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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