HomeMy WebLinkAboutApplication for Alcoholic Beverage License - Dollar General Department of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6199)
TO:Department of Alcoholic Beverage Control File Number: 551289
1900 CHURN CREEK RD Receipt Number: 2262135
STE 215 Geographical Code: 0400
REDDING, CA 96002 Copies Mailed Date: November 4,2014
(530)2244830 Issued Date:
DISTRICT SERVING LOCATION: REDDING OF
First Owner: DOLGEN CALIFORNIA LLC
Name of Business: DOLLAR GENERAL#15351 NOV 2014
Location of Business: SEC SKYWAY RD& LAKERIDGE CIR
UF
MAGALIA, CA 94954 CAMM
County: BUTTE
Is.Premise inside city limits? Yes Census Tract 0017.03
Mailing Address: 100 MISSION RIDGE
(If different from TAX DEPT.
premises address) GOODLETTSVILLE,TN 37072-2171
Type of license(s): 20
Transferor's license/name: 178635 1 PARK, CATHERINE Y Dropping Partner: Yes_ No_
License T e Transaction Type Fee Type Master Pup Date Fee
20-Off-Sale Beer And Win ANNUAL FEE NA Y 0 10/27/14 $254.00
20-Off-Sale Beer And Win PREMISE TO PREMISE TRANSFER NA Y 0 10/27/14 $100.00
20-Off-Sale Beer And Win PERSON-TO-PERSON TRANSFER NA Y 0 10/27/14 $50.00
Total $404.00
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 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 Date: October 27,2014
Under penalty of perjury,each person whose signature appears below,certifies and 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 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 license(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 ftilfill an agreement entered into more than ninety
(90)days preceding the day on which the transfer application is filed with the Department or 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 be withdrawn by either the applicant or the licensee with
no resulting liability to the Department.
Effective July 1,2012,Revenue and Taxation Code Section 7057,authorizes the State Board of Equalization and the Franchise Tax Board to
share taxpayer information with Department of Alcoholic Beverage Control.The Department may suspend,revoke,and refuse to issue a license
if the licensee's name appears in the 500 largest tax delinquencies list.(Business and Professions Code Section 494.5.)
Applicant Name(s) Applicant Signature(s)
See 211 Signature Page
DOLGEN CALIFORNIA LLC