Federally Mandated Reporting/Disclosure Form

Program Title and Description:

Missouri Department of Public Safety
Division of Alcohol and Tobacco Control
- Distilleries and wineries monthly report
- Wholesale Distributors’ monthly report & tax computation

Who is Responsible for Reporting?

Primary Contact
Pam Turner, Executive Assistant

Secondary Contact(s)
Gloria Smith/Jim Baker

Where is Report Physically Located?

Center for Mid-America Viticulture & Enology
Missouri State-Mountain Grove

What Should be Reported?

Liquor activity of the Center for Mid-America Viticulture & Enology

When Should it be Reported?

By the 15th of each month

Where is it to be Reported?

Missouri Department of Public Safety
Division of Alcohol and Tobacco Control
P.O. Box 837
Jefferson City, MO 65102

Why Should it be Reported?

Required by the Missouri Department of Public Safety

How is it Reported?

Reports are mailed by the 15th of each month

If notification is required, how is it reported?

N/A