tlje with a Pas; City with a Future
"Vt1/tlje with a Pas; City with aFuture" 210 Fidalgo Avenue, Kenai, Alaska 99611-7794 Telephone: 907-283-7535 I FAX: 907-283-3014
--
ltlad
'1111.' 1992
MEMORANDUM TO:
David Ross, Chief of Police Willie Anderson, Lands Manager Terry Eubank, Finance Department Scott Bloom, Legal Department Matthew Kelly, City Planner
FROM: ~ ie Heinz, City Clerk DATE: RE:
(j January 19, 2018 Liquor License Renewal
The Alcoholic Beverage Control Board has sent notification that the following applicant has applied for renewal of its Liquor License No. 4740: Applicant: D/B/A:
Hector Santana Acapulco Mexican Restaurant
Pursuant to KMC 2.40.010, It is determined to be in the public interest that holders of or applicants for licenses issued by the Alcoholic Beverage Control Board of the State of Alaska shall have all obligations to the City of Kenai on a satisfactory basis prior to the City Council approval of any activity of said license holder or applicant. Please review account(s) maintained by your department (i.e. water and sewer billings, lease/property payment history, citations, etc.) by the above reference applicant. Initial whether account(s) and/or payment plan(s) are current or delinquent. If accounts are delinquent, attach information to this memorandum indicating amounts owed and for which accounts. Please let me know if you have any questions. Once you have completed your section, please route to the next department. Thanks! 1. Police Department
1> .€.
initials
(;}(have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
The ap~ has outstanding obligations and an additional page has been attached. 2. Finance ::z.L. initials
0
""{lJ I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The applicant has outstanding obligations and an additional page has been attached. 3~1 r 1 initials
lJ:(J I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The applicant has outstanding obligations and an additional page has been attached.
4~nds Management "14.,initials
~ I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist. Orhe ap · nt has outstandj.ng obligations and an additional page has been attached. 5. Plan · g and Zoning ,A./ L initials I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist. Orhe applicant has outstanding bligations and an additional page has been attached. Returned to Clerk's office:
J.-
l
THE STATE
1ALASKA
0
Department of Commerce, Community, and Economic Development
GOVERNOR BILL \h.,TALKER
ALCOHOL & MARIJUANA CONTROL OFFICE 550 West 7th Avenue, Suit e 1600 Anchorage, AK 99501 Main: 907.269.0350
January 18, 2018 City of Kenai Attn: Jamie Heinz, Deputy City Clerk VIA Email: [email protected] Cc:
[email protected] [email protected] [email protected] [email protected]
Re: Notice of 2018/2019 Liquor license Renewal Application License Type:
Restaurant/Eating Place
Licensee:
Hector Santana
Doing Business As:
Acapulco Mexican Restaurant
ILicense Number: I4740
We have received a completed renewal application for the above listed license (see attached application documents) within your jurisdiction. This is the notice required under AS 04.11.480. A local governing body may protest the approval of an application(s) pursuant to AS 04.11.480 by furnishing the director and the applicant with a clear and concise written statement of reasons for the protest w ithin 60 days of receipt of this notice, and by allowing the applicant a reasonable opportunity to defend the application before a meeting ofthe local governing body, as required by 3 AAC 304.145(d). If a protest is filed, the board will deny the application unless the board finds that the protest is arbitrary, capricious, and unreasonable. To protest the application referenced above, please submit your written protest within 60 days, and show proof of service upon the applicant and proof that the applicant has had a reasonable opportunity to defend the application before a meeting of the local governing body.
Sincerely,
Erika McConnell, Director [email protected]
Alcohol and Marijuana Control Office 550 W 7•h Avenue, Suite 1600 Anchorage, AK 99501 [email protected] https://www.commerce.alaska .gov/web/amco Phone: 907.269.0350
AMCO Alaska Alcoholic Beverage Control Board
Master Checklist: Renewal Liquor License Application License Type:
REP- Public Convenience
Doing Business As:
Acapulco Mexican Restaurant
Examiner:
I I
Gcu-r ~
Document AB-17: Renewal Application App and License Fees
Received
Completed
11/21/2017
' / 1-z-
11/21/2017
l( ( -z..,
:supp1emeiifal Document___ -Receivecr--
completed
License Number:
14740
Transaction #:
I1017738
Notes
Notes_ ___ -
-
- - ---
Tourism/Rec Site Statement AB-25: Supplier Cert (WS) AB-29: Waiver of Operation AB-30: Minimum Operation Fingerprint Cards & Fees I AB-08a: Crim. History Late Fee
Names on FP Cards:
Yes
Selling alcohol in response to written order (package stores)? Mailing address different than one in database?
No
D El D fa
In "Good Standing" with CBPL (skip this and next question for sole proprietor)?
DD
Officers and stockholders match CBPL and database (if "No", determine if transfer necessary)?
DD
[Master Checklist: Renewal) (rev 11/03/2017)
Page lofl
Alaska Alcoholic Beverage Control Board
Alcohol and Marijuana Control Office 550 W 7th Avenue, Suite 1600 Anchorage, AK 99501 [email protected] ht tps.//www.comm erce.alaska.gov/web/amco Phone: 907.269.0350
Restaurant or Eating Place License
Form AB-17a: 2018/2019 Renewal License Application What is this form? This renewal license application form is required for all individuals or entities seeking to apply for renewal of an existing restaurant or eating place liquor license that will expire on December 31, 2017. All fields of this form must be complete and correct, or the application will be returned to you in the manner in which it was received, per AS 04.11.270 and 3 AAC 304.105. The Community Council field only should be verified/completed by licensees whose establishments are located within the Municipality of Anchorage or outside of city limits within the Matanuska-Susitna Borough.
This form must be (.OrYlpleted correctly and submitted t" the Alcohol & Mc:rijuana Control Office (AMCO)'s main office, along with all other required documents and fees, before any renewal license application will be considered complete.
- -i!stablishmentand Contact Information Enter information for the business seeking to have its license renewed. If any populated information is incorrect, please contact AMCO. Licensee:
Hector Santana
License#:
4740
License Type:
Restaurant/Eating Place - Public Convenience
Statute:
AS 04.11.400(g)
Doing Business As:
Acapulco Mexican Restaurant
Premises Address:
10672 Kenai Spur Hwy Ste 108
Local Governing Body:
City of Kenai (Kenai Peninsula Borough)
Community Council:
None
Mailing Address:
( CG. 7 .~
City:
~l
h &l , ·
k-< '~ ~
H-i{.·. , 51--e I State: I A l
)ol.{ v
106
I
ZIP:
I 71{ft• , .--
Name:
I 0&1-;)__
Mailing Address: City:
affiliate
S C1 V\ +t, 'V-t_
-C/ a-1 -
Contact Phone:
D applicant
~(>IA.
lc.tt'\£(.,\.
I
(
AB-25: Supplier Cert (WS) AB-29: Waiver of Operation AB-30: Minimum Operation Fingerprint Cards & Fees I AB-08a: Crim. History Late Fee
Names on FP Cards:
Yes
No
Selling alcohol in response to written order (package stores)?
og
Mailing address different than one In database?
D~
In " Good Standing" with CBPL (skip this and next question for sole proprietor)? Officers and stockholders match CBPL and database (if "No", determine if transfer necessary)?
[Master Checklist: Renewal) (rev 11/03/2017)
GD E1 D Page lofl
Alcohol and Marijuana Control Office 550 W 7t11 Avenue, Suite 1600 Anchorage, AK 99501 [email protected] https://www.commerce.alaska.gov/web/amco Phone: 907.269.0350
Alaska Alcoholic Beverage Control Board
Beverage Dispensary - Tourism License
Form AB-17d: 2018/2019 Renewal License Application What is this form? This renewal license application form is required for all individuals or entities seeking to apply for renewal of an existing beverage dispensary- tourism liquor license that will expire on December 31, 2017. All fields of this form must be complete and correct, or the application will be returned to you in the manner in which it was received, per AS 04.11.270 and 3 AAC 304.105. The Community Council field only should be verified/completed by licensees whose establish ments are located within the Municipality of Anchorage or outside of city limits within the Matanuska-Susitna Borough.
This form must be completed correctly and submitted to the Alcohol & Marijuana Control Office (AMCO)'s main office, along w ith all other required documents and fees, before any renewal license application will be considered complete.
-
-- -·- · - -- -----·---- - -------- -----··- - Section 1 - Establishment and Contact Information ~------
Enter information for the business seeking to have its license renewed. If any populated information is incorrect, please contact AMCO.
Licensee:
Pink Coyote Limited
License#:
4555
License Type:
Beverage Dispensary - Tourism
Statute:
AS 04.11.400{d)
Doing Business As:
Main Street Tap & Grill
Premises Address:
10800 Kenai Spur Highway
Local Governing Body:
City of Kenai (Kenai Peninsula Borough)
Community Council:
None
Mailing Address: City:
A IL
ZIP:
Enter information for the individual who w ill be designated as the primary point of contact regard ing this application. This individual must be a licensee who is re uired to be listed in and authorized to sign this a plication.
Point of Contact: Contact Phone:
Business Phone:
Contact Email:
Yes
Seasonal License?
D
No
[2?J
[Form AB-17d) (rev 10/16/2017) License 114555 OBA Main Street Tap & Grill
If "Yes", write your six-month operating period: - - - - - - - - - - - -
Page 1 of S
Alcohol and Marijuana Control Office 550 W 7th Avenue, Suite 1600 Anchorage, AK 99501 :ilcohol.licensing@alul-a gov https://www.commerce.alaska,gov/web/amco Phone: 907.269.0350
Alaska Alcoholic Beverage Control Board
Beverage Dispensary - Tourism License
Form AB-17d: 2018/2019 Renewal License Application Section 2 - Authorization Communication with AMCO staff:
Yes
No
Does any person other than a licensee named in this applicat ion have authority to discuss this license with
AMCO staff? If ''Yes", disclose the name of the individual and the reason for this authorization:
- - ··- -
-- - -
..
Section 3-=So1e- Ptopr1etor -ownership Information__ __
-- - - - ---
This section must be completed by any sole proprietorship who is applying for license renewal. Entities should skip to Section 4. If more space is needed, please attach a separate sheet with the required information. The following information must be completed for each licensee and each affiliate (spouse). This individual is an:
D
applicant
D affiliate
Name: Mailing Address:
I
City:
I
I ZIP: I
I State: I
I ZIP: I
State:
Email: Contact Phone:
This Individual is an:
D
applicant
D affiliate
Name: Mailing Address: City: Email: Contact Phone:
[Form AB-17d] (rev 10/16/2017) License #4555 OBA Main Street Tap & Grill
i
r
--
Page 2of S
AMCO
Alcohol and Marijuana Control Office 550 W 7•• Avenue, Suite 1600 Anchorage, A K 99501 dl1o hol.lic~ m i ng ~!! l.1 .. il.1 gov l !lj•.1 ~ //wwwi£ll!.l.1111t 1 u~. ,dit ska .P.(>-.1J.v.1~!1 /.1 n 1 to Phone: 907.269.0350
Alaska Alcoholic Beverage Control Board
Beverage Dispensary - Tourism License
Form AB-17d: 2018/2019 Renewal License Application Section 4 - Entity Ownership Information This subsection must be completed by any licensee that is a corporation or llC. Corporations and LLCs are required to be In good standing with the Alaska Division of Corporations, Business & Professional licensing (CBPL). You may view your entity's status or find your CBPL entity number by vising the following site: https': //www.co mmerce.a la ska:iov/cbp/main/search/entities Partnerships may skip to the second half of this page. Sole proprietorships should skip to Section 5.
I
Alaska CBPL Entity #:
I I 090
Subscribed
License Fee:
I $ 2soo.oo
\
Search & OalabHe Download > COfP. > Corporallon Details
NAME(S) Type
Name
Legal Name
Pink Coyote Limited
ENTITY DETAILS Entity Type: Business Corporation Entity #: 10004137 Status: Good Standing AK Fonmed Date: 3/30/201 2 Duration/Expiration: Perpetual Home State: ALASKA Next Biennial Report Due: 11212020 Entity Malling Address: 10800 KENAI SPUR HWY, KENAI, AK 99611 Entity Physical Address: 10800 KENAI SPUR HWY, KENAI, AK 99611 .
-------------·---- ---~····--------
REGISTERED AGENT Agent Name: LORI FORREST Registered Malling Address: 35295 ROCKWOOD DR , SOLDOTNA, AK 99669 Registered Physical Address: 35295 ROCKWOOD DR, SOLDOTNA, AK 99669
OFFICIALS OShow Former AK Entity#
Name
Titles
Owned
Annalea Loll
Director, President, Treasurer, Shareholder
50
Judilee Forrest
Director. Shareholder, Vice President, Secretary
50
FILED DOCUMENTS Date Flied
Type
Filing
Certificate
3/30/2012
Creation Filing
Click to View
Click to View
5122/2013
Initial Report
Click to View
7/31/2014
Agent Resignation
Click 10 View
8/17/2014
Admin Dissolution
8/0412015
Reinstatement
Click to View
8/04/2015
Agent Change
Click to View
8104/2015
Biennial Report
Click to View
212312016
Biennial Report
Click to View
11/08/2017
Biennial Report
Click lo Vjew
Click to View Click to View
Juneau Mailing Address
Anchorage Mailing/Physical Address
P.O. Box t 10806 Juneau, AK 99811-0806
550 West Seventh Avenue Suite 1500 Ancllorage. AK 99501-3567
Physical Address 333 \Mlloughby Avenue 9th Floor Juneau, AK 99801 -1770
Phone Numbers Main Phone: (907) 269-8160 FAX: (907) 269-8156
https://www.commerce.alaska.gov/CBP/Main/Search/EntityDetail/100041 37
1/2/2018
~ ~·
~
..
Office of the Borough Clerk 144 North Binkley Street, Soldotna, Alaska 99669 • (907) 714-2160 • (907) 714-2388 Fax
I?. o \l
Johni Blankenship, MMC Borough Clerk
l/22/2018 Sarah Daulton-Oates Records & Licensing Supervisor Alcohol & Marijuana Control Office 550 W 71h Ave, Ste. 1600 Anchorage, Alaska 9950 l-3567 RE:
Non-Objection of License Renewal Application Business Name License Type License Location License No.
Main Street Tap & Grill - 406 Family Sports Cafe Beverage Dispensary/Tourism 10800 Kenai Spur Hwy, City of Kenai 4555
Dear Ms. Oates, This serves to advise that the Kenai Peninsula Borough has reviewed the above referenced application and has no objection to this License Renewal application. Should you have any questions, or need additional information, please do not hesitate to let us know. Sincerely,
Johni Blankenship, MMC Borough Clerk JB/klr Encl.
cc:
Applicant City of Kenai KPB Finance Department File
"Vilf~e with a Past, City with aFuture" 210 Fidalgo Avenue, Kenai, Alaska 99611-7794 Telephone: 907-283-7535 I FAX: 907-283-3014
~
'1111.' 1992
MEMORANDUM TO :
David Ross, Chief of Police Willie Anderson, Lands Manager Terry Eubank, Finance Department Scott Bloom, Legal Department Matthew Kelly, City Planner
FROM :
~mie Heinz, City Clerk
DATE:
January 17, 2018
RE:
Liquor License Renewal
The Alcoholic Beverage Control Board has sent notification that the following applicant has applied for renewal of its Liquor License No. 1380: Applicant: D/B/A:
American Legion Post #20 American Legion Post #20
Pursuant to KMC 2.40.010, It is determined to be in the public interest that holders of or applicants for licenses issued by the Alcoholic Beverage Control Board of the State of Alaska shall have all obligations to the City of Kenai on a satisfactory basis prior to the City Council approval of any activity of said license holder or applicant. Please review account(s) maintained by your department (i.e. water and sewer billings, lease/property payment history, citations, etc.) by the above reference applicant. Initial whether account(s) and/or payment plan(s) are current or delinquent. If accounts are delinquent, attach information to this memorandum indicating amounts owed and for which accounts. Please let me know if you have any questions. Once you have completed your section, please route to the next department. Thanks! 1. Police Department )>? -
initials
(kf(have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The apm has outstanding obligations and an additional page has been attached. { ;.£!.nance ~ initials
~ I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The applicant has outstanding obligations and an additional page has been attached. 3~~r f7 initials
L.:f1 have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The applicant has outstanding obligations and an additional page has been attached. 4~ds Management ~nitials
WI have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
outs~~g obligations and an additional page has been attached.
Or&e:e plicant has 5. Pia ng and Zoning
initials
I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist. Orhe applicant has outstanding obligations and an additional page has been attached. Returned to Clerk's office:
/·
J ,!$ •/
--
ltlad
'1111.' 1992
MEMORANDUM TO:
David Ross, Chief of Police Willie Anderson, Lands Manager Terry Eubank, Finance Department Scott Bloom, Legal Department Matthew Kelly, City Planner
FROM: ~ ie Heinz, City Clerk DATE: RE:
(j January 19, 2018 Liquor License Renewal
The Alcoholic Beverage Control Board has sent notification that the following applicant has applied for renewal of its Liquor License No. 4740: Applicant: D/B/A:
Hector Santana Acapulco Mexican Restaurant
Pursuant to KMC 2.40.010, It is determined to be in the public interest that holders of or applicants for licenses issued by the Alcoholic Beverage Control Board of the State of Alaska shall have all obligations to the City of Kenai on a satisfactory basis prior to the City Council approval of any activity of said license holder or applicant. Please review account(s) maintained by your department (i.e. water and sewer billings, lease/property payment history, citations, etc.) by the above reference applicant. Initial whether account(s) and/or payment plan(s) are current or delinquent. If accounts are delinquent, attach information to this memorandum indicating amounts owed and for which accounts. Please let me know if you have any questions. Once you have completed your section, please route to the next department. Thanks! 1. Police Department
1> .€.
initials
(;}(have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
The ap~ has outstanding obligations and an additional page has been attached. 2. Finance ::z.L. initials
0
""{lJ I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The applicant has outstanding obligations and an additional page has been attached. 3~1 r 1 initials
lJ:(J I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The applicant has outstanding obligations and an additional page has been attached.
4~nds Management "14.,initials
~ I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist. Orhe ap · nt has outstandj.ng obligations and an additional page has been attached. 5. Plan · g and Zoning ,A./ L initials I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist. Orhe applicant has outstanding bligations and an additional page has been attached. Returned to Clerk's office:
J.-
l
THE STATE
1ALASKA
0
Department of Commerce, Community, and Economic Development
GOVERNOR BILL \h.,TALKER
ALCOHOL & MARIJUANA CONTROL OFFICE 550 West 7th Avenue, Suit e 1600 Anchorage, AK 99501 Main: 907.269.0350
January 18, 2018 City of Kenai Attn: Jamie Heinz, Deputy City Clerk VIA Email: [email protected] Cc:
[email protected] [email protected] [email protected] [email protected]
Re: Notice of 2018/2019 Liquor license Renewal Application License Type:
Restaurant/Eating Place
Licensee:
Hector Santana
Doing Business As:
Acapulco Mexican Restaurant
ILicense Number: I4740
We have received a completed renewal application for the above listed license (see attached application documents) within your jurisdiction. This is the notice required under AS 04.11.480. A local governing body may protest the approval of an application(s) pursuant to AS 04.11.480 by furnishing the director and the applicant with a clear and concise written statement of reasons for the protest w ithin 60 days of receipt of this notice, and by allowing the applicant a reasonable opportunity to defend the application before a meeting ofthe local governing body, as required by 3 AAC 304.145(d). If a protest is filed, the board will deny the application unless the board finds that the protest is arbitrary, capricious, and unreasonable. To protest the application referenced above, please submit your written protest within 60 days, and show proof of service upon the applicant and proof that the applicant has had a reasonable opportunity to defend the application before a meeting of the local governing body.
Sincerely,
Erika McConnell, Director [email protected]
Alcohol and Marijuana Control Office 550 W 7•h Avenue, Suite 1600 Anchorage, AK 99501 [email protected] https://www.commerce.alaska .gov/web/amco Phone: 907.269.0350
AMCO Alaska Alcoholic Beverage Control Board
Master Checklist: Renewal Liquor License Application License Type:
REP- Public Convenience
Doing Business As:
Acapulco Mexican Restaurant
Examiner:
I I
Gcu-r ~
Document AB-17: Renewal Application App and License Fees
Received
Completed
11/21/2017
' / 1-z-
11/21/2017
l( ( -z..,
:supp1emeiifal Document___ -Receivecr--
completed
License Number:
14740
Transaction #:
I1017738
Notes
Notes_ ___ -
-
- - ---
Tourism/Rec Site Statement AB-25: Supplier Cert (WS) AB-29: Waiver of Operation AB-30: Minimum Operation Fingerprint Cards & Fees I AB-08a: Crim. History Late Fee
Names on FP Cards:
Yes
Selling alcohol in response to written order (package stores)? Mailing address different than one in database?
No
D El D fa
In "Good Standing" with CBPL (skip this and next question for sole proprietor)?
DD
Officers and stockholders match CBPL and database (if "No", determine if transfer necessary)?
DD
[Master Checklist: Renewal) (rev 11/03/2017)
Page lofl
Alaska Alcoholic Beverage Control Board
Alcohol and Marijuana Control Office 550 W 7th Avenue, Suite 1600 Anchorage, AK 99501 [email protected] ht tps.//www.comm erce.alaska.gov/web/amco Phone: 907.269.0350
Restaurant or Eating Place License
Form AB-17a: 2018/2019 Renewal License Application What is this form? This renewal license application form is required for all individuals or entities seeking to apply for renewal of an existing restaurant or eating place liquor license that will expire on December 31, 2017. All fields of this form must be complete and correct, or the application will be returned to you in the manner in which it was received, per AS 04.11.270 and 3 AAC 304.105. The Community Council field only should be verified/completed by licensees whose establishments are located within the Municipality of Anchorage or outside of city limits within the Matanuska-Susitna Borough.
This form must be (.OrYlpleted correctly and submitted t" the Alcohol & Mc:rijuana Control Office (AMCO)'s main office, along with all other required documents and fees, before any renewal license application will be considered complete.
- -i!stablishmentand Contact Information Enter information for the business seeking to have its license renewed. If any populated information is incorrect, please contact AMCO. Licensee:
Hector Santana
License#:
4740
License Type:
Restaurant/Eating Place - Public Convenience
Statute:
AS 04.11.400(g)
Doing Business As:
Acapulco Mexican Restaurant
Premises Address:
10672 Kenai Spur Hwy Ste 108
Local Governing Body:
City of Kenai (Kenai Peninsula Borough)
Community Council:
None
Mailing Address:
( CG. 7 .~
City:
~l
h &l , ·
k-< '~ ~
H-i{.·. , 51--e I State: I A l
)ol.{ v
106
I
ZIP:
I 71{ft• , .--
Name:
I 0&1-;)__
Mailing Address: City:
affiliate
S C1 V\ +t, 'V-t_
-C/ a-1 -
Contact Phone:
D applicant
~(>IA.
lc.tt'\£(.,\.
I
(
AB-25: Supplier Cert (WS) AB-29: Waiver of Operation AB-30: Minimum Operation Fingerprint Cards & Fees I AB-08a: Crim. History Late Fee
Names on FP Cards:
Yes
No
Selling alcohol in response to written order (package stores)?
og
Mailing address different than one In database?
D~
In " Good Standing" with CBPL (skip this and next question for sole proprietor)? Officers and stockholders match CBPL and database (if "No", determine if transfer necessary)?
[Master Checklist: Renewal) (rev 11/03/2017)
GD E1 D Page lofl
Alcohol and Marijuana Control Office 550 W 7t11 Avenue, Suite 1600 Anchorage, AK 99501 [email protected] https://www.commerce.alaska.gov/web/amco Phone: 907.269.0350
Alaska Alcoholic Beverage Control Board
Beverage Dispensary - Tourism License
Form AB-17d: 2018/2019 Renewal License Application What is this form? This renewal license application form is required for all individuals or entities seeking to apply for renewal of an existing beverage dispensary- tourism liquor license that will expire on December 31, 2017. All fields of this form must be complete and correct, or the application will be returned to you in the manner in which it was received, per AS 04.11.270 and 3 AAC 304.105. The Community Council field only should be verified/completed by licensees whose establish ments are located within the Municipality of Anchorage or outside of city limits within the Matanuska-Susitna Borough.
This form must be completed correctly and submitted to the Alcohol & Marijuana Control Office (AMCO)'s main office, along w ith all other required documents and fees, before any renewal license application will be considered complete.
-
-- -·- · - -- -----·---- - -------- -----··- - Section 1 - Establishment and Contact Information ~------
Enter information for the business seeking to have its license renewed. If any populated information is incorrect, please contact AMCO.
Licensee:
Pink Coyote Limited
License#:
4555
License Type:
Beverage Dispensary - Tourism
Statute:
AS 04.11.400{d)
Doing Business As:
Main Street Tap & Grill
Premises Address:
10800 Kenai Spur Highway
Local Governing Body:
City of Kenai (Kenai Peninsula Borough)
Community Council:
None
Mailing Address: City:
A IL
ZIP:
Enter information for the individual who w ill be designated as the primary point of contact regard ing this application. This individual must be a licensee who is re uired to be listed in and authorized to sign this a plication.
Point of Contact: Contact Phone:
Business Phone:
Contact Email:
Yes
Seasonal License?
D
No
[2?J
[Form AB-17d) (rev 10/16/2017) License 114555 OBA Main Street Tap & Grill
If "Yes", write your six-month operating period: - - - - - - - - - - - -
Page 1 of S
Alcohol and Marijuana Control Office 550 W 7th Avenue, Suite 1600 Anchorage, AK 99501 :ilcohol.licensing@alul-a gov https://www.commerce.alaska,gov/web/amco Phone: 907.269.0350
Alaska Alcoholic Beverage Control Board
Beverage Dispensary - Tourism License
Form AB-17d: 2018/2019 Renewal License Application Section 2 - Authorization Communication with AMCO staff:
Yes
No
Does any person other than a licensee named in this applicat ion have authority to discuss this license with
AMCO staff? If ''Yes", disclose the name of the individual and the reason for this authorization:
- - ··- -
-- - -
..
Section 3-=So1e- Ptopr1etor -ownership Information__ __
-- - - - ---
This section must be completed by any sole proprietorship who is applying for license renewal. Entities should skip to Section 4. If more space is needed, please attach a separate sheet with the required information. The following information must be completed for each licensee and each affiliate (spouse). This individual is an:
D
applicant
D affiliate
Name: Mailing Address:
I
City:
I
I ZIP: I
I State: I
I ZIP: I
State:
Email: Contact Phone:
This Individual is an:
D
applicant
D affiliate
Name: Mailing Address: City: Email: Contact Phone:
[Form AB-17d] (rev 10/16/2017) License #4555 OBA Main Street Tap & Grill
i
r
--
Page 2of S
AMCO
Alcohol and Marijuana Control Office 550 W 7•• Avenue, Suite 1600 Anchorage, A K 99501 dl1o hol.lic~ m i ng ~!! l.1 .. il.1 gov l !lj•.1 ~ //wwwi£ll!.l.1111t 1 u~. ,dit ska .P.(>-.1J.v.1~!1 /.1 n 1 to Phone: 907.269.0350
Alaska Alcoholic Beverage Control Board
Beverage Dispensary - Tourism License
Form AB-17d: 2018/2019 Renewal License Application Section 4 - Entity Ownership Information This subsection must be completed by any licensee that is a corporation or llC. Corporations and LLCs are required to be In good standing with the Alaska Division of Corporations, Business & Professional licensing (CBPL). You may view your entity's status or find your CBPL entity number by vising the following site: https': //www.co mmerce.a la ska:iov/cbp/main/search/entities Partnerships may skip to the second half of this page. Sole proprietorships should skip to Section 5.
I
Alaska CBPL Entity #:
I I 090
Subscribed
License Fee:
I $ 2soo.oo
\
Search & OalabHe Download > COfP. > Corporallon Details
NAME(S) Type
Name
Legal Name
Pink Coyote Limited
ENTITY DETAILS Entity Type: Business Corporation Entity #: 10004137 Status: Good Standing AK Fonmed Date: 3/30/201 2 Duration/Expiration: Perpetual Home State: ALASKA Next Biennial Report Due: 11212020 Entity Malling Address: 10800 KENAI SPUR HWY, KENAI, AK 99611 Entity Physical Address: 10800 KENAI SPUR HWY, KENAI, AK 99611 .
-------------·---- ---~····--------
REGISTERED AGENT Agent Name: LORI FORREST Registered Malling Address: 35295 ROCKWOOD DR , SOLDOTNA, AK 99669 Registered Physical Address: 35295 ROCKWOOD DR, SOLDOTNA, AK 99669
OFFICIALS OShow Former AK Entity#
Name
Titles
Owned
Annalea Loll
Director, President, Treasurer, Shareholder
50
Judilee Forrest
Director. Shareholder, Vice President, Secretary
50
FILED DOCUMENTS Date Flied
Type
Filing
Certificate
3/30/2012
Creation Filing
Click to View
Click to View
5122/2013
Initial Report
Click to View
7/31/2014
Agent Resignation
Click 10 View
8/17/2014
Admin Dissolution
8/0412015
Reinstatement
Click to View
8/04/2015
Agent Change
Click to View
8104/2015
Biennial Report
Click to View
212312016
Biennial Report
Click to View
11/08/2017
Biennial Report
Click lo Vjew
Click to View Click to View
Juneau Mailing Address
Anchorage Mailing/Physical Address
P.O. Box t 10806 Juneau, AK 99811-0806
550 West Seventh Avenue Suite 1500 Ancllorage. AK 99501-3567
Physical Address 333 \Mlloughby Avenue 9th Floor Juneau, AK 99801 -1770
Phone Numbers Main Phone: (907) 269-8160 FAX: (907) 269-8156
https://www.commerce.alaska.gov/CBP/Main/Search/EntityDetail/100041 37
1/2/2018
~ ~·
~
..
Office of the Borough Clerk 144 North Binkley Street, Soldotna, Alaska 99669 • (907) 714-2160 • (907) 714-2388 Fax
I?. o \l
Johni Blankenship, MMC Borough Clerk
l/22/2018 Sarah Daulton-Oates Records & Licensing Supervisor Alcohol & Marijuana Control Office 550 W 71h Ave, Ste. 1600 Anchorage, Alaska 9950 l-3567 RE:
Non-Objection of License Renewal Application Business Name License Type License Location License No.
Main Street Tap & Grill - 406 Family Sports Cafe Beverage Dispensary/Tourism 10800 Kenai Spur Hwy, City of Kenai 4555
Dear Ms. Oates, This serves to advise that the Kenai Peninsula Borough has reviewed the above referenced application and has no objection to this License Renewal application. Should you have any questions, or need additional information, please do not hesitate to let us know. Sincerely,
Johni Blankenship, MMC Borough Clerk JB/klr Encl.
cc:
Applicant City of Kenai KPB Finance Department File
"Vilf~e with a Past, City with aFuture" 210 Fidalgo Avenue, Kenai, Alaska 99611-7794 Telephone: 907-283-7535 I FAX: 907-283-3014
~
'1111.' 1992
MEMORANDUM TO :
David Ross, Chief of Police Willie Anderson, Lands Manager Terry Eubank, Finance Department Scott Bloom, Legal Department Matthew Kelly, City Planner
FROM :
~mie Heinz, City Clerk
DATE:
January 17, 2018
RE:
Liquor License Renewal
The Alcoholic Beverage Control Board has sent notification that the following applicant has applied for renewal of its Liquor License No. 1380: Applicant: D/B/A:
American Legion Post #20 American Legion Post #20
Pursuant to KMC 2.40.010, It is determined to be in the public interest that holders of or applicants for licenses issued by the Alcoholic Beverage Control Board of the State of Alaska shall have all obligations to the City of Kenai on a satisfactory basis prior to the City Council approval of any activity of said license holder or applicant. Please review account(s) maintained by your department (i.e. water and sewer billings, lease/property payment history, citations, etc.) by the above reference applicant. Initial whether account(s) and/or payment plan(s) are current or delinquent. If accounts are delinquent, attach information to this memorandum indicating amounts owed and for which accounts. Please let me know if you have any questions. Once you have completed your section, please route to the next department. Thanks! 1. Police Department )>? -
initials
(kf(have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The apm has outstanding obligations and an additional page has been attached. { ;.£!.nance ~ initials
~ I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The applicant has outstanding obligations and an additional page has been attached. 3~~r f7 initials
L.:f1 have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
0
The applicant has outstanding obligations and an additional page has been attached. 4~ds Management ~nitials
WI have reviewed all records for my department and the applicant is current on obligations or obligations do not exist.
outs~~g obligations and an additional page has been attached.
Or&e:e plicant has 5. Pia ng and Zoning
initials
I have reviewed all records for my department and the applicant is current on obligations or obligations do not exist. Orhe applicant has outstanding obligations and an additional page has been attached. Returned to Clerk's office:
/·
J ,!$ •/
