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r, <br />r, <br />Liquor Commission <br />Kona Inn Restaurant LLC <br />dba Kona Inn Restaurant <br />Page 6 <br />DEPARTMENT Of LIQUOR CONTROL COUNTY OF HAWAII <br />Hilo Logoon Centre, 101 Aupunf'St, 0rvil 230, Nib, H'*war"i 96720 a Phoneo 1808)96 <br />E-Mait cohdL-Ohowoficounty.,goy <br />PERSONAL HISTORY AND AFFIDAVIT <br />(Type or Pdnt AM Inlomation) g <br />7 <br />L <br />14AME Dept. of Liquor Control <br />Fini <br />PIPCKP sljom;f r-"op'y. <br />I. INFORMAT10N AS UGPISTERED WITH THE DEPARTMENIf OF COM- MERCE AND CONSUMER AFFAIRS: <br />L'�I (G9130(0d'bkJS.nhis rrime and cJbo:— <br />Carent oflicelte y.-..0 hold with regiStewed busiT+ess. ok � .6 -x, Effec liveD-ale <br />I! oppC�QUe the percentage of srocksjshareyou :ram- /C' '7.-, <br />6 <br />11. Wl PAST OWNERSW OF LIQUOR LICENSE: <br />LICENSEE NAM[ RM MR-C-5s YEAR <br />7 -112� <br />PC, C <br />c ;C <br />Ifl. EMPLOYWWRICORD', f 10-yeor with the- most rec-trif C--m1—yjyx=y1tj <br />FRN Cff YISTATI <br />OM LQ POSITION AMI 2F!QQfAPANV <br />- r <br />hA <br />IL <br />4 md� space is fioewd, use mws* )L <br />e. %-�� I <br />IL <br />IV. CRINIINAL RECORD. If ANY; ClhQCk "x- <br />I have not been convicted of C" feloevy- chor <br />I havib b"-M Convic led of o Wony chiarge, 1s.1 - if Me a wryer >i �-i 1,fv- carmariv e. please <br />jam, 4, <br />% <br />40 -4 4 k CIA <br />I boi1011 dLAY swwi- deposes and $Cry5, Mat line above inIcemolior) is 1-fue 01-�J croect. <br />Signature of Ap'licant bafore,Notary <br />P <br />Sibstribe-ci aric fr1l Io t>e-We' me- <br />I hql -dQY Of 20 1-301- <br />JA 1 .4 :3 r-, P- WWU Of- <br />I-ary F 1'C (Signotv Doc DeSL-'r P I�Cjr J o e rn -2 r, <br />- --------- P Mary+ <br />STATE Or <br />6i= <br />my cor1r1miss4orn expir s <br />re S.: <br />*- <br />!A. <br />Rdv-is*d. 011/2017 1-13**� CourW is a-i tiqt.40 r1.jrujV Prr.-virr'f aft Fmnlz'yet <br />EXHIBIT 2 <br />