LOS ANGELES POLICE COMMISSION RICHARD M. TEFANK EXECUTIVE DIRECTOR
BOARD OF POLICE COMMISSIONERS
ALEXANDER A. BUSTAMANTE INSPECTOR GENERAL
MATTHEW M.JOHNSON PRESIDENT STEVE SOBOROFF VICE PRESIDENT
EXECUTIVE OFFICE POLICE ADMINISTRATION BUILDING 100 WEST FIRST STREET, SUITE 134 Los ANGELES, CA 90012-4112
ERIC GARCETTI Mayor
SANDRA FIGUEROA-VILLA KATHLEEN KIM ROBERT M.SALTZMAN
(213)236-1400 PHONE (213)236-1410 FAX (213)236-1440 TDD
MARIA SILVA COMMISSION EXECUTIVE ASSISTANT II
October 26, 2015 Mr. Ronald Lee McKinney Jr. c/o: Mr. David Fu Kopper Kitty, Inc. DBA: Synn 425 S. San Gabriel Blvd., Suite 800 San Gabriel, California 91766
PPRP #15-0071 Certified Mail 7005 2570 0001 3883 6955
RE: Café Entertainment/Show-Adult Permit for Kopper Kitty, Inc., 8314 Sepulveda Boulevard, North Hills, CA 91343, Permit No. 000283562200012P719. The Police Permit Review Panel will consider the Commission Investigation Division's recommendation to approve your application for a Café Entertainment/Show-Adult Permit on: Wednesday, November 18, 2015 at 2:30 p.m. Police Commission Board Room 100 West 1st Street, Los Angeles, CA 90012 If you have questions regarding this notice or need further information, please call (213) 236-1400. Very truly yours, POLICE PERMIT REVIEW PANEL
R. EVA R. VEGA,Senior Man c:
nt Analyst II
Commanding Officer, Commission Investigation Division
www.LAPDOnline.org wwwjoinLAPD.corn
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of 41 Mr. Ronald Lee McKinney Jr. c/o: Mr. David Fu ftVV. Kopper Kitty, Inc. k‘ DBA: Synn 425 S. San Gabriel Blvd., Ste 800 San Gabriel, CA 91766
LOS ANGELES POLICE COMMISSION BOARD OF POLICE COMMISSIONERS
RICHARD M. TEFANK EXECUTIVE DIRECTOR ALEXANDER A. BUSTAMANTE INSPECTOR GENERAL
MATTHEW M. JOHNSON PRESIDENT STEVE SOBOROFF VICE PRESIDENT
EXECUTIVE OFFICE POLICE ADMINISTRATION BUILDING 100 WEST FIRST STREET, SUITE 134 Los ANGELES, CA 90012-4112
ERIC GARCETTI Mayor
SANDRA FIGUEROA-VILLA KATHLEEN KIM ROBERT M.SALTZMAN
(213) 236-1400 PHONE (213)236-1410 FAX (213)236-1440 TDD
MARIA SILVA COMMISSION EXECUTIVE ASSISTANT II
October 26, 2015 Mr. Long Kim Huot c/o: Mr. David Fu Kopper Kitty, Inc. DBA: Synn 425 S. San Gabriel Blvd., Suite 800 San Gabriel, California 91766
PPRP #15-0071 Certified Mail 7005 0390 0005 6949 0629
RE: Café Entertainment/Show-Adult Permit for Kopper Kitty, Inc., 8314 Sepulveda Boulevard, North Hills, CA 91343, Permit No. 000283562200012P719. The Police Permit Review Panel will consider the Commission Investigation Division's recommendation to approve your application for a Café Entertainment/Show-Adult Permit on: Wednesday, November 18, 2015 at 2:30 p.m. Police Commission Board Room 100 West 1St Street, Los Angeles, CA 90012 If you have questions regarding this notice or need further information, please call (213) 236-1400. Very truly yours, POLICE PERMIT REVIEW PANEL
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EVA R. VEGA, Senior Manag c:
t Analyst II
Commanding Officer, Commission Investigation Division
www.LAPDOnline.org www.joinLAPD.corn
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Board Secretary Los Angeles Police Commission 100 W. Street, Rm #134 Los Angeles, CA 90012
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LOS ANGELES POLICE COMMISSION BOARD OF POLICE COMMISSIONERS
RICHARD M.TEFANK EXECUTIVE DIRECTOR ALEXANDER A. BUSTAMANTE INSPECTOR GENERAL
MATTHEW M.JOHNSON PRESIDENT STEVE SOBOROFF VICE PRESIDENT
EXECUTIVE OFFICE POLICE ADMINISTRATION BUILDING 100 WEST FIRST STREET, SUITE 134 LOS ANGELES, CA 90012.4112
ERIC GARCETTI Mayor
SANDRA FIGUEROA-VILLA KATHLEEN KIM ROBERT M. SALTZMAN
(213)236-1400 PHONE (213)236-1410 FAX (213)236-1440 TDD
MARIA SILVA COMMISSION EXECUTIVE ASSISTANT II
October 26, 2015 Mr. Romie Wilson Galbraith c/o: Mr. David Fu Kopper Kitty, Inc. DBA: Synn 425 S. San Gabriel Blvd., Suite 800 San Gabriel, California 91766
PPRP #15-0071 Certified Mail 7005 0390 0005 6949 0612
RE: Café Entertainment/Show-Adult Permit for Kopper Kitty, Inc., 8314 Sepulveda Boulevard, North Hills, CA 91343, Permit No. 000283562200012P719. The Police Permit Review Panel will consider the Commission Investigation Division's recommendation to approve your application for a Café Entertainment/Show-Adult Permit on: Wednesday, November 18, 2015 at 2:30 p.m. Police Commission Board Room 100 West 1St Street, Los Angeles, CA 90012 If you have questions regarding this notice or need further information, please call (213) 236-1400. Very truly yours, POLICE PERMIT REVIEW PANEL
EVA R. VEGA, Senior Manag c:
t Analyst II
Commanding Officer, Commission Investigation Division
www.LAPDOnline.org www.joinLAPD.corn
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LOS ANGELES POLICE COMMISSION RICHARD M. TEFANK EXECUTIVE DIRECTOR
BOARD OF POLICE COMMISSIONERS
ALEXANDER A. BUSTAMANTE INSPECTOR GENERAL
MATTHEW M. JOHNSON PRESIDENT
EXECUTIVE OFFICE POLICE ADMINISTRATION BUILDING 100 WEST FIRST STREET, SUITE 134 Los ANGELES,CA 90012-4112
STEVE SOBOROFF VICE PRESIDENT
ERIC GARCETTI Mayor
SANDRA FIGUEROA-VILLA KATHLEEN KIM ROBERT M. SALTZMAN
(213)236-1400 PHONE (213)236-1410 FAX (213) 236-1440 TDD
MARIA SILVA COMMISSION EXECUTIVE ASSISTANT II
October 26, 2015 PPRP #15-0071 Certified Mail 7005 0390 0005 6949 0605
Mr. Ken Gee Yap c/o: Mr. David Fu Kopper Kitty, Inc. DBA: Synn 425 S. San Gabriel Blvd., Suite 800 San Gabriel, California 91766
RE: Café Entertainment/Show-Adult Permit for Kopper Kitty, Inc., 8314 Sepulveda Boulevard, North Hills, CA 91343, Permit No. 000283562200012P719. The Police Permit Review Panel will consider the Commission Investigation Division's recommendation to approve your application for a Café Entertainment/Show-Adult Permit on: Wednesday, November 18, 2015 at 2:30 p.m. Police Commission Board Room 100 West 1 st Street, Los Angeles, CA 90012 If you have questions regarding this notice or need further information, please call (213) 236-1400. Very truly yours, POLICE PERMIT REVIEW PANEL
EVA R. VEGA,Senior Manage i nt Analyst II c:
Commanding Officer, Commission Investigation Division
www.LAPDOrtline.org www.join.LAPD.corn
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Board Secretary Los Angeles Police Commission 100 W. 1st Street, Rm #134 Los Angeles, CA 90012
7005 0390 0005 6949 0605 7005 0390 0005 6949 0605 1
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Mr. Ken Gee Yop Fu Kopper Kitty, Inc. DBA.: Synn 425 S. San Gabriel Blvd., Ste 800 San Gabriel, CA 91766 c/o: Mr. David
LOS ANGELES POLICE COMMISSION RICHARD M. TEFANK EXECUTIVE DIRECTOR
BOARD OF POLICE COMMISSIONERS
ALEXANDER A. BUSTAMANTE INSPECTOR GENERAL
MATTHEW M. JOHNSON PRESIDENT
EXECUTIVE OFFICE POLICE ADMINISTRATION BUILDING 100 WEST FIRST STREET, SUITE 134 Los ANGELES,CA 90012-4112
STEVE SOBOROFF VICE PRESIDENT
ERIC GARCETTI Mayor
SANDRA FIGUEROA-VILLA KATHLEEN KIM ROBERT M. SALTZMAN
(213)236-1400 PHONE (213)236-1410 FAX (213)236-1440 TDD
MARIA SILVA COMMISSION EXECUTIVE ASSISTANT 11
October 26, 2015 PPRP #15-0071 Certified Mail 7005 0390 0005 6949 0599
Mr. Luke Yu-Long An c/o: Mr. David Fu Kopper Kitty, Inc. DBA: Synn 425 S. San Gabriel Blvd., Suite 800 San Gabriel, California 91766
RE: Café Entertainment/Show-Adult Permit for Kopper Kitty, Inc., 8314 Sepulveda Boulevard, North Hills, CA 91343, Permit No. 000283562200012P719. The Police Permit Review Panel will consider the Commission Investigation Division's recommendation to approve your application for a Café Entertainment/Show-Adult Permit on: Wednesday, November 18, 2015 at 2:30 p.m. Police Commission Board Room 100 West 1st Street, Los Angeles, CA 90012 If you have questions regarding this notice or need further information, please call (213) 236-1400. Very truly yours, POLICE PERMIT REVIEW PANEL
EVA R. VEGA,Senior M. c:
ent Analyst II
Commanding Officer, Commission Investigation Division
www.LAPDOnline.org www.joinLAPD.corn
Board Secretary Los Angeles Police Commis sion 100 W. 1' Street, Rm #134 Los Angeles, CA 90012
7005 0390 0005 6949 0599 7005 0390 0005 6949 0599
Mr. Luke Yu-Long An c/o: Mr. David Fu Kopper Kitty, Inc. DBA: Synn 425 S. San Gabriel Blvd., Ste 800 San Gabriel, CA 91766
LOS ANGELES POLICE COMMISSION BOARD OF POLICE COMMISSIONERS
RICHARD M. TEFANK EXECUTIVE DIRECTOR ALEXANDER A. BUSTAMANTE INSPECTOR GENERAL
MATTHEW M.JOHNSON PRESIDENT STEVE SOBOROFF VICE PRESIDENT
EXECUTIVE OFFICE POLICE ADMINISTRATION BUILDING 100 WEST FIRST STREET, SUITE 134 LOS ANGELES, CA 90012-4112
ERIC GARCETTI Mayor
SANDRA FIGUEROA-VILLA KATHLEEN KIM ROBERT M. SALTZMAN
(213)236-1400 PHONE (213)236-1410 FAX (213)236-1440 TDD
MARIA SILVA COMMISSION EXECUTIVE ASSISTANT II
October 26, 2015 Mr. Phong Hang Vo c/o: Mr. David Fu Kopper Kitty, Inc. DBA: Synn 425 S. San Gabriel Blvd., Suite 800 San Gabriel, California 91766
PPRP #15-0071 Certified Mail 7005 0390 0005 6949 0575
RE: Café Entertainment/Show-Adult Permit for Kopper Kitty, Inc., 8314 Sepulveda Boulevard, North Hills, CA 91343, Permit No. 000283562200012P719. The Police Permit Review Panel will consider the Commission Investigation Division's recommendation to approve your application for a Café Entertainment/Show-Adult Permit on: Wednesday, November 18, 2015 at 2:30 p.m. Police Commission Board Room 100 West 1 st Street, Los Angeles, CA 90012 If you have questions regarding this notice or need further information, please call (213) 236-1400. Very truly yours, POLICE PERMIT REVIEW PANEL
otEVA R. VEGA, Senior Manage t Analyst II c:
Commanding Officer, Commission Investigation Division
www.LAPDOnline.org www,foinLAPD.corn
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LOS ANGELES POLICE COMMISSION BOARD OF POLICE COMMISSIONERS
RICHARD M. TEFANK EXECUTIVE DIRECTOR ALEXANDER A. BUSTAMANTE INSPECTOR GENERAL
MATTHEW M. JOHNSON PRESIDENT STEVE SOBOROFF VICE PRESIDENT
EXECUTIVE OFFICE POLICE ADMINISTRATION BUILDING 100 WEST FIRST STREET, SUITE 134 Los ANGELES, CA 90012-4112
ERIC GARCETTI Mayor
SANDRA FIGUEROA-VILLA KATHLEEN KIM ROBERT M. SALTZMAN
(213)236-1400 PHONE (213)236-1410 FAX (213)236-1440 TDD
MARIA SILVA COMMISSION EXECUTIVE ASSISTANT II
October 26, 2015 Mr. Hung.Phan Thai c/o: Mr. David Fu Kopper Kitty, Inc. DBA: Synn 425 S. San Gabriel Blvd., Suite 800 San Gabriel, California 91766
PPRP #15-0071 Certified Mail 7005 0390 0005 6949 0582
RE: Café Entertainment/Show-Adult Permit for Kopper Kitty, Inc., 8314 Sepulveda Boulevard, North Hills, CA 91343, Permit No. 000283562200012P719. The Police Permit Review Panel will consider the Commission Investigation Division's recommendation to approve your application for a Café Entertainment/Show-Adult Permit on: Wednesday, November 18, 2015 at 2:30 p.m. Police Commission Board Room 100 West 1St Street, Los Angeles, CA 90012 If you have questions regarding this notice or need further information, please call (213)236-1400. Very truly yours, POLICE PERMIT REVIEW PANEL
EVA R. VEGA,Senior Manage 11 Analyst II c:
Commanding Officer, Commission Investigation Division
www.LAPDOnline.org ' www.joinLAPD.corn
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Mr. Hung Phan Thai c/o: Mr. David Fu Kopper Kitty, Inc. DBA: Synn 425 S. San Gabriel Blvd., Ste 800 San Gabriel, CA 91766
AGREEMENT OF CONDITIONS FOR CAFÉ ENTERTAINMENT SHOWS- ADULT PERMIT NO.000283562200012P719
Permittee:
Kopper Kitty Inc. Ronald Lee McKinney, Jr. - President
DBA:
Synn
Address:
8314 Sepulveda Boulevard North Hills, CA 91343
I, Ronald Lee McKinney, of Kopper Kitty Inc., do fully recognize the necessity for the imposition of conditions set by the Los Angeles Board of Police Commissioners so that I may maintain a Café Entertainment Shows- Adult, permit at 8314 Sepulveda Boulevard, North Hills, CA 91343. In consideration for granting of this permit, I do hereby agree to the following conditions: 1. Permittee shall be in compliance with all applicable federal, state, and local laws, including those related to Building and Safety, Zoning, Fire and all other public safety regulations. 2. Security guard(s) are to ensure that no persons loiter near the exterior of the business or in any related parking lots. 3. The establishment shall keep the property, including the sidewalk adjacent thereto, free of debris, litter and graffiti. 4. All graffiti on the site shall be removed or painted over within two business days of its occurrence. 5. The establishment shall post "No Loitering" signs to the rear of the location. 6. During hours of operation, the rear entrance shall be an emergency exit only. 7. The business shall post a working telephone number, visible to the public from the front exterior, where citizens can call to address concerns, and be responded to in a timely manner. 8. The establishment owners, managers and staff shall reasonably cooperate with police investigations where the establishment is involved.
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I, the undersigned, understand that any violation of the foregoing conditions may be grounds for disciplinary action up to and including the revocation of the Board of Police Commissioners permit.
-/S onald Lee McKinney, Jr. - President For Kopper Kitty Inc.
,dor
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Date
7-.20/3
CHRIS WATERS,Lieutenant II Commanding Officer Commission Investigation Division
Date
Chairperson Police Permit Review Panel
Date
9
Date Of
Type of Permit CES
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City of Los Angeles Board of Police Commissioners
MONTH Date Granted
DAY
MONTH
DAY
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Account Number
Certifica
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MONTH
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Please Indicate "Yes"or."Non to thefollowing questions,and place your initials in the box provided 1. Do the owners, managers, employees, or entertatners of ittls business provide sexually oriented materiels, aoducts, servifxs a as defined by Los Angelo, Municipal Cods Section 103.01? Please write Yea or No In the box provided
1\10
2. Do the owners, managers, employees, entertainers, or patrons of this business permit or engage In specified sexual actIvIges at the business as defined by Los Angeles Municipal Code Section 103.01? RIMS* wrfte Yes or No In the box provided
I Yes, #7
1
Initials
3. Does this business possess or is It in the process of obtaining an Aloo1101 Beverage Control(ABC) License? Please write Yes or No In the box provided
No
Initials
ALL CORPORATE OFFICERS,GENERAL PARTNERS, AND OTHER PERSONS) WITH GREATER THAN 5% FINANCIAL INTEREST IN THE BUSINESS MUST COMPLETE SECTIONS C & D.
Nor
THIS APPLICATION IS COMPLETE UNTIL ALL QUESTIONS-ARE ANSWERED,ALL INITIALS, AND SIGNATURES ARE OBTAINED, AND ALL DOCUMENTS REQUIRED ON GEN. FORM 195-I(REV.7-04) ARE SUBMITTED. .s.rec
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT QR.
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who proved to me on the basis of satisfactory evidence to be the person"whose name(eris/ara-subscribed to the within instrument and acknowledged to me that he/s44e4t-hey executed the same in hisitter-Akreir authorized capacity(ies), and that by hisftterAtreir signature*fon the instrument the personK or the entity upon behalf of which the person(gacted, executed the instrument.
YOGESH B. DESA1
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COMM.#2025244 03 Notary Public - California 21 LOS ANGELES COUNTY it. My Comm. Exp. Jun. 10, 2017
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Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. 1:>e-scTiptio-r€ of Attaatte-d 1)aaurnarve Document Date: Title or Type of Document: /12PR-c* Number of Pages: Cit\YE -"-- Signer(s) Other Than Named Above:
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‘ Date Of ApylIcation
Type of Permit CES
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City of Los Angeles
MONTH
Board of Police Commissioners
Data Granted
I DAY
YEAR
Application for Police Commission Permit MONTH
Account Number
Type of APR
EE1
Police Area
Fingerprints
GUI ABOVE FOR OFFICE USE ONLY
I
$'itcrEm
MONTH
Moon* typo or print
APPLICANT INFORMATION
Lagal Name of Applicant
Kopper Kitty, Inc.
0AY
YEAR
Zoning Approved
MONTH
A
YEAR
Certificate of Occupancy issued
3•S
e
DAY
Police Commission Number
DAY
YEAR
RECEIVED JUN 1 6 2015
Nemo end Otis of parsonPERMITPR submIltinq appacetIon
Ronald Lee McKinney Jr.
GiSiiN g.§ECTIoiv Sale Pr*PrWl°r Business wiuty Partnership
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Business Name (Doing Business As)
*tbd Business Address
Cay & State
8314 Sepulveda Boulevard .
913
North Hills, CA
. Business MAiNg Address Whey. AI 0,7von WI es hilkat
c/o David Fu 425 S. San Gabriel Blvd., Suite 800
ZIP
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Please Indicate "Yes"or "No"to the following questions,and place your initials In the box provided 1. Do the owners, managers, employees, or entertainers of this business provide sexually oriented materials, products, services or merchandise as defined by Loe Angeles Municipal Code Section 103.01? Please write Yes or No in the box provided
lU
Initials
a
2. Do the owners, managers, employees, entartainers, or patrons of this business permit or engage in specified sexual act/ales as defined by Los Angeles Municipal Code Section 103.01? Please write Yes or No In the box provided
O
Yes, #7
buslocze
Initials
3. Does this business possess or Is it In the process of obtaining an Alcohol Beverage Control (ABC) License? Please write Yes or No In the box provided
No
Initials
41.1.1•1,
ALL CORPORATE OFFICERS, GENERAL PARTNERS, AND OTHER PERSON(S) WITH GREATER THAN 5% FINANCIAL INTEREST IN THE BUSINESS MUST COMPLETE SECTIONS C & D. THIS APPLICATION IS NOT COMPLETE UNTIL ALL QUESTIONS-ARE ANSWERER, ALL INITIALS, AND SIGNATURES ARE OBTAINED, AND ALL DOCUMENTS REQUIRED ON GEN. FORM 195-1(REV. 7-04) ARE SUBMITTED. bb:OT
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CALIFORNIA ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA COUNTY OF LOS ANGELES On i\Q\-\ 4'Z
before me Notary Public personally appeared -",(Nex,\0\
Qv,VAiNsNeA
who proved to me on the basis of satisfactory evidence to be the personfs)-whose name(-,* is/are subscribed to the within instrument and acknowledged to me that he/shthitey— executed the same in his/1-teri-their-authorized capacity(ies)and that by his/her/theirsignaturefston the instrument the person(4,--or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JL A. _A-A- A,. A, A_ A. A A A. A
Witness my hand and official seal
RITA M. PATEL
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COMM.#2006237 c.. C° ) N Notary Public - California . LOS ANGELES COUNTY .$ -tyogo m Comm. Exp. Mar. 2, 2017j
Signature of Notary Public
(Seal
Description of Attached Document Title or Type of Document: Document Date:
Number ofPages:
Us Of ADi33lkaton
Type of Permit CLS —
A
City of Los Angeles
MONTH
Board of Police Commissioners
Date Orenteed
Application for Police Commission Permit Ock• Pace CW114,51011 Number
Aoceunt Prunibet
Police Area
Fingerprints
1AL2.44.1 ABOVE FOR OFFICE USE ONLY a
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YEAR
DAY
YEAR
Certfroale of Ot [par Y Issued
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0AY
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MONTH
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A
legai turned., ApptIsent
Kopper Kitty, Inc.
APPLICANT INFORMATION
Name and dd. Of person setsetitinq apprisaten
Type ol
Long Kin' Hum
Business Exlity
Sole Proprietor
,
Partnership
Madness Nome (Doing Business As)
*tbd Business Address
Crly & State
8314 Sepulveda Boulevard
913
North Hills, CA
&sine= Mailing Address tivlim AI RAW* W4 to M*I•43
ZIP
Ari‘eynriel, CA : c/o David Fu 425 S. San Gabriel Blvd., Suite 800 ?
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Please Indicate "Yes"or"No"to the following questions,and place your initials In the box provided 1. Do the owners, managers, employees, or entertainers of iris busineSe Provide sexually oriented materiels, products services or merchandise as defined by Los Angeles Municipal Code Section 103.01?
Please write Yes or No in the box provided
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91776
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Initials
2. Do be owners. managers, employees. entertainers, ec patrons of Ns business permit or engage In specified sexual activities el the buslneere as defined by Los Angeles Municipal Code Sedan 103.01?
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Reno Write Yes or Na In the box provided
Initials
1111111-0111111
& Does this business possess or Is 11 in the process of obtaining an Moonol Beverage ConVol (ASO) License?
Please write Yes or No In the box provided
Initials
ALL CORPORATE OFFICERS, GENERAL PARTNERS, AND OTHER PERSON(S) WITH GREATER THAN 5% FINANCIAL INTEREST IN THE BUSINESS MUST COMPLETE SECTIONS C & D. THIS APPLICATION IS NOT COMPLETE UNTIL ALL QUESTIONS--ARE ANSWERED, ALL INITIALS, AND SIGNATURES ARE OBTAINED, AND ALL DOCUMENTS REQUIRED ON GEN. FORM 195-I(REV. 7-04) ARE SUBMITTED. V........
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CALIFORNIA ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual Who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA COUNTY OF LOS ANGELES
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before me Notary Public personally appeared
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who proved to me on the basis of satisfactory evidence to be the perso : whose names' is are subscribed to the within instrument and acknowledged to me tha,e,she/they executed the same iner/their authorized capacitylies% and that bye,I er/their signaturej.si-on the instrument the person.Wor the entity upon behalfof which the perso_*acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws ofthe State of California that the foregoing paragraph is true and correct. Witness my hand and official seal
Signature ofNotary Public
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Description of Attached Document Title or Type ofDocument: Document Date:
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PEDRO ALDRETE COMM.#2050889 °. ) 3 Notary Public - California —1 LOS ANGELES COUNTY 41. m Comm. Exp. Dec. 5, 2017
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Commi6son penni±
Number ofPages:
2
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Type Type of Perrrnit
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weereos-Agmcc,tnemsserogne
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Data of ApylIcatIon
,.:1111.11 I MONTH
City of Los Angeles
0AY
YEAR
airEo Date orsAti
Board of Police Commissioners
Application for Police Commission Permit Police Commission Number
Accourit Number
IMO IS Type of APR
Police Area
MONTH
DAY
YEAR
Certificate of Occupancy Issued
„fIt El ) zokiT ni0r1 ApApproved
Fingerprints
0AY
YEAR
DAY
YEAR
ABOVE FOR OFFICE USE ONLY MONTH
Nooelo typo or prima tosibiy
APPLICANT INFORMATION
A
Lepai Name of Appkant
Kopper Kitty, Inc. Nemo and et,• of person submitting spoltcaton
Type of Business Entity
Hung Phan Thai
1 2c7psrarion
Sole Proprietor Partrnrahlp
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Other 1
Business Name(Doing Business As)
*tbd Business Address
City & State
9143
North Hills, CA
8314 Sepulveda Boulevard Business Meiling Address (Who. Al trues *At e• HISOO c/o David Fu 425 S. San Gabriel Blvd., Suite 800
ZIP
.
San Gabriel, CA
91776
Please indicate "Yes"or "No"to the following questions,and place your initials in the box provided 1. Do the owners, managers, employees, or entertainers of this business provide sexually oriented as defined by bee Angeles Mlitliepal Code Section 103.01?
matenala, products, services or merchandise
Please write Yes Or No In the box provided
LIJ
Initials
2. Do the owners, managers, employees, erdattairiers,
Of patrons of this business permit or engage to specified sexual activities al the busily= as defined by Loa Angeles (Munlcipai Code Section 143.01?
ID Please write Yes or No in the box provided
Yes, #7
Initials
3. Does this business possess or Is It In the process of obtaining an Alcohol Beverage Control (ABC) License? Please write Yes
or No In the box provided
Initials
ALL CORPORATE OFFICERS, GENERAL PARTNERS, AND OTHER PERSONS) WITH GREATER THAN 5% FINANCIAL INTEREST IN THE BUSINESS MUST COMPLETE SECTIONS C & D. THIS APPLICATION IS NOT COMPLETE UNTIL ALL QUESTIONS-ARE ANSWERED, ALL INITIALS, AND SIGNATURES ARE OBTAINED, AND ALL DOCUMENTS REQUIRED ON GEN. FORM 195-I(REV. 7-04) ARE SUBMITTED. Peon
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CIVIL CODE ,§ 1189
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT wt.
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P. hcieri public a ether cfficer ccrripleliric This cerlilice1e Verifies chl:y the iderlil'i ci the individual whc siCrieC the dccurrier-,1 lc -41hich This ceriificele is .E-tiche,z-r, nci the lruthiulne*.*.: eccurEcy, cr validity cl thel dccurrient I SleiE ci Celiferniz Ccunty GI
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whose name(s/aFe— who proved to me on the basis of satisfactory evidence to be the person subscribed to the within instrument and acknowledged to me that he/she4thoy executed the same in his/liefkhsir authorized capacity(ies), and that by his/her/their signature(Bron the instrument the person(K or the entity upon behalf of which the person@sracted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
YOGESH B. DESAI L COMM.#2025244 93 Notary Public - California 1-1 LOS ANGELES COUNTY 4=. My Comm. Exp. Jun. 10, 2017
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• my hand and official seal.
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Signature Signature of Notary Public
Place !Votary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or ft-acidulent reattachment of this form to an unintended document_ Decription of Attached Document Title or Type of Document: Document Date: 1\-P'( Number of Pages711AN Signer(s) Other Than Named Above:
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Capacity(ies) Claimed by Signer(s) Signer's Name: ID Corporate Officer — Title(s): Partner — 0Limited D General 0Individual D Attorney in Fact 0Trustee D Guardian or Conservator Other: Signer Is Representing: e1,4
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Signer's Name: D Corporate Officer — Title(s): D Partner — 0Limited D General 0Attorney in Fact 0Individual 0 Guardian or Conservator D Trustee 0 Other: Signer Is Representing: '