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 16096001000270
1. REP. ID. NO. (If any) 1003 CT 101 OR 22

PART I - APPLICATION
2. PLANT REGISTRY/BASIC PERMIT/BREWER'S NO. (Required) DSP-KY-15014 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) LIMESTONE BRANCH DISTILLERY, LIMESTONE BRANCH DISTILLERY, LLC 1280 VETERANS MEMORIAL HWY , (HWY 2154) LEBANON KY 40033
4. SERIAL NUMBER (Required) 160023 5. TYPE OF PRODUCT (Required) WINE DISTILLED SPIRITS MALT BEVERAGE
6. BRAND NAME (Required) YELLOWSTONE	8a. MAILING ADDRESS, IF DIFFERENT
7. FANCIFUL NAME (If any)

9. EMAIL ADDRESS	10. GRAPE VARIETAL(S) (Wine Only) N/A	11. FORMULA	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. ______
12. NET CONTENTS 50 MILLILITERS 100 MILLILITERS 200 MILLILITERS 375 MILLILITERS 750 MILLILITERS 1 LITER 1.75 LITERS	13. ALCOHOL CONTENT 50.5	14. WINE APPELLATION IF ON LABEL
15. WINE VINTAGE DATE IF ON LABEL	16. PHONE NUMBER (202) 756-8406	17. FAX NUMBER (202) 591-2977
19. SHOW ANY INFORMATION THAT IS BLOWN, BRANDED, OR EMBOSSED ON THE CONTAINER (e.g., net contents) ONLY IF IT DOES NOT APPEAR ON THE LABELS AFFIXED BELOW. ALSO, SHOW TRANSLATIONS OF FOREIGN LANGUAGE TEXT APPEARING ON LABELS. THE BOTTLE NO. BLANK SPACE SHOWN ON LABEL WILL CHANGE WITH EACH NEW BOTTLE. PRESIDENT & DISTILLER BLANK SPACE SHOWN ON LABEL WILL BE MARKED AT THE TIME OF THE BATCH PRODUCTION.

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 04/05/2016	21. SIGNATURE OF APPLICANT OR AUTHORIZED AGENT (Application was e-filed)	22. PRINT NAME OF APPLICANT OR AUTHORIZED AGENT LONETTE MERRIMAN

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 04/22/2016	24. AUTHORIZED SIGNATURE, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU

FOR TTB USE ONLY

QUALIFICATIONS TTB has not reviewed this label for type size, characters per inch or contrasting background. The responsible industry member must continue to ensure that the mandatory information on the actual labels is displayed in the correct type size, number of characters per inch, and on a contrasting background in accordance with the TTB labeling regulations, 27 CFR parts 4, 5, 7, and 16, as applicable. STATUS THE STATUS IS APPROVED. CLASS/TYPE DESCRIPTION STRAIGHT BOURBON WHISKY

EXPIRATION DATE (If any)

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AFFIX COMPLETE SET OF LABELS BELOW

Image Type:

Brand (front) or keg collar
Actual Dimensions: 2.87 inches W X 5.24 inches H

Image Type:

Other
Actual Dimensions: 4.37 inches W X 3.38 inches H

Image Type:

Back
Actual Dimensions: 2.05 inches W X 5.24 inches H

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