Utah Department of Website: www.abc.utah.gov Alcoholic Beverage Control Phone 801-977-6800 P.O. Box 30408 SINGLE EVENT PERMIT Fax 801-977-6889 Salt Lake City, UT 84130 APPLICATION CHECKLIST Single event permits are issued for the sale of all types of alcohol to the permit holder conducting a convention, civic or community enterprise. Permits may only be issued to bona fide partnerships, corporations, limited liability companies, churches, political organizations, incorporated associations, or to recognized subordinate lodges, chapters or other local units in existence for at least one year prior to the date of the application. The applicant shall state whether it is seeking a 120 hour single event permit or a 72 hour single event permit. Applicants may only be issued either four (120) hour permits or twelve (12) 72 hour permits in a calendar year. Permits are issued by the DABC Director contingent on review by the Alcoholic Beverage Control Commission. Complete* applications must be submitted at least 30 days prior to the event. Late applications will be accepted on a case by case basis. Additionally, Due to statutory restrictions, applications received less than 7 business days prior to the event will not be considered. (When counting days, realize that there must be seven business days between the day the application is received and the date of the event). *A complete application has All of the information requested and supporting documents attached 1. ______ Completed Application Form includes: Initial the attestation Notarize the signature All information Complete. 2. ______ $125 Permit fee (refunded if permit is not granted) 3. ______ $1,000 Bond or Bond kept on file $1,000 check, cash or money order or Corporate surety bond (template attached) or Third Party Liability Agreement if someone other than the applicant is paying the bond. (see instructions) 4. ______ Local city, town, or county consent to the issuance of the event permit. LOCAL CONSENT MUST BE TURNED IN WITH THE APPLICATION OR THE APPLICATION CANNOT BE PROCESSED. Please contact the business licensing office where the event is to be held to ensure adequate processing time. 5. ______ Organization / Entity: documentation (that applies to your organization): i.e. Articles of incorporation tax exempt filing with the IRS (if applicable), Partnership agreement Letter of authorization from qualifying parent organization etc. 6. ______ Current Certificate of existence with date of organization if not a Utah organization 7. ______ Proposed advertisement of the event such as printed and or electronic media [website links etc.] 8.______ Complete list of proposed control measures. Required and/or recommended Control measures listed in the application should be filled out for every type of event. Provide additional pages of control measures if necessary) 9. ______ Detailed and scaled floor plan on an 8 ½” by 11” sheet of paper. The floorplan should be very comprehensive; All control measures should be included on the floorplan / map. 10. _____ TC-721 Utah State Tax Commission – Exemption Certificate 11. _____ Proof that the applicant is conducting “a convention, civic, or community enterprise Effective Date October 2019 1 Utah Department of Licensing and Compliance Division Alcoholic Beverage Control EVENT PERMIT APPLICATION P.O. Box 30408 SINGLE EVENT PERMIT Application Number ________________ Salt Lake City, UT 84130 For Internal Use Only 72 HOUR (or less) PERMIT SINGLE EVENT PERMIT Fees: $125 73-120 HOUR PERMIT 12 permits per calendar year allowed Event Bond $1,000 or 4 permits per calendar year allowed $1,000 Surety Bond or This is permit # _______________ This is #____________________ Bond on file from previous event Using third party bond for calendar year ______________ for calendar year _____________ ENTITY ORGANIZATION INFORMATION 1. Organization Name:____________________________________________________________________________________ Entity Type: Corporation Limited Liability Company Political Organization Religious Organization Partnership State agency or political subdivision Incorporated Association Recognized subordinate lodge, chapter or local unit of an entity Non-profit Corporation Qualified as section 501(c)(3) Federal Tax exempt Other ______________________________ 2. Daily Business of Organization:____________________________________________________________________________ 3. Date organization founded:_______________________________________________________________________________ (must have been in existence for more than one year and have active status – submit certificate of existence) 4. Organization phone: _____________________________________Fax ____________________________________________ E-mail: _____________________________________________________________________________________________ 5. Does this organization have a current DABC License: ______________________ License #: _______________________________ 6. Contact Person: _________________________________________________ Phone:________________________________ E-mail:_____________________________________________________________________________________________ 7. Sales Tax / Tax exempt number ________________________________ or 501(c)(3) tax exempt # ______________________ 8. Organization address:__________________________________________________________________________________ STREET CITY STATE ZIP 9. Mailing address (if different from individuals or organization): ___________________________________________________________________________________________________ STREET CITY STATE ZIP EVENT INFORMATION (For events with multiple venues, attach “Multiple Venues” form) 10. Event Name: ________________________________________________________________________________________ 11. Event Venue: _______________________________________________________DABC Licensee? _____________________ _________________________________________________________________________________________________ Street City Zip 12. Date(s) of the event:_______________________________________ Alcohol Service hours: ______________to____________ Effective Date October 2019 2 13. Type of Event: a) purpose of the event:______________________________________________________________________ b) describe event activities: _____________________________________________________________________________ 14. Who benefits from the proceeds of this event? ________________________________________________________________ 15. Admission charge (if any): ___________________________ Is alcohol included with admission? No Yes * If Yes, how many alcoholic beverages are included: *_________________ and /or cash bar? No Yes * * If an unlimited number of alcoholic beverages are included, all of the following conditions must apply: (i) Alcoholic beverages are served to patrons at a seated event; _______ Yes (ii) Food is available when the alcohol is furnished; _______ Yes, and (iii) No advertising of unlimited alcoholic beverages provided in the admission charge. ________Yes 16. Alcohol to be served and price(s): Beer $______________________ Heavy Beer $__________________________ Wine $___________________ Flavored Malt beverages $____________________ liquor $___________________ 17. Methods to be used for advertising:*_______________________________________________________________________ *Please submit a copy of your proposed advertising with your application 18. List any private or public schools, churches, public libraries, public playgrounds and parks located within 600 feet of the event venue:____________________________________________________________________________________________ CONTROL MEASURES Sufficient control measures to prevent sales to minors and over-consumption are required for all events. 19. The applicant must comply with all control measures required for the type of event being hosted (see below). However, the director, after reviewing the facts and circumstances of a particular event, may in its discretion waive some of the control measures, or require more control measures. If you want to request a waiver you will have to provide sufficient evidence that the event will maintain control. A. Please tell us more about your event: No Food Food Available Full Meals Minors allowed Over 21 Only Maximum attendance per day at your event _______________ Maximum in consumption area __________________ B. Small Scale Indoor event (1000 people or less) Private Event – not open to the public (by invitation only – purchasing a ticket does not necessarily make it private) Any size indoor event with no minors allowed If you checked any box in 19 “B” - these events are required to have control measures one through six as outlned on the following page. However, you may carefully consider ALL ELEVEN control measures listed and may also check any of those you have decided will assist you with control of your event. C. Outdoor event and open to the general public Large Scale Event (over 1000 people) and minors allowed If you checked either box in “C” - these Large scale or outdoor events are required to have all eleven control measures as listed on the following page, unless you are granted a waiver. Effective Date October 2019 3 CONTROL MEASURES 1 through 6 Required For All Events * * Please check the boxes indicating you have read and will be implementing that control measure unless requesting a waiver. I. I.D. Checking Location: All events are required to have at least one location where adults wanting