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APPLICATION FOR AMENDMENT-Change of Officers, Stock or Ownership Interest <br /> 3 CURRENT OFFICERS, STOCK OR OWNERSHIP INTEREST <br /> List the individuals and entities of the current ownership. Attach additional pages if necessary utilizing the format below. <br /> Name of Principal Title/Position Percentage of Ownership <br /> Ricky Zhong Qing Huang Shareholder 5 shares <br /> 7 <br /> Name of Principal Title/Position Percentage of Ownership <br /> Fin Feng Zou Shareholder18.333 shares <br /> . I <br /> Name of Principal Title/Position Percentage of Ownership <br /> Jih Chin Liu Shareholder 5 shares <br /> Name of Principal Title/Position Percentage of Ownership <br /> [jennyShun Shareholder 25 shares <br /> Name of Principal Title/Position Percentage of Ownership <br /> Fna Yang Treasurer/Director �3.333 shares <br /> Name of Principal Title/Position Percentage of Ownership <br /> [S7ipalu Hong Shareholder 15 shares <br /> 4. INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE <br /> Does any individual or entity identified in question 2,and applicable attachments, have any direct or indirect,beneficial or financial <br /> interest in any other license to sell alcoholic beverages? Yes ® No ❑ If yes,list in table below.Attach additional pages,if <br /> necessary,utilizing the table format below. <br /> Name License Type License Name Municipality <br /> Lina Yang Sec.12 Restaurant Gourmet Paradise of Beverly,Inc. Beverly <br /> Ricky Zhong Qing Huang Sec.12 Restaurant Asian Fusion Canton <br /> 5. PREVIOUSLY HELD INTEREST IN AN ALCOHOLIC BEVERAGES LICENSE <br /> Has any individual or entity identified identified in question 2,and applicable attachments,ever held a direct or indirect,beneficial or <br /> financial interest in a license to sell alcoholic beverages,which is not presently held? Yes ❑ No <br /> If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> Name License Type License Name Municipality <br /> 6. DISCLOSURE OF LICENSE DISCIPLINARY ACTION <br /> Have any of the disclosed licenses listed in question 4 or 5 ever been suspended,revoked or cancelled? <br /> Yes ❑ No © If yes,list in table below.Attach additional pages,if necessary,utilizing the table format below. <br /> Date of Action Name of License City Reason for suspension,revocation or cancellation <br /> 3 <br />