Record Submittal

Step 2 : Application Information > Officer-Owner Information
* indicates a required field.

Application Information

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OFFICER/OWNERSHIP INFORMATION
AT MINIMUM ONE ROW MUST BE COMPLETED IN THIS TABLE
This table must be completed for every person that will be listed as a sole proprietor, partner, officer, director, member, managing member, or stockholder holdin
ownership of 10% or more as well as for any company / trust which is an owner / member pertaining to this application.
Before completing this table, submit Owner Officer Information (OOI) application(s) for every person / company / trust identified in the statement above.
After submitting all OOI application(s), you will receive an OOI Tracking Number(s) necessary to complete this table. Submit OOI application(s) in conjunction w
application.
Select "Add row" for each person or company/trust related to the application.
Contact TTB for more information or support about this section at 1-855-TTB-PONL (1-855-882-7665) M-F 8am - 4pm EST.

Officer/Owner Info
Tracking No.:

* Officer/Owner Classification:

EIN:

First Name:

Middle Name:

Last Name:

Suffix:

Primary Title:

* How is Officer/Owner Info Submitted?:

You must enter at least one Owner or Officer

--Select--

--Select--

--Select--

--Select--

List Additional Titles:

Title if Other:

* Description of Duties or Relation to the
Proposed Operation:

Company Name:

Trust Name:

* Percent Voting-Stock-Interest:

* Investment in Business:

* Source of Funds (SOF)
Description:

* How is SOF Documentation Submitted?:
--Select--

Delete row

Add row

ALTERNATION OF PREMISES
An Alternation of Premises refers to multiple operations being conducted at a location with alternating use of premises, equipment, or tanks between those oper
These operations must be between two or more different approved production commodity types, such as a winery, brewery, distillery, or TPWBH. Select "Add ro
show each additional alternation. Contact TTB for more information or support about this section @ 1-855-TTB-PONL (1-855-882-7665) M-F 8am - 4pm EST or
to access the PONL Customer Reference Guide.

* Type of Alternating Operation:

Permit Number (if known):

Registry Number (if known):

--Select--

Operating Permit Number (if known):

Application Tracking Number:

Delete row

Add row

ALTERNATION OF PROPRIETORS
An Alternating Proprietorship (AP) occurs when a production facility (winery, brewery, distilled spirits plant) is used by more than one proprietor. All alternating p
individually responsible for all aspects of the operations as outlined in each commodity Industry Circulars, if applicable, pertaining to Alternating Proprietorships.
for a summary of responsibilities. You are required to submit an Alternating Proprietorship Agreement and a Diagram showing the area(s) that will be alternated
any area(s) that will be dedicated and never alternate, if any, and any tax paid areas. Select "Add row" to add additional alternations. Contact TTB for more infor
support about this section @ 1-855-TTB-PONL (1-855-882-7665) M-F 8am - 4pm EST or click here to access the PONL Customer Reference Guide.

* Type of Arrangement:

Host Name:

Host Registry Number:

Tenant Registry Number:

Co-Tenant Name:

--Select--

Tenant Name:
Co-Tenant Registry Number:

Delete row

Add row

SIGNING AUTHORITY
Complete this table to establish employees of the company who have the authority to sign and act on behalf of the applicant / industry member with TTB.
Select "Add row" for each person or title being granted authority. Contact TTB for more information or support about this section @ 1-855-TTB-PONL (1-855-882
F 8am - 4pm EST or click here to access the PONL Customer Reference Guide.
MUST HAVE A MINIMUM OF ONE ROW COMPLETED.

* Authority Granted by:

First Name:

Middle Name:

Suffix:

Title: *

You must enter at least one Signing Authority
--Select--

Last Name:

--Select--

Title if Other:

* Source of Authority:

Date of Meeting:

* Type:

--Select--

--Select--

--Select--

Type of Board Meeting:
--Select--

If Limited, Signing Authority
Capacity:

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