06. ABC License
City Hall
10300 Torre Avenue
Cupertino, CA 95014
(408) 777-3212
Fax: (408) 777-3366
CITY F
CUPEI\TINO
OFFICE OF THE CITY MANAGER
SUMMARY
AGENDA ITEM NUMBER
~
AGENDA DATE September 5.2006
SUBJECT AND ISSUE
Application for Alcoholic Beverage License.
BACKGROUND
1.
Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
Homestead Bowling
20990 Homestead Road
Bowling Alley
On-Sale General for Bona Fide Public Eating Place (47)
Person-to-Person Transfer and Annual Fee
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:
Submitted by:
CL'~J ?r;JUZI!7 t?~
Ciddy Wordell,lCity Planner
~
David W. Knapp, City Manager
G: IPlanninglMISCELL IABClabc alber/sons. doc
Printed on Recycled Paper
to -I
State of California
Department of Alcoholic Beverage Control
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6/99)
TO: Department of Alcoholic Beverage
100 Pas eo de San Antonio
Room 119
San Jose, CA 95113
(408) 277-1200
DISTRICT SERVING LOCATION:
First Owner:
Name of Business:
Location of Business:
County:
Is premise inside city limits?
Mailing Address:
(If different from
premises address)
Type of licensees):
47
Transferor's license/name:
Control
File Number: 443066
Receipt Number: 1575839
Geographical Code: 4303
Copies Mailed Date: August 3, 2006
Issued Date:
SAN JOSE
~LEYGREGORYTHOMAS
HOMESTEAD BOWLING
20990 HOMESTEAD RD
CUPERTINO, CA 95014-0355
SA NT A CLARA
Yes
Census Tract 5078.05
1509 TERMINAL AVE
SAN JOSE, CA 95112
367418 / HOMESTEAD FFC Dropping Partner:
Yes_
No
Fee
License Type Transaction Type Fee Type Master Dup Date
47 ON-SALE GENERAL] PERSON TO PERSON TRANSF P40 Y 0 08/03/06
47 ON-SALE GENERAL J ANNUAL FEE P40 Y 0 08/03/06
47 ON-SALE GENERAL J STATE FINGERPRINTS NA N 2 08/03/06
Total
$1,250.00
$758.00
$78.00
$2,086.00
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 premise wilI have alI 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: August 3, 2006
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 b"usiness to be conducted under the licensees) 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)
MALLEY GREGORY THOMAS
Applicant Signature(s)
See 211 Si~natllre Pa~e
~ --0(
State of California
APPLICATION SIGNATURE SHEET ("SIGN ON")
Department of Alcoholic Beverage Control
. This form is to be used as the signature page for
applications not signed in the District Office.
. Read instructions on reverse before completing.
. All signatures must be notarized in accordance with
laws of the State where signed.
1. OWNERSHIP TYPE (Check one)
~ole Owner
o Partnership
D Husband & Wife
D Partnership-Ltd
D Corporation
D Limited Liability Company
D Other
2 FILE NUMBER (Ii any)
3. LICENSE TYPE
3~ 7'ljl Y
q?-
4. TRANSACTION TYPE
D Original ~erson to Person Transfer
o Exchange D Premise to Premise Transfer
D Other
5 APPLI:ANTtS) NAME (LaSI, IlfSI, middle) ~
'7f!;~~~;;fj~~~ k}€ -~~------
~:j~Ef;oSlre~;;i;jk~'d l-d Ur7v1!;h{) U ff7J/~
. APPLICANT'S CERTfFICA nON
Under penalty of perjury, each person whose signature appears
below, certifies and says: (I) He/She is an applicant, or one of
thc 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/she has read
the foregoing and knows the contents thereof and that each of the
above statements therem made are true; (3) that no person other
than the a\)plicant or a!)plicants has any direct or indirect interest
in the app icant or app icant'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 (a) 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, (b) to gain or establish a
preference to or for any creditor or transferor, or (c) to defraud or
mjure any creditor or transferor: (5) that the transfer application
m'ay be withdrawn by either the applicant or the licensee with no
resultino liability to the Department.
I unJerstand that if I fail to qualify for the license or withdraw this
application there will be a service charge of one-fourth of the
license fee paid, up to $] 00.
SOLE OWNER
------.--..----,..-.-- .----
---. ',r:n I\16.MF (La~1 first. middle)
n~fVVlkV G r ~
P ARTN&RSHIP/LIMITED ~A'R T
I. DATE SIGNED
, 1/2'-tICY0
of general partners only)
9. PARTNER'S PRINTED NAME (Lasl, lirsl, middle)
x
PARTNER'S PRINTED NAME (Lasl. flfst. middle)
SIGNATURE
x
PARTNER'S PRINTED NAME (Lasl, firsl, middle)
SIGNATURE
x
CORPORATION
10. PRINTED NAME (Last, lirsl, middle)
I ~GNATURE
TITLE
DATE SIGNED
[ DATE SIGNED
I
D President D Vice President D Chairman of the Board
PRINTED-NA-ME (Lasl, flfSI, middle) ---'--I~GNATURE
I DATE SIGNED
I
TITLE
D Secretary D Asst. Secretary D Chief Financial Officer D Asst. Treasurer
LIMITED LIABILITY COMPANY
11. The limited liability company is member-run
12. NAME OF DESIGNATED MANAGER, MANAGING MEM8ER OR DESIGNATED OFFICER (Lasl.'"sl. middle)
DYes DNo
(If no, complete Item #12 below)
_ I ABC INITIALS/DATE (ABC use only)
~ED
I "" ,,",eo ~- - ~ -- ~
I
13. MEMBER'S PRINTED NAME (Lasl, lirsl, middle)
1fSIGNATURE
SIGNATURE
X
"SIGN ON"
MEMBER'S PRINTED NAME (Lasl, flfsl. middle)
ABC-211-SIG (2/03)
c'-3
ACKNOWLEDGMENT
State of California
County of SANTA CLARA
On P# I
before me LYDIA ENGDOL, NOTARY
,
(here insert name and title of the officer)
personally appeared ?li c at) In 17 s L11'" f\ I L f: 7
personally known to me (or 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 signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
J-----~~-
LYDIA f. Wbl.'
fi Commission # 152958! r..,
Notary Public - Colllornio t
4 Santa Clara Counly t
1 MvComm. ExpIres New 25, 2oo8r
-
S;9naturec{b 1 ;#
(Seal)
~ -t/