Follow the steps to complete your application successfully.

1. Press the ‘Get Form’ button to acquire the application form and open it in your chosen editor.
2. Begin by entering the name of your applicant organization in the designated field. Ensure that it matches your official registration.
3. Provide the complete address of the premises, including street, rural route, P.O. box, post office, state, and zip code.
4. Identify the municipality where the premises are located and the name of the owner of the premises.
5. Specify the type of municipality (County, City, Borough, Township, or Town) and provide the deed book volume and page number or instrument number if applicable.
6. List the names of the officers, directors, shareholders, partners, or members of the property owner along with their titles. Attach additional sheets if necessary.
7. Complete the address of the owner of the premises and include the lease expiration date.
8. Indicate whether a current health license is posted on the premises, particularly for catering clubs.
9. Answer whether the applicant has previously filed an application for a license, and if so, provide the expiration date.
10. Detail the premises intended for licensing, including room dimensions, seating capacity, and whether it has a separate kitchen.
11. Indicate the primary interest or activity of the club and the date it was organized.
12. If applicable, list the management company employed to operate the premises.
13. Fill out the resolution section authorizing the application and naming the officers responsible for execution.
14. Provide detailed information about the officers and directors, including their dates and places of birth, home addresses, and citizenship status.
15. Complete the conviction record section to disclose any felony or misdemeanor convictions associated with the applicant or its representatives.
16. Address any questions regarding financial interests in other licenses or permits.
17. Ensure the application form is complete, and necessary attachments are included, such as the membership roll, photographs, and certification statements.
18. Save your changes, download the form, and print it out for submission.
19. Submit the completed application and required documents to the Pennsylvania Liquor Control Board.

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