HomeMy WebLinkAboutLegal Documentation of Tobacco License Transfer HAYES & HAYES
ATTORNEYS-AT-LAW, P.C.
23 EAST MAIN STREET
WEST YARMOUTH, MASSACHUSETTS 02673
Est. 1952
MICHAEL J. HAYES TELEPHONE (508) 775-0080
STEPHEN P. HAYES TELEFAX (508) 775-0693
Writer's email: steve@hayesandhayes.com
HAROLD L. HAYES, JR. (1952-2007) Writer's telephone extension: 14
To the Town of Yarmouth Health Department:
Re: Transfer of Tobacco Product Sales Permit
The undersigned, Noman Inc., a Massachusetts corporation (hereinafter referred to as "Seller")
and Cape Cod Convenience, LLC, a Massachusetts limited liability company (hereinafter
referred to as "Buyer"), have entered into an Asset Purchase Agreement whereby Seller has
agreed to convey to Buyer and Buyer has agreed to accept from Seller all of the assets of the
convenience store business known as Cape Cod Convenience located at 50 Long Pond Drive,
South Yarmouth, Massachusetts. Said Agreement is hereinafter referred to as the "Asset
Purchase Agreement".
The completion of the sale and purchase under the Asset Purchase Agreement is contingent upon
the transfer from Seller to Buyer of all licenses and permits with respect to the convenience store
business, including the Tobacco Product Sales Permit.
The sale and purchase is to be completed upon confirmation of transfer of all licenses and
permits and execution of a mutually acceptable Lease between Buyer and the owner of the real
property. The anticipated closing date is October 15, 2021.
8 2021
HEALTH DEPT
HAYES&HAYES
Page 2 of 2
SIGNED UNDER THE PAINS AND PENALTIES OF PERJURY THIS -(i DAY OF
SEPTEMBER, 2021.
NOMAN INC. CAPE COD CONVENIENCE, LW
Zc--- /` _ / i C ,a,e)Z—
By: Ag a Khan, President r y: Stephanie R. DeVito, Manager
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss
On this 1--6 day of September, 2021, before me, the undersigned notary public,
personally appeared AghaKlan/proved Ito me through satisfactory evidence of identification,
which were P--t_f w ti u I <� "N awl G�'' , to be the person whose
name is signed on the preceding document, andAcknowledged to me that he signed it voluntarily
for its stated purpose and who swore or affirmed to me that the contents of the document are
truthful and accurate to the best of his knowledge and belief.
STEPHEN P. HAYES
NOTARY PUBLIC
yCommonwealth of Massachutts
1:07,0, My Commissiseon Expires Notary Public
December 16, 2022 My Commission Exp..-s:
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss
On this day of September, 2021, before me, the undersigned notary public,
personally appeared Stephanie R. DeVitoboved to me through, satisfactory evidence of
identification, which were t c". )e" 1,v/ ', O -c 019 to be the
person whose name is sig d on the preceding document,And acknowledged to me that she
signed it voluntarily for its stated purpose and who swore or affirmed to me that the contents of
the document are truthful and accurate to the best of her knowledge and belief.
"► STEPHEN P. HAYES OP' �_ IS
___V• NOTARY PUBLIC otary Public
f ct r ,i; Commonwealth of Massachusetts
WI My Commission Expires My Commission Expires:
./ December 16, 2022 r
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tiy.Gtrt Commonwealth of Massachusetts Letter ID:L1029461184
s Department of Revenue Notice Date:October 5,2021 E
.i=.
t Geoffrey E.Snyder,Commissioner Account ID:SLS-20431886-007
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SALES AND USE TAX REGISTRATION CERTIFICATE
IIituIIInliIiinrillIIiiIiiIIiIiIIuiIIIiIiIIuIiiIiiIIinuIIIiIi
CAPE COD CONVENIENCE,LLC
CAPE COD CONVENIENCE
624 ROUTE 28#WESTYARMOUTH
WEST YARMOUTH MA 02673-5061
Attached below is your Sales and Use Tax Registration Certificate(Form ST-1). Cut along the dotted line
and display at your place of business. You must report any change of name or address to us so that a
revised ST-1 can be issued.
At any time, you can log into your MassTaxConnect account at mass.gov/masstaxconnect to view and
re-print a copy of this certificate.
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OCT 1 8 2021
HEALTH DEPT.
DETACH HERE
Sac,"t'S4> MASSACHUSETTS DEPARTMENT OF REVENUE Form ST-1
#fq, Sales and Use Tax Registration Certificate
y ' This registration must be posted and visible at all times.
F!-ro1
CAPE COD CONVENIENCE, LLC Account ID: SLS-20431886-007
CAPE COD CONVENIENCE Certificate Number: 537049088
50 LONG POND DR
SOUTH YARMOUTH MA 02664-4180
This certifies that the taxpayer named above is registered under Chapters 62C, 64H and 641 of the
Massachusetts General Laws to sell tangible personal property at retail or for resale at the address shown
above. This registration is non-transferable and may be suspended or revoked for failure to comply with
state laws and regulations.
Effective Date:October 15, 2021
rtt RAO
r Commonwealth of Massachusetts Letter ID:L1502794944
N� s Department of Revenue Notice Date:October 6,2021
10°;14, Geoffrey E.Snyder,Commissioner Account ID:CGL-20431886-003
f 2v-rdip� mass.gov/dor
RETAILER LICENSE FOR SALE OF CIGARETTES
IIIIIIIIIIIuIuiIniIIIuIinIiIuiluniiIIIIIiIIIIiuIuIIIiiunIIiII
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CAPE COD CONVENIENCE,LLC
8= CAPE COD CONVENIENCE
A
8_= 624 ROUTE 28#WESTYARMOUTH
wail WEST YARMOUTH MA 02673-5061
Attached below is your Retailer License for Sale of Cigarettes(Form CT-3). Cut along the dotted line
and display at your business location. At any time, you can log into your MassTaxConnect account at
mass.gov/masstaxconnect to view and re-print a copy of this license.
If you have any questions about your license, call us at(617) 887-6367 or toll-free in Massachusetts at
(800) 392-6089, Monday through Friday, 8:30 a.m. to 4:30 p.m.
OCT 1 S 2021
HEALTH DEPT.
DETACH HERE
MASSACHUSETTS DEPARTMENT OF REVENUE Form CT-3
Retailer License for Sale of Cigarettes
Ika
414:N r�,�� This license must be posted and visible at all times. The sale of tobacco
products to anyone under 21 years of age is prohibited.
CAPE COD CONVENIENCE, LLC Account ID: CGL-20431886-003
CAPE COD CONVENIENCE License Number: 1208137728
50 LONG POND DR
SOUTH YARMOUTH MA 02664-4180
This certifies that the taxpayer named above is licensed under Chapter 64C of the Massachusetts General Laws to
sell at retail at the address shown above. This license is non-transferable and may be suspended or revoked for
failure to comply with state laws and regulations.
Effective Date: October 6, 2021 Expiration Date: September 30, 2022
Commonwealth of Massachusetts Letter ID:L2103203008
Department of Revenue Notice Date:October 5,2021
mFY 5 Geoffrey E.Snyder,Commissioner Account ID:EDL-20431886-009
tv-r 00- mass.gov/dor
LICENSE FOR SALE OF ELECTRONIC NICOTINE DELIVERY SYSTEMS
IIIA'IiIiIIi'IIIA'iIIIIiill1011r111111 a 1"11111111luIuii
CAPE COD CONVENIENCE,LLC
= CAPE COD CONVENIENCE
9cri
624 ROUTE 28#WESTYARMOUTH
WEST YARMOUTH MA 02673-5061
Attached below is your Retailer License for Sale of Electronic Nicotine Delivery Systems. Cut
along the dotted line and display at your business location. At any time, you can log into your
MassTaxConnect account at mass.gov/masstaxconnect to view and re-print a copy of this
license.
If you have any questions about your license,callus at(617) 887-6367 or toll-free in Massachusetts at
(800) 392-6089, Monday through Friday, 8:30 a.m. to 4:30 p.m.
U i 1 8 2021
DETACH HERE
HEALTH DEPT.
S �tlSF�� MASSACHUSETTS DEPARTMENT OF REVENUE
5 k i' 5 Retailer License for Sale of Electronic Nicotine Delivery Systems
ti r This license must be posted and visible at all times. The sale of
tobacco products to anyone under 21 years of age is prohibited.
CAPE COD CONVENIENCE, LLC Account ID: EDL-20431886-009
CAPE COD CONVENIENCE License Number: 268613632
50 LONG POND DR
SOUTH YARMOUTH MA 02664-4180
This certifies that the taxpayer named above is licensed under Chapter 64C of the Massachusetts
General Laws to sell electronic nicotine delivery systems at the address shown above. This license is
non-transferable and may be suspended or revoked for failure to comply with state laws and regulations.
Effective Date:October 5, 2021 Expiration Date: September 30, 2022
„StaftIs Commonwealth of Massachusetts Letter ID:L1566332096 4 ys Department of Revenue Notice Date:October 5,2021 �'�
rY Geoffrey •E.Snyder,Commissioner Account ID:CRL-20431886-006
,'Y-ceimass.gov/dor
RETAILER LICENSE FOR SALE OF CIGARS AND SMOKING TOBACCO
'IIII""I'III I'II1IIIIIIlI'I'I'iiIIIIII Ii111111IIiIII 1111ll”
CAPE COD CONVENIENCE,LLC
§.- --- CAPE COD CONVENIENCE
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N 624 ROUTE 28#WESTYARMOUTH
iiii
WEST YARMOUTH MA 02673-5061
Attached below is your Retailer License for Sale of Cigars and Smoking Tobacco (Form CT-3T). Cut
along the dotted line and display at your business location. At any time, you can log into your
MassTaxConnect account at mass.gov/masstaxconnect to view and re-print a copy of this license.
If you have any questions about your license,call us at(617) 887-6367 or toll-free in Massachusetts at
(800)392-6089, Monday through Friday, 8:30 a.m. to 4:30 p.m.
OCT 1 8 2021
HEALTH DEPT.
DETACH HERE
ccs,-%. MASSACHUSETTS DEPARTMENT OF REVENUEForm CT-3T
3•. Retailer License for Sale of Cigars and Smoking Tobacco
r oc.,i- This license must be posted and visible at all times. The sale of tobacco
products to anyone under 21 years of age is prohibited.
CAPE COD CONVENIENCE, LLC Account ID: CRL-20431886-006
CAPE COD CONVENIENCE License Number: 1073920000
50 LONG POND DR
SOUTH YARMOUTH MA 02664-4180
This certifies that the taxpayer named above is licensed under Chapter 64C of the Massachusetts General Laws to
sell at retail at the address shown above. This license is non-transferable and may be suspended or revoked for
failure to comply with state laws and regulations.
Effective Date:October 5, 2021 Expiration Date:September 30, 2022