102-Application for Alcoholic Beverage License.pdfDepartment of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES)
ABC 211 (6/99)
TO: Department of Alcoholic Beverage Control File Number: 512132
100 PASEO DE SAN ANTONIO Receipt Number: 2061945
ROOM 119 Geographical Code: 4303
SAN JOSE, CA 95113 Copies Mailed Date: June 27, 2011
(408) 277-1200 Issued Date:
DISTRICT SERVING LOCATION: SAN JOSE
First Owner: COOP DAYS L-PSHIP
Name of Business: TGI FRIDAYS
Location of Business: 10343 N WOLFE RD
CUPERTINO, CA 95014-2507
County: SANTA CLARA
Is Premise inside city limits? Yes Census Tract 5081.01
Mailing Address: 4582 W JACQUELYN AVE
(If different from STE III
premises address) FRESNO, CA 93722-6404
Type of iicense(s): 47
Transferor's license/name: 478393 / BISTRO AMERICAIN WEST I Dropping Partner: Yes_ No
LLC
License Type
Transaction Type
Fee Type
Master
Dup
Date
Fee
47 - On -Sale General Eating
ANNUAL FEE
P40
Y
0
06/27/11
$876,00
47 - On -Sale General Eating
PERSON TO -PERSON TRANSFER
P40
Y
0
06/27/11
$1,250.00
NA
ISSUE TEMPORARY PERMIT
NA
N
1
06/27/11
$100.00
Total
$2,226.00
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 SANTA CLARA Date: June 27, 2011
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 fulfill 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..
Applicant Name(s)
COOP DAYS L-PSHIP
Applicant Signature(s)
See 211 Signature Page
State of California
APPLICATION SIGNATURE SHEET ("SIGN ON
Department of Alcoholic Beverage Control
• This form is to be used as the signature page for 1. OWNERSHIP TYPE (Check one)
applications not signed in the District Office. ❑ Sole Owner ❑ Corporation
Read instructions on reverse before completing. ❑ Partnership ❑ Limited Liability Company
• All signatures must be notarized in accordance with ❑ Husband & Wife ❑ Other
laws of the State where signed. Rf Partnership -Ltd
2. FILE NUMBER (If any) 3. LICENSE TYPE 4. TRANSACTION TYPE
47 ® Original Person to Person Transfer
Exchange Premise to Premise Transfer
® Other
5, APPLICANT(S) NAME (Last, first, middle)
Coop Days, LP
6. APPLICANT'S MAILING ADDRESS (Street address/P.O, box, city, state, zip code)
4582 W. Jacquelyn Ave. 111, Fresno CA 93722
7. PREMISES ADDRESS (Street address, city, zip code)
10343 N. Wolfe Rd. Cupertino CA 95014
APPLICANT'S CERTIFICATION
Under penalty of perjury, each person whose signature appears
below, certifies and says: (1) He/She is an applicant, or one of
payment of a loan or to fulfill an agreement entered into more than
ninety (90) days preceding the day on which the transfer
the applicants, or an executive officer of the applicant
corporation, named in the foregoing ap lication, duly authorized
application is filed with the Department, (b) to ain or establish a
preference to or for any creditor or transferor, or to defraud or
to make this application on its behalf; that he/she has read
injure any creditor or transferor; (5) that the transfer application
the foregoing and knows the contents thereof and that each of the
may be withdrawn by either the applicant or the licensee with no
above statements therein made are true; (3) that no person other
resultingliability to the Department,
license
than the applicant or applicants has any direct or indirect interest
in the a licant or applicant's business to be conducted under the
licensefor is that the transfer
I unerstand that if I fail to qualify for the or withdraw this
application there will be a service charge of one-fourth of the
license fee up to $100.
s which this application made; (4)
application or proposed transfer is not made to (a) satisfy the
paid,
SOLE OWNER
8. PRINTED NAME (Last, first, middle)
SIGNATURE
DATE SIGNED
X
PARTNERSHIP/LIMITED PARTNERSHIP (Signatures of general partners only)
9. PARTNER rtq i ®
SIGNAT
DATE SIGNED
PARTNER'S PRINTED NAME (Last, first, middle)
SIGNATURE
DATE SIGNED
X
PARTNER'S PRINTED NAME (Last, first, middle)
SIGNATURE
DATE SIGNED
X
CORPORATION C �Ae C-
I' f 10, INTED NAME (Last, first, middle) i
t� 1
SIGNATURE-DAEE�T
X
SIGNED
TITLE
resident ® Vice President ❑ Chairman of the Board _
PRINTED NAME (Last, first middle) 1,
SIGN AT
I
DATE SIGNED
aV-cCi�:tr�r� Pt,
X
TITLE i —'—
® Secretary ❑ Asst. Secretary ❑ Chief Financial Officer ® Asst. Treasurer
--
LIMITED LIABILITY COMPANY ---
11. The limited liability company is member -run ® Yes []No (If no, complete Item #12 below)
12. NAME OF DESIGNATED MANAGER, MANAGING MEMBER OR DESIGNATED OFFICER (Last, first, middle)
ABC INITIALS/DATE (ABC use only)
13. MEMBER'S PRINTED NAME (Last, first, middle)
SIGNATURE
DATE SIGNED
X
MEMBER's PRINTED NAME (Last, first, middle)
SIGNATURE
DATE SIGNED
X
ABC-211-SIG (2/03) "SIGN ON"
State of Co. unty of A e e, S
*n
before mejV
<iAotary Public,
personally appeared L A JU r0 Ln/i -,Al who proved to me on
the basis of satisfactory evidence t6 be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signatures on the instrument the person(s), or the entity upon
behalf of which their person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California
that the foregoing paragraph is true and correct.
NOTARY IMPRESSION HERE
V'17
.EAR WANDA LESPADE
COMM.#1863591
NOTARY SIGNATORE NOTARY PUBLIC-CALIFORNIAf
FRESNO COUNTY
My Comm. Exp. Sept. 3, 2013
W='
State County of Z-'-A �4oZ4
on/ before Notary Public
personally appeared ' - who proved to me on the
basis of satisfactory evidence to be the'person-(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signatures on the instrument the person(s), or the entity upon
behalf of which their person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California
that the foregoing paragraph is true and correct.
WITNESS my hand and official seal. NOTARY IMPRESSION HERE
WANDA LESPADE
3 coMM.#1863591
R U
IG ATUR� !L
NOTARY IG ATURE NOTARY PUBLIC-�CALIFORNIA§
U
FRESNO COUNTY
r
My Comm. En. Sept . 3 2013