HomeMy WebLinkAboutLiquor License Feb 2025A..
RETAIT AI,COHOUC EEVERAGES TICEI{SE APPTICATION
MONETARY TRAI{SM TTTAT FORM
APPTICATION FOR A NEW LICENSE
APPUCANON s}IOUIO B€ COMPTETED OT{.UNE, PRITTED, SIG'{ED, AND SUBMTrIED TO THE I.OCAI
UCENSII{6 AUTHORITY.
ECRT CODE: RETA
Please make $200.m peym€nt herer ABCC PAYMENT WEBSITE
PAYMEiIT RECEIPT
ABCC UCE SE i'UMBIR (IF AN TXISTING LICENSEE, CAN BE OBTAIT{ED FROM THE OTYI
EimrY/ L|CE SEE NAME ONE HOPE INC
194 MAIN STREET
cnY/Iow WEST YARMOUTH MA ZIP CODE 02673STAYE
For the following transactions (Check all that apply):
tLr Licanra
Tdrd.r of Lk.nre
CIE€e of ll trgcr
Chutlc o, Officcn/Dirddrucnn4.r!
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Att.r.tirn of Liclniad PErnila5
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THE LOCAL LICENSING AUTHORIW MUST SUBMIT THIS
APPLICATION ONCE APPROVED VIA THE ePLACE PORTAL:
Alcoholic Bevereges Control Commission
95 Fourth Stree( Suite 3
Chelsea, MA 0215112358
The Commonweallh of Massachusetls
Alcoholic Bevcragcs Control Commission
95 Founh Snca, Suite 3, Chekea, MA 02150-235E
www,massgou/abcc
PAYMCTTT MUST DE OIE I}IE ITAME Of THE IICE]{SEE CORPORAIIOI{, UC, PAITT{ERSHIP, OR I DIVIDUAI. AI{D II{CIUOT IHE
ADDRESS
The Comnonwealth of Massachusetls
Alcoholic Beverages Confiol Commission
95 Fourth Street, Saite 3, Chelsea, MA 02150-2358
www.massgou/abcc
APPIICATION FOR A NEW LICENSE
Municipality YARMOUTH
5-\
On-Premises
1. LICENSE CLASSIFICATION INFORMATION
F.PREMISES TYPE
$12 Restaurant
Please provide a nanative overview of the transaction(s) being applied for. On-premises appticants shoutd atso provide a descriPtion of
the interded theme or concept of the btEiness operation. Attach additionat paget, if necessary.
We are planning on adding a few alcoholic beverages for breaHast, and expanding to be open for dinner hours.
Cunently we only serve breaKast and lunch, and having this license would be very useful in our dinner operations
ls this license apptication pursuant to speciat tegistation?No Chapter Acts of
Wine and Malt w/Cordials llnnnuat
2. BUSINESS ENTIW INFORMATION
The entity that will be issued the license and have operational control of the premises
Entity Name One Hope lnc FEIN:8't-il67883
DBA Heavenly Restaurant Leeje Young
194 Route 28, West Yarmouth, Massachusetts 02673
Phone (508)775-3332 Emait:
(508)2924255 Web6ite:A/ww.theheavenlyrestaurant.com
3. DESCRIPTION OF PREMISES
Ptease provide a complete description of the premises to be ticenled, including the number of ftoo6, number of rooms on each ftoor, any
outdoor areas to be inctuded in the tkensed area , and totat square footage. You must aGo submit a floor ptan .
The restaurant is 1 level with 2 dining rooms that have a combination of booths and tables. There are 2
bathrooms, 1 storage room, 1 kitchen, and an enclosed outdoor patio area with 9 tables.
TotalSquare Footage:9398 Number of Entrances 89
Number of Floors Number of Exits Occupancy Number:89
3
1
4. APPLICATION CONTACT
The apptication contact is the peBon whom the ticensing authorities shoutd contact regarding this apptication
Name:Leeje Young Phone:(s08) 292425s
Owner/Manaqer leejeyoung93@gmail.com
1
Tirte:Emait
O'*O
heavenlyrestaurantyarmouth@gmail.com
Street Address
Attemative Phone:
I'lanager of Record
Seating Capacity:
3
Corporation 2114t2017
Massachusetts NoOr* O
R RATE
ls the Corporation pubticty traded?
Date of lncorporationEntity LeSat Stnrture
State of lncorporatiofl
ON FOR A
6. PROPOSED OFFICERS, STOCK OR OWNERSHIP INTEREST
List att individuats or entitier that will have a direct or indirect, beneficiat or financial interest in this license (E.g. Stockholders, Officers,
Directors, LLC lilanagers, LLP Partners, Trustees etc.). Attach additionat page(s) provided, if necessary, utilizing Addendum A.
. The iMividuats and tittes tisted in this section must be identicat to those filed with the l{assachusetts Secretary of State.
. TIe individrals identified in this section, as weltas the proposed Llanager of Record, must complete a CoRl Release Form.
. Ptease note the following statutory requirements for Directo6 and LLC l anagers:
On Prember (E.g.ledouront/ Club/Holcl) Dlreclor or Ll.C Monog.G - At least 50X must be U5 citizens;
Ofr trcmba{Liquol Slore) Dfeclol: or LIC Monoger! - Att ml.Et be US citizens and a majority must be
l{assachusetts residents.
. lf you are a l utti-Tiered organization, ptease attach a ftow chan identifying each corporate interest and the individuat owners of
each entity as wetl as the Artictes of Organization for each corporate entity. Every indiyidual must be identified in Addendum A.
Name of Residentiat Address 5SN DOB
33 Jamie Lane, Easl Falmouth, MA 02536
Residential Address
Residential Address
Residential Address
Resi TesS
829-01-545 09/20/1993
Director/ LLC Ltanager US Citizen l A Resident
Qres Qxo Qves QNo Qves QHo
of Director/ LLC ,'tanager US Citizen ,'1A Resident
@vo QNo es CN"es O*o
DOB
of Ownershi Director/ LLC Manager U5 Citizen MA Resident
Qv"' QHo Qvo Qro Qr"' QN"
DOB
Director/ LLC ,lanager t,s Citizen MA Resident
O* Ouo ov"' Ca,o
Director/ Llc
^tanager
US Citizen [tA Resident
Qv"' Qr"
Nam€ of
and or Position
Narne of
Name of
Narne of Princi
55N
s5N
55N
of
o'f
ofa
Mditionat pages attaclEd?
CRIMINAL HISTORY
Has any individuat tisted in qu66on 6, and appticab{e attachments, ever b€en convicted of a
State, Federal or r'lititary Crime? lf yes, attach an affidavit providing the detaits of any and atl convictions
z
Leeje Young
Owner/Manager 100
Qv*' $ro O*O*
aOto
a NoQr".
!l
APPTICATION FOR A NEW TICENSE
6A, INTEREST IN AN ATCOHOLIC BEVERAGES UCENSE
Does any individuat or entity identified in question 6, and appticabte attachments, have any direct or indirect, befleficial or financiat
interBt in any other ticense to sett atcohotic beverag6? y€,3 n NoEl lf yes, tist in tabte be(ow. Attach additionat pages, if
necess.rry, utitizing the table format bdow.
indirect, b€neficiat or financiatxon
Name License Type License Name Municipatity
58. PREVIOUSTY HEtD INTEREST IN AN ATCOHOLIC BEVERAGES TICENSE
Has any individual or eatity identified jn question 6, and appticabte attachments, ever hetd a di
interest in a license to sett atcohotic boverages, which is not presentty hetd? Yes
lf )res, list in tabte betow. Attach additionat pages, if necBsary, utilizing the table format betow.
5C. ptsCtOSURE OF UCENsE OTSCTPUNARY ACflON
Have any of the disctord licenses tisted in question 6A01 68 ever been susp€nded, revoked or cancetted?
Yes No lf yes, tjst in tabte b€tow. Attach additionat pag6, if necessary, utitizing the table format betowI Nol/
Date of Action Name of License City Reason for susp€nsion, revocation or cancetlation
Name Ljcense Type License Name Municipatity
Leeje Young Heavenly Restaurant
CCUPAN OFP tsEs
complete att fietds in this section. Ptease provide proof of tegal occupancy of the premises.
. lf the apdicant entity ot.ms th€ premiFr, a deed is requir€d.. lf teasing or renting the premis6, a signed copy of th€ lea$ ii required.. lf the (ease is contingent on tlE approvat of this licens€, and a signed teas€ ir not availabte, a copy of the unsi8n€d te.se aM a tetter
of intent to tease, sign€d by Ole appl,icant and Ule tandtord, is required.. lf the reat estate and busin6! are owned by the same indiyiduats tisted in quGtion 6, either individuatty or through s€Parate
businGs entiti6, a signed copy of a tease bet\./een the two entitie5 i5 required.
Ptease indicate by what means the applicant witl occupy the premises
Landlord Name Andreas Evangelidis
Landlord Phone (508) 778-6030 Landtord Emait
Landtord Address 44 Elton Road, West Yarmouth, MA 02673
Lease Beginning Date
Lease Ending Date
07t1212018 Rent per l&nth
Rent per Year
3,800.00
4t3012041 45,600.00
3
Lease
Will the Landlord receive revenue based on percentage of alcohol sales?O'*ONo
Section 12 Yarmouth
l
A. Purchase Price for Real Btate
B. Purchase Price for Busin€ss ksets 250,000
C. other ' (Ptease ipecify below)5,000
D. Totat Cost 255,000
APPTICATION FOR A NEW LICENSE
'Other Cost(s): (i.e. Costs associated with License Transaction
including but not limited to; Property price, Businesg Assets,
Renovations costs, Construction costs, lnitial Start-up costs,
lnventory costs, or specify other costs):"
SOURCE OF CASH CONTRIBUTION
Ptease Provide documentation of available funds. (E.9. Eank or other Financial institution Statenents, Bank Letter, etc. )
Name of Coitribotor
Cape Cod Five Personal Account 11,000
Totat:1 1,000
SOURCE OF FINANCING
Please provide signed fi narring docurrntation.
es No
FINANCIAT INFORMATION
Provide a d€taited explanation of the forn(s) and source(s) of funding for the cost identified above.
9. PtE E INFORMATION
Rease pro/ide signed ptedge docunentatifi.
Are 1ou seeking approvat for a ptedge? Qfes
Ptease indicate vrhat Fu are re€king to ptedgp tarccr ru oret rppryr ! f_i-nse ! Stocf, ltnrentory
To whom is the ptedge being made?
4
NalYre of Lender Type of Fin.rring ls tie lender a licens€e pursuant
to M.G.L. Ch. 118.
Discover Card 5,000 credit card es No
Qv". QNo
Qv"s Qro
)v (
leven thousa nd dollar down payment waS pa d by check for the purchase of th e busrneSS on February 2n17Remainingbaancewibepaidmonthlybyanagreementmadebytheseler
8. FINANCIAL DISCLOSURE
Arnouit ol CoitriUJtioo
ANAGER APPLICATION
F
individuat that has been appointed to rnanage and controt the ticensed business and premises.
Leeje Young Date of Birth 09/2011993 SSN 82901 1545
Residentiat Address 33 Jamie Lane, East Falmouth MA 02536
Email leejeyoung93@gmail.com Phone 5082924255
Please indicate how rnany hours per week lDu intend to be on the licensed premises 40
ttunicipatity Charge Disposition
B. CITIZENSHIP/BACKGROUND INFORI{ATION
Are }lru a U.5. Citizea/Qpatified Alien urder tn€ lmmigrdtioo and Nationality Act?
lf yt5, attach one of th€ fotto./ing docundts: LJs Passpo.t, Vote/s Certificate, Eirth Certificate, Latlratization Papers, Pemaneit R6iient Card "6reen
lf y6, fitt olt tnc taue bclon and attach an affidavit p.oviding the detaits of any and att conviniqE. Attach additio.lat pag6, if nec6sary, utitizin!
the fomat be(ow.
No
e5 No
Yes
Crrd, or Employnent Anhqizatin Documeot.
Have you grer becn convicted of a statc, fedcral, or mititary crirllc?
c INFORTtiATION
Pteale provide your efiptoyment history. Attach additionat pages, if necessary, utitizing the format beto*
Start Date End Date Position Emptoyer supeMsor Name
02J18t17 present owner/manager Heavenly Restaurant
05t20122 presemt front desk agent Cove at Yarmouth Vinton Wilson
101281't6 present PCA Tempus Unlimited nla
D. PRIOR OISCIPLII.IARY ACTION
Have you hetd a beneficiat or financial interBt in, or been the manager of, a license to sell atcohotic beverages that was subrect to
dis€iptinary action?Oyes lf yes, please fitl out the tabte. Attach additional pages, if necesnry,utilizing the format below
Date of Action Name of LicerEe State City Reason for sl6pension, revocation or cancettahon
I hercby sweot undea the poins ond penolties the inlomotion I hove provided inthit opplicotion isttue ond occorcte
02t10t2025
5
Date
Proposed ttanager Name
Date
Manager's Signature