HomeMy WebLinkAboutAlcoholic Beverage Control - Wodhaven Country ClubDepartment of Alcoholic Beverage Control
.r• . • BEVERAGE L.ICEN('
APPLICATION FOR ALCOHOLIC
TO: Department of Alcoholic Beverage Control,
42-700 Bob Hope Drive.
Suite 317
Rancho Mirage, CA 92270
(760) 568-0990
DISTRICT SERVING LOCATION RANCHO MIRAGE
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): 47
Transferor's
license/name:.
- State of California
File Number "421732
Receipt Number; 1498402
Geographical Code: - 3318
Copies Mailed Datei 12 — 2 7 — 0 4
Issued Date:
WOODHAVEN FOOD& BEVERAGI t
41-555 WOODHAVEN .DR EAST
PALM DESERT, CA 92211
RIVERSIDE
Yes
Census Tract 0449 1.4
�.._ .
3991 MACARTHIJR_BLVD.350 x.
CIO MICHAEL C CHO
NEWPORT BEACH, CA 92660
153254 / WOODHAVEN CC Dro ping Partner: Yes
> p
License Type Transaction Type fee Type
47 ON -SALE GENERAL 1 PERSON TO PERSONS TTRANSF P40 w„
47 ON -SALE GENERAL I ANNUAL FEE P40
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,
D t rt ning to the Act? No
aMumDiL
0
pate
12/23/04
12/23/04
P� cc
XX
al
$1,250.00
$758.00
epartmen pe ai
Explain any "Yes" answer to the above, questions on an attachment which shall be deemed part of this application.
«ems"»
Applicant a • rees (a) that an mana er employed in
g
y gan on sale licensed premise w111 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.
ate. December 2, 2004
STATE OF CALIFORNIA County o RIB i � - w in
Under penalty of perjury, each personwhose signature appea`r"s"below, certifies and says: (1) lie -is an applicant orone of eits behalf; (2)r that
executive officer of the applicant corporation, named in _the foregoing application, duly authorized to mane this application on
he has read the foregoing and knows the contents thereof and that each of the above stattementsytherein made are true; (3) that no person other
than the applicant or applicants has any direct or indirect interest in the applicant or applicant rbusiness` to be conducted under the licenses) for
which this application is made; (4) that the transfer application or proposed transfer isnot made to satisfy
filedthe
paadymmeIIntth eoDeparta' 10 nenr or fufulfill
an r
agreement entered into more than, ninety (90) days preceding the day on which the transfer app
iiiiiiiii establish a preference to or for any creditor or ttattsferor or to defraud or injure any creditor of r transferor; (5) that the transfer application m•
ay
be withdrawn by either the applicant or the licensee with no resulting liability to the Department.
��= Applicant Signature(s)
Applicant Name(s)
WOODHAVEN FOOD & BEVERAGE INC
See 211 ` Si mime 'Pa
State of California APPLICATION SIGNATURE SHEET ("SIGN ON" I
1. OWNERSHIP TYPE (Check one)
❑ Sole Owner ® Corporation
❑ Partnership 0 Limited Liability Company
❑ Partnership -Ltd ❑ Other
4. TRANSACTION TYPE
❑ Original ® Person to Person Transfer
❑ Exchange 0 Premise to Premise Transfer
0 Other
• This form is to be used as the signature page for
applications not signed in the District Office.
• Read instructions on reverse before completing.
• All signatures must be notarized in accordance with
laws of the State where signed.
2. FILE NUMBER (if any)
421732
3. LICENSE TYPE
47
Department of Alcoholic Beverage Control
5. APPLICANT(S) NAME
WOODHAVEN FOOD & BEVERAGE, INC.
6. APPUCANTS MAILING ADDRESS (Street address/P.O. box, city, state. ziP code)
c/o Michael Cho,.3991 MacArthur Blvd., Suite 350, Newport Beach, CA 92660
7. PREMISES ADDRESS (Street address, city, zip code)
41-555 Woodhaven Drive East Palm Desert. CA 92211
APPLICANT'S
Under penalty of perjury, cach person whose signature appcars below, certifies
and says: (1) He/Shc is an applicant, or one of thc applicants, or an executive
officer of thc applicant corporation, named in the foregoing application, duly
authorized to make this application on its behalf; (2) that he/she has read the
foregoing and knows the contents thereof and that each of the above statements
therein madc arc true; (3) that no person other than the.applicant or applicants
has any direct or indircct interest in the applicant of 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 madc to (a) satisfy thc
SOLE OWNER
CERTIFICATION
payment of a loan or to fulfill an agreement entered into morc than ninety
(90) days proceeding the day on which the transfcr application is filed with
thc Department, (b).to gain or establish a preference to or for any creditor or
transferor, or (c) to defraud or injure any creditor or transferor, (5) that the
transfcr application resulting liability to the Department.
I understand that if I fail to qualify for the license or withdraw this
application there will be a service charge of one-fourth of the license fcc
paid, up to $ 100.
6. PRINTED NAME (Last, first, middle)
N/A
PARTNERSHIP/LIMITED PARTNERSHIP (Signatures of general partners only)
SIGNATURE
X
9. PARTNER'S PRINTED NAME (Last, first. middle)
N/A
PARTNER'S PRINTED NAME (Last. first, middle)
SIGNATURE
X
DATE SIGNED
DATE SIGNED
DATE SIGNED
DATE SIGNED
SIGNATURE
X
PARTNER'S PRINTED NAME (Last. first, middle)
SIGNATURE
X
CORPORATION
10. PRINTED NAME (Last, first, middle)
WARDWELL, Christopher G.
TITLE
p President 0 Vice President
❑ Chairman of the Board
PRINTED NAME (Last, first middle)
WARDWELL, Christopher G.
TITLE
m Secretary ❑ Asst. Secretary
SIGNATUX
0 Chief Financial Officer 0 Asst. Treasurer
SIGNAT `/`� DATE SIGNED
X 11/6/04
9
DATE SIGNED
11/6/04
LIMITED LIABILITY COMPANY
11. The limited liability company is member -run
0 Yes all No (if no, complete Item #12 below)
12. NAME OF DESIGNATED MANAGER, MANAGING MEMBER OR
N/A
DESIGNATED OFFICER (Last. first, middle)
ABC INITIALSIDATE (ABC use only)
13. MEMBER'S PRINTED NAME (Last, first, middle)
SIGNATURE
X
DATE SIGNED
MEMBER'S PRINTED NAME (Last. first, middle)
SIGNATURE
X
DATE SIGNED
ABC-211 -SIG (9/01)
"SIGN ON"
State of
County of 4"s .‘cie-
Co,,)... ;A,b (Al arox( before me. 4�.'a�.a, �. M . re-1, I NeAtitn
On
personally appeared
- personally known
t
wvM.TmsCIPOPI ER•Ea.1+rsoaErwrawv' auc
tG rrS-�c+QRSV` g • Yj c lacy t
rw slGss fsl
tome - OR proved to me orz the basis of salfsfactory evidence
to be theperson(s)-whose name(s) is/aFe
subscribed to the within instrument and ac-
knowledged to me that helsley executed
the same in his it authorized
capacity(4es), and that by. ?Ihl.e tthei r
signatures on the instrument the person(a),
or the entity upon behalf of which the
person(,a acted, executed the instrument.
WITNESS my hand and official seal.
OPTIONAL
•
TTlougir the data tre4ow is not required by
law, it may prove valuable to persons ruing onto document and could prevent
rauCuient reauarxlment of this fors
CAPACITY CLAIMEI BOY SIGNER
- INDIVIDUAL
C: RPORATE OFFICER •
_ PA , N EF(S)
rmFsst
CuMn
GEVVE:;AL
a—CRNE -;N-F:AC'T
- ='l:STE=S)
_SLAPCIANICCNSE VATCR
SIGNER IS REP ESE1VTMNG-
=SFISCrrss CM eKrTr'rnE51
OESCAIPT1O14OFATTACHED DOCUMENT
TRLE OA TYPE OF DOCUMENT
NUMBER OF PAGES
DATE CF OCC JMENT
SIGNERS) OTHER THAN NAMED ABOVE
31993 NAT=CNAL NCTA;RY ASSCC.ATTCN • 9236 Rename Ava.. P.O. Sax 7184 • Canoga Pang. G 91309- 184
TO:
FROM:
DATE:
SUBJECT:
CITY OF PALM DESERT
COMMUNITY SERVICES DIVISION
CITY CLERK OPERATIONS
INTEROFFICE MEMORANDUM
BUSINES-8—LTC-ENSING, DIRECTOR OF BUILDING & SAFETY,
DIRECTOR OF COMMUNITY DEVELOPMENT,
DIRECTOR OF PUBLIC WORKS, COVE COMMUNITIES FIRE MARSHAL,
PALM DESERT POLICE DEPARTMENT
RACHELLE D. KLASSEN, CITY CLERK Q'`''
DECEMBER 30, 2004
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Woodhaven` Court' u; 4 -Z"ood " avenDrive East, Palm 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 Monday,
January 10, 2005. No response by this date will be considered a "No Comment"
Responding Department: 3VSWESS LICENSE
Response:
No comment - okay to present to City Council.
Date: I z-I 30/ DS
0 Refer to — related comments
(attach additional sheets, if necessary):
Er".
Other — Additional comments (attach additional sheets, if necessary):
No guS146r.0 Lt cStfSE Pole CATikitc Diet J l PeAcE Ft LED
Inl t 714 C_r. '.
CITY OF PALM DESERT
COMMUNITY SERVICES DIVISION
CITY CLERK OPERATIONS
INTEROFFICE MEMORANDUM
TO: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY,
DIRECTOR OF COMMUNITY DEVELOPMENT,
DIRECTOR OF PUBLIC WORK, COVE COMMUNITIES FIRE MARSHAL,
PALM DESERT POLICE DEPARTMENT
FROM: RACHELLE D. KLASSEN, CITY CLERK
DATE: DECEMBER 30, 2004
SUBJECT: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Woodhaven Country Club, 41-555 Woodhaven Drive East, Palm 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 Monday,
January '(0, 2a. No response by this date will be considered a "No Comment."
Responding Department: PO BL% (- Cove Date: i / 4' /o3
Response:
. Y No comment - okay to present to City Council.
❑ Refer to — related comments
(attach additional sheets, if necessary):
O Other — Additional comments (attach additional sheets, if necessary):