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06. ABC Regusi_ r City Hall 10300 Toae Avenue CITY OF Cupertino, CA 95014 C U P S ITT 1 N 0 408) 777-3212 Fax: (408) 777-3366 OFFICE OF THE CITY 1VIANAGER SUIVIlWIARY AGENDA ITEM NL7MBER ~ AGENDA DATE Ja=m- ~. ~~ suB.rECT Arm ><ssuE Application for Alcoholic Beverage License. BACKGROi7ND 1. Name of Business: Location: Type of Business: Type of License: Reason for Application: RECOMMENDATION Regus 10297 South De Anna Boulevard Business Lounge /Center On Sale Beer 8c WinePublic Premises (42) Original Fees, Annual Fee, State 8c Federal Fingerprints There are no use permit restrictions or zoniug re,~txictions which would prohibit this use and staff has no objection to the issuance of the license. Prepared by: o, City Planner Subnutted by: David W. Knapp, City Manager 6-~ Regus > California, Cupertino -Regus Business Lounge Page 1 of 5 ~tfces ~~ Meeting Rooms ~ Virtual Offices ~ Memberships ~ Disaster Recovery ~ Outsourcing L. Cali us at 1-800-OFFICES Talk to a Regus representative California, Cupertino -Regus Business Lounge 10297 S De Anza Boulevard Cupertino, California 95014 United States Main tel: +1 408 790 6550 Main fax: +1 408 790 655'1 Contact us now Schedule a visit About this c_e_nter The Regus Cupertino Business Lounge is an all-new concept that combines the bast resources of a business center with the relaxing environment of a coffeehouse. Our inaugural location is located In the heart of Cupertino on South De Anza Boulevarcf and includes multiple areas where you can worK, connect, relax, recharge and refuel at our gourmet coffee bar. Additional perks include: • Free VY-Fi and specialty cotfee • Five state-of--the-art meeting rooms • Videoconferenea studio • Private, ready-to-work offices • Free 61adc-and-white copies and printing • Free printing from your PDA • Outdoor patio seating • Business bar with free computer access • On-site printing center • Library • Business and travel accessories for purchase • Coffee Bar • Food for purchase • Magazine-8 Daily newspapers • Business Hours: Monday-Friday Gam-9:30pm; Saturday-Sunday Sam-8pm Cupertino is home to such high-tech firms as Apple, Hewlett-Packard and Symantec and boosts a vibrant economy, beautiful surroundings and a convenient location just 20 minutes from the San Jose International Airport. 6-2 http://www_regus.com/locations/US/CA/Cupertino/CaliforniaCupertinoRegusBusinessLoun.__ 1/7/2009 Department of Alcoholic Beverage Control APPLICATION FOR ALCOHOLIC BEVERAGE LI(;tENSE(S) ABC 27] (6/99) State of California TO: Department of Alcoholic Beverage Control File Number: 474910 l00 Paseo de San Antonio Receipt Number: 1696456 Rm. 119 Geographical Code: 4303 San Jose, CA 95113 Copies Mailed Date: January 5, 2009 (408)277-1200 Issued Date: DISTRICT SERVING LOCATION: SAN TOSE First Owner: REGUS MANAGEMENT GROUP LLC Name of Business: REGUS Location of Business: 10297 S DE ANZA BLVD CUPERTINO, CA 95014-3026 County: SANTA CLARA Is premise inside city limits? Yes Census Tract 5077.OI Mailing Address: 15305 DALLAS PKWY (If different from STE 1400 premises address) ADDISON, TX 75001 Type of license(s): 42 Transferor's- license/name: icense Tvne 42 ON-SALE BEER AND 42 ON-SALH BEER AND 42 ON-SALE BEER AND 42 ON-SALE BEER AND Transaction Tvne Fee Type ORIGINAL FEES NA ANNUM-FEE NA STATE FINGERPRINTS NA FEDERAL. FINGERPRINTS NA Dropping Partner: Yes No ,~ Master Dino Date Fee Y O 01/05/09 $300.00 Y O 01/05/09 $253.00 N 4 OI/05/09 $156.00 N 4 01/05/09 $96.00 Total $805.00 Have you ever been convicted of a felony? N o 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 [his application. Applicant agrees (a) that any manager employed in an on-sale licensed premise will have all the qualifications of a licensee, and (b) that he will not viol;tte or cause or permit to be violated any of the provisions of the Alcoholic Beverage Control Act_ STATE OF CALIFORNIA County of .SANTA CLARA Date: January 5', 2009 Under penalty of per}ury, each person whose signature appears below, certifies a:~d says: (1) Hn is nn applicant, or one of [he appticants, or an executive officer of [he applicant corporation, named in [he foregoing application, duly authorized to make this application on its behalf; (2) [hat he has read the forogoing and knows the contents thereof amt that each of the above statements therein made are true; C3) that no person other than the applicant or applicants has any d[rect or indirect interest in the applicant or applicnnPs business to be conducted under the license(s) For which this application is made; (4) that the trnnafer application ar proposed transfer is not made to satisfy the payment of a loan or to fu1Fi11 an agreement entered into more than ninety (90) days preceding [he day on which the transfer application is filed with the Department or m gnin or establish a preference to or for any creditor or transferor or to defraud or in}ure any creditor of transferor; (5) that the transfer application may be withdrawn by either the applicant or the licensee with no resulttng liability to the Department. Applicant Name(s) Applicant Signature(s) REGUS MANAGEMENT GROUP LLC Rvr 211 Cignat.rrP Ytagp 6-3 State of California Department of Alcoholic Beverage Control APPLICATION SIGNATURE SHEET ("SIGN ON") • This form is to be used as the signature page fior applications not signed in the District Office. - Read instructions on reverse before completing - A/I signatures must 6e nofarized in accordance with laws of the State where signed. z 7. OYVNERSRIP TWE (Clrack one) Sole Owner Q Corporation Partnership ®Linuted Liability Company ~ Husband 8c Wife p Other ~ Partnership-Ltd a. TRANSncrloN TYPE ® Original p Person to Person Transfer Q Exchange Q Premise io Premise Transfer Q Other 6. APPLICANT'S) Regus Management Group, LLC 6. APPLICANT'S MAILING ADDRESS (Street addreas/P.O, box, eRy, state, zip mtle) ~ t. 15305 Dallas Parkway, Suite 1400, Addison, TX 75001 7. PREMISES ADDRESS (Street address, clly, zip coda) JAtJ_d 5 20J9 10297 South de Anza Blvd., Cupertino, CA 9so14 APPLICANT'S CERTIFICATION Under penalty of perjury each person whose signature appears d s li t o one f b l rt f (~ H /Sh i payment of a Joan or to iEii~~Y7~an-agreement entered intoin~ore= Than (90) da s recedin the da oa~ hichahe transfer nine s an app can , r o e ow, ce i ies an ays: ) e e r f the t exee t offi li t th li y p g y .. ty w lication is filed with the De artaieaiit' (b'~'to`~gain or establish a a can s, or an rve ce o app can e app u pp p e corporation, named in the foregoing appplication, duly authorized to make this application on its behalf; (a} that be/she has read preference to or for any creditor or transf ror, or c to defraud or inure any creditor or transferor; (5) that the transfer application the foregoing and knows the contents thereof and That each of the may he withdrawn by either the applicant or the licensee with no above statements therein made are true; (3) that no person other direct or indirect interest th th li nt or a licants has an resulting liability to the Department. I understand that if I fail io ualif for the license or withdraw this an e app ca pp y in the a licant or applicant's business to be conducted under the licensee for which this application is made- (4) that the transfer y q application there will be a service dtar~e of one-fourth of the license fee paid, up to ~ 100. - appiication or proposed transfer is not made io (a) satisfy the SOLE OWNER 8. PRINTED NAME'(Laat, Oral. midde) SIGNATURE DATE SIGN® I X I PARTNERSHIP/LIMITED PARTNERSHIP (Signatttres of general partners only) X PARTNERS PRINTED NAME (Les4 INat, midAe) SIGNATURE DATE SIGNED X PARTNERS PRINTED NAME (Last, oral, middle) SIGNATURE DATE SIGNED - X CORPORATION t0. PR1tJTED NAME (l_esl, fkst, middies) I SIGNATUi2E DATE SIGNED - X 7[TLE ~ President Q Vice President p Chairman. of the Board TITLE ^ Secretary ^ Asst. Secretary ^ Chief Financial Officer ~ Asst. Treasurer LIMITED LIABILITY COMPANY 11. The limited liability company is member-run Q Yes ®NO (If no, complete Item #72 below) t2 NAME OF DESIGNATED MANAGER, MANAGING MEMBER OR DESIGNATED OFFICER (Last, first, mk/dle) ABC INiT1ALS/DATE (ABC use oMyJ ~MCCal1, Jeffrey J. 13. MEMBE72'S PRINTED NAME (Last, fkat, mtldla) SIGNATUR ~ /- DATE S(G)NEn McCall,' Jeffrey J. ~T ~ Z ( ! C~~ MEMBERS PRINTED NAME (Leal, first middle) ~' S{GNA DATE SIG NEO X A~SIG (2/03) ~N ONi~ ~ ~ ~ I "'CI 6 4 ,_ ~i': NOTARY ACI~OWLEDGMI•:NT ~, i, - f „ ~'~ oAN ~ ~ zoos STATE OF TEXAS § COUNTY OF DALLAS § - _ ; ; . , , On (70 ~ _ 1`~t~~j before me, Michelle Hargis, personally appeared Jeffrey J. McCall, who proved to me on a basis of satisfactory evidence to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity(ies), and that by his signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OR PERJURY under the laws of the State of Texas that the foregoing paragraph is true and correct. WITNESS my hand and official seal. 6-5