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 18309001000540
1. REP. ID. NO. (If any) 1165 CT 101 OR 22

PART I - APPLICATION
2. PLANT REGISTRY/BASIC PERMIT/BREWER'S NO. (Required) DSP-KY-230 DSP-KY-14 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) JIM BEAM BRANDS CO. 526 HAPPY HOLLOW ROAD CLERMONT KY 40110 JAMES B. BEAM DISTILLING COMPANY (Used on label)
4. SERIAL NUMBER (Required) 180192 5. TYPE OF PRODUCT (Required) WINE DISTILLED SPIRITS MALT BEVERAGE
6. BRAND NAME (Required) BOOKER'S	8a. MAILING ADDRESS, IF DIFFERENT
7. FANCIFUL NAME (If any)

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 (502) 215-2123	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. NET CONTENT MAY OR MAY NOT BE BLOWN OR BRANDED INTO THE CONTAINER. THE ALC/VOL%, PROOF, AGE STATEMENT, BATCH NO., AND ARTWORK PRESENTED ON THIS LABEL (JPEGS 585949A-D,FILED AS BRAND FRONT)WILL BE CHANGED TO PERSONALIZE THIS PACKAGE, ONE OF THE 4 VARIANTS WILL APPEAR ON THE PACKAGE) THE BEAM LOGO MAY OR MAY NOT APPEAR AND OR BE REPEATED ON THE NECK OF THE BOTTLE.

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 11/05/2018	17. SIGNATURE OF APPLICANT OR AUTHORIZED AGENT (Application was e-filed)	18. PRINT NAME OF APPLICANT OR AUTHORIZED AGENT Jennifer Alexander

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 11/16/2018	20. AUTHORIZED SIGNATURE, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU

FOR TTB USE ONLY

QUALIFICATIONS Other (Both "Brand labels" must appear on the front of the container.) EACH CONTAINER MUST BE CODED TO INDICATE ACTUAL PLACE OF BOTTLING. This approval to change the personalizing information does not permit the addition of any information that discusses either the alcohol beverage or characteristics of the alcohol beverage or that is inconsistent with or in violation of the provisions of 27 CFR parts 4, 5, 7 or 16, as applicable, or any other applicable provision of law or regulations. The approval of this COLA covers this label and any additions, deletions or changes in graphics, salutations, congratulatory dates and names, and artwork to personalize the label as indicated on the application. 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: 4.75 inches W X 3.14 inches H

Image Type:

Brand (front) or keg collar
Actual Dimensions: 2.66 inches W X 1.11 inches H

Image Type:

Brand (front) or keg collar
Actual Dimensions: 2.66 inches W X 1.11 inches H

Image Type:

Brand (front) or keg collar
Actual Dimensions: 2.66 inches W X 1.11 inches H

Image Type:

Brand (front) or keg collar
Actual Dimensions: 2.66 inches W X 1.11 inches H

Image Type:

Back
Actual Dimensions: 3.1 inches W X 1.78 inches H

Image Type:

Neck
Actual Dimensions: 2.43 inches W X 5.28 inches H

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