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
23139001000844

1. REP. ID. NO. (If any)
CT
641

OR
09

PART I - APPLICATION
2. PLANT REGISTRY/BASIC PERMIT/BREWER'S NO. (Required)
DSP-OH-20138
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)

SLIM CHILLERS, SLIM CHILLERS INC
1635 COINING DR

TOLEDO OH 43612

BOOZE POPS (Used on label)
4. SERIAL NUMBER (Required)
230002

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

6. BRAND NAME (Required)
BOOZE POPS
8a. MAILING ADDRESS, IF DIFFERENT
7. FANCIFUL NAME (If any)
WHISKEY & SODA
9. FORMULA
1537624
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
(909) 210-8287
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.

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
05/19/2023
17. SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
(Application was e-filed)
18. PRINT NAME OF APPLICANT OR AUTHORIZED AGENT
PHIL HURLEY
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
05/22/2023
20. AUTHORIZED SIGNATURE, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU
Authorized Signature

FOR TTB USE ONLY
QUALIFICATIONS
"A STATEMENT OF NET CONTENTS MUST BE PRINTED ON LABEL, BLOWN, EMBOSSED, OR MOLDED ONTO THE BOTTLE OR CONTAINER AND MUST BE AN APPROVED STANDARD OF FILL 50ml, 100ml, 200ml, 355ml (metal only), 375ml, 700 ml, 720ml, 750ml, 900ml, 1L, 1.75L, or 1.8L. See 27 CFR 5.63(b)(2), 27 CFR 5.70, 27 CFR 5.201, & 5.203"
"When new labels are printed, the alcohol content statement must be changed to one of the following: ""Alc. ___% by Vol."","" Alc. by Vol. __%"", ___% Alc. by Vol."" or ""___% Alc. / Vol"". See 27 CFR 5.65(b)(2)" (ABV is not a permitted format of the alcohol content statement for distilled spirits. Replace ABV with ALC/VOL on the front label so the alcohol content statement reads "9% ALC/VOL".)
When new labels are printed, please either add an "s" to flavor or remove the "s" in flavors in the statement of composition. (Remove the s from the end of flavors)
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
WHISKY SPECIALTIES

EXPIRATION DATE (If any)

AFFIX COMPLETE SET OF LABELS BELOW

Image Type:

Brand (front) or keg collar
Actual Dimensions: 11 inches W X 1.5 inches H


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


Image Type:

Back
Actual Dimensions: 11 inches W X 1.5 inches H


Note: The image below has been reduced to fit the page. See actual dimensions above.
Label Image: Back




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