OMB No. 1513-0036  (06/30/201 )7
                                                 DEPARTMENT OF THE TREASURY  
                                ALCOHOL AND TOBACCO TAX AND TRADE BUREAU (TTB)  
                                SIGNING AUTHORITY FOR CORPORATE  AND LLC OFFICIALS  
NAME AND COMPLETE ADDRESS OF CORPORATION OR LLC                                                      COMPLETE APPLICABLE INFORMATION  
                                                                                                     CHECK IF YOU ARE A NEW APPLICANT 

                                                                                                     REGISTRY/PERMIT NO. 

BOARD MEETING                                                                                        DATE OF MEETING 
 DIRECTORS               TRUSTEES              MANAGERS        GOVERNORS 
THE FOLLOWING CORPORATE/LLC OFFICIALS, EMPLOYEES, OR INCUMBENTS OF THE OFFICES LISTED ARE AUTHORIZED TO SIGN, OR 
TO APPOINT PERSONS AUTHORIZED TO SIGN, ALL DOCUMENTS  UNLESS  OTHERWISE SPECIFIED, SUBMITTED ON THE CORPORATION/
LLC'S BEHALF TO THE ALCOHOL AND TOBACCO TAX AND TRADE BUREAU.   OUTSIDE CONSULTANTS MAY NOT APPOINT OTHERS TO 
SIGN ON THE CORPORATION/LLC'S BEHALF. 

I certify that this is true and complete and that the above authorization was granted at the cited    CORPORATE/LLC SEAL 
meeting of the board.  
SIGNATURE                                        PRINTED NAME

TITLE                                                             DATE
                                                                                                     NO SEAL
                                                                                                     (If no seal, attach a resolution or meeting minutes 
                                                                                                     that support the authority(ies) identified above.) 
                                                        INSTRUCTIONS   
Prepare and submit in duplicate to the Director, National Revenue Center, Alcohol and Tobacco Tax and Trade Bureau, 550 Main Street, Suite 8002, 
Cincinnati, OH 45202.  If your premise is located in Puerto Rico, then mail this form to TTB (PRO), 350 Chardon Ave Suite 310, San Juan PR  00918.    
Each copy must be signed in ink by a corporate/LLC official and be embossed with the corporate/LLC seal (if any).  This form may be used to list the 
corporate/LLC officials, or  employees (if any), who are authorized by the articles of incorporation, the bylaws, or the board of directors in adopted 
resolutions or motions, to act on behalf of the corporation or to sign its name.  If the authorization to sign is granted by position title, rather than to 
specific individuals by name, a new authorization will not be needed each time a change of incumbent occurs. However, if you list an individual's name 
along with a title/position, the  authority is limited to the period of time that the specific individual holds the specific title/position. If an individual or 
incumbent's authority is restricted to a certain area of expertise or specific documents, identify the limitation next to the designation. WHERE THE 
AUTHORIZATION IS NOT GRANTED BY THE ARTICLES OF INCORPORATION OR ORGANIZATION, THE BY-LAWS, OR ACTION BY THE 
BOARD OF DIRECTORS OR MANAGING  MEMBERS, TTB F 5000.8, POWER OF ATTORNEY, MUST BE SUBMITTED.   
                                                 PAPERWORK REDUCTION  ACT NOTICE   
This request is in accordance with the Paperwork Reduction Act of 1995.  This information collection is used by TTB to ensure that only duly authorized 
individuals are signing documents.  This information is voluntary.   The estimated average burden associated with this collection of information is .25 
hours per respondent or recordkeeper depending on individual circumstances.  Comments concerning the accuracy of this burden estimate and sug-
gestions for reducing this burden should be addressed to the Reports Management Officer, Regulations and Rulings Division, Alcohol and Tobacco Tax 
and Trade Bureau, 1310 G Street, NW, Box 12, Washington, DC  20005.   An agency may not conduct or sponsor, and a person is not required to 
respond to, a collection of information unless it displays a current, valid OMB control number.  
TTB F 5100.1  (11/2014)