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Department of Alcoholic Beverage Control State of California APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) ABC 211(6/991 TO:Department of Alcoholic Beverage Control File Number: 593446 31 E CHANNEL ST Receipt Number: 2497003 ROOM 168 Geographical Code: 3905 STOCKTON, CA 95202 Copies Mailed Date: ApA130,2018 (209)948-7739 Issued Date: RECEIVED DISTRICT SERVING LOCATION: STOCKTON K First Owner: KHINDA,MANDEEP SINGH--Dj923-7-b33 MAY 0 2 208 Name of Business: LAKESIDE MARKET ENVIRON Location of Business: 2233 GRAND CANAL BLVD PERMIT SFRLCFEAALTH STE 201 STOCKTON, CA 95207-8117 County: SAN JOAQUIN Is Premise inside city limits? Yes Census Tract 0031.13 Mailing Address: (If different from premises address) r-p>q 5a-6c6( _ Type of license(s): 21 I �P Transferor's license/name: 485555 / MEHROK, KARNAIL Dropping Partner: Yes VNo_ License Tyne Transaction Tyne Fee Tyoe Master Dun Date Fee 21-Off-Sale General DROPPING PARTNER NA Y 0 04/30/18 $50.00 Total $50.00 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 SAN JOAQUIN Date: April 30, 2018 Under penalty of perjury,each person whose signature appears below,certifies and says:(1) tie 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 tore;(3) that no person other than the appl icant 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 fullill 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. Effective July 1.2012,Revenue and Taxation Code Section 7057,authorizes the State Board of Equalization and the Franchise Tax Board to share taxpayer information with Department of Alcoholic Beverage Control.The Department may suspend,revoke,and refuse to issue a license if the licensees s name appears in the 500 largest tax delinquencies list.(Business and Professions Code Section 494.5.) Applicant Name(s) Applicant Signature(s) See 211 Signature Page KHINDA,MANDEEP SINGH