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FRANCHISE APPLICATION

FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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Page 1: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

FRANCHISE APPLICATION

Page 2: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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1 Choice Hotels Circle, Suite 400Rockville, MD 20850

Phone: 301.592.6373 Fax: 301.592.6226ChoiceHotelsFranchise.com

INSTRUCTIONS

Choice Hotels International, Inc. (“Choice”) is pleased to consider your application for a franchise. Choicefranchises COMFORT INN®, COMFORT SUITES®, QUALITY®, SLEEP INN®, CLARION®,MAINSTAY SUITES®, SUBURBAN EXTENDED STAY HOTEL®, ECONO LODGE®, and RODEWAY INN® brand hotels. Please read these instructions carefully and answer all items completely and accurately. If an item does not apply, please mark not applicable (NA).

Please supply all requested attachments for your entity and property.

When this Franchise Application is complete, please send with the attachments and full affiliation fee byregular mail or overnight carrier, to your Choice representative or to the Director, Sales Support & Applications,Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850.

Choice reserves the right to approve or deny this Franchise Application. You have not yet been granted afranchise to operate any of the above-referenced franchises and there is no binding obligation on eitherparty unless and until both Choice and you have signed a Franchise Agreement. Any expenses you incurin constructing, renovating or operating the hotel are at your sole risk.

If for any reason Choice does not grant a franchise to you, or you withdraw the Application and a Franchise Agreement is not signed by both parties, Choice agrees to refund the fulfillment of any affiliation fee you paid Choice in connection with this application less a non-refundable fee of $2,500.00.

ITEMS TO BE SUBMITTED WITH THIS APPLICATION

Please submit the following items with this application. This will ensure a quick turnaround time, and will provide Choice Hotels the information needed to evaluate this transaction.

r Check for affiliation fee (Only if you are submitting this application at least 14 calendar days following your receipt of the Franchise Disclosure Document (FDD)). r Current financial statement(s) (see page 5) r Proof of Ownership (sales contract, deed, option or lease) r American Automobile Association (AAA) Authorization (form attached) r Entity documents (see page 3) r Franchise Disclosure Document (FDD) Acknowledgment of Receipt Form

Page 3: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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FRANCHISE APPLICATIONFor a Franchise in:

City: _________________________ State: _____________________

A. PROSPECTIVE HOTEL

Brand: _____________________________________________________________________ Number of Rooms: ____________________________________________________________ r Proposed Construction r Conversion of Existing Hotel r Re-licensing (Choice Code: ) __________________ r Re-Positioning (Choice Code: ) __________________

Current Hotel Name/Site Location: ________________________________________________ Street Address:_______________________________________________________________ City:__________________ State/Province:__________________ ZIP/Postal Code:_________ County :________________________ Country: _____________________________________ Phone: ___________________________ Fax:______________________________________

B. APPLICANT’S REPRESENTATIVE

You authorize the following individual to be your Designated Representative for this Application and for the Franchise Agreement, if granted..

Name (Mr./Mrs./Ms.) First: _________________Middle:_____________Last:_____________ Title: ______________________________________________________________________ Company Name: ____________________________________________________________ Street Address: _____________________________________________________________ City: __________________ State/Province: __________________Zip/Postal Code: ______ Business Phone: _______________Mobile Phone: ________________ Fax:_____________ Home Address: ____________________________________________________________ City: __________________ State/Province: __________________Zip/Postal Code: ______ Home Phone: _______________ Social Security Number: __________ Birth Date:_______ Email Address: _______________________________@___________________________ Current Occupation; _________________________________________________________ How did you hear about Choice? (Check one.) r I am an existing Choice franchisee. r A friend or business associate referred me. r I saw your advertisement in ______________________________________________ r I was contacted by Choice. r Other (specify) ________________________________________________________

Page 4: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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C. PROPOSED FRANCHISEE (Please select one) r Corporation Please complete subsections 1, 2 and 3 below. r General Partnership Please complete subsections 1, 2 and 3 below. r Limited Partnership Please complete subsections 1, 2 and 3 below. r Limited Liability Partnership Please complete subsections 1, 2 and 3 below. r Joint Venture Please complete subsections 1, 2 and 3 below. r Limited Liability Company Please complete subsections 1, 2 and 3 below. r Sole Proprietor Please complete subsection 3 below. r Multiple Individuals Please complete subsection 3 below. r Other - Please Specify: Please complete subsections 1, 2 and 3 below. _________________________

1. Entity (You may not use the names Ascend Hotel Collection, Comfort Inn, Comfort Suites, Quality, Sleep Inn, Clarion, Cambria Suites, Mainstay Suites, Econo Lodge, Rodeway Inn, Suburban Extended Stay or Choice or any variation thereof in the entity’s name.) Name of Entity: _____________________________________________________ Formed in State of: __________________________________________________ Date Formed: ______________________________________________________ Business Address: __________________________________________________ City: _______________ State/Province: ______________Zip/Postal Code: ______ Business Phone:____________________ Fax: ____________________________

Please submit a copy of the following documents with your application:

• Formation Document(s) (This is the document that you files with the state. Examples include: Articles of Incorporation, Certificate of Incorporation, Certificate of Partnership, Articles of Organization, etc.)

• Governing Document(s) (Examples include: Bylaws, Shareholders Agreement, Partnership Agreement, Operating Agreement, etc.)

2. Entity Management Structure Please list all Officers (May include: President, Treasurer, Secretary, General Partners, Managing Partners or Managing Members.) If a general partner, managing partner or managing member is a corporation or other entity, the name and title of the individual signing for the corporation or entity also must be listed. (Attach additional pages if necessary.)

a. Name (Mr./Mrs./Ms.) First:________________ Last: ___________________________

Title: ___________________________Phone:_______________________________ Mailing Address:_______________________________________________________ City: ____________________State/Province: _________ Zip/Postal Code: ________ Social Security Number: ___________________Birth Date: _____________________

Page 5: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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b. Name (Mr./Mrs./Ms.) First:________________ Last: __________________________ Title: ___________________________Phone:_______________________________ Mailing Address:_______________________________________________________ City: ____________________State/Province: _________ Zip/Postal Code: ________ Social Security Number: ___________________Birth Date: _____________________

c. Name (Mr./Mrs./Ms.) First:________________ Last: __________________________ Title: ___________________________Phone:_______________________________ Mailing Address:_______________________________________________________ City: ____________________State/Province: _________ Zip/Postal Code: ________ Social Security Number: ___________________Birth Date: _____________________

d. Name (Mr./Mrs./Ms.) First:________________ Last: __________________________ Title: ___________________________Phone:_______________________________ Mailing Address:_______________________________________________________ City: ____________________State/Province: _________ Zip/Postal Code: ________ Social Security Number: ___________________Birth Date: _____________________

e. Name (Mr./Mrs./Ms.) First:________________ Last: __________________________ Title: ___________________________Phone:_______________________________ Mailing Address:_______________________________________________________ City: ____________________State/Province: _________ Zip/Postal Code: ________ Social Security Number: ___________________Birth Date: _____________________

3. OwnersPlease list all shareholders, general partners, limited partners, joint venturers, members orindividual owners. Attach additional pages if necessary.

We invite but do not require all applicants to provide the following information in the “Ethnicity” section below. Please choose from the following race/ethnic categories:

r American Indian or Alaska Native r Filipino r Other Asianr Asian Indian r Hispanic r Native Hawaiianr African American or Black r Japanese r Guananian or Chamorror Chinese r Korean r Samoanr Caucasian r Vietnamese r Other Pacific Islanderr Other Ethnicity: ________________________________________________________

a. Name: (Mr./Mrs./Ms.) First: ________________ Last: _______________________ Ethnicity: (optional)_____________________________% Owned: _______________ Mailing Address: ______________________________________________________ City: __________________ State/Province:__________ Zip/Postal Code: _________ Business Phone: _____________Home Phone: _____________________________ Social Security Number: _________________Birth Date: ______________________ Email Address:__________________________@____________________________

Page 6: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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b. Name: (Mr./Mrs./Ms.) First: ________________ Last: _______________________ Ethnicity: (optional)_____________________________% Owned: _______________ Mailing Address: ______________________________________________________ City: __________________ State/Province:__________ Zip/Postal Code: _________ Business Phone: _____________Home Phone: _____________________________ Social Security Number: _________________Birth Date: ______________________ Email Address:__________________________@____________________________

c. Name: (Mr./Mrs./Ms.) First: ________________ Last: _______________________ Ethnicity: (optional)_____________________________% Owned: _______________ Mailing Address: ______________________________________________________ City: __________________ State/Province:__________ Zip/Postal Code: _________ Business Phone: _____________Home Phone: _____________________________ Social Security Number: _________________Birth Date: ______________________ Email Address:__________________________@____________________________

d. Name: (Mr./Mrs./Ms.) First: ________________ Last: _______________________ Ethnicity: (optional)_____________________________% Owned: _______________ Mailing Address: ______________________________________________________ City: __________________ State/Province:__________ Zip/Postal Code: _________ Business Phone: _____________Home Phone: _____________________________ Social Security Number: _________________Birth Date: ______________________ Email Address:__________________________@____________________________

e. Name: (Mr./Mrs./Ms.) First: ________________ Last: _______________________ Ethnicity: (optional)_____________________________% Owned: _______________ Mailing Address: ______________________________________________________ City: __________________ State/Province:__________ Zip/Postal Code: _________ Business Phone: _____________Home Phone: _____________________________ Social Security Number: _________________Birth Date: ______________________ Email Address:__________________________@____________________________

D. FINANCIAL INFORMATION 1. Financial Statement

Please submit a current financial statement (tax returns not acceptable) for the ownership entity in accordance with the following:

a. General Partnership / Limited Partnership / Limited Liability Partnership / Joint Venture / Limited Liability Company / Corporation:

1. Entity Balance Sheet (most recent year)2. Personal Financial Statements for all general partners, joint venturers,

members or shareholdersb. Sole Proprietor:

1. Personal Financial Statementc. Individual Owners:

1. Personal Financial Statements for all individualsd. -If Applicable- Hotel Profit and Loss Statement (most recent year)

Page 7: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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2. Business References:

a. Company Name: ___________________________________________________ Contact: __________________________________________________________ Address: _________________________________________________________ City:___________________ State/Province: _______ Zip/Postal Code: _______ Phone: ___________________________________________________________ Account Name: _______________________ Account #: ____________________

b. Company Name: ___________________________________________________ Contact: __________________________________________________________ Address: _________________________________________________________ City:___________________ State/Province: _______ Zip/Postal Code: _______ Phone: ___________________________________________________________ Account Name: _______________________ Account #: ____________________

3. Bank References:

a. Name of Bank: _____________________________________________________ Contact: __________________________________________________________ Address: __________________________________________________________ City: ___________________ State/Province:__________ Zip/Postal Code:______ Phone:___________________________________________________________ Account in Name of_________________________________________________ Account #:____________________________________________________ Type of Account: r Checking r Savings r Loan

b. Name of Bank: _____________________________________________________ Contact: __________________________________________________________ Address: __________________________________________________________ City: ___________________ State/Province:__________ Zip/Postal Code:______ Phone:___________________________________________________________ Account in Name of: ________________________________________________ Account #:____________________________________________________ Type of Account: r Checking r Savings r Loan

4. Insurance Agent:

Company Name: ______________________________________________________Contact: ____________________________________________________________Address: ____________________________________________________________City: ___________________ State/Province:_________ Zip/Postal Code: _________Phone: _____________________________________________________________

Page 8: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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E. FRANCHISING AND HOTEL EXPERIENCE

1. Do any of the individuals/entities listed under ownership currently own any Choice or non-Choice motel(s), hotel(s) and/or resort(s)? r Yes r No If “yes” please complete the section below.

Attach additional pages if necessary.

3. For any of the individuals/entities listed under ownership, please identify the total number of years of hotel ownership and/or hotel management experience.

2. Have any of the individuals/entities listed under ownership previously (but no longer) owned any motel(s), hotel(s) or resort(s) (Choice or non-Choice) ?

r Yes r No If “yes” please complete the section below.Attach additional pages if necessary.

Individual/Entity# of Years of

Hotel Ownership Experience

Current Number of Hotels Under

Ownership

# of Years of Hotel Management Experience

Current Number of Hotels Under

Management

Individual/Entity Property NameChoice

Property Code (if applicable)

City/State % Owned

Individual/Entity Property NameChoice

Property Code (if applicable)

City/State % Owned

Page 9: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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4. Do any of individuals/entities listed under ownership own other non-hotel franchises? r Yes r No

(Types of non-hotel franchises may include: Fast food, restaurant, convenience store, real estate, gas station, services, etc.)

(Title/Office may include: President, Vice President, Chief Executive Officer, Chief Financial Officer, Director, Chairman, Partner, etc.)

If “yes” please complete the section below.Attach additional pages if necessary.

5. Do any of the individuals/entities listed under ownership own and/or hold an officer position at a non-hotel business(es)? r Yes r No

(Types of businesses may include: Automobile sales, convenience stores, construction, energy, entertainment, finance, home décor, law, medical, pharmaceutical, real estate, restaurants, retail, shopping centers/malls, technology, travel and transportation, etc.)

If “yes” please complete the section below.Attach additional pages if necessary.

Individual/EntityType of Non-

Hotel Franchise/Membership

Brand Name City/State % Owned

Individual/Entity

Type of Business

Business Name City/State % Owned Title/Office

Page 10: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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F. BACKGROUND INFORMATIONFor purposes of this section, “Applicant” includes anyone owning a direct or indirect interest inthe proposed franchise.

1. Is any Applicant now, or has any Applicant ever been a defendant in any lawsuit? r Yes r No

2. Has any Applicant ever filed for bankruptcy? r Yes r No

3. Has any Applicant ever been convicted of a crime other than minor traffic violations? r Yes r No

4. Is any Applicant a “Specially Designated National” or a “Blocked Person” (as defined below)? r Yes r No

If “yes” has been indicated for any of questions 1-4, please identify the person, court, case number and outcome below.

G. OPERATIONAL DATA (For operating hotels only)

Please list by month the Occupancy, Average Daily Rate (ADR) and Gross Room Receipts for each calendar month during the previous year.

Person Court Case Number Outcome

“Specially Designated National” or “Blocked Person” means (I) a person designated by the U.S. Department of Treasury’s Office of ForeignAssets Control from time to time as such status, (II) a person described in Section 1 of U.S. Executive Order 13224, issued September 23,2001, or (III) a person otherwise identified by government or legal authority as a person with whom Choice or its affiliates are prohibited fromtransacting business. A list of such designations and the text of the Executive Order are published under the Internet web site addresswww.ustreas.gov/office/enforcement/ofac.

Month / Year Occupancy ADR Gross Room Receipts////////////

Totals

Page 11: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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H. FACILITY DESCRIPTION1. Expected Date to Open as a Choice Hotel:_____________________2. Year Built:__________________3. Year(s) Renovated:_________________________________4. Number of Guest Rooms: ______________5. Number of Floors:_______________6. Number of Parking Spaces: ___________7. Number of Meeting Rooms:_______ Seating Capacity of Each: ________________ ________________ ________________8. Is continental breakfast served on hotel premises? r Yes r No9. Food and Beverage Outlets: a. Name: ________________________________________________________ On Premises r or Distance from hotel :______________________________ Meals of Operation: r Breakfast r Lunch r Dinner r 24 Hr. Number of Seats: __________________ b. Name: ________________________________________________________ On Premises r or Distance from hotel :______________________________ Meals of Operation: r Breakfast r Lunch r Dinner r 24 Hr. Number of Seats: ____________10. Recreational Facilities (indoor/outdoor pool, hot tub, spa, exercise rooms, etc.): ______________________________________________________________________ ______________________________________________________________________11. Is hotel building leased or to be leased by you? r Yes r No12. Is ground leased or to be leased by you? r Yes r No (If “yes” has been indicated for question 10 or 11, please complete the following.) Landlord Name: ____________________Phone: ______________________________ Mailing Address: ________________________________________________________ Address: ______________________________________________________________ City: __________________ State/Province: _____________ Zip/Postal Code: _______13. Is hotel owned or to be owned by you? r Yes r No If “yes”, please list the ownership name as it appears or will appear on the deed or purchase agreement: ____________________________________________________14. Is ground owned or to be owned by you? r Yes r No15. When did you obtain possession of the hotel, whether by lease or purchase? _____________________________________________________________________16. Do you have financing secured for this location? r Yes r No If No, Choice has several endorsed financing companies who may be able to assist you. Would you like these companies to contact you? r Yes r NoNote: If this is a relicensing application, the Franchise Agreement will be dated as of the date of possession.

Page 12: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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I certify that, to the best of my knowledge, the information I provided in this application is complete and accurate.

Furthermore, I agree that in order for Choice Hotels International, Inc. to obtain and maintain accurate contact and credit information, I authorize the referenced companies and/or individuals named in this application and credit reporting agencies to disclose such information to Choice. This disclosed information will be used for the exclusive and confidential use of Choice Hotels International, Inc. and its affiliated companies. I also release Choice, its affiliates and their employees, agents, all other entities and their employees providing information or reports about me from all liabilities arising out of the release of any informational reports.

I understand that by submitting this application I agree to the terms and statements made in this application. (Please have ALL OWNERS AND/OR APPLICANTS sign below)

________________________ ______________________ ______________________Signature Print or Type Name Date

________________________ ______________________ ______________________Signature Print or Type Name Date

________________________ ______________________ ______________________Signature Print or Type Name Date

________________________ ______________________ ______________________Signature Print or Type Name Date

________________________ ______________________ ______________________Signature Print or Type Name Date

Please submit to:

If there is not an address listed above, please send to the following address:

Director, Application AdministrationChoice Hotels International

10750 Columbia PikeSilver Spring, MD 20901

Phone: 301.592.6373Fax: 301.592.6226

Page 13: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

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I. AMERICAN AUTOMOBILE ASSOCIATION (AAA) AUTHORIZATION

This page must be submitted with the other required documentation identified on page 1.

The undersigned authorizes the release of AAA Ratings and deficiency reports toChoice Hotels International, Inc.

Property Name:___________________________________________________________Address:________________________________________________________________

City: __________________ State/Province: __________________Zip/Postal Code: ______Applicant Representative: _______________________________ Date: __________ (Signature) _____________________________ (Printed)

Page 14: FRANCHISE APPLICATION - Choice Hotels · Choice Hotels International, 1 Choice Hotels Circle, Suite 400, Rockville, MD 20850. Choice reserves the right to approve or deny this Franchise

Choice Hotels International 1 Choice Hotels Circle, Suite 400 · Rockville, MD 20850

301.592.6373 ChoiceHotelsFranchise.com© 2013 Choice Hotels International, Inc. All rights reserved. 13-1019/11/13 CH-FRANAPP