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Liquor License Transfer_Jumpin' Jane's Indoor Party and Play CenterABD Licensing - Applicant Applicant Transfer Premise > New Premise Location Information Applicant Signature Dram Cert Local Endorse County: State of Iowa ALCOHOLIC BEVLRW.1, DIVISION Help License Search License List! On- Demand Keg Registration User Profile ' Logoff _ Reporting _ Search Applicant BB0032369, Jumpin' Jane's Indoor Party & Play Center, Dubuque After completion click on the NEXT link to continue to the next screen, or the BACK link to return to the previous screen. The navigation links on the top may also be used to move around the application. Name of Applicant:1R2K Entertainments. LLC (Sole Proprietorship. Partnership, Corporation, etc.) Name of Business (DIBIA): (Jumpin' Jane's indoor Party & Play Center Address of Premise:12055 Holliday Drive Address Line 2: 'Suite 5 City Dubuque ' Iowa Zip:152002 • About • Alcohol • Tobacco • Links • Contact Business Phone:'( 563) 582 -4454 Cell I Home Phone:' 563, 542 -5036 r Sarne Address Mailing Address: 12055 Holliday Drive Mailing Address Line 2: 'Suite 5 City: 'Dubuque Zip:152002 Contact Name: 'Melissa Turner Phone: [563) 582 -4454 Email Address: umpinfanes@oyahoo com '. Prev Next ., Follow us with RSS, Facebook or Twitter Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny IA 50021 Toll Free 866 IowaABD (866 469 2223) Local 515 281 7400 • Terms and Conditions • Privacy Policy Copyright ©2009 State of Iowa Alcoholic Beverages Division All Rights Reserved State:' Iowa Page 1 of 1 https: // elicensing .iowaabd.com /Applicant.aspx 3/25/2011 ABD Licensing - Transfer Premise Page 1 of 1 Applicant Transfer Premise New Premise Location Information Applicant Signature Dram Cert Local Endorse State of bmaa ALCOHOLIC BEVERA S DIVISION • About • Alcohol • Tobacco • Links • Contact Help License Search License List On- Demand ;: Keg Registration Reporting User Profile Logoff Se arch Transfer Premise BB0032369, Jumpin' Jane's Indoor Party & Play Center, Dubuque After completion click on the NEXT link to continue to the next screen, or the BACK link to return to the previous screen. The navigation links on the top may also be used to move around the application. Licenses may be transferred from one location to another, but only within the boundaries of the current approving Local Official.The Transfer Application and all supporting documentation shall be approved by the Local Official and forwarded to the Iowa Alcoholic Beverages Division before the event takes place. All selling and serving of alcoholic beverages must cease at the original licensed location during the period of the transfer. NOTE: If requesting a permanent transfer, an amended license will be forwarded to the Local Official. If requesting a temporary transfer, a letter of permission will be forwarded to the Local Official. Name of Applicant: R2K Entertainments, LLC Name of Business (D /B/A): Jumpin' Jane's Indoor Party & Play Center Address of Premise: 2055 Holliday Drive Address Line 2: Suite 5 City: Dubuque New Premise Address: 4292 DOdii Street New Premise Address Line 2: I City: Dubuque (" Temporary Transfer (24 hours through 7 days) Beginning Date: I Ending Date: I l Permanent Transfer Beginning Date: 101/29/2011 i i Prev Next Follow us with RSS Facebook or Twitter MEI Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road Ankeny. IA 50021 Toll Free 866 IowaABD (866 469 2223) Local 515 281 7400 • Terms and Conditions • Pnvacy Policy Copyright ©'2009 State of Iowa Alcoholic Beverages Division All Rights Reserved County: Dubuque Zip: 52002 State: Iowa Zip: 152002 https: / /elicensing. iowaabd.com /TransferPremise.aspx 3/25/2011 ABD Licensing - New Premise Location Information Page 1 of 1 • Help „ License Search • Applicant • Transfer Premise • New Premise Location Information • Applicant Signature • Dram Cert 2 . Local Endorse License List New Premise Location Information BB0032369, Jumpin' Jane's Indoor Party & Play Center, Dubuque After completion click on the NEXT link to continue to the next screen, or the BACK link to return to the previous screen. The navigation links on the top may also be used to move around the application. 1 2 # of Bathrooms: 11 Number of floors where alcoholic beverages will be sold, served, consumed and stored. Indicate how you have control of premises (Permanent Transfers Only): C Own C Lease Submit to the Local Authority a signed copy of the lease /rental agreement for the license period or signed final sales contract or warranty deed. Submit to the Local Authority a sketch on 81/2 x 11" white paper of the proposed premises showing all areas and floors where alcoholic beverages will be sold, served, consumed and stored. Indicate all entrances and exits, location of bar, back bar and bathrooms. If Applicant has Outdoor Service Area Privilege, please include in the sketch its relationship to the licensed premises. Outdoor Service Area Dates (if From: I MM /DD/YYYY To:I MM /DD/YYYY applicable): Dates shall correspond with requested outdoor service areas. On- Premise Applicant's Only: I Yes Is the premise furnished with tables and seats to accomodate a minimum of 25 persons at one time? 4 Prev Next 41 State 01 Iowa ALCOHOLIC BEVLRAQLS DIVISION • About • Alcohol • Tobacco • Links • Contact On- Demander Keg Registration User Profile Logoff Reporting Search Follow us with RSS, Facebook or Twitter KIM Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866.lowaABD (866.469.2223) Local 515.281.7400 • Terms and Conditions • Privacy Policy Copyright ©2009 State of Iowa Alcoholic Beverages Division. All Rights Reserved. https: / /eicensing. iowaabd. com /NewPremiseLocationInformation .aspx 3/25/2011 ABD Licensing - Applicant Signature Page 1 of 2 Help L License Search 2 Applicant Transfer Premise • New Premise Location Information • Applicant Signature • Dram Cert Local Endorse State of Iowa ALCOHOLIC BEVLRA S DIVISION • About • Alcohol • Tobacco • Links • Contact License - 1 On- Demand List Reporting Keg Registration Search User Profile ; Logoff Applicant Signature BB0032369, Jumpin' Jane's Indoor Party & Play Center, Dubuque Complete the information below and click Finish to complete the application Note that the license fees will only be withdrawn from accounts after the ABD approves the license. This application must be completed by a person listed in the Ownership Section. I hereby declare that all information contained in the Application is true and correct. I understand that misrepresentation of material facts in the Application is a crime and grounds for denial of the license or permit under Iowa law. I further understand that, as a condition of receiving a license, the licensed premises is subject to inspection during business hours by appropriate local, state and federal officials. NOTE: The Applicant's Name must match one of the owner's names from the Ownership screen. Applicant's Name: 'Melissa Turner Date: 103/23/2011 MM /DD/YYYY Tentative effective date: 101/29/2011 Prev MM /DD/YYYY Please print a copy of this page for your records before clicking the "FINISH" button. https: / /eicensing. iowaabd .com /ApplicantSignature.aspx 3/25/2011 ABD Licensing - Applicant Signature Page 2 of 2 Follow us with RSS, Facebook or Twitter Contact Us Iowa Alcoholic Beverages Division 1918 SE Hulsizer Road, Ankeny, IA 50021 Toll Free 866.IowaABD (866.469.2223) Local 515.281.7400 • Terms and Conditions • Privacy Policy Copyright ©2009 State of Iowa Alcoholic Beverages Division. All Rights Reserved. https://elicensing.iowaabd.com/ApplicantSignature.aspx 3/25/2011 l'1 1 )13i3). 'FR '1 11 \3R 1 1.Y1 1.1 h it \HIV ‘1,1 ‘.'t F \LIR i 1/41r • Ri WC. 1 ,;,.•• • .s( LA:id 1.0 th:,‘ 1.dllti/CIFJ tilt2 Ctld Of OIC: Hil(2!" rif '■kd J d!1 1k Th \ pro Lid: 1. 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LL)LIc.lo o J o 1- ;) ,owl ' ,UP 1 \ II )11 id Oj kk,t)1 1,10 111 pi 2; ■k_t 13 3' 0' 0110t1;1 031 k", ■r0"- ti1 I pi: ."`i111 ) r 1, H3 ;1 Ji puP. ir-oru , 1! 0'1111,1 vopi ,oj 114y,‘ ri Cd.IV ;11(.LY).' 1" 1' jTi), !siN c ),0Q i A , cYr1 i p\ ( = sHu - 1i 33 'LL St cZe1 g'eti wt kqtdo ID 3506.4 ATTACHED TO ANO FORMING A PART OF POLICY NUMBER ENDORSEMENT EFFECTIVE DATE 51 201 a/d_ STANDARD TIME) - NAMED INSURED AGENT NO. CPS0989062 01/29/2011 JUMPIN' JANE'S INDOOR PARTY & PLAY CENTER 14007 A SCOTTSDALE INSURANCE COMPANY FEB - 3 2011 N� ENDORSEMENT 1 IN CONSIDERATION OF THE PREMIUM CHARGED, IT IS UNDERSTOOD AND AGREED THAT THE PREMISE IS AMENDED TO READ: 4292 DODGE STREET DUBUQUE, IA 52003 UTS - 3g {3 AUTHORIZED REPRESENTATIVE DATE AGENT