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I <br />C <br />Liquor Commission <br />The Hidden Nene, LLC <br />dba The Hidden Nene <br />Page 4 <br />DEPARTMENT Of UGUOR CONTROL COUNTY OF HAWAII <br />Hib Lagoon CenhvJO I Aupuni St., Unit 230. Hiki, Hlaw&J96720 * Phorr@: (BW96)-82a8 RECENE'D <br />f,:-Moik <br />PERSONAL H[STORY AND AFFIDAVIT A N 0 M6 <br />(Type. or Print All Wormaflon) <br />I Dept. of Ulquor Controt <br />H I LO <br />NAME: 4:51 - <br />-- . --- - - L. I <br />1, INFORMATION AS RECASTERED WIT14 THE DEPARTMENT OF COMMERCE AND. ONSUMER: AFF RS; <br />List few' cored btusiness rame and d�' <br />C;xreni officeli'1110 yov bold %-Aih regisiered Iwt;ness', L.161v0 C7 Effective, Dole: <br />IF applicable, the percentage. of s-tricks/shares ycA,.i hold, <br />11, (ISj PAST OWNERSHIP Of liQUORLICEN-SE; <br />tICENSIE NAME, � ADDRESS YEAR <br />ell <br />I f <br />111: EMKOYMENT RECORD: jq�.y" IN-qyy beg,&j*pg wM the mosf recent empfaymer"M <br />FROM --A.K OF COMPANY CITY STATE <br />ply VA <br />A .0 4 ou <br />it add0onat' space 1-5 needed, use rave-mv &do, <br />IV, CRIMINAL RECORD, If ANY: Ch&ckbox <br />hwe nO been -.- orrv, cicc of onV felony c harge(s.l. <br />I have dean convic-led of ,a felorri uf-r,TQef�j. If the answer is in the offirn-ative, Dlease hi, <br />I Dc- ng 6r-st duty iwam, deposes and soys 11riat fri ,Qs - <br />kqqrftwmvtlnl is true ard can <br />C4,111fIrvy' Of Hawaii <br />signatuie of Appil"M before'Notary <br />Subscribed and sworn to before me <br />0 <br />Iia-11 01 V A A Y ?OLK <br />Doc Dqt%5 <br />FC3 <br />Name:. n <br />circuit <br />tcry Public VrTotvr <br />N1QIAR'y <br />N IDTARY <br />Imr. <br />Vic. Dev�Rlhll PegonglH-alpa <br />Sigtome-n-1 <br />Daniel Lovej JOY <br />Ar <br />Notary Pu f(yj ni ricjr-ni�) No <br />r <br />ro <br />STATE OF 14AUJIMI <br />of <br />My commissiori exorem' er <br />Af JE: JEX <br />T07w-5h.?TjU1ed IV v <br />DK 3 It-. <br />KvAsed-- 0812017 s-ijwal.,i cuuvto is an Equal oppcwturvty Pmvder arwj Env <br />EXHIBIT 1 <br />