Department of Alcoholic Beverage Control LIMITED PARTNERSHIP QUESTIONNAIRE1.LIMITED PARTNERSHIP NAME2.TELEPHONE NUMBER3.PREMISES ADDRESS(Street number and name, city, zip code)4.LIMITED PARTNERSHIP HEADQUARTERS ADDRESS 5.HEADQUARTERS TELEPHONE NUMBE 6.LIMITED PARTNERSHIP ATTORNEY'S NAME7.ATTORNEY'S TELEPHONE NUMBER8.LIMITED PARTNERSHIP ATTORNEY'S ADDRESS(Street number and name, city, state, zip code)9.DATE LP1 OR LP5 FILED WITH SECRETARY OF STATE10.LIMITED PARTNERSHIP AGREEMENT AND/OR 11.LAST AMENDMENT DATECERTIFICATE HAS BEEN AMENDED YES NO 12.NAMES OF ALL GENERAL PARTNERS AND PERCENTAGE OF OWNERSHIPPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATE 13.NAMES OF ALL LIMITED PARTNERS AND PERCENTAGE OF OWNERSHIP PARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATESIGNATURE OF GENERAL PARTNERPRINTED NAMEDATE SIGNED(Use reverse for additional names if needed)ABC-256 (rev. 01/1) P 30 Illustration No. 7 Instructions: Complete all items. Attach a copy of the original Limited Partnership Agreement and all amendments. One general partner must sign. State of California Gavin Newsom, Governor I hereby certify that the above are the present general and limited partners of the limited partnership and that each such general partner and limited partner is the real party in interest with respect to his or her position and is not acting, directly or indirectly, as an agent, employee or representative of any other person not reported to the Department. The provisions of sections 23405.1 and 23405.3 of the Business and Professions Code are hereby acknowledged and it is understood that changes within the limited partnership and/or entities holding interest in the limited partnership will be reported to the Department as required. American LegalNet, Inc. www.FormsWorkFlow.com ADDITIONAL NAMES (if needed) PARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEPARTNER'S PRINTED NAMEPERCENTAGE OF OWNERSHIPEFFECTIVE DATEABC-256 (rev. 01/1 P 30 Illustration No. 7 American LegalNet, Inc. www.FormsWorkFlow.com