Florida Department of Business & Professional Regulation Rick Seat: Govemer Ken Lawson, Secretary PAGE 7 RE: CASE NUMBER 2016050861 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO PETITIONER, VS. CASA BLANCA BANQUET HALL INC D/B/A CASA BLANCA BANQUET HALL LICENSE NUMBER BEV6016529 SERIES 13CT RESPONDENT ADMINISTRATIVE COMPLAINT Comes now, the Division of Alcoholic Beverages and Tobacco, herein after referred to as “petitioner,” and files this administrative complaint against CASA BLANCA BANQUET HALL INC herein after referred to as “respondent,” and alleges: A, 561.650.6840 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. 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: CASA BLANCA BANQUET HALL INC D/B/A CASA BLANCA BANQUET HALL 6200 B SOUTH DIXIE HIGHWAY WEST PALM BEACH, FL 33405 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. Petitioner intends to revoke; suspend; annul; impose civil penalties, investigative costs, and late penalties; or any combination of these authorized penalties. This intended action is based on the below described facts or conduct. 111 S. Sapodilla Ave., #105 www.MyFloridaLicense.com West Palm Beach FL 33401 License Efficiently. Regulate Fairly. Florida Department of Business & Professional Regulation Ria Geo Gainer Ken Lawson, Secretary PAGE 8 RE: CASE NUMBER 2016050861 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO VS. CASA BLANCA BANQUET HALL INC D/B/A CASA BLANCA BANQUET HALL LICENSE NUMBER BEV6016529 You, CASA BLANCA BANQUET HALL INC, D/B/A CASA BLANCA BANQUET HALL, are charged with the following count(s): a. On or about 11/04/2016, you, the aforementioned licensee, holding a license issued by the Division of Alcoholic Beverages and Tobacco, did fail to derive at least 51 percent of your gross revenue from the sale of food and nonalcoholic beverages for audit period 01/01/2016 — 02/28/2016 as required to qualify for your license, this act being contrary to and in violation of section 561.20(2)(a)5, Florida Statutes, within section 561.29(1)(a), Florida Statutes. On or about 11/04/2016, you, the aforementioned licensee, holding a license issued by the Division of Alcoholic Beverages and Tobacco, or your agent(s), officer(s), servant(s), or employee's), to wit: Yanelis Davila, did unlawfully on your licensed premises, store or maintain an inventory of alcoholic beverages purchased for a catered event, this act being contrary to and in violation of Rule 61A-1.020(c), Florida Administrative Code, through 561.20(2)(a)5, Florida Statutes, within section 561.29(1)(a), Florida Statutes. Signed this November 10, 2016 Thomas R. Philpot, Director Division of Alcoholic Beverages & Tobacco yu RODNEY TILLEY 7 Law Enforcement Captain Explanation of Service: Date Served Received By Personal Service By. (sign) Personal Service By (print) Service Location Certified Mail #_70150640000212615088 *Attach Receipt if Served by Mail. ae 561.650.6840 111 S. Sapodilla Ave., #105 www.MyFloridaLicense.com West Palm Beach FL 33401 License Efficiently. Regulate Fairly.

Docket for Case No: 17-005565