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Liquor Commission <br />Kona Inn Restaurant LLC <br />dba Kona Inn Restaurant <br />Page 5 <br />DEPARTMEN7 OF UOUOR CONTROL COUNTY OF HAWAII <br />Pilo Ll- a goon U --tr,%fre, 1101 A up uni.51. Und 230, Hero, Ha *, at-Ri57.Pm * P,�orre iFd� 1`808i.961-f,684 <br />PFRSONAL HISTORY AND AFFIDAVIT <br />(Type or Print At I nfo r m a do r,) <br />NAME! Atkinson (;had <br />a3l F1W <br />Diane <br />1. INFORMA110k AS REGISTERED WITH THE DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS, <br />LAI 111 9WI, W d C jSW 53 n a M rl d I _J 4 K oria I Pin Restaorant, LLB' - — ---------- <br />07 P 10 t 150fi C Q i" Ift1t 'j 0 J ft OiLd Wl"r! te Of: U e 1 0 U t! n 0 $5 <br />a p a n if . I r 6 p pf C e P, a e r, D C k.3'3'- R M,4 VO L -1 .3 <br />10, LIST PASF OWNERSHP OF LiQUOR 110ERSE: <br />W G ENISEE N A ME QaA ARPROW YLAA <br />Jackle. Heys Ohana Grill 75-5995 Kuakinl Hwy, Ksai!ULa-Koria, Hi 2023-2025 <br />...... . ....... <br />Ill. EMPLOYMENT RECORD! M-e MWIMCM1 <br />FRO M PUMN NAM ANY <br />I Oill 5/202 5 - P resent PrestdentICE0 Hi Aestaurant Group, LLC Kailur a-Koa. H1 <br />............ <br />H I <br />V+ <br />I OP, W023-0 MI. 2025 Chur e r Jackie Pey s Oharia G Kailtia Kona, <br />- <br />05101/2W5-OM11/2022. Managing Partner SaiutionSirear rs- ehl. 0T <br />if adm M-Atsmi-v 05 I-reed4sti, un? r�%tise s4e, <br />IV. CRIMINAL RECORD, IF ANY- ChKkUOx. <br />ilhave noi been con4licla I in" Aqvfalo'i, <br />F§ -k-1 rr 4. rQ e I's.. <br />4 AA IN 0. <br />I have baeo Qnv1;_,tA I G" <br />���'���+��n <br />40 <br />ZIA <br />------ IOU& Ak; <br />`Nt e a a c <br />t:-pying Wj -d4i­ rj;�­- oosE­j a j sa-is thv tpa p. Is. <br />S-5 <br />kip <br />S�P z <br />S ro 4 Applicarrt oefore Mob" <br />h Cers h a ?i I t wlilt evrn tr iC ft R 0 nria fl- <br />0 th <br />v Do INA is a T; P_ <br />A, <br />N 0 t a ry P611 4j e <br />L) io st ri p tio r, p rs o na I His(ory %_4 e ji e W <br />Yi() f 111A 17 <br />N eta ry,P (ptifil r a e! <br />SIA tT " F <br />U y C 0 n w 150a in e x <br />RECEIVEDif., =qu& .0pW-4v#uorjy Prwider and Ernp.ayu <br />BV Zberft[Mann at 7:56 aftle Feb 241 2026 <br />EXHIBIT 1 <br />