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Home My WebLink AboutAlcoholic Beverage Control - California Pizza Kitchenf'1) C C- Del lrtmeilt of Alcoholic Beverage Control State of California APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE( ABC 211 (6/99) TO: Department of Alcoholic Beverage Control File Number: y 420457 .- 42-700 Bob Hope Drive Receipt Number: 1494134 Suite 3Geographical Code: . 3318„ .11 Copies Mailed Date: November 17 2004 Rancho Mirage, CA 92270 Issued Date: (760) 568-0990 DISTRICT SERVING LOCATION: RANT MIRAGE DELAWARE CPK INC First Owner: Name of Business: CALIFORNIA_PIZZA KITCHEN INC Location of Business: 73080 EL PASEO_ STEw8.. ,,-,_............._._..............,.:,..,...-...._-.... ,,.,.. PALM DESERT, CA 92260 County: RIVERSIDE :z•," t:,> �hz:.;�" Is premise inside city limits? Census Tract 0451,06 Mailing Address: 6053 W CENTURY,BLVD'IITH FLOOR (If different from LOS ANGELES, CA 90045-6442 premises address) Type of license(s): 47 Transferor's license/name: - 267150 / CALIFORNIA PIZ2 Dropping Partner: Yes License TVDe Transaction Tyne_ Fee TvDe Master Dun to Fee _. :... 47 ON -SALE GENERAL I 'PERSONTOPERSON'TRANSF P40 Y 0 11/12/04 $1,250.00 47 ON -SALE GENERAL I ANNUALFEE _ P 40 . - _ Y 0 1 1 / 12 / 0 4 $758.00 .,1 ERM-LTotal $2,108 47 ON -SALE GENERAL I „STOCK TRANSFER_MULTIPLE P 4 0_ Y 0 1/ 12 % 0 4 .00 Have you ever been convicted of a felony? . N o ....N ... �. ulations of the Have you ever, violated, Act, provisions of the Alcoholic Beverage Control or re g 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 ,Bev rage Control Act. _ STATE OF CALIFORNIA Cof RIVERSIDE acant, o vein of the applicants, or an He is an a ' Under penalty of perjury, each ounty person whose signature appears below, certifies and says: (1) applicant, executive officer of the applicant corporation, named in the foregoing application, duly authorized to make_ this „application on its, behalf; (2) that PP rP g g PP Y he has read the foregoing and knows the contents thereof and thatµ each of the above statements, therein made are true; (3) that no person other than the applicant or applicants has any direct orindirect 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 1.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 wiih the,Department -or to gain or YapplicantY defraud or injure ycreditor d....._ ,...........,...ns . _._.._._ _ may be awithdrawnreby a therothe or r rorithe licen eefewith nose ulting liabilit Teto nheDeactiitentransferor; (5)Signature(s)�at the rtransfer application Applicant Name(s) Applicant DELAWARE CPK_INC . i b� R State of California Department of Alcoholic Beverage Control APPLICATION SIGNAT URE SHEET ("SIGN ON") • This form is to be used as the signature page for 1• OWNERSHIPTYPE (Check me) applications not signed in the District Office. ❑ Sole Owner Q✓ Corporation • Read instructions on reverse before completing. Q Partnership Q Limited Liability Company • All signatures must be notarized in accordance with ❑ Husband & Wife ❑ Other laws of the State where signed. ❑ Partnership -Ltd 2. FILE NUMBER (it any) 3. LICENSE TYPE 4. TRANSACTION TYPE ❑ Original Z Person to Person Transfer Master #41-181756 47 ❑ Exchange Q Premise to Premise Transfer ❑ Other _ 5. APPLICANT(S) NAME (Last, first, middle) Delaware CPK, Inc. (a/k/a California Pizza Kitchen, Inc.) 6. APPLICANT'S MAILING ADDRESS (Street address(P.O. b. city, state, zip code) 6053 W. Century Blvd., 1 Ith Floor, Los Angeles, CA 90045 7. PREMISES ADDRESS (Street address, city, zip coda) 73-080 El Paseo, Suite 8, Palm Desert, CA 92260 APPLICANT'S CERTIFICATION ,Ir Under penalty of perjury, each person whose signature appears payment of a loan or to fulfill an agreement entered into more than below, certifies and says: (1) He/She is an applicant, or one of ninety (90) days preceding the day on which the transfer the applicants, or an executive officer of the applicant application is filed with the Department (b) to ain or establish a corporation, named in the foregoing ap lication, duly authorized preference to or for any creditor or transferor, or f , to defraud or to make this application on its behalf; _ ) that he/she has read injure any creditor or transferor; (5) that the transfer application the foregoing and knows the contents thereof and, that each of the may be withdrawn by either the applicant or the licensee with no above statements therein made are true; (3) that no person other resulting liability to the Department. than the applicant or applicants has any direct or indirect interest I understand that if I fail to qualify for the license or withdraw this in the applicant or applicant's business to be conducted under the application there will be a service charge of one-fourth of the licensee for which this application is made; (4 that the transfer license fee paid, up to S100. application or proposed transfer i not made to �a) satisfy the SOLE OWNER S. PRINTED NAME (Last, first, middle) SIGNATURE I DATE SIGNED IX 1 PARTNERSHIP/LIMITED PARTNERSHIP (Signatures of general partners only) 9. PARTNER'S PRINTED NAME (Last, first. middle) SIGNATURE DATE SIGNED X PARTNER'S PRINTED NAME (Last, first, middle) SIGNATURE DATE SIGNED X PARTNER'S PRINTED NAME (Last, first, middle) SIGNATURE { DATE SIGNED r•4 CORPORATION 10. PRINTED NAME (Last, first, middle) SIGNATURE IGN Collyns, Susan M. I y � �• _ Joe 17 2004 TITLE � p p ❑ President Q Vice President Q Chairman of the Board .f t�.fit d7� tx PRINTED NAME (Last fast, middle) SIG TURE SIGNED Collyns, Susan M.IX I Ind 13 2004 TITLE ��• ✓Q Secretary ❑ Asst. Secretary ❑ Chief Financial Officer�sst.asurer ,e�,G 9�ti LIMITED LIABILITY COMPANY 11. The limited liability company is member -run ❑ Yes ❑ No (If no, complete Item #12 below) 12. NAME OF DESIGNATED MANAGER, MANAGING MEMBER OR DESIGNATED OFFICER (Last, first, middle) ABC INITIALS/DATE (ABC use wMy) 13. MEMBER'S PRINTED NAME (Last, first, middle) SIGNATURE DATE SIGNED X MEMBER'S PRINTED NAME (Last, first, middle) I SIGNATURE DAVSIGNEty X ABC-211-SIG (2/03) "SIGN ON" CITY OF PALM DESERT COMMUNITY SERVICES DIVISION CITY CLERK OPERATIONS INTEROFFICE MEMORANDUM TO: aUSINESS -LICENS'INGM, DIRECTOR OF BUILDING & SAFETY, TA`_-ECTOR OF COMMUNITY DEVELOPMENT, DIRECTOR OF PUBLIC WORKS, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT FROM: RACHELLE D. KLASSEN, CITY CLERK DATE: NOVEMBER 22, 2004 SUBJECT: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY Californiaitc!16071 aseY,7S";r`uTie'8_.-P_ blfff DgKoft. _ .lifornia Pizza A copy of the subject ABC License is attached for your review and recommendation to the City Council for receiving and filing or to one of the other named departments for further. action. Please mark the appropriate response below and return to me by Wednesday. epember 1. 2004. No response by this date will be considered a "No Comment" Responding Department: TAJSW:GS "C_CAJ9& Date: OW. D-OC4— Response: M-_� No comment - okay to present to City Council. 7 Refer to — related comments (attach additional sheets, if necessary): 1771 Other —Additional comments (attach additional sheets, if necessary): C 1VED CIS' Y CD i:RK S pFFIC€ITY OF PALM DESERT PA01 D ESERTt CA 2 DEC i�CRMMUNITYSERVICES DIVISION CITY CLERK OPERATIONS RECEIVED INTEROFFICE MEMORANDUM !, �1 ° ; ? ��i COMMUNITY DEVELOPMENT DEPARTMENT TO: BUSINESS LICENSING, DIRECTOR OF BUILDING &ITY19AFL:;JT D,I„R E_C_T_O R..__. O F ...�.,.C.O M M U N_l.T-Y._____D E_%E t O P M E.N..T , DIRECTOR OF PUBLIC WORKS, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT FROM: RACHELLE D. KLASSEN, CITY CLERK DATE: NOVEMBER 22, 2004 SUBJECT: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY California zza Wtchen, nc - aseo. u ti e . a m Desert A copy of the subject ABC License is attached for your review and recommendation to the City Council for receiving and filing or to one of the other named departments for further action. Please mark the appropriate response below and return to me by Wednesday. ," De (n�er T. 2004 rNo response by this date will be considered a "No Comment." Responding Department: L A &- - L■L Response: XNo comment - okay to present to City Council. Refer to (attach additional sheets, if necessary): Date: JJ " 3 zo — related comments 0 Other —Additional comments (attach additional sheets, if necessary): CITY OF PALM DESERT COMMUNITY SERVICES DIVISION CITY CLERK OPERATIONS INTEROFFICE MEMORANDUM TO: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY, DIRECTOR OF COMMUNITY DEVELOPMENT, DI.RE,CT,ORtO.F.PUBLIC WORK; COVE COMMUNITIES FIRE MARSHAL, PALM DESERT POLICE DEPARTMENT FROM: RACHELLE D. KLASSEN, CITY CLERK /l DATE: NOVEMBER 22, 2004 SUBJECT: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY . Califom'ra Pizza Kitch n. Inc.. 3-b aseo. ui eMi3_ Palrff-,Desert�, A copy of the subject ABC License is attached for your review and recommendation to the City Council for receiving and filing or to one of the other named departments for further action. Please mark the appropriate response below and return to me by Wednesday. Defnbr 11:604. No response by this date will be considered a "No Comment." Responding Department: fU uc- w 2�21cs Resaonse: No comment - okay to present to City Council. ❑ri Refer to (attach additional sheets, if necessary): Date: - related comments El Other - Additional comments (attach additional sheets, if necessary):