Laserfiche WebLink
Department of Alcoholic Beverage Control State of California <br /> APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) <br /> Q ABC 211(6/99) <br /> J , <br /> o L�(�rtment of Alcoholic Beverage Control Flle Number: 587320 <br /> 3f e CHANNEL ST Receipt Number. 2457445 <br /> M 168Geographical Code: 39 3 <br /> �Sj O pi0 <br /> � pe, CKTON,CA 95202 Copies Mailed Date: September 28,2017 <br /> 9)948-7739 Issued Date: <br /> DI RICT SERVING LOCATION: STOCKTON <br /> First Owner: 7 ELEVEN INC <br /> Name of Business: 7 ELEVEN#39858A <br /> Location of Business: 2115 W YOSEMITE AVE <br /> MANTECA, CA 95337-9605 <br /> County: SAN JOAQUIN <br /> Is Premise inside city limits? Yes Census Tract 0051.19 <br /> Mailing Address: PO BOX 219088 <br /> (If different from DALLAS,TX 75221-9088 <br /> premises address) <br /> Type of license(s): 20 <br /> Transferor's license/name: 576240 / CAGASOLINE,INC. Dropping Partner: Yes No <br /> License Tvoe Transaction Type Fee Type Master Dun Date Fee <br /> 20-Off-Sale Beer And Win ANNUALFEE NA Y 0 09/28/17 $254.00 <br /> 20-Off-Sale Beer And Win PERSON-TO-PERSON TRANSFER NA Y 0 09/28/17 $50.00 <br /> NA ISSUE TEMPORARY PERMIT NA N 1 09/28/17 $100.00 <br /> Total $404.00 <br /> Have you ever been convicted of a felony? No <br /> Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the <br /> Department pertaining to the Act? No <br /> Explain any"Yes"answer to the above questions on an attachment which shall be deemed part of this application. <br /> Applicant agrees(a)that any manager employed in an on-sale licensed premises will have all the qualifications <br /> of a licensee,and(b)that he will not violate or cause or permit to be violated any of the provisions of the <br /> Alcoholic Beverage Control Act. <br /> STATE OF CALIFORNIA County of SAN JOAQUIN Date: September 28,2017 <br /> Under penalty of perjury,each person whose signature appears below,certifies and says:(l) He is an applicant,or one of the applicants,or an executive <br /> 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 <br /> 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 <br /> applicants has any direct or indirect interest in the applicant or applicants business to be conducted under the license(s)for which this application is made; <br /> (4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfillan agreement entered into more than ninety <br /> (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 <br /> transferor or to defraud or injure any creditor of transferor,(5) that the transfer application may be withdrawn by dither the applicant or the licensee with <br /> no resulting liability to the Department. <br /> Effective July 1,2012,Revenue and Taxation Code Section 7057,authorizes the State Board of Equalization and the Franchise Tax Board to <br /> share taxpayer information with Department of Alcoholic Beverage Control.The Department may suspend,revoke,and refuse to issue a license <br /> if the licenseeZs name appears in the 500 largest lax delinquencies list.(Business and Professions Code Section 494.5.) <br /> Applicant Name(s) Applicant Signature(s) <br /> See 211 Signature Page <br /> 7 ELEVEN INC <br /> CAGASOLINE,INC. <br />