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Syren's LLC - Pending - Application File - OLCC & ONI

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Application for Syren's Gentlemens Club to take over the space currently occupied by Mynt Gentlemen's Club. Includes complete application sent to Oregon Liquor Control Commission (OLCC) and the City of Portland Office of Neighborhood Involvement (ONI).
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8 . . . . . . OREGON LIQUOR ( HROL COMMISSION LIQUOR LICENSE APPLICATION Application is being made for: CITY AND COUNTY USE ONLY LICENSE TYPES ACTIONS Date application received: IEJ Full On-Premises Sales ($402.60/yr) IE] Change Ownership I:EJ Commercial Establishment DNewOutlet The City Council or County Commission: o Caterer o Greater Privilege D Passenger Carrier D (name of city or county) o Other Public Location D Private Club 5?J.O ther recommends that this license be:. o Limited On-Premises Sales ($202.60/yr) o Granted o Denied D Off-Premises Sales ($100/yr) By: Owilh Fuel Pumps . (signature) (date) D Brewery Public House ($252.60) Name: D Winery ($250/yr) o Other: litle: OlCC USE ONLY E1ieif&6R'he;eif you are applying for a change of ownership at a business that has a current liquor license, or if you are applying for an Off-Premises Application Rec'd by: $ Sales license and are requesting a 90-Day Temporary Authority t!-/f-/( APPLYING AS: Date: DLimited o Corporation o Limited Liability Dlndividuals 90-day authority: DYes DNo Partnership Company 1. Entity or Individuals applying for the license: [See SECTION 1 of the Guide] (j) Syren's llC ® _ ®_---------------@----------------- 2. Trade Name (dba):Syren's Genllemens Club 3. Business location:3390 Ne Sandy Blvd. (number. street, rural route) Portland (city) Multnomah (county) Oregon (state) 97232 (ZIP code) 4. Business Mailing Address:-;:;3;::39::;O:..N:..:e:;....::S:.:;a""nd","y<.::=B:..:lv,=d.:... -:--:--c- ---'-P0-7rt';il-7an"'d=--C:M:.:u""t""n0-7m77ao;-h_O=re:.>g",0",n==-'7';9.:..7:..:2:.:3_ (PO box, number, street, rural route) (city) (state) (ZIP code) 5. Business Numbers:_-=5"'O"'"3-..=2"'O.::.8-..=2:..:4.::.96=- _ (phone) (fax) 6. Is the business at this location currently licensed by OlCC? E1Yes DNo 7. If yes to whom:Fat Jacks llC Type of License:.:..F.:::ul;;.l.::.on"-'-P.:.,:re:..m"'i"'s.:..e _ 8. Former Business Name::::M:..:Y-'-N:..;T"'G::.e:::n.::t:.:le::.:m.::S'-'C::.I,=U::.b :c- _ 9. Will you have a manager? DYes IZINo _ (manager must flll out an Individual History fonn) 10. What is the local governing body where your business is 10cated?:...P;::ortc.::l,=a;.::nd=---_-, __, .... "__..... ,.,,...- _ (name of cfty or county) 11. Contact person for this applicalion:Wayne Reiter 702-528-3834 (name) (phone number(s» 6985 Silk Oak Cl. las Vegas,NV,89148 [email protected] (address) (fax number) (e-mail address) I understand that if my answers are not true and compiete. the OlCC may deny my license application. Applicant(s) Signat a(s) and Date: '--- (j) Date 'Z.L9-L L ® Oate _ . +..., ..... ,,...- Oate. @ Oate _ 1-800-452-0lCC (6522) 0 www.oregan.gov/olcc (rev. 08/2011)
Transcript
Page 1: Syren's LLC - Pending - Application File - OLCC & ONI

8'·. .. .

•. .OREGON LIQUOR ( HROL COMMISSION

LIQUOR LICENSE APPLICATION

Application is being made for: CITY AND COUNTY USE ONLYLICENSE TYPES ACTIONS Date application received:IEJ Full On-Premises Sales ($402.60/yr) IE] Change Ownership

I:EJ Commercial Establishment DNewOutlet The City Council or County Commission:o Caterer o Greater PrivilegeD Passenger Carrier D AdditlOn~ege (name of city or county)o Other Public LocationD Private Club

5?J.Other recommends that this license be:.

o Limited On-Premises Sales ($202.60/yr) o Granted o Denied

D Off-Premises Sales ($100/yr)

P~li(037By:

Owilh Fuel Pumps . (signature) (date)D Brewery Public House ($252.60) Name:D Winery ($250/yr)

LN77)~o Other: litle:

911'O~X',4.\JTHORirY OlCC USE ONLY~ E1ieif&6R'he;eif you are applying for a change of ownership at a business~ that has a current liquor license, or if you are applying for an Off-Premises Application Rec'd by: $Sales license and are requesting a 90-Day Temporary Authority

t!-/f-/(APPLYING AS: Date:

DLimited o Corporation oLimited Liability Dlndividuals90-day authority: DYes DNoPartnership Company

1. Entity or Individuals applying for the license: [See SECTION 1 of the Guide]

(j) Syren's llC ® _

®_---------------@-----------------2. Trade Name (dba):Syren's Genllemens Club

3. Business location:3390 Ne Sandy Blvd.(number. street, rural route)

Portland(city)

Multnomah(county)

Oregon(state)

97232(ZIP code)

4. Business Mailing Address:-;:;3;::39::;O:..N:..:e:;....::S:.:;a""nd","y<.::=B:..:lv,=d.:...-:--:--c- ---'-P0-7rt';il-7an"'d=--C:M:.:u""t""n0-7m77ao;-h_O=re:.>g",0",n==-'7';9.:..7:..:2:.:3_(PO box, number, street, rural route) (city) (state) (ZIP code)

5. Business Numbers:_-=5"'O"'"3-..=2"'O.::.8-..=2:..:4.::.96=- _(phone) (fax)

6. Is the business at this location currently licensed by OlCC? E1Yes DNo

7. If yes to whom:Fat Jacks llC Type of License:.:..F.:::ul;;.l.::.on"-'-P.:.,:re:..m"'i"'s.:..e _

8. Former Business Name::::M:..:Y-'-N:..;T"'G::.e:::n.::t:.:le::.:m.::S'-'C::.I,=U::.b :c- _

9. Will you have a manager? DYes IZINo N€lrne:-.l~ClV~~'I\.l:L~_-.!:l:!M!l.~~,----,---,C7':"-;-:7.""C'-;-:---: _(manager must flll out an Individual History fonn)

10. What is the local governing body where your business is 10cated?:...P;::ortc.::l,=a;.::nd=---_-,__,...."__.....,.,,...- _(name of cfty or county)

11. Contact person for this applicalion:Wayne Reiter 702-528-3834(name) (phone number(s»

6985 Silk Oak Cl. las Vegas,NV,89148 [email protected](address) (fax number) (e-mail address)

I understand that if my answers are not true and compiete. the OlCC may deny my license application.

Applicant(s) Signat a(s) and Date:'---

(j) Date B· 'Z.L9-L L® Oate _

. +...,.....,,...- Oate. @ Oate _

1-800-452-0lCC (6522) 0 www.oregan.gov/olcc(rev. 08/2011)

Page 2: Syren's LLC - Pending - Application File - OLCC & ONI

I

OREGON LIQUOR CONTROL tOMMISSION

LIMITED LIABILITY COMPANY QUESTIONNAIREI

@'. ., .•. ...

ZIP Code:.=..97:.::2""32::-- _

LLC Name:=.SL:.yr.::;en.:..:'s:...;L:.::Lc::.C Year Filed:=.20::..:1'-'-1 _

Trade Name (dba):Syren's Gentlemens Club

Business Location Address:=.33""9:.:.0-,-,N:.:.e-.:::S.:::an",,d'LY=.BI:.::vd"". _

City:Portland

List Members of LLC:

1. Wayne Reiler(managing member)

2. ==:;-'- _(members)

3. _

4. _

5. _

6. _

Percentage of Membership Interest:

100

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

Server Education Designee:,-,-W:.::a:z..:.yn""e,-,-R:.::e",ile,,-r DOB: 08/31/1966

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

Sign.'""" ~:-~(name)

~ytq tlik.u~,<: Date: £3 '.2LD -l/_(title)

1·800-452-0LCC (6522)www.olcc.state.or.us (rev. 8/11)

Page 3: Syren's LLC - Pending - Application File - OLCC & ONI

8'. ,

••", ,

OREGON LIQUOR CONTROL COMMISSION

INDIVIDUAL HISTORY

1. Trade Name Syren's Gentlemens Club 2, City Portland

3. Name ..2R~ee!i~te"-r ~W~a~Yz.:n~e,----_~ ---,-A""'''",e,-,n _(Last) (First) (Middle)

4. Other names used (maiden, other) _

5. *SSN - __ 6. Place of Birth ~O~hi~o 7. DOB _°8__1_31_1_19_6_6_ 8. Sex M [ZjF 0(State or Country) (mm) (dd) (yyyy)

'SOCIAL SECURITY NUMBER DISCLOSURE: As part of your application for an initial or renewal license, Federal and State lawsrequire you to provide your Social Security Number (SSN) to the Oregon Liquor Control 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 failsto provide his/her SSN. Your SSN will be' used only for child support enforcement purposes unless you sign below.

Based on our authority under ORS 471.311 and OAR 845-005-0312(6), we are requesting your voluntary consent to use yourSSN for the folloWing administrative purposes only: to match your license application to your Alcohol Server Education records(where applicable), and to ensure your identity for criminal records checks. OLCC "(ill not deny you any rights, benefits or privilegesotherwise provided by law if you do not consent to use of your SSN for these administrative purposes (5 USC§ 552(a). If youconsent to these uses, please sign here: n ~

Applicant Signature::__lll l>.·1\.~~.'-<S~..-'-~~~~~==- _1\ T

9. Driver License or State 10 # 1O. State ~N~e~va~d~a'__ _

J 11. Residence Address ~69~8~5~S~il~k~O~a~k;=C~t.__c,,_--------..2:LTa;;.s+Ve:olg~a~s___+N_7Vc;..--;-_...:8;:::9~1248:::....,.~-(number and street) (city) (state) (zip code)

12. Mailing Address (if different) ------------ - -(number and street) (city) (state) (zip code)

13. Contact Phone :...7~02l~5~2:::8~/3~8~34~ 14. E-Mail address (optional) _

15. Do you have a spouse or domestic partner? DNo [ZjVesIf yes, list hislher full name: !..'H~o~lIe<!lig;C,h!.2R~a~e"'s:;!ue~R~e~ite~r __o=_-= _

Will this persrwork at or be involved in the operation or management of the business? [ZjNo DVes

16. List ..1I1.tatT!, other than Oregon, where you have lived during the past ten years:Neva-;Ya~Ohio

17. In the past 12 years, have you been convicted ("convicted" includes paying a fine) in Oregon or anyother state of driving a car with a suspended driver's license or driving a car with no insurance?!ZINo DVes 0 Unsure If yes, list the date(s), or approximate dates, and type(s) of convictions.If unsure, explain. Vou may include the information on a separate shee!.

18. In the past 12 years, have you been convicted ("convicted" includes paying a fine) in Oregon or any otherstate of a misdemeanor or a felony? [Zj No DVes 0 Unsure " f::' t1":!! fi"il g\ fiI ~ IIIf yes, list the date(s), or approximate dates, and type(s) of convictions. If Q&:ex/li:tIl:9. WbL mayinclude the information on a separate sheet. Search Completed

IH Form - Page 1of 2 1-800-452-0LCC (6522)www.oregon,gov/OLCC

INITl81 ~,

(rev. 07/11)

Page 4: Syren's LLC - Pending - Application File - OLCC & ONI

I

,19, Trade Name Syren's Gentlemens _.ub 20. Cit~ '-'"'ort-"Ia::.:n"'dc-- _

21. Do you have any arrests or citations that have not been resolved? 0No DYes DUnsureIf yes or unsure, explain here or include the information on a separate sheet.

22. Have you ever been in a drug or alcohol diversion program in Oregon or any other state? (A diversionprogram is where you are required, usually by the court or another government agency, to complete certainrequirements in place of being convicted of a drug or alcohol-related offense.) 0No DYes DUnsureIf yes, list the date(s), or approximate dates. If unsure, explain. You may include the information on aseparate sheet.

23. Do you, or any legal entity that you are a part of, currently hold or have previously held a liquor license inOregon or another US state? (Note: a service permit is not a liquor license.) 0 No DYes 0 UnsureIf yes, list the name(s) of the business, the city (or cities) and state (or states) where located, and thedate(s) of the Iicense(s). If unsure, explain. You may include the information on a separate sheet.

24. Have you, or any legal entity that you are a part of, ever had an application for a license, permit, orcertificate denied or cancelled by the OLCC or any other governmental agency in the US?0No DYes DUnsure If yes, Iistthe date(s), or approximate dates. If unsure, explain. You may includethe information on a separate sheet.

Questions 25 and 26 apply if you, or any legal entity that you are part of, are applying for a Full On-Premises,Limited On-Premises, Off-Premises, or Brewery-Public House license. If you are not applying for one of thoselicenses, mark "N/A" on Questions 25 and 26.

25. Do you have any ownerslJip interest in any other business that makes, wholesales, or distributesalcohol? 0N/A DNo UYes DUnsure If yes, list the date(s), or approximate dates. If unsure,explain. You may include the information on a separate sheet.

26. Does, or will, a maker, wholesaler, or distributor of alcohol have any ownership interest in your business?DN/A 0 No DYes DUnsure If yes or unsure, explain:

Question 27 applies if you, or any legal entity that you are part of, are applying for a Brewery, Brewery-PublicHouse, Distillery, Grower Sales Privilege, Warehouse, Wholesale Malt Beverage & Wine, or Winery license. Ifyou are not applying for one of those licenses, mark "N/A" on Question 27.

27. Do you, or any legal entity that you are part of, have any ownership interest in any other business thatsells alcohol at retail in Oregon? 0 N/A 0 No DYes 0 Unsure If yes or unsure, explain:

You must sign your own form (you can't have your attorney or a person with power of attorney sign your form).I affirm that my answers are true and complete. I understand the OLCC will use the above information tocheck my records, including but not limited to, criminal history. I understand that if my answers are not trueand complete, the OLCC may deny my r se application.

Applicant Signature:-LL\k..!«tu..~ci2~~~==------Date: _8"",,-~.....z,,,,,1.e~'i"-'Il~__Iii Form - Page 2 of 2 1-800-452-0LCC (6522)

www.oregon.gov/OLCC(rev. 07/11)

Page 5: Syren's LLC - Pending - Application File - OLCC & ONI

8"',. ,, .•. ,

" ""

OREGON LIQUOR CONTROL COMMISSION

INDIVIDUAL HISTORY

1. Trade Name 3yreos P1to+le.mfn'S (1./" h 2. City <ili+!aod3. Name _----'·J{.-'-'.e-/.;--1-1£.l..<..L-C ---'tk-lJ«.J.f)I...LI-e'=ol'--!"·(]'f-l.b-'---- 1<-'--"'La'-"'es~l/u..e..L_, _

(Last) (First) U (Middle)

4. Other names used (maiden, other) 'Bomera i ,9/Atffraw I t4; 1&.csW .7 Place of Birth {201 O(i.ct4D 7. DOB ffL/J!LtlJhs. Sex M OF J

{State or Country) (mm) (dd) (yyyy) rt'SOCIAL SECURITY NUMBER DISCLOSURE: As part of your application for an initial or renewal license, Federal and State lawsrequire you to provide your Sociai Security Number (SSN) to the Oregon Liquor Control Commission (OLCC) for chiid supportenforcement purposes (42 USC § 666(a)(13) & ORS 25.785). The OLCC will refuse a license to any applicant or licensee who faiisto prOVide his/her SSN. Your SSN will be used only for child support enforcement purposes unless you sign below.

Based on our authority under ORS 471.311 and OAR 845-005-0312(6), we are requesting your voluntary consent to use yourSSN for the following administrative purposes only: to match your license application to your Alcohol Server Education records(where applicable), and to ensure your idenlity for criminal records checks. OLCC will not deny you any rights, benefils or privilegesotherwise provided by law if you do not consent to use r SSN for these administrative purposes (5 USC§ 552(a). If youconsent to these uses, please sign here:

Applicant signature:_~==~3~f2~======- _

9. Driver License or State 10 # _

11. ResidenceAddress /10D5 Nt ?fA. WJV(number and street) r-

1O. State ...Lll.W<...<..J<LL'4-L..!.<:"-,-_..-

v0~CLJLIVl2.r tVA q?&IY!(city) (state) (zip code)

12. Mailing Address (if different) -,---,--c-..-----,-;----~cc;_:;-------77'""'---,~-:-:-::O::-;--(number and street) (city) (state) (zip code)

13. Contact PhO(~fdJ)251-d (PrJ 14. E-Mail address (optional) _

15. Do you have a spouse or domestic artner? DNoIf yes, list his/her full name: ---"--"l'L¥-LJ.L~=~,=L.L-J-j'-4-----:-c-,____,_--,-;:::;:-:-i*_,_-­Will this personlork at or be involved in the operation or mana~~ment of the business? DNo

16. Lis all state~ther than Oregon, wher you have lived durv1!he past t n years:. Vi

17j1lne past 12 years, have you been convicted ("convicted" includes paying a fine) in Oregon or anyo er state of driving a car with a suspended driver's license or driving a car with no insurance?

o DYes 0 Unsure If yes, list the date(s), or apprOXimate dates, and type(s) of ponvictions.f unsure, explain. You may include the information on a separate sheet. \

is. In the past 12 years, have you been c~victed ("conVicted" inciUdEl;S"~<t'l1flO!iff§;)WJf~on or any otherstate of a misdemeanor or a felony? 0 DYes 0 Unsure V V li'~ I a.J.If yes, list the date(s), or apprOXimate ates, and type(s) of convicti§f~rFLnQ.oo;@lirMlli1.You mayinclude the information on a separate sheet. SEP 7.20111

t'\l

IH Form - Page 1of 2 1-800-452-0LCC (6522) l~jlTI ALl';, C\\V (rev. 07/11)www.oregon.govIOLCC.r~.PI .;:) •.-'-1'\--- _

'.

Page 6: Syren's LLC - Pending - Application File - OLCC & ONI

19. Trade Name Sy(~_n'2, i Seo±lerneo'S C2/uh 20. City ~(+Iacd21. Do you have any arrests or citations that have not been resolved? d"o DYes DUnsure

If yes or unsure, explain here or include the Information on a separife"~heet.

22. Have you ever been in a drug or alcohol diversion program in Oregon or any other state? (A diversionprogram is where you are required, usually by the court or another governme~ency, to complete certainrequirements in place of being convicted of a drug or alcohol-related offense.) 0 DYes D UnsureIf yes, list the date(s), or approximate dates. If unsure, explain. You may includ the information on aseparate sheet.

23. Do you, or any legal entity that you are a part of, currently hold or have prev~1sly held a liquor license inOregon or another US state? (Note: a service permit is not a liquor license.) 0 DYes D UnsureIf yes, list the name(s) of the business, the city (or cities) and state (or state where located, and the .date(s) of the Iicense(s). If unsure, explain. You may include the information on a separate sheet.

24. five you, or any legal entity that you are a part of, ever had an application for a license, permit, orrtificate denied or cancelled by the OlCC or any other governmental agency in the US?No DYes DUnsure If yes, list the date(s), or approximate dates. If unsure, explain. You may include

the information on a separate sheet.

Questions 25 and 26 apply if you, or any legal entity that you are part of, are applying for a Full On-Premises,Limited On-Premises, Off-Premises, or Brewery-Public House license. If you are not applying for one of thoselicenses, mark "N/A" on Questions 25 and 26.

25. Do you have any .DIners\2!£> interest in any other business that makes, wholesales, or distributesalcohol? D N/A ~o UYes D Unsure If yes, list the date(s), or approximate dates. If unsure,explain. You may Include the information on a separate sheet.

26. Does,_orP:;iII, a maker, wholesaler, or distributor of alcohol have any ownership interest in your business?DN/A)bl No DYes DUnsure If yes or unsure, explain:

Question 27 applies if you, or any legal entity that you are part of, are applying for a Brewery, Brewery-PublicHouse, Distillery, Grower Sales Privilege, Warehouse, Wholesale Malt Beverage & Wine, or Winery license. Ifyou are not applying for one of those licenses, mark "N/A" on Question 27.

27. Do you, or any legal entity that you are partlf, have any ownership interest in any other business thatsells alcohol at retail in Oregon? D N/A ~NO DYes D Unsure If yes or unsure, explain:

You must sign your own form (you can't have your attorney or a person with power of attorney sign your form).I affirm that my answers are true and complete. I understand the OlCC will use the above information tocheck my records, including but not limited to, criminal history. I understand that if my answers are not true

:~:I~C::~:i:~~~~r:~:X~~:~~ Date: r~~{) I

IH Form - Page 2 012 1-800-452-0LCC (6522) (rev. 07/11)www.oregoll.gov/OLCC

Page 7: Syren's LLC - Pending - Application File - OLCC & ONI

8'. .. ...

. .I

OREGON L1QUO~ CONTROL COMMISSION

BUSINESS INFORMATION

Please Print or Type

Applicant Name: S \{l-tt::-tJ's Ut-- Phone:503 - ZDB'- z.qi/p

Trade Name (dba): .$\4 UN IS qt>,JCU4'&4A {J t!/u<sBusiness Location Address: 30'16 NC S~(_--,C:Lv=:><:!Wo<Q'-- _City: ?Of2-<t-~A.!Q ZIP Code: q, Z 3 Z

,JIlf\YS AND HOURS OF OPERATION

Business Hours:Sunday I h~o~1Ip Z ',30p-M.,Monday , t to ~ I

Tuesday ,t to ~,

Wednesday V( to f tThursday ,t to, IFriday II to f I

Saturday I.J: 3ao.y..to~

Outdoor Area Hours:Sunday to _Monday to _Tuesday to _Wednesday to _Thursday to _Friday to _Saturday to _

The outdoor area is used for: N/~o Food service Hours: to _

o Alcohol service Hours: to _o Enclosed, how _

The exterior area is adequately viewed andlorsupervised by Service Permittees._______ (Investigator's Initials)

Seasonal Variations: 0 Yes INo If yes, explain:. _

:ffi~;rERTAINMENT.d

o Live Music

~ Recorded Music

~ OJ Music

o Dancing

rz1 Nude Entertainers

Check all that apply:

o Karaoke

o Coin-operated Games

o Video Lottery Machines

o Social Gaming

o Pool Tables

o Other: _

DAYS & HOURS OF LIVE OR DJ MUSIC

b::J D,..)'-1 f}

Sunday /1 : 3:I,AM,to 2,'oDNUMonday II to /.. (Tuesday 1.( to ~(

Wednesday W to t.-(Thursday ,,( to ?IFriday f« to -!=I..LI~,-Saturday II ;3:>~ to Z ~2;;i) IV-L

Lounge:

Banquet:

2-D

Outdoor: _

Other (explain):

Total Seating:~

OLCC USE ONLY

Investigator Venfied Seatlng:_(Y) _IN)

Investigator Initials:: ~

Date.: _

I understand if my answers are not true an omplete, the OLCC may deny my license application.

Applicant Signature::-Lu~,u...(::::~~~~~=:.....- Date:,_---<.9"--,-='2(p=-_-uO _

O·452·0LCC (6522)www.oregon.gov/o/cc (rev. 12/07)

Page 8: Syren's LLC - Pending - Application File - OLCC & ONI

IOREGON LIQUOR GONTROL COMMISSION

STATEMENT OF FUNDING SOURCESPrint Form

Please Print or Type

Each person who invests money in this licensed business must complete this form which will become a partof the permanent file. The information must be printed legibly in ink or typed.

~ New outlet, change of ownership, change of locationNot including amounts you will owe on contract, what Is the approximate total amount you will putinto this business to buy or start it up? (For example: advance rent payment, down payments oncontracts, buying inventory, remodeling, city and licensing fees, purchasing stock in a corporationor membership interest in an LlC.

Total $1401K $30,000 and $5000 Personal

OR

o Change to existing license (greater privilege, additional privilege, change in legal entity,extension of premises, remodel)

What is the approximate total amount you will put into making the change you are requesting?(For example: buying inventory, remodeling, city and licensing fees, purchasing stock in acorporation or membership interest in an LLC.) I

Total $-----------'

$1$30,000.00 I$1$5,000.00 I$1 I$1====1

Personal Savings

Identify where you got your investment money. List the full name of the bank, lender, or person wholoaned or gave you money. The total in this section should be equal to, or more than, the total amountlisted above.

Retirement Fund

Sworn Statement: I swear the above information is true, accurate and complete. I understand that the OlCCmay require me to give proof of the above information and that if the information is not tru'e, accurate orcomplete the OlCC may prosecute me criminally for False Swearing under ORS 162.075. The OlCC mayalso refuse to grant my license application or if the license is granted may act to revoke my license based ona false sworn statement.

(rev. 05/10)

Date B 24 ~(/•

City ~j2...-r~Trade Name (d.b.a.) 2~..r::;U=.u"'-\""':S'-J,I..J.I........L,,-- _

Printed Name _\ A. j A..\1-,tJ""I¢.=--:6~;5e:~·""'F=,-17'<'-&-4?=------------------

",,"m.1 iJa(j ~1-aOO-452-0LCC (6522)

www.oregon.gov/olcc

Page 9: Syren's LLC - Pending - Application File - OLCC & ONI

8· OREGON LIQUOR CONTROL COMMISSION

:. . WRITTEN PROPOSAL FOR A FULL ON-PREMISES SALES. LICENSE COMMERCIAL ESTABLISHMENT

Please Print or Type

Trade Name (dba): S\I?W3 LLtCity: ±bp.:.-r( /A--};12

I will offer at least five different meals during my regular meal period. My regular meal period mustlast at least 3 hours if my business is open past 5 PM, and must last at least 2 hours if my businessis not open after 5 PM. .

My regular meal period will be from ~ ('. 30 /:>-ItA. to 2 ; <30 f:4U...(start time) (end time)

o My menu for this regular meal period is attached

At all other times I will make at least five different substantial food items available in all areas wherealcohol service is available. Substantial food items are food items that are typically served as a maincourse or entree. Some examples include but are not limited to fish, steak, chicken, pasta, pizza,sandWiches, dinner salads, hot dogs, soup and sausages.

o My menu of substantial food items is attached; or

)(My entire menu is available during all hours that alcohol service is available,

During my required meal period, I will have at least --.!J.L(nUmber) indoor dining seats at tablesor food counters. This seating will be in areas of the licensed premises regularly open to the generalpublic, (Note: Seats at counters in entertainment areas, seats at bars, and seats in outdoor areas donot qualify as dining seating.)

I have attached a floor plan showing the seats at tables, counters and bars in indoor andoutdoor areas where alcoholic beverages will be sold, served, or consumed at my business.I understand that I must make food available to patrons in all areas where alcohol service isavailable.

I understand that discouraging food service is a violation of OAR 845-006-0466. Examples ofdiscouraging food service includenot taking, preparing, or delivering a food order in a timely manner;over-pricing food for the clientele of my business; offering or serving unpalatable food; failing toprovide required food service; and failing to provide a food service menu in a timely manner whenrequested by the patron.

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

Sign""'""~ ... ~ ·d·

1-800-452-0LCC (6522)www.oregon.gov/olcc

Date:

(rev. 05/09)

Page 10: Syren's LLC - Pending - Application File - OLCC & ONI

Food SpecialsPrices are good from

Open until 9pm

Monday $5.99Meatloaf

Served with Mashed Potatoesand steamed Vegetables.

Tuesday $5.99Tacos

Served with Rice and Beans

Wednesday $5.99Linguini and Meatballs

Served with Garlic Bread.

Thursday $5.99Hot Turkey Dinner

Served with Mashed PotatoesAnd steamed Vegetal::lles.

Friday $9.99Steak and Lobster

Served with a LoadedBaked Potatoe

Saturday $10.99Prime Rib

Served with Garlic Mashed Potatoesand Asparagus.

Sunday $5.99Lasagna

Served with a side Saladand Garlic Toast

Page 11: Syren's LLC - Pending - Application File - OLCC & ONI

BREAKFAST

THE BELLY BUSTER BREAKFASTTwo Biscuits split, topped with Hashbrowns, Ham or Bacon,

Two Eggs, Sausage gravy and Cheddar Cheese

STARTERS

SAMPLERSouthwest Eggrolls, Mac and Cheese Wedges,Cheese Quesadilla, Wings and Tenders. $18

WingsHot, Mild, Or BBQ. $9

Mac and Cheese WedgesBite size wedges of Macaroni and Cheese

Battered and Deep Fried. $7

Chicken TendersFour Breaded Tenderloins. $7

Southwest EggrollsThree Eggrolls. $6

Cheese QuesadillaServed with Sour Cream and Salsa $7

(Add Chicken or Beef $3)

Page 12: Syren's LLC - Pending - Application File - OLCC & ONI

BURGERS AND SANDWICHESComes w/Fries or Chips

Deluxe BurgerFresh ground Beef patty with grilled Onion, Mushrooms,

Bacon and choice of Cheddar or Swiss Cheese. $9

Philly SandwichYour choice of grilled Chicken or Beef strips with Onion, Peppers

and Swiss Cheese on a hoagie bun. $8

Cheese BurgerFresh ground Chuck beef patty with Lettuce, Tomato, Onion, Mayo

and your choice of Cheddar or Swiss Cheese. $9

Buffalo Chicken SandwichBreaded Chicken tenderloins dipped in buffalo sauce and topped with

Melted Cheddar Cheese. $9

Chicken Breast SandwichGrilled BBQ, or Blackened. $9

SOUP AND SALAD

SoupMade Fresh Daily $8

Caesar SaladFresh Romaine Lettuce tossed

in our House Caesar dressing $6

House SaladFresh mix Lettuce greens $5

Page 13: Syren's LLC - Pending - Application File - OLCC & ONI

ENTREESChoice of side: Mashed Potato, Baked Potato, Chips, Fries or Vegetables.

Fettuccine lllfredo $12

New York SteakUSDA Choice Center Cut New York Steak grilled to your liking,

Served with one side or salad. $19

New Yor1t Steak and LobsterCenter Cut New York Steak and Lobster Tail,Served with drawn Butter and your choice of

one side or one salad. $22

DESSERT

New York Cheese Calte $5

Page 14: Syren's LLC - Pending - Application File - OLCC & ONI

MARTINI'S

CosmoGrey Goose L'Orange Vodka, Triple Sec,

Cranberry, and one muddled lime.

Bacardi 0 Cosmo

Lemon DropGrey Goose Le Citron Vodka, Gourmet Lemonade.

Served with a sugared rim and Lemon wedge.

Raspberry Lemon DropGrey Goose vodka, Chambord, Gourmet Lemonade.

Served with a sugared rim and Lemon wedge.

Lemon Basil MartiniGrey Goose Le Citron Vodka,

Gourmet Lemonade and Muddled Basil.

Carmel AppletiniGrey Goose Vodka, Apple Pucker,

Splash of Sweet and Sour, and GarnishedWith Caramel Swirled and a Cherry.

GrapetiniBacardi Artie Grape Bodka, Gourmet Lemonade,

and a layer of Chambord.

Watermelon Martini42 Below Vodka, Watermelon Pucker,

Sweet and Sour, and a Splash of Cranberry Juice.

PeartiniGrey Goose La Poire Pear Vodka,

Splash of Pineapple Juice and Sprite.

Thin MintRumple Minze, Frangelico, Cream,

And Whipped Cream; served with Chocolate Syrupin a Martini Glass

Page 15: Syren's LLC - Pending - Application File - OLCC & ONI

Bananas Foster42 Below Vodka, Creme de Banana,

Cream and Whipped Cream.

Bacardi 0 Creme de Cacao MartiniBacardi 0, Whipped Cream Vodka,

Orange Juice, and Sprite.

Coco Black DiamondBacardi Rock Coconut,

Cocolate Liqueur and Half & Half.

Dragon Berry Dreaming DragonBacardi Dragonberry, Pomegranate Syrup,

Fresh Lime Juice and Simple Syrup.

Dragon Berry Flying DragonBacardi Dragonberry, Lemonade and Sprite.

MOIITOS

Bacardi Mojito $10

Bacardi Raspberry Mojito $10

Bacardi Limon Mojito $10

Bacardi 0 Mojito $10

Bacardi Dragonberry Mojito $10

Bacardi Coco Mojito $10

Bacardi Cherry Mojito $10

Page 16: Syren's LLC - Pending - Application File - OLCC & ONI

Bartender's Picks

Gummy Worm $10Bacardi Arctic Grape Rum, Bacardi Torched Cherry Rum,

Splash of Grenadine, Splash of Cranberry,Sweet & Sour, and Sprite.

Sweet-tart $10Bacardi Arctic Grape Rum, Bacardi Torched Cherry Rum,

Lemonade, Splash of Cranberry, Sprite,Splash of Grenadine, and one muddled Lime.

Bermuda Triangle $9Spiced Rum, Bacardi Coconut Rum, Pineapple Rum,

Pineapple Juice and Sprite. Garnished with a Cherry.

Blueberry Lemonade $9Bacardi Arctic Grape Rum, Blueberry Vodka,

Splash of Blue Curacao, Lemonade, and Sprite.

Pink Taco $12Cazadores Tequila, X-Rated, Sweet & Sour,

Cranberry, and Sprite.

Page 17: Syren's LLC - Pending - Application File - OLCC & ONI

8': -.•. .'. ,

OREGON LIQUOR CONTROL COMMISSION

FLOOR PLANo your floor plan must be submitted. on this form," Use a separate Floor Plan Form for each level or floor of the building,.. Applicants must provide a sketch that shows the speciflc area of the premises (e.g. dining area, bar, lounge, kitchen and

restrooms), Full On-Premises (commercial establishments) applicants must also show dining tables. See example on back.

(rev. 12107)1·800·452·0LCC (6522)

www.oregon.gov/o/cc

City ahd ZIP Code

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Applicant No e MINOR POSTING ASSIGNMENT(S)

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172.32-- Date: Initials:. C7y--l{C14/i/

Page 18: Syren's LLC - Pending - Application File - OLCC & ONI

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IJESCRIPTION EST VALUE DATEACQ AMOUNT SERIAL # MODELAT&T MERLYN PHONE SYSTEM - -.. 2 BAR WEllS

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DOUBLE REFRIGERATOR '$- ,.... . ':' ,,--, '

UNIVERSAL ICE CREAM REFRIGERATOR ",-.. '-

12'X4' SETUP TABLE WITH 6 HEATED DBL BOILER INSERTS ' ' ,

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FACTOjl.Y STAINLESS HOOD ",...FIRE SUPPRESSION SYSTEMS

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Page 19: Syren's LLC - Pending - Application File - OLCC & ONI

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lJESCRIPTION EST VALUE DATEACQ AMOUNT SERIAL # MODE, AT&T MERLYN PHONE SYSTEM .Y

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GLASS WASHER & INSTALL X. , .. ..

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4 HEAD BEER TAP 'xMANITOWOC ICE MACHINE V - .. " . .

o S#961062053 M#JY060i:

91/2' STAINLESS STEEL DOUBLE SINK (SPICE ROOM) v ":.... '.. ", .BLAKESLEE KITCHEN MIXER V

..:, ..." '

. .10' STAINLESS STEEL DOUBLE SINK W/GARBAGE DISPOSAL ;/HANGING GLASCO SALAD CASE X ' . - ;

DOUBLE REFRIGERATOR )(",' .. :' .. -.. '

UNIVERSJ>L ICE CREAM REFRIGERATOR V .. '0

12'X4' SETUP TABLE WITH 6 HEATED OBL BOILER INSERTS )( -,"4 ,

CHAMPION DiSHWASHER X II l', .STAINLESS STEEL DISHWASHER AREA WIOBL SINK,SPRAYER & DISPOSA 1/.,

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Page 20: Syren's LLC - Pending - Application File - OLCC & ONI

PURCHASE AND SALE OF BUSINESS AGREEMENT

THIS PURCHASE AND SALE OF BUSINESS AGREEMENT (the "Agreement") madeand entered into this 29th day of August, 2011 (the "Execution Date"),

BETWEEN:

Fat Jacks LLC of 3390 Ne Saody Blvd., Portland, Oregon 97232(the "Seller")

OF THE FIRST PART

-AND-

Syren's LLC of 6985 Silk Oak Ct. (CulTent residence)Las Vegas, Nevada 89148(the "Purchaser")

OF THE SECOND PART

BACKGROUND:

A. The Seller is the owner of Fat Jacks LLC. 0f3390 N.E. Sandy Blvd, Portland, Oregon97232 (the "Business"), which calTies on the business of Bar and Restaurant under the operatingname Mynt Gentlemen's Club in the State of Oregon.

B. The Seller owns the assets of the Business and desires to sell certain assets to thePurchaser, subject to aoy exclusions set out in this Agreement (the "Assets"), and the Purchaserdesires to buy the Assets.

IN CONSIDERATION of the provisions contained in this Agreement and for othergood and valuable consideration, the receipt and sufficiency of which consideration isacknowledged, the Parties agree as follows:

Definitions

1. The following definitions apply in the Agreement:

a. The "Assets" consist of the following:

I. all equipment used in canying on the Business;

ii. all inventory and packaging; and

Ill. the goodwill of the Business.

b. "Closing" means the completion of the purchase and sale of the Assets asdescribed in this Agreement by the payment of the purchase price, and the transferof title to the Assets.

Page 21: Syren's LLC - Pending - Application File - OLCC & ONI

c. "Excluded Assets" owned by the Seller and not included in this transaction consistof the following:

1. cash items held by the Seller including, but not limited to, cash bankbalances, and term deposits;

11. securities held by the Seller including, but not limited to, shares notes,bonds, and debentures;

iii. records in the possession of the Seller relating to the excluded assets andcorporate and financial records which are not related to carrying on theBusiness; and

IV. Accounts receivable and all other monies owed to the Seller due tooperation of the business.

d. "Pmiies" means both the Seller and the Purchaser and "Party" means anyone ofthem.

2. Subject to the terms and conditions ofthis Agreement, and in reliance on therepresentations, warranties, and conditions set out in this Agreement, the Seller agrees tosell the Assets, except for the Excluded Assets, to the Purchaser, and the Purchaser agreesto purchase the Assets from the Seller.

Purchase Price

3. The price to be paid by the Purchaser to the Seller for the Assets will be $500,000.00USD (the "Purchase Price").

4. The Parties agree that the Purchase Price for the Assets will be allocated among theAssets as follows subject to required adjustments that are agreed upon by the Parties:

Business Equipment $50,000.00

Inventory and packaging $0.00.

Goodwill $450,000.00

Sub-Total I $500,000.00

Sales Tax (State) ....1-. 0%1 $0.00

Purchase Price r $500,000.00

5.

Page 22: Syren's LLC - Pending - Application File - OLCC & ONI

6. The Patties agree to co-operate in the filing of elections under the Internal Revenue Codeand under any other applicable taxation legislation, in order to give the required ordesired effect to the allocation of the Purchase Price.

Payment

7. No deposit is required due above current operating expenses as stated in (the"Agreement")

8. The Balance Amount will be paid by the Purchaser with a promissory note (the"Promissory Note") in the amount of the Balance Amount, made out to the Seller.

9. The Purchaser is responsible for paying all applicable taxes, including federal sales tax,state sales tax, duties, and any other taxes or charges payable to give effect to the transferof the Assets from the Seller to the Purchaser.

Default

10. If the transaction set out in this Agreement is not satisfied buy Purchaser its obligations,or due to the Seller's failure to perform or fulfill any conditions set out in this Agreementwill be returned to the Purchaser.

11. If the transaction set out in this Agreement does not close due to the Purchaser's failure tosatisfy its obligations, or due to the Purchaser's failure to perform or fulfill any conditionsset out in this Agreement, the Deposit will be retained by the Seller.

Closing

12. The closing of the purchase and sale of the Assets (the "Closing") will take place on (the"Closing Date") August 29, 2011 at the offices of the Seller or at such other time andplace as the Parties mutually agree. The final date being upon Approval of Olcc licensing.

13. At Closing and upon the Purchaser paying the balance ofthe Purchase Price in full to theSeller, the Seller will deliver the Assets to the Purchaser. The Seller will deliver to thePurchaser possession of the Assets, free and clear of any liens, charges, rights of thirdparties, or any other encumbrances, except those attached as a result of the Purchaser'sactions.

14. At Closing and upon the Purchaser paying the balance of the Purchase Price in full to theSeller, the Seller will provide the Purchaser with duly executed forms and documentsevidencing transfer of the Assets, where required including, but not limited to, bills ofsale, assignments, assurances, and consents. The Seller will also co-operate with thePurchaser as needed in order to affect the required registration, recording, and filing withpublic authorities of the transfer of ownership of the Assets to the Purchaser.

Seller's Representations and Warranties

Page 23: Syren's LLC - Pending - Application File - OLCC & ONI

15. The Seller represents and warrants to the Purchaser that:

a. The Corporation is a corporation duly incorporated or continued, validly existing,and in good standing under the laws of the State of Oregon and has all requisiteauthority to catTy on business as currently conducted.

b. The Seller is the absolute beneficial owner of the Assets, with good andmarketable title, free and clear of any liens, charges, encumbrances or rights ofothers, except for those encumbrances specifically permitted in this Agreement,and is exclusively entitled to possess and dispose of the Assets and to execute anddeliver this Agreement.

c. Execution of this Agreement will not hinder or unfairly disadvantage any pre­existing creditor.

d. There has been no act or omissjon by the Seller that would give rise to any validclaim relating to a brokerage commission, finder's fee, or other similar payment.

e. The Seller is a resident of the United States for the purposes of the InternalRevenue Code.

f. The Corporation has withheld all amounts required to be withheld under incometax legislation and has paid all amounts owing to the proper authorities.

g. The Corporation is not bound by any written or oral pension plan or collectivebargaining agreement or obligated to make any contributions under any retirementincome plan, deferred profit sharing plan or similar plan.

h. The Corporation will not hire any new employees, or substantially change the roleor title of any existing employees, provide unscheduled or inegular increases insalary or benefits to employees, or institute any significant changes to the telIDS ofany employees' employment, after signing this Agreement, unless the Purchaserprovides written consent.

1. The Assets, while owned by the Seller, have been maintained at all times inaccordance with standard industry practice. The Seller further walTants that alltangible assets are in good working order.

j. The Corporation is operating in accordance with all applicable laws, rules, andregulations of the jurisdictions in which it is cal1'ied on. In compliance with suchlaws, the Seller has duly licensed, registered, or qualified the Corporation with theappropriate public authorities.

k. The Corporation maintains insurance policies on the Assets, of full force andeffect, and of adequate value as would be reasonable in the industry. TheCorporation has neither defaulted under these insurance policies as a result offailure to pay premiums, or due to any other cause, nor has the Corporation failedto give notice or make a claim under these insurance policies in a timely manner.

Page 24: Syren's LLC - Pending - Application File - OLCC & ONI

1. The Corporation has filed all tax reports and retums required in the operation ofthe Corporation and have paid all taxes owed to all taxing authorities, includingforeign taxing authorities, except amounts that are being properly contested by theSeller, the details of this contest having been provided to the Purchaser.

m. This Agreement has been duly executed and delivered by the Seller andconstitutes a legal and binding obligation of the Seller, enforceable in accordancewith its terms, except as enforcement may be limited by bankruptcy andinsolvency, by other laws affecting the rights of creditors generally, and byequitable remedies granted by a court of competent jurisdiction.

16. The representations and warranties given in this Agreement are the only representationsand warranties; no other representation or warranty, either express or implied, has beengiven by the Seller to the Purchaser, including, without limitation, any representations orwarranties regarding the merchantability of the Assets or their fitness for a particularpurpose.

17. The Seller warrants to the Purchaser that each of the representations and warranties madeby it is accurate and not misleading at the Closing Date. The Seller acknowledges that thePurchaser is entering into this Agreement in reliance on each warranty andrepresentation.

18. The Seller's representations and walTanties will survive the Closing Date of thisAgreement, after which time, if no claim has been made by the Purchaser against theSeller regarding the breach or inaccuracy of a representation or walTanty, the Seller willhave no further liability with regard to any of the representations or warranties given inthis Agreement.

Purchaser's Representations and Warranties

19. The Purchaser represents and warrants to the Seller the following:

a. The Purchaser, Syren's LLC., is a Limited liability corporation duly incorporatedor continued, validly existing, and in good standing under the laws of the State ofOregon and has all requisite authority to canyon business as currently conducted.

b. The corporate Purchaser, Syren's LLC. Have all necessary corporate power,authority and capacity to enter into this Agreement and to cany out itsobligations. The execution and delivery of this Agreement, and this transactionhas been duly authorized by all necessary corporate action on the part of thePurchaser.

c. The Purchaser has funds available to pay the full Purchase Price and any expensesaccumulated by the Purchaser in connection with this Agreement and thePurchaser has not incuned any obligation, commitment, restriction, or liability ofany kind, absolute or contingent, present or future, which would adversely affectits ability to perform its obligations under this Agreement.

Page 25: Syren's LLC - Pending - Application File - OLCC & ONI

d. The Purchaser has not committed any act or omission that would give rise to anyvalid claim relating to a brokerage commission, finder's fee, or other similarpayment.

e. The Purchaser is a resident of the United States for the purposes of the InternalRevenue Code.

f. This Agreement has been duly executed by the Purchaser and constitutes a legaland binding obligation of the Purchaser, enforceable in accordance with its terms,except as enforcement may be limited by bankruptcy and insolvency, by otherlaws affecting the rights of creditors generally, and by equitable remedies grantedby a court of competent jurisdiction.

g. The Purchaser has no knowledge that any representation or warranty given by theSeller in this Agreement is inaccurate or false.

20. The representations and wal1'anties given in this Agreement are the only representationsand warranties; the Purchaser has given no other representation or warranty, eitherexpresses or implied, to the Seller.

21. The Purchaser wal1'ants to the Seller that each of the representations and warranties madeby the Purchaser is accurate and not misleading at the date of Closing. The Purchaseracknowledges that the Seller is entering into this Agreement in reliance on each warrantyand representation.

22. The Purchaser's representations and warranties will survive Closing, after which time, ifno claim has been made by the Seller against the Purchaser regarding the breach orinaccuracy of a representation or warranty, the Purchaser will have no further liabilitywith regard to any of the representations or warranties given in this Agreement.

Conditions Precedent to Seller's Obligations

23. The obligation of the Seller to complete the sale of the Assets under this Agreement issubject to the satisfaction of the following conditions precedent by the Purchaser, on orbefore the Closing Date, each of which is acknowledged to be for the exclusive benefit ofthe Seller and may be waived by the Seller entirely or in part:

a. All of the representations and warranties made by the Purchaser in this Agreementwill be true and accurate in all material respects on the Closing Date.

b. The Purchaser will obtain or complete all forms, documents, consents, approvals,registrations, declarations, orders, or authorizations of any person or anygovernmental or public body, required of the Purchaser in connection with theexecution of this Agreement.

c. The Purchaser will execute and deliver the Promissory Note to the Seller.

Conditions Precedent to Purchaser's Obligations

Page 26: Syren's LLC - Pending - Application File - OLCC & ONI

24. The obligation of the Purchaser to complete the purchase of the Assets under thisAgreement is subject to the satisfaction of the following conditions precedent by theSeller, on or before the Closing Date, each of which is acknowledged to be for theexclusive benefit of the Purchaser and may be waived by the Purchaser entirely or in part:

a. All of the representations and wan-anties made by the Seller in this Agreementwill be hue and accurate in all material respects on the Closing Date.

b. The Seller will obtain and complete all fonns, documents, consents, approvals,registrations, declarations, orders, or authorizations of any person orgovernmental or public body that are required of the Seller for the properexecution of this Agreement and the transfer of the Assets to the Purchaser.

c. No substantial damage to or alteration of the Assets that would adversely affecttheir value will occur between the date this Agreement is signed and the ClosingDate.

d. The Seller will have obtained any necessary consents for assigning any leases tothe Purchaser as well as providing estoppel certificates from such owners orlandlords that there are no an-ears of rent, no breaches under such leases and theamount of the security deposits held by such parties.

e. The Seller will execute and deliver bills of sale for the Assets in favor of thePurchaser.

f. The Seller will provide the Purchaser with complete information concerning theoperation of the Business, in order to put the Purchaser in a position to can-yon inthe place of the Seller.

Disclosure

25. Upon the reasonable request of the Purchaser, the Seller will, fi'om time to time, allow thePurchaser and its agents, counsel, accountant, employees, or other representatives to haveunrestricted access to the premises ofthe Corporation and to all of the books, records,documents, and accounts of the Corporation, during normal business hours, between thedate of this Agreement and the Closing Date, in order for the Purchaser to confinn therepresentations and warranties given by the Seller in this Agreement.

26. The Purchaser will use all reasonable efforts to ensure the confidentiality of any privateor unpublished infOlmation received from the Seller or observed at the Seller's premises.If this Agreement is tenninated for any reason, the Purchaser will promptly return allwritten information and documents relating to the Business to the Seller.

Conditions Precedent Not Satisfied

27. If the Seller fails to satisfy any condition precedent set out in this Agreement on or beforethe Closing Date, and the Purchaser does not waive the condition, this Agreement will be

Page 27: Syren's LLC - Pending - Application File - OLCC & ONI

of no effect on the Closing Date and there will be no liability between the Parties, exceptfor any provisions set out in this Agreement relating to forfeiture of deposit.

28. If the Purchaser fails to satisfY any condition precedent set out in this Agreement on orbefore the Closing Date, and the Seller does not waive the condition, this Agreement willbe of no effect on the Closing Date and there will be no liability between the Parties,except for any provisions set out in this Agreement relating to forfeiture of deposit.

Employees

29. The Purchaser will not be offering employment to any existing officer or employee of theCorporation. All individuals who are officers or employees of the Corporation up to thetime of the Closing Date will remain the full responsibility of the Seller. Any individualhired by the Business after the Closing Date will become the responsibility of thePurchaser.

30. The Seller will deliver to the Purchaser prior to the Closing Date; resignations of allEmployees of the Corporation, each such resignation will be effective on the ClosingDate. The Seller will pay all Employee compensation incurred by it up to the ClosingDate including all salaries, benefits, bonuses including share bonuses and share optionsand any other compensation owing to the Employees as of the Closing Date. The Sellerwill be responsible for paying out all Employee severance benefits, vacation days, sickdays, personal days and other compensated time off accrued by all Employees prior to theClosing Date.

31. The Seller is in compliance with all applicable foreign and domestic statutmy rules andregulations respecting employment and employment practices and has withheld andreported all amounts required by law with respect to wages and salaries and the Seller isnot liable for any accrued taxes or penalties and is not liable or in arrears to anygovernment pension, social security or unemployment insurance authority. The Sellerindemnifies the Purchaser for any future liabilities relating to employment andemployment practices where the subject of the liability occulTed prior to the ClosingDate.

Assumption of Liabilities

32. It is understood and agreed between the Parties that the Purchaser is assuming and will beliable for any of the liabilities, debts or obligations of the Seller only relating to theBusiness as stated in this(the "Agreement")

Indemnity Respecting Liabilities

33. The Seller will indemnifY and hold the Purchaser hannless from and against all claims,loss, damage, liability or expense that's not specific to this (the "Agreement") which thePurchaser may suffer in regards to any liability or obligation arising out of the ownershipor operation of the Business prior to the Closing Date.

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Notices

34. Any notices or deliveries required in the perfonnance of this Agreement will be deemedcompleted when hand-delivered, delivered by agent, or seven (7) days after being placedin the post, postage prepaid, to the Parties at the addresses contained in this Agreement oras the Patiies may later designate in writing.

Expenses/Costs

35. The Patiies agree to pay all their own costs and expenses in connection with thisAgreement.

Severability

36. The Paliies acknowledge that this Agreement is reasonable, valid, and enforceable;however, if any pati of this Agreement is held by a court of competent jurisdiction to beinvalid, it is the intent of the Parties that such provision be reduced in scope only to theextent deemed necessary to render the provision reasonable and enforceable and theremainder of the provisions of this Agreement will in no way be affected or invalidatedas a result.

Governing Law

37. This Agreement will be governed by and construed in accordance with the laws of theState of Oregon.

General Provisions

38. This Agreement contains the entire agreement between the Parties. Statements orrepresentations which may have been made by any Party to this Agreement in thenegotiation stages ofthis Agreement may in some way be inconsistent with this finalwritten Agreement. All such statements are declared to be of no value to either Party.Only the written terms of this Agreement will bind the Parties.

39. This Agreement may only be amended or modified by a written instrument executed byall ofthe Parties.

40. A waiver by one Party of any right or benefit provided in this Agreement does not inferor permit a further waiver of that right or benefit, nor does it infer or permit a waiver ofany other right or benefit provided in this Agreement.

41. This Agreement will not be assigned either in whole or in pati by any Patiy without thewritten consent of the other Patiy.

42. This Agreement will pass to the benefit of and be binding upon the Parties' respectiveheirs, executors, administrators, successors, and pennitted assigns.

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43. The clauses, paragraphs, and subparagraphs contained in this Agreement are intended tobe read and construed independently of each other. If any part of this Agreement is heldto be invalid, this invalidity will not affect the operation of any other part of thisAgreement.

44. All of the rights, remedies and benefits provided in this Agreement will be cumulativeand will not be exclusive of any other such rights, remedies and benefits allowed by lawor equity.

45. Time is ofthe essence in this Agreement.

46. This Agreement may be executed in counterparts. Facsimile signatures are binding andare considered to be original signatures.

47. Headings are inserted for the convenience of the Parties only and are not to be consideredwhen interpreting this Agreement. Words in the singular mean and include the plural andvice versa. Words in the masculine gender include the feminine gender and vice versa.Words in the neuter gender include the masculine gender and the feminine gender andvice versa.

IN WITNESS WHEREOF the Parties has duly affixed their signatures under hand and seal onthis 29th day of August, fO-{ 1.

~J.U~FatJacks LLC

--=tSeal)

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PROMISSORY NOTE

Borrower: Syren's LLC. 3390 N.E. Sandy Blvd. Portland, Oregon 97232 (individually andcollectively the "Borrower")

Lender: Fat Jacks LLC.( individually and collectively the "Lender")

Principal Amount: $500,000.00

1. FOR VALUE RECEIVED, The Borrower promises to pay to Fat Jacks LLC.(individually and collectively the "Lender")at such address as may be provided in writingto the Borrower, the principal sum of five hundred thousand dollars( $500,000.00 ) USD,with interest payable on the unpaid principal at the rate of 8 percent per annum,calculated monthly not in advance.

2. This Note will be paid in 120 equal consecutive monthly installments of principal andinterest in the amount of Six thousand sixty six dollars and thirty eight cents ($6066.38)on the twenty-first day of each month commencing 90 days after Olcc approval with thebalance owing under this Note being paid at the end of its tenn.

3. At any time while not in default under this Note, the Borrower may pay the outstandingbalance then owing under this Note to the lender without further bonus or penalty.

4. Notwithstanding anything to the contrary in this Note, if the BOl1'ower defaults in theperformance of any obligation under this Note, then( individually and collectively the"Lender") Shel1'i 1. Doss may declare the principal amount owing and interest due underthis Note at that time to be immediately due and payable.

5. This Note will be constmed in accordance with and governed by the laws of the State ofOregon.

6. All costs, expenses and expenditures including, and without limitation, the complete legalcosts incurred by the Lender in enforcing this Note as a result of any default by theBOl1'ower, will be added to the principal then outstanding and will immediately be paidby the Borrower.

7. This Note will ensure to the benefit of and be binding upon the respective heirs,executors, administrators, successors and assigns of the Borrower and Lender. TheBOlTower waives presentment for payment, notice of non-payment, protest and notice ofprotest.

IN WITNESS WHEREOF the pmties have duly affixed their signatures under seal on this 29thday of August, 2011.

SIGNED, SEALED, AND DELIVEREDthis 29th day of August, 2011. ]

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SIGNED, SEALED, AND DELIVEREDthis 29th day of August, 2011.

j syren's~~pcr 1) \y_f-::::Ji!EALl

] ~rl,OMA2Fat Jacks LLC.

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OPERATING AGREEMENT OFSyren's LLC

An Oregon Limited Liability Company

This OPERATING AGREEMENT (this "Agreement") is made and entered into effectiveAugust 29th, 2011, by and between Syren's LLC (the "Company"), an Oregon limited liabilitycompany, and Wayne Allen Reiter (the "Members").

SECTION 1. THE LIMITED LIABILITY COMPANY1.1 Formation. Effective August 18, 2011, the Members formed an Oregon limited

liability company under the name Syren's LLC by filing articles of organization with the OregonSecretary of State. The rights and obligations of the Members are as provided in the OregonLimited Liability Company Act (the "LLC Act") except as otherwise expressly provided in thisAgreement.

1.2 Narne. The business of the Company will be conducted under the name CorporateFat Jacks, LLC.

1.3 Purpose. The purpose of the Company is to Il1anag",ac!ult¢n.{",J;taitllhel1trestauraht and bars and to engage in all activities incidental to that purpose.

1.4 Offices. The Company maintains its principal business office in 3390 NE SandyBlvd, Portland OR 97209.

1.5 Registered Agent. Shawna Meyer will be the Company's initial registered agentin Oregon and the registered office will be at1323 NE Orenco Station Suite3l0 Hillsboro, OR97124.

1.6 Term. The term of the Company commenced on August 18, 2011, and willcontinue until terminated as provided in this Agreement.

1.7 Name and Address of Members. The Member's Wayne A. Reiter residing at6985 Silk Oak Ct. Las Vegas,NV,89l48

1.8 Admission of Additional Members. No additional members may be admitted tothe Company without the prior approval of the Members.

SECTION 2. CAPITAL CONTRIBUTIONS2.1 Initial Capital Contribution. The Members have contributed to the Company the

assets (subject to the liabilities) described in Appendix A to this Agreement.2.2 Additional Capital Contributions. Additional Capital Contributions will be

made from time to time in such amounts as the Members deems necessary.

SECTION 3. ALLOCATION OF PROFITS AND LOSSES; DISTRIBUTIONS3.1 Allocations of Income and Loss. All items of income, gain, loss, deduction, and

credit will be allocated 100% to the Members. For federal and state income tax purposes, allitems of Company income, gain, loss, and deduction will be reported on the Member's individualtax retums.

3.2 Distributions. No distribution may be made to the Members if, after giving effectto the distribution, in the judgment of the Members, either (a) the Company would not be able topay its debts as they become due in the ordinary course ofbusiness or (b) the fair value of thetotal assets of the Company would not at least equal its total liabilities. Subject to the foregoing

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limitation, the Company will make distributions to the Members in such amounts and at suchtimes as the Members detennine.

SECTION 4. POWERS AND DUTIES OF MEMBERS·4.1 Management of Company. The Company is a member-managed limited liability

company. The management and control of the Company and its business and affairs will bevested in the Members. The Members will have all the rights and powers that may be possessedby a member in a member-managed limited liability company pursuant to the LLC Act and therights and powers that are otherwise conferred by law or are necessary, advisable, or convenientto the discharge of the Member's duties under this Agreement and to the management of thebusiness and affairs of the Company. Without limiting the generality of the foregoing, theMembers will have the following rights and powers (which the Members may exercise at thecost, expense, and risk of the Company):

(a) To expend the funds ofthe Company in fmiherance of the Company's business.(b) To perform all acts necessary to manage and operate the business of the Company,

including engaging such persons as the Members deems advisable to manage the Company.(c) To execute, deliver, and perform on behalf of and in the name ofthe Company

any and all agreements and documents deemed necessary or desirable by the Members to canyout the business of the Company, including any lease, deed, easement, bill of sale, mortgage,trust deed, secmity agreement, contract of sale, or other document conveying, leasing, or grantinga security interest in the interest of the Company in any of its assets, or any part thereof, whetherheld in the Company's name, the name of the Members, or otherwise. No other signature orsignatures will be required.

(d) To borrow or raise money on behalf of the Company in the Company's name or inthe name of the Members for the benefit of the Company and, from time to time, to draw, make,accept, endorse, execute, and issue promissory notes, drafts, checks, and other negotiable ornonnegotiable instruments and evidences of indebtedness, and to secure the payment of thatindebtedness by mortgage, secmity agreement, pledge, or conveyance or assignment in hust ofthe whole or any part of the assets of the Company, including contract rights.

4.2 Limitation on Liability of Members. To the maximum extent permitted underthe LLC Act, the Members will not have any liability to the Company for any loss suffered by theCompany that arises out of any action or inaction of the Members if the Member, in good faith,determined that the course of conduct was in the best interests of the Company.

4.3 Indemnification of Member. To the maximum extent pennitted under the LLCAct, the Member is entitled to be indemnified by the Company against any losses, judgments,liabilities, expenses, and amounts paid in settlement of any claims sustained against the Companyor against the Member in connection with the Company. The satisfaction of any indemnificationand any saving harmless will be from, and limited to, Company assets, and the Member will nothave any personal liability on account of that indemnification.

4.4 Dealing with the Company. The Member, and affiliates of the Member, maydeal with the Company by providing or receiving property and services to or from the Company,and may receive from others or from the Company normal profits, compensation, commissions,or other income incident to such dealings.

4.5 Loans. The Members may, but will not be obligated to, make loans to theCompany to cover the Company's cash requirements and those loans will bear interest at a ratedetermined by the Member.

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SECTION 5. COMPENSATION AND REIMBURSEMENT OF EXPENSES5.1 Organization Expenses. The Company will pay all expenses incurred in

connection with organization ofthe Company.5.2 Other Company Expenses. The Member will charge the Company for the

Member's actual out-of-pocket expenses incurred in connection with the Company's business.5.3 Compensation. The Member will be paid such compensation by the Company as

is specifically authorized by the Member.

SECTION 6. BOOKS OF ACCOUNT AND BANKING6.1 Books of Account. The Company's books and records and this Agreement will be

maintained at the principal office of the Company. The Member will keep and maintain booksand records of the operations of the Company that are appropriate and adequate for theCompany's business and for carrying out this Agreement.

6.2 Banking. All funds of the Company are to be deposited in a separate bankaccount or in an account or accounts of a savings and loan association as determined by theMember. Those funds may be withdrawn from such account or accounts on the signature of theperson or persons designated by the Member.

SECTION 7. DISSOLUTION AND WINDING UP OF THE COMPANY7.1 Dissolution. The Company will be dissolved on the occurrence of any of the

following events:(a) The express determination of the Members to dissolve the Company; or(b) By operation of law.7.2 Winding Up. On the dissolution of the Company, the Members will take full

account ofthe Company's assets and liabilities; the assets will be liquidated as promptly as isconsistent with obtaining their fair value; and the proceeds, to the extent sufficient to pay theCompany's obligations with respect to such liquidation, will be applied and distributed in thefollowing order:

(a) To payment and discharge of the expenses of liquidation and ofall the Company'sdebts and liabilities, including debts and liabilities owed to the Members; and

(b) To the Members.

SECTION 8. GENERAL PROVISIONS8.1 Amendments. A proposed amendment will be adopted and become effective as

an amendment only on the written approval of the Members.8.2 Governing Law. This Agreement and the rights of the parties under it will be

governed by and interpreted in accordance with the laws of the state of Oregon (without regard toprinciples of conflicts of law).

II

II

II

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The parties enter into this Agreement as of the date first written above.

Syren's LLC

By:

WayneA.Managing M ber

Member

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APPENDIX A

SCHEDULE OF ASSETS AND LIABILITIES

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Bill of Sale of Equipment

IN CONSIDERATION of the sum of Fifty thousand ( $50,000.00 ) USD, inclusive of all salestaxes, paid by cash, the receipt of which consideration is acknowledged, Fat Jacks LLC (the'Seller') of 3390 N.E. Sandy Blvd. Portland, Oregon 97232, SELLS AND DELIVERS toSyren's LLC.(the 'Purchaser')6985 Silk Oak ct. Las Vegas, NV 89148 the following equipment(the 'Equipment'):

all furniture, equipment and fixtures located at 210 N.B. Sandy Blvd, Portland,Oregon 97232 .

The Seller expressly disclaims all warranties, whether expressed or implied, including but notlimited to, any implied warranty of merchantability or fitness for a particular purpose. The Sellerdoes not assume, OJ," authorize any gther RersQn_to a~sume 211Jh"-lJel:lalf of the Seller, anyJiability _in connection with the sale of the Equipment. The Seller's above disclaimer of warranties doesnot, in any way, affect the telms of any applicable warranties from the manufacturer of theEquipment.

The Purchaser has been given the OppOltunity to inspect the Equipment or to have it inspectedand the Purchaser has accepted the Equipment in its existing condition. Further, the Sellerdisclaims any warranty as to the condition of the Equipment.

SIGNED, SEALED, AND DELIVERED1li:is 21 st day of Regrow:" 20&8:-'

~j o-t-fl )'df1t Z-dII ] ~dFat Jacks LLCo~

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FIFTH AMENDMENT TO LEASE, ~ \TED MAY 7, 2009 BY AND BETWEr - J A ATWOOD CORPORATION,LESSOR AND FAT JACK'S LLl, LESSEE; CONDITIONAL APPROVL JF LESSOR TO LESSEEFOR

ASSIGNMENT OF LESSEE'S INTEREST; and ASSIGNMENT OF LESSEE'S INTEREST

WHEREAS Lessee is desirous of assigning Lessee's interest in said lease to Syrens LLC, an Oregon Limited LiabilityCompany, and

WHEREAS, such assignment requires the written consent of Lessor to be valid under the terms of said lease, and

WHEREAS said assignment is subject to approval by OLCC oftransfer ofownership from Fat Jacks LLC to Syrens LLC, and

WHEREAS Lessee is desirous of reducing the monthly rent payments until said transfer is approved by OLCC, if at all, and

WHEREAS all rent, real property taxes and insurance due prior to September 7, 2011 has been paid, and

'WHEREAS, Lessor is willing to temporarily lower the rent and conditionally approve this assignment, and

IN CONSIDERATION OFthe mutual covenants and promises contained herein, which are valuable, and other considerations,receipt ofwhich are hereby acknowledged,

IT IS AGREED:

FAT JACK'S LLC hereby assigns Lessee's interest in said lease to SYRENS LLC subject to OLCC approval, and

SYRENS LLC hereby assumes all of Lessee's obligations under said lease upon approval ofOLCC, and

REDUCED RENT of$6,600.00 per month up to a maximum often (1 0) mOnths is agreed effective September 7,2011 ofwhich$5,000.00 shall be base rent and $1,600.00 shall apply to taxes and insurance, and

DEFERRED RENT in the amount of $2,000.00 per month shall accrue beginning September 7, 2011 until the first of themonth in which OLCC approves the transfer of ownership, if at all, and

IF OLCC APPROVES the transfer of ownership, then Lessee shall promptly pay all deferred rent in a lump sum within ten(10) days following said approval and return to paying the regular $8,600.00 per month, and

IF OLCC HAS NOT approved said transfer ofownership on or before July 6, 2012, then this assignment shall become voidand Lessee shall pay deferred back rent of $20,000 on July 7,2012 in addition to regular $8,600.00 rent due July 7, 2012, and

FAT JACK'S LLC is not released from any liability as a result of this assignment, and

I"ESSEE HAS $7,000.00 security deposit with lessor and the existing lease terminates as of April 6, 2013, and

LESSOR APPROVES this assignment ofLessee's interest, and

ALL OTHER TERMS and conditions of said lease, as amended, not changed or altered by this amendment shall remain infull force and effect.

Dated as of August 27, 2011, for reference purposes.

~ 9----eLJ,CW-, Managing Memberfor Fat Jack's LLC, assignor

Presidentfor J A Atwood Corporation, Agent ofLessor

Member

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E:ORM No. 812 - LEASE - BUSINESS PROPERTY.

NABE

THIS INDENTURE OF LEASE, entered into this ~!! ~~ ~.'?:~.. ..7.~"!J... day of ~~ ,209.? ,between ..................J..A.ATIl9.QP...~.Q~QM!IQ1h <!)). QJ:!lgQ!!..j;.Qr;p.Q);'9.1;;j..Q!! <!!!!!..J;i..<;.~))J;gg:r;gi!J g.§:t;.<!1;.~ ..ll.tQk!lx... i!.§ ...~.l';~~! ~; 1;h~ Ql'ffi~:t <!.Jl!~!!\!!g.LQt W):lJgJ1 :hL<!l§.Q "...•ti&.~!1§.~g :r;.",.<!J...g.§t?t~ ..R.r.QI~g}; ,hereinafter called the lessor, and .

::::::::::::::::?f.\t::J.~"¢.Ki:~:::tj::(i;:::~~::i?i~g~~:j;i.~i~~.~:j:i~b(:i:iii::~:g;;.:P.~!!;;:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::................................................................................. h _ _ __ •• _ _ _ h .•••••••, hereinafter called the lessee,

WITNESSETH: In consideration of the covenants herein, the lessor hereby leases unto the lessee thosecertain premises, as is, situated in the City of h._.J~9~t.1C;l.HQ , County of M9.1t9.Q.m9.1J and Stateof QE~g!?E: _, 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 NE 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

Exhibit "B!'.

To Have and to Hold the Drem;ses commencin.e with the 7t4 day of ..:... May , ~.9.Q.~,and ending at midnight on the ~!h ' day of .A!!&!!§.L , .2.Q.~.f for a rental of ,L<!§ llgl9.w. ..for the whole term, which lessee agrees to pay, at .:l~ ~~..~E~ A.Y.~g!l.~ ,City of J ..Q:r;J~.?!!.c:! " State of Q:r;.g&Q!1 , at the following times and in the following amounts, to-wit:

$ 7,000 upon execution hereof as a deposit securing lessee's obligations under thislease; said deposit shall be non-interest bearing and may be comingled withother funds of lessor; the balance of said deposit if any, shall be returnedto lessee within thrity (30) days after vacation of the premises in accordancethe terms of this lease.

$ 7,000 on the 7th of every month commencing August 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

not less than thirty (30) days written notice on or before November ?J 2009 provided

Lessee has not been able to obtain a license from Oregon Liquor Control Commission.

In consideration of the leasing of the premises and of the mutual agreements herein contained, the partiesacree as follows:

~=====-=.=_-==-=._=_=__=-CO_..=- -.- ---c --- - ..-.~_.= __c:c-•. -=-_..==_.==.=FJ~===~==='J

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(J) The lessee accepts this lattinA and adrees to pay to the order of the lessor the monthly rentals above stated for thefuJI term of this lease~ in advance, at "the times and in the manner aforesaid.

LESSEE'SACCEPTANCEOF LEASE

USE OFPREMISES

(1a) The lessee shal1 use the premioos during the term of this lease for the conduct of the following business:

~_~_~!!!:!!I_?!!! ?M..)_Q_P!!g~. ?.J.<;'QhQJ_._§!!J_~_§ ...<!llQ_W_~d..;. ...Q.•_~g9.t\...l_Q.t..t.~.):' ...g;l1l\~_§...gUQ.wed_~ ...t!:y.!'!. ...?~f! ..I.~£.Q:r.f!!'!.gm!!!~!?J_~ ?ll.Qy..~d.; ..;.!!:!);gm_?.1-}m_!!_§~!!mP~;J;.t:i,!!~!:!); ....t..Q );.h~__QPl"-r_?.t.;j,Qi:\..j:h~:r.~.Q_:f ..!i!.4i-.~.!L ...~?:.~.._.!~g~.J ::.':::"":::~·_·"~h ..::::='=:::::::'::-::::::::.:::::::::'::'::=:-and for no other purpose whatsoever without lessor's written consent.

(1b) The Jessee wiJI not make any unlawful. improper or offensive use of the premises,. the lesseo wiJI not sulier any strip or wastethereof,' the Jessee will not permit any objectionable noise or odor to escape or to be emitted Irom the premises or do anything or permitanything to be done upon or ,about the premises in any way tendintJ to create a nuisance; the lessee wi}} not sell or permit to be~soId·-any­

proouct~ aubstan.::a or service upon or about the premises, exceptintJ such as lesS6<3 may be Ilcensed by law to sell and as may be hereinexpressly permitted.

(20) The Jessee wi/1 not al10w the premises at any time to fall into wch a state of repair or d,"sorder as to increasa the fire hazardthereon; the lessee wUJ not lnsfall any power machlnery on the premlses excapt under the supervlslon and wz'th written consttnt of the lefisof/the lessee wi11 not store gasoUne or other hitJhly combustible materials on the premises at any time; the lessee wiil not use the premises insuch a way or lor such a purpose that the tire insurance rate on the improvements on the premises is thereby increased or that wouldprevent the lessor from taking advantatJa of any rulintIs of any atJency of the state in which the premises are situated, or which wouldallow the lessor to obtain reduced premium rates for long term fire insurance policies.

(2d) The Jessee shall comply at lessee's own eXpense with al1laws and regulations 01 any municipal, county~ state. federal or otherpublic authority respecting the use of the premises. These include~ without }jmitation~ all laws. rei!ulations and ordinances pertainind toair and water quality~ Hazardous Materials as here,"n defjned~ waste disposal~ air' emissions, and other environmental matters. As usedherein, Hazardous Material means any hazardous or toxic substance, material~ or waste. includintJ but not limited to those substances.material8~ and waste listed in the U.S. Department ot Transportation HazardoUS Materials Table or by the U.S. Environmental ProtectlonAgency as hazardous substances and amendments thereto, petroleum products~ or such other liubstances~ materials. and waste that are orbecome regulated under any applicable local, state~ or tederallaw.

(2e) The lessee Mall regularly occupy and uoo the premises lor the conduct of lessee's,business~and shall not abandon or vacate theprerniS8:S for more than ten days without wdtten approval 01 lessor.

(2t) Le$SC6 shaJl not cause or permit any Hazardous Material to be brou~ht upon. kept or used in or about the premises bylessee. its aBents~ employees, contractors, or invitees without the prior written consent of lessor, which consent will not be unreasonablywithheld so loni! as lessee demonstrates to lessor's reasonable satisfaction that 5Uch Hazardous Material is necessary or useful to lessee'sbusiness and wiIl be used, kept~ and stored in a manner that wllJ comply at all times with all laws regulating any such Hazardous Materialso brought upon or used or kept on or about the premises.

UTILITIES (3) The lessee shall pay for all heat, Jjght~ water~ power~ and other services or utilities used in the premises durini1 theterm of thiB lease.

ICE, SNOW.DEBRIS

REPAIRS AND (4a) The lessor shall not be required to make any repairs; a1terations~ additions or improvements to or upon the prem­UlPROVEMENTS ises during the term of this lease. except only those hereinafter specUically provided for,' the lessee hereby adrees tomaintain and keep the premises, incJudintJ all interior and eJlterior walls and doors, heating, ventilatintJ and cooling systems, interior wiring,plumbing and drain pipes to sewers or septic tank, ,"n tJood order and repair durintJ the en tiro term at this lease, at lessee's own cost andexpense, and to replace all tJlass which may be broken or damaged during the tt:rm hereof "n the windows and doors of the premises withAlass of as Aood or better quality as that now in use,' it is -further atJreed that the lessee wiJ1 make no altarations, additions or improvementsto or upon the premises wlthout the written COnsent of the lessor first bei~ obtained.

(4b) T1w lessor atJrees to make al1 necessary structural repairs to the building~ includi11Jl exterior wal1s, foundation, roof~ gutters anddow111Jpouts, and the abutting sldewaJks. The lessor reserves and at any and an Urnes shal1 have the right to alter. repair or improve thebuilding of which the premises are a part. or to add thereto, and for that purpose at any time may erect scalioldintJ and al1 other necessarystructures about and upon tk premises and lessor 'and lessor's representatives. contractors and workers lor that purpose may enter in orabout the premiSN with such materials as l&ssor may deem neC8$sary therefor~ and lessee waives any claim to damages. includintJ loss ofbusiness rcsultini! therefrom.

L~:¥~~ (5) It :shall be lawful for the lessor. the lessor's atJents and representatives, at any reasonable time to enter into or upon~TRY the premises lor the purpose of examining into the condition thereof, or for any other lawful purposo.

RIGHT OF (6) The lessee will not assign. tra.nsfer~ pledge, hypothecate, surrender or dispose of this lease, or any interest hereJn~ASSIGNMENT flUblet, or permit any other person or persons whomsoever to occupy tho premises wlthout th8 written consent of the

lessor baJntJ lirst obtained in writini!; this lease is personal to le$soe; Jessee's interests. in whole or in part, cannot bosold~ assiglUld, trans/etred~ seized or taken by operation at law. or under or by virtue of any execution or legal process, attachment or pro­ceedings instituted against the lessee~ or under or by virtuo of any bankruptcy or insolvency proceedings had in regard to the lessee. or inany other manner, e%C6pt as above aumtioned,

LIENS (7) The lessee will not permit any lien of any kind, type or description to be placed or imposed upon the improvementsin which the premises are situated, or any part thereof~ or the land on which th&y stand.

(8) Ii the premises are located at street level, then at all times lessee shall keap the sidewalks in front of the premisesfree and clear of ica~ snow~ rubbish, debris and obstruction,' and it too lessee occupies the entire buildinA, the lesseo wi11not permit rubbish~ debris~ ieo or snow to accumulate on the roof of the building so as to stop up or obstruct gutters or

downspouts or cause. damage to the roof. and wm save harmless and protect the lessor against any injury whether to lessor or to lessor'sproperty or to any other person or property caused by lessee's failure in that retJard.

g~~tJo~~ING (9) The lessee wi11 not overload the floors of the premises in such a way as to cause any undue or &arious stress orstrain upon the building in which the premises are located, or any part thereol, and the lessor shal1 have the right, atany time, to as}} upon any competent engineer or architoct whom the lessor may choose, to decide whether or not the

J]oors 01 the preau'ses, or any part thereof, are beinA overloaded so as to cause any undue or serious stress or strain on the building, or anypart thereof. and the decision of the englneer or architect shall be final and blnding upon the les:>ee,' and "n the event that it is theopinion 01 the engineer or architect that the stress or strain is such as to fmdBrtJ1er or injure the buildind, or any part thereof, then andin that event the lessee agrees immediately to relieve the stress or strain. either by reinforcing the buildint or by 1Jghtening the load whichcauses ~ch stress or atrain~ in a manner satisfactory to the lessor.

ADVERTISINGSIGNS

(10) The lessqe will not use the outside walls of the premises. or allow signs or devices of any kind to be attachedthereto ot suspended therefrom~ for advertising or display,"ng the name Or business 01 the lessee or for any purposewhatsoever without the written consent of the lessor,' however. the lessee may make use 01 the wlndows of the premises

to display lessee'a name and business when the workmanship of such signs shal1 be of good quality and permanent nature,' provided furtherthat the lessee may not suspend or place within said windows or paint thereon any banners~ ar'gns, sign~boards or other devlces in violationat tho intont and moaning at this soelion. Lessor hereby approves any signage allowed by the City of

Portland and the Oregon Liquor Commission. ~. ~

Page 41: Syren's LLC - Pending - Application File - OLCC & ONI

rJ~~k~~bE (11) At all times durinl1 the' term hereof. the lessee will, at the lessee's own expense, keep in effect and deliver to thelessor liability insurance policies in form, and with an insurer, satisfactory to the lessor. Such policies shall insure both

the lessor and the lessee against all liability for damage to persons or property in, upon, or about the premises. Said insuranceshall include liquor liability. The amount of such insurallce shall not be less than

_ • ..... a combined

single limit of not less than $ 1n~.O.Q.Q.).QQO It shall be the responsibility of lessor to purchase casualty insurance withextonded coverage so as to insure any structure on the premises against damage caused by lire or the e/fects of tire (smoke. heat. meansof e:rtinguishment. etc.), ()(' any other means of loss. It shall be the responsibility of the lessee to insure all of the lessee's belongings uponthe premiS8t!. of whatsoever nature, against the same. With respect to these ·policies. JesSdC shall cause the lessor to be namad as an addi­tional insured party. Lessee agroos to and shall indemnify and hold lessor harmless against any and all claims and demands arising fromthe negligen~ of the lessee. lessee's officers. agents, invitees and/or employees. as well as th0S4 arising irom lessee's fllilure to complywith any covenant of this leaS{) on lessee's part to be per/armed. and shall at lessee's own expense defend the lessor against any and allsuits or actions arisine out of .such negligence. actual or alleged. and all appeals therefrom and shall satisfy and dis.charge any judl1mentwhich tnay be awarded against lessor in any such suit or action. Owner and owner's agent shall be named insureds.FIXTURES (12) All partitions, plumbing. electrical wiring, additions to or improvements upon the premises, whether installed bythe lessor or lessee. llhall be and become a part of the building in which the premises are located as s.oon as installed and the property oftM lessor unless otherwisa hefein provided.

LIGHTAND AIR

(13) This lease does not grant any riAhts of acee:ss to light and air over the premises or any adjacent property.

(14) In the ovent of tho destruction of the improvements in which the premises aro located by fire or other casuaUy.either party hereto may terminate this lease as of the date of fire or casualty. provided. however. that in the event

of damago to the improvemenls by fire or athol' casualty to the extent of ........f:iJ.ty...... per cent or more of the sound

with all defects based upon lessee'snot in reliance upon any representa-

premises "AS_IS"the premises and

Les~ee accepts theown inspections oftion from lessor.

(19)

DAMAGE BYCASUALTY.FIRE ANDDUTY TOREPAIRvalue theroof. the lessor mayor may not elect to repair the same; written no.tice of lessor's election shall be given lessee within fifteendays after the occurrence of the damage; if notice is not so given. lessor conclusively shal1 be deomed 10 have elected not to repair; in theevent le.ssor elects not to repair. then and in that event this lease shall terminate with the date of the dama/ie; but if the improvementsin which the premi:res are located be but partially destroyed and the dama/ie so occasioned shall not amount to the extent indicated above.or if Areatel' than said extent and lessor elects to repair. as aforesaid, then the lessor shall repair the same with all convenient speed and6haJl have the right to take pos$Ossion of and occupy. to the exclusion of tho lessee. all or any part thereol in order to mako the necessaryrepairs. and the lessee hereby agrees to vacate upon requost. aU or any part ther60f which tho lessor may require for the purpose of makingne~ssary repairs, and for the period of timo between the day of such damal1e and until such repairs have been substantially completedthere shall be such an abatement of rent as the nature of the injury or damago and its intor/erence with the occupancy of the premises bythe lessee shall warrant; however. if the premises be but slightly injured and the damago so occasioned shall not cause any material inter­lerence with the occupation of the premises by lessee, then there shall bo no abatement of rent and the lessor shan repair the damagewith all convenient s~ed.

~1J-r:JNAC?rfoN (IS) Neither the lessor nor the lessee shall be liable to the other for loss arising out of damage to or destruction ofRIGHTS the premises, or the building or improvoment of which the premises are a part or with which they are connected, or

the contonts of any thereof. when such loss is caused by any of the perils which aro or could be included within or in­sured against by a standard form of fire insurance with extended coverage. including sprinkler leakage insurance. if any. AJI such claimsfor any and all loss, however caused, hereby are waived. Such absence of liability shall exist whether or not the damage or destruction iscaused by the negligence of either lessor or lessee or by any of their respective agents. servants or employees. It is the intention and agree~

ment of the lessor and tho lessee that the rentals reserved by this loase have been fixed in contemplation that both parties shall fullyprovide their own insurance protection at their own expense. and that both parties shalf look to their respective insurance carriers forreimbursement of any such loss. and further. that the insurance carriers involved shall not be entitled to subrogation under any circum­stances allainst any party to tmB lease. Neither the lessor nor the lessee shall have any interest or claim in the other's insurance policy orpolicies. or tho proceds thereof. unless specifically covered therein as a joint assured.

~~lI~'~T (I6) In case of the condemnation or purchaso of all or any substantial part of tho premises by any public or privatecorporation with the power of condemnation this lease may be terminated. effective on the date possession i~ taken, by

either party hereto on written notice to the other and in that case the lessee shall not be liable lor any rent after the termination date.U:iS86 sha/1 not be entitled to and hereby expressly waives any right to any part of the condemnation award or purchase price.

~~~ SALE (17) Dudng tho period of Jlj..lJ.~.t.y: days prior to the date above fixed for the termination of this lease, the lessorFOR RENT herein may post on the premises or in the windows thereof sit1ns of moderate size notifyinA the public that the premisesSIGNS are "for sale" or /ffor lease."

DELIVERING UP (18) At the expiration of the lease term or upon any sooner lumination thereof. the lessee will quit and deliver up~~l~1JJrPo~ the premises and all luture erections or additions to or upon the sarno, broom-clean, to the lessor or those havina lessor1s

estate in the premises. peaceably. quietly. and in as lJood order and condition. reasonable use and wear thereof. damaaeby lire. unavoldable casualty and the elements alone excepted. as the same aro now in or hereaftor may be put in by the lessor.ADDITIONALCOVENANTSOREXCEPTIONS

(20) See paragraphs on attached Exhibit "A" which by this reference are in­corporated herein.

Page 42: Syren's LLC - Pending - Application File - OLCC & ONI

EXHIBIT "A" T0 {,EASE DATED AS OF MAY 1, zor" BETWEENI (

J A Atwood Corporation, an Oregon corporation, Lessor andFat Jack's LLC, an Oregon limited liability company, Lessee.

(21) Taxes and Insurance. As additional rent hereunder, on the seventh ofevery month commencingAugust 7, 2009 Lessee shall pay 1I12th of the most recent annual property taxes and casualty insurancepremium.

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

(22) Attormnent. In the event of a sale of the property on which the demised premises are situated,Lessor shall have the right to assign its interest in this lease and shall transfer the security deposit to thepurchaser to be held under the terms of this lease. Lessor shall thereupon be released from all liability underthis lease; particularly for the return of the security deposit. Lessee agrees to look solely to the new Lessor forthe return of the security deposit.

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

(24) Estoppels. Either party will within 10 days after notice from the other execute, acknowledge anddeliver to the other party a certificate certifYing whether or not this lease has been modified and is in full forceand effect; whether there are any modifications or alleged breaches by the other party; the dates to which renthas been paid in advance, and the amount ofany security deposit or prepaid rent; and any other facts reasonablyrequested. Failure to deliver the certificate within the specified time shall be conclusive upon the party ofwhomthe certificate was requested that the lease is in full force and effect and has not been modified except as hasbeen represented by the party requesting the certificate. If requested by the holder ofany encumbrance, or 'lIlY

ground lessor, Lessee will agree to give such holder or lessor notice of and an opportunity to cure any defaultby Lessor under this lease.

(25) Signatures. Each individual signing this lease warrants he/she has authority to bind therespective entity.

(26) Arbitration. In the event of any dispute other than the non-payment ofrent between Lessor andLessee relative to the provisions ofthis lease, Lessor and Lessee agree a single arbitrator shall be selected withintwenty (20) days following said dispute as evidenced in writing by one of the parties. Upon the failure of theparties to agree on a single arbitrator within the aforementioned 20 day period, each party shall select a singlearbitrator within an additional ten (10) days. The failure of either party to select an arbitrator shall be deemedconclusive evidence ofthe approval ofthe arbitrator selected by the other party. The two arbitrators so selectedshall select a third arbitrator within an additional fifteen (15) days who shall decide the case by himlherself. Thearbitration shall occur within an additional forty-five (45) days after the arbitrator is selected. The decision ofthe single arbitrator shall be final and binding upon both parties. The parties to the arbitration shall bear theirown attorney fees and incidental costs incurred in connection with such arbitration and shall share equally thejoint costs and expenses of the arbitration, including the costs ofall arbitrators.

P",,'O",ofT= fi?l @

Page 43: Syren's LLC - Pending - Application File - OLCC & ONI

(27) Music Volume. All music shall not exceed a volume which deprives residents of homes oroccupants ofcommercial spaces adjoining or near the premises demised herein ofresidentially or commerciallyreasonable quiet enjoyment oftheir respective spaces.

(28) Alcohol. Lessor gives Lessee conditional pennission to sell hard liquor, wine, commerciallypackaged beer, and draft beer for consumption ON premises (including outside tables ang outside specialevents).

(29) Early Termination. In the event of a bona fide planned demolition or substantial remodeling ofthe entire building in which the demised premises are situated is anticipated, Lessor shall have the option totenninate this lease prior to the expiration ofany extended term by giving written notice to Lessee not less than120 days prior to the effective date of such early termination. In any event, such early termination may notbecome effective prior to August 31, 2010.

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

(31) RoofAccess. Lessee shall have access to the rooffrom time to time only as reasonably necessaryto maintain Lessor's heating, ventilation and cooling equipment. Lessee shall take all reasonable precautionsso as not to cause any damage to the roof and shall be responsible for all roof damage caused by Lessee, itsagents, employees, contractors, or invitees.

(32) Inventory. When open, Lessee shall continuously carry and offer for sale at all times a full andcomplete stock offood and beverages appropriate for the time ofday and shall maintain adequate personnel forthe efficient servicing and security of its customers. Lessee shall use best efforts to operate the businessconducted 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 ofLessor, Lessee shall pay to Lessor the sum of $1,000.00 as a fee to Lessor's agent for processing suchassignment, if any.

(34) Lessee's First Option to Extend. IfLessee is not then in default, Lessee shall have the option toextend this lease for three additional years August 7, 2012 through August 6, 2015) by giving written notice toLessor together with a check for $1,500 additional security deposit on or before February 1, 2012. The sameterms and conditions shall apply except that the monthly base rental shall be $8,500.00 per month..

(35) Lessee's Second Option to Extend. IfLessee is not then in default, Lessee shall have the optionto extend this lease for three additional years (August 7,2015 through August 6, 2018) by giving written noticetogether with a check for $1,500 additional secmity deposit to Lessor on or before February 1,2015. The sametelms and conditions shall apply except that the monthly base rental shall be $10,000.00 per month.

Presidentor J A Atwood Corporation

Page Two of Two

~J. '~ManagingMemberfor Fat Jack's LLC

Page 44: Syren's LLC - Pending - Application File - OLCC & ONI

A..TTACHMENTBANKRUPTDEFAULT

I PR"OVIDEIX ALWlil-rk 'imd' t'hasa' ~;.isents ~?e'tipbn ~hes6·co~d;i;cJO~J tha't"(1 j'if th~ jes;e~ lJ8.11 &'. in arrears in thepayment ofrrent~iof-..a-period-at· ten days·aiter the same becomes dUB. or (:1) if the lessee shall fail or neglect to performor observe any of the covenants and a4reements contained herein on lessee's part to be done, kept, par/armed and ob-served and such default shall continue for ten days or more alter wlltien notice of such failure or nedleet shall be given

to lessae, or (3) if the lessee shall be declared bankrupt or insolvent accordind to law, or (4) if any assignment of lessee's property shall bemade lor the beneUt 01 creditors, or (5) if on the Bxpiration 01 this lease lessee tails to surrender possession of the premises, the lessor orthose having lessor's estate in the premises, may terminate this lease and, lawlully, at lessor's option immediately or at any time thereafter,without demand or notice, enter into and upon the premises and eve'ry part thereof and repasses the same, and expel lessee and thoseclaiming by, through and under 'lessee and remove lessee's effects at lessee's expense, forcibly it necessary and store the same, all withoutbeinA deemed guilty of trespass and without prejudice to any remedy wlu'ch otherwise might be used lor arrears of rent or precedingbreach of covenant.

Neither the termination of this leasa by forfeiture nor the taking or recovery of possession of the premises shalI deprive lessor ofany other action, right, or remedy against lessee for possession, rent or daznages, nor shall any omission by lessor to enforce any forfeiture,right or remedy to which lessor may be entitled be deemed a waiver by lessor at the right to enforce the performance of all terms andconditions of this lease by lessee.

In the event of any re~entry by lessor, lessor may lease or relet the premises in whole or in part to any tenant or tenants who maybe satislactory to lessor, lor any duration. and for the best rent, terms and conditions as lessor may reasonably obtain. Lessor shall applythe rent received from any such tenant first to the cost 01 retaking and reletting the premises, including remodeling required to obtaIn anysuch tenant, and then to any arrears of rent and future rent payable under this lease and any other damages to which lessor may be (mtJtledhereunder.

Any property which lessee leaves on the premises after abandonment or expiration of the lease, or for more than ten days after anytermination of the lease by landlord, shall be deemed to have been abandoned, and lessor may remove and sell the property at publlc orpriva.te sale as lessor sees fit, without being liable for any prosecution therefor or for damages by reason thereof, and the net proceeds ofany such sale shall be applied toward the expenses of landlord and rent as aforesaid. and the balance of such amounts, if any, shall beheld for and paid to the lessee.

HOLDING In the event the lessee lor any reason shall hold over alter thf.t expiration of this lease, such holding over shall not beOVER deemed to operate as a renewal or extension of this lease, but shall only create a tenancy at sufferance which maybe terminated at wJ1J at any time by the lessor.

ATTORNEYFEES ANDCOURT COSTS

In case suit or action is instituted to enforce compliance with any of the terms, covenants or conditions of this lease,or to collect .the rental which may become due hereunder, or any portion thereof, the losing party agrees to pay the pre­vailil1l1 party's reasonable attorney fees incurred throughout such proceeding, including at tdal, on appeal, and for post-judgment collection. The lessee agrees to pay and discharge al1 lessor's costs and expenses, includil1lllessor's reasonable

attorney's fees that shall arise from onforcing any provision or covenants of this lease even though no suit or action is instituted.Should the lessee be or become the debtor in any bankruptcy proceeding, voluntarily, involuntarily or otherwise, either during the

period this lease is in effect or while there exists any outstanding obligation of the lessee created by this lease in favor of the lessor, thelessee agrees to pay the lessor's reasonable attorney lees and costs which the lessor may incur as the result of lessor's participation insuch bankruptcy proceedings. It is understood and agreed by both parties that applicable federal. bankruptcy law or rules of proceduremay ailect, alter, reduce or nullify the attorney lee and cost awards mentioned ill the proceding sentence.

WAIVER Any waiver by the lessor of any breach of any covenant herein contained to be kept and performed by the lessee shallnot be deemed or considered as a continuing waiver, and shall not operate to bar or prevent the lessor from declaring

a forfeiture for any succeedlng breach, either of the same cxmdition or covenant or otherwise.

NOTiCES Any notice required by the terms of this lease to be given by one party hereto to the other or desired so to be given,shall be sufficient if in writing, contained in a sealed envelope, and sent first class mail, with postage fuUy prepaid. and

if intended fot the lessor herein, then if addressed to the lessor at mm m.m _ ••• __ •• .m m n .

...............3.3. S.R..3.;r;:d..Ay.!O\m!~ 1.'9.r..);J>lp.9 Q;r;:"z,9.!! ~lZ.Q.41.:::::.'...·and if inlended for Ihe lessee, then if eddressed 10 the

lessee al 3.3.9.Q NE S.a.\l.c;ly lUy..Q P.9.r..t.bp,d Q;r;:"z,g.n 91Z.3..6 Any suchnotice shall be deemed conclusively to have been dellvered to the addressee lorty~eight hours alter the deposit therool in the U.S. Mail.

~:~r3NtND All rights, remedies and liabilities herein given to or imposed upon either of the parties hereto shall extend to, Inureto the benefit of and bind, as the circumstances may require, the heirs, successors, personal representatives and so far

as this Jease is assignable by the terms hereof, to the assigns of such parties.In construing this lease, it is understood that the lessor or the lessee may be more thall (Jne person.. that if the context so requires,

the singular pronoun shall be taken to mesn and include the plural, and that genefal!y~all grammatical c'Jianges shall be made. assumedand implied to make the provisions hereof apply equally to corporations and to individuals.

.. .:)IN WITNESS WHEREOF, the parties have executed this lease on the day and year first hereinabove written,

any corpo{'1!ipn silJ'latur~ beif/IJ bi! .fluthodty ql its Board .<if J;Jir~9tor?

~f;l'!'~'~~=::;::; .......y........... .~ .Lli.......... ....L ..

Jim Atwood...................................................................• u

Fat Jack's LLC .. ., - -- .

u !!y.~.d~~ uJ. ~.n.!lJ!i~.'?l\..!:!~!!I~erSherri L. Doss,

...............................................................................~ .

The publisher strongly recommends that both the lessor and the lessee become familiar with the Americans with Disabllilles Act at1990, Public Laws 101·336. The Act may impose ceriaIn dulles and responsibililies upon either or both parlles to this lease. Theseduties and responsibililles may inclUde but not be limited to the removal of certain architectural barriers and ensuring that disabledpersons are not denied the opportunity to benetlt from the same goods and services as those available to persons without disablll·ties. Under the Act, prohibition againsl dlscrlmlnallon applies to any person who Is the owner, operator, lessor, or lessee of a placeof pUblic accommodation.

Page 45: Syren's LLC - Pending - Application File - OLCC & ONI

Artfles of Organizati· nSecretary of StateCorporation Division255 Capitol Street NE, Suite 151Salem, OR 97310-1327

Phone:(503}986-2200Fax:(503}3784381www.filinginoregon.com

Registry Number: 794265-90Type: DOMESTIC LIMITED LIABILITY COMPANY

FILEDAug 18, 2011

OREGONSECRETARY OF STATE

i) ENTITY NAME

SYREN'S LLC

2) DESCRIPTION OF BUSINESS

722410 - Drinking Places (Alcoholic Beverages)

3) MAILING ADDRESS

3390 ne sandy blvdportland, OR 97232USA

5) ORGANIZERS

wayne raiter3390 ne sandy blvdportland OR 97232USAAuthorized Signer: wayne reiter

4) NAME & ADDRESS OF REGISTERED AGENT

shawna meyer1323 ne orenco station park wayhillsboro, OR 97124USA

6) DURATION

perpetual

-I) MANAGEMENT

This Limited Liability Company will be member-managed by one or more members.

8) PROFESSIONAL SERVICES

None

9) OPTIONAL PROVISIONS

The company elects to indemnify Its members, managers, employees, agents for liability and related expenses under ORS 63.160.

By my signature, I declare as an authorized authority, that this filing has been examined by me and Is, to the best of myknowledge and belief, true, correct, and complete. Making false statements In this document Is against the law and may bepenalized by fines, imprisonment, or both.

By typing my name in the electronic signature field, I am agreeing to conduct business electronically with the State of Oregon.I understand that transactions and/or signatures In records may not be denied legal effect solely because they are conducted,executed, or prepared in electronic form and that If a law requires a record or signature to be In writing, an electronic record orsignature satisfies that requirement.

10) ELECTRONIC SIGNATURES

wayne reiter

'11) CONTACT NAME

wayne reiter

Report Printed: 08/31/2011 05:08 PM

DAYTIME PHONE NUMBER

614-205-9959

Page 1 of 1

Page 46: Syren's LLC - Pending - Application File - OLCC & ONI

City of Portland, Office of Neighborhood InvolvementPERSONAL HISTORY FORM

Hi<" ofneighboliiOOdinvolvement

Important instructions: please read before completing form~ AU persons who are anticipated to havea financial interest in the business and key personnel must complete a Personal History Form. Allblanks must be filled in. Please use full names - no initials. If the question does not apply to you, please NjA (NotApplicable) in the space. If additional space is needed to answer any question, please use additional paper or thereverse side of the form. The Portland Police Bureau may make an unfavorable recommendation based on anincomolete aoplication, and/or false or misleading information. This form goes with the GLCC application packetthat you submit to the City after the application has been initialed by your OlCC license investigator.

Application Name:

(Last) (First) \ (Middle)

Name and Addressof Business:

YourTitie~

3:~liO rI[. bAIJpI 1:?UID~of(

Residence Address: !l21e.::: .:S::c:W DA-d6 tlT ()A."s lh:qtk5 1\./\/ 939/Lf9

City,Stare,Zip: W VUjr4::S Nv 2?~t'*B

Driver's License #and Issuing State:

Phone #: @elY) ZOS"...qC:ZSq

.Social security #

A false ansvver and/or omission of any information requested on this fonn may result in an unfavorable recommendation or denial.

Signature ~~~City of Portland

Office of Neighborhood InvolvementTheresa Marchetti

1221 SW4th Avenue, Room noPortland, Oregon 972Q4Phone: (503) 823-3092

. Fax: (503) 823-305-0

Page 47: Syren's LLC - Pending - Application File - OLCC & ONI

CITY OF PORTLAND LIQUOR OUTLET INFORM...4.TION FORMSubmit to: Theresa Marchetti, Office of Neighborhood Involvement, 1221 SW 4th Av, Ste 110,Portland, OR 97204

(503) 823-3092

City Endorsement Fees are payable at the beginning ofthe application proceSS: New outlers are $100.00, All others are $75.00. Make checks payable tothe City ofPortland. You must include the OLCC Liquor Application form, initialed hI' 1'01ir GLeC License lllW!Stigf4tot and all OLeC IndividualHistory forms. All blanks must be filled in. [ftlJe question does not apply, write "N!A" in the space. AU persons who are anticipated to have a financialinterest and key personnel must complete City ofPortland Personal History tom)s. On New Outlet applications, property o\\ners within 300 feet of thelocation, the Portland Police Bureau and all interested parties are notified by mail (with a copy ofthis form) and given an opportunity to commen~ on yourapplication. The OLeC allows the City at least 45 days to complete the recommendation process. Submission ofa complete operating plan can expe{\itethe' time required to process. A City liquor endorsement is not a confirmation that the property is properly 7.oned Call 823-7526 to confirm that theproperty is properly zoned. .

Please note: Nc'w Outlet Package Stores may be snbject to the. Convenience Store Review process through the Planning Bureau.CallSt3-7526 for applicability information, regulations and forms.

:...D:~ofMen~.: Fy..,Lk '(\1v-tUc!fA

;.LOl1I1g~§~ti.!t.K~~~i£X: 2-D I

... ,,-How late willYOU ha.v~ 9~~lside seating'? NIIt.J:!9~J!1.ft!:lX <:f!:~~~t parkin£.sEa.~.s? ::S-O

b DESCRIPTION OF OlJILET.. . .. . .IAge ofB.\liJ.<!!~!E e::zfL!20't e -:J. D.ffl?:~ Condition: ·--,Q,",,-~D~O:::.JD~ _!j~i?e .9f~~r.Yi~.Area: A?f/ti,or- t.{~sqfJl Restaurant Seating Capacity: U~1~Vi!Ll~_.h!l".'.~!l~id~§!.l!!!l!.g1 No .. j OI~N~~~~ngC:a.pa~il:Y.: • 0LQ2.Y.9.!l..P~_!.1?1!.?:~~~~lltjty? Y'.5 .}T~: b?:SST,·' ..( \~!iIJ),£1J..~p~il}£:~~~ to ~h!.:>tl'll<;t:ur~, Le, yralls. windl?\\,s)(}ts·'?I.?e~cri~:_.LN-L!d~ ,--.

HOlrRS OF OPERATION

~~~~_c!.ay..t~!:2~~_Th~~9I!X. o~~.. II i·~O--.~losez.: ~D~friday. ~ Satur<Iay open·.1 r;-30~t~~;-2:-30~_~ ..',.==.:.·-..How late wW you sell alc0!f:?//-;l.:f>.::M::",/·" ~?t;"~i t .'fHOllrs_~f[~<!_s~~~e.:,J3~~fast_N 1A. .. ; Lunch~_ .. Dinner Z ~ _. ,_"..,

,_f~~y~o~s,l?~l>.~?~.~~~e oftl1~~.!~~!i?_~ -J.'f\A-c.:::..::.:\(.'tN-=--'l..!- --_---:- . ---

_N-'!l~~==~=(l'V~=... '6lJs::"~%::e3l ~~~l2- 97~, T;'pe ofEntertainment: . iE.-,f-. <? -rz:::-.c I>;yvtd&t?::S. -f::J>E . Size ofDance Floor ~ sq ft

(Danang. liv~ mUSI¢, exonCiIanc<:>s-:W-s. ri:conledhaCkgmUnd inlJSlc. ct<:. )

._.J,.:.N.....,·0"--__. .... _

:z: IIJ;C~ __~~!.x~~.?~~~.:Y.i<!.e~_&a.pes,pi~b~n!.?~ ?~~E regulated amusement devices (not including video poker)?

. Numbe.r()J.p~QL~!?.I~~1 0 Will y~u apply/have you applied for video poker? ~6

J:!~\vJa~e.\vm.yO'l!.h;:l~e~"_!~rt~nment? 2. ~ 2x> ~_..... .. ..P_.. _" __ ,,_._._._._._ ..

The City requires an Amusement Location Permit for aU locations with amusement devices or pool tables, Contact the 13ureau ofLicenses for rules and an Amusement Location Permit application form now', Penuits are non-transferable from one owner to anotherand must be paid before games are placed on the premises.

Use this area to provide any additional information that you wish to be considered on this liquor application. The City of Portland winnotifY affected nearby neighbors and a copy of this form will be included in our mailing

A false answer or omiSSi~any r~uested information may l'esult in an unfavorable City recommendation.

SignaMe, LJu-e I~ Dol" ~c.20 ~ I J

Page 48: Syren's LLC - Pending - Application File - OLCC & ONI

0ztD~ &1rW' tv if~l elM C,}-jI15c(; q;u~ r/1c

a "M'.o!W'.~~~.", ...,*,",,~~~.

City (;i f vrilond .-BtJ(~"lJd

Developme:nt $(jryicesDevelopm\;nl SerVices Center

1900 SW fourth Avr:;., SlJife 5000. Po~t .~. ./, 0'797;101

~"''''''''''~·'''''~~~·\I'';!li~ko"""""_,, .,,__:

.<i(?1>!1LJU

Page 49: Syren's LLC - Pending - Application File - OLCC & ONI

Page 1 of 1

Gustafson, Kendall

From: Gustafson, Kendall

Sent: Monday, September 26, 2011 9:45 AM

To: '[email protected]'; Dufay, Anne; Silva, Frank; Orellana, Mitchell

Cc: Marchetti, Theresa; loGiudice, Dennis; BDS Noise Control Office;'[email protected]'; '[email protected]'; Farres, Jenny; Day, Robert;Hendricks, Art; Westbrook, Sara; Bacigalupi, Clifford

Subject: Liquor - Change Ownership/Change trade name/Full On-Premises Sales - 3390 NE Sandy Blvd -SYREN'S GENTlEMENS CLUB

We have received a liquor license application for a change in ownership and change of trade name of anexisting Restaurant in the LAURELHURST NEIGHBORHOOD. SYREN'S GENTLEMENS CLUB locatedat 3390 NE SANDY BLVD has applied for change in ownership with full on premises sales license whichallows the sale of distilled spirits, malt beverages, wine and cider for consumption on thepremises. The application contact is: WAYNE REITER 702-528-3834

Following is the information captured on the business information form:

Seating capacity -

Entertainment -

Menu-

Hours -

Restaurant 44, lounge 20

Recorded Music, DJ Music, Nude Entertainers

Full Menu

11 :30 am - 2:30 am, 7 days a week.

If you are aware of any existing problems or concerns at this location, please notify Theresa Marchetti([email protected]) or at (503) 823-3092 by OCTOBER 24, 2011.

Changes in ownership are typically routine paperwork, however, if there is a good neighbor agreement inplace or identified problems at the location it can provide an opportunity for problem solving. If you haveconcerns regarding this license, please list the concerns in writing and remember they must be related tocrime, alcohol, alcohol related behavior or drugs. Traffic, Parking and Trash are not considered duringthe licensing process at OlCC. Please let Theresa Marchetti know if you have any questions.

Thank you.

Kendall GustafsonAdministrative Coordinator liquor, Graffiti & Crime PreventionCity ofPortland - Office of Neighborhood Involvement1221 SW 4th Avenue, Room 110Portland, Oregon 97204

Phone: (503) 823-4064Fax: (503) 823-3050E-mail: [email protected]

To help ensure equal access to City programs, services and activities, the City ofPortland will reasonably modifypolicies/procedures and provide auxiliary aids/services to persons with disabiliti.es. Call 503-823-4064, TTY 503­823-6868, or the Oregon Relay Service at 800-735-2900 with such requests or visithttp://ww:....portlandonline.com/ADA Forms

9/26/2011

Page 50: Syren's LLC - Pending - Application File - OLCC & ONI

••••••••••••••. .

• I

.. ~.. >~. . ..

.~

OREGON LIQUOR G ~JTROL COMMISSION

LIQUOR LICENSE APPLICATION

ACTIONS~ Change Ownershipt:I New Outlet[J Greater j)rivilege

L:I AdditionC!liyege~Other !

9O-day authority: a Yes a No. Rac1d by Portland

CITY AND COUNTY USE ONLY

Date application received: _

The City Council or County Commission:

(name of city or county)

recommends that this license be:

o Granted 0 DeniedBy:_--'- ----:'-:---~_

(signature) (date)Name:, ~ _

OlCC USE ONLY

Application Rec'd by:.-.e{fb""!i:r-------

Date: tJ-ff--(( II

l1t1e:, _

1:11Individuals

P4&!lo37LJ4?7?f(

Application is being made for:

LICENSE TYPES~ Full On-Premises Sales ($402.60Iyr)~ Commercial EstablishmentCCatererI:]Passenger Carrier1:11 Other Public locationOJ Private Club

LI Limited On-Premises Sales ($202.60/yr)DOff-Premises Sales ($100'lyr)

C with Fuel PumpsWJ Brewery Public House ($252.60)[J Winery ($250/yr) .CJother:, --

gO-DAY AUTHORITYUS] Check here if you are applying for a chang.e of ownership at a businessthat has a current liquor license, or if you are applying for an Off-PremisesSales license and are requesting a OO-Day Temporary Authority

APPLYING AS:L!JLimited [J Corporation til Limited Liability

Partnership Company

97232(ZIP code)

Iquor L,lcenses

Oregon(state)

Multnomah(county)

Portland(city)

SEe 22 2011®-----------~--@-_--.-_--.-~:~~.~==.=:;,;;E;."'--=.."r-.-2. Trade Name (dba):Syren's Gentlemens Club ~3. Businesslocation:3390 Ne Sandy Blvd.

'-:----:---:---:--~--:-:------,-------,-~,.....;..--.".-~..,....,-~-~--';"-----=:---:--:---(number, street, rural route)

1. Entity or Individuals applying for the license: [See SECTION 1 of the Guide]

<D Syren's llC ®--'----------'--"-'''''*"--''''7'''--''''''''-:''-'----,---

4. Business Mailing Address:,-:::3,;;,39;:.;0;;...:..:N.=..e....:;8a;.;:,·;.;..:n,;;;"dyL...=.B.:..:.lv.;:;d;,.... ....:P~0::..:.rt.::.:la:::n..::d=--_M=u.:.::ltn..::0Tm;,:.;;a::.:..h=---....:;O:..:..reg=0:..:..n=_==_-....:;9...:...72:;:.3;;,....(PO box, number, street, rural route) . (city) (state) (ZIP code}

5. Business Numbers:_..;;.50..::...::.~...:;;2=0..::.8-..::.2..;;.4..::.96",--_--,- _(phone) (fax)

6. Is the business at this location currently licensed by OlCC? lL)Yes CINo

7. If yes to whom:Fat Jacks llC Type of License:,_F_ul_l_o..,...n_P_re.....m_'_·se -'- _

8. Former Business Name:MYNT Gentlems Club----,-~-------------:-------------~-----'-

9. Will you have a manager? CYes [TINo N9,me:.--l~CW~~n.~~~---!:sei!~~_:__-:--::-:-:--:-:-:~__:___:_--­(manager must fill out an Individual History form)

10.What is the local governing body where your business islocated?.;.,.P...:;.o....:rt....:la...:;.n...:;.d___."._---,-~~--...,.....,.""'-----­(name of city or county)

11. Contact person for·this applieation:Wayne Reiter 702-528-3834(name) (phone number(s»

6985 Silk Oak Ct. las Vegas,NV,89148 [email protected] K(address) (fax number) (e-mail address) I" . I?

I understand that if my answers are not true and complete, the OlCC·may deny my license application. v~~"'VJApplicant(s) Signat e~ and Date: . ~ ~ii- ~. ~CD Date a':Zl9-L( ® Date ~.J ~~

® " Date Q} Date ~"¥)'"1-!300-452~OLCC (6522) • www.oregon.gov/olcc (rev.08l:Q1)

Page 51: Syren's LLC - Pending - Application File - OLCC & ONI

'·8"·'. . ... .. .,. .

-. . .

. (OREGON UQUOh. CONTROL COMMISSION

BUSINESS INFORMATION

Please Print or Type

Phone:S03 - ZLYO- z-4~(pApplicant Name:,_---...;;S=-"'it[?~·_~='~5~·--=U~CCs:::." _.c- .' I £.. /1/

Trade Name (dba): ~tlUiJ S L/£,AJr!.£4,UdJ..t.f J t.;(..I.£(2

Business Location Address: 3;:)'16 N£~(........~tlv==""'-' .:.o:D~ ,--- _

City: . ?O~"f""CA.-A!Q ZIP COde:_Cf_'_Z_3_·._< _

Business Hours:·Sunday th"&O~Z :3D~~Monday it' to .,

Tuesday I-l to ",Wednesday ~ . to f ,Thursday ,i to y iFriday j; to' f t

Saturday II:~o :::2- :-""bO~

Outdoor Area Hours:Sunday to _Monday to _Tuesday to~__Wednesday to _Thursday to _-'--_Friday to _Saturday to _

The outdoor area is us~for: JI~Q Food service Hours: to _

Q Alcohol service Hours:' to _

Q Enclosed, how _

The exterior area is adequately viewed and/orsupervised by service Permittees._ (Investigators Initials)

Seasonal Variations: 0 Yes If yes, explain: ~----

o UveMusic

.~. Recorded Music

~ DJMusic

o Dancing

lA" Nude Entertainers

Check all that apply:

o Karaoke

D Coin-operated Games

o Video Lottery Machines

D Social Gaming

o Pool Tables

o Other:~ -:- __

DAys & HOURS' OF LJVEi"OR OJ J'~iu's'IQ:': ,~~ - j '. ~ ~~ .''-': .' , • ,", •• " '.,' - .' /.::-

~ DNL\f !}

Sunday jJ; ~M\.to 2 ....C3D~Monday .tl to (,. (

. Tuesday {,.{ . to L-{Wednesday . l( to t..-(Thursday t i to IIFriday IcC to JISaturday ,I;3i>MA- to ~2.'::="-;-2:;;i)-:-.-~

Lounge:

Banquet:

2-D

Outdoor:~__

Other (expl~in):

Total Seating;. ....Lt1f-

OlCC USE ONLY

Investigator Verified Seating~(Y}_(N}

Investigator Inilials: ---'-_

Date:.~ .,--

I understand if my answers arenottrue and omplete, the Ol(~C may deny my license application.

'. (rev. 12/07)O~452..0LCC (6522)www.oregon.govlo/cc

Applicant Signature:-.ul0L.~~=::;~~Z==-",-__ Date:_--..k:~;""··_~2{p~.--..,.,ll.-" _

Page 52: Syren's LLC - Pending - Application File - OLCC & ONI

••

.

".. ... .

•. ..' ....

1Please Print or Type

OREGON LIQUOR CONTROL COMMISSION

LIMITED LIABILITY COMPANY QUESTIONNAIREI .

LLC Name:Syren's LLC Year Filed:201 t.---<----------------,-------- -------Trade Name (dba):Syren's Gentlemens Club

Business Location Address:~33;;..:9:..::.0..:..N:.:;.e...::S~an~d::!_Y..:::B.;..:;..lv.::.;d" ____, __,__----------,.'-_

City:Portland ZIP Code:.:..:97...::23=2~ _

list Members ·of LLC:

1. Wayne·Reiter(managing member)

Percentage of Membership Interest:

. 100

2. ""-~"""'-- --'-'-__'"-_(members)

3. -'--

4. '--__

5. ____' _

6. ---------------

(Note: If any LLC member is another legal entity, that entity must also complete an LLC, UmitedPartnership or Corporation Questionnaire.··/fthe LLC has officers, please list them on·a separatesheet ofpaper with their titles.)

Server Education Designee:_W'-aL;;yn.;..:;..e..;:.R.;..:;..e;;.:.;Jte:..;..r DaB: 08/31/1966

I understand tfiat if my answers.are not tru~and complete, the OlCC may deny my license application.

Signature:\J~(name}

. .

1-800-45~OLGC (6522)www.olcc.state.or.l!s. (rev. 8111)

Page 53: Syren's LLC - Pending - Application File - OLCC & ONI

OREGON LIQUOR CONTRqL COMMISSION

INDIVIDUAL HISTORY

1. Trade Name 3y (f. OS 8-en+/e.rneo's Clu b 2. City __'/.......1-1)-=).1.-r+~/Ctn=<.·-<..d>-l----3. Name __'~~">-e.+-I1~-e"",,-,~rl.-'~ -.!-tb~/'-L.k~~~'0btf-L..Jhl.-- .:.......~~a~e=s~l!.d..j~.l....l .l-"_

(L~st) (First) <J (Middle)

4. Other names used (maiden, other) _-4-~:.L!....!!o...<-:!...r;-!..f)~1--~~w..-~-44,LJ.c.....I--+---U..J...L....L.!."'*""~~~I!--_

5.*SS~lace of Birth _l2~ir--;:;,0;-IO,.lt_:~-=,j'-'-D-"--_ Sex M DFJ'. <Stat~'or Country)' ?

*SOCIAl SECURITY NUMBER DISCLOSURE: As part of your application for an initial or renewal license, Federal and State lawsrequire you to provide your Social Security Number (SSN) to the Oregon Liquor Control Commission (OlCC) for child supportenforcement purposes (42 USC § 066(a)(13) & ORS 25.785). The OlCC will refuse a license to any applicant or licensee who failsto provide his/her SSN. Your SSN will be used only for child support enforcement purposes unless you sign below.

Based on our authority under ORS 471.311 and OAR 845-005-0312(6), we are requesting your voluntaryconsentto use yourSSN for the following administrative purposes only: to match your license application to your Alcohol Server Education records.(where applicable}, and to ensure your identity for criminal records checks. OlCC will not deny you any rights, benefits or priviiegesotherwise provided by law if you do not consent to I,Ise f J r SSN for these administrative purposes (5 USC§ 552(a).lf youconsent to these uses, please sign here:

Applicant Signature:---:~=:::3~g~======- -,- ---: _

11. Residence Address

9. Driver License or State 10 # 1?EITEIfR269MfV1 10. State Wa 3IVntrfon110DS Nt 71t Wtf.-v .t~nt2fJO..{tlr WIi f-/4?/.pd

(number and street) I (city) . . (state) . (zip code)

12. MailingAddress (if different) -o----..,:---'-:---c-.,.,..------:-:--------..,......,:.....,....,..--~~...,....,..--,-(number and street) (city) (state) (zip 'code}

13. Contact PhO(;2JI))261-i1(fl)' 14. Ejail address (optional) _

15. Do you have a-spouse or domestic artner? ONo )tly~sIf yes, list his/her full name: \ .'~-I

~Il this person7rk a.t or be involved in the operat~on orm.ana;pnento.fthe busines~?DNo - Ye.s;:, / ..,

16. L.lst all st.ate,.,6ther than Oregon, Where. you .have lived dunv(the past ten years: . ~ ~-h.Las Ve.tf!s,' Alevacia - Co/umbA;g : DbdQ -thlY/JlJ vev .. lLJLQ.g,hJ~A/

17iln.e pa.sto 12 years, have you been convicted ("conVicted". includes paying a fine) ino.regon or anyo er state of driving a car with a suspended driver's license or driving a car with no insurance?

a DYes D Unsure If yes, list the date(s), or approximate dates, and type(s) of fonvictions.f unsure, explain. You may include the information on a separate sheet. .

(rev: 67111)1-800-452-0lCC (6522) 'MIT' ~ i ~www.oregon.govIOLCC h\\i .IMb""~ .~l'+-----'---

18. In the past 12 years, have you been c~victed ("convicted" includ~' __ 'Ion or any otherstate of a misdemeanor or a felony? a DYes. D Unsure V.. I.... • . tIf yes, list the date(s), or approximate ates, and type(s} of convicti~fFUn~Q!$1~ff\.You mayinclude the information on a separate sheet. SEP 7 ,20111

I

IH Fonn - Page 1 of 2

Page 54: Syren's LLC - Pending - Application File - OLCC & ONI

19. Trade Name 20. City . 7or+IOrd/ .

21. Do you have any arrests or citations that have not been resolved? ~oDYes DUnsureIf yes or unsure; explain here or include the information on a separate sheet.

22. Have you ever been in a drug oralcoholdiversion program in Oregon or any other state? (A diversionprogram iswhere you are required, usually by the court or another governmerltcmency, to complete certain

.requirements in place of being convietedofa drug or alcohol-related offense.) lZlNo DYes DUnsure .If yes, list the date(s), or approximate dates. If unsure, explain. You may includ~ the information onaseparate sheet.

23. Do you,or any legal entity tilat you are a part of, currently hold or have prev~.Iy held a liquor license inOregon or another US state? (Note: a service permit is not a liquor license.) 0 DYes D UnsureIf yes., Iistthe name(s) of the business, the City (or cities) and state (or state where located, and the .date(s) of the Iicense(s). If unsure, explain. You may include the information on a separate sheet.

24. Have you, or any legal entity that you are a part of, ever had an application for a license, permit, or-eJrtificate denied or cancelled by the OlCC or any other governmental agency in the US?[BNo DYes. Dunsure If yes, list the date(s), or approximate dates. If unsure, explain. You may include

/the information on a separate she.et.

Questions.25 and 26 apply if you; or any legal entity that you are part of, are applying for a Full On-Premises,Limited On-Premises, Off-Premises, or Brewery-Public House license. If you are not applying for one of thoselicenses, mark "N/A" on Questions 25 and 26.

25. Do you have an.y i?in.erslJ.!p interest in any other business that ma.kes, wholesaies, or distributes·alcohol? D NIA po UYes 0 Unsure If yes, list the date(s),or approximate dates. If unsure;explain. You may Include the information on a separate sheet.

26. Does,or,'iII, a mal<er,.wholesaler, or distributor 01 alcohol have any ownership Interest in your business?DN/A/b:JNO DYes OUnsure If yes or unsure, explain:

. .

Question 27 applies if you, or any legal entity that you are part of, are applying for. a Brewery. Brewery-PublicHouse, Distillery, Grower Sales PriVilege, Warehouse, Wholesale Malt Beverage & Wine, or Winery license. Ifyou are not applying for one of those licenses, mark "NIA" on Question 27.

27. Do you, or any legal entity that you are P"!J.£I, have any ownership interest in any other business thatsells alcohol at retail in Oregon? 0 N/A P.No DYes D Unsure If yes or unsure. explain:

You must sign your own form (you can't have your attorney or a person with power of attorney sign your form).I affirm that my answers are true and complete. I understand the OleC will use the above information tocheck my records, including but not limited to, criminal history. I understand that if my answers are not trueand complete, the OlCC may deny my licens~~ / J.APPlicantSig.nature:cirJ.~L/~ Date: rf2£JllI

J /IH Form ~ Page 20f 2 1-800-452-0LCC (65?2} (rev. 07111}

www.oregon.gov/OLCC

Page 55: Syren's LLC - Pending - Application File - OLCC & ONI

8·····. .. .• I

'. .-. .. .

(

OREGON LIQUOR CONTROL COMMISSION

INDIVIDUAL HISTORY

1. Trade Name Syren'sGentlemens Club 2. City Portland

3. Name~__....:R~e:::.:i~te::...r W.:...:..:::a:.Lyn:..::e~ --=-A::.:.ne:::.:n~ ~_

(Last) (First) (Middle)

*SOCIAl SECURI1Y NUMBER DISCLOSURE: As part of your application for an initial or renewal license, Federal and State laws. require you to provide yourSocial SeCurity Number (SSN) to tM Oregon Liquor Control Commission (OlCC)for child support. ,­

enforcement purposes (42 USC § 666(a)(13) & ORS 25.785). The OlCC wil/refuse a license to any applicant or licensee who fails.to provide hislher SSN. YourSSN will be' used only for child support enforcement purposes unless you sign below.

-'"

ur-

Based on our authority under ORS 471.311 and OAR 845-005-0312(6), we are requesting your voluntary consent to use yourSSN for the following administrative purposes only: to match your license application to yourAlcohol ServerEducation records(where applicable), and to ensure your identity for criminal records checks. OlCC "'(ill not deny you any rights, benefits or privilegesotherwise provided by law ityou do not consent to use of your SSN for these administrative purposes (5 USC§552(a). If you .consent to these uses, please sign here:

. Applicant Signature::__.lI_b.....'"\!..!.~..~.~~~~E3;~~.-:7~==:----'_IL--.,-_~ ...:..-__-'-- _t\ )

"'9. Driver License or State 10# ..;.1..;.,.70..;.,.3;;..;0;..;4..;.,.7..;.,.19;;..;0'-- -10. State ;;.;N~ev..:...:a::.:d::.::a:...- :--

J 11. Residence Address =69::.;8::.::5:....:S~i:.:;lk:..::O::.::a:.:;k~C::.::t:...-..,.,__--------=;La::;s:....:V;..::e:.>2g::::;as:::--_;.:.N:,.:.V.:.,., ...,..--_~8:.::9..:.14...:.:8~~_(number and street) . (city) (state) (zip code}

13. Contact Phone ..:..70::.:2J=..;5::.:2::.::8:.:/3::.::8~34..:..__ --14~ E-Mail address (optional) _

15. Do you have a spouse or domestic partner?' D No [Z}Yesff~~n~hi~mfu~nam~~H~o=~:::.:i~gh~R=a=$=u~e~R~e=tt::.::e~r~~~~~_~~_~_~~_~~~~_~_

.. Wililhis perso!WOrk al or be involved in the operation or management oflhe business:?0No Dyes

16. List ~tatej. other than Oregon, where you have lived during the past ten years:Nevada, Ohio. ...

17. In the past 12 years, have you been convic.ted ("convicted" includes paying a fine) in Oregon or anyother state of driving a car with a suspended driver's license or driving. a car with no insurance?IZINo DYes D Unsure If yes, list thedate(s), or approximate dates, and type(s) of convictions.If unsure, explain. You mayinciude the information on a separate sheet.

18. In the past 12 years, .have you been convicted ("convicted" includes paying a fine} in Oregon or any otherstate ofa misdemeanor or a felony? IZINo DYes 0 Unsurt; .. ~c~ H ~ IIf yes, list the date(s), or approximate dates; and type(s) of convictions. If~~~I mayinclude the information on a separate sheet. Search Cornpieted

IH Form - Page 1 of 2 1-800-452-0lCC (6522)www.oregon.gov/OlCC

(rev.07/11}

Page 56: Syren's LLC - Pending - Application File - OLCC & ONI

(19. Trade Name Syren's Gentlemens. _.tJb

(20. CitY ,:.._.;:.:ort..;:,la:;;,;;n.;.::d:...-..__--'- _

21. Do you have any arrests or citations that have not been resolved? IZ]No DYes DUnsureIf yes or unsure, explain here or include the information on a separate sheet.

22. Have you ever been in a drug or alcohol diversion program in Oregon or any other state? (A diversionprogram is where you are required, usually by the courtor another government agency, to complete certainrequirements in placeJof being convicted of a drug or alcohol-related offense;) IZ]No 0 Yes 0 Unsure'If yes, list the date(s}; or approximate dates. If unsure, explain~ You may include the information on aseparate sheet. .

23. Do you, or any legal entity that you are a part of, currently hold or have previously held a liquor license inOregon or another US state? (Note: a service permit is not a liquor Iicense.)1Z] No DYes 0 UnsureIf yes, Jist the name(s) of the business, the city (or cities) and state (or states) where located, and thedate(s) of the Iicense(s).. If unsure; explain. You may include the information on a separate sheet.

24. Have you, or any legal entity that you are a part of, ever had an application for a license, permit, orcertificate denied or cancelled by the OLCC or any other governmental agency in the US? .IZ]No DYes DUnsure If yes) list thedate(s), or approximate dates. If unsure, explain. You may includethe information on a separate sheet.

Questions 25 and 26 apply ifyou, or any legal entity that you are part of, are applying for a Full On-Premises,limited On-Premises, Off-Premises, or Brewery-Public House license. Ifyou are not applying for one of thoselicenses, mark "N/A" on Questions 25 and 26.

25. Do you have any ownersl]!pinterest in any other business that makes, wholesale~ or distributes.alcohol? 0N/A DNo UYes- DUnsure If yes, Iistthe date(s), or approximate dates. Ifunsure,explain. You may include the information on a separate sheet.

26. Does, or will, a maker, wholesaler, or distributor ofalcohol have any ownership interest in your business?ON/A 0No DYes DUnsure If yes orunsure, explain:

Question 27' applies if you, or any legal entity that you are part of, are applying for a Brewery, Brewery-PublicHouse, Distillery, Grower Sales Privilege, Warehouse, Wholesale Malt Beverage & Wine, or Winery license. Ifyou are not applying for one of those licenses, mark "N/A" on Question 27.

27. Do you, or any legal entity that you are part of, have any ownership interest in any other business thatsells alcohol at retail in Oregon? DN/A 0No DYes DUnsure If yes or unsure, explain:

(rev. 07/11)1-800-452-0LCC (6522)www.oregon.gov/OLCC

You must sign your own form (you can't have your attorney or a person with power of attorney sign your form):..I affirm that my answers are true and complete. I understand the OLCC will use the above information tocheck my records, including, butnot limited to, criminal history. I understand that if my answers. are not true"and complete, the OLCC may deny my r nse application.

Applicant Signature: -~..tA~~6-*.:t::'b"'-,......::::==---~---_--:"Date: 8-2&..tIIH Fonn - Page 2 of 2


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