OMB No. 1513-0020

OMB No. 1513-0020 (01/31/2009)

FOR TTB USE ONLY

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)

TTB ID

09155001000266

1. REP. ID. NO. (If any)

649

PART I - APPLICATION

2. PLANT REGISTRY/BASIC PERMIT/BREWER'S NO. (Required)

DSP-NY-15001

3. SOURCE OF PRODUCT (Required)

	Domestic
	Imported

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)

TUTHILLTOWN SPIRITS LLC
14 GRISTMILL LN

GARDINER NY 12525

EDWARD III (Used on label)

4. SERIAL NUMBER (Required)

090604

5. TYPE OF PRODUCT (Required)

	WINE
	DISTILLED SPIRITS
	MALT BEVERAGE

6. BRAND NAME (Required)

EDWARD III

8a. MAILING ADDRESS, IF DIFFERENT

7. FANCIFUL NAME (If any)

NEW YORK

9. EMAIL ADDRESS

10. FORMULA/SOP NO.
(If any)

11. LAB. NO. & DATE / PREIMPORT NO. & DATE (If any)

82001 - 03/19/2009

18. TYPE OF APPLICATION (Check applicable box(es))

a.	CERTIFICATE OF LABEL APPROVAL
b.	CERTIFICATE OF EXEMPTION FROM LABEL APPROVAL "For sale in _______ only" (Fill in State abbreviation.)
c.	DISTINCTIVE LIQUOR BOTTLE APPROVAL. TOTAL BOTTLE CAPACITY BEFORE CLOSURE ____ _____ (Fill in amount)
d.	RESUBMISSION AFTER REJECTION TTB ID. NO. ___09135001000255___

12. NET CONTENTS

375 MILLILITERS

13. ALCOHOL CONTENT

14. WINE APPELLATION IF ON LABEL

15. WINE VINTAGE DATE IF ON LABEL

16. PHONE NUMBER

(845) 419-2969

17. FAX NUMBER

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.
REVIEWER NOTE: PER COMMENT IN THIS APPLICATION, BELOW PLEASE FIND THE COPY IN THE THE "PUFFERY" USED ON THE LABEL: THE LONG, STORIED HISTORY OF ABSINTHE BEGAN IN THE LATE EIGHTEENTH CENTURY, AMIDST THE QUIET HILLS OF VAL-DE-TRAVERS SWITZERLAND. AS ABSINTHE'S POPULARITY GREW SO DID ITS NOTORIETY, AND ITS ASSOCIATION WITH THE NINETEENTH CENTURY'S MOST CELEBRATED ARTISTS. AFTER ALMOST ONE-HUNDRED YEARS OF PROHIBITION WE ARE PROUD TO INTRODUCE AN AUTHENTIC "LA BLEUE" STYLE ABSINTHE, MADE USING THE SAME METHODS AND HERBS AS THE FINEST ABSINTHES PRODUCED DURING THE BELLE ÉPOQUE. DEVELOPED BY EDWARD III AND HANDCRAFTED IN COPPER POT STILLS AT TUTHILLTOWN SPIRITS IN NEW YORK¿S HUDSON VALLEY, EACH INDIVIDUALLY NUMBERED BOTTLE IS MADE FROM SMALL BATCHES WITH THE FINEST HERBS AND SPICES. ENJOY THIS ARTISANAL SPIRIT RESPONSIBLY, WITH A DASH OF ICE AND THREE PARTS ICE COLD WATER FOR THE MOST TRADITIONAL EXPERIENCE.

PART II - APPLICANT'S CERTIFICATION
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.
20. DATE OF APPLICATION 06/04/2009	21. SIGNATURE OF APPLICANT OR AUTHORIZED AGENT (Application was e-filed)	22. PRINT NAME OF APPLICANT OR AUTHORIZED AGENT Daniel Christensen

PART III - TTB CERTIFICATE
This certificate is issued subject to applicable laws, regulations and conditions as set forth in the instructions portion of this form.
23. DATE ISSUED 06/17/2009	24. AUTHORIZED SIGNATURE, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU

FOR TTB USE ONLY
QUALIFICATIONS The finished product must be "Thujone-free" pursuant to 21 CFR 172.510 STATUS THE STATUS IS APPROVED. CLASS/TYPE DESCRIPTION OTHER SPECIALTIES & PROPRIETARIES	EXPIRATION DATE (If any)

AFFIX COMPLETE SET OF LABELS BELOW

Image Type:

Brand (front) or keg collar
Actual Dimensions: 9.25 inches W X 1.75 inches H

Note: The image below has been reduced to fit the page. See actual dimensions above.
Label Image: Brand (front) or keg collar

TTB F 5100.31 (6/2006) PREVIOUS EDITIONS ARE OBSOLETE