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HomeMy WebLinkAboutAnnie B's Honey Farm 4/17/2016Commonwealth of Massachusetts Town of Mansfield Town of Mansfield 6 Park Row Mansfield, MA 02048 Board of Health Permit to Operate a Food Service Establishment Type: TEMPORARY FOOD ESTABLISHMENT In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws, a Permit is hereby granted to:. ANNETTE BIRMAN, OWNER Whose place of business is: ANNIE B'S HONEY FARM LLC - NEFFA MANSFIELD SCHOOL COMPLEX - EAST STREET PERSON(S) IN CHARGE ANNETTE BIRMAN, OWNER Permit Expires: April 17, 2016 License Number: T-2 Food Fee: WAIVED BOARD OF HEALTH AichaeCMcCCean, Chairman FOR BOARD OF HEALTH USE ONLY Al -- Date received: Date Inspected: Approved By: Permit # Issued FOOD ESTABLISHMENT PERMIT APPLICATION (Application must he submitted at least 7 days prior to planned event) 1) Establishment Name: ` 2) Establishment Address , Ci c -� %i , �V �� C-� 1 ) -(- 1�� (Oy- — 3) Establishment Mailing Address (if different) 4) Establishment Telephone No: 5) Applicant Name & Title: , 6) Applicant Addresscu 7) Applicant Telephone No.: 24 Hour Emergency No.: 8) Owners Name & Title g) Owner Address (if different from applicant): 10) Establishment Owned By: 11) If a corporation or partnership, give name, title, and home address of officers ❑ An Association or partner. Cl A Corporation Name Title Address An Individual 11 A Partnership O Other legal Entity --� - - 12) Person Directly Responsible For Daily Operations (owner, person in cnarge, supervisor, manager eic.) Name & Title: Address: n� 1 Telephone No: (fi t _ (k 1 24 Hour Emergency No: FAX: - ---- E-mail: n n rl _T Alt E -Mail: u � -( 13) District Or Regional Supervisor (if applicable) Name & Title: Address: Telephone No: FAX: 24 Hour Emergency No: Food Establishment Information 5} SEWAGE DISPOSAL:/jr" - 14) WATER SOURCE: 1DEP Public Water Supply No: (If applicable) I" 1 7 16} No. of Food Employees: - - -- - -- ---- --.—._.. - - ---._.._.-- 17) DAYS/HOURS: 18) Name of Person In Charge Certified in Food Protection Management: If more than 3 individuals are certified, complete list is on file. Required as of 10/1/2001 in accordance with 105 CMR 590.003(A) Please attach copy of certificate - 19) Person Trained in Anti -Choking Procedures (If 25 Seals or more): 20) location: ❑ Permanent Location 22) Establishment Type Mobile Mobile Start Date: ❑ Retail ( Sq. Ft) Mobile End Date: ❑ Food Service up to 100 or Mobile Comments: up to 10' PHF display $75 21) Length of Permit: ❑ Annual ❑ Seasonal Seasonal Dates: 1 Temporary /� Temporary Start Date: AV6 � Temporary End Date: A'rr Temporary Time: Rain Date: ❑ Food Service up to 101 -200 or up to 25' PHF display $100 ❑ Food Service up to 201 + or 25'+ PHF display $125 ❑ Food Service - Institution Meals/Day) ❑ Caterer $25 ❑ Milk & Cream $2 ❑ Mobile Food & Consession $50 ❑ Mobile Food Temporary $25 Manufacture Frozen Desserts/ice Cream $5/freezer ❑ Pushcart $25 ❑ Residential Kitchen $25 ❑Retail Food $5D of Pushcarts: ❑ Retail Snack Food $10 (] Tobacco Products No Fee 23} Food Operations t?efinillons: PHF- Potentially hazardous rood (limeAemperalure controls required) Non•PHF's - non•potentiolly hazardous tood(no time/temparature controls required) ;Check all that apply): RTE- ready -to -oat foods (Ex. sandvdches, salads, muffinswhich need no further processing) ❑ Sale of Commercially Pre -Packaged Non-PHFs ❑ PHFCooked To Order U Hot PHF Cooked and Cooled or Hot Heid El Sale of Commercially Pre Packaged PHFs E] Preparation of PHFs For Hot And for More Than a Single Meal Service Delivery of Packaged PHFs Cold Holding For Single Meal Service ❑ PHF and RTE Foods Prepared For Highly ry g -• Susceptible Population Facility ------•-- -- ❑ Sale of Raw Animal Foods Into ❑ Reheating of Commercially to be Prepared by Consumer Ej Vacuum Packaging) Cook Chill Processed Foods for Service Within A Hours ❑ Use of Process Requiring A Variance Ej Customer Self -Service of Non PHF and Non- ❑ Customer Self -Service and/or HACCP Plan (including bare hand Perishable Foods Only - contact alternative, time as a public health _ _ ❑ Ice Manufactured and Packaged for Q Preparation of Non-PHFsm Retail Sale- - control) Other Food Operations I ❑ Juice Manufactured and Packaged for I ❑ Offers Raw Or Undercooked Food Of Retail Sale Animal Origin Offers RTE PHF in Bulk Quantities ❑ Prepares Food/Single Meals for Catered Events or Institutional Food Service ❑ Retail Sale of Salvage, Out -Of -Date or Reconditioned Food To be completed by the Board of Health - - Total Permit Fee: Payment is due with application ❑waived 1, the undersigned, attest to the accuracy of the information provided in this application and affirm that the food establishment operation will comply with 105 CMR 590.000 and all other applicable law. I have been instructed by the board of health on how to obtain copies of 105 CMR 540.000 andAie federal Food Code. 24) Signature of Applicant: >> y// Pursuant to MGL Ch.62C, sec. 49A, I certify under the penalties of perjury that 1, to my best knowledge and belief, have filed all state tax returns and paid state taxes required under law. 25) Social Security Number or Federal ID: ? ) 26) Signature of Individual or Corporate Name:�i7� Jot 0 A I certify under the penalties of perjury that 1, to my best knowledge and belief, have filed all State tax returns and paid all State taxes required under law. Signature of Individual or Corporate Name (Mandatory) By: Corpora e Officer ez (Mandatory, if applicable) q& 3624? X00 ** Social Security Number (Voluntary) or Federal Identification Number * This license will not be issued unless the certification clause is signed by the applicant. ** Your Social Security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non -filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Mass. General laws, Chapter 62C, Section 49A. Mansfield Board of Health Date w Food ,Service Permit Fee for the following reason Thank you, request a waiver of the Title FOR BOARD OF HEALTH USE ONLY Date Received Date Inspected Approved By Permit # Issued FOOD ESTABLISHMENT PERMIT APPLICATION (Application must be submitted at least 30 days before the planned opening date) 1) Establishment Name: ` i5 � �/YJ �� C 2) Establishment Address: /'S C v f j1 3) Establishment Mailing Address (if different)Q Fax: 4) Establishment Telephone No: A 5) Applicant Name & Title: zj 6) Applicant Address: 7) Applicant Telephone No.: V6(1,/,W4 Hour Emergency No.: 5 — S�Ov`�S(o /�'' `7C, 4 8) Owner Name & Title (if different from applicant): -e rPres j 4 „eli 9) Owner Address (if different from. applicant): U d 0)'� 10) Establishment Owned By: 1111) If; corporation or p rtnership, given mei, title, and home address of &A --officers or partner. I'M 04Q 4 e �'- An Association A Corporation An Individual A Partnership Other legal entity L L G 12 Person Directly Responsible For Daily OperationsOwner, person in charge, Supervisor, Manager, etc.) Name & Title: Address: Telephone No: Fax: Emergency Telephone No: g44 -e#-( 1jsrMctn- Own -el' S lq---! cer lccf Sk_ e (u m b -el- 1 ,? ,? d, Iry l- YC(3 13 District Or Re Tonal Supervisor (if applicable) Name & Title.- Address: itle:Address: Telephone No: Fax: Food Establishment Information - 14.) Water Source n / 15) Sewage Disposal „ �� DEP Public Water Supply No: (if applicable): 16) Days and Hours of Operation: 17) No. of Food Employees 021- i/18) 18)Name of Person In Charge Certified in Food Protection Management: Required as of 10/1/2001 in accordance with 105 CMR 590.003(A) Please attach copy of certificate 19) Person Trained in Anti -Choking Procedures (if 25 seats or more): 20) Location: 22) Establishment Type: Caterer 141119— Retail ( Sq. Ft) Food Delivery Food Service – ( ) Seats Residential Kitchen for Retail Sale Permanent KV-VW-3XG9 Food Service - Institution ( Meals/Day) „ / Residential Kitchen for Bed & Breakfast Home Residential Kitchen for Bed & Breakfast Mobile (Dat /(//�/ Establishment / Frozen Dessert Manufacturer Other (Describe) 21) Length Of Permit: (check one) Annual Gl Seasonal/Dates �7 &h V v I Temporary/Dates/Times 23) Food Operations: Definitions: PHF — Potentially hazardous food (time/temperature controls required) (check all that apply): Non-PHF's — non -potentially hazardous food (no time/temperature controls required) RTE — ready -to -eat foods (Ex. Sandwiches, salads, muffins which need no further processing) Sale of commercially Pre -Packaged PHFCooked To Order Hot PHF Cooked and Cooled or Hot Held for Non -PRFs More Than a Single Meal Service Sale of Commercially Pre- Preparation Of PRFs For Hot And cold PHF and RTE Foods Prepared For Highly Packaged PHFs Holding For Single Meal Service Susceptible Population Facility Delivery of Packaged PHFs Sale of Raw Animal Foods Intended to be Vacuum Packaging/Cook Chill Prepared by Consumer Reheating of commercially Customer Self -Service Use of Process Requiring A Variance and/or Processed Foods For Service HACCP Plan (including bare hand contact Within 4 Hours. alternative, time as a public health control) Customer Self -Service of Non PHF Ice Manufactured and Packaged for Retail Offers Raw Or undercooked Food Of Animal and Non -Perishable Foods Sale Origin Only. Preparation of Non-PHFs Juice Manufactured and packaged for Prepares Food/Single Meals for Catered Events Retail Sale or institutional Food Service Offers RTE PHF in Bulk Quantities Retail Sale of Salvage, Out -Of -Date or Reconditioned Food I, the undersigned, attest to the accuracy of the information provided in this application and I affirm that the food establishment operation will comply with 105 CMR 590.000 and all other applicable law. I have been instructed by the board of health on how to obtain copies of 105 CMR 590.000 and the federal Food Code. 24) Signature of Applicant: Pursuant to MGL Ch.62C, sec. 49A, I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all state returns and paid state taxes required under law. 25) Social Security Number or Federal ID: j'�/" Y�, f � V L4- U =)—o o 26) Signature of Individual or Corporate Name: &4,"( 1315 A/v 4-e K /�/,� �—L C— BLANK FOOD PERMIT APPLICATION I certify under the penalties of perjury that I, to my best knowledge and belief, have filed all State tax returns and paid all State taxes required under law. ignature of Individual or Corporate Name (Mandatory) aze� 1L-- D - Corporate Officer (Mandatory, if applicable) ** Social Security Number (Voluntary) or Federal Identification Number * This license will not be issued unless the certification clause is signed by the applicant. ** Your Social Security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non -filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Mass. General Laws, Chapter 62C, Section 49A. MassTaxConnect Page 1 of 1 Mass.;, 0 2016 Commonwealth of Massachusetts ( Site Policies I Web Browsers https://mtc.dor.state.ma.us/mtc/­,/ 2/9/2016 - - Ft MassTax CONNECT - SALES TAX NAMES AND ADDRESSES I WANTTO... Profile Accounts MENU Lr� 0P Federal Employer ID 01-0861177 Legal Name ANNETTE K BIRMAN Make an EFT Debit Payment Quarterly SLS -10988685.003 DBA Name ANNIE B'S FARM Make a Credit Card Payment Home Balance $0.00 Location Address 15 ALASKA ST CUMBERLAND RI 02864 File a Dispute Print ACH Credit Layout Pending Transactions $0.00 Legal Address 15 ALASKA ST CUMBERLAND RI 02864 Back Payment Source Citizens Bank Mailing Address NAViGATION Ft as ACTIVITY E -MESSAGES LETTERS - - ---- - - ALL PERIODS All Accounts PERIODS FROM 09 -FEB -2014 Show Mare Periods Filter Period Return Status Taxi Penalty Interest! Credits{ Balance, Messages v Sales Tax 31 -Mar -2016 Not Filed File Now Pay 0.00 0.00 0.00 0.00 0.00 31 -Dec -2015 Processed View/Amend 108.93 0.00 0.00 108.93 0.00 HELP 3O -Sep -2015 Processed Amend 149.57 0.00 0.00 149.57 0.00 30 -Jun -2015 Processed Amend 13.06 0.00 0.00 13.06 0.00 31 -Mar -2015 Processed Amend 100.83 0.00 0.00 100.83 0.00 Frequently Asked Questions 31 -Dec -2014 Processed Amend 146.92 0.00 0.00 146.92 0.00 30 -Sep -2014 Processed Amend 159.91 0.00 0.00 159.91 0.00 Video Tutorials 3O -Jun -2014 Processed Amend 43.26 0.00 0.00 43.26 0.00 31 -Mar -2014 Processed Amend 111.13 0.00 0.00 111.13 0.00 - - ---- - Contact Us -- -- - -.- - - - - --- - 9 Rows 0 2016 Commonwealth of Massachusetts ( Site Policies I Web Browsers https://mtc.dor.state.ma.us/mtc/­,/ 2/9/2016 www.annieusfarin.com F . k Maswchusefts Department Of Revenue ST-It R Customer Service Bureau PO BOX 7010 Boston, MA 02204- - The vendor henfn named is �edtesell tangible persona} P dYst n ori n ate; pursuant is the General Laws, Chapters 62C, 64H and 641. This mosiraiion is diect only for -the registrant at-the location speafied herein. Any change of name or address must be reported to the Department of Revenue so that a correct ST 1 can be issued. - - - " ir�mRenztorr — - 018-861-177 "UBM ANPiIi I r K - BIRMAN ANNIE $' S ;ARi�i - Hoare IB ALASKA STREET rd !' in ... . CUMOMMAM _ = RI 42964 BAL -- -m� it g hart idttlst �4d"dd foirstorners-to see arid- not assign ileor transferable_ ---- _ _ - - -- - - - -- - cOMMISSIONER OF REVENUE i' f t is F t i" w; r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: V1 t 6(%�) L` L C- Address: I S rtg s ) u, e -e �- ej City/State/Zip: , �t �J �' /-A Cr' Phone #: U -Yy I —�)jA t 3 Are you an employer? Check the appropriate box: 1. ❑ I am a employer with U employees (full and/ or part-time).* 2. ❑ I am a sole proprietor or partnership and have no employees working for me in any capacity. 3. d[No workers' comp. insurance required] We are a corporation and its officers have exercised their right of exemption per c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required]* 4. ❑ We are a non-profit organization, staffed by volunteers, with no employees. [No workers' comp, insurance req.] Bus me Type (required): 5. Retail 6. ❑ Restaurant/Bar/Eating Establishment 7. ❑ Office and/or Sales (incl. real estate, auto, etc.) 8. ❑ Non-profit 9. ❑ Entertainment 10. ❑ Manufacturing 11.❑ Health Care 12. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. **If the corporate officers have exempted themselves, but the corporation has other employees, a workers' compensation policy is required and such an organization should check box # 1. I am an employer that is providing workers' compensation in uranc or my employees. Below is re policy information. Insurance Company Name: A .Q � 1_5 �L l'% Gj y' A eq .-/ f Insurer's Address: �/ %%%i/ {' 5 LA_A,(� ral"M _P0 %,6p i— / ✓ /T��C J �L �� City/State/Zip: Policy # or Self -ins. Lic. # Expiration Date:u� Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify, under the pains andpenalties ofperjury that the information provided above is true and correct. Simature: /Za t I , - YPJ) -- Official use only. Do not write in this area, to be completed by city or town official. City or Town: Issuing Authority (circle one): 1. Board of Health 2. Building Department 6. Other Contact Person: Permit/License # 3. City/Town Clerk 4. Licensing Board 5. Selectmen's Office www.mass.gov/dia Phone #: OP ID: CG C' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/17/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Pro Insur,inc. dba Campbell Risk Management 9595 Whitley Drive, Suite 204 Indianapolis, IN 46240 Larry Spiiker ext 203 CONTACT Lar S liker ext. 203 NAME: FAX PHONE 317-848-9075 c No): 317-848-9093. A/C No Ext E-MAIL SS: Ispilker@campbelirisk.com PRODUCER CUSTOME IDa:ANNET-1 INSURERS) AFFORDING COVERAGE NAIC # INSURED ANNETTE K BIRMAN P O BOX 7821 CUMBERLAND, RI 02862 INSURER A:The Hartford 29424 INSURER B INSURER C INSURER D: INSURER E: INSURER F rnvconr_cc CFRTIFIRATF NIIMRFR• REVISION NUMHEH: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBRI POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDQIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AAI DAMIEREN� 1 000 000 PREMISES Ea occurrence $ > > A X COMMERCIAL GENERAL LIABILITY X 36SBM 808041 08/31/2015 08/31/2016 MED EXP (Any one person) $ 10,000 CLAIMS -MADE ® OCCUR PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY FRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS I PROPERTY DAMAGE (PER ACCIDENT) $ $ NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/N ANY PROPRIETORIPARTNER/EXECUTIVE❑ OTR WC STATU- JH TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION / LOCATIONS /VEHICLES (Attach ACORD 1101 Additional Remarks Schedule if more space is required) �O' F OPERATIONS D ZONAL INSURED PER B ANKET ADDITIONAL INSIURED COVERAGE FORMS 0ADDITIONAL I r'c CTIRICATR Erol nFR CANCELLATION FESTGAR — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Food And Drugs C TER 21-27 Sanitation in Food Establishments SECTION 21-27-6 § 21-27-6 Businesses exempt. — The provisions of this chapter shall not apply to those activities of food business which are licensed and regulated in accordance with the provisions of this title; provided, that retail food businesses and food vending machines limited solely to selling or dispensing ice and/or non-perishable foods, including, but not limited to, gumballs, unopened bottled or canned beverages, and prepackaged candy, nuts, gum, popcorn, chips, . pretzels, cookies, and crackers. Honey producers who are registered with the state are exempt from the provisions of this chapter. History of Section. (G.L. 1938, ch. 260, § 6; P.L. 1948, ch. 2026, § 1; G.L. 1956, § 21-27-6; impl. am. P.L._ 1962, ch. 80, § 5; P.L. 1984, ch. 51, § 1; P.L. 1986, ch. 237, § 1; P.L. 1986, ch. 276, § 1; P.L. 1995, ch. 55, § 1.) Tnn& . VV,i 44:nT 7Tn7innian YSO ®RMA He ClulavaiT 1'T ' - SamOnw in PM&ICOAS ` tai ad sscnd" • {BMs, - -�' -' ovens Hatay4 - Of a ae Ann Lou Qboss® - - - - ;� t� - • - - a� � tlwt{os�+eWSW dmo ��„m�3onsoFa o oxw r ��Ibad tbows food °°d friod dren lix1glined INNIFOU a fee ?°`�'�' a' cea totem os - - 4CO! and rre� _ tl.%p Was sequkV& WN an C, aQ oesa to - rsa�r�A°'to f°dcaged and w • . ���boat WWWOSt,ctm►,'au�'P' as bVew9a; u am AMO Ono t, t�nod I sited asomeftes a KeQjhEkbaney a +t� for folvequked err ne*- Some MS a . yf0e fid- ionic of n need tipnot fty ONO= .: �iedo�t�� - t ��yso�• ta�oai ia'�t _ - Gas. cam Weber bulkbOMY �r c�,p wsuplo 2/10/2016 To: Scott Leite-Health Department 6 Park Row Mansfield, MA 02018 From: Annie B's Honey Farm, LLC Annette Birman PO Box 7821 Cumberland, RI 02864 Subject: NEFFA Event April 15-16-17 Dear Scott, Enclosed is all documentation I received from you and fiom another e-mail. Honey is considered a natural herb in the state of MA.,RI and numerous other states as well in New England Please find the following: *Insurance *State tax ID *EIN Number *Forms filled out *Chapter 21 guidelines If there is anything else that you would need please let me know before March 29th. As I will be out of state until April 14th. I look forward to working with you for this event as we did last year. Warmest Regards, Annette Birman,PO Box 78/21 Cumberland RI 02864,cell-401-481-8293 e-mail-anniebshoney@gmail.com