Application for a Licence to Represent a Manufacturer

Alcohol and Gaming Commission of Ontario
Licensing and Registration
90 SHEPPARD AVE E
SUITE 200
TORONTO ON M2N 0A4
Tel: 416 326-8700 Toll free in Ontario: 1 800 522-2876
Fax: 416 326-5555
Website: www.agco.on.ca
Application for a
Licence to Represent a
Manufacturer
This document contains the following:
guide
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instructions
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checklists
New Licence
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Renewal of Licence
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application
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© Queen’s Printer for Ontario, 2016
Disponible en français
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Page 1 of 12
Guide
for Application for a New Licence to Represent a Manufacturer
A “Licence to Represent a Manufacturer" enables the holder to lawfully canvas for, receive, take solicit an
order for the sale of liquor of a manufacturer it has been appointed to represent. Holders of this licence
may also engage in sampling activities as permitted by the Sampling Guidelines set out by the Registrar of
Alcohol and Gaming.
This licence does not permit the holder to sell beverage alcohol products directly to the public or to the
Liquor Control Board of Ontario (LCBO) or to import them directly. Beverage alcohol products must be
imported through the LCBO only.
With the exception of employees of Ontario licensed manufacturers, all representatives or agents of a
manufacturer must hold a valid Licence to Represent a Manufacturer. This licence is issued to eligible
applicants for a two-year period. Please note that this licence is non-transferable.
Applicants are required to operate within the parameters of the Liquor Licence Act and Regulations, a
copy of which may be on-line at www.e-laws.gov.on.ca or by contacting Publications Ontario at
416 326-5300 or toll-free at 1 800-668-9938. The regulations set out, among other things, the manner in
which orders must be taken, how they are recorded, the circumstances under which liquor may be kept, in
what quantity as well as restrictions concerning advertising and promotions.
Applicants are also encouraged to familiarize themselves with the responsibilities and criteria the LCBO
sets out for licensed representatives. LCBO Specialty Services Department administers LCBO private
ordering policies and may be contacted at 416 864-6739 or toll-free at 1 800-668-5144. Applicants may
also visit their website at www.lcbotrade.com for further information.
Mandatory Server Training for Manufacturers’ Representatives
Server training (in a program approved by the Board of the Alcohol and Gaming Commission of Ontario)
is mandatory for all manufacturer’s representatives who are involved in taking orders from customers for
the sale of liquor or in providing samples of liquor to customers for the purpose of encouraging the sale of
liquor to them. Successful completion of a server training course is required as of the first day of work.
The Board of the Alcohol and Gaming Commission of Ontario (AGCO) has approved the Smart Serve®
Training Program. This program is available on video or on the Smart Serve website at
www.smartserve.ca. For more information about the Smart Serve® Training Program, please contact:
Smart Serve® Ontario
5407 Eglinton Avenue West, Unit #105
Toronto, ON M9C 5K6
Telephone: 416 695-8737 or toll-free 1 877 620-6082
Please note that the AGCO recognizes The Server Intervention Program certification issued prior to
May 1995.
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Page 2 of 12
INSTRUCTIONS
The checklists indicate the documents that must
be submitted for your application to be processed
by the AGCO.
Attachments
Incomplete applications are returned to the
applicant with a list of the incomplete and/or
outstanding documents.
Where the space provided is insufficient to
complete your response, use a separate sheet of
paper and mark the question number at the top
of the page.
Do not fax application forms. Do not mail
photocopies. Original, ink signatures are required.
Warning
If the AGCO requires more information, you will
be contacted.
Do not misrepresent or omit any material fact(s).
Each statement made in this application is subject
to verification.
Responses
It is a serious offence to knowingly provide false
information on the forms and on any attachments.
Complete all questions on all applicable forms.
If a question does not apply to you, respond by
marking “N/A”.
All application forms must be completed in ink.
Do not use pencil.
Contact Information
Contact AGCO Customer Service at
1 800 522-2876 or 416 326-8700 if you have
any questions.
Application forms and guides are available
from our website at: www.agco.on.ca
The provision of false, incomplete, or misleading
information or the omission of information on the
forms or in the documents submitted with your
application, or the failure to notify the Alcohol and
Gaming Commission of Ontario of any material
changes to this information which occur after this
application is filed, may also result in the refusal,
suspension or revocation of your licence.
Mail or deliver your complete
application to:
ALCOHOL AND GAMING COMMISSION
OF ONTARIO
LICENSING AND REGISTRATION
90 SHEPPARD AVE E
SUITE 200
TORONTO ON M2N 0A4
INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT
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Page 3 of 12
C
HECKLIST for New Licence to Represent a Manufacturer
You must submit all of the required forms and documents, or your application will be returned to you.
The following items must be submitted for your application to be processed:
rr Application Fee
The application fee is listed on the attached “Fee Schedule”. Application fees can be paid by:
●● cheque payable to "Minister of Finance". Post-dated cheques are not acceptable.
●● money order payable to "Minister of Finance".
●● Visa, Mastercard or American Express. Complete the enclosed Credit Card Payment form
Business name must be clearly legible on cheque, money order or credit card slip.
All fees are non-refundable.
rr
Application Form
●● all questions must be answered; if a question does not apply, print "N/A"
●● must be signed and dated by the applicant(s).
■■ the owner, if the applicant is a sole proprietorship
■■ all partners, if the applicant is a partnership
■■ a person with authority to bind the corporation, if the applicant is a corporation
rr
Corporate Structure Form (if applicable)
●● all questions must be answered
rr
Personal History Reports completed by all of the following persons:
●● owner (if the applicant is a sole proprietor)
●● officers and/or directors, including: Signing Officer, President, Secretary, Treasurer
●● all persons holding more than 10% of equity shares (if applicable)
●● all partners
rr
Business Name Registration
●● The business name under which you intend to operate must be registered under the
Business Names Act.
For information regarding business name registration please call toll free 1 800 361-3223 or
visit the website at: www.serviceontario.ca
rr
Letter(s) of Appointment
●● Written confirmation from the beverage alcohol manufacturer(s) (on its letterhead) that
it has appointed the applicant as its representative in Ontario.
INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT
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Page 4 of 12
C
HECKLIST for Renewal of a Licence to Represent a Manufacturer
You must submit all of the required forms and documents, or your application will be returned to you.
The following items must be submitted for your application to be processed:
rr
Application Fee
The application fee is listed on the attached “Fee Schedule”. Application fees can be paid by:
●● cheque payable to "Minister of Finance". Post-dated cheques are not acceptable.
●● money order payable to "Minister of Finance".
●● Visa, Mastercard or American Express. Complete the enclosed Credit Card Payment form
Business name must be clearly legible on cheque, money order or credit card slip.
All fees are non-refundable.
rr
Application Form
●● all questions must be answered; if a question does not apply, print "N/A"
●● must be signed and dated by the applicant(s).
■■ the owner, if the applicant is a sole proprietorship
■■ all partners, if the applicant is a partnership
■■ a person with authority to bind the corporation, if the applicant is a corporation
rr
Corporate Structure Form (if applicable)
●● all questions must be answered
rr
Personal History Reports completed by all of the following persons:
●● owner (if the applicant is a sole proprietor)
●● officers and/or directors, including: Signing Officer, President, Secretary, Treasurer
●● all persons holding more than 10% of equity shares (if applicable)
●● all partners
rr
Business Name Registration
●● The business name under which you intend to operate must be registered under the
Business Names Act.
For information regarding business name registration please call toll free 1 800 361-3223 or
visit the website at: www.serviceontario.ca
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Important Information For Renewal Application
rr
Expiry Date
Your "Licence to Represent a Manufacturer" renewal application must be received by the AGCO on or before the expiry date on your licence.
If your renewal application and corresponding renewal fee are not received by the expiry date
on your licence, it will expire and you can no longer lawfully operate your business.
AN EXPIRED LICENCE CANNOT BE RENEWED.
IT IS PROHIBITED, UNDER SECTION 5(2) OF THE LIQUOR LICENCE ACT, R.S.O 1990,
c. L.19, TO CANVASS FOR, RECEIVE, TAKE OR SOLICIT ORDERS FOR THE SALE OF
LIQUOR WITHOUT A VALID LICENCE TO REPRESENT A MANUFACTURER.
INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT
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Page 6 of 12
Application for a Licence to
Represent a Manufacturer /
Demande de permis de
représenter un fabricant
Alcohol and Gaming
Commission des alcools
Commission of Ontario
et des jeux de l’Ontario
Liquor Licensing and Registration Service d'inscription et de délivrance des permis
90 SHEPPARD AVE E
90 AV SHEPPARD E
SUITE 200
BUREAU 200
TORONTO ON M2N 0A4
TORONTO ON M2N 0A4
Tel./Téléphone : 416 326-8700
Fax/Téléc. : 416 326-5555
1 800 522-2876 toll free in Ontario /sans frais en Ontario Website/site Web : www.agco.on.ca
1.
Type of Application / Genre de demande
Preferred Language / Langue préférée
q English
I am applying for: / Genre de demande :
q Français
q New Licence to Represent a Manufacturer / Nouveau permis de représenter un fabricant
q Renewal of a Licence to Represent a Manufacturer / Renouvellement d'un permis de représenter un fabricant
2.
Business Information / Renseignements sur l’établissement
Business name / Nom commercial
AGCO Licence No. / No de permis de la
CAJO
Proposed establishment name (if different from above) / Nom de l'établissement proposé (si différent du nom ci-dessus)
Exact address of business (not mailing address) / Adresse exacte de l'entreprise (non pas l'adresse postale)
Tel. No. / No de téléphone
Unit Number / Unité City, Town or Village / Ville ou village Postal Code / Code postal
Fax No. / N de télécopieur
(
)
—
o
(
)
—
Mailing Address of business (if different from above) / Adresse postale de l'entreprise (si différente de l’adresse ci-dessus)
City, Town or Village / Ville ou village
3.
Postal Code / Code postal
Contact Person (for processing this application) / Renseignements sur la personne-ressource (en vue du traitement de la demande)
Name / Nom
Email Address / Courriel
Mailing Address / Adresse postale
Tel. No. / No de téléphone
(
City, Town or Village / Ville ou village
Postal Code / Code postal
© Queen’s Printer for Ontario, 2016/ © Imprimeur de la Reine pour l’Ontario, 2016
—
Fax No. / No de télécopieur
(
2153 (2016/07)
)
)
—
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4.
Applicant Information / Renseignements sur l'auteur(e) de la demande
Select only ONE ownership type (A, B or D) and complete that ONE section. / Cocher UN genre d’entreprise (A, B ou D) et remplir la section correspondante.
A.
q Sole Proprietorship —
The business is owned by one person, NOT an incorporated business. A Personal History
Report must be completed by this individual.
Entreprise personnelle — L’entreprise appartient à une seule personne et N’EST PAS constituée en personne
morale. La ou le propriétaire doit remplir une formule « Renseignements personnels ».
Owner's Last Name / Nom de famille de la ou du propriétaire
Owner's First Name / Prénom de la ou du propriétaire
B. q Corporation — The business is incorporated.
Personne morale — L’entreprise est constituée en personne morale.
Name of Corporation (as per Articles of Incorporation) / Nom de la personne morale (figurant dans les statuts constitutifs)
q Other province / Autre province
Jurisdiction of Incorporation / Palier de constitution :
q Ontario q Federal / Fédéral q Foreign (specify) / Étranger (préciser)
Corporation number /
Numéro de personne morale
Are shares offered to the public for sale? /
Des actions sont-elles offertes au public?
q Yes / Oui
q No / Non
Note: For any corporation incorporated outside of Canada, submit proof of authorization
Date of Incorporation / Date de constitution
under the Extra-Provincial Corporations Act of Ontario.
Nota :Toute société constituée en personne morale à l’extérieur du Canada doit présenter une
YY/AA MM DD/JJ
preuve d’autorisation aux termes de la Loi sur les personnes morales extraprovinciales de l’Ontario.
● Name of officers and/or directors, including: Signing Officer,
President, Secretary, Treasurer.
● Name all shareholders holding more than 10% of any equity
shares. (If more space is required, use a separate sheet.)
● Indicate the percentage of equity shares held.
● Dresser la liste de tous les dirigeants ou administrateurs, y compris la ou
le signataire autorisé, la présidente ou le président, la ou le secrétaire, la
trésorière ou le trésorier.
● Dresser la liste des actionnaires qui détiennent plus de 10 % des actions de
participation. (Si l’espace fourni est insuffisant, utiliser une feuille distincte.)
● Complete a Personal History Report for:
- all shareholders holding more than 10% of any
equity shares.
- all officers and directors.
●
Indiquer le pourcentage d’actions de participation détenues.
●
Remplir une formule « Renseignements personnels » pour :
- les actionnaires possédant plus de 10 % des actions de participation.
- les dirigeants et les administrateurs.
● Complete a Corporate Structure Form (#2071) for all corporations
owning more than 10% of any equity shares.
●
Remplir une formule « Structure organisationnelle » (no 2071) pour toutes les
personnes morales possédant plus de 10 % des actions de participation.
● A separate form is required for each corporation.
●
Remplir une formule distincte par personne morale.
Last name / Nom de famille
First name / Prénom
Officer /Dirigeant(e) q
Director /Administrateur(trice) q
Shareholder /Actionnaire
q
Title / Titre
Last name / Nom de famille
Title / Titre
Officer /Dirigeant(e) q
Director /Administrateur(trice) q
Shareholder /Actionnaire
q
Title / Titre
Officer /Dirigeant(e) q
Director /Administrateur(trice) q
Shareholder /Actionnaire
q
Title / Titre
Middle name / Deuxième prénom
% of Equity Shares
% d’actions de participation
First name / Prénom
Last name / Nom de famille
Middle name / Deuxième prénom
% of Equity Shares
% d’actions de participation
First name / Prénom
Last name / Nom de famille
2153 (2016/07)
% of Equity Shares
% d’actions de participation
First name / Prénom
Officer /Dirigeant(e) q
Director /Administrateur(trice) q
Shareholder /Actionnaire
q
Middle name / Deuxième prénom
Middle name / Deuxième prénom
% of Equity Shares
% d’actions de participation
Page 8 of/de 12
C.
If the corporate structure of the applicant has more than one level, please attach to this form, labelled as
“Question 4 c)” a schematic diagram depicting the relationship between all parent, controlling, subsidiary, affiliated
and commonly controlled companies. NOTE: Ownership identified in the schematic diagram must total 100%. /
Si la structure organisationnelle de l’auteur(e) de la demande comprend plusieurs niveaux, veuillez joindre
à la présente formule, en indiquant « Question 4 c. », un organigramme illustrant les liens entre les sociétés
mères, les sociétés dominantes, les filiales, les sociétés affiliées et les sociétés contrôlées par des capitaux
communs. Nota : Le pourcentage de propriété indiqué dans l’organigramme doit égaler 100 %.
For Example / Par exemple :
John Doe / Jean Tremblay
50% ownership /
Propriétaire à 50 %
Jane Doe / Jeanne Tremblay
50% ownership /
Propriétaire à 50 %
XYZ Inc.
100% ownership /
Propriétaire à 100 %
123 Ontario Inc.
100% ownership /
Propriétaire à 100 %
ABC Ltd. / ABC Limitée
60% ownership /
Propriétaire à 60 %
DEF Ltd. / DEF Limitée
40% ownership /
Propriétaire à 40 %
XXX
Applicant /
Auteur de la demande
D.
q
Partnership — The business is owned by two or more partners who carry on business together. A
personal history report must be completed by all individuals listed as partners. A corporate structure
form must be completed for all corporations listed as partners.
Société en nom collectif — L’entreprise appartient à deux associés ou plus qui l’exploitent ensemble. Tous les
particuliers indiqués comme étant associés doivent remplir une formule « Renseignements personnels ». Une formule
« Structure organisationnelle » doit être remplie pour toutes les personnes morales indiquées comme étant associées.
1.
2.
3.
4.
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5.
A
Applicant Details / Détails relatifs à l'auteur(e) de la demande
(1)
Name of Manufacturer Represented / Nom du fabricant représenté
Does this manufacturer produce beverage
alcohol in Ontario? / Ce fabricant produit-il des
boissons alcoolisées en Ontario?
q No / Non
q Yes / Oui ►
Manufacturer's Licence Number /
No de permis de fabricant
Manufacturer's Address / Adresse du fabricant
City/Town / Ville
Province/State / Province/État
(2) Name of Manufacturer Represented / Nom du fabricant représenté
Country / Pays
Does this manufacturer produce beverage
alcohol in Ontario? / Ce fabricant produit-il des
boissons alcoolisées en Ontario?
q No / Non
q Yes / Oui ►
Manufacturer's Licence Number /
No de permis de fabricant
Manufacturer's Address / Adresse du fabricant
Province/State / Province/État
City/Town / Ville
(3) Name of Manufacturer Represented / Nom du fabricant représenté
Country / Pays
Does this manufacturer produce beverage
alcohol in Ontario? / Ce fabricant produit-il des
boissons alcoolisées en Ontario?
q No / Non
q Yes / Oui ►
Manufacturer's Licence Number /
No de permis de fabricant
Manufacturer's Address / Adresse du fabricant
City/Town / Ville
Province/State / Province/État
Country / Pays
If more than three (3) manufacturers are being represented, please attach a separate sheet with required information. /
Si plus de trois (3) fabricants sont représentés, veuillez fournir les renseignements demandés sur une feuille à part.
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B
Has any individual interested in the applicant* ever applied for or held a licence or registration under the Liquor Licence Act or the
Gaming Control Act, either as an individual, a member of a partnership, an officer, a director or a shareholder of a corporation? /
Une personne intéressée à l’égard de l’auteur(e) de la demande* a-t-elle déjà fait une demande de permis, été titulaire d’un
permis ou été inscrite conformément à la Loi sur les permis d’alcool ou à la Loi de 1992 sur la réglementation des jeux à titre de
personne, d'associée d’une société en nom collectif, de dirigeante, d’administratrice ou d’actionnaire d’une personne morale?
q No / Non
q Yes / Oui ► Give details below / Fournissez les détails plus bas
Individual's Name /
Nom de la personne
Business/Establishment Name & Address /
Nom et adresse de l'entreprise/de l'établissement
Licence No. /
No de permis
* See s.6 (3) of the Liquor Licence Act. / Voir le paragraphe 6 (3) de la Loi sur les permis d’alcool.
C
Has any individual interested in the applicant (as described in 5B above) ever been refused a licence or registration or had a
licence or registration revoked by the Alcohol and Gaming Commission of Ontario or any other provincial liquor and/or gaming
commission in Canada? /
Une personne intéressée à l’égard de l’auteur(e) de la demande (telle que décrite dans la partie 5B plus haut) s’est-elle déjà vu
refuser un permis ou une inscription ou révoquer son permis ou son inscription par la Commission des alcools et des jeux de
l’Ontario ou par la commission responsable des alcools et/ou des jeux d’une autre province canadienne?
q No / Non
D
q Yes / Oui ► Give details below / Fournissez les détails plus bas
Does any individual interested in the applicant (as described in 5B above) currently have any financial interest, direct or indirect,
in an establishment with a liquor sales licence under the Liquor Licence Act? /
Une personne intéressée à l’égard de l’auteur(e) de la demande (telle que décrite dans la partie 5B plus haut) a-t-elle
présentement un intérêt financier direct ou indirect dans un établissement pourvu d’un permis de vente d’alcool conformément
à la Loi sur les permis d’alcool?
q No / Non
q Yes / Oui ► Give details below / Fournissez les détails plus bas
Individual's Name /
Nom de la personne
2153 (2016/07)
Establishment Name & Address /
Nom et adresse de l'établissement
Licence No. /
No de permis
Page 11 of/de 12
6.
Applicant Signature / Signature de l’auteur(e) ou des auteurs de la demande
If the applicant is a sole proprietor, he/she must sign below.
If the applicant is a corporation, a person with authority to bind the corporation must sign below.
If the applicant is a partnership, all partners must sign below.
La demande doit être signée ci-dessous par la ou le propriétaire de l’entreprise lorsqu’il s’agit d’une
entreprise personnelle.
La demande doit être signée ci-dessous par une personne habilitée à engager l’entreprise lorsqu’il s’agit
d’une personne morale.
La demande doit être signée ci-dessous par tous les associés lorsqu’il s’agit d’une société en nom collectif.
By signing this form I/we solemnly declare that all information provided in this application is true and correct. /
En signant cette formule, je déclare (nous déclarons) solennellement que les renseignements fournis sont fidèles
et exacts.
Print name / Nom en lettres moulées
Signature
Date
Print name / Nom en lettres moulées
Signature
Date
Print name / Nom en lettres moulées
Signature
Date
NOTIFICATION
The above information is collected pursuant to the Liquor Licence Act, R.S.O. 1990, c. L.19, as amended. The
principal purpose of the collection is to determine eligibility for a licence to represent a manufacturer. The
information may be disclosed pursuant to the Freedom of Information and Protection of Privacy Act, R.S.O. 1990,
c. F.31. For questions about the collection of this information, please contact the Manager, Manufacturer and
Special Licensing, Alcohol and Gaming Commission of Ontario, 90 SHEPPARD AVE E, SUITE 200, TORONTO ON
M2N 0A4. Telephone 416 326-8700, toll free in Ontario 1 800 522-2876. Email address: [email protected]
AVIS
Les renseignements fournis dans la présente formule sont recueillis aux termes de la Loi sur les permis d’alcool,
L.R.O. 1990, chap. L.19, telle que modifiée, dans le but premier de déterminer l’admissibilité à l'obtention d'un
permis de représenter un fabricant. Ces renseignements peuvent également être divulgués aux termes de la
Loi sur l’accès à l’information et la protection de la vie privée, L.R.O. 1990, chap. F.31. Les questions relatives
à la collecte de renseignements doivent être adressées à la ou au chef de service, Délivrance des permis aux
fabricants et des permis spéciaux, Commission des alcools et des jeux de l’Ontario, 90 AV SHEPPARD E, BUREAU
200, TORONTO ON M2N 0A4. Tél. : 416 326-8700 ou 1 800 522-2876 (interurbains sans frais en Ontario).
Courriel : [email protected]
2153 (2016/07)
Clear Form Entries / Effacer des entrées de la Formule
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