Florida Department? Busines Professional Regulation Ken Lawson’ Secretary PAGE 7 RE: CASE NUMBER 2013032369 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO PETITIONER, VS. TAFT GROCERY MARKET INC D/B/A TAFT GROCERY MARKET LICENSE NUMBER BEV1615889 SERIES 2APS RESPONDENT ADMINISTRATIVE COMPLAINT Comes now, the Division of Alcoholic Beverages and Tobacco, herein after referred to as “petitioner,” and files this administrative complaint against TAFT GROCERY MARKET INC herein after referred to as “respondent,” and alleges: 1. Petitioner is the state agency charged with supervising businesses licensed under the Florida beverage, tobacco and tax, and tobacco products permit laws pursuant to sections 559.061, 561.07, 561.15, 561.19, 561.29, 561.501, 210.15, 210.16, 210.45, 210.50, 569.003, and 569.006, Florida Statutes. 2. Respondent is, and has been at all times material hereto, the holder of a valid license/permit, issued in the State of Florida, by the Division of Alcoholic Beverages and Tobacco. Respondent's last known mailing address is as follows: TAFT GROCERY MARKET INC D/B/A TAFT GROCERY MARKET 1591 NW 77 WAY PEMBROKE PINES, FL. 33024 And the division has not been notified of any other designated person or address for the service of process and notices authorized by Rule 61A-2.012, Florida Administrative Code. 3. Petitioner intends to revoke; suspend; annul; impose civil penalties, investigative costs, and late penalties; or any combination of these authorized penaities. This intended action is based on the below described facts or conduct. Tel: 964.917.1346 5080 Coconut Creek Pkwy. www. MyF loridaLicense.com Fax! 964.917.1357 uite License Efficiently. Regulate Fairly. Margate FL 33063-3942 debra.nicoletti@myfloridalicense.com | Florida Departments, Busines Professional . Regulation Katee Sos PAGE 8 RE: CASE NUMBER 2013032369 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO VS. TAFT GROCERY MARKET INC D/B/A TAFT GROCERY MARKET LICENSE NUMBER BEV1615889 You, TAFT GROCERY MARKET INC, DIBIA TAFT GROCERY MARKET, are charged with the following count(s): 4, On or about January 21, 2013, January 31, 2013 and February 11, 2013, you, the aforementioned licensee, holding a license under the Beverage Law, or your agent(s), officer(s), servant(s), or employee(s), to wit: MD Nazrul [slam (Owner), did unlawfully on your licensed premises, allow or permit the sale, possession, or consumption of an illegal controlled substance, to wit: Synthetic Cannabinoids (Spice)- chemical XLR-11((1-(5-fluoropentyl)-1H-indol-3- yl)(2,2,3,3-tetramethyicyclopropyl)methanone), this act being contrary to and in violation of section 893.13(1)(c), within 561,29(1)(a), Florida Statutes. Signed this January 9, 2014 Robert A. Douglas, Director Division of Alcoholic Beverages and Tobacco FO Carmen Puentes-Croye .Law Enforcement Captain | t i \ i i ' EXPLANATION OF SERVICE: DATE SERVED TE eaaTS US Postel RECEIVED BY CERTIEl = cen ots omg at PERSONAL SERVICE BY (¢ ———— OFFICIAL USE | PERSONAL SERVICE BY (F CERTIFIED MAIL #7008 0500 0001 7330 3355 “ATTACH RECEIPT IF SERVED BY MAIL Retum Recei 8 (Endorsement Required) Restricted Delivary Fee {Endorsement Required) CERTIFIED MAIL: D/B/A TAET GROG R FETT 77 WAY 7008 0500 o001 7330 3355 Tel: 954.917.1346 5080 Coconut Creek Pkwy. www, MyFloridaLicense.com Fax: 954.917.1357 Suite C License Efficiently. Regulate Fairly. Margate FL 33063-3942 debra.nicoletti@myfloridalicense.com

Docket for Case No: 14-001538