OMB No. 1513-0020
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
18037001000963

1. REP. ID. NO. (If any)
CT
101

OR
22

PART I - APPLICATION
2. PLANT REGISTRY/BASIC PERMIT/BREWER'S NO. (Required)
DSP-KY-67
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)

WILD TURKEY DISTILLERY, CAMPARI AMERICA LLC
1417 VERSAILLES RD

LAWRENCEBURG KY 40342

WILD TURKEY DISTILLING CO. (Used on label)
4. SERIAL NUMBER (Required)
180002

5. TYPE OF PRODUCT (Required)
WINE
DISTILLED SPIRITS
MALT BEVERAGE

6. BRAND NAME (Required)
RUSSELL'S RESERVE
8a. MAILING ADDRESS, IF DIFFERENT
7. FANCIFUL NAME (If any)
2002
9. FORMULA
10. GRAPE VARIETAL(S) (Wine Only)
N/A
14. 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. ______
11. WINE APPELLATION (If on label)
12. PHONE NUMBER
(415) 315-8004
13. EMAIL ADDRESS
 
15. 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.
RUSSELL'S FAMILY RESERVE IS EMBOSSED ON THE SHOULDER OF THE GLASS. BRAND NAME, FANCIFUL NAME, PRODUCER, LOGO, GRAPHICS & TEXT REFLECTED ON THE LABELS MAY REPEAT ON THE CAP, CORK, CAPSULE, NECK, AND/OR BOTTLE. LOT NUMBER AND DATE BOTTLED MAY BE PRINTED AFTER BOTTLING. ALL LABEL INFORMATION MAY BE COMBINED INTO 1 LABEL FOR 50ML SIZE.
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.
16. DATE OF APPLICATION
02/06/2018
17. SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
(Application was e-filed)
18. PRINT NAME OF APPLICANT OR AUTHORIZED AGENT
ALICE CHUNG
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.
19. DATE ISSUED
02/08/2018
20. AUTHORIZED SIGNATURE, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU
Authorized Signature

FOR TTB USE ONLY
QUALIFICATIONS
THE STRIP LABEL, IN ADDITION TO THE BRAND LABEL, MUST APPEAR ON THE FRONT OF THE CONTAINER. (Alcohol Content Statement must appear on the front of the bottle. )
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)

AFFIX COMPLETE SET OF LABELS BELOW

Image Type:

Brand (front)
Actual Dimensions: 2.5 inches W X 2.41 inches H


Label Image: Brand (front)


Image Type:

Brand (front)
Actual Dimensions: 6.62 inches W X 1.4 inches H


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


Image Type:

Neck
Actual Dimensions: 4.47 inches W X 0.88 inches H


Label Image: Neck




TTB F 5100.31 (06-2016)    PREVIOUS EDITIONS ARE OBSOLETE