Department Seal.

California Department of Alcoholic Beverage Control
License Query System Summary
as of 4/15/2014

License Information
License Number: 524221
Primary Owner: EVERGREEN PARK HOSPITALITY GROUP LLC
ABC Office of Application: 24 - SAN FRANCISCO
Business Name
. . . No Active DBA found . . .
Business Address
Address: 1090 EL CAMINO REAL      Census Tract: 6125.00
City: MENLO PARK     County: SAN MATEO
State: CA     Zip Code: 94025
Licensee Information
Licensee: EVERGREEN PARK HOSPITALITY GROUP LLC
     Company Information
           Officer: VAN NATTA, OWEN THOMAS (MANAGER)
           Stock Holder: OWEN AND JENNIFER VAN NATTA, TRUSTEE OF THE ROCK TRUST U/D/T DTD 7/6/06
License Types
   1) License Type: 47 - ON-SALE GENERAL EATING PLACE
          License Type Status: WITHDRAWN
          Status Date: 26-DEC-2012               Term: 12 Month(s)
          Original Issue Date:               Expiration Date:
          Master: Y               Duplicate: 0               Fee Code: P20
          License Type was Transferred On:      FROM: 47-435386
Current Disciplinary Action
. . . No Active Disciplinary Action found . . .
Disciplinary History
. . . No Disciplinary History found . . .
Hold Information
Hold Date: 26-JUL-2012           Type: FORM 220
Escrow
Escrow: GLEN OAK ESCROW, 6100 SAN FERNANDO RD GLENDALE,CALIFORNIA 91201


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