'VA

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' OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
Rec'd by Portland _"
Liquor ucenses

JUN 25 2009
(}f)~
\
PLEASE PRINT OR TYPE
Application Is being made for: FOR CITYANDCOUNTY USEONLY
The~o_or county commission:
LICENSE TYPES ACTIONS
Ill' Full On-Premises Sales ($402.60/yr) o ~hange Ownership ---±'~tA"
(name of city or county)
~ommercial Establishment cr(New Outlet
6 Caterer o Greater Privilege
CJ Passenger Carrier o Additional Privilege
3-,
Other Public location OOther _
vPrlvate Club
a limited On-Premlses Sales ($202.60/yr)
a Off-Premises Sales ($1001yr)
a with Fuel Pumps
a Brewery Public House ($252.60)
o Winery ($250/yr) OlCC USE ONLY
a Other:. _
AppllcatJ~n ~fc'd bY~\:o~*"'=-----r.-­ (
Applying as; l./
a limited a Corporation 'Limited liability a Individuals
Date:WaD?
G
Partnership Company 90-day authority: a Yes a No

1. Entity or IndiViduals applying for the license: [See SECTION 1 of the Guide]
<D --=fit 0AalCS LLC . CID _

®_----------------@------------------
2. Trade Name (dba):..±Q} J~)L....;::S=--.....;
3.~~~~~ca~n:.~3~3~~~-~~~~~~--~~~~~~--~~--~~--­ ~i2-+{ Aod Cj""'Jaoa DR
(number, street, rural route) (city) (county) (ZIP code) (state)

4.Bu~nessMamngAddress:~~-~~~-~~----~~---~~---~~~--
(PO box, number, street, rural route) (city) (slate) (ZIP code)

5. Business Numbers: So 3, - S?> l'{ - q &7 D

(phone) J.' (fax)
6. Is the business at this location currently licensed by OlCC? aYes .IQNo J.. J
7. If yes to whom:________ _ Type of License: 6L...=.l p{"76~
......

8.~~~B~~~~m~ L~~=n_~-------------------- __
9. Will you have a manager? DYes ')(~o Name: --:- :-=::-----:---:--:-:-:-:--:'~~:___:__---
(manager /'Just fill out an Individual history form)

10.What Is the localgoveming body where your business is located? f'Dt--H.»odJ Of~on
, (name or city or county)

11. Contact person for this apPlicatlon:~1 C..i))sS (6b3) 534· OJ (0 Jj>
fIf CltQ./ t
ame s)
L/ DLI nG V6.fUJJ e U1 do I rei'umvt (;' t.\ ' Co n
(eddress) (fax number) (e-mail addres
I understand that If my answers are not true and complete, the Olee may deny my license application.
Appllcant(s) Signature s) and Date:
~
® Date@ Date _
1·800·452·0LCC (6522)
www.oregon.gov/o)cc (rev, 12/07)
 ,
8 .. .
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.. OREGON LIQUOR CONTROL COMMISSION
.".. . LIMITED LIABILITY COMPANY QUESTIONNAIRE
F

• See section 2 of Guide for help with this form

Please Print or Type

LLCName: W Year Filed: ~oo 9

Trade Name (dba):_-.:..:..:....:.....--=..:...:....-..:....;,..-_--=:::;.;..;.....;..:::,,;~ _

Business Location Address:

City:---.Porz.+{ ftn..d
.. ---->:<..:.......,;;-+-'-'---- ZIP Code: C17 ~

List Members of LLC: Percentage of Membership Interest:

1.51~ I~ n () o. ())s.s }00 trJn
(managing mamber)

2. ~-:---:-------------
(members)
3. _
4. _
5. _
6. _

(Note: If any LLC member is another legal entity, that entity must also complete an LLC, Umited
Partnership or Corporation Questionnaire. If the LLC has officers, please list them on a separate
sheet of paper with their titles.)

Server Education Designee:~~ &(4 ~" D~ DOB: 5/; /2IJo9

I understand that If my answers are not true and complete, the OlCC may deny my license application.

Signature:~ lli2 fl< ~. O~

(name)
{h~~ ~
(litle)
Date: 5/-' 12Doj

1·800-452-0LCC (6522)
www.oregon.gov/olcc (rev. 12/07)
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OREGON L1QG .... r< CONTROL COMMISSION
INDIVIDUAL HISTORY
PLEASE PRINT ORTYPE
YOU MUST ANSWER All QUESTIONS ON THIS FORM. IF THE QUESTION DOES NOT APPLY, WRITE N/A IN THE SPACE.
ATTACH ADOmONAL SHEETS IF NECESSARY.

Trade Name (~.b.a.): . ,61 cia ¢,.5 :>

s-;3M,
/1J9'¥
I
Clty:-P?-£-:.';l....I.4£4~--
1. Name:_.J::~:::::::::""""'- "::::::~~:::.L ~~:u!..lli;""""' _
(last) . (fi{S1f:, (middle)
&(l£!~.:d:"""'-_-= __---;---:-::--_-=-A"T-;-""---_
I

2. Other namesused (malden, other): SIref21Zt

3. Residence Address: Y.30~ ne $61i{ CJt.aJ.e lJLL:.arco~(J:...-"J......;eg.:......-.:_~~----::===::-=::-_
que.lal
(number and street) (city) (state) (ZIP code)
4. Home Phone:(518 ) 639- 9/0 ')D Business Phone:(I.---;-_-J). _

S. *SSN • Place of Birth: 0 H,'D D~B

' & 0-.1 11'111 Sex: M_ _ F~
1'fflcg .cnss _
~. (State/Country) (mm) (dd) (yyyy)
6. Driver Uce e or StatejD # I State: W1t' Spouse's name:

7. tes, other ~'i' Oregon,lJ

voaQ.
r:te:zu have lived during the past ten y e a r s : , "-T,;
I n '<;...,

8. Do you currently hold, or have you ever held a liquor license In this or any other state? _Yes No
If yes, when, where and name of premlses? _

9. In the past twelve years, have you bee convict d of

If yes, what, when and where? Q, l Q
10. Have you ever entered Into a diversion agreement? _Yes -:i-No
nyes,wh~a~Wh~? ~ ~

11. Do you have any arrests or cItations that have not been resolved? _Yes '2(No SearohCornpleted
If yes, arrested/cited for: Date County/City/State/
12. If you are applying for a retail liquor license: MAY 19 2009
a. Do you have anY-!jnanclallnterest, direct or Indirect, In any manufacturer or distributor of
alcohol? _Yes -yC.-No If yes, what and where: . ~~;:JZ~----
b. Does any person haVing a financial or ownership interest In a manufacturer or distributor ha~;e~inii'Fil~:t'11rr.--­
or potential claim upon your business or premises, for Instance through Investment, a loan, lease or contract?
_Yes ~NO If yes, who? _

13. Have you ever had a warning, violation; suspension, fine, cancellation or refusal as a licensee or service permittee,
In Oregon or any other state? _Yes ~NO If yes, when: where: _

I UNDERSTAND THE OlCC WILL USE THE ABOVE INFORMATION TO CHECK FOR CRIMINAL RECORDS. I UNDERSTAND IF
MY ANSWERS ARE NO~O~E' TVLCC MAY DENY MY UCENSE APPUCATION. I I
Applicant Signature: _ 04k . Date:.5 J ~9
·SOClAl SECURJTY NUMBER DISCLOSURE ~ part of your application for an initial or renewal Dcense, Federel and State laws require you to
provideyour Social Security Number(SSN) 10 the Oregon UquorControl CommissIon (OlCC) for child supportenforcement purposes (42 USC §
666(a)(13) & ORS 25.785). The OlCC will refuse a license to any applicant or licensee who falls to provideh1s1her SSN. YourSSN will be used
only for child support enforcement purposes unless you sign below, ~

Based on our authority underORS 471.311 and OAR 845-005-0312(6), we are requesting your voluntary consent to useyourSSN for the
following adminIstrative purposes only: to match your license application 10yourAlcohol Server Education records (where applicable), and to
ensure yourIdantity for criminal records checks. OlCC will not deny you any rtghts, benefits or prMlegesotherwise provided by law If you do not
consent to use of your SSN for these admlnlslrativ purposes SC § 552(a)). If you consenl to these uses, please sign he7:
Applicant SIgnature: ~ Date: 5'/1 dJiJCj

~~I~~~IUU I
l-BOO-452-0LCC (6522)
www.oregon.govjolcc (rev. 12/07)

451001A1
 A OREGON LIQUOR CONTROL COMMISSION
INDIVIDUAL HISTORY
.."
pLeASe PRINT OR TYPE " ,
" YOU MUST ANSWER ALa. QUE$TIONS ON THIS FORM. IP THIi! QUESTION' ~ NOT APPLY,
ATrACH ADD~O~AL SHE ~ ¥C~ARY.
Trade Na~e Cd.bla :,_-I.-u:r-......;;;..:::;,:......;:-J::.=::j~~=~....I....oI::...;;J",I:.=.:~~:::::l"""' _
1. Name::'_ _~'/~~~:L- J-J.~:L.....:~::- -l.~~:21li:;..!..::le:J.._ _
(last) ~ ,/ (ftP.Jt) . (middle)
2.", Other names used (malden, Qther): , ~, '~ . ' , ,
3. l(3 (J t1 IlL£' c5{.& C,,,.tlt, !&tJCO~ j
ResIdence Address:
,. , ~ . (state)
(number. and street)
'(city)
tnf!
(ZIP code)
ua "
4. Home Ph'one:, 31ef2 ) y? 2 -2..3Q [) , Business Phone:', 501) 5~"l....qq 7tJ '
5• •SSN:..-... _ _ ~I.:'.iBlrtII: doi1,r~ /U.5"_ D~L( I 30 tl%f'sex: M / F_' \ '~" ? "
, , ' , . . . . , CState!&untry) , (mm) • (dd) '(yyyy) ---'
6. Driver ~ .or State' IP ~: ~ , 'state;~ spouse's neme:' " ,
7.' List all sta~erthan Oregon, wh au have lived diJrln
,to· , pt.
, "
8. '.00 you ~rreli~y hold, or ~ave you ever held a liquor lI'i=8"se ln' ~
If yes, when, where andname of premlses?:..=:u.~~u..d!!Jf...::U.tL!jUZ£~;[44Jt.L-+-.A.LfJ.U&UL_-.,_-
9. In the past tvklve years, ,haVe you bee rivi!=ted of ilu violation,
If yes, what, when and where? , o r .
,,' " , , . Y. ' .. ;"'l.,~ 11< ' .. w;o'
io, Have Y0l:' ever entered Into a dIversion 'agreement? _Yes U-,-No ' ~J,~jJ'~ t,Ot",'\C....
. If yes, when a~d where? . i ,~S~2/c\'\ ' 1}'1
11. Do ~ou
have any anem
or cltatlo.ns th~t have n~t been:resolved? _Yes ~ "\\)~ \ a 1.'J
If yes, arrested/cited for: . ' Date ,. County/CTty/5tafE/ \' ~ /. , ., ~~
ii, If you are ~p·plylng for a ratan ;I.~or licen~:' , .' .. .. . . ~. ~.. . i ->", .

a. Do you hav~ any fll}ilncl~1 tnterest, direct or Indlree:t,.1n any manufacturer or ~Sb1buw.'A\-ql\t\\.:·", · .
, .alCohol? _Yes. ...lLNo If yes, what and where:
.. . .. , . ~, .' . .
b. Does any person having a financial or ownership lntetest In a manufacturer 'or dlstrfbutx:lr have an Interest tn,
or potential ~Im upon your businessor premises, for Instance.th rough inyestmeh~ a loan; leaseor contract?
,_Yes...JLNo IfVest.who? . . . '
13. H~e you ,ever had a warning, vl0l;t!on, suspensIon, f1ne~ cancellatl9(l or re(usal as a licenSee or seNt penni ,..
in Oregon or any other sta:te? --\P'es ~o If yes, when: , where: -. -•7-=/14 '3
'. . . " l fMl!I1'//f?r A'~~/'Ir$~~A/.-.k ",t;fItUJuu~
. i UNDERSTAND THE OLCe WILL THEABOVE INFORMATION TO CHECK, FOR CRIMINAL REColUfs."'"x'UNDERSTARD IP
MY ANSWeRS ARE .NOT TRU MPI;.ET'E, THe OLe AY DENY MY UCENSE APPtlCATION.
Applicant Slgna~: Da1B: -FJ.il:l,,':ifl--:=:;;;""'t..=_~
*SOCIAL SECURITY NUMBER DISC RE Ni part of yourappllcatfon for an Initial Df-'renewal Rcense,'Fec!eral and State laws require you 10 .
lIi'OVlde your SocIal Seeurl!y Number (SSN) 10 the Oregon Uquo~trol COmmission (OlCC) for chlkS support enforcement purposes (42 USC §
886(8)(13) & ORS 25.786). The OlCC wm refuse a Rcense to'anyappIlcant or Ucensee who falls to provide brslher SSN, Your SSN wDl beu$ed
only fer chDd support !tnforcement purposes unlns you sign below. " ". '
BB~d on our. authority uild,",ORS 471.311 endOAR 84S-G05-0312(B), we ere'req~g yourvoluntaJy consent to useyour SSN for the
following administrative pulpOS8S only: to m Rcense .eppllcatlcn to yourAlcohol Server education reccrcl9 (where appllcable), encJ"lo
ensure your Identity forcrimInal record ' • OLec WIIJ not qeny youany rights, ben~ or privilegeS otharwlse provIde'd by law If youdo not
consent to use of yourSSN for tratJve purposes (6 consent to these uses, please sl n,liars: •. '

.
Applicant Si9J:lature: ' ~. Date: 1£ l. to

IIIUlunl~
1-800-452-0LCC (6522)
www,oregon.gov!olcc (rev. 12107)

·451001'A1
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. OREGON LIQUOR CONTROL COMMISSION
. STATEMENT OF FUNDING SOURCES
Please Print or Type

Each individual who invests money in this licensed business must complete this form fully and
accurately. This form will become part of your permanent file record. Information must be printed
legibly in dark ink, or typed.

Most people use some cash money to start or buy a business. Cash is used for things such as:
• Advance rent payment; down payment on contracts
• Buying inventory; putting cash into a corporation or LLC

You must disclose how much money you are using, and where you are getting the money.

What is the approximate total cash amount you will put into this business to buy it or start it up?
Do not include amounts you will owe on contracts.

Cash total: $ LjJ POD· DO

Now, you must exactly identify each separate money source. For instance if a source is your bank
account you must state the bank and the amount of money to be used from the account. If the
source is a loan you must state the amount of the loan and identify the lender.

Money Sources: .,fort.SL1W-} 9?y?'

GAsIt S'fl--lJl rzjS $ 7 oW . 0 0
Bof2tolJkJd ~rn ~eJ2- - 11- Lrrw $ OJ Dco . D0
BDI2.,?'DlJJPd -r~~6~~ Bft1fr~'IJ: $ d.5)ooo. DO
SWORN STATEMENT: I understand the above information is material to my license application. I
swear the above information is true, accurate and complete. I understand that the Oregon Liquor
Control Commission may require me to give proof of the above information. I understand that if the
above information is not true, is not accurate or is not complete the liquor commission may prosecute
me criminally for False Swearing under ORS 162.075, and may refuse to grant my license application
or if the license is granted may act to revoke my license based on false sworn statement.

Trade Name (d.b.a.) fA+ 0Jq.e.,)t.s Stt-Joon City A{2..+i ftnJ

Printed Name Sh-ef2.,1..j L '~
Signature ~(2tL e:P, Date: 5111 ()~_

1·800·452·0LCC (6522)
www.oregon.gov/olcc (rev. 12/07)
 - ASE - BUSlH!U!!l'ROPERTY. OR 9l'206

HUE

THIS INDENTURE OF LEASE, entered into this ~~ 9.~ ~p:~.. .?!~.. day of ~~ ,209.~_ ,
between _ .
.................J...A..~00Q»...~.QRl.QMl'.19N~ Qn...Q.f.~g9.JL~.9.J:l?Q1:A!t.Qn ~JA~ .•l'1.c;.~!l.~~..;t1:.~ftl ..~.~~.'ll:~~ ..~.:rQ~~~ !.~ ..
..~.8~!1:t ..9.~..J:9:~ 9.~~~'- '- .. JP.~!!':~~.:r 9.f wb.; l;h ~§ ••.'-;J, f#Q••!L..U,~.~mil.~~ 1:.~.Dl ..~.~~lA ~.~ ..g.r.Q.~~~ .
hereinafter called the lessor, and .

:::=::::::=:::~~f:~~~K~:~:::y;.:~~:::~~::9:~~&Q~:::fi~i~~:~~:ii~b!Iiiy.::s:Q~.P.~:~Y:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
.............................................................................................................._ , hereinafter called the lessee,

WITNESSETH: In consideration of the covenants herein, the lessor hereby leases unto the lessee those
certain premises, as is, situated in the City of J~g~JJ~~~ , County 01 ~~tl.!:~9.~~.I] and State
of 9.~~9.'?: , hereinafter called the premises, described as follows:

Commercial space consisting of approximately 7,900 square feet, more or

less situated on approximately 18,000 square feet of land commonly known as:

3390 HE Sandy Blvd, Portland, Oregon 97232 together With approximately an

additional 10,000 square feet of land, more or less, parking lot located on

the north side of Sandy Blvd. just east of 3345 NE Wasco Street, and

Together with all that certain personal property as listed on attached

Exhibi t uB rI •

To Have and to Hold the Dremises commencinp with the 7tll day of May , ~.9.~2
and endin~ at midniAht on the ~~h I day of ~!-!&H~.~ , .?QJ~ for a rental 01 $..'-~ ~.~~9.W ..
for the whole term, which lessee agrees to pay, at }~ ~~ ..~.~~ ~y.~~~~ ,
· 0I
C Ity Portland , S tate 0 f oreaoo
b; , at teo . tiImes an d In
h f IIoWing h i lowmg
i teo l ' amoun t s, t O-WIit:.

$ 7,000 upon execution hereof as a deposit securing lessee's obligations under this
lease; said deposit shall be non-interest bearing and may be comingled with
other funds of lessor; the balance of said deposit if any, shall be returned
to lessee within thrity (30) days after vacation of the premises in accordance
the terms of this lease.
$ 7,000 on the 7th of every month commencing Augus"t 7, 2009 through July 7, 2012.
$ 500 late fee 'if rent is not received by Lessor by the 12th of the mo~th it's due.

Lessee (but not the Lessor) has the right to terminate this lease by giving Lessor

Dot less than thirty (30) days written notice on or before November ~ 2~09 provided

Lessee has not been able to obtain a license from Oregon Liquor Control Commission.
In consideration of the leasinA of the premises and of the mutual agreements herein contained, the parties
aAree as lollows:

L.:::========-=-_==_=_=_
._~,;_-
. -_.__._ - -- ._._. -_..- ---.- ----:-:"==~~====~==::::J
 LESSEE'S (1) TM le_e accepts this lettin4 and qTees to pay to the oTdeT 01 the le:l5or tho monthly rentals above stated for tho
AC{:BPTANCE lull term of this loale, in advance, at the times and in the manneT aloTesaid.
OF LEASE
USE OF (2a) The 1 _ ahaIl use the pTeaU"" durin, the term 01 this letl", for the conduct ot the tollowin, busine:l5:
PREHlSES
.~~~!~.9.~.~.!t~_..~~~_J!?~.gg~.I._,.!.~9.hQ.l ... §§,!~.§...~.U.9W.eQ.;. ...O.l:.e&QJ1...1.Q.tte.J:y..giuue.~All.ow~d .;. ..
!.!.'Y.~ ..!!H!...!~£.C?!!1-.~.9 m!!~.;.~ ...~U.Q~~~";..;.~.n.g... ~!l.Jt~~.~ ... p.~"f.~.;~~~~ ....1;.Q••.~h~._.Qp.~r.'.;!9~.. !.h~!~.QJ._.~.Q!.~.h .....
.~.!.!: !~g!!~ .: _~.~ :. ::::::::::::::::::::::=::::7.'::::-and for no other purpOlle whatsoever without leaor', written consont.
(2b) The le_ will not mlIke any unl"wful, improper or ollensive use 01 the proaU_: tM lesseo will not suller any 'trip or waste
tMreof: the loaaeo w/ll not peraUt any objectionable noile or odor to escape or to be eaUtted lrom the premi,e, or do anythln4 or permit
any thin, to be done upon or .about the premlaos in any way tending to create a nuisance; tM le_e will not Mil or permit to be IIOld lUIy
product, subst/UllCO or service upon or about the pTemises, ezceptinll such as lossee may be licenMd by law to aoll and aa may be herein
O%prelll1y permitted.
(2c) The lessee will not allow the premiBBs at any time to fall into /filch a state of repair or disorder as to increase the fire hallard
thereon: the lesseo will not install any power machinery on tho premises ezcapt undor tho suporvision and with writton consent 01 tho lessor,'
the 100IIOe will not IJtore Sa,aline or other hi(Jhly combulJtible materials on the premlBBs at any timo; tho lesMe will not UIO tho premises in
such a way or for .,ch a purpose that the fire insurance rate on the impTovementlJ on the premJlOlJ ill thereby increalJed or that would
prevent tho leasor from takill/l advanta8e 01 any rulill4s of any ageneY of the IJtate in which the premise II are situated, or which would
allow tM leaor to obtain reduced premium rat". lor 101l/l term fire iNurance policies.
(24) Tho lell108 shall comply at losseo's own ezponse with all laws and re~u/ations of any municipal, county, IJtate. federal or other
public authority rospectill/l tho Ule 0/ tho premises. These include. without limitatiOll, all lawlI, regulations and ordinances pertaininA to
Air and wator quality, Huardous Materials l1li herein defined, waste dispoaal. ail emJaions, and othor environmental matters. As used
herein, H_dous Material means any h_dous or to:cia substance, material, or waste, includill4 but not limited to those .,bstances,
materials, and waste lilted in the U.S. Department of Transportation Hazardous Materials Table or by tho U.s. Environmental Protection
Agency &II haardous IIlIbatancell and amendment' thoreto, petroleum products, or .,ch other substances, materials, and waste that are or
become regulated under any applicable local, state, or federal law.
(2e) The 10_ mall rollularly o«upyand use the prem/lOs lor the conduct of le/llJeO" ,businoStl, and shall not abandon or vacete the
preaU_ lor more than tan days without written approval ot lessor.
(21) lA_ shall not cau18 or permit any Hasardous Material to be brought upon, kept or used in or about the premllJes by
lessee, its agont., employees, contractors, or Invitees without the pTior written consent 01 le"or, which COnBBnt will not be unreallOnably
withheld 50 lont aIJ leSBOo demonstrates to lessor's realJOnab/e satis/action that such Ha~ardous Material ilJ necessary or uselul to leaee's
busine:lll and will be ulOd, kept, and stored in a manner that will comply at all times with all laws rellu/atint any such Huardous Material
so brought upon or ulJOd or kopt on or about the premises.
UTILITIES (3) The lUSH shall pay for all heat, light, water, power, and other servicea or utilities used in tho premises durinll the
term of this lell.$O.
REPAIRS AND (4a) TM lelJ30r shall not be required to mlIke any repairsi alteratioM,addltions or improvements to or upon tho prem-
WPROVEMBNTS llOs during the term of thilJ leaso, e:ccept only those hereinafter specifically provl'ded tor; the le'lOe hereby agrees to
maintain and keep the preaUlOs, including all interior and e:cterior walls and doors, hoatinll, ventJIatlnll and cooling systems, interior wirin"
piumbitl/f and drain pipe, to sowers or _ptic tank, in ,ood order and repair during the entl're term 01 this lease, at Ie_'s own cost and
ezpenlO, and to replace all g/aas which may be broken or dama/lOd during the torm hereol in the windows and doors of tho premises with
IIlass of as 400d or better quality as that now in UtlO: it ilJ-i urt her atJreed thot the leSlOe wl/J make no alterations, additions or improvements
to or upon the premJsos without the writton consent of the lessor first beiD/1 obtained.
(4b) The lesllor agreelJ to make all necelJBary structural repairs to the buildinA, includinA ederior walls, foundation, rool, ptters and
dOWMPOUtll, and tho abuttinlJ sidewalks. The lessor reserves and at any and all- times shall have the ri~ht to alter, repair or improve the
building of which tho premises are a part, or to add thereto, and for that purpolSfl .t any time atQJI erect scallolding and all othor necessary
structure, lIbout and upon tM premitlOs and le:l5or 'and lessor's representatives, contractors and workers for that purpose may enter in or
about the Promise/! with ,uch materlala as l8IJBor may deem neeo&aary therelor, and le_e waives any claim to daatQlles, includinll lou ot
busiM. resulti", tMrefrom.
L~S~R~~ (5) It shall be Illw/ul for the IOllSOr, the leaor's at1ents and reprelOntatives, at any reallOnab/e timo to enter into or upon
~y tho premiSOll for the pIlTpOBB of ezaminitJ4 into the condition thereof, or for any other lawlul pur]X»O.
RIGHT OP (6) TM I_e will not assign, trans/or, pledge, hypothecete, sunendor or dispoH of this lell3e, or any interest herein,
ASSIGNMENT IIlIblet, or peraUt any othor person or persons whomsoever to o«upy tho premilOs without the written consont of the
lessor beJn4 flnt obtained in wrJtill4; this 1 _ is personal to I~: I_e's interest" in whole or in part, cannot be
sold, aai~ntlCI, traNlerred, soilled or taken by operation at law, or under or by virtue of any ezocutlon or leg.1 procesa, att.cJunent or pro-
ceGdill/l' ilJ4tituted aSaiMt tho le_e, or under or by virtue 0/ any bankruptcy or iruolveneY proceedinlls had in regard to the leuee, or in
any other manner, e:coopt 4IS above mentiotllld.
LIENS (7) Tho leNee wIll not permit any lien ol any kind, type or description to be placed or imposed upon tho improvements
in which tho premilOS aTe lIituated, or any part theroof, or the land on which they stand.
ICE. SNOW, (8) 11 the premises are located at street level, then at 1111 times le_ shall keep the sidewalks in Iront of the premises
DEBRIS
free and clear 01 ice, anow, rubbish, debris and obstruction: and if the lessee occupies the entire building, tho leuee will
not permit rubbish, debris , ice or snow to accumulate on the rool of the building so as to stop up or obstruct Ilutters or
downspouts or CIIIlIO, dema/lO to the rool, and will savo harmless and protect the lessor a~ainst any Injury whether to le:l5or or to le"or':s
property or to any other person or property caused by lessee'll failure in that rellard.
OVE1LOADING (9) The lessee will not overload th8 /I00t1l 01 the prem/solJ in such a WilY M to cause any undue or serious stress or
OF LOOKS IItraln upon the building in which the preznJlOS are located, or any part thereol, and the lellSOr shall have the right, at
any time, to call upon any competent enAineer or architect whom the leNor may choose, to decide whether or not tho
floors 01 the preaUsoll, or any part thereof, lite bein, overloaded so liS to caUIe any undue or IOrious stress or strAin on the buildin4, or any
part thoreo/, and the dec/sion 0/ the engineer or architect shall be final and binding upon the lellsee,' and in the event that it is the
opinion 01 the ensineer or architect that the streas or strain is wch as to endlJll4er or injure the buildinA, or any part thereol, then and
in that event the 10:1500 a~ree5 immediately to relieve tho Iltress or strain, either by reinlorcins the building or by Illlhtenif)J1 the load which
cauae, ~cb alrellJ or ,train, in a' manner satislactory to the 1001IOr.
t£~~TISING (10) The Ie,. will not use tho outside walls 01 the premi80I, or allow si~ru or devices of any kind to be attached
thereto or auspended therefrom, lor advertisin4 or dillplayinA tho nome or bUlline.. 01 the lessee or for any purpose
whatsoever without the written conllOnt of the leStlOr: however, tho lessee may make ulle 01 the windows of the premises
to dilJplay le.-', name and bu:slne:15 when the workmanship 0/ such signs llhall be 01 good quality and permanent naturo: provided lurther
that the le_ may not ,uspend or place within lJaid windows or paint thereon lIllY banners, sigM, silln-board, or other devices in violation
ot the intent and meanin, 01 thilJ soction. Lessor hereby approves any signage allowed by the City of
Portland and the Oregon Liqunr Commission. ~ . ~
 LIABILITY (11) At all timell durinll the term haroo/. the lessee wll], .t the lelSllee's own expense, keep in ellect and deliver to the
INSUIlANCE lessor liability insurance policies in lorm. and with an insure«, /IIItis/actory to the les5Ol'. Such policios IIhall in/IUro both
tM lessor and the le_ allainst all liability lor damage to persons or property in. upon, 01' about the premises. Said insurance
shall include liquor liability. The amount of such iasurance shall not be less than
_ . • ..... a combined
slnllio limit 01 not 1_ than $ .1 0.00.•000 /t shall be the rOllponslbility 01 lessor to purchalUl casualty inllJtllnce with
oxtended covor",o 10 as to iruuro any .trucwre on the promises allainllt damap caused by liro or the olloctll 01 lire (Imoko. heat, moans
01 elltln,uilJhmont. otc.), or any other moans 01 loss. /t shall be tho rOllponsibility 01 tho lessoo to insuro all 01 tho lOll_'ll belon41in41 upon
tho Pl'omJ_. 01 what_ver naturo. allainst tho same. With rospoct to thollO policiOll. 10_ IIhall cause tho 101l1l0r to be named as an addi.
tional insul'ed PlIrty. LoIINe ollroo, to and shall indemnity and hold lenor harmless allainst any and all claims and demands arisin4 Irom
tho ne,li,once 01 tho 101lII04I, lo_o's ollicors, a,ents. invitees and/or employoea• .. woll .. those arillin, Irom 10S500" lai/ure to comply
with ItIrY covenant 01 thill loase on I_'s part to be perlormed, /lnd shall at Ie_'s own expense de/end the lessor allainst any and /III
.wts 01' actions arisln4 out o~ ISUch nollipnce, actual or allolled, and all appeals tharelrom and shall satisly and discharge any jud,ment
which rnay be awarded a'a/nat lessor in any such suit or action. Owner and owner I s agent shall be named insureds.
FIXTURES 0') All partitions, plumbing. olectrical wirind. additions to or improvomentll upon the premises, whothor installod by
tho 10UOl' or 1_0, aluJJl be and become a PlUt 01 the builditll1 in which the premises are located as :roon as installed and tho propel'ty 01
tho 10IIII01' un/o. otherwise IMI'o/n provided.
LIGHT (13) Thi' loase doe. not I1rant any ril1ht. 01 aeee. to lillht and air over the promises or any adjacent property.
AND AJ1l
DAHAGE BY (14) /n the ovent 01 the de4truction 01 the improvoments in which tha premises /11'0 located by liro or othol' ca/IUalty.
CASUAl-TY, oithel' PlUty hereto may tenn/nato this loase a:I 01 the date 01 ilre or callUaity. provided. howevor, that in the ovent
FIRE AND
DUTY TO • f41:+
REPAIR 01 damage to tho ImprovemtJnt! by 1,,0 or othor casualty to the extent 01 +.-.f:.,.y pel' cant or mote 01 tho IOUnd
valuo theroo/, the le.ol' mayor may not elect to repalr the same; written notlc« 01 lessor 's e/oction shall be given 10_ within Jjltoen
days alter the occurrence 01 the dlUllllgo; iI notice is not so lIiven. Iouor cone/ullivo/y Iha/l be doomed to havo olectod not to ropair; in the
evont I_r eJoct. not to ropalr. thon IUld in that e"ent this 'oase shall terminato with the date 01 the damage; but 11 the improvoments
In which the promises /11'0 located be but pIII'tially dOlltroyed and tho damatlo !O occasioned shall not amount to the extent indicatod above,
or II groatel' than said 011 tent and lesllor ./ects to repair. as aforesaid, thon the lessor shall ropair the same with all convoniont speed and
shall havo the right to tako pculIIOssJon 01 and occupy, to tho oxc/ullion 01 tho lessee. all or any part theroot in order to make the necassar)'
ropalrs, and the lessoo herobya/1roe. to vacate upon roquellt. all or any part thereol which tho lossor may require lor the purpose 01 making
necaslIlJry ropairs. lind 101' the period 01 timo between the day 01 /lUch damage and until such repair! havo been /lUbstantiaily complotod
thoro shall be such an abatement 01 ront as tho nature 01 tho injury or damago and its interJerenco with tho occupancy 01 the premises by
the le_ Iha/l wal'rant: howevel'. il tho premise. be but slightly injured and the damage so occasioned shall not cause any matorial inter-
loronce with tho occupation 01 the premises by leSJee. then there shall bo no abatoment 01 ront and tho 'ossor shall ropail' tho damallo
with all convonlont speed.
ruA.~:~A~foN (15) No/ther tho lossor nor tho lellSftO shall be Iiablo to tho other lor loss arisl"ll out 01 damalJe to or dostruction 01
IUGOTS tho promises, 01' tho build/nil or improvement 01 which tho premi:ros er« a part or with which thoy aro connected, or
tho contents 01 any thorool. whon IlUch loss is causod by any 01 the perils which aro or could be includod within or in-
/lUrod a/1ainst by a standard lorm 01 ilr« insurance with oxtended coverallo, including spl'inkler leakal/ll insurance. II any. All /lUch claim!
lor any and all loss, howevor caused. horoby aro waived. Such absenca 01 liability shall oxillt whethor or not tho damage or destruction is
caused by the nolll/gonca 01 either lessor or lessee or by any 01 their respective agents. lervants or employoos. It is tho intention and allroe-
ment 01 tho 10lsor and tha lessee that the rentals reserved by this lease havo belln tixed' In contemplation that both pal'tioll IhaIJ lully
provide tho/r own insurance protection at their own expense. and that both parties shall look to their respectivo JnllUrance carriers lor
reimbursement 01 any IfIlch lOIS. and turther, that tho insuranca carriers involved shall not be entitled to IlUbrol/ation under any circum-
.tances a/lainst any party to this loaso, Neither the lessor nor the lessee shall have any interest or claim in tho othor's insuranca policy or
policies, or the procads thol'Ool, unles. specillcally covered therein as a joint assured.
EMINENT (16) In case 01 tho condomnation or purchaso 01 all or any /lUbstantiai part 01 the premi5fls by IIny public or private
DOMAIN corporation with tho power 01 CDnClemnation this lease may be tel'minatod, oJloctive on the date possesllion ;, takon, by
eithor party hereto on writton notice to the othor and in that case the lesseo shall not be liable lor any rent altor the termination dato.
Lassoo a1IaIl not be entitled to and horeby olCpressly waives any ril1ht to any part of the condemnation award or purcha!o price,
F~'t SALE (17) During tho period 01 .......P.J.,.~.~.ty .... days prior to the date above lixed lor the termination 01 thill lease. the lossor
:OR RENT herein mllY post on the premises or in tho windows thereol si~ns 01 moderate size notilying tho public that tho premises
SIGNS /11'0 "lor sale" or "lor lease,"
DELIVERING UP (18) At the oxpiration 01 the loaso term or upon any sooner tormination therool. tho lessee wili quit and deliver up
PRBMISES ON the promiAs and alliuture orections or additionll to or upon the same, broom-cloan. to tho leslor or those havinlliessor's
TEJUIINATION
olltato In the premisos. peaceably, quietly. and in os tlood ordor and condition, reallonable UfO and wear thereol, dama~o
by liro. unavoidable casualty and the e/omont. alono exceptod. as tho samo are now in or horoaltor may bo put in by tho lossor.
ADDITIONAL
COVBN.ulTS
(19) Lessee accepts the premises "AS-IS" with all defects based upon lessee's
OR
EXCEPTIONS
own inspections of the premises and not in reliance upon any representa-
tion from lessor.

(20) See paragraphs on attached Exhibit "A" which by this reference are in-
corporated herein.
 ATTACBMENT ALWA
,., PR'OVIDED: and'these prosents ~k&i;'iUJ these'coiJdiiion~. that (1) u th~ ieslee JS~lIll be' In IUreAl'S In the
).S.
B~~.fnt':T payniont o/lrent,tor·.,. ·perlod- ot··ten daYII·atter the samo becomoll duo, or (2) it tho I05lee U1all tall or nellect to pertorm
or observe any at tho covenants and agreement.s contained heroin on les.soe's pIIrt to be dono. kept, perlormed and ob-
served and /lUch delault shall continue tor ten days or more attttr written notice 01 such lai/ure or nogloct &hall be #liven
to lessee. or (3) it the lessoo &hall bo declared bankrupt or insolvent accordinll to law. or (4) it any anitlnment ot lellSOe's property .hall be
made tor the benefit 01 crodltors. or (5) Ii on the expiration 01 this lease lessee lai/s to surrender possasaion 01 the premi.es. the leuor or
tho", havill/f lessor's est.te in the premises. may terminate this lease and, lawlully. at lessor's option immediately or at any time therealter.
without demand or notice. enter into and upon the premises and every part thereol and roposses the same, and expel lessee and those
claiming by, throulh and under l e _ and remove lessee's el/ects at 10llllOe's expen.so, lorcibly it nece.ssary and store the same, all without
beitJ4 deemed ,uilty 01 trespass and without prejudice to any remedy which otherwise might be used lor arrean 01 rent or precedin,
breach 01 covenant.
Neither the termination 01 this lease by lorleiture nor the taking or recovery 01 polltJession 01 the premi•• • hall dttprive lessor 01
any other actJon, ridht. or remedy al1ain.t lttaee tor possewon, rent or damages, nor &hall any omission by leSlor to en/orce any lor/eiture,
right or remedy to which leSlOr may be entitled be doemed a waiver by lossor 01 the rll1ht to enlorce the per/ormanctt 01 all terms and
conditions 01 this leaae by I_e.
In the event at any re-entry by leuor. lessor may lelUe or relet the prttmises in whole or in part to any tenant or tenants who mey
be satisfactory to lessor, lor any duration. and lor the best rent. terms and conditions aa lessor may reasonably obtain. Leuor shall apply
the rent received Irom any mch tenant tint to the cost 01 retakitJ4 and reletting the premisell. including remoclelill/f required to obtain any
such tanent. and then to any IUrears 01 rent and iuture rent payable under thill lease and any other damal1o.s to which leSlOr may be entitled
hereunder.
Any property which lellllOO leaves on the premises alter abandonment or expiration 01 the leallO, or lor more than ten daYIl alter any
termination 01 tho lease by landlord. shall be deemed to have been abandoned. and leSlOr may remove and sell the property at public or
private salo AS losllor seell lit. without beilll1 liable lor any prosecution therelor or lor damal1es by re'lson thereo/. and the net proceeds 01
any such sale aJuUI be applied toward the OlIpenses 01 landlord 'Ind rent as alorOllaid. and the balance 01 IUch amounts, it any. &hall be
held lor IUlCI pIIid to the lelseo.
BOLDING In the ovent the lessee lor any reason shall hold over alter the expiration 01 this lease. IIUch holdill/f over IIhaJl not be
OVER deear«l to operate all Ii renewal or extension 01 this lease, but shall only create II tenancy at /lUl/erance which may
be terminated at will at any timo by the lellSOr.
ATTORNEY In caso suit or action is instituted to en/orce compliance with any 01 the · terms, covenants or conditionll 01 this lease.
FBES AND or to collect the rental which mill' become due hereunder. or any portion thereat, tho lOS/lid party agree. to pay the pre-
COURT COSTS
v'll1ltl8 pllrty's relllOnablo attorney teell incurred throutlhout such proceedinl1, includint1 at trial. on appaa/. and tor POllt·
judl1ment collection. The lellsee aArees to pay and dillChiu8e all lellsor's costs lind oxpenses, includilll1lellor's reasonable
attornoy'll lees that shall ar;,o Irom en/orcing any provision or covenants 01 tbl« lease even thoul1h no suit or action ;s instituted.
Should the lessee be or become tho debtor in any bankruptcy proceedinl1. voluntarily. involuntarily or otherwise. either durlnA the
period this lease III in ellect or while there exislll any outstanding obli(jation 01 the- lesllee created by thill lease in lavor 01 the 18II8Or. the
le_ aArees to pay the lessor's rellllonable attorney lees and eesrs which the lessor may ineur as the result 01 lellor'lI participation in
$Uch bankruptcy proceedin,s. It i. understood and agreed by both parties that applicable lederal bankruptcy law or rules 01 procedure
may alfect. alter. reduce or nullity tha attorney tee and cost awards mentioned in the preceding sentence.

WAIVER Any waiver by th" lonor 01 any breach 01 any covenant herein contained to be kept and petlorated by the lessee shall
not be deemed or considered as a continuin(j waiver. and shall not operate to bar or prevent the leSlOr Irom dec1arin(j
a lotlelture lor any IlUcceedlntJ breach. oither 01 the same condition or covenant or otherwise.
NOTICES Any notice required by the terms 01 this lease to be ,iven by one party hereto to the other or desired so to be ,iven.
shall be sullicient it in writint1, contained in a sealed envelope. and sent lint CIIlSIl mail, with po.stal1e lully prepaid. and
11 intended lot' t1l# lessor herein. then it addressed to the lellsor at _ _ ..
.._......_... ~.3. ...S.W...3r.4...Ay.e.J),y.e.,....f9.~.1;1~g.4.,._ ..Q;J;.~,gg~...9.Z~.09. ~ :· ~.:and it intended lor the le55ee. then it addressed to the
1 _ at 3.3.9.0 NE S.aJI.~ht ..B.l.y.d., .,. r.9.l:".t .l~J.:\4.1 Qx:~,g9.'g. 9.Z~.J.~ Any such
notice shall be deemed condusivoly to have been delivered to the addre~e torty-eight hour. alter the deposit thereot in the U.S. Mail.
~~N~ND All ril1ht., remedies and liabilitiell horein given to or imPOlled upon either 01 the pllrties hereto &hall extend to, inure
to the benelit ot and bind. as the circumstances may require, tho heirs••ucceSlOrs, personal representatives and 1I0 tar
u this leallO is assignable by the terms hereo/. to the assigns 01 such partiell.
In construin, thill lellllO. it Is undeutood that the lessor or the lessee may be more than one person; that iI the context so requires,
the ai~ular pronoun &hall be taken to mean and include the plur.l. and that l1enelally'all ttramma;icalc'hanllttB shall be made. assumed
and implied to meke the provisions hereol apply equally to corporations and to individuals.
.. : l
IN WITNESS WHEREOF, the parties have executed this Jease on the day and year first hereinabove written,
any corpo~l1~ion sig1tature beinA by' ~utho(ity QI its Board .q! pir9~tors .

..........~J
..A..At!!9~ ~g.rp&:
..Jb·.L...... .~ ~fli. . ...I
..
?!.~~J:~~nI .
................If\l..J.i;l.~~.~.~_.~~~

~y.~.J~ ~
.
.\ ~~.~~g!9.g ..~~~~er
Jim Atwood Sherri L. Doss,
............ ............................................. ...................._ _.

The pUblisher allongly recommends that both the lessor and the lessee become famlllar with the Americans with Disabilities Act 01
1990, Public Laws 101·336. The Act may Impose certaIn duties and responslbllltles upon either or both parties to this lease. These
duties and responsibilities may InclUde but not be limited to the removal 01 certain architectural barrIers and ensuring that disabled
persons are not denIed the opportunity to benefll from the same goods and services as those available to persons without disabili-
ties. Under the Act. prohibition against discrimination applies to any person who Is the owner, operator, lessor, or lessee 01 a place
01 public accommodation.
 EXIDBIT It Att 'Y'A LEASE DATED AS OF MAY 1, ~ - "Il .BETWEEN

J A Atwood Corporation, an Oregon corporation, Lessor and

Fat Jack's LLC, an Oregon limited liability company, Lessee.

(21) Taxes and Insurance. As additionalrent hereunder, on the seventh ofeverymonth conunencing
August 7, 2009 Lessee shall pay 1I12th of the most recent annual property taxes and casualty insurance
premium.

(22) Early Possession. Lessee shall be entitled to possession upon execution of this lease and
obtaining proof of lessee's insurance in accordance with paragraph (11) of this lease. In particular, both J A
Atwood Corporation and EI Poncho's LLC must be named as additional insureds.

(22) Attornment. In the event ofa sale of the propertyon which the demised premisesare situated,
Lessor shall have the right to assign its interest in this lease and shall transfer the security deposit to the
purchaserto be held under the terms of this lease. Lessor shall thereupon be released from all liability under
this lease; particularly for the return of the securitydeposit. Lessee agrees to look solelyto the new Lessorfor
the return of the security deposit.

(23) Subordination. This lease shall be subject to and subordinateto any bona fide mortgages, deeds
of trust, or land sale contracts (hereafter collectively referred to as "encumbrance") now existing against the
premises. At Lessor's option this lease shall be subject to and subordinate to any future encumbrance hereafter
placed against the premises (including underlying land) or any modifications of existing encumbrance, and
Lessee shall execute such document(s) as may be reasonably requested by Lessor or the holder of the
encumbrance to evidence this subordination.

(24) Estoppels. Eitherpartywill within 10daysafter noticefrom the other execute,acknowledge and
deliverto the other party a certificatecertifyingwhetheror not this lease has been modifiedand is in full force
and effect; whetherthere are any modificationsor alleged breaches by the other party; the dates to which rent
has beenpaid in advance,and the amount ofany securitydepositor prepaid rent; and any other facts reasonably
requested. Failureto deliverthe certificatewithin the specifiedtimeshall be conclusiveupon the partyof whom
the certificate was requested that the lease is in full force and effect and has not been modified except as has
been represented by the party requestingthe certificate. If requestedby the holder ofany encumbrance, or any
ground lessor, Lessee will agree to give such holder or lessor notice of and an opportunity to cure any default
by Lessor under this lease.

(25) Signatures. Each individual signing this lease warrants helshe has authority to bind the
respective entity.

(26) Arbitration. In the event of any dispute other than the non-paymentof rent between Lessorand
Lesseerelativeto the provisionsofthis lease,Lessorand Lesseeagreea single arbitratorshall be selected within
twenty(20) days following said dispute as evidenced in writing by one of the parties. Upon the failure of the
parties to agree on a single arbitrator within the aforementioned 20 day period, each party shall select a single
arbitratorwithinan additional ten (10) days. The failure of either party to select an arbitrator shall be deemed
conclusiveevidence of the approval ofthe arbitratorselectedby the otherparty. The two arbitrators so selected
shall selecta thirdarbitratorwithin an additionalfifteen (15) dayswhoshall decide the case byhim/herself. The
arbitration shall occur within an additional forty-five (45) days after the arbitrator is selected. The decision of
the single arbitratorshall be final and binding upon both parties. The parties to the arbitration shall bear their
own attorneyfees and incidental costs incurred in connectionwith such arbitration and shall share equallythe
joint costs and expenses of the arbitration, includingthe costs of all arbitrators.

PageOneof Two ~ -®
 (27) Music Volume. All music shall not exceed a volume which deprives residents of homes or
occupants ofcommercial spacesadjoining or nearthepremises demised hereinofresidentially or commercially
reasonable quiet enjoyment of their respective spaces.

(28) Alcohol. Lessor gives Lessee conditional permission to sell hard liquor, wine, commercially
packaged beer, and draft beer for consumption ON premises (including outside tables and outside special
events).

(29) EarlyTermination. In the event of a bona fide planned demolition or substantial remodeling of
the entire building in which the demised premises are situated is anticipated, Lessor shall have the option to
terminate this leasepriorto the expiration ofanyextended termbygivingwritten noticeto Lessee not lessthan
120 days prior to the effective date of such early termination. In any event, such early termination may not
become effective prior to August31, 2010.

(30) Hazardous Materials. Lessee shall indemnify, defend, and hold Lessor harmless from any
Hazardous Material or any other environmental liability whatsoever associated with the premises caused by
Lessee or its agents, employees, contractors, or invitees. And, furthermore, Lessee agrees to pay all costs of
removal of such Hazardous Material as may be required due to the conduct of Lessee's remodeling of the
premises for Lessee's planned business activities. If any non-friable asbestos is found, Lessee agrees not to
disturb it.

(31) RoofAccess. Lessee shallhaveaccess to the rooffrom timeto timeonlyas reasonably necessary
to maintain Lessor's heating, ventilation and coolingequipment. Lessee shall take all reasonable precautions
so as not to cause any damage to the roof and shall be responsible for all roof damage caused by Lessee, its
agents, employees, contractors, or invitees.

(32) Inventory. When open,Lessee shall continuously carry and offerfor sale at all times a full and
complete stock offood and beverages appropriate for the timeofdayand shall maintain adequate personnel for
the efficient servicing and security of its customers. Lessee shall use best efforts to operate the business
conducted on the premises in a diligent manner that will produce the maximum volume of gross sales.

(33) Assignment. In the event of each assignment of Lessee's interest herein with the approval of
Lessor, lessee shall pay to lessor the sum of $1,000.00 as a fee to Lessor's agent for processing such
assignment, if any.

(34) Lessee's First Option to Extend. If lessee is not then in default, Lessee shall have the option to
extend this lease for threeadditional years August7, 2012through August 6, 20IS) by givingwritten notice to
Lessor together with a check for $1,500 additional security deposit on or before February I, 2012. The same
terms and conditions shall apply except that the monthly base rental shall be $8,500.00 per month..

(35) Lessee's Second Option to Extend. If Lessee is not then in default, Lessee shall have the option
toextend thislease for threeadditional years (August 7, 2015through August6, 2018) bygivingwritten notice
together witha checkfor $1,500additional security depositto Lessor on or before February 1,2015. The same
terms and conditions shall applyexceptthat the monthly base rental shall be $10,000.00 per month.

President ~~.~ Managing Member

A Atwood Corporation for at Jack's LLC

Page Two of Two

 '
8
OREGON LIQUOR CONTROL COMMISSION
.. ,
.
. •.. . WRITTEN PROPOSAL FOR AFULL ON-PREMISES SALES LICENSE
COMMERCIAL ESTABLISHMENT
Please Print or Type
LI I
Trade Na~e (dba):;J .!.lIT 0"'--11\/11
tl>=1_L:5=------'=...;..L....:.....- _
City: DW rtlL
READ OAR 845-006·0460 (on back)
I have read the Oregon Liquor Control Commission's food service rule for commercial establish-
ments, OAR 845-006-0460. I understand the requirements of the rule. I understand that I must
operate my business according to those requirements.
I will offer at least five distinctly different rpgular meals durin,g. my dinner meal period.
_~y dinner meal period will be from (j) PM to '1 PM.
~ My menu for this meal period is attached.

~
II
other times alcohol service is available, I will make at least five different substantial food items
s h as appetizers, sandwiches, soups. hamburgers. hot dogs. sausages available to my patrons.
My menu for minimum food Items is attached.

Not counting any seating ttanquet or meeting rooms or similar "occasional use" rooms, my total
ind60r seating will be '() seats.
dYi have attached a floor plan showing rooms and tables.

During my required meal period I will have dining seating at tables for at least f~
patrons. This seating will be at tables that meet the table size requirements of OAR 845-006-0460.

I will keep a kitchen area with equipment and food supplies adequate to prepare. cook and serve
food as I have proposed here.

I will have a cook on duty during my required meal period. During that meal period the cook will
not do work prohibited by OAR 845-006-0460.

I understand that OAR 845-006-0466(3) requires that I make food service menus available to
patrons.

I understand that if my answers are not true and complete, the OlCC may deny my license application.
Signature ~fU... g. OG4-~ Date &/")/ ~q

1-800-452-0LCC (6522)
www.oregon.gov/olcc
(rev. 12107)
Fat Jacks Saloon
Menu
Starters
Sampler*, veggie spring rolls, potato skins, cheese
quesadillas, wings, and chicken tenders 13.95

Chicken Wings* 8 wings tossed in hot, mild, or BBQ

8.95

Chicken Tenders* 4 breaded tenderloins 7.50

Vegetable Spring Rolls 3 rolls with duck sauce 6.50

Soup and Salads

Chicken Noodle with all the trimming

*
Chopped mixed salad
Caesar
Chicken, Beef or Seafood* add 9.95
 Burgers
All burgers are a half pound of Certified Ang us Beef
with your choice of fries or chips

Cheese Burger* with your choice ofAmerican,

"cheddar, provolone, Swiss, or pepperjack 7.95

Fat Burger* grilled onions, mushrooms, bacon, and

'--provolone cheese 8.95

Sandwiches
All sandwiches are served with your choice offries or
chips
.> Grilled Chicken Breast* BBQ, Blackened, or Grilled
7.95
. Buffalo Chicken* breaded chicken tenderloins
dipped in hot sauce and topped with melted cheddar
cheese 8.50
. Philly Steak* peppers, onions, mushrooms, and
provolone cheese 8.50
Checken Philly* peppers, onions, mushrooms, and
provolone cheese 8.50

Entrees:
Sides include mashed potatoes, fries, wild rice, and
vegetable
Filet* 80z center-cut filet with two sides and a salad
20.95
New York Strip* 140z choice center-cut strip with two
sides and a salad 18.95
Chicken AI'fredo* with a blackened chicken breast
11.95
New York Strip* & Shrimp 22.00

Fat Jacks Rack of Ribs, served with Fat Jacks

own B.B.Q. Sauce with the trimming... 15.00

Fat Jacks Breakfast Specials

Two Eggs as you like um. wI hash browns,

choice of Bacon, Ham or Sausage 9.95
.-8
.
"
.. , " .
OREGON LIQUOR CONTROL COMMISSION
. BUSINESS INFORMATION
.
Please Print or Type f=Qt Ja U! 5 LLC.-
Applicant Name:~~ ~ Phone : (50.3 ) 534 - C) to 1 D
....n~
Trade Name (dba):--=Ea± \..Tr1c1L,j (5Ad....:::;oo _
Business Location Address: 3~l7b n6 S rrn.JV
City:
F~+l flncl ~=--~--=-~-------
ZIP Code: OJ, d3 a
·DAYS·A
, . ~.
ND.
'.
HOU'RS,OF
. ' . .
OPERATioN'
, . . r ; ~. ~.

Business Hours: Outdoor Area Hours: The outdoor area Is used for.
Sunday ~to ~3D Jl-m, Sunday to _ a Food service Hours: to _
Monday to _ Monday to _ a Alcohol service Hours: to _
Tuesday to ""'t'T"1--.-- Tuesday to _ o Enclosed, how
Wednesda¥ lo to f-f/i a:3D
fl- m : Wednesday to _
_

Thursday ~~to~»-m . Thursday to _ The exterior area is adequately viewed and/or

Friday ~~ to ~ ttm.
Vi. Friday to _ supervised by Service Permittees.
Saturday ft;.po p.(}.to~01. Saturday to _ _ (Investigator's Initials)

Seasonal Variations: 0 Yes ulNa If yes, explain: _

Check all that apply: "DAYS' & HOURS OF 'L1VE OR OJ' MusfG'
t • •• _ 6 ' . . .. ...

'Li~~SIC o Karaoke

~ Recorded Music D Coin-operated Games

Sunday
Monday
J'l OJ Music ,~;: Video Lottery Machines Tuesday
Wednesda
~ Dancing o Social Gaming Thursday
Friday
o Nude Entertainers D Pool Tables Saturday
o Other: _

otce USE ONLY

Outdoor: _
Invesllgalor Verified Seallng:_(Y) _(N)
Lounge: ;2. 5 Other (explain): InvesUgalorInlllaI5:, _

Banquet: Total Seating: /25{ Oale: _

I understand if my answers are not true and complete, the OLee may deny my license application.

Applicant Signature~ cJ. . D~ Date: 5 ( 1/ 21)) CZ

1·800·452·0LCC (6522)
www.oregon.gov/olcc (rev. 12/07)
 ~
e
'=' OREGON LIQUOR CONTROL COMMISSION
FLOOR PLAN
Your flgor plan must be submitted on this (gnu.
• Use a separate Floor Plen Fonn for each level or floorof the buUdlng.
8 Applicants must provide a sketch that shows the specific area of the premises (e.g. dining area, bar, lounge, kitchen and
restrooms). Full On-Premises (commercial establishments) applicants must also showdining tables. See example on back.

II !I
l: l!
1b-j1t il
11 I/1•
,,"-fLJI
cd I
~ ==...=:I

-----=

,
........
I
,
I

!I I
li@ I
I
!
I
I
I

-."".
i
II
I
I

" ..__..OLCC USE ONLY....... _

Apptlcant Name MINOR POSTING ASSIGNMENT(S)

m ::rt!eJL~ c51t1 00 n ~\
Tr&dA&me (dba):
--,-t1-.;..:...~ +lBn.d C)l") a 3 ~
Date:-li ,.". { 0 - () q Initials: Lc:::.-
City and ZIP Code
1a800 a452aOLCC (6522)
www.oregon.gov/olcc (rev. 12107)
 -
09-08-21301 10: 09 T DOSS 70282200S3 PAGE3

8 .
Please Print or Type
•
OREGON L1aUOR CONTROL COMMISSION
CHANGE OF INFORMATION APPLICATION
et

Use this applIcation to request a dupUcate Ucense (;8rtlf1cale, Change of trade name, change Oflicensee name,
change to legal entity andlordeletion of partner(s).
• Remember to attach all requested documents.

Seetrtsn 1:-
Name(S):-.did~ 3kk.j LL.c. 1
Complete this 1, Ucensee
(as cunvnlly ncanted)
Section ForAll .....
Requests
': 'p .
2. Trade Name(dba): f)iJ- ,))(Its 6A,"/OQO Type of Ucense: fi<A 00 q,1,q~~~
,
(curranlbusiness name) (0. L. F. alC.)
" r - nc1
3. Buslness Address: ..3 3') 0 OC.;>rr j
(street)
0vd- ~ 97D?5~ (elly) (ZIP code)

4. Malllng Address: '-f(j)~ nG ~Ie. 11rtOC6U ~g. 9({(Pfp/

(slteul) (c!trl (ZIP cod,,)
~.

6. TelopJ'lone Number: (503) 53"1- CflJ"'},. 5J(?iIJD) I(~' d3JD

,,' '. " (business) (homeI
.~ '~. " "

s
:.:".
.~.
to
"
"
'::" 1
6. Checkherefor a duplicate license certlftcate 0
Section 2:
Change of Trade New Trade Name
Name .
(dba):~ GJenf1.g rMo'S Clu..b
SectlDn 3: ' 1. New Name:
Change of legal
N~e I
2. Date of Name Change:
3. Attach a signed copy of legal documenl(s).

SectiDn 4: 1. Entity Name:

ChenQe to ,Legal.
~nttty : .-, 2. Complele and attach LLC or Corporation Questlonnalra.
(Corp. or LlC) 3, Attach 8 signed copy of modified leaseegreement If applicable.

SeCtIon 5: t. Nameof Deleted Partner(s):

Deletion of
Partner{s)
2. Allach a copy of the legaldocument(s) or letterof resignation, signed by the deleted parlner(6).
showing the partner(s) win no longerhave an Interest In the business. If deleted partner(s)
..
appearon the lease. you must attacha copy of a modlned leaseagreement.

I understand that If my answers are not true and complete. the OLeC may deny my license application.

.ffit~~ ~~
Licensee Name: TIlle ' ("til2.v.""'. IMrn'l%
LIcensee slgnature~~ Dat~ d" 1~ }~c..::.~,,-CO..;,.,.,.:..r_ _
1-800-452-0LCC (6522) (nJV. 12107)
www.Qrugon,go vlo/cc
 STATEMENT OF FUNDING

I, Sherri L. Doss,as the sole and managing member or Fa!Jacks LLC, do swearand affirm that
the loan from my father-in-law, Walter Doss. for nine lhousand dollars($9,000) and the loan
from my father, Robert Burchfield. for twenty fivethousand dollars (S25,OOO) are loeasthat I am
required to and intend on paying back in fuJI. Neither Mr. Dossnor Mr. Burchfield havean
ownership or financiaJ interest in Fat Jacks LLCand will not have control over or m8J1iI8erial
responsibility ofFal Jacks LLC or the business to beoperated under the license currently
pending with the OLCC. In addition, neitherMr. Dossnor Mr. Burchfield will workor be
employedat the business to beoperated underthe license currently pending with the OLCC.

I furtherswear and affirm that I am the only true applicant and will be the only true licensee for
this application. No other party has It financial interest or control over Fat Jacks LLC or the
business to be operated underthe licensecurrently pending with the OLeC.

EAr JAC~L1.'€'~IOregon limited liability company

.,).,lQ"£'ll,t . . 1../~ .4-~'
She.n:i J Doss, Member
I.

l)WT13S74729vl 0090824-0‫סס‬oo1

239t:1d
09-08-2001 113: 09 T OOSS 70282C0003

,8' '.
.
OREGON LIQUOR CONTROL COMMISSION
. BUSINESS INFORMATION
,

Please Print or 'TYpe

Applicant Name: fu .:r tl£ILs LLe. Phone! ~) 539~q~]?)

Trade Name (dba):~ G)~.:.:n..Q.::::::Q~'..LS~O..A~J.6,,1Abi..i-- _
Business Location Address:~ b O~ SArxl G>\ vel .
City:~ O ZIP Code: 0)1') 9.3 at.

DAYS AND HOURS OF OPERATION

Business Hours: OutdoorArea Hours: The outdoor area Is used for:

s u n d a y , . to ~30~·m. Sunday 10 _ U Food s81V1ce Hours: . _._ _to _

Monday 10 A«!
.-A.tr1 MondllY to _ CJ A1oohc1 service Hours: to _
' Tuesday • IO~'f" Tuesday 10 _
CJ Enclosed. how _~ ,
WednGGday to ~If. ff') , Wednesday 10 _
Thurucfey ~_ to~. , A tn· Thursday 10 _ The extQrtor anlo Is adoqualety \/lowod and/or
Friday to Ql' .(1) F~py 10 _ lhIpeMsed by Service Permittees.
Saturday t o ' ... , -,un Sell,Jroay to _ _ _ _ _ _ _ _ (lnvesUgalor's Initials)

Seasonal Variations: 0 Yes Cl No If yes, expletn: _

ENTERTAINMENT Check all that apply: DAYS & HOURS OF LIVE OR DJ MUSIC
o UveMuslc o Karaoke

~ Recorded M~ic o CoJn.operated Games Sunday

Monday
~~,_to
~~=' _to ~A-m
a:2i> ~·m
)}( OJ Music J2l VideoLotteryMachInes Tuesday .m· to 8i:?C'5 Am.
oT-i~- t o m , r n
o Dancing o Social Gaming
Wednesday
ThullIday • to
:~I'"IOoI""~~.: 10.
, A· m.
~. If'
)it Nude Entertainers o Pool Tables Friday
Saturday ~,..-.=_. to. A- III
o Other: _

OLCC use ONLY

Outdoor. _.•_ _
Inwmllgelot Ver111lld 8eatlng:_IY) _(N)
Lounge: ;),5 Other (expI8In): Investigator tnJlIals:: _
Oato: _
Banquet: Total Seallng:.d!Ii!i..L15

I understand If my answers are not true and eom~e, the OlCC may deny my license application.

Applicant Signature: ~ =J. bd~ Date:--lJ ( () /,.;utl1 -

1·800-452·0LCC (6522)
www.oregon.govlolcc (fTlV. 12107)
 PAGE2
09-08-2e01 10:08 T 0055 7e28220083
-.---~---_ ._ .- -- .- - ' -

A OREGON LIQUOR CONTROL COMMISSION

~ FLOORPLAN •
• ;)loud. plIO roD" bt 'ubmlflOd an thIs tOIlD.
• Use 8 !8P111'8tt Floor Plan FOl'Ib for61gb level orftoor of thebuilding. .
• Appllcantll must plOvlde 8 8kelCh that lI!towa the sJ)8Ciflc area of the premleeo (e.g. dining area. ba" loung8. kitchen and
~trooms). Full On-Preml_'(oomm&rdal establ1IhtnenIs) 8pJlRcanl8 rtlust also shaw dIning lablea. see example on back.

-...
AppUcanl Name

TlIId& Name (db.to

fl,it.-I
CIty end ZIP Code
(rov. 12107)
 Fat Jack's Saloon
Operation 's agreement
07/29/09

To Whom It May Concern:

My Name is Sherri Doss, I am proposing to open a country formatted establishment

called Fat Jack's Saloon Located @ 3390 N.E. Sandy Blvdjust west of the Hollywood
district. I feel this is an ideal location with good freeway access and adequate parking.
We would like to address some of the neighborhoods concerns about our operationand
parking lot security issues. We will make it our personal mission to control and eliminate
any and all criminal activity or disturbances that may adversely affect the community
around us.

OPERATING PLAN

1. We will have a constant security presence at all times starting at 6:00 p.m. until
the parking lot is cleared at approximately 2:45 a.m. We will have at least 1
securitypersonal monitoring the parking lots at all times and will increaseto 4 to
8 depending on the size of the crowd. All security staff will be DPSST certified.
2. My husband Tracy Doss is DPSST executive manager certified and has over 20
years night club, restaurant and bar experience. He will personally oversee all
security matters.
3. After 10 p.m. nightly security staffwill conduct random parking lot checks every
10 to 20 minutes.
4. We will at all times have a ratio of 1 DPSST security staff members for every 25
guests.
5. A 16 camera DVR monitoring system for all areas in our control.
6. A full country style BBQ menu will be available during all hour's operation.
7. I will be taking a hands on approach to the day to day operation of this facility
and be available 6pm to close.
8. No loitering, verbal/physical altercations, loud noise or any other type of
disturbances and or criminal activity will be tolerated inside or in our parking lot
areas.
9. I will encourage and co-operate with Portland police department to do a walk
through during peek hours of operation. .
10. Alcohol Monitors will be place, which will include Management, Bartenders,
Wait Staff and security personnel. Alcohol monitors will be responsiblefor
checking very intoxicated persons (VIPS), removing drinks or patrons as
 necessary. This will be accomplished by visual inspections of all patrons every 30
minutes.
11. A detailed incident log will be maintained on the premises which will include,
Dates, identifying information (if known), staff involvement and others that were
on duty during incidents, type of incidents and actions taken. This will also
include VIPs, service cut offs, violations of rules and policy's, entry denials and
law enforcement contacts.
12. Electronic I.D. checker will be at the entrance to detect fake I.D.'s
13. There will be no admittance no later than 1:30am during normal business hours
14. We will also institute a "Soft Close" that will begin from 2am to 2:15am which
will include Last call, changing the lighting and music to facilitate an orderly
closing.
15. Parking lot opening and closing procedures will be as follows, all staff members
will be required to park there vehicles bordering the perimeter fencing to create a
sound and space barrier to prevent littering and loud noises from interfering with
the peace and sobriety of the surrounding community. During closing all security
personnel will patrol and monitor parking lot area until all guests have safely
exited the property. Then clean up all areas affected by our operation.

I will be very aggressive in successfully instituting these policies to the

utmost degree as to ensure the health and safety of all parties involved. I will also
state that I will at all times be willing to meet and discuss all legitimate issues and
complaints with my neighbors, Portland Police and Olcc to quickly resolve any
problems that may occur. We will at all times strive to be a good neighbor and a
viable component of the community at large.

Thank you,

Sherri Doss