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6.1. E. - Page 18 CITY OF REUWOOD CITY P.o. sox �3ss �� BUSINESS TAX RENEWAL 101'7 MIDDLEFIELD ROAD x��woo� c�zTY, eA 9ao6a ��'��fi��'n�� APPLICATION PHfJNE: (650) 780-7214 �QUpdgd I86� FAX: (b5fl) 368-6974 '� � ` "" E-MAIL: Ibertelsen@redwoodcity.org �'�� From July 1, 2013 to June 30, 2014 License No.: 36$49 �I"�I�I�I�II'I��I'I�'��"'�'��'�I"I�I'��'ll��'I��I"��'ll License Due: 7/fll/13 MOFFATT AND NICHOL . ��1i�t(ti��:�4... :'>`.;,.�{��I�� > CAAD PHILLIPS 3784 KILROY AIRPORT WAY #750 LONG �EACIi, GA 94806 28*6454: � Note: A penalty of 10% per month of the If,yiii� tar� tz� l��ge� �tz Xru,�i�tess, �l��t�e gt��e us the rl�t� t�ie husin�s� w�ts dis'�alYid total fees due will be added if not paid by the ,� . � � � � � � u�d r��tt�x��'t%a�t��v�a�: � �� : � � �� ; :� �. � .� �� due date. (Will not exceed 100%) Business Address: 3980 KILROY AIRPORT WAY #750 City: ZONG BEACH State: CA Zip: 90806 If needed, please make chan�es to numbers 1) throush 6} Owner's Name(s) 1) ROBERT D. NI�HOL 3) Email: mrs�r,m�r�+r�FFnrrNi�xorticoM Z) ERIC NICHflL 4) Phone: 562/590-6500 5) Federa( Emp(oyer ID Na.: 951951343 6) Se(lers Permit No.: � �� (r-equired if sales are involved) COMPUTATI�N �OF BUSINESS TAX FEES: Please calculate the fees far numbers I through 10 � 1 . BASE AMOUNT ..................................................................................................................................................... $ 50.00 2. No. of Persons x$33.00 each (include owners, partners, and full-time employees) ....................................... $ 3. No. of Part-Time Persons x$16.50 each ....................................................................................................... $ 4. No. of Units Tax per Sec. 32.154, x$18.00 each, (see reverse) ...................................................................... $ N/A 5. No. of Coin-Op Machines Tax per Sec. 32.154, x$9.00 each, (see reverse) .............................................................. $ N/A 6. SUB-TOTAL FEES (Add (ines 1 and 2 p(us 3, 4& 5, if app(icab(e} ..................................................................... $ 7. Fire Permit Processing Fee .................................................................................................................................... $ N/A 8. Pena(ty of (10%} per month for each late month after Ju(y 2013 .......................................................................... $ 9. State P1'Iandated Disabi(ity Access and Education Revolving i�and **** ............................................................... $ 1.00 10. TOTAL FEES DUE (Add lines 6, 7, $ if app(icable & 9} ....................................................................................... $ ❑ MASTERCARD ❑ VISA Exp. Date I dec(are, under penalty of perjury, tMat this app(ication has been prepared by me or under my direction, and to the best of my knowledge is true and correct. Signature � Tit(e Date * Persons - means all those engaged in the operation or conduct ofany business, whether as owner, partner, manager, and all others employed or �vorking in said business. ** Employer has the option to calculate # of employeas based on hours worked (averaged over l2 months). *** Fire Permit Processing Fees are collected on an annual basis with Business Tax Renewal fees. Inquiries regarding Fire Permit fees should be directed to (650) 7847400, **** On September 19, 2012 SB-1 186 was signed inCo law by Governor Brown which adds a staCe mandated fee of $ L00 on any application for alocal business license or similar instrument or permit, or renewal thereof. The purpose of the law is to increase disabiliry access and compliance with constructior�related accessibility raquirements and to develop educational resources for the businessesin order to facilitate comptiance Gvith federal and staCe disability laws, as specified. **** Under federal and state law, compliance with disability access laws is a serious and significant responsibility that applies to all California building owners andtenants with buildings open to Che public. You may obtain information about your legal obligations and how to comply with disabitity access laws at the following agenc�es: • The Division of the State Architect aC: www.dgs.ca.�ovldsalHome.as� • The Department of Rehabilitation at: w��=w.rehab.cahwnet.gov • The California Commission on Disability Access at: wtivw.ccda.ca.eov