Get CA ABC-243 2011-2023

The provisions of sections 23405 and 23405. 3 of the Business and Professions Code are hereby acknowledged and it is understood that changes within the corporation and/or entities holding interest in the corporation will be reported to the Department as required. SIGNATURE FOR THE CORPORATION ABC-243 rev. 01-11 DATE SIGNED LIST ALL STOCK CERTIFICATES Continued from other side. Department of Alcoholic Beverage Control State of California Edmund G* Brown Jr. Governor CORPORATE QUESTIONNAIRE Instructions Complete all items. One officer must sign for the corporation* Item 16 - List Certificates chronologically including active canceled and pending issuance. If stock is pledged include date number of shares and from whom to whom* 1. NAME OF CORPORATION 2. ABC LICENSE NUMBER 3. PREMISES ADDRESS 4. TELEPHONE NUMBER 5. ATTORNEY S NAME 6. ATTORNEY S TELEPHONE NUMBER 7. ATTORNEY S ADDRESS 8. NAME OF BANK Corporate account 9. ACCOUNT NUMBER 10. ADDRESS OF CORPORATE BANK ACCOUNT 11. PERSONS AUTHORIZED TO SIGN ON BANK ACCOUNT Print 12. INCORPORATION DATE 13. STATE OF INCORPORATION 14. SECRETARY OF STATE FILE NUMBER 15. OFFICERS AND DIRECTORS TITLE NAME ADDRESS 16. LIST ALL STOCK CERTIFICATES PERCENTAGE OF CERTIFICATE NUMBER OUTSTANDING DATE OF SHARES SHARES OF STOCK ISSUED CANCELED TO WHOM ISSUED Continued on reverse I hereby certify the above are the present officers directors and/or stockholders and that each such officer director and stockholder is the real party in interest with respect to his/her position and is not acting directly or indirectly as an agent employee or representative of any other person not reported to the Department. Department of Alcoholic Beverage Control State of California Edmund G* Brown Jr. Governor CORPORATE QUESTIONNAIRE Instructions Complete all items. One officer must sign for the corporation* Item 16 - List Certificates chronologically including active canceled and pending issuance. One officer must sign for the corporation* Item 16 - List Certificates chronologically including active canceled and pending issuance. If stock is pledged include date number of shares and from whom to whom* 1. NAME OF CORPORATION 2. ABC LICENSE NUMBER 3. If stock is pledged include date number of shares and from whom to whom* 1. NAME OF CORPORATION 2. ABC LICENSE NUMBER 3. PREMISES ADDRESS 4. TELEPHONE NUMBER 5. ATTORNEY S NAME 6. ATTORNEY S TELEPHONE NUMBER 7. ATTORNEY S ADDRESS 8. PREMISES ADDRESS 4. TELEPHONE NUMBER 5. ATTORNEY S NAME 6. ATTORNEY S TELEPHONE NUMBER 7. ATTORNEY S ADDRESS 8. NAME OF BANK Corporate account 9. ACCOUNT NUMBER 10. ADDRESS OF CORPORATE BANK ACCOUNT 11. PERSONS AUTHORIZED TO SIGN ON BANK ACCOUNT Print 12. NAME OF BANK Corporate account 9. ACCOUNT NUMBER 10. ADDRESS OF CORPORATE BANK ACCOUNT 11. PERSONS AUTHORIZED TO SIGN ON BANK ACCOUNT Print 12. INCORPORATION DATE 13. STATE OF INCORPORATION 14. SECRETARY OF STATE FILE NUMBER 15. OFFICERS AND DIRECTORS TITLE NAME ADDRESS 16. INCORPORATION DATE 13. STATE OF INCORPORATION 14. SECRETARY OF STATE FILE NUMBER 15. OFFICERS AND DIRECTORS TITLE NAME ADDRESS 16. LIST ALL STOCK CERTIFICATES PERCENTAGE OF CERTIFICATE NUMBER OUTSTANDING DATE OF SHARES SHARES OF STOCK ISSUED CANCELED TO WHOM ISSUED Continued on reverse I hereby certify the above are the present officers directors and/or stockholders and that each such officer director and stockholder is the real party in interest with respect to his/her position and is not acting directly or indirectly as an agent employee or representative of any other person not reported to the Department. .