HomeMy WebLinkAboutApplication for Alcoholic Beverage License - Woods General Store 13U'fTF COUNTY
ADP uNtS'FRATIo?N+
Department of Alcoholic Beverage Control State of California .AUG 2 8 2017
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES)
ABC 211 (6199)
TO:Department of Alcoholic Beverage Control File Number: 584627
1900 CHURN CREEK RD Receipt Number: 2448344
STE 215 Geographical Code: 0400
REDDING, CA 96002 Copies Mailed Date: August 24,2017
(530)224-4830 Issued Date:
DISTRICT SERVING LOCATION: REDDING
First Owner: WOODS,RHEANNA MARIE
Name of Business: WOODS GENERAL STORE
Location of Business: 19175 NEW YORK FLAT RD
FORBESTOWN, CA 95941
County: BUTTE
Is Premise inside city limits? No Census Tract 0024.00
Mailing Address: PO BOX 74
(If different from FORBESTOWN, CA 95941-0074
premises address)
Type of license(s): 20
Transferor's license/name: 503672 1 ANDERS,NANCY THERESA Dropping Partner: Yes_ No X
License Type Transaction Type Fee Type Master D�u� Date Fee
20-Ort-Sale Beer And Win, ANNUAL FEE NA Y 0 08/24/17 $254,00
20-0ff-Sale Beer And Win, PERSON-TO-PERSON TRANSFER NA Y 0 08/24/17 $50.00
NA ISSUETEMPORARYPLRMIT NA N 1 08/24/17 $100.00
NA FL'DERALFINGERPRINTS NA N 2 08/24/17 $48.00
NA STATE.FINGERPRINTS NA N 2 08/24/17 $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 pertaining to the Act? No
Explain any"Yes"answer to the above questions on an attachment which shall be deemed part or this application.
Applicant agrees(a) that any manager employed in an on-safe 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: August 24, 2017
Under penalty of perjury,each person whose signalure appears below,certifies and says',(1) He is an applicant,or ostc 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 lruc,(3) that no person other than the applicant or
applicants has any direct or indirect interest in the applicant or applicants business to be conducted under the liccnse(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 rullill 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 705-7,authorizes the State Board or Equalization and the Franchisc Tax Board to
share taxpayer information with Department of Alcoholic Beverage Control.The Department may suspend,revoke,Arid refuse to issue a license
if the licensce4s name appears in the S00 largest tax delinquencies list.(Business and Professions Code section 494.5.)
Applicant Name(s) Applicant Signature(s)
See 211 Signature Page
WOODS,�HEANNA MARIE
WOODS,SCOTT WALTER