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RECEIVE!. <br />F <br />DEPARTMENT OF LIQUOR CONTROL COUNTY BF A <br />1140 10(loon Coil (-N, 101 A wj)uni St., Unit 2:30. 11i1O,) kjw(_ji'i yG120 ' f't )01 w: (f)QR) 961-f3Z I B 60tlMtf&6rton-L-ro <br />� <br />I. -Moil: c;UhdlC(a'I)a%woiic:oytlIy,cIOv_ H I L� <br />PERSONAL HISTORY AND AFFIDAVIT <br />(Type or Print All Information) <br />NAME: Link, Kristin, Carol, maiden name is Anderson _ <br />l.ast --�-_�------- l`irst_ ---- - ---------------Middle Mcliven <br />1. INFORMATION AS REGISTERED WITH THE DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS: <br />List registered business name and dba: Kukio Golf and Beach Club <br />Current office/title you hold with registered business: Board of Directors Effective Date: Jan 1, 2026 <br />If opplicoble, the percentage of stocks/shares you hold: N/A <br />11. LIST PAST OWNERSHIP OF LIQUOR LICENSE: <br />LICENSEE NAME DBA ADDRESS YEAR <br />Ili. EMPLOYMENT RECORD: (10-yeor history beginning with the most recent employment) <br />FROM TO POSITION NAME OF COMPANY CITY/STATE <br />2017 to present; Public Speaking Coach; Link Coaching; Los Altos CA <br />If additional space is needed, use reverse side. <br />IV. CRIMINAL RECORD, IF ANY: Check box. <br />1 have not been convicted of any felony charge(s). <br />❑ 1 have been convicted of a felony charge(s). If the answer is in the affirmative, please Hsi. <br />I being first duly sworn, deposes and says that the above information is true and correct. <br />�k, <br />,,��111�Irf�� <br />Subscri d and sworn to before R'Eh pCC1vi �'. Signature of Applicant before Notary <br />• • • � #4 <br />is day of (Lt , 2 ,. Y •Poc,_ at(.h kt 1,444110A. <br />FARY ages. 1j � <br />.. - p� BL C <br />• aA ,�-Ct�Tro��c.4(Jtea�Circuit <br />Notary Public (signature) Comm. Ne. <br />12.37/ doe' Description: Per nc I W St ernent <br />.9/,' • • ...... • • ' ��. --- �� N PCB �'-�----- <br />�OF HO v <br />Notary Pu I c( t ncww., 7 i r r � 1 �►+` ,,• <br />STATE OF <br />NO <br />My commission expires: _ - _ _ y _ _ U .: 'pU <br />I of ary siglicitum Dote <br />601 Comm. No. <br />Revised. 08/2017 1 taWail Courtily is all Equal Opporitmily Nro%rWW)W .11,1111100 <br />� ��ayelC • �� <br />