Zul.08.2015 11:21 AM MONARCH

STATE OF SOUTH CAROLINA

(Caption of Case)Example, Application lbr a Class C Charter Certificate fiom

John Doc dba Doe's Limo

PAGE. 1/ 11

))

BEFORE THE

) PUBLIC SERVICE COMMISSION

) OF SOUTH CAROLINA

)) TRANSPORTATION COVER SHEET

)

) NUMBER: ~GII

QADI.fc Tca veI L, L,c) lf this is your first time filing ss sppgcstion with ihc PSC, ycu will ect

have s Docket Number. The Ccnsnisilce wfil sssias one ic ycu. If youhave filed with the Cceunission bcfom s Docket Number wss assigned

) ssd sbcetd be catered shove.

(Please type or print)Submitted by:

Address:

C 1rrv Telephone:

5J2 pttvvV'ic io7stpaadx,

P.csun. (4 l( ' 2'I I C Other:

Emalb Q r i ~ tdJ R s &LJLPH,Q& o.c

cled

~ Cfyvv

NOTS; Thc cover sheet snd infonnatlon contained herein neither replaces nor supplements thc fiiing and service of pleadings or other papersss required by law. This form is requbed for use by the Public Service Commission of South Carolina for the purpose of docketing and mustbe filled out corn late .

NATURE OF ACTION (Check all that apply)

Q Application - Class A/h Restricted

Q Application - Class C Taxi

5fApplication - Class C Chatter

Q Application - Class C Charter Bus

Q Application - Class C Non-Emergency

Q Application - Class C Strctchcr Van

Q Application - Class E llousehold Goods

Q Application - Class E Hanudous Waste

Q Application

Q Request for Extension to Comply with Order

Q Request for Onlcr Granting Authority to Obtain a CcrtificsteofPublic Convenience and Necessity to bc Rescinded

Q Request for Cancellation ofCertificate

Q Request for Suspension

Q Request for Reinstatement

Q Request for Name Change on Certificate

Q Request to Amend Scope ofAuthority

Q Request to Amend Tariff (rate increase, etc.)

Q Request to Amend Passenger Limit

Q Requ'cst

Q Exhibit

Q ~Piled Emibtt

~sUQ Proposed Order@'Mii,CF'~

Q Publisher's Affidavit l '„'l 8Q Reservation Letter

Q Response

Q Return to Petition

Q Other:

Ifyou have any questions about this form, please contact the PUBLIC SERVICE COMMISSION at 803-896-5100,

Jul. 08. 2015 11: 22 AM MONARCH PAGE. 2/ 11

PUBLIC SERVICE COMMISSION OF SOVTH CAROLINA; l01 Executive Center.Drive, Suite 100

Columbia, South Carolina 29210ss: Post OEBce Drawer 11649, Columbia, SC 29211)(MaiHng addrIr

Phon) (803) 896-3100 Fax:(803) 896-$ 199

APPLICATION FOR CERTIFICATE OF PUELIC CONVENIENCE AND NECESSITY FOROPERATION OF MOTOR VEHICLE CARRIER

CLASS C - CHARTER

Date: 5a /O1 tr r$

Application is hereby made for a Certifr ofPublic Convenience and Necessity, in accordance with the provisionofS.C. Code Ann., Ii $8-23-10, et seq. ( 6), and amendments thereto.

1. Name under which business is to be conducted (corporstion, partnership, or sole proprietorship, with cr without trade nemo.)

CADE C r C W 7 r ~v e ~ i .t.. C,

7 K oH t2CAS~lov¹aw

PlCW WaClc ADi 1 e t-%-lb'pp cant

ar ing ress o pp cant oort m street a s

pep Wa8 eI.~ t ~(%8 g 6~chc

dividual Owner/Sole Proprietorship

Q Partnership - List names and addresses ofall person having an interest in the business.

C3 Corporation - I ist names and addresses of two principal oiIicers,

4 VV&V'5 72. nrem. lO7 4 z~

2. If the Applicant Is an LLC or a corpo 'on, a copy of the Certificate ofExistence from the South CarolinaSecretary ofState and the Articles of corporation must be attached. (IfhrcorponAd outside of SC, attach SouthCarolina Secretary of State "Foreign rporation" Certificate,)

3, Select Type: (Checir one)

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Jul.08.2015 11:22 AM MONARCH PAGE. 3/ 11

Applicant is tlnencislly able to furnish the services as specified in thiis application and submits the fogowlngstatement of assets end liabilities.

BALANCE SHEET

Balance at Time Appgcetion ls Filed:Monlh ~Set Year t.d ig

Receivables

)Ocae

Buildings and Equipment (Net)

Motor Vehicles (Net)

Garage Equipment (Net)

Machinery and Tools (Net)

Supplies on Hand

Prepaids and Other Assets

Accounts Payable

Notes Payable

Mortgages Payable

Equipment Obhgations

Accrued Salaries and Wages

Other Accrued Obligations

Other Liabilities

Total Liabilities

Capital Stock

Retained Earnings

Total Equity

Total Liabilities and Equity"

'otal Assets = Total Liabilities and Equity2of9

Jul.08.2015 11:22 AM MONARC

PROPOSED TES AND CHARGES FOR SERVICE

PAGE. 4/ 11

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You will only be allowed to operate in those counties checked below. You may request "Statewide"authority ifyou intend to operate in all counties in South Carolina.

Q Abbevillc

g Aiken

Q Allendale

Q Anderson

Q Bamberg

Q Barnwell

Q Beaufort

Q Berkeley

Q Calhoun

Q Charleston

Q Chester

g Chesterfiel

g Clarendon

PColleton

Q Darlington

P Dillon

Q Dorchester

Q Bdgcfield

g Pairfield

Q Plorence

Q Georgetown

Q Greenville

g Greenwood

g Hampton

Q Bony

Q Jasper

g Kerahaw

Q J.ancestor

0 Laurens

Q bmington

Q Marion

Q Marlboro

P McConnick

QN~Q Oconce

Q Orangeburg

g Pickens

Q Richland

g Saluda

Q Spartanburg

0 Sumter

Q Union

P WiHiamsburg

0 York

Statewide

Jul.08.2015 11:22 AM MONARC PAGE. 5/ 11

MSCRIPTION OF EQUIPMENT

You are net required to own a vehicle to le an applicatlorL However, prior to being issued a certIQcate by ORS,you will be required to have obtained a vehicle.

'The number ofpassengers a vehicle Is equippedto cany is based on the number ofamthhita in the vehicle, including the driver's seatbelt.)

1-7 Pssssndors, innindind doiooI

8-15 Passengers, Including drlvk

VER iL MODEL

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Jul.08.2015 11:23 AM MCINARC PAGE. 6/ 11

'ibis fctmThc insmsncc quote ubust bc cccbplctre Hs

tsscrsncc policfcs maybe rcqufrctL I3o aotpurchase lnsursacc untll your sppiicsticn

INSURANCE QUOTE

by sncurrent insurance ptcnbiumS. At the discrctibm Ofdbe Commission, s copy ofcuncn

idc s Nqby Of insunmsc Pohcics unless requested. You will not, be~ tocn approved aud au order hss been issued by tbc PSC. TKS IS OM.Y A QIJOII

The followhg nsurance quote is for:

Name ofAppHcant

Scbhw Q.ct55 Vi/tA)Y acerb. tag @~~Address ofAppliomt sea I ac z+"t SCb

'sn

ebe above rbnaeb pnnaan br rbr e rani ee [ 1 naaabe.

Minimum Limits « Intrastate Ordy'.

I 7 Passengers S agbNN/gob000/agb000

0-15 Passengers* 0 3$b000/100PNNSPN

s passengers Number of seatbelts in the vcMclc,hcludhtg the driver's scatbelt

.hllAr GYl CC'~ 0arne o nsurancc mpany

vaW'hr &&r lo

I sm fanngar with the Commission's IIulcs snd Regulations rclsthlg to insurance requhemedts and the above quotemeets the minhnum humane bed. Thc insurance company math@ this quote ls authorhssd by theSouth Carolina Department of do business in Somh Carolina.

uthorlscd Insurance Company 'Representative's Signature

EQXXCL'f

you wish to self-insure your motor cles for lhlbtlhy srul property damage, you must co l with S.C. CadeAnu. secdons 50-9%0 snd 50-23-9I'(I. For more hrhtma8on, contact'ields coker with the Department of MotorVehicles at ($03) 095-8457.

If you wish to apply ss a self~ for worker's compensation coverage in South thbrclha you msy do so withthe South CNollna Worker's Co ation Commission (WCC) provided that you wHl bc able to') post a suretybond or Iattgrcf~it vrIIh the VCC fur a miaimum of$500,000b 2) aSrtN to pay a yearly Ilf-~!Nt, aad3) agree to psy an annual assesunent g the South Carolina Second htiury FueL For more informtation, contact theWcc self-Insurance Division at (&03) 73"/-57l2 or on the web at www,wcc.state.sc.us/self-insurance.

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Jul.OS.2015 11:23 AM MONARCH PAGE. 7/ 11

arne o pp cant

l. Are there currently any outst judgments against the Applicant?

0 Yes {X No

If Yes, indicate nature ofjudgement(s) against applicant.

2. Is Applicant familiar with all statutes and regulations, including safety regulations and governing for-hire motorcarrier operations in South South Carolina, and does Applicant agree to operate in compliance with thesestttjntes and regulations?

P Yes 0 No

3. Is Applicant aware ofthe Comndssion's Insurance retptirements «nd the insunmce premhun costs associatedth with?

0 No

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Jul. 08.2015 11:23 AM MONARCB PAGE. S/ 11

1, Applicant understands that all drivers mttst be a minimum of 18 years of age.

Yes 0 No

2. Applicant understands that a certifiedand such record from the DMV of thebe maintained in the Applicant's busin

of tbe driver's three (3) year driving record issued by the SC DMVin which the driver is or has been domiciled for such period mustfflee,

Yes 0 No

3. Applicant understands that a criminalmust be mai ed in tbe Applicanfs

es 0 No

ory background check from the state where the driver currently hvesness oalce.

4. Applicant understands that all drivers operating a vehicle under a Class C Certificate must have intheir possession when operating a charter vehicle, a valid driver's Bcense issued by the SC DMV or the currentstate of residence ofthe driver,

~es 0 No

5. Applicant understands that all Class C Certificate holders are prohibited fiom employing or leasingvehicles to drivers who are registered, or required to be registered, as sex offenders with the South CarolinaState Law Bnfo ent Division or any national registry of sex offenders.

Yes 0 No

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J&&1.08.2015 11:23 AM MONARCH PAGE. 9/ 11

PUBLIC S VICE COMMISSION OF SOUTH CAROLINAPOST OPPICE DRAWER 11649

OLUMBIA, SOUTH CAROLINA 2S211

Applicant is familiar with the provisio of S,C. Code Ann. $58-23-10, et seq.{1976), and amendments thereto,and R.103-100 through R.103-241 of e Commission's Rules and Regulations for Motor Carriers {Volume 26,S,C. Code Ann, Regs., 1976), and R.3 400 through R.38-303 of the Department ofPublic Safety's Rules andRegulations for Motor Carriers {Volume 23A, S.C. Code Ann., 1976) and amendments thereto, and herebypromises compliance therewith.

The AppHcant for the Certificate ofPu lic Convenience and Necessity as set forth in the foregoing, swear oraflirm that ail statements contained ln the above application are true and correct.

App &cant's &gesture

&t e o App &cant e.g. Pres&dent, wner, etc.

STATE OP SO

COUISTY OP

Sofs

PAGE. 11/ 11

MONARCH TRAVEL LLC

Mololrnlo online database urer last updated on rlo2015 3105;55 Aar,

See our Oleoialmel

DOSIESTIC l FOREION:

STATUS:

STATE OF INCORPORATIONI OROANSiATION:

REGISTERED AGENT INI1ORMATION

REQISTERED AOSNT

MANE.'DDRESS:

CITY.'TATE.'IP:

SECOND AODRESS1

FILE OATE1

EFFECTIVE DATE:

DISSOI.VED OATE1

Domesdo

13ood Branding

SOUTH CAROLINAProfit

BRIAN HOWARD

572 JOHN RO88 PKWY

ROCK HILL

SC

29730

SUITE 107 d257

07IO1n01607ro 1 /201 6

II

Corporation Ittstory Recorrts

CODE

Demesne LLC

FILE DAYS

07ioln016COIENENT

AT WILL

Dooumont

DIselalmen The south carouna seoromry ol state's Business FIlnse database Is provided as a oonvonlenoo to our oustomars torssearoh Informsoon on buebmee onthles tiled with our oflice. Updates are uploadad every ss hours. Usem are advised that theSooretsry of Btate, the Stem ol Souur Carsllna or sny agency, ofnoer or employee Of Ole State ofBards Carolina does notguarantee tho aoouraoy, reliability or umahness of suoh information„as It ls tho responalblnty of tho business sadly to Intorm theSeoremry of Blate ot any updated IntormaSon, While ovary effort ls made to insure tho reEabllny ot this Information, porSone maybo Inoorreet or not ourrent, Any person or onuty who relies on Intormauon obtained flem this database doss ao st his own rlsh.

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CERTIFIED TO BE A TRUE AND CORRECT COPYAS TAKEN FROM AND COMPARED WITH THE

ORIGINAL ON FILE IN THLS OFFICE

STATE OF SOUTH CAROLINASECRETARY OF Sl'ATE

ARTICLES OF ORGANIZATIONLimited Liability Company — Domestic

Filing Fee - $ 110.00

JUL 13 i015

Ihc undersigned delivers the following articles of orgsnizaion to form a South Carolina limited liabilitycompany pursuant to S.C. Code ofLaws f33~-202 and $33~203.

l. Ihe name of the limited liability compaay (Compaay ending must be included in numen)

Mitt)CLr C «OUI'-( LL('NOTX2'Ihe mmeofthc gmitcd hnhrgtsy company must contain ttnc of thc~ endhker:"liaaitcd liabihty compmsy or "tmslmd cosupnny oc the "LX C., "KXC, E.C."LC", or "Ltd. Co."

'Ihe address of the initial designated office of the limited liability company in South Guolina is

Solon Rttm PkWV S..LION hh 2

,C

3. Thc initial agent for service of process is

rr Vl WPfNaca

and the stteet address in South Carolina for this initial agent for service of process is

q 1 2. 4 0 VY- VN Y ~ to l

i4 () S(

4. List the name and address ofeach organizer. Only ~on organizer is requiin4 but you may have morethan one.

(a) c t c(OW)zCO

LLI .~ O-2

C/3

Nma

Narc

Secre Arkkee

3tti n 7osS

P.t2c (( tct„tt l

so Sic- o l z. 1

2m l SCI

100702o012 RLEo: srl0112010MONARCH TRAVEL LLC

IIIIAIIIIIIIIIIIIIIIIllllllll5IKIIMark Hammond Sntrsr Carnkna ecretary ef Slate

Name of Limited Lirdraily Comirmy

[ ] Check this box only ifthe comprmy is to be a sxm company. If the company is a termcompany, provide the term specified.

Check this box only ii'management ofthe Bmited liabiTity company is vested in a manager or. Ifthis company is to be managed by managers, include the name and address ofeach

initial manager.

(a) rr~D y

[( [[ o&,

Srreat Addrsm

[ ] Check this box~ifone or more ofthe members ofthe company sie to be liable for its debtsand obligations under i[33-44-303(c). Ifone or more members are so Bable, specify which members,and for which debts, obligations or liabilities such members are liable in their capacity as members.This provision is optional and does 001 have to be completed.

Unless a dehycd effective date is specifie, these articles will be effectiv when endorsed for filingby the Secretary ofState. Specify any delayed effective date snd time.

9. Any other provisions not inconsistent with law which the oganizem densmine to include, inciudmgany pmvisions that are required or are permitted to be set forth m the limited liability companyopcrntmg agreemcut may be included on a separate attachment. Please make reference to thissection ifyou include a separate attachmeat.

10. Each orgaruser lied under number 4 my@ sign.

Sigaature of~Signature of Organic

yooa Revised try souse CamlimSemerary ofSees, July 2012

The State ofSouth Carolina

0/ce ofSecretary ofState Mark Hammond

Certificate of Existence

I, Mark Hammond, Secretary of State of South Carolina Hereby certify that:

MONARCH TRAVEL I LC, A Limited Liability Company duly organized under thelaws of the State of South Carolina on July 1st, 2015, with a duration that is atwill, has as of this date filed all reports due this office, paid all fees, taxes andpenalties owed to the Secretary of State, that the Secretary of State has notmailed notice to the company that it is subject to being dissolved byadministrative action pursuant to section 33-44-S09 of the South Carolina Code,and that the company has not filed articles of termination as of the date hereof.

Given under my Hand and the GreatSeal of the State of South Carolina this13th day of July, 2015.