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DEPARTMENT QP UQUOR CONTROL �C Y ,0 AWAN <br />Hdo Logoon Centre, J 01 A upuni St.. Und 230, Hilo, H ow 4' 106720 ' Pbone <br />E-Mc c9 <br />PERSONAL MIStORY AND AFilt?AVIT MAY 15 2025' <br />(Type or Print AN irdormafion) <br />Dc�pt- of Uquor Control <br />U INFORMATION AS REGISTERED WffH THE DEPARTMEW OF COMMERCE AND COMUMER AFFAIR <br />List re lered mess nme and dt>o self <br />Cmenl off +elfide you hold with registered Fffeci ve tn- <br />if �Go�. thercentoge of Pocks/ <br />you �: ,. <br />W. UST PAST OWNRR:SHIP GP UQUOR UCENSE. <br />jWNA <br />PS A <br />y, <br />W. EM,PLOYME RE -COW 10-yeor history with Pic nw>st (ecent ernpion1) <br />Em LQ tjAW Qf CQMPAN Y �ITY1'STJ11' <br />2014-Current industry nsultant NA Kallua Kona, HI <br />2008-2013 Managing Partner RWJP Ente n ses (Carl"s J0 Dallas, TIC <br />■..I1�1++.^•� _ ___ rr�1.i..�ir1�1.i1w�flw�rWl�wil r.f+.r�wrr�l�llNr'.'."*� .._ ,�.r. .. -.:�- a.+ww-ice: ,.. <br />If addiWal spam is d. iM r �r <br />IV. CNIMINAI RECORD" IF ANY, Check box. <br />1 have b~ convicted of cny fetony chi S <br />r hove bar i comicted of o fenny chi. s) a [ the onsww is in the o irmo eve, lease fist. <br />SulDscribed and swom to before me <br />a <br />_. of20jj- <br />.... - d <br />Not F U 1C (sian t+wel <br />M <br />r r s r • a <br />s <br />�C001 <br />y. <br />a <br />_i <br />STAU•► � , �ft <br />.� <br />my oi • i1 <br />i <br />Revised: OL0701 I <br />