LOS ANGELES POLICE COMMISSION

LOS ANGELES POLICE COMMISSION RICHARD M. TEFANK EXECUTIVE DIRECTOR BOARD OF POLICE COMMISSIONERS ALEXANDER A. BUSTAMANTE INSPECTOR GENERAL MATTHEW ...
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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 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

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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:

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Commanding Officer, Commission Investigation Division

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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

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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

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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.

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Date

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CHRIS WATERS,Lieutenant II Commanding Officer Commission Investigation Division

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Chairperson Police Permit Review Panel

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Type of Permit CES

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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

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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

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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

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ALL CORPORATE OFFICERS,GENERAL PARTNERS, AND OTHER PERSONS) WITH GREATER THAN 5% FINANCIAL INTEREST IN THE BUSINESS MUST COMPLETE SECTIONS C & D.

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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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MONTH

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Data Granted

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Account Number

Type of APR

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APPLICANT INFORMATION

Lagal Name of Applicant

Kopper Kitty, Inc.

0AY

YEAR

Zoning Approved

MONTH

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YEAR

Certificate of Occupancy issued

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DAY

Police Commission Number

DAY

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RECEIVED JUN 1 6 2015

Nemo end Otis of parsonPERMITPR submIltinq appacetIon

Ronald Lee McKinney Jr.

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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

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Initials

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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

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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

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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\

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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

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Description of Attached Document Title or Type of Document: Document Date:

Number ofPages:

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Type of Permit CLS —

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City of Los Angeles

MONTH

Board of Police Commissioners

Date Orenteed

Application for Police Commission Permit Ock• Pace CW114,51011 Number

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Zonini Approved

MONTH

GAY

YEAR

Moon* type or print legibly

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 ?

B

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

a

91776

0

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?

to

LA. 0

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

2o15

On npv

1--t-dr-o Pt Ictre-t-t. bon

before me Notary Public personally appeared

tri) Huot

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

(Seal) J,

..A„ et. x

Description of Attached Document Title or Type ofDocument: Document Date:

.1\)1

\

-

A Jt A _A_

PEDRO ALDRETE COMM.#2050889 °. ) 3 Notary Public - California —1 LOS ANGELES COUNTY 41. m Comm. Exp. Dec. 5, 2017

Cat

On -Gr

Commi6son penni±

Number ofPages:

2

, ••

Type Type of Perrrnit

,•

.•

weereos-Agmcc,tnemsserogne

/1

CES

I "rt

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

,-

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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personally appeared

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ere inserl Name end Time of The Officer

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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

Y

Y

WITN

• my hand and official seal.

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4.

YYVYY .4"

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:

-)11-1z,0r

" --pp

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: '

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