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The Commonwealth of Massachusetts <br /> -= Alcoholic Beverages Control Conznussion <br /> a 239 Cause►vay Street <br /> x Boston, MA 02114 <br /> r` wwiv.massgov/abcc <br /> AMENDEMENT APPLICATION FOR A CHANGE OF MANAGER <br /> Please complete this entire application, leaving no fields blank. if field does not apply to your situation, please write N/A. <br /> 1. NAME OF LICENSEE (Business Contact) 1AB INNS, LLC dba The Inn at Hastings Park <br /> ABCC License Number City/Town of Licensee <br /> 0039-HT-0612 Lexington <br /> 2. APPLICATION CONTACT <br /> The application contact is required and is the person who will be contacted with any questions regarding this application. <br /> First Name: Patty Middle: F Last Name: Frelick <br /> Title: Employee Primary Phone: 781-301-6658 <br /> Email: pfrelick@innathastingspark.com <br /> 3. BUSINESS CONTACT <br /> Please complete this section ONLY if there are changes to the Licensee phone number, business address(corporate <br /> headquarters),or mafffng address. <br /> Entity Name: <br /> Primary Phone: Fax Number: <br /> Alternative Phone: Email: <br /> Business Address(Corporate Headquarters) <br /> Street Number: Street Name: <br /> City/Town: State: <br /> Zip Code: Country: F77 <br /> Mailing Address F� Check here ifyour Mailing Address is the same as your Business Address <br /> Street Number: Street Name: <br /> City/Town: State: <br /> Zip Code: Country: <br /> 1 <br />