OMB No. 1513-0020 (01/31/2009)
FOR TTB USE ONLY
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DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU
APPLICATION FOR AND CERTIFICATION/EXEMPTION OF LABEL/BOTTLE APPROVAL
(See Instructions and Paperwork Reduction Act Notice on Back)
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TTB ID
09098001000175
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1. REP. ID. NO. (If any)
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CT
679
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OR
83
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PART I - APPLICATION
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2. PLANT REGISTRY/BASIC PERMIT/BREWER'S NO. (Required)
CT-I-402
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3. SOURCE OF PRODUCT (Required)
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8. NAME AND ADDRESS OF APPLICANT AS SHOWN ON PLANT
REGISTRY, BASIC PERMIT OR BREWER'S NOTICE. INCLUDE APPROVED DBA OR TRADENAME
IF USED ON LABEL (Required)
BACMAR INTERNATIONAL LLC
254B MILL ST , STE A3
GREENWICH
CT
06830
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4. SERIAL NUMBER (Required)
09VSP1
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5. TYPE OF PRODUCT (Required)
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6. BRAND NAME (Required)
VOYANT
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8a. MAILING ADDRESS, IF DIFFERENT
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7. FANCIFUL NAME (If any)
CHAI
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9. EMAIL ADDRESS
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10. FORMULA/SOP NO. (If any)
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11. LAB. NO. & DATE / PREIMPORT NO. & DATE (If any)
08003003000082
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01/23/2008
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18. TYPE OF APPLICATION (Check applicable box(es))
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12. NET CONTENTS
750 MILLILITERS
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13. ALCOHOL CONTENT
12.5
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14. WINE APPELLATION IF ON LABEL
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15. WINE VINTAGE DATE IF ON LABEL
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16. PHONE NUMBER
(914) 552-8195
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17. FAX NUMBER
(203) 286-2162
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19. SHOW ANY WORDING (a) APPEARING ON MATERIALS FIRMLY AFFIXED TO THE CONTAINER (e.g., caps, celoseals, corks, etc.)
OTHER THAN THE LABLES AFFIXED BELOW, OR (b) BLOWN, BRANDED OR EMBOSSED ON THE CONTAINER (e.g., net contents etc.).
THIS WORDING MUST BE NOTED HERE EVEN IF IT DUPLICATES PORTIONS OF THE LABELS AFFIXED BELOW. ALSO, PROVIDE TRANSLATIONS
OF FOREIGN LANGUAGE TEXT APPEARING ON LABELS.
THIS BOTTLE, ON THE FRONT HAS THE ENGLISH AND FRENCH WORDING FOR "CHAI CREAM LIQUOR"
LABELS ATTACHED BELOW (FOR FRONT AND BACK) ARE "CUT OUTS" AS THE BOTTLE IS A PAINTED BOTTLE AND THE SIZES ARE FOR THE PRINTABLE AREA ON THE BOTTLE.
ALSO, THERE ARE TWO IMAGES FOR THE BACK. IMAGE 1 IS THE WAY THE BOTTLE WAS PRINTED ON BY THE PRINTING COMPANY AND IMAGE 2 SHOWS THE AREA WHERE WE SHALL APPLY A LABEL TO THE BOTTLE SO THAT IT IS IN COMPLIANCE WITH TTB LABELING REQUIREMENTS. THIS LABEL APPROVAL IS FOR 600 CASES ONLY TO HAVE THIS LABEL APPLIED. OUR REGULAR, EVERY DAY, LABEL WAS PREVIOUSLY APPROVED AND IS TTB ID: 08113-000-000114 DATED 04/30/2008. THIS IS SIMILAR TO A USE UP APPLICATION EXCEPT THAT WITH THE APPLICATION OF THE LABEL ON THE BACK COVERING THE INGREDIENT STATEMENT (WHICH IS REQUIRED IN CANADA), THE BOTTLE SHOULD BE IN FULL COMPLIANCE WITH TTB LABELING REQUIREMENTS
I AM ALSO SUBMITTING A USE-UP LETTER IN REGARD TO THE WORDING ON THE FRONT OF THE BOTTLE: "LIQUOR" VS. "LIQUEUR". PLEASE SEE ATTACHED LETTER.
CORRECTIONS REQUIRED ON 05-26-2009:
CODE 116: ADDRESSED IN USE UP LETTER ATTACHED. LABEL ON SAMPLE BOTTLE SUBMITTED WAS PRINTED IN OFFICE ON INK JET PRINTER. IF APPROVED, WE SHALL HAVE THIS LABEL PROFESSIONAL PRINTED WITH INDUSTRIAL STRENGTH GLUE SO THAT IT CANNOT BE EASILY REMOVED.
CODE 117: THIS IS WHY WE ARE APPLYING FOR USE-UP. BOTTLE, WITH ADDITION OF LABEL ON BACK, WILL BE IN FULL COMPLIANCE EXCEPT THAT IT SHALL SAY "LIQUOR" INSTEAD OF "LIQUEUR" ON FRONT. WE ARE APPLYING FOR THIS USE-UP FOR 600 CASES UNTIL DECEMBER 2009
CODE 118: HAVE TAKEN NEW PHOTOGRAPHS AND ATTACHED THEM
CODE 138: ADDRESSED THIS IN USE UP LETTER ATTACHED.
LIQUEUR LABEL WHICH WAS UPLOADED AS "OTHER" ON 7/6/2009 WILL BE APPLIED TO FRONT OF BOTTLE
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PART II - APPLICANT'S CERTIFICATION
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Under the penalties of perjury, I declare; that all statements appearing on this application are true and correct to the
best of my knowledge and belief; and, that the representations on the labels attached to this form, including supplemental documents,
truly and correctly represent the content of the containers to which these labels will be applied. I also certify that I have read,
understood and complied with the conditions and instructions which are attached to an original TTB F 5100.31, Certificate/Exemption of
Label/Bottle Approval.
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20. DATE OF APPLICATION
04/08/2009
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21. SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
(Application was e-filed)
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22. PRINT NAME OF APPLICANT OR AUTHORIZED AGENT
Robert
Back
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PART III - TTB CERTIFICATE
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This certificate is issued subject to applicable laws, regulations and conditions as set forth in the instructions portion of this form.
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23. DATE ISSUED
07/17/2009
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24. AUTHORIZED SIGNATURE, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU
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FOR TTB USE ONLY
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QUALIFICATIONS
Other (Labes which are not an integral part of the bottle shall be affixed to bottles in such manner that they cannot be removed without thorough application of water of other solvents)
This certificate is operative for the release of not more than the following number of bottle cases/ kegs. (600 cases)
NO MORE USE-UPS WILL BE GRANTED.
STATUS
THE STATUS IS
EXPIRED.
CLASS/TYPE DESCRIPTION
OTHER LIQUEUR (CREMES OR CREAMS)
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EXPIRATION DATE (If any)
01/17/2010
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AFFIX COMPLETE SET OF LABELS BELOW
Image Type:
Brand (front) or keg collar
Actual Dimensions: 3.5 inches W X 3.5 inches H
Image Type:
Brand (front) or keg collar
Actual Dimensions: 3.5 inches W X 9.25 inches H
Image Type:
Brand (front) or keg collar
Actual Dimensions: 3.5 inches W X 9.25 inches H
Image Type:
Brand (front) or keg collar
Actual Dimensions: 0.75 inches W X 0.5 inches H
Image Type:
Back
Actual Dimensions: 3.5 inches W X 9.25 inches H
Image Type:
Back
Actual Dimensions: 3.5 inches W X 9.25 inches H
Image Type:
Other
Actual Dimensions: 3 inches W X 3 inches H
Image Type:
Back
Actual Dimensions: 3 inches W X 3 inches H
Image Type:
Back
Actual Dimensions: 3.5 inches W X 9.25 inches H
TTB F 5100.31 (6/2006) PREVIOUS EDITIONS ARE OBSOLETE