9b. Pizza Hut ABCCity Ha11
10300 Torre Avenue
Cupertino, California 95014
Phone (408) 777-3312
Fax (408) 777-3366
OFFICE OF THE CTI`Y MANAGER
SUMMARY
AGENDA ITEM NUMBER I
SUBJECT AND ISSUE
Application for Alcoholic Beverage License.
BACKGROUND
1. Name of Business:
Location:
Type of Business:
Type of License:
Reason for Application:
RECOMMENDATION
AGENDA DATE April 15, 2008
Gelt Holdings, Inc. {Pizza Hut)
20770 Stevens Creek Boulevard
Restaurant
On-Sale Beer and Wine -Eating Place (41)
Stock Transfer
There are no use permit restrictions or zoning restrictions which would prohibit this use, and staffhas no
objection to the issuance of the license.
Prepared by:
Cam/
Ciddy Word 1, City Planner
Submitted by:
David W. Knapp, City Manager
9b-1
Drinfa./ nn Dn.n.rlo.f Dono.
Department of Alcoholic Beverage Control State of California
APPLICATION TOR ALCOHOLIC BEVERAGE LICENSE(S)
AI3C 211 (G/99)
TO: Department of Alcoholic Beverage Control File Number: 334653
100 Paseo de San Antonio Receipt Number: 1655972
Rm. 119 Geographical Code: 4303
San Jose, CA 95113 Copies Mailed Date: March .25, 2008
(408)277-1200 Issued Date:
DISTRICT SERVING LOCATION: SAN .IO5E
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
GELT IiOLDINGS INC
PIZZA HIJT
20770 STEVENS CREEK BLVD
CUPERTINO, CA 95014
SANTA CLARA
Census Tract 5077.01
220 PORTER DR
STE 100
SAN RAMON, CA 94583-920b
Transferor's license/name: 334653 /GELT >FIOLDINGS Dropping Partner:. Yes
License Type Transaction Type Fee Type Master Dun Date
No
E~
4l ON-SALE BEER AND STOCK TRANSFER MULTIPLE NA Y 0 0 3 / 1 8 / 0 8 $ ] 00.00
Total $]00.00
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 nn attachroeut 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: March 25, 2008
Under penalty of perjury, ench person whose signature appears below, certifies and says: (1) He is an applicant, or one of the applicants, or un
executive officer of the applicant corporation, named in the foregoing application, duly nuthorized to make this application on its behalf; (2) that
he has read the foregoing and knows the contents thereof and that ench of the above awtements 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) Uiat 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 nppiication is filed with the Department or to gain or
establish a pmference to or for any creditor or transferor or to defrnud or injure any creditor of transferor, (5) Utat the transfer application may
be withdrawn by either the applicant or the licensee wish no resulting liability to Ute Department.
Applicant Name(s) Applicant Signature(s)
GELT HOLDWGS INC See 211 Sig atLre Page
9b-2
~6tate of CaUfomia
APPLICATION SIGNATURE SHEET ("SIGN ON") D~'~~tofAlcohaticBeverageCorrtro-
- I Tirs corm >s to ae used as the signature page for
applications nat signed in the Disfict pffice.
• Readfnstructions on reverse before completing
- All signatures mast be notarized fn accordance with
laws of the State where signed
~„~.,....e~.d__..
.. ...~ ....... . ,• qpl
5. ~~%At'DtS) NAME (L ssL prat,
Gelt Holdings Inc
3 LICENSE TYPE
41
s. APPtiGANrB MAiLtNG ADDRESS ts~ addresslP.o. brat, my, staa, zip oode)
Sole Owner Q Corporation
Partnership ^ Litntted Liability Company
^ Husband & Wife ^ Other
^ Partnerships-Ltd
4. TRANSACTION TYPE
Original ^ Person to Person Transfer
^ Exchange ^ Premise to premise Transfer
Other 2407I.I
220 Porter Dr., Ste. 100, San Ramon CA 94583
T. PREMISES ADDRESS (Sbaet adrl+ass, may. ~ ~)
5475 Snell Rd, San Joss CA 95123 (Base file) See attached list for oilier ~ locations.
APPLICANT'S CERTIFICA7"/ON
Under al of perjury ~pe~so 'gitature appears payment of a loan or to fulfill an
below, cethfies anti says: ()) N~e/Sbc is an appli~nt, or one of nine 90 da ~mem entered into more than
the applicants, or an ex ve officer of the a licant ~ ( ) ~ P~edh- the day on wthich the transfer
eorpotation, Wanted i6 the foregoing ap licatioq duly authorized ~~~~° to ~l~r ~ih tCia Dr ro~hBns~feioi for~C)~to d fraud oh a
to make this application on its behalt~that he/she has read tiilure atty cirditor or transferor (S) that the tn3ttsfer application
the foregoing and lows the contents f and that each of the may be withdrawn by either the applicant Or the licensee with no
above statements therein made are ttue• 3 that Ito
() person other resulting tiabilt'ty to the Department.
than the ap~litsiitt or applicants has any direct or indirect intei+est I understand that if I fail fo qualify for the license or withdraw this
in the applicant or app]tc~tit's business to be conducted under the application there will be a service cfiarge ofone-fourth of the
license(s) for which this application is made; (4 that the transfer license fee paid, up to $100.
aPPIicatton or proposed transfer is not made to ~a) satisfy the
SOLE OWNER
& PRINTED NAME (l,att, brat, mfems) SIGNATURE
I DATE SIGNED
X li
PARTNERSHIP/LIMITED PARTNERSHIP {Signatures of general partners only.)
0. PARTNER'S PRINTED NAME (Last, first, mlAdls) SIGNATURE
vv r •- 'DATE SIGNED
PAftri~RS PRINTED NAME (Last rVsl nddraa A -
) SIGNATURE DATE SIGNED
X C ~'i (:,w 0
PAtZTNEBS PRiNIED NAME (Last, rfis;, mldde) ~ \ •-
SIGNA7URE DATE SIGNED
X -: ,,-:. .~~
CORPORATION F.,~ ~.; ',; ~~~
10. PRMrrED NAME (Last, first, m3daa) y ``` ~ ~-' --.
SIGItlP~ ~~ ~ DATE SIGNED `
BROOKS, Bradford ,r- `/
nrLE ~
./] President ^ Vice President Chairman of the
NAME (Last. Taut, Isidae) ~5lG,w~'rl~E~~
~~S ~.t-ri~.~,.ra 5~
7TTLE
LIMITED LIABILITY COMPANY
11. The Limited liabi>ny company is memtTer--run
12 NAME of DESIGNATED MANAGER, tAANAGING MEMBER OR
t3 MEMBER'S PRINTED NAME tit ~ mitltfa)
SIGNED
1
G/.~'
^ Yes ^No (Lf rTO, complete ttem #12 below)
CER (Last, Trsl, raWdle) ABC INITtAI,SIDATE (A8C uss aMyJ
X
MEMBERS PRINTED NAi~ Ms4 ~ nidme) SIGNATURE
X
ABC-211-StG 03) "SIGN ON"
.,
~~ ~ ~" ..
^ Secretary ^Asst. Secretary ~ ChiefFinancial O~oer ^Asst. Treasurer
DATE SIGNED
SharortTJenkitts ~~
AAy Commiasbn Ei~irea
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