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
23296001000690

1. REP. ID. NO. (If any)
CT
102

OR
13

PART I - APPLICATION
2. PLANT REGISTRY/BASIC PERMIT/BREWER'S NO. (Required)
DSP-CO-20042
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)

Old Elk Distilleries, LLC
1415 BLUE SPRUCE DR

Fort Collins CO 80524

OLD ELK DISTILLERY (Used on label)
4. SERIAL NUMBER (Required)
23BP11

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

6. BRAND NAME (Required)
OLD ELK
8a. MAILING ADDRESS, IF DIFFERENT
7. FANCIFUL NAME (If any)
RYE NOT?
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
(970) 494-5814
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.
THE PROOF, ABV, BOTTLE SIZE, BARREL NUMBER, AGE, SERIES, INDIVIDUAL HAND BOTTLER NAME, AND MASH BILL WILL BE HANDWRITTEN ON THE LABEL. THE WORDS żOLD ELK DISTILLERYż AND THREE STARS WILL BE EMBOSSED ON THE BACK OF THE BOTTLE, NEAR THE TOP. THERE IS ALSO AN EMBOSSED CIRCULAR żOEż ON THE BACK OF THE BOTTLE, NEAR THE BOTTOM.
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
10/23/2023
17. SIGNATURE OF APPLICANT OR AUTHORIZED AGENT
(Application was e-filed)
18. PRINT NAME OF APPLICANT OR AUTHORIZED AGENT
Danielle Bzdok
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
10/27/2023
20. AUTHORIZED SIGNATURE, ALCOHOL AND TOBACCO TAX AND TRADE BUREAU
Authorized Signature

FOR TTB USE ONLY
QUALIFICATIONS
THE STRIP LABEL DISPLAYS ONE OR MORE PIECES OF MANDATORY LABEL INFORMATION THAT MUST BE SHOWN IN THE SAME FIELD OF VIEW ON THE CONTAINER: (1) BRAND NAME, (2) CLASS OR TYPE OF DISTILLED SPIRITS, AND (3) ALCOHOL CONTENT STATEMENT. ENSURE STRIP LABEL IS PLACED SUCH THAT THE CONTAINER DOES NOT NEED TO BE TURNED TO VIEW THESE PIECES OF INFORMATION. (Second front label displays fanciful name, class/type designation, and alcohol content)
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 RYE WHISKY

EXPIRATION DATE (If any)

AFFIX COMPLETE SET OF LABELS BELOW

Image Type:

Brand (front) or keg collar
Actual Dimensions: 2.5 inches W X 2.8 inches H


Label Image: Brand (front) or keg collar


Image Type:

Brand (front) or keg collar
Actual Dimensions: 2 inches W X 0.7 inches H


Label Image: Brand (front) or keg collar


Image Type:

Neck
Actual Dimensions: 4.55 inches W X 1 inches H


Label Image: Neck


Image Type:

Back
Actual Dimensions: 2.5 inches W X 2.8 inches H


Label Image: Back


Image Type:

Other
Actual Dimensions: 2.5 inches W X 0.75 inches H


Label Image: Other


Image Type:

Other
Actual Dimensions: 0.63 inches W X 0.63 inches H


Label Image: Other


Image Type:

Other
Actual Dimensions: 2.5 inches W X 2.3 inches H


Label Image: Other


Image Type:

Other
Actual Dimensions: 1.75 inches W X 1.75 inches H


Label Image: Other




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