09a. TGI Friday ABCOFFICE OF THE CITY IWANAGER
.:
~:Y" .:
CITY HALL
10300 TORRE AVENUE: • CUPERTINO, CA 95014-3255
C U P E RT ~ N O TELEPHONE: (408) 777-3212 • FAX: (408) 777-3366
SUMA~IARY
AGENDA T.[`EM NUMBER
SUBJECT AND ISSUE
~ AGENDA DATE -J R't'e"`- ~ ~'+ '~~' ~ ~
Application for Alcoholic Beverage License.
BACKGROUND
1. Name of Business: TGI Fridays
Location: 10343 North Wolfe ]toad
Type of Business: Restaurant
Type of License: On Sale General-Eating Place (47)
Reason for Application: Person to Person Transfer, Annual Fee, State and Federal
Fingerprints
RECOMMENDATION
There are no use permit restrictions or zoning restrictions which would prohibit this use and staff
has no objection to the issuance of the license.
Prepared by:
L-G`" . Chao, City Planner
G:Planning/MLSCELUABGabc TGIFridays
Submutted by:
David W. app, City Manager
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Department of Alcoholic Beverage Control ~ State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6/99)
TO: Department of Alcoholic Beverage Control File Number: 478393
100 Paseo de San Antonio Receipt Number: 1713005
Rm. 119 Geographical Code: 4303
San Jose, CA 95113 Copies Mailed Date: May 5, 2009
(408)277-1200 Issued Date:
DISTRICT SERVING LOCATION: SAN TOSE
First Owner:
Name of Business:
Location of Business:
County:
Is premise inside city limits?
Mailing Address:
(If different from
premises address)
BISTRO AMERICAIN WEST I LLC
TGI FRIDAYS
10343 N WOLFE RD
CUPERTINO, CA 95014-2507
SANTA CLARA
Yes
120 S CENTRAL AVE
STE 1800
ST LOUIS, MO 63105
Census Tract 5081.01
Type of license(s): 47
Transferor's Iicense/name: 327256 /MAIN ST CALIFO: Dropping Partner: Yes No
License Twine Transaction Type Fee Type Mas er ~i p~~ ~ Fee
47 ON-SALE GENERAL 1 STATE FINGERPRINTS NA N 1 0 5/ 0 5/ 0 9 $39.00
47 ON-SALE GENERAL 1 FEDERAL FINGERPRINTS NA N 1 0 5/ 0 5/ 0 9 $24.00
47 ON-SALE GENERAL 1 PERSON TO PERSON TRANSF P40 Y 0 0 5 / 0 5 / 0 9 $1,250.00
47 ON-SALE GENERAL l ANNUAL FEE P 40 Y 0 0 5/ 0 5/ 0 9 $ 847.00
Total $2,160.00
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 this 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 violate 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: May 5, 2009
Under penalty of perJury, each person whose signatrtre 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 tltis 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 Uue; (3) that no person other
than the applicant ar 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 imasfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfil! 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 Dither the applicant or the licensee with no resulting liability to the Department.
Applicant Names} Applicant Signature(s)
BISTRO AMERICAIN WEST I LLC Nee 217 Signat~uP Page
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f .... . T____.
State of Caiifomia Department of Alcoholic Beverage Contra!
APPLICATION SIGNATURE SHEET ("SIGN ON")
• This form is to be used as the signaiure page for 1• owNERSHIP TYPE (Cheri oae)
applications rat signed in the Dis#rici Office. ~ SOIL; Owner ^ CArpOratiOn
• Readlnsfrucflons on reverse before completing. Partnership ~ Limited Liability Company
• A!! signatures must be notarized fn accordance with ^ P]fust)and & W ife ^ Other
Jaws of the State where signed: ^ Partnership-Ltd
2. FlLE NUMBER (H arty) 3. LICENSE TYPE 4. TRANSACTIONTYPE
^ Original ^/ Person to Person Transfer
47 ^ Exe:hange ^ Premise to Premise Transfer
^ Other
5. APPLICANT(S) NAME (Last, fret, middle)
Bistro Americain Wesi I, LLC
8. APPLICANTS MAILING ADDRESS (SUeel addresslP.O. box, dty, elate, zip coda)
120 S. Central Ave. Ste. 1800, St, Louis, MO 63105 stir: Kevin Cushing
7. PREMISES ADDRESS {Street ~Idress, dy, zip coda)
10343 N. Wolfe Rd., Cupertino, CA 950I4
APPLJCANT'S GERT/FII:ATION
Under penalty of perjury each person whose signature appears payment of a loan or to fulfill an agreement entered info more than
below, certifies and says: (S) Eie/she is an applicant, or one of ninety (90) days preceding the day on which the transfer
the applicants, or an executive officer of the applicant application is filed with t Ie Department (b) to air or establish a
corporation, named in the foregoing ap lieation, duly authorized preference to or for any creditor or transferor, or~c) to defraud or
to make this application on its behalf; ~2j that he/she has read tnjurt: any creditor or transferor, {S~ that the transfer application
the foregoing and knows the contorts thhereof and that each of the may lie withdrawn by either the applicant or the licensee with n0
above statements therein made are true; (3) that no person other resub:mg liability to the Deppartment.
then the appplicant or appplicants has any direct or indirect interest 1 understand that if I fail to quell~y for the license or withdraw this
in the a licant or applicant's business to be conducted under the appli~:ation there will be a service cfiarge ofone-fourth of the
ticensa(sg for which this application is made; (4) that the transfer license fee paid, up to S100.
application or proposed transfer is not made to (a) satisfy the
SOLE OWNER
S. PRINTED NAME (Lest Tsai middle) SIGNATURE DATE SIGNED
I ~
PARTNERSFiiP/LIMITED PARTNERSHIP (Signatures of genera! partners only}
9. PARTNER'S PRINTED NAME (Last, ars4 rreddW) SIGNATURE ~ ~ DATE SICYdED
X
PARTNER'S PRINTED NAME (Last irsf. mldUle) ~ SIGNATURE DATE 31GNED
X
PAR'TNER'S PRINTED NAME (Lest, fast, mddle) ~ SIGNATURE DATE 31GNED
X
CORPORATION
SIGNATURE
10. PREHTEO NAME (Leal, first. mddle} DATE SKjNEA
I
X
TITLE
^ President ^ Vice President ^ Chairman of the Board
PRINTED NAME (Last, Taal, middle) SIGNATURE DATE SIGNED
X
7/TLE
^ Secretary ^ Asst. Secretary ^ Chief Financial Officer ^ Asst, Treasurer
~LlMITEb LIABILITY COMPANY
T t. The limited liability company is member-run ^ ~reS ~ 110 (If no, complete Item #t 2 below)
t2 NAME OF DESIGNATED MANAGER, NW4AGING MEMBER OR DESIGNATED OFFICER (Last, areL middb) ABC INiTIALSIDATE (AAC true ony)
Grewe, Gary John
73. MEMBER'S PRINTEO NAME (Leal, Graf, mldc~} SI
Grcwc, Gary John
MEMBER'S PRINTED NAME (Lest, fif5t, mddle) SIGNA
X
ABC-211-SIG (2/03 "SIGN ON"
O,~pSiY P 6 MiGELA BAER
~~ ~NOTJJiYG~~_ Mf' Ctxrlrafsslon Expires r~~ ,
q~., SEAL: ' ., St, Louis Cowliy C,~„
'~~ r `~~ Comrt~ssion $0853745t
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