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State of Arizona Town of Wickenberg B1I1S}25 ST ; . FF RSCBRSY Department of Liquor Licenses and Control Created 08/15/2025 @ 04:15:10 PM Local Governing Body Report LICENSE Number: Type: 012 RESTAURANT Name: CAPITAL FARMS State: Pending Issue Date: Expiration Date: Original Issue Date: Location: 410 W WICKENBURG WAY WICKENBURG, AZ 85358 USA Mailing Address: PO BOX 6252 CHANDLER, AZ 85246 USA Phone: (928)67 11-2060 Alt. Phone: (480)664-0389 Email: JREPISNKI22@YAHOO.COM AGENT Name: JARED MICHAEL REPINSKI Gender: Male Correspondence Address: PO BOX 6252 CHANDLER, AZ 85246 USA Phone: (480)664-0389 Alt. Phone: (602)327-2077 Email: JREPINSKI22@YAHOO.COM OWNER Name: CAPITAL FARMS LLC Contact Name: JARED MICHAEL REPINSKI Type: LIMITED LIABILITY COMPANY AZ CC File Number: Incorporation Date: Correspondence Address: Phone: Alt. Phone: Email: Officers / Stockholders 23418282 09/28/2022 PO BOX 6252 CHANDLER, AZ 85246 USA (602)327-2077 JREPINSKI22@YAHOO.COM Page t of 3 State of Incorporation: AZ UO" day 10] it} a: Name: Title: % Interest: JUSTIN TYRONE YOST Manager-LLC 100.00 CAPITAL FARMS LLC - Manager-LLC Name: JUSTIN TYRONE YOST Gender: Male Correspondence Address: PO BOX 6252 CHANDLER, AZ 85246 A Phone: Ait. Phone: Email: MANAGERS Name: JUSTIN TYRONE YOST Gender: Male Correspondence Address: PO BOX 6252 CHANDLER, AZ 85246 USA Phone: Alt. Phone: Email: AIA IR IER EA ER RII IIRR RR HITE ERIE EE IIE EERE EIT ERT TREE Name: HUNTER ROBINSON SMITH Gender: Male Correspondence Address: PO BOX 6252 CHANDLER, AZ 85246 Phone: Alt. Phone: Email: Page 2 of 3 APPLICATION INFORMATION Application Number: 356854 Application Type: New Application Created Date: 08/07/2025 QUESTIONS & ANSWERS 012 Restaurant 1) 2) 3) 4) 5) 6) 0) 8) 9) Are you applying for an Interim Permit (INP)? No Are you one of the following? Please indicate below. Property Tenant Subtenant Property Owner Property Purchaser Property Management Company TENANT Is there a penalty if lease is not fulfilled? No Is the Business located within the incorporated limits of the city or town of which it 1s located? Yes What is the total money borrowed for the business not including the lease? Please list each amount owed to lenders/individuals. 0 Are there walk-up or drive-through windows on the premises? No Does the establishment have a patio? Yes Is the patio contiguous or non-contiguous (within 30 feet)? CONTIGUOUS Is your licensed premises now closed due to construction, renovation or redesign or rebuild? No What type of business will this license be used for? CHOP SHOP & DELI Page 3 of 3 Capital Farms Floor Plan) sau 7 3 wal c 09JUL2025 2gft 2oft ee : nl BACK DOOR BATHROOM DISH ROOM — / r) (eet l= | | 8) HOOD ® sipehdbr _ qrouen 8 WAREHOUSE [le / STORAGE eee | Beto Py rT) : e i e # Cn | e @ FRONT DOOR O] tke ° ° . ei e ee ee ee ee e e e 3 e ee ee ee ee ® GATE Lr@uct rot aul GI