Ttb Basic Permit 5100 24 Form PDF Details

Understanding the complexities of regulatory compliance is paramount for businesses aspiring to navigate the alcoholic beverage industry. The TTB Basic Permit 5100 24 form plays a pivotal role in this journey, acting as the gateway for entities to formally engage in the production, processing, importing, or wholesaling of alcoholic beverages under the Federal Alcohol Administration Act. Detailed information such as the full name and premises address, Employer Identification Number (EIN), and operating name, if any, are crucial for the application. The form also demands disclosure of intended business activities, be it operating a distilled spirits plant or a bonded wine premises, among other options. Furthermore, reasons for application, owner information, and deeper scrutiny into the background of involved persons underscore the strict regulatory framework aimed at ensuring legitimacy and responsibility within the industry. Such in-depth information gathering not only aids in the primary permit approval process but also facilitates subsequent requirements like label approvals for bottled alcoholic beverages or dealer registrations. With mandatory compliance for legal operation and severe consequences for non-adherence, the TTB Basic Permit 5100 24 form serves as a foundational document that ensures businesses align with Federal laws, thus safeguarding both the entity and consumers alike.

QuestionAnswer
Form NameTtb Basic Permit 5100 24 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesone day alcohol permit nc form, basic permit act pdf, ttbf basic permit pdf, 5100 basic alcohol download

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OMB NO. 1513-0018 (10/31/2018)

DEPARTMENT OF THE TREASURY

ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)

APPLICATION FOR BASIC PERMIT UNDER THE FEDERAL ALCOHOL ADMINISTRATION ACT

1. FULL NAME AND PREMISES ADDRESS

 

 

3.

EMPLOYER IDENTIFICATION NUMBER (EIN)

 

 

 

 

 

 

(Social Security number is not acceptable)

 

 

 

 

 

 

 

 

 

 

4.

OPERATING NAME (DBA), if any

 

 

 

 

 

 

TELEPHONE NUMBER

(

)

 

 

 

 

State in which organized

for Corporations and Limited Liability Companies

(LLC):

 

 

 

2. MAILING ADDRESS

(If different from premises address)

 

 

5.

LABELING TRADE NAME(S), if any

 

 

 

 

 

 

 

6.BUSINESS(ES) TO BE CONDUCTED AT PREMISES ADDRESS (Check applicable boxes)

a.

 

 

DISTILLED SPIRITS PLANT (BEVERAGE)

c.

 

 

IMPORTING INTO THE UNITED STATES

 

 

 

 

DISTILLING

 

 

 

 

DISTILLED SPIRITS

 

 

 

 

 

 

 

 

WAREHOUSING AND BOTTLING DISTILLED SPIRITS

 

 

 

 

WINE

 

 

 

 

PROCESSING (RECTIFYING) DISTILLED SPIRITS AND WINE

 

 

 

 

MALT BEVERAGES

b.

 

 

BONDED WINE PREMISES

d.

 

 

PURCHASING FOR RESALE AT WHOLESALE

 

 

 

 

 

 

 

 

PRODUCING AND BLENDING WINE

 

 

 

 

DISTILLED SPIRITS

 

 

 

 

BLENDING WINE

 

 

 

 

WINE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MALT BEVERAGES

or while so engaged, sell, offer, or deliver for sale, contract to sell, or ship in interstate or IRreign commerce the alcoholic beverages so distilled, produced, rectified, blended or bottled, warehoused and bottled, imported, or purchased for resale at wholesale.

7.REASON FOR THE APPLICATION (use date format MM/DD/YYYY)

a.

 

NEW BUSINESS

c.

 

CHANGE IN OWNERSHIP

 

 

 

 

Anticipated start date ___________

 

 

Date of Change _______________

 

 

 

 

 

 

 

 

 

Name, address, and permit number(s) of predecessor

b.CHANGE IN CONTROL (Actual or legal) Submit Basic Permit(s) with this application. Date of Change ______________

8.OWNER INFORMATION (List sole owner, all general parties, LLC members/managers, corporate officers and directors, and shareholders with more than 10% voting stock. Each listed person must also furnish the information in Item 9.)

NAME

 

%

TITLE

% VOTING/STOCK/INTEREST

( I f applicable)

TLE

(If applicable)

 

 

 

I INVESTMENTNIN BUSINESS( I t(Item6)

6)

SOURCE OF FUNDS I NVESTED ( savSOURCEings, loans,OF FUNDgift ,SorINVESTEDspecify

ot(savings,her & financialloans, giftinstor specifyit ut ionother)

nam e, cit y & st at e)

IF APPLICANT IS ACTUALLY OR LEGALLY CONTROLLED BY PERSONS OR B8SINESSES NOT IDENTIFIED ABOVE, PROVIDE ON A SEPARATE SHEET INFORMATION (as specified f or Item 9) FOR EACH PERSON OR B8SINESS AND STATE THE EXTENT AND MANNER OF THE CONTROL. BUSINESSES SHOULD INCLUDE THEIR EIN.

9.COMPLETE FOR EACH PERSON LISTED IN ITEM 8.

a. FULL GIVEN NAME

 

b. DATE AND PL$& E OF BIRTH

c. SOCIAL SECURITY OR EMPLO<(R

 

 

 

 

IDENTIFICATION NUMBER

 

 

 

 

 

d.

 

e. OTHER NAMES USED (Maiden name, nicknames, etc.)

 

MALE

FEMALE

 

 

 

 

 

 

 

 

TTB F 5100.24 (088)

Page 1 of 2

a. FULL GIVEN NAME

 

b. DATE AND PLACE OF BIRTH

c. SOCIAL SECURITY OREMPLOYER

 

 

 

 

 

IDENTIFICATION NUMBER

 

 

 

 

 

 

d.

 

e. OTHER NAMES USED (Maiden name, nicknames, etc.)

 

 

MALE

FEMALE

 

 

 

 

 

 

 

 

 

a. FULL GIVEN NAME

 

b. DATE AND PLA& E OF BIRTH

c. SOCIAL SECURITY OR EMPLO<ER

 

 

 

 

 

IDENTIFICATION NUMBER

 

 

 

 

 

 

d.

 

e. OTHER NAMES USED (Maiden name, nicknames, etc.)

 

 

MALE

FEMALE

 

 

 

 

 

 

 

 

a. FULL GIVEN NAME

 

b. DATE AND PL$& E OF BIRTH

c. SOCIAL SECURITY OR EMPLO<ER

 

 

 

 

 

IDENTIFICATION NUMBER

 

 

 

 

 

 

d.

 

e. OTHER NAMES USED (Maiden name, nicknames, etc.)

 

 

MALE

FEMALE

 

 

 

 

 

 

 

 

a. FULL GIVEN NAME

 

b. DATE AND PLA& E OF BIRTH

c. SOCIAL SECURITY OR EMPLO<ER

 

 

 

 

 

IDENTIFICATION NUMBER

 

 

 

 

 

 

d.

 

e. OTHER NAMES

USED (Maiden name, nicknames, etc.)

 

 

MALE

FEMALE

 

 

 

 

 

 

 

 

 

10.HAS THE APPLICANT OR ANY PERSON LISTED FOR ITEMS 8 OR 9 EVER BEEN DENIED A PERMIT, LICENSE, OR OTHER AUTHORIZATION TO ENGAGE IN ANY BUSINESS TO MANUFACTURE, DISTRIBUTE, IMPORT, SELL, OR USE ALCOHOL PRODUCTS (beverage or nonbeverage) BY ANY GOVERNMENT AGENCY (Federal, State, local, or foreign) OR HAD SUCH PERMIT, LICENSE, OR OTHER AUTHORIZATION REVOKED, SUSPENDED, OR OTHERWISE TERMINATED?

YES. State details of each event on a separate sheet.

NO

11.HAS THE APPLICANT OR ANY PERSON LISTED FOR ITEMS 8 OR 9 EVER BEEN ARRESTED FOR, CHARGED WITH, OR CONVICTED OF ANY CRIME UNDER FEDERAL, STATE, OR FOREIGN LAWS other than traffic violations or convictions that are not felonies under Federal or State law.

YES. State details of each event on a separate sheet.

NO

TTB MAY REQUIRE additional information to process this application. If you are applying for a basic permit to operate a distilled spirits plant or bonded wine premises, you must also file additional forms and information required under the Internal Revenue Code. OPERATION WITHOUT A PERMIT. Criminal and administrative actions may be taken against persons engaged in a business listed in Item 6 of this form if it is nRt conducted pursuant to an FAA Act basic permit.

APPLICANT'S AFFIRMATION. Under penalties of perjury, I declare that I have examined this application, including accompanyingsWatements, and

to the best of my knowledge and belief, it is true, correct, and complete. The applicant must immediately notify the TTB official with whom this applica- tion is filed of any change in ownership, management, or control of the applicant (in the case of a corporation, any change in the officers, directors, or persons holding 10 percent or more of the corporate stock). The business for which this application is made does not violate the law of the State in which the business will be conducted. In addition, if this application is approved, the applicant will conduct operations within a reasonable period of time and maintain such operations in conformity with Federal law.

12.APPLICANT'S SIGNATURE (Sole owner, partner, corporate officer, LLC member or manager, or if designated agent, submit TTB F 5000.8)

13. TITLE OF PERSON SIGNING

14. DATE

15. E-MAIL (INTERNET) ADDRESS (optional):

Page 2 of 2

TTB F 5100.24 (088)

INSTRUCTIONS

1.GENERAL. You must file this application if you want a permit under the Federal Alcohol Administration Act (FAA Act) to engage in the business of:

·Producing or processing distilled spirits or wine includes for nonindustrial use.

·Importing into the United States, or wholesaling, alcoholic beverages.

Location of

Send to:

 

 

Business

TTB

 

 

PUERTO RICO

Ste. 310 Torre Chardon,

787-766-5584

 

350 Carlos Chardon Ave.

 

 

San Juan, PR

00918-21244

 

ALL OTHER STATES

550 Main Street, Suite 8002

1-877-882-3277

 

 

Cincinnati, OH

45202

 

Nonindustrial use of distilled spirits or wines includes all beverage purposes or uses in preparing foods or drinks. Wholesaling under the FAA Act means purchasing alcoholic beverages for resale at wholesale. The FAA Act defines alcoholic beverages as distilled spirits, wine, or malt beverages including any fermented cereal beverages which have an alcohol content of not less than 1/2 percent.

2.COMPLETING AND FILING THIS APPLICATION.

·Please type or print and complete all items.

·Write "not applicable" in any item requesting information that does not apply to your business.

·Items 8 through 11: If this information is on file with TTB, state “On file under (name and TTB permit or registry number or type of pending application) ."

·If you need additional room, use a separate sheet.

·If your producing or processing operations will be in Puerto Rico, contact the Director, Puerto Rico Operations, for additional requirements.

·Send this form in duplicate to the appropriate TTB (Alcohol and Tobacco Tax and Trade Bureau ) office.

3.LABEL APPROVALS FOR BOTTLED ALCOHOLIC BEVERAGES. Bottlers, packagers, and importers should have TTB approved label certificates (TTB F 5100.31). A label approval is required to sell, ship, or deliver for sale or shipment, or to otherwise introduce in interstate or foreign commerce, alcoholic beverages. Also, a label approval allows importers to release specific imported alcoholic beverages from Customs' custody. For label approvals contact TTB,

Advertising, Labeling and Formulation Division, Washington, DC 20220, SKRQH(202-). TTB does not approve certificates until you have the appropriate FAA Act basic permit. You can submit draft labels (for example, mockups) to TTB for review before printing the labels. Trade name approval on your FAA Act basic permit does not constitute approval as a brand name for labeling purposes.

4.$OFRKRO'HDOHU5 HJLVWUDWLRQ. If youDUH a retail or wholesale dealer and deal in beer, wine or distilled spirits, file TTB F 5630.5d, Alcohol Dealer Registration. SPECIAL TAX FOR RETAIL AND WHOLESALE DEALERS HAS BEEN REPEALED, NO TAX PAYMENT DUE. You do not file this form when your business only involves the importation or sale of fermented cereal beverages which have an alcoholic content of less than 1/2 percent or where your business is only in Puerto Rico.

5.EMPLOYER IDENTIFICATION NUMBER. You need to have this number for your business even if you do not have any employees. To obtain an EIN, file Form SS-4 with the Internal Revenue Service.

PRIVACY ACT INFORMATION

1.AUTHORITY. Solicitation of information on TTB F 5100.24 is made pursuant to 27 U.S.C. Section 204(c). Disclosure of this information by the applicant is mandatory if the applicant wishes to obtain a basic permit under the Federal Alcohol Administration Act.

2.PURPOSES. To identify the applicant , the location of the premises , and to determine the eligibility of the applicant to obtDin a basic permit.

3.ROUTINE USES. The information will be used by TTB to make deteminations set forth in paragraph 2 above. Where such disclosure is not prohibited, TTB officers may disclose this information to other Federal, State, foreign, and local law enforcement and regulatory agency personnel to verify information on the application, and for enforcement of the laws of such other agency. The information may be disclosed to the Justice

Department if the application appears to be false or misleading. TTB officers may disclose the information to individuals to verify information on the application where such disclosure is not prohibited.

4.EFFECTS OF NOT SUPPLYING INFORMATION REQUESTED. TTB may delay or deny the issuance of the FAA Act basic permit where information is not complete or missing.

5.DISCLOSURE OF EMPLOYER IDENTIFICATION NUMBER AND SOCIAL SECURITY NUMBER. You do not have to supply these numbers. These numbers are used to identify an individual or business. If you do not supply the numbers, your application may be delayeG.

PAPERWORK REDUCTION ACT NOTICE

This request is in accordance with the Paperwork Reduction of 1995. The information collection is used to determine the eligibLlity of the applicant to engage in certain operations, to determine the location and extent of operations, and to determine whether the operations wiOl be in conformity with Federal laws and regulations. The information requested is required to obtain or retain a benefit and is mandatory by staWute (27 U.S.C. 203 and 204 (c)).

The estimated average burden associated with this collection of information is 1 hour and 45 minutes per respondent depending RQ individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be addUessed to Reports Management Officer, Regulations and Rulings Division, Alcohol and Tobacco Tax and Trade Bureau, 1310 G Street, NW., Box 12,

Washington, DC 20005

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displa\s a current, valid

OMB control number.

TTB F 5100.24 (88)

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Filling out this form calls for thoroughness. Ensure each field is done correctly.

1. You need to fill out the federal ttb basic permit correctly, therefore take care while working with the areas comprising all these fields:

Filling out segment 1 in shippensburg borough permit form

2. Immediately after this array of fields is done, go on to enter the applicable information in all these: CHANGE IN OWNERSHIP Date of Change, CHANGE IN CONTROL Actual or legal, OWNER INFORMATION List sole owner, than voting stock Each listed, NAME NAME, TITLE TI TLE, VOTI NG STOCK I NTEREST, I f applicable If applicable, I NVESTMENT I N INVESTMENT IN BUSI, SOURCE OF FUNDS I NVESTED SOURCE, and IF APPLICANT IS ACTUALLY OR.

shippensburg borough permit form writing process clarified (stage 2)

3. This subsequent part is generally rather straightforward, IF APPLICANT IS ACTUALLY OR, c SOCIAL SECURITY OR EMPLOcidcidR, b DATE AND PLcidcidE OF BIRTH, IDENTIFICATION NUMBER, MALE, FEMALE, e OTHER NAMES USED Maiden name, TTB F cidcidcidcid, and Page of - all of these form fields needs to be filled out here.

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It is easy to make errors when filling out your TTB F cidcidcidcid, and so make sure that you go through it again prior to deciding to submit it.

4. The subsequent subsection comes with the next few blanks to consider: a FULL GIVEN NAME, MALE, FEMALE, a FULL GIVEN NAME, MALE, FEMALE, a FULL GIVEN NAME, MALE, FEMALE, a FULL GIVEN NAME, MALE, FEMALE, b DATE AND PLACE OF BIRTH, c SOCIAL SECURITY OR cidEMPLOYER, and IDENTIFICATION NUMBER.

Completing segment 4 in shippensburg borough permit form

5. This document needs to be finished by going through this part. Below there is a detailed list of blank fields that must be filled in with correct information for your document usage to be accomplished: TTB MAY REQUIRE additional, TITLE OF PERSON SIGNING, DATE, EMAIL INTERNET ADDRESS optional, Page of, and TTB F cidcidcidcid.

How you can prepare shippensburg borough permit form stage 5

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