HomeMy WebLinkAboutApp for Alchoholic Bev License Department of Alcoholic Beverage Control State of California
A:PPLICr PION FOR ALCOHOLIC BEVERAGE LWENSL(S)
ABC 211 (6/99)
`I O:Department of.Alcoholic leverage Control File Number: 568706
1900 CHURN CREED RD Receipt Number: 235571.0
STE.215 Geographical Code: 0400
REDDING, ("A 96002 Copies Mailed bate: April 20,2016 Agrv11
(530)224-4830 issued Date: p"
°i
DISTRICT"SERVING LOCNTIoN. REDDING � t,tlt'k1lr�
First Owner: LUCKY FOOD AND GAS INC
Name of Business: LUCKY FOOD AND GAS
Location of Business: 7422 LINCOLN BLVD
PALERMO, CA 9'5968-9638
Country: BUTTE
Is Premise inside city limits`/ No Census Tract 0032.00
Mailing Address:
(If different from
premises address)
Type of license(s): 20
Transferor's license/name: 559853 / GILL, GURCHARAN SINGII Dropping Partner: Yes_ No
License T e Transaction T e Fee Type Master Du Date Fee
20-Off-Sale Beer And win PREMISE TO PREMISE TRANSFER NA Y 0 04/20/16 $100.00
20-Off-Sale Beer And Win PERSONJO-PERSON TRANSFER NA Y 0 04/20/1.6 $50.00
20-Off--Sale Beer And win. ANNUM,FEE NA y 0 04/20/16 $254.00
NA FEDERAL FiNGERPIUNTYS NA N 2 04/20/16 $48.00
NA STATE,FINGERPRIN"PRINTS NA N 2 04/20/16 $78.00
Total $530,00 "
Have you ever been convicted of a felony` No
Have you ever violated any provisions of the.Alcoholic Beverage Control Act, or regulations of the
Department
tment pertaining to the Act? No
Expart
answerany
to the above questions on an attachment which shall be deemed part of this application
Applicant agrees(a)that any manager employed in an on-sale licensed premises will have all the qualifications
of a licensee, and(b)that he will not violate or cause or permit to be violated any of the provisions of the
Alcoholic Beverage Control Act,
STATE OF CALIFORNIA County of BUTTE bate: April 20, 2016.
Under penalty ofperjury,each person whose signature appears below;certifies and says:(1.) Fie is an applicant,or one ofthe applicants,or an executive
officer of the applicant corporation,named in the foregoing application,duly authorized to make this application on its behalf,(2) that he has read the
foregoing and knows the contents thereof and that each of the above statements therein made are true;(3) that no person other than the applicant or
applicants has any direct or indirect interest in the applicant or applicant's business to be conducted under the hcense(s)for which this application is made;
(4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an agreement entered into more than ninety
(90)days preceding the day on which the transfer application is riled with the Department of to gain or establish a preference to or for any creditor or
transferor or to defraud or injure any creditor of transferor;(5) that,the transfer application may he withdrawn by either the applicant or the licensee with
no resulting liability to the Department.
Effective Jule 1,2412„Revenue and'taxation Code Section 7057,authorizes the:State Board of Equalization and the Franchise Tax Bayard to
share taxpayer information with Department of Alcoholic Beverage Control.The Department may suspend,revoke,and refuse to issue a license
if the 1"scenseers name appears its the 500 largest tax delinquencies list.(Business and Professions Code Section 494.5.)
Applicant Nalne(s) Applicant Signature(s)
See 211 Signature Page
LUCKY FOOD AND GAS IYNC ��_
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