HomeMy WebLinkAboutApp for Alcoholic Bev. License - North State Grocery 19UITE WUNI'Y
ADMINISTRATION
Department of Alcoholic Beverage Control State of California OCT 1 1 2016
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6199) OFAVILLE CALIFORNIA
TO:Department of Alcoholic Beverage Control File Number: 36.1449
1900 CHURN CREEK RD Receipt Number: 2388120
STE 215 Geographical Code: 0400
REDDING, CA 06002 Copies Mailed Date: October 7, 2016
(530)224-4830 Issued Date:
DISTRICT SERVING LOCATION; REDDING
First Owner: NORTH STATE GROCERY INC
Name of Business: SAV MOR FOODS
Location of Business: 14001 LAICERIDGE CIR
MAGALIA, CA 95954
County: BUTTE
Is Premise inside city limits? No Census Tract 0017.03
Mailing Address: PO SOX 439
(If different from COTTONWOOD, CA 96022-0439
premises address)
Type of license(s): 21
Transferor's license/name: Dropping Partner: Yes Nov
License Tyre Transaction Type Fee Tyj)e Master Qui Date Fee
21 -Off-Sale General STUCK TRANSFER MULTIPLE NA Y 0 09/28/16 5100.00
Total $100.00
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 pertaining to the Act? No
Explain any"Yes"answer to the above questions on an attachment which slla€I 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 Date: September 28, 2016
Under penalty of perjury,each person whose signature appears below,certifies air([says:(1) He is an applicant,or,one of the applicants,or an executive
officer of the applicant corporation,named in the foregoing application,duly authorized to slake this application on its behalf;(2) that he has read the
foregoing and knows the contents thercol and that each of the above slatentents 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 liccase(s)for which this application is made;
(4) that the transfer application or,proposed trallSter IS not tllade to tiatlsll,the payment ofa loam or to fulfill an agreement entered into more than ninety
(901 days preceding the day on which the transfer appliealtoll is filed with the Department or to gain or establish a pret'erence to or for any creditor or
transferor or to def'raud or injure any creditorof transferor.(5) that the transfer applicatiun may be withdrawn by either the applicant or the licensee Willi
no resulting liability to the Department
Effective July 1,2012,Revenue and Taxation Codc section 7057,uidliorizes the stale Board of Equalization and tire Franchise Tax Hoard to
share taxpayer information]vilh Dellarli lcnl of Alcoholic Beverage C01111-ol.The Depart nsellI may stisimid,revoke,and refuse to issue a license
if the licensce4s name appears in the 500 largest tax delinquencies list.(13usiness and Professions Code Section 494.5.)
Applicant Name(s) Applicant Signature(s)
See 211 Signature Page
NORTH STATE GROCERY INC