10. ABC Sabatini Oak Event CenterCITY QF
OFFICE OF THE CITY MANAGER
C [TY HALL
90300 TORRE AVENUh • CUPERTINO, CA 950143255
TELEPHONE: (408) 77'7-3212 • FAX: (408) 777-336&
CUPERTINO
SUM1V]CARY
AGENDA ITEM NUMBER ~ ~
SUBJECT AND ISSUE
Application for Alcoholic Beverage License.
BACKGROUND
AGENDA DATE ~~.• ! ~ 61 D
Name of Business: Sabatini Oal~: Event Center
Location: 21275 Stevens Creek Boulevard, Suite 510
Type of Business: Restaurant and event center
Type of License: On Sale Beer &Wine----Eating Place (41)
Reason for Application: Original & Annual Fees, State & 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:
o, City Planner
Submitted by:
Davie W. Knapp, City Manager
G: planning/misc/abc Sabatini Oak Event Center
10-1
Department of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) .
AHC 211 (6199)
TO: Department of Alcoholic Beverage Control File Number: 485536
100 Pasco de San Antonio Receipt Number: 1744993
Rm. 119 Geographical Code: 4303
San Jose, CA 95113 ~ Copies Mailed Date: December 23, 2004
{40$)277-1200 Issued Date:
DISTRICT SERVING LOCATION: SAN iOSE
First Owner:
Name of Business:
Location of Business
County:
Is premise inside city limits?
Mailing Address:
(If different from
premises address}
Type of license{s); 41
Transferor's licenselname:
License Type Transaction Type
,
41 ON-SALE BEER AND ORIGINAL FEES
41 ON-SALE BEER AND ANNUAL PEE
41 ON~ALH BEER AND STATE FINGERPRINTS
41 ON-SALE BEER AND FEDERAL FINGERPRINTS
RETAIL ENTERPRISES LLC
SABATINI OAK EVENT CENTER
21275 STEVENS CREEK BLVD
STE 510
CUPERTINO, CA 95014-5719
SANTA CLARA
Ycs
Census Tract 5078.05
14662 STONERIDGE DR
SARATOGA, CA 95070
/ Dropping Partner: Yes No
ee Ma to ~t .R to Fee
NA Y, . _.. 0 12/23/09 $300.00
NA Y. •- 0 ] 2/23109 -' $350.00
NA N 1' ~ 12/23/09 $39A0
NA N 1 i 2/23!09 $24.00
Total $713.00
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; December 23, 2009
Under penalty of perjury, each person whose signattue appears below, certifies and says: (1), He is an applicant, or one of the applicants, or art
executive offlcu of the applicant corporation, named in the foregoing application, duly attthorixed to make this application on its behalf; (2) that
he has read the foregoing and knows the contcn4s thereof and that. each of the above statements therein made are true; (3) chat ao person other
than the applicant or applicants has any direct or indirect interest in the applicant or appiicaut's business to be conducted under the license(s) for
which this application ix made; -(d) that the transfer application or proposed transfer is not made to satisfy the payment of a Eoan or to fiilfill 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
he withdrawn by either the applicant or the licehsee with no resulting liability to the Department.
Applicant Name(s) Applicant Signature(s)
. ,...: _.
RETAII.ENTERPRISESLLC Spe 217 ~a atitre p~tgf
10-2
State of California Department of Alcoholic Beverage Control
APPLICATION SIGNATURE SHEET ("SIGN OlV")
.t. R ttlP P ckone)
• This form is to be used as the signature page for
applications net signed in the District Office. ^Sole thuner ^Partnership-Ltd
• Read instructions on reverse before completing. ^Partnl>.rship ^Corporation
• All signatures must be notarized in accordance E~Married Couple nLimited Llabillty Company
with laws o/the $tmte where signed.
^Domestic Partner ^Other
l UOriginal
^ Exchange
4l On-Sale Beer &
5, APPLICANTS}NAME (Last, teal
Retail Enterprises, LLC
146b2 Stoneridge Dr, Saratoga, CA 95070
uPerson to Person Transfer
^Premise to Premise Transfer
^ Oth r
zip rode)
21275 Stevens Creek Blvd, Ste 510, Cupertino, CA 95014 q~ urC 1(~ ,~ `~
APPLICANT'S CER7/FICATION _-- - _ - ~Q~C~ ~ ~~~
Under penalty of perjury, each person whose signature appears p~>,yment of a loan or to fulfill an ~e~>,~~i@~red into more than
below, certifies and says: (I) lie/She is an applicant, or one of n: aety (90) days preceding the day oiY>rt+ttl~~r
the applicants, or an executive otiicer of the applicant application is filed with the Department, { ~atn or ~""`~~ a
corporation, named in the foregoing application, duly authorized pt•eference to or for any creditor or transferor, or {c) to defraud or
to make this application on its behalf; (2) that he/she has read the injure any creditor or transferor; (5) thatthc transfer application
foregoing and knows the contents thereof and that each of the may he withdrawn by either the applicant or the licenser with no
above staterncnts therein madc are truc; (3) that no parson other resutling liability to the I)epartmenl.
than the applicant or applicants has any direct or indirect interest I understand that if I fait to qualify for the license Dr withdraw
in the applicant ar applicant's business to be conducted under the this application [here will be a service charge ofone-fourth of the
license(s) for which this application is made; (4) that the transfer license fee paid, up to $100.
SOLE OWNER ____ ~ ~'-~ ~~-
- - , X _~_
PARTNERSHtPJt_IMITED PARTNERSHIP {signatures of genera! partrners only}
9. PARTNEA'S PRMTED NAME (Less, NBt, m te) SIGNATURE ~ DATE SIGNED
X
PARTNER'S PRINTED NAME (Leal, tint, mNde) SIGNATURE DgTE SIGNED
x
' X
- -......__ __....._.._._.......-- - ..---. 1..... .__.._..._..- ... ..
CORPORATION
Tli. PRINTED NAME (Last, 1451, mddle) -'~~SIGNATURE ~"~~• ~ ~TE SIGNED
t
^President ^Vlce president ^Chairman of the Board
PRINTED NAME (Last, Frst, mIWAe) .SIGNATURE ' ~OATE SIGNED
...TITLE. _. ... __._..___._. _.. ... ----~ .. .+. X _ .. __ ._... _.. _
^Secretary ~ASSt Secretary ^Chief Finantaal Officer ^Assl, Treasurer
LIMITED LIABILITY COMPANY
11. The limited liability company is member-run ~~Yes ^No (if no, complete Item #12 below)
12. ~kAM1AE t3F DESIGNgTEO MANAGER, AU4'NA~iING MEMBER bR DESiGNAI'ED OFFICER ilast, fxsf, mi'dale) ~ '~~~~~ +~-"'~
13 MEMBER'S PRINTED NAME (Last, last, mktdle) ` (SIGNATUR oaTE SIGNED
Taheri, Shawn i ~~. _ ~D L ~~ e}
MEMBERS PRINTED NAME (Last, 6B1, middle) ~SIGNATUR DATE SIGNED ,l
. x
A9C-211-SIG (2169) "SIGN ON"
10-3
CALIFOlZNIA ALL-PURPO E
CERTIFICATE OF ACKNOWLE T
tale of California /~ `` `
s p '`
County of ~PINC'1k CLP~'R~ 'q~Cp EC 1 ~ ~'''-'<<
h~~~c
a
S~e~~r
Qn 0~~6R- ~ r ?-~°I before me, Hb~~`! last '~.1t3'C~i+t~`{ rt'~u&a~~OS~ ~ ~Ontr°!
(I-]ere insert name and title of the officer)
personally appeared ~'~''~ '~~"~'~
who proved to me on the basis of satisfactory evidence to be the person~I'Jwhose name~'iskre subscribed to
the within instrument and acknowledged to me that he/slteitfxey executed the same in his,~erftkzeir authorized
capacity,~ies~j, and that by hisilzelr signatul-e.(~} on the instrument the person{,8'}', or the entity upon behalf of
which the person(~djacted, 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.
WI SS my hand and official seal.
Signature of Notary Public
. _ r~rlmr w
CgmrtNelont/ taz7a44
Noson- Ihtbrc caktotrtlo
s~ ~-c~
(Notary Seal) ~ MyCt7Rttr1. F]pl'tibQlC ~, Z009
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT'
A~-21{--SIC~
(Title or description of attached document)
(Title or description of attached document continued)
Ntuttber of Pages 2 Document Date ld~~2~
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
^ Individual {s)
^ Corporate Offtt:er
(Titlc)
^ Partner{s}
D Attorney-irrFaet
^ Trustee{s)
Other ~~~~tt
INSTRUCTIONS FOR COMPLE'T'ING THIS FORM
Any acbrowledgment completed in Cal(Jorrrto must conmtn verbiage ezacrly as
appears above in die notary section w' a separate acbrorvledgment form must be
properly completed and attached to that document. 77re only exeeptton is if a
document !s ro be rrcorded outride of California In such rrutanees; aay alrernatlve
ac~Fnow/edgmenr verbiage as may be printed on such a document so long as fhr
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. cerr~ittg the authorized capacity of the signer). Pleas check the
document carefully for proper narartol wording and attach this form if required
• State and County information must be the State and County where the document
signer(s) personally appeazed before the notary public for ackn~wledgment~
+ Date of notarisation must be the date that the signer(s) petsonatiy appeared which
must also be the satr-e date the acknowledgment is completed,
• The notary public must print his o- her name as it appears within his or her
commission followed try a comma and thcn your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
nt)tarlZatlOn.
• Indicate the correct singular or plural forms by crossing aCf incorrect forms (i e.
ha/shdtlaey, is lere) or ciroling the correct forms. Failure Io rorrectly indicate this
information may Lead to re}ection ofdocumcnt rocording.
• Tho notary seal impression must be clear and photographically rcpruducible
Impression must not cover text or lines. If seal impression smudges, re-seal if a
sufficient area permits, otherwise complete a ditrerent acknowledgment form-
• Signature of the rotary public must match the signatsue on file with the office of
the county clerk.
4 Additional information is not required but could help u- ensure this
acknowlcdgment is not misused or attached to a dit'ferent document,
Indicatc title or type of attached document, number of pages and date.
•~ Indicate the capacity claimed by the signer. if the claimed capacity is a
corporate ofI"icer, indicate the title (i.e. CEO, CFO, Secretary).
+ Sccureiy attach this doctument to the signed document
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