ABC License Form - Patxi's Pizza Department of Alcoholic Beverage Control . State of California
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APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE
ABC 211(6/99)
TO:Department of Alcoholic Beverage Control File Number: 651124
224 AIRPORT PARKWAY Receipt Number: 2827545
. SUITE 620 Geographical Code: 4302
SAN,JOSE,CA 95110 - Copies Mailed Date: September 28,2023
(408)612-2490 Issued Date:
DISTRICT SERVING LOCATION: SAN JOSE
First Owner: THE PIZZA COMPANY LLC
• Name of Business: PATXI'S PIZZA
Location of Business: 1875 S BASCOM AVE
• STE 405
CAMPBELL,CA. 95008-2308
County SANTA CLARA •
Is Premises inside city limits Yes Census Tract: 5065.02
Mailing Address:(If different •
from
premises address)
Type of license(s): 47 Dropping Partner: Yes No X
Transferor's license/name: 544291 / PATXI'S OPCO,LLC
License Type Transaction Type Master Secondary LT And Count
47-On-Sale General Eating Place PER Y
License Type . Transaction Description Fee Code Dup Date Fee
Application Fee PERSON TO PERSON TRF NA 0 08/22/23 $1,370.00
Application Fee FEDERAL FINGERPRINTS NA 1 08/22/23 $24.00
Application Fee STATE FINGERPRINTS NA I 08/22/23 $39.00
47-On-Sale General Eating Plac ANNUAL FEE P40 0 • 08/22/23 $1,355.00
Total $2,788.00
Have you ever been convicted of a felony? No
Have you ever violated any provisions of the Alcoholic Beverage.Control Act, or regulations of the
Department pertaining to the Act? No
STATE OF CALIFORNIA County of SANTA CLARA Date: August 22,2023
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Applicant Name(s) ,
THE PIZZA COMPANY LLC See ABC-211 SIG