Picnic License Packet 2.4.26

1900 Libal Street Green Bay, WI 54301 (920) 448-2800 Temporary Class B Beer/Wine License (Picnic License) Temporary Class B (Picnic) Licenses are short term licenses for special events that allow the sale of beer and/or wine. No liquor can be served under these licenses and no more than 2 wine licenses may be issued in any 12-month period. Temporary Class B licenses are only issued to: - Bona fide clubs that have been in existence for at least six months prior to the date of application - State, county, or local fair associations, or agricultural societies - A church, lodge, or society that has been in existence for at least six months prior to the date of application - Veterans organizations File with the Clerk (in-person or by mail) at least 15 days prior to the event, the following:  AB-220: Temporary Alcohol Beverage License Application  AB-100: Alcohol Beverage Individual Questionnaire To be filled out by any officers, directors, and the agent of the organization. Titles of person requiring disclosure include, but are not limited to: President, Treasurer, Executive Director, Board Members. *Copy of driver’s license or photo ID required for each person who fills out the alcohol beverage individual questionnaire  Temporary Operator’s License Application A copy of the Driver License and/or ID to be submitted with application. One application per server, but only one $10.00 fee per event. ➢ FILLABLE FORMS: Fillable forms (AB-220, AB-100) are available at https://www.revenue.wi.gov/pages/form/alcohol-home.aspx ➢ INDIVIDUAL QUESTIONNAIRE: must be completed by ALL Officers, directors, members, and the agent. ➢ DUE DATE: Applications must be filed with the Clerk a minimum of 15 days before a Village Board meeting. Village Board meets on the 1st & 3rd Tuesday of the month. ➢ LICENSE PREMISE DESCRIPTION: The description of the premise must list where the alcohol is stored, sold and consumed. ➢ LICENSED OPERATOR: must be present and have visual oversight of all persons and locations where beer or wine will be served. ➢ LICENSED WHOLESALER: Applicants issued a Temporary Class “B” Beer/”Class B” wine license must buy the alcohol beverage products for their events from a licensed wholesaler or fermented malt beverage from a permitted brewery or brewpub authorized to sell directly to retailers. ➢ PAID IN FULL: All license fees must be paid in full upon filing the application with the Clerk. ➢ FEES: Temporary Operator license $10.00 per event (must include copy of drivers license) Temporary Class B (picnic) license $10.00 per event Temporary Alcohol Beverage License Form AB-220 AB-220 (R. 1-25) Wisconsin Department of Revenue- 1 - License(s) Requested Fees Temporary “Class B” Wine Temporary Class “B” Beer License Fees $ Background Check $ Total Fees $ Municipality Part A: Organization Information 1. Organization Name 2. Organization Permanent Address 3. City 4. State 5. Zip Code 8. Date of Organization/Incorporation 9. State of Organization/Incorporation7. FEIN 14. Wisconsin Seller’s Permit Number (if applicable) Bona Fide Club Veteran’s OrganizationChurch Fair Association/Agricultural Society Lodge/Society Chamber of Commerce or similar Civic or Trade Organization under ch. 181, Wis. Stats. 12. Organization type (check one) 10. Phone 11. Email 13. Is this organization required to hold a Wisconsin Seller’s permit? ..................................... Yes No 6. Mailing Address (if different from permanent address) Part B: Individual Information List the name, title, and phone number for all officers, directors, and agent of the organization. Include an Individual Questionnaire (Form AB-100) for each person listed below. Attach additional sheets if necessary. Corporations must also include Alcohol Beverage Appointment of Agent (Form AB-101). Last Name First Name Title Phone Continued → - 2 -AB-220 (R. 1-25) Part E: For Clerk Use Only Date Application Was Filed With Clerk License Number Signature of Clerk/Deputy Clerk Date License IssuedDate License Granted 15. Premises Description - Describe the building or buildings and any outside areas where alcohol beverages and records are sold, stored, or consumed, and related records are kept. Describe all rooms within the building, including living quarters. Authorized alcohol beverage activities and storage of records may occur only on the premises described in this application. Attach a map or diagram and additional sheets if necessary. 11. Organizer of Event (if not the named applicant) 13. Organizer Website 12. Email and/or Phone Number for Organizer of Event 14. Event Website Part D: Attestation READ CAREFULLY BEFORE SIGNING: Under penalty of law, I have answered each of the above questions completely and truthfully. I agree that I am acting solely on behalf of the applicant organization and not on behalf of any other individual or entity seeking the license. Further, I agree that the rights and responsibilities conferred by the license(s), if granted, will not be assigned to another individual or entity. I agree to operate according to the law, including but not limited to, purchasing alcohol beverages from Wisconsin-permitted wholesalers. I understand that lack of access to any portion of a licensed premises during inspection will be deemed a refusal to allow inspection. Such refusal is a misdemeanor and grounds for revocation of this license. I understand that any license issued contrary to Wis. Stat. Chapter 125 shall be void under penalty of state law. I further understand that I may be prosecuted for submitting false statements and affidavits in connection with this application, and that any person who knowingly provides materially false information on this application may be required to forfeit not more than $1,000 if convicted. Who must sign this application? • one officer or director of the nonprofit organization Signature Date Title Email Phone Last Name First Name M.I. Part C: Event Information 1. Name of Event (if applicable) 2. Dates of Operation 4. Premises Address 5. City 6. State 7. Zip Code 3. Hours of Operation 10. Aldermanic District9. Governing Municipality of: 8. County City Town Village Who needs an alcohol beverage license? Any individual or entity that wants to sell alcohol beverages to consumers or allow consumption in a public place must get an alcohol beverage license (sec. 125.09(1), Wis. Stats.). Who issues alcohol beverage licenses? Cities, villages, and towns issue alcohol beverage licenses after the governing body (city council, town or village board) grants the license. Who may receive a temporary alcohol beverage license? Only the following nonprofit organizations may receive a temporary alcohol beverage license (sec. 125.26(6), Wis. Stats.): • bona fide clubs, whether incorporated or not, which own, lease, or occupy a building or portion thereof used exclusively for club purposes, which is operated solely for a recreational, fraternal, social, patriotic, political, benevolent or athletic purpose but not for pecuniary gain and which only sells alcohol beverages incidental to its operation • local chambers of commerce organized under ch. 181, Wis. Stats. or a similar civic or trade organization organized under ch. 181, Wis. Stats., to promote economic growth and opportunity within a local geographical area • state, county, or local fair associations or agricultural societies • churches, lodges or societies that have been in existence for at least 6 months before the date of application • posts of veterans organizations What types of events are temporary alcohol beverage licenses used for? Picnics and similar gatherings of limited duration are the types of events that may qualify to use a temporary alcohol beverage license (sec. 125.26(6), Wis. Stats.). Some examples of events where a temporary alcohol beverage license may be required include fundraisers, meetings of the post, picnics open to the public, fair booths, wine or beer walks, festivals, and more. What activities are authorized under a temporary alcohol beverage license? An organization that holds a temporary alcohol beverage license may sell, serve, and allow consumption of wine and/or beer at an event hosted by the organization on the premises approved by the municipal governing body. Organizations may host gatherings requiring an entrance fee to the event that includes service of alcohol beverages or may charge for the beer or wine by the glass. A chamber of commerce or similar trade organization may hold up to 20 temporary alcohol beverage licenses for purposes of organizing a wine or beer walk. Temporary alcohol beverage licenses do not authorize consumption or sale of distilled spirits. See Publication 309 , Retail Alcohol Beverage Licensing Guide for Municipalities , and Publication 302 , Information for Wisconsin Alcohol Beverage and Tobacco Retailers , for more details. Specific Instructions Municipality • In the upper right hand corner, list the name of the city, town, or village for which you are applying for a temporary alcohol beverage license. License(s) Requested and License Fees: • Select the alcohol beverage license(s) you would like to apply for. • The license fee is $10 regardless of whether you are applying for one or both types of temporary alcohol beverage licenses. Your municipality may charge background check fees to determine your organization’s fitness to hold the license. Part A: Organization Information • Enter all contact information for the organization. Use a general phone and email address where a municipal clerk can reach your organization during business hours. Form AB-220 Instructions Temporary Alcohol Beverage License Application Form AB-220 Instructions Wisconsin Department of Revenue- 1 - • Box 7: Enter the federal employer identification number for the organization. Every organization must have an employer identification number (EIN), even if it will not have employees. The EIN is a unique number that identifies the organization to the Internal Revenue Service. • Box 11: Check one box to describe your organization’s purpose or function. If you cannot check one of these boxes, you may not qualify for a temporary alcohol beverage retail license. • Box 12: Check yes or no to indicate if your organization is required to hold a Wisconsin seller’s permit for sales and use tax purposes. Some nonprofit organizations are not required to hold a seller’s permit if they qualify for the occasional sales exemption. See Part 4 of Publication 206 , Sales Tax Exemptions for Nonprofit Organizations , for the standards that must be met to qualify for the occasional sales exemption. • Box 13: If Box 12 is yes, enter your seller’s permit number. Seller’s permits begin with the digits “456.” For questions about obtaining a seller’s permit, see Seller’s Permit Common Questions . Part B: Individual Information • Provide the names, titles and phone numbers for officers, directors, and the agent of the organization. Titles of persons requiring disclosure include, but are not limited to: President, Treasurer, Executive Director, Board Member. Obtain and submit Form AB-100, Alcohol Beverage Individual Questionnaire , with your application for each person listed. • Corporations must appoint an agent for this application. List the name of the agent in this section and include Form AB-101, Alcohol Beverage Appointment of Agent , with this application. The agent of your organization must reside in Wisconsin. Part C: Event Information • Box 1: Insert the event name. If this event will be advertised to the public or membership, use the name included on that information. • Box 2: Insert the dates of the event. Attach a listing of event dates if more space is needed. • Box 3: Insert the hours of operation for the event dates. • Boxes 4-10: Enter the address for the event premises. Also enter the county, local jurisdiction, and aldermanic district in which the premises is located. • Box 11: Insert the name of the event organizer if the license applicant is not the organizer of the event. • Boxes 12-14: Provide contact information for the event organizer, the organizer’s website, and the event website, if applicable. • Box 15: Describe the premises in detail. Attach a floor plan, festival layout, map, or diagram if possible. Example: The premises is located at 1234 Main St., Realtown, WI, 12345, and includes only the first-floor bar room, dining room, kitchen, and south office of the 5,000 square foot building. Example: The premises is the 1,000 square foot tent within the southwest corner of the parking lot located at XYZ Church at 3456 Main St., Realtown, WI, 12345. All sales and storage of alcohol beverages and records will occur within the 1,000 square foot tent in the southwest corner of the parking lot. Example: The premises is located at PDQ Park (7890 Main St., Realtown, WI, 12345). A 5,000 square foot tent will be constructed in the northeast corner of the park bordering the tree line and northern fence. All alcohol beverage sales and consumption will occur at this tent. Premises includes the adjacent north park office and the space between the tent and the office. Beverages and records will be securely stored in the north park office for the duration of the event. Part D: Attestation • One officer or director of the organization must sign the application. • Read the attestation carefully, then sign and date. Part E: For Clerk Use Only • “Date license granted” means the date the municipal governing body approved the license to be issued. • “Date license issued” means the date the municipal clerk physically issued the license certificate document. - 2 -Form AB-220 Instructions - 3 -Form AB-220 Instructions Completion and Submission of AB-220 • Submit the completed application to the clerk of the municipality in which you are applying for a license. • Submit a separate application for each temporary event. One application may be used to apply for a temporary event that occurs multiple times at the same premises. • License applications must be filed with the municipal clerk at least 15 days before they can be approved by the governing body, except licenses issued by municipalities within Milwaukee County. Governing bodies of municipalities within Milwaukee County establish their own period that applications must be filed with the municipal clerk. • Include the following forms with your license application: ◦ Form AB-100, Alcohol Beverage Individual Questionnaire for all officers, directors, and agent of the nonprofit organization ◦ Form AB-101, Alcohol Beverage Appointment of Agent ◦ Payment for license and background check fees, as required by your municipality ◦ Any other information and documents required by your municipality Assistance This form is prepared by the Department of Revenue for use by municipal governments. If you require assistance with this form, consider reaching out to your local clerk for assistance with the following: • Submission of this application and associated forms • Availability of certain licenses in a community If you have questions about alcohol beverage laws and regulations, you may contact the Department of Revenue using the contact information below. Website: DOR Alcohol Beverage (wi.gov) Write: DORAlcohol@wisconsin.gov Call: (608) 266-2526 Resources Provided by the Department of Revenue License common questions Publication 302 , Information for Wisconsin Alcohol Beverage and Tobacco Retailers Publication 309 , Retail Alcohol Beverage Licensing Guide for Municipalities Fact Sheet 3101 , Licenses for Retail Sale of Alcohol Beverages Fact Sheet 3103 , Licensed or Permitted Premises Description Fact Sheet 3116, Reserve “Class B” Liquor Licenses Fact Sheet 3118, “Class B” Liquor License Quotas Alcohol Beverage Individual Questionnaire Form AB-100 All individuals involved in the alcohol beverage business must complete this form, including: • sole proprietor • all officers, directors, and agent of a corporation or nonprofit organization • all partners of a partnership • members and agent of a limited liability company Your alcohol beverage application or renewal is not complete until all required Individual Questionnaires are submitted. Date AB-100 (R. 1-25) Wisconsin Department of Revenue- 1 - Part B: Individual Information 1. Last Name 4. Relationship to Business (Title) 7. Home Address 5. Email 6. Phone 8. City 12. Drivers License/State ID Number 9. State 10. Zip Code 11. Date of Birth 13. Drivers License/State ID State of Issuance 2. First Name 3. M.I. Part A: Business Information 1. Legal Business Name (individual name if sole proprietor) 2. Business Trade Name or DBA 3. Entity Type (check one) Sole Proprietor Partnership Limited Liability Company Corporation Nonprofit Organization Continued → Part C: Address History Previous Address 1 Previous Address 2 Previous Address 3 (MM/YYYY) 2. List in chronological order all of your addresses within the last 5 years. Attach additional sheets if necessary. 3. List all states and counties you have lived in as an adult. Attach additional sheets if necessary. State County State County State County State County State County State County State County State County City State Zip Code City State Zip Code City State Zip Code Previous Address 4 City State Zip Code Previous Address 5 City State Zip Code 1. Do you currently live in Wisconsin? ............................................................ Yes No If yes, provide the month and year when you permanently moved to Wisconsin ......................... - 2 -AB-100 (R. 1-25) Part E: Attestation READ CAREFULLY BEFORE SIGNING: Under penalty of law, I have answered each of the above questions completely and truthfully. I certify that I am not prohibited from participating in this business due to any involvement in another tier of the alcohol beverage industry as a restricted investor. I understand that any license issued contrary to Wis. Stat. Chapter 125 shall be void under penalty of state law. I further understand that I may be prosecuted for submitting false statements and affidavits in connection with this application, and that any person who knowingly provides materially false information on this application may be required to forfeit not more than $1,000 if convicted. Signature Date Part D: Criminal History Law/Ordinance Violated 1. Have you ever been convicted of any offenses (excluding traffic offenses unless related to alcohol beverages) for violation of any federal, Wisconsin, or another state’s laws or of any county or municipal ordinances? ...... Yes No If yes to question 1, please list details of each conviction below. Attach additional sheets as needed. Penalty Imposed Conviction Date 2. Are charges for any offenses currently pending against you (excluding traffic offenses unless related to alcohol beverages) for violation of any federal, Wisconsin, or another state’s laws or any county or municipal ordinances? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No If yes to question 2, describe nature and status of pending charges using the space below. Attach additional sheets as needed. Was sentence completed? ..... Yes No Location Law/Ordinance Violated Conviction Date Penalty Imposed Was sentence completed? ..... Yes No Location Law/Ordinance Violated Conviction Date Penalty Imposed Was sentence completed? ..... Yes No Location Who must complete Form AB-100? All persons involved in the applicant business who are sole proprietors, partners of a partnership, officers, directors, members, managers, or agents must complete and submit Form AB-100. These persons are identified in Form AB-101, Alcohol Beverage Appointment of Agent, Form AB-200, Alcohol Beverage License Application, or an alcohol beverage permit application. Where do I submit Form AB-100? If applying for a retail alcohol beverage license, submit this form with Form AB-200, Alcohol Beverage License Application to the clerk of the municipality in which the applicant business is located. If applying for an alcohol beverage permit, submit this form as required by the permit application to the Division of Alcohol Beverages. To update the agent for an alcohol beverage license or permit, submit this form with Form AB-101, Alcohol Beverage Appointment of Agent to the issuer of the authorization. Specific Instructions Date • Date the form in the top right corner. Part A: Business Information • Box 1: Enter the legal business name. If sole proprietor, enter the individual’s first and last name. • Box 2: Enter the business trade name or “doing business as” name, if different than the name in box 1. • Box 3: Check one entity type to indicate how the business is legally organized. Note: This business information must match the information on any license application (Form AB-200) or existing license certificate. Part B: Individual Information • Provide all requested personal information. • Box 4: Enter your title or describe your relationship to the business. Examples: President, Treasurer, Director, Chief Financial Officer, Member, Partner, Agent, etc. Part C: Address History • Question 2: List in chronological order all residential addresses within the last five years starting with your most recent address. Part D: Criminal History • Question 1: Disclose any civil or criminal violations of law in any jurisdiction (federal, state, or local ordinance), and include detailed descriptions of any violations of law involving alcohol beverages (OWI, disorderly conduct, etc.). • Question 2: Disclose any pending charges against you in any jurisdiction and include detailed descriptions of any charges involving alcohol beverages. Note: Subject to the Wisconsin Fair Employment Law ( Ch. 111, Wis. Stats.) , persons with convictions or pending charges may, if those offenses are sufficiently relevant, be prohibited from holding alcohol beverage license and permits under sec. 125.04(5)(a)(1) Wis. Stats. See the Department of Revenue’s Permit Predetermination Common Questions for offenses that may prevent someone from holding a license. Part E: Attestation • Read the attestation carefully, then sign and date. Form AB-100 Instructions Alcohol Beverage Individual Questionnaire Form AB-100 Instructions Wisconsin Department of Revenue- 1 - Assistance This form is designed by the Department of Revenue for use by municipal governments. Reach out to your municipal clerk for assistance with the following: • Submission of the retail license application and supplemental forms • Availability and cost of certain licenses. If you have questions about alcohol beverage laws and regulations, you may contact the Department of Revenue using the contact information below. Website: DOR Alcohol Beverage (wi.gov) Write: DORAlcohol@wisconsin.gov Call: (608) 266-2526 Resources Provided by the Department of Revenue License frequently asked questions Publication 302 Information for Wisconsin Alcohol Beverage and Tobacco Retailers Publication 309 Retail Alcohol Beverage Licensing Guide for Municipalities Fact Sheet 3101 Licenses for Retail Sale of Alcohol Beverages Fact Sheet 3103 Licensed or Permitted Premises Description Fact Sheet 3116 Reserve “Class B” Liquor Licenses Fact Sheet 3118 “Class B” Liquor License Quotas - 2 -Form AB-100 Instructions Name of Organization/Club/Non-profit you are working for: ______________________________________________________ *Remit application & fees to: Clerk, Village of Allouez, 1900 Libal Street, Green Bay, WI 54301 APPLICANT ACKNOWLEDGMENT TEMPORARY OPERATOR LICENSE APPLICATION APPLICANT INFORMATION ☐ Copy of Photo ID must be provided Name: _____________________________________________________________ Phone No. (______) _______ - _________ (First, MI, Last) Address (City, State, Zip): _____________________________________________ Date of Birth: _____ / _____ / __________ TEMPORARY OPERATOR LICENSE APPLICATION (Complete the following sections) Have you ever been convicted of any felony, misdemeanor, ordinance, or other alcohol related offenses? ☐ Yes ☐ No (If yes, please list below) Date of conviction, location of the Court in which the conviction took place and the nature of the offense: VIOLATION DATE LOCATION I hereby certify that all statements on my application are true, complete, and to the best of my knowledge. Applicant Signature: __________________________________________________________ Date: ____ / ____ / ________ Allouez Village Hall 1900 Libal Street, Green Bay, WI 54301 (920) 448-2800 www.villageofallouezwi.gov ☐ Temporary Operator License $10.00 fee APPLICANT CERTIFICATION FOR OFFICE USE ONLY: ______ $10 License Fee ______ Copy of Photo ID ______ Record Check EVENT INFORMATION Name of Organization/Club: _______________________________ Name of Event: __________________________________ Date(s) of Event: _________________________________________________________ Time of Event: ________ - _________ _______________________________________________________________