blackman twp7-eleven #36925-a july 02, 2017 07:08 pm...
TRANSCRIPT
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 1 of 42BLACKMAN TWP
7-ELEVEN #36925-A
AIRPORT LANES
AIRPORT PARTY STORE
AIRPORT RD JOHNNY'S #1000
AKA SUSHI
APPLEBEE'S NEIGHBORHOOD GRILL & BAR #8378
AVENUE BILLIARDS
2900 Airport Rd, Jackson 49202
3501 Wildwood Ave, Jackson 49202
2890 Wildwood Ave, Jackson 49202
2545 Airport Rd, Jackson 49203
1801 N West Ave, Jackson 49202
1706 W Michigan Ave, Jackson 49202
2410 E Michigan Ave, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
Address:
232689
140454
188912
246686
208237
229632
5029
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(971)828-0711
(517)783-2711
(517)784-8266
(517)841-5555
(248)262-1000
(517)788-9953
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
751085131
383610019
208511848
382418573
352450409
383036082
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
ACE AMERICAN INSURANCE COMPANY (08/22/2013-Present)
STAR INSURANCE COMPANY (10/01/2016-Present)
STAR INSURANCE COMPANY (05/14/2017-Present)
FEDERATED MUTUAL INSURANCE COMPANY (05/09/2017-Present)
MICHIGAN MILLERS MUTUAL INSURANCE COMPANY (11/25/2008-Present)
ZURICH AMERICAN INSURANCE COMPANY (11/01/2015-Present)
STAR INSURANCE COMPANY (09/08/2016-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 229353-2017
CLASSC 108855-2017
SDM 142077-2017
SDD 157860-2017
SDM 157861-2017
SDM NQ 275441-2017
CLASSC 175699-2017
CLASSC 218398-2017
SDM 12018-2017CLASSC 7720-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM), DIR-CON - 1, DANC-ENT, SPECIFIC PURPOSE PERMIT(BOWLING,FOOD), ADDBAR
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (AM), GAS PUMPS,DIR-CON - 1
SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (AM), SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD), ENT, OD-SERV, ADDBAR
SUNDAY SALES (PM), ADDBAR, DANC-ENT
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1533(7)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
7-ELEVEN, INC. (A TEXAS CORPORATION)TROXELL, ELIZABETH A
TAMARK ENT., INC.
CAMERON VENTURE, INC.
WALTERS-DIMMICK PETROLEUM, INC.
AKA OF JACKSON LLC
TSFR APPLE VENTURE LLC
GATTSHALL, PATRICIA JGATTSHALL, RANDY L
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 2 of 42BLACKMAN TWP
CHILANGO'S MEXICAN GRILL
DOLLAR GENERAL #5888
DOLLAR GENERAL #6278
DOLLAR GENERAL #7858
FINLEY'S
HOLIDAY INN
501 Longfellow Ave, Jackson 49202
2200 Wildwood Ave, Jackson 49202
1220 W Parnall Rd, Jackson 49201
3025 E Michigan Ave, Jackson 49202
1602 W Michigan Ave, Jackson 49202
2696 Bob McClain Dr, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
244935
228949
227698
228259
140620
221158
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)787-7440
(517)789-9600
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
813685565
383585197
341939223
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
BENCHMARK INSURANCE COMPANY (10/20/2016-Present)
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
LIBERTY MUTUAL FIRE INSURANCE COMPANY (07/01/2017-Present)
NETHERLANDS INSURANCE COMPANY, THE (09/13/2010-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 268815-2017
SDM 268816-2017
SDM 219504-2017
SDM 212596-2017
SDM 214235-2017
CLASSC 123712-2017
SDM 231061-2017
SDM 194912-2017B HOTL 194913-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM), SUNDAY SALES (PM), ADDBAR, DANC-ENT,OD-SERV
SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD), OD-SERV
SUNDAY SALES (PM), ADDBAR, SPECIFIC PURPOSE PERMIT(FOOD), OD-SERV
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
CHILANGO'S II, LLC
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
RCFC OF MICHIGAN, INC.
ONTARIO HOSPITALITY, INC. (AN OHIO CORPORATION)
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name Purpose(s) Phone Nbr Fax Nbr Address
LEDSWORTH, JULIE
PATTERSON, TERRY
(616)776-7600
(269)329-1808
RIVER CITY FOOD CO. 3425 LAKE EASTBROOK BLVD., S.E. GRAND RAPIDS, MI 495467941 Dunross Dr Portage, MI 49024
ESCROW LICENSES
ESCROW LICENSES
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 3 of 42BLACKMAN TWP
JACKSON CROSSING SHELL #1400
JACKSON PARTY STORE
KELLY'S QUICK STOP
KLAVON'S PIZZA & SUBS
KROGER STORE #172
MARATHON
1780 Clinton Rd, Jackson 49202
1800 W Ganson St, Jackson 49202
3797 W Michigan Ave, Jackson 49202
6010 Clinton Rd, Jackson 49201
3021 E Michigan Ave, Jackson 49202
6208 Rives Junction Rd, Jackson 49201
Address:
Address:
Address:
Address:
Address:
Address:
14903
243783
16012
199298
15729
231354
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(269)781-4654
(517)787-1210
(517)784-7000
(248)536-1601
(517)795-1747
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
382418573
812589918
383122611
030588494
455303497
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
FEDERATED MUTUAL INSURANCE COMPANY (05/24/2017-Present)
NORTHLAND CASUALTY COMPANY (09/07/2016-Present)
HUDSON SPECIALTY INSURANCE COMPANY (11/10/2016-Present)
STAR INSURANCE COMPANY (02/10/2017-Present)
ACE AMERICAN INSURANCE COMPANY (01/25/2006-Present)
HAMILTON MUTUAL INSURANCE COMPANY (01/29/2013-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 7558-2017
SDD 267348-2017SDM 267349-2017
SDM 12187-2017
CLASSC 163248-2017SDM 163249-2017
SDM 10960-2017
SDM 221789-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM)
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM)
SUNDAY SALES (AM), BEER & WINE SAMPLING
SUNDAY SALES (AM), GAS PUMPS
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
WALTERS-DIMMICK PETROLEUM, INC.
RAJ-WINDER, INC.
KELLY FUELS, INC.
KLAVON ENTERPRISES LLC
THE KROGER CO. OF MICHIGAN
CROSSROADS NORTHWEST, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name
Contact Name
Purpose(s)
Purpose(s)
Phone Nbr
Phone Nbr
Fax Nbr
Fax Nbr
Address
Address
DIMMICK, JOHN M
BLOOM, JEFFREY M
MC CRARY, CELESTE R
(269)244-8607
(313)965-8388
(614)898-3200
(313)309-6848
57276 SODAMAN RD MARCELLUS, MI 49067
Clark Hill PLC 500 Woodward Ave Ste 3500 Detroit, MI 482264111 Executive Pkwy Westerville, OH 43081
LICENSE APPLICATIONS
VIOLATION MATTERS
ESCROW LICENSESLICENSE APPLICATIONS
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 4 of 42BLACKMAN TWP
MEIJER #30
MEIJER GAS STATION #30
OUTBACK STEAKHOUSE #2321
PARNALL PARTY MART
POLLY'S COUNTRY MARKET
RED LOBSTER #0223
2777 Airport Rd, Jackson 49202
2777 Airport Rd, Jackson 49202
1501 Boardman Rd, Jackson 49202
1511 W Parnall Rd, Jackson 49201
1210 W Parnall Rd, Jackson 49201
2400 Shirley Dr, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
9746
247088
221185
128433
133956
236491
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(616)791-3223
(813)282-1225
(517)768-9660
(517)787-6081
(517)787-7820
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
381274536
381274536
592848217
380935150
465125297
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
OLD REPUBLIC INSURANCE COMPANY (03/01/2008-Present)
OLD REPUBLIC INSURANCE COMPANY (05/22/2017-Present)
CONSTANT VALUE BOND
CONIFER INSURANCE COMPANY (05/06/2017-Present)
HAMILTON MUTUAL INSURANCE COMPANY (08/10/2011-Present)
ZURICH AMERICAN INSURANCE COMPANY (07/30/2014-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDD 11625-2017
SDM 432-2017
SDM 276286-2017
CLASSC 196336-2017
SDD 70824-2017
SDM 70825-2017
SDM 76955-2017SDD 215703-2017
CLASSC 240610-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), GAS PUMPS, BEER &WINE SAMPLINGSEC LOC
SUNDAY SALES (AM), GAS PUMPS,BEER & WINE SAMPLING
SUNDAY SALES (PM), SUNDAY SALES (AM), SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM), BEER & WINE SAMPLING
SUNDAY SALES (AM), SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD)
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1533(7)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MEIJER, INC.
MEIJER, INC.
OUTBACK STEAKHOUSE OF FLORIDA, LLC (A FLORIDA LIMITED LIABILITY COMPANY)
FIVE STAR MARKET, INC.
POLLY'S FOOD SERVICE, INC.
RED LOBSTER HOSPITALITY LLC (A DELAWARE LIMITED LIABILITY COMPANY)
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name Purpose(s) Phone Nbr Fax Nbr Address
MC ALARY, ILEANA
NUNN, DON
(616)735-7370
(616)791-3223
(616)787-5624
(616)791-5349
MEIJER, INC. 2929 WALKER NW GRAND RAPIDS,MI 49544SUBSIDIARIES & AFFILIATES 2929 WALKER AVENW GRAND RAPIDS, MI 49544
VIOLATION MATTERS
ESCROW LICENSES
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 5 of 42BLACKMAN TWP
RICHARD F. SMITH POST 29, THE AMERICAN LEGION, DEPARTMENT OF MICHIGAN
RITEWAY PARTY STORE
ROADHOUSE
ROCKY'S TOPS BEER-BBQ & GRILL
SAM'S CLUB #6658
SAVE TIME #2
TEXAS ROADHOUSE
3200 Lansing Ave, Jackson 49202
4122 W Michigan Ave, Jackson 49202
4112 Lansing Ave, Jackson 49202
1900 Lansing Ave, Jackson 49202
3600 Oneil Dr, Jackson 49202
2700 Airport Rd, Jackson 49202
1051 Boardman Rd, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
Address:
8971
241762
143359
234622
138627
13525
237801
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)782-6675
(517)750-4923
(517)782-7711
(517)784-4227
(517)788-6075
(517)787-8172
(517)788-9066
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
386068656
811345451
371435898
471251396
710794412
382527603
311515794
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
MT. VERNON FIRE INSURANCE COMPANY (04/01/2017-Present)
FREMONT INSURANCE COMPANY (03/08/2016-Present)
HOME-OWNERS INSURANCE COMPANY (12/30/2011-Present)
CONIFER INSURANCE COMPANY (07/16/2017-Present)
AMERICAN HOME ASSURANCE COMPANY (10/31/2001-Present)
AMCO INSURANCE COMPANY (11/24/2016-Present)
TWIN CITY FIRE INSURANCE COMPANY (12/18/2015-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLUB 21123-2017
SDD 259722-2017
SDM 259723-2017
SDM 115639-2017CLASSC 115638-2017
CLASSC 240135-2017
SDM 240136-2017
SDM 106514-2017SDD 135463-2017
SDM 1809-2017
CLASSC 257461-2017
SDM 257463-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD), DANC-ENT
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM), DANC-ENT
SUNDAY SALES (PM), DANC-ENT, OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM), GAS PUMPS, BEER &WINE SAMPLING
SUNDAY SALES (AM), DIR-CON - 1
SUNDAY SALES (PM), OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
RICHARD F. SMITH POST 29, THE AMERICAN LEGION, DEPARTMENT OF MICHIGAN
KRSS INC
LEXLA, INC.
GREEN FAM, INC
SAM'S EAST, INC. (AN ARKANSAS CORPORATION)
SAVE TIME, INC.
TEXAS ROADHOUSE HOLDINGS LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 6 of 42BLACKMAN TWP
THE AIRPORT RESTAURANT & SPIRITS
THE BEEF BARN
THE OLIVE GARDEN ITALIAN RESTAURANT #1484
THE PARTY PORT
TRAVELODGE BAR
WAL-MART SUPERCENTER #5160
3606 Wildwood Ave, Jackson 49202
3095 Cooper St, Jackson 49201
3500 Oneil Dr, Jackson 49202
2123 Lansing Ave, Jackson 49202
901 Rosehill Rd, Jackson 49202
1700 W Michigan Ave, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
2651
16032
7232
196313
214926
153486
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)783-3616
(517)782-3000
(517)787-2388
(517)784-9403
(517)787-1111
(517)817-0326
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
383231218
381919100
591219168
611543210
261573165
710862119
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
AMCO INSURANCE COMPANY (09/27/2016-Present)
CONIFER INSURANCE COMPANY (04/01/2017-Present)
LIBERTY MUTUAL INSURANCE COMPANY (06/01/1998-Present)
AUTO-OWNERS INSURANCE COMPANY (12/03/2014-Present)
ARCH SPECIALTY INSURANCE COMPANY (04/25/2015-Present)
AMERICAN HOME ASSURANCE COMPANY (08/27/2004-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 4064-2017
SDM 12270-2017
CC RES 40857-2017
SDD 164471-2017
SDM 164472-2017
CLASSC 186329-2017
SDM 218593-2017
SDM 130199-2017SDD 209106-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), DIR-CON - 1, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM), SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), DANCE, DIR-CON - 2, SPECIFIC PURPOSEPERMIT(FOOD,GUEST REGISTRATION), ADDBAR
SUNDAY SALES (PM), SUNDAY SALES (AM), DIR-CON - 1
Permits
Permits
Permits
Permits
Permits
Permits
NON-TRANSFERABLE
TRANSFERABLE
NON-TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1507
MCL 436.1531(4)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
THE AIRPORT RESTAURANT & SPIRITS, INC.
SURBROOK-RODGERS, INC.
GMRI, INC. (A FLORIDA CORPORATION)
RAMAN, INC.
FOUR POINTE INVESTMENTS, LLC
WAL-MART STORES EAST, LIMITED PARTNERSHIP
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name Purpose(s) Phone Nbr Fax Nbr Address
HUNTER, COLLEEN (407)245-4711 PO Box 695016 Orlando, FL 32869ESCROW LICENSESLICENSE APPLICATIONS
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 7 of 42
BROOKLYN VILLAGE
BLACKMAN TWP
WALGREEN #5707
WESCO #12
YEN KING CHINESE RESTAURANT
AMERICAN LEGION POST NO. 315
BROOKLYN PARTY SHOPPE
BUDDY'S MINI MART
CALLAGHANS
3040 E Michigan Ave, Jackson 49202
4101 Lansing Ave, Jackson 49202
2100 Bondsteel Dr, Jackson 49202
211 Chicago St, Brooklyn 49230
188 S Main St, Brooklyn 49230
152 S Main St, Brooklyn 49230
109 S Main St, Brooklyn 49230
Address:
Address:
Address:
Address:
Address:
Address:
Address:
220208
16336
942
8200
15293
229545
140066
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)768-9002
(231)719-4300
(517)787-8701
(517)592-6534
(989)572-6256
(517)592-8494
(517)592-8007
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
361924025
382879340
381270590
382191663
460577705
382775026
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
ZURICH AMERICAN INSURANCE COMPANY (09/14/2009-Present)
OLD REPUBLIC INSURANCE COMPANY (02/01/2017-Present)
CONTINENTAL CASUALTY COMPANY (10/10/2009-Present)
FRANKENMUTH MUTUAL INSURANCE COMPANY (03/03/2016-Present)
CAPITOL SPECIALTY INSURANCE CORPORATION (04/01/2017-Present)
UNITED STATES FIRE INSURANCE COMPANY (11/01/2014-Present)
CONIFER INSURANCE COMPANY (02/19/2017-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 184375-2017
SDM 13453-2017
SDM 10296-2017CLASSC 1472-2017
CLUB 20209-2017
SDM 9142-2017
SDM 228071-2017
CLASSC 108329-2017SDM 108330-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM)
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM)
SUNDAY SALES (PM), DANCE
SUNDAY SALES (AM)
SUNDAY SALES (AM), DIR-CON - 1, GAS PUMPS
SUNDAY SALES (PM), DANCE
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
WALGREEN CO. (AN ILLINOIS PUBLIC CORPORATION)
WESCO, INC.
KONG ENTERPRISES, INC.
AMERICAN LEGION WILBUR BARTLETT POST 315 THE AMERICAN LEGION, DEPT. OF MICHIGAN
TURNER, DOREEN ETURNER, RICHARD L
BUDDY'S #21, INC.
C-TREK, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name Purpose(s) Phone Nbr Fax Nbr Address
WESTGATE, JERRY (231)719-4325 1460 WHITEHALL RD MUSKEGON, MI 49445ESCROW LICENSES
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 8 of 42
COLUMBIA TWP
BROOKLYN VILLAGE
CVS/PHARMACY #8041
SHADY'S TAP ROOM
SHOPKO #652
WESCO #11
BEACH BAR
414 S Main St, Brooklyn 49230
110 N Main St, Brooklyn 49230
400 S Main St, Brooklyn 49230
10409 Brooklyn Rd, Brooklyn 49230
3505 Ocean Beach Rd, Clarklake 49234
Address:
Address:
Address:
Address:
Address:
214182
227531
229123
16587
2201
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(401)765-1500
(517)529-4871
(920)429-4166
(231)719-4300
(517)529-4470
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
364525289
272467567
203606109
382184520
ME0113607
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
GREENWICH INSURANCE COMPANY (01/01/2017-Present)
HOME-OWNERS INSURANCE COMPANY (05/18/2017-Present)
ACE AMERICAN INSURANCE COMPANY (03/08/2013-Present)
OLD REPUBLIC INSURANCE COMPANY (02/01/2017-Present)
PROPERTY-OWNERS INSURANCE COMPANY (01/23/2008-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 178582-2017
CLASSC 218268-2017
SDM 218269-2017
SDM 222919-2017
SDM 14520-2017SDD 153355-2017
SDM 3956-2017CLASSC 3404-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM)
DANC-ENT, OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (AM), DIR-CON - 2
SUNDAY SALES (PM), SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), DANCE, OD-SERV, ADDBAR
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLETRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
WOODWARD DETROIT CVS, L.L.C.
EDUCATION AND GOVERNMENT ECONOMIES, INC.
SHOPKO STORES OPERATING CO., LLC (A DELAWARE LIMITED LIABILITY COMPANY)
WESCO, INC.
BEACH BAR, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name
Contact Name
Purpose(s)
Purpose(s)
Phone Nbr
Phone Nbr
Fax Nbr
Fax Nbr
Address
Address
CARNIAK, RUSSELL G
MAGY, PAUL S
WESTGATE, JERRY
(248)645-0800
(248)988-5844
(231)719-4325
(248)645-2602
(248)988-2332
HARDY LEWIS & PAGE, P.C. 401 S OLD WOODWARD AVE., SUITE 450 BIRMINGHAM, MI 48009CLARK HILL PLC 151 S OLD WOODWARD AVE. SUITE 200 BIRMINGHAM, MI 48009
1460 WHITEHALL RD MUSKEGON, MI 49445
VIOLATION MATTERS
LICENSE APPLICATIONS
ESCROW LICENSES
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 9 of 42COLUMBIA TWP
BROOKLYN LANES
CLARK LAKE BEACH AND BOAT CLUB
COUNTRY MARKET
COUNTRY SALOON/DOMENICK'S
DOLLAR GENERAL #5838
DOYLE'S MARKET
11522 Brooklyn Rd, Brooklyn 49230
5100 Grand Blvd, Clarklake 49234
11301 Brooklyn Rd, Brooklyn 49230
5535 Wesch Rd, Brooklyn 49230
300 S Main St, Brooklyn 49230
210 Hyde Rd, Clarklake 49234
Address:
Address:
Address:
Address:
Address:
Address:
208798
8800
18059
7720
228273
227044
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)592-2114
(517)529-9240
(517)787-6081
(517)592-6259
(517)529-9500
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
262027116
380442560
381910963
371646595
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CONIFER INSURANCE COMPANY (09/28/2016-Present)
HOME-OWNERS INSURANCE COMPANY (05/08/2009-Present)
HAMILTON MUTUAL INSURANCE COMPANY (08/10/2011-Present)
FOUNDERS INSURANCE COMPANY (08/30/2016-Present)
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
STAR INSURANCE COMPANY (02/27/2017-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 172366-2017
CLUB 20912-2017
SDM 8865-2017SDDRES 19244-2017
CC RES 49472-2017
SDM 17200-2017
SDM 216165-2017
SDD 210368-2017
SDM 210369-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), DIR-CON - 1, SPECIFIC PURPOSE PERMIT(BOWLING)
SUNDAY SALES (PM), DANCE
SUNDAY SALES (PM), SUNDAY SALES (AM), BEER & WINE SAMPLING
SUNDAY SALES (PM), SUNDAY SALES (AM), OD-SERV, ADDBAR, SPECIFIC PURPOSE PERMIT(GOLF), DANC-ENT, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM)
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLENON-TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1531(5)
MCL 436.1531(2)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
BROOKLYN BOWLING, INC.
CLARK LAKE BEACH AND BOAT CLUB
KENCO INC.
CLARK LAKE GOLF CLUB, INC.
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
DOYLE'S MARKET LLC
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name Purpose(s) Phone Nbr Fax Nbr Address
KENNEDY, SEAN P (517)787-6081 5931 MARY KING DRIVE JACKSON, MI 49203ESCROW LICENSES
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 10 of 42COLUMBIA TWP
FRATERNAL ORDER OF EAGLES IRISH HILLS AERIE #3689
HEART O' THE LAKES
JR'S HOMETOWN GRILL & PUB
POINTE BAR & GRILL
SAVE TIME #1
SHIPWRECK PARTY STORE
NO BUSINESS NAME ON FILE WITH MLCC
9500 Wamplers Lake Rd, Brooklyn 49230
500 Case Rd, Brooklyn 49230
11551 Brooklyn Rd, Brooklyn 49230
1200 Eagle Point Rd, Clarklake 49234
3101 Jefferson Rd, Clarklake 49234
1354 Eagle Point Rd, Clarklake 49234
3035 Ocean Beach Rd, Clarklake 49234
Address:
Address:
Address:
Address:
Address:
Address:
Address:
8924
5209
226977
226939
17041
150794
225572
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)592-8842
(517)592-2110
(517)592-8030
(517)787-4720
(517)787-8172
(517)529-3034
(517)529-7032
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
382571393
454924570
382527603
200669385
900662592
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
PRIMEONE INSURANCE COMPANY (03/01/2017-Present)
FRANKENMUTH MUTUAL INSURANCE COMPANY (11/12/2014-Present)
ZURICH AMERICAN INSURANCE COMPANY (05/20/2014-Present)
HOME-OWNERS INSURANCE COMPANY (06/20/2012-Present)
AMCO INSURANCE COMPANY (11/24/2016-Present)
HANOVER INSURANCE COMPANY (07/15/2009-Present)
MICHIGAN INSURANCE COMPANY (04/28/2016-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 425-2017CLUB 21066-2017
CLASSC 8003-2017
SDM 4727-2017
CLASSC 208173-2017
CC RES 214396-2017
SDM 214397-2017
SDM 16482-2017
SDM 128606-2017
SDD 201052-2017
SDM 201053-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), OD-SERV, DANC-ENT
SUNDAY SALES (PM), SUNDAY SALES (AM), OD-SERV, ADDBAR, SPECIFIC PURPOSE PERMIT(FOOD,GOLF)
SUNDAY SALES (PM), SUNDAY SALES (AM), DANC-ENT, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), DANC-ENT, OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (AM), GAS PUMPS,DIR-CON - 2
SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1531(2)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
FRATERNAL ORDER OF EAGLES IRISH HILLS AERIE #3689
MIKE HILL ENTERPRISES, INC.
JR'S BROOKLYN, LLC.
POINTE BAR & GRILL, LLC
SAVE TIME, INC.
SHIPWRECK PARTY STORE, LLC
MUGSY'S LAKESIDE MARKET L.L.C.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 11 of 42CONCORD TWP
CONCORD VILLAGE
GRASS LAKE TWP
WHIFFLETREE HILL GOLF COURSE
CADET TAVERN
DOLLAR GENERAL #17068
P.S. FOOD MART
CLEAR LAKE SERVICE
FRANK'S SHOP RITE
15700 Homer Rd, Concord 49237
113 N Main St, Concord 49237
136 N Main St, Concord 49237
202 E Jackson, Concord 49237
4400 Clear Lake Rd, Grass Lake 49240
401 W Michigan Ave, Grass Lake 49240
Address:
Address:
Address:
Address:
Address:
Address:
244573
4116
245322
12410
16360
13357
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)524-6655
(517)524-8411
(517)568-4114
(734)475-3400
(517)522-4161
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
382708143
610852764
382692405
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CAPITOL SPECIALTY INSURANCE CORPORATION (12/19/2016-07/29/2017)
AUTO-OWNERS INSURANCE COMPANY (09/01/2012-Present)
ACE AMERICAN INSURANCE COMPANY (01/30/2017-Present)
HUDSON SPECIALTY INSURANCE COMPANY (08/01/2016-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (03/11/2017-Present)
WESTFIELD INSURANCE COMPANY (09/01/2013-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CC RES 270203-2017
SDM 270204-2017
CLASSC 6335-2017SDM 16527-2017
SDM 271475-2017
SDD 18013-2017
SDM 3549-2017
SDM 13528-2017
SDM 1144-2017SDD 151649-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), OD-SERV, SPECIFIC PURPOSE PERMIT(GOLF)
SUNDAY SALES (PM)
SUNDAY SALES (PM), SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), SUNDAY SALES (AM)
Permits
Permits
Permits
Permits
Permits
Permits
NON-TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1531(3)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
WHIFFLETREE HILL, INC.
CADET TAVERN, INC.
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
FOLK OIL COMPANY, INC.
CLEAR LAKE OIL, INC.
FRANK'S SHOP RITE, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 12 of 42
GRASS LAKE VILLAGE
HANOVER TWP
GRASS LAKE TWP
GRASS LAKE GOLF CLUB
LAURA'S CATERING
MUGG & BOPPS
THE BRASS STAG PUB
LITTLE GRASS SHACK
SAVE TIME #98
SMY MINI MART
4490 Willis Rd, Grass Lake 49240
4450 Clear Lake Rd, Grass Lake 49240
3864 Mount Hope Rd, Grass Lake 49240
12000 E Michigan Ave, Grass Lake 49240
100 E Michigan Ave, Grass Lake 49240
224 E Michigan Ave, Grass Lake 49240
674 E Michigan Ave, Grass Lake 49240
Address:
Address:
Address:
Address:
Address:
Address:
Address:
190632
234651
223494
242166
138120
234052
160081
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)552-6661
(734)475-6309
(517)376-5130
(517)522-8280
(517)522-3471
(217)787-1210
(517)522-4413
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
201348758
383571211
263397781
812429030
383584522
383122611
710976293
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
HOME-OWNERS INSURANCE COMPANY (12/16/2014-Present)
NORTHLAND CASUALTY COMPANY (03/19/2017-Present)
ACE AMERICAN INSURANCE COMPANY (07/07/2016-Present)
CONIFER INSURANCE COMPANY (08/05/2017-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (12/28/2016-Present)
HUDSON SPECIALTY INSURANCE COMPANY (11/10/2016-Present)
CAPITOL INDEMNITY CORPORATION (10/06/2016-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 159339-2017
SDM 159340-2017
CLASSC 233242-2017
SDM 233243-2017
SDM 194748-2017
CLASSC 264265-2017
SDM 264266-2017
CLASSC 102529-2017SDM 102530-2017
SDM 238711-2017
SDM 141715-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), ADDBAR, OD-SERV, SPECIFIC PURPOSE PERMIT(GOLF)
SUNDAY SALES (AM), SUNDAY SALES (PM), CATERING
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), OD-SERV, DANC-ENT, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), ADDBAR
SUNDAY SALES (PM), GAS PUMPS
SUNDAY SALES (AM), DIR-CON - 1, GAS PUMPS
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
GRASS LAKE BEVERAGES, LLC
LAURA'S CATERING INC.
CD OKEMOS 10 LLC
NOVEMBER ENTERPRISES, LLC
MELISSA A. SHELHART, INC.
KELLY FUELS, INC.
SMY MINI MART, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 13 of 42
HANOVER VILLAGE
HENRIETTA TWP
HANOVER TWP
EXPRESS STOP
HANOVER'S BACKWOODS BAR & GRILL
HORTON DEPOT
EXPRESS STOP
HANOVER MARKET
DUKES OUTPOST
196 N Moscow Rd, Horton 49246
130 W Main St, Hanover 49241
389 S Moscow Rd, Horton 49246
110 S Jackson St, Hanover 49241
127 W Main St, Hanover 49241
5042 E Berry Rd, Pleasant Lake 49272
Address:
Address:
Address:
Address:
Address:
Address:
240354
226355
215885
243858
149668
186115
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)563-8128
(517)563-2770
(517)789-5476
(517)563-8168
(517)563-8291
(517)769-6899
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
454388974
264592665
611792086
522407636
208145338
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CAPITOL INDEMNITY CORPORATION (02/01/2017-Present)
HANOVER INSURANCE COMPANY (02/12/2017-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (04/14/2017-Present)
CAPITOL INDEMNITY CORPORATION (02/01/2017-Present)
MICHIGAN INSURANCE COMPANY (01/17/2016-Present)
ILLINOIS UNION INSURANCE COMPANY (07/15/2016-07/15/2017)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 261267-2017
CLASSC 210424-2017
SDM 210425-2017
SDD 179498-2017
SDM 179499-2017
SDM 265265-2017
SDD 125919-2017
SDM 125920-2017
SDDRES 156491-2017
SDM 156492-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM), DIR-CON - 1, GAS PUMPS
SUNDAY SALES (PM), DANC-ENT, OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM)
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
NON-TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1531(5)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
HORTON SDM, LLC
HANOVER'S BACKWOODS BAR & GRILL, INC.
389, LLC
HANOVER SDM, LLC
HANOVER MARKET, LLC
DUKES OUTPOST, LLC
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 14 of 42
JACKSON CITY
HENRIETTA TWP
HANKERD HILLS GOLF COURSE
M & M'S PIT STOP PARTY STORE
PLEASANT LAKE TRADING COMPANY
THE LOST SHOE TAVERN
ADMIRAL #5732
ADMIRAL #5733
ADMIRAL #5836
10251 Resort Rd, Pleasant Lake 49272
7735 Bunkerhill Rd, Jackson 49201
R 1, 4505 E Berry Rd, Pleasant Lake 49272
R 1, 11499 N Meridian Rd, Pleasant Lake 49272
1910 E Michigan Ave, Jackson 49202
846 N West Ave, Jackson 49202
250 W Prospect St, Jackson 49203
Address:
Address:
Address:
Address:
Address:
Address:
Address:
2874
142617
148357
223904
247170
247171
247243
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)769-9156
(517)769-2470
(517)688-4385
(517)769-6000
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
383337414
383632079
161661179
272766200
381619480
381619480
381619480
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
FRANKENMUTH MUTUAL INSURANCE COMPANY (07/03/2007-Present)
AMGUARD INSURANCE COMPANY (03/25/2017-Present)
NORTHLAND CASUALTY COMPANY (04/08/2017-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (09/07/2016-Present)
LIBERTY MUTUAL FIRE INSURANCE COMPANY (03/07/2017-Present)
LIBERTY MUTUAL FIRE INSURANCE COMPANY (03/07/2017-Present)
LIBERTY MUTUAL FIRE INSURANCE COMPANY (03/20/2017-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 4405-2017
SDM 9617-2017
SDD 117153-2017
SDM 117154-2017
SDM 123011-2017
CLASSC 194708-2017SDM 194709-2017
SDM 273004-2017
SDM 273003-2017
SDM 273468-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), OD-SERV, ADDBAR, SPECIFIC PURPOSE PERMIT(GOLF)
SUNDAY SALES (PM), SUNDAY SALES (AM)
GAS PUMPS
SUNDAY SALES (PM)
SUNDAY SALES (AM), GAS PUMPS,BEER & WINE SAMPLING
SUNDAY SALES (AM), GAS PUMPS,BEER & WINE SAMPLING
SUNDAY SALES (PM), SUNDAY SALES (AM), GAS PUMPS, OFFPREM, BEER & WINE SAMPLING
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1533(7)
MCL 436.1533(7)
MCL 436.1533(7)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
HANKERD HILLS GOLF COURSE, INC.
M & M'S PIT STOP PARTY STORE, INC.
PLEASANT LAKE TRADING COMPANY
DAVID AND CHANDRA CATALINE L.L.C.
ADMIRAL PETROLEUM COMPANY
ADMIRAL PETROLEUM COMPANY
ADMIRAL PETROLEUM COMPANY
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 15 of 42JACKSON CITY
ALDI, INC.#30
AMANATI'S TAKE OUT
AVENUE GENTLEMENS CLUB
B & S CORNER CONVENIENCE STORE
BELLA NOTTE RISTORANTE
BOB'S TAKE OUT
BUFFALO BARBEQUE WINGS
1100 W North St, Jackson 49202
262 Cooper St, Jackson 49201
621 E Michigan Ave, Jackson 49201
1000 E Ganson St, Jackson 49201
137-, 139 W Michigan Ave, Jackson 49201
737 Page Ave, Jackson 49203
1085 N Wisner St, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
Address:
148690
235943
222865
163774
138685
12844
238701
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)521-3907
(517)782-6544
(517)782-1468
(517)789-7401
(517)782-5727
(517)784-9939
(517)782-4344
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
363905844
465308322
205835066
204863234
383596771
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
XL INSURANCE AMERICA, INC. (01/01/2011-Present)
SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST (04/07/2015-Present)
BADGER MUTUAL INSURANCE COMPANY (09/14/2016-Present)
MASSACHUSETTS BAY INSURANCE COMPANY (05/01/2011-Present)
MASSACHUSETTS BAY INSURANCE COMPANY (10/26/2012-Present)
STAR INSURANCE COMPANY (11/15/2016-Present)
CONIFER INSURANCE COMPANY (01/16/2017-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 127944-2017
SDD 240132-2017
SDM 240133-2017
CLASSC 194851-2017
SDM 194852-2017
SDD 146765-2017
SDM 146766-2017
CLASSC 106512-2017
SDM 106513-2017
SDD 18698-2017
SDM 14941-2017
CLASSC 247058-2017
SDM 247059-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), DANC-ENT, TLESSACT
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), DANC-ENT, OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), ENT, DIR-CON - 1, SPECIFIC PURPOSE PERMIT(FOOD)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
ALDI INC. (MICHIGAN)
THUNDER 123, INC.
NANCY MINIX ENTERPRISES, LLC
RONIT MULTANI, INC.
PREGO, L.L.C.
PAGE & ELM, INC.
BBW OF JACKSON, LLC
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 16 of 42JACKSON CITY
C STORE AND DELI
CASCADE MANOR HOUSE
CASCADES GOLF COURSE
COMMONWEALTH COMMERCE GROUP
CORK 'N' CAP
CRACKER JAXX
1202 Francis St, Jackson 49203
1970 Kibby Rd, Jackson 49203
1992 Warren Ave, Jackson 49203
209 E Washington Ave, Jackson 49201
902-, 904 Lansing Ave, Jackson 49202
419 Park Pl, Jackson 49203
Address:
Address:
Address:
Address:
Address:
Address:
157730
4376
236515
82
148737
167360
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)796-1114
(517)788-4320
(517)788-4323
(517)784-0059
(517)784-0687
(517)768-7225
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
383564398
383095120
386004845
383028833
280154777
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
STAR INSURANCE COMPANY (06/27/2017-Present)
HOME-OWNERS INSURANCE COMPANY (01/01/2014-Present)
MICHIGAN MUNICIPAL RISK MANAGEMENT AUTHORITY (09/23/2014-Present)
AUTO-OWNERS INSURANCE COMPANY (09/30/2012-Present)
CONIFER INSURANCE COMPANY (02/26/2017-Present)
CONIFER INSURANCE COMPANY (07/18/2017-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 137433-2017
CLASSC 6724-2017
CLASSC 242761-2017
SDM 242762-2017
SDM 19060-2017CLASSC 121-2017
SDM 124127-2017
CLASSC 148867-2017
SDM 148868-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
DIR-CON - 1
SUNDAY SALES (PM), SUNDAY SALES (AM), DIR-CON - 1, DANC-ENT, ADDBAR, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (AM), SUNDAY SALES (PM), ADDBAR, OD-SERV
DIR-CON - 19, DANC-ENT, ADDBAR, SPECIFIC PURPOSE PERMIT(FOOD)
BEER & WINE SAMPLING
SUNDAY SALES (PM), ADDBAR, ENT, TLESSACT
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
NON-TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1509
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
NEIGHBORHOOD STORE, LLC
JACKSON COUNTY PARKS AND RECREATION COMMISSIONCASCADES PARK FOUNDATION
THE COUNTY OF JACKSON
COMMONWEALTH COMMERCE GROUP, INC.
TRAVIOLI, JACK
HEELS N WHEELS, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 17 of 42JACKSON CITY
CVS/PHARMACY #8268
DENTON'S DEN
DOLLAR GENERAL #13699
DOLLAR GENERAL #6025
DR. DON'S FAMOUS DOOR
DUFFY'S FOOD & SPIRITS
605 N West Ave, Jackson 49202
800-, 802 E Michigan Ave, Jackson 49201
1052 Cooper St, Jackson 49202
1901 Francis St, Jackson 49203
146 W Michigan Ave, Jackson 49201
751 N Waterloo St, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
214267
2312
233555
228261
3078
193434
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(401)765-1500
(517)784-0660
(517)784-5552
(517)789-8450
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
364525289
383356805
383132149
383760294
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
GREENWICH INSURANCE COMPANY (01/01/2017-Present)
NORTHLAND CASUALTY COMPANY (01/20/2017-Present)
ACE AMERICAN INSURANCE COMPANY (09/09/2013-Present)
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
CONIFER INSURANCE COMPANY (06/24/2017-Present)
FOUNDERS INSURANCE COMPANY (07/23/2016-07/23/2017)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 178393-2017
CLASSC 3550-2017SDM 14261-2017
SDM 229979-2017
SDM 215997-2017
CLASSC 4720-2017
SDM 13380-2017
CLASSC 160494-2017
SDM 160495-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM)
SUNDAY SALES (PM), DANC-ENT
SUNDAY SALES (PM), DANC-ENT, TLESSACT
SUNDAY SALES (PM), OD-SERV, ENT
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
WOODWARD DETROIT CVS, L.L.C.
DENTON'S DEN, INC.
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
WEBB, DONALD PAUL
RICHARDS FAMILY ENTERPRISES LLC
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name Purpose(s) Phone Nbr Fax Nbr Address
CARNIAK, RUSSELL G
MAGY, PAUL S
(248)645-0800
(248)988-5844
(248)645-2602
(248)988-2332
HARDY LEWIS & PAGE, P.C. 401 S OLD WOODWARD AVE., SUITE 450 BIRMINGHAM, MI 48009CLARK HILL PLC 151 S OLD WOODWARD AVE. SUITE 200 BIRMINGHAM, MI 48009
VIOLATION MATTERS
LICENSE APPLICATIONS
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 18 of 42JACKSON CITY
ELLA SHARP GOLF COURSE
ELLA'S GRANARY RESTAURANT
FRANK'S FINER FOODS
GAME ON SPORTS BAR
GREENWOOD FOOD MARKET
GREYSTONE TAVERN
2800 4th St, Jackson 49203
3225 4th St, Jackson 49203
418 1st St, Jackson 49201
1715 E Michigan Ave, Jackson 49202
212 W Biddle St, Jackson 49203
1008 Lansing Ave, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
234924
133398
157737
237109
144456
236748
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)788-4050
(517)787-2320
(517)787-4555
(517)784-4263
(517)783-4949
(517)789-6050
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
386004701
381785309
202377455
383408393
134240777
383482547
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
UNITED STATES LIABILITY INSURANCE COMPANY (05/08/2017-Present)
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY (01/31/2001-Present)
CONIFER INSURANCE COMPANY (03/08/2017-Present)
CONIFER INSURANCE COMPANY (09/12/2016-Present)
CONIFER INSURANCE COMPANY (07/28/2017-07/28/2017)
HOME-OWNERS INSURANCE COMPANY (05/23/2015-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 237428-2017
CLASSC 79241-2017
SDM 79242-2017
SDD 134438-2017
SDM 134439-2017
CLASSC 242339-2017
SDM 242340-2017
SDD 120443-2017
SDM 120444-2017
CLASSC 238543-2017
SDM 238544-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM), SUNDAY SALES (PM), DANC-ENT, SPECIFIC PURPOSE PERMIT(GOLF)
SUNDAY SALES (PM), OD-SERV, DANC-ENT, ADDBAR, SPECIFIC PURPOSE PERMIT(FOOD,SPECIAL EVENTS)
SUNDAY SALES (PM), SUNDAY SALES (AM), BEER & WINE SAMPLING
SUNDAY SALES (PM), ADDBAR, SPECIFIC PURPOSE PERMIT(BILLIARDS,FOOD), OD-SERV, DANC-ENT, EXTENDED HOURS PERMIT(DANCE-ENTERTAINMENT)
SUNDAY SALES (PM), SUNDAY SALES (AM), BEER & WINE SAMPLING
SUNDAY SALES (PM), ENT, SPECIFIC PURPOSE PERMIT(FOOD)
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
THE CITY OF JACKSON
ELLA SHARP MUSEUM ASSOCIATION OF JACKSON
G SINGH & SINGH, LLC
LEMASTER, L.L.C.
GREENWOOD FOOD MARKET, LLC
ALDOUS TAVERN, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 19 of 42JACKSON CITY
GROTTO TEMPLE ASS'N., INC.
HOMETOWN CONVENIENCE
JACK'S PLACE
JACK'S TAKE-OUT
JACKSON AERIE 612, FRATERNAL ORDER OF EAGLES
JAPANESE RESTAURANT
JOSIE'S TAKE OUT
KEEDER'S SHOW BAR
102 E Washington Ave, Jackson 49201
1033 S Cooper St, Jackson 49203
300 Burr St, Jackson 49201
118 E Mason St, Jackson 49203
301 Detroit St, Jackson 49201
915 N Wisner St, Jackson 49202
1248 S Jackson St, Jackson 49203
736 Page Ave, Jackson 49203
Address:
Address:
Address:
Address:
Address:
Address:
Address:
Address:
8206
227416
224232
11572
8065
231967
232294
5153
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)782-4934
(517)817-0478
(517)796-1014
(517)789-8232
(517)782-5622
(517)317-4520
(517)796-8955
(517)787-2445
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
380613170
352421761
900634254
382776408
380556600
460951204
463674646
382669982
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CONIFER INSURANCE COMPANY (03/01/2017-Present)
GENERAL CASUALTY COMPANY OF WISCONSIN (03/28/2012-Present)
FOUNDERS INSURANCE COMPANY (06/16/2016-Present)
SENTINEL INSURANCE COMPANY, LTD. (10/24/2016-Present)
CONIFER INSURANCE COMPANY (11/12/2016-Present)
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA (06/14/2013-Present)
CONIFER INSURANCE COMPANY (09/18/2015-Present)
FOUNDERS INSURANCE COMPANY (03/12/2014-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLUB 20215-2017
SDM 211008-2017
CLASSC 199665-2017
SDM 199666-2017
SDM 18936-2017SDD 16118-2017
CLUB 20031-2017
CLASSC 226546-2017
SDD 230410-2017SDM 230411-2017
CLASSC 7919-2017
SDM 17972-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), DANCE
SUNDAY SALES (AM)
SUNDAY SALES (PM), DANCE, OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM)
SUNDAY SALES (PM), DANC-ENT, OD-SERV
SUNDAY SALES (PM)
SUNDAY SALES (PM)
SUNDAY SALES (PM), DANC-ENT, TLESSACT
Permits
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
GROTTO TEMPLE ASS'N., INC.
HOMETOWN CONVENIENCE 1033 LLC
LEE AND LEE ENTERPRISES, INC.
HARRIS, ANDREW P
JACKSON AERIE 612, FRATERNAL ORDER OF EAGLES
ICHIBAN JAPANESE RESTAURANT, LLC
RICKY J, LLC
KEEDER'S ENTERTAINMENT EMPORIUM, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 20 of 42JACKSON CITY
KEYES PARTY STORE
KINGSTON'S LOUNGE
KROGER STORE #680
LIBBY'S JAZZ BAR
LOS TRES AMIGO'S
LOYAL ORDER OF MOOSE, LODGE #156
MANCINO'S
500 Fourth St, Jackson 49203
629 E Michigan Ave, Jackson 49201
1100 W Argyle St, Jackson 49202
128 W Michigan Ave, Jackson 49201
1111 N West Ave, Jackson 49202
745 Lansing Ave, Jackson 49202
1196 N West Ave, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
Address:
165095
5097
15687
234826
150173
8207
209979
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)789-5547
(517)784-3545
(248)536-1601
(517)795-2629
(517)908-0072
(517)784-7046
(517)789-1021
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
381342407
382570262
465611351
113687334
380774340
383074538
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CONIFER INSURANCE COMPANY (12/06/2016-Present)
CONIFER INSURANCE COMPANY (03/03/2017-Present)
ACE AMERICAN INSURANCE COMPANY (01/25/2006-Present)
CONIFER INSURANCE COMPANY (05/15/2017-Present)
PHOENIX INSURANCE COMPANY, THE (10/24/2014-Present)
ENDURANCE AMERICAN SPECIALTY INSURANCE COMPANY (05/01/2017-Present)
AUTO-OWNERS INSURANCE COMPANY (11/16/2016-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 153317-2017
CLASSC 7827-2017SDM 16395-2017
SDM 10805-2017
CLASSC 243822-2017
CLASSC 129342-2017
SDM 129343-2017
CLUB 20217-2017
CLASSC 179643-2017
SDM 179644-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM)
SUNDAY SALES (PM), DANCE
SUNDAY SALES (AM), GAS PUMPS,BEER & WINE SAMPLING
DANC-ENT
SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD), OD-SERV
SUNDAY SALES (PM), DANCE
DANCE, SPECIFIC PURPOSE PERMIT(FOOD)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
NON-TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1521a(1)b
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
GREENWOOD FOOD MARKET, LLC
KINGSTON'S LOUNGE, INC.
THE KROGER CO. OF MICHIGAN
CIMBRO, LLC
TRES AMIGOS, INC.
LOYAL ORDER OF MOOSE, LODGE #156
MANCINO'S OF JACKSON, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name
Contact Name
Purpose(s)
Purpose(s)
Phone Nbr
Phone Nbr
Fax Nbr
Fax Nbr
Address
Address
BLOOM, JEFFREY M
MC CRARY, CELESTE R
CORTES, LINA
(313)965-8388
(614)898-3200
(517)908-0072
(313)309-6848
Clark Hill PLC 500 Woodward Ave Ste 3500 Detroit, MI 482264111 Executive Pkwy Westerville, OH 43081
6074 E Longview Dr East Lansing, MI 48823
VIOLATION MATTERS
ESCROW LICENSESLICENSE APPLICATIONS
ESCROW CONTACT
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 21 of 42JACKSON CITY
MC THIRSTY'S PUB
MOORSKI'S PUB
NEW QUICK MART
NORTHSIDE PARTY STORE
OAK TREE LOUNGE
P S FOOD MART
2214 E Ganson St, Jackson 49202
723 Page Ave, Jackson 49203
1129 Greenwood Ave, Jackson 49203
1601-, 1603 Cooper St, Jackson 49202
617 Oak St, Jackson 49201
1502 Cooper St, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
228909
228526
193193
215737
4742
15728
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)414-6706
(517)812-5626
(517)787-1293
(517)784-1800
(517)783-5823
(517)568-4114
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
205202050
454484229
208733073
264239927
382549436
382481102
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
ESSEX INSURANCE COMPANY (09/26/2016-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (11/12/2016-Present)
NORTHLAND CASUALTY COMPANY (03/05/2017-Present)
STAR INSURANCE COMPANY (08/14/2016-Present)
AUTO-OWNERS INSURANCE COMPANY (05/10/2013-Present)
FEDERATED SERVICE INSURANCE COMPANY (08/01/2016-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 217345-2017
SDM 217346-2017
CLASSC 224145-2017
SDM 224146-2017
SDM 161372-2017SDD 235063-2017
SDD 183543-2017
SDM 183544-2017
SDM 15766-2017CLASSC 7293-2017
SDM 10958-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), DANCE, ADDBAR, OD-SERV
SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), OD-SERV
SUNDAY SALES (AM), GAS PUMPS
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
NAUTIQUE LLC
MOORSKI'S PUB, LLC
GURU MART, INC.
KEVIN & NICK, INC.
OAK TREE LOUNGE, INC.
CONVENIENCE KING GROUP, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 22 of 42JACKSON CITY
PIZZA HUT
POLISH FALCONS ALLIANCE, NEST NO. 336, OF JACKSON, MICH.
POLISH LEGION OF AMERICAN VETERANS CZARNECKI-KUZMA POST 83
POLISH NATIONAL ALLIANCE
POWERS PARTY STORE
RANI'S PARTY PAK
1275 Boardman Rd, Jackson 49202
1423 Joy Ave, Jackson 49203
615 Page Ave, Jackson 49203
638 Page Ave, Jackson 49203
1630 E Michigan Ave, Jackson 49202
1706 Francis St, Jackson 49203
Address:
Address:
Address:
Address:
Address:
Address:
137882
8208
8828
8064
206253
141099
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(269)556-5000
(517)789-6321
(517)782-8376
(517)787-1635
(571)783-4081
(517)789-6698
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
383571938
380934585
386154753
380934610
061832194
383622691
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
WEST BEND MUTUAL INSURANCE COMPANY (07/01/2017-Present)
WEST BEND MUTUAL INSURANCE COMPANY (01/22/2009-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (12/02/2016-Present)
CONIFER INSURANCE COMPANY (08/10/2017-Present)
CONIFER INSURANCE COMPANY (03/26/2017-Present)
STAR INSURANCE COMPANY (01/17/2017-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 107798-2017
CLUB 20218-2017
CLUB 20947-2017
CLUB 20030-2017
SDM 5462-2017
SDD 176078-2017
SDM 176079-2017
SDD 107727-2017
SDM 107728-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), SPECIFIC PURPOSE PERMIT(FOOD), OD-SERV
SUNDAY SALES (PM), DANC-ENT
SUNDAY SALES (PM), DANCE, OD-SERV
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM)
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
TRIGO PIZZA COMPANY, INC.
POLISH FALCONS ALLIANCE, NEST NO. 336, OF JACKSON, MICH.
POLISH LEGION OF AMERICAN VETERANS CZARNECKI-KUZMA POST 83
POLISH NATIONAL ALLIANCE
U.S. LIQUOR, LLC
RANI'S PARTY PAK, L.L.C.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name
Contact Name
Purpose(s)
Purpose(s)
Phone Nbr
Phone Nbr
Fax Nbr
Fax Nbr
Address
Address
KAHNE, HOWARD H
RYAN, HADLEY
(269)983-0325
(586)997-2283
(269)983-0328
PASSARO, KAHNE & TAYLOR LAW OFFICES, P.L.L.C. 685 W MAIN STREET BENTON HARBOR,MI 49022
MI DEPT OF TREASURY - FIELD ENFORCEMENT 3060 W GRAND BLVD STE 2-200 DETROIT, MI 48202
ESCROW LICENSES
ESCROW LICENSES
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 23 of 42JACKSON CITY
RITE-AID DISCOUNT PHARMACY #4424
ROBIN'S ROOST
ROOKIES SPORTS BAR & GRILL
SAUK TRAIL VETERANS CLUB AND MEMORIAL FOUNDATION POST 246 OF THE
AMERICAN LEGION, INC.
SEYMOUR PARTY STORE
SHAMROCK BAR
SPEEDWAY #7784
1089 N Wisner St, Jackson 49202
608 N West Ave, Jackson 49202
1910 S Cooper St, Jackson 49203
439 E Prospect St, Jackson 49203
606 Seymour Ave, Jackson 49202
1628 E Michigan Ave, Jackson 49202
608 N Wisner St, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
Address:
9586
4683
220500
146079
200056
225382
246423
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(313)334-1300
(517)784-1965
(517)782-1796
(517)395-4158
(517)789-7080
(517)768-8129
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
380947300
382366960
382316206
260374555
320339964
311551430
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
ACE AMERICAN INSURANCE COMPANY (01/01/2006-Present)
STAR INSURANCE COMPANY (07/22/2017-Present)
SCOTTSDALE INSURANCE COMPANY (07/29/2016-07/29/2017)
NATIONAL SPECIALTY INSURANCE COMPANY (01/15/2017-Present)
CONIFER INSURANCE COMPANY (12/11/2016-Present)
STAR INSURANCE COMPANY (05/16/2017-Present)
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA (02/03/2017-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDD 11213-2017
SDM 13766-2017
CLASSC 7192-2017SDM 18098-2017
CLASSC 199723-2017
CLUB 200412-2017
SDM 164677-2017
CLASSC 200983-2017SDM 200984-2017
SDM 271659-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), ENT
SUNDAY SALES (PM), DANCE
SUNDAY SALES (PM), ENT
SUNDAY SALES (AM), GAS PUMPS
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1533(7)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
PERRY DRUG STORES, INC.
STEVEN CRAIG, INCORPORATED
TRIPP, VALERIE A
SAUK TRAIL VETERANS CLUB AND MEMORIAL FOUNDATION POST 246 OF THE AMERICAN LEGION, INC.
SEYMOUR PARTY STORE LLC
RWLW, LLC
SPEEDWAY LLC (A DELAWARE LIMITED LIABILITY COMPANY)
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name Purpose(s) Phone Nbr Fax Nbr Address
BROWN, MICHAEL J (517)321-4616 (517)321-4642 Carlin Edwards Brown PLLC 6017 W St Joe Hwy Ste 202 Lansing, MI 48917
ESCROW LICENSESLICENSE APPLICATIONSVIOLATION MATTERS
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 24 of 42JACKSON CITY
STAR TAVERN
STEVE'S RANCH
STOP ONE PARTY STORE
SUPER LIQUOR STORE
TARGET #0673
THE BRASS RAIL
THE CHASE
1102 Page Ave, Jackson 49203
311 W Louis Glick Hwy, Jackson 49201
616 Francis St, Jackson 49203
1200 W Michigan Ave, Jackson 49202
1076 Jackson Xing, Jackson 49202
306-08-, 310 W Prospect St, Jackson 49203
105 E Michigan Ave, Jackson 49201
Address:
Address:
Address:
Address:
Address:
Address:
Address:
5232
167633
132740
131240
158353
393
230953
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)783-4012
(517)787-4367
(517)789-5333
(517)782-2100
(517)788-3900
(517)782-3414
(517)358-8711
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
382190692
382712103
410215170
382622374
800901592
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CONIFER INSURANCE COMPANY (03/21/2017-Present)
HOME-OWNERS INSURANCE COMPANY (11/01/2009-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (05/01/2017-Present)
CONIFER INSURANCE COMPANY (12/11/2016-Present)
ACE AMERICAN INSURANCE COMPANY (02/01/2009-Present)
STAR INSURANCE COMPANY (02/22/2017-Present)
CONIFER INSURANCE COMPANY (05/31/2017-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 8035-2017SDM 5570-2017
CLASSC 160729-2017
SDM 75595-2017
SDD 73520-2017
SDM 73521-2017
SDM 155331-2017
CLASSC 609-2017SDM 1443-2017
CLASSC 225908-2017
SDM 225909-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), DANCE
SUNDAY SALES (PM), OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM), BEER & WINE SAMPLING
SUNDAY SALES (AM)
SUNDAY SALES (PM)
SUNDAY SALES (PM), DANCE, SPECIFIC PURPOSE PERMIT(FOOD), OD-SERV
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLETRANSFERABLE
NON-TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1521(1)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
FESSENDEN, BARBARA
STEVE'S RANCH, INC.
SAMARA, MOHAMMAD
CANDICE INVESTMENT, INC.
TARGET CORPORATION (A MINNESOTA CORPORATION)
D-TREX, INC.
RANDU INC
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 25 of 42JACKSON CITY
THE CRAZY COWBOY
THE FOUNDRY
THE HUNT CLUB
THE MICHIGAN THEATRE OF JACKSON, INC.
THE MUSIC BOX
THE NIGHT LIGHT
215-, 217 S Mechanic St, Jackson 49201
216 Francis St, Jackson 49201
1514 Daniel Rd, Jackson 49202
124 N Mechanic St, Jackson 49201
300 W North St, Jackson 49202
145 W Pearl St, Jackson 49201
Address:
Address:
Address:
Address:
Address:
Address:
143437
156026
1730
135168
244978
168234
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)817-1910
(517)796-1111
(517)782-0375
(517)783-0962
(517)990-6795
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
223969938
861113627
383138265
272487970
030601801
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
EVANSTON INSURANCE COMPANY (06/01/2017-Present)
CONIFER INSURANCE COMPANY (11/04/2016-Present)
HOME-OWNERS INSURANCE COMPANY (03/01/2013-Present)
CENTRAL MUTUAL INSURANCE COMPANY (11/14/2011-Present)
CONIFER INSURANCE COMPANY (03/20/2017-Present)
CONIFER INSURANCE COMPANY (10/20/2016-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 116753-2017
SDM 116754-2017
CLASSC 133373-2017
SDM 133374-2017
CLASSC 2715-2017
SDM 13446-2017
CLUB 153407-2017
CLASSC 273460-2017
SDM 273461-2017
CLASSC 150494-2017
SDM 150495-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD), OD-SERV, DANC-ENT, ADDBAR
SUNDAY SALES (PM), ADDBAR, DANC-ENT
SUNDAY SALES (PM), OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD), DANC-ENT
SUNDAY SALES (PM), ENT
SUNDAY SALES (AM), SUNDAY SALES (PM), DANC-ENT, OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), DANC-ENT, SPECIFIC PURPOSE PERMIT(FOOD)
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
THE CRAZY COWBOY, LLC
SC ENTERPRISE GROUP, LLC
EVEN STEVENS, INC.
THE MICHIGAN THEATRE OF JACKSON, INC.
THE MUSIC BOX LLC
THE FOOD WAREHOUSE LLC
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 26 of 42JACKSON CITY
THULI'S PUB
TOWN BAR
TRACKSIDE SPORTS BAR
TRACY'S TAVERN
WALGREEN #9133
WALT'S HEALTH FOODS
WILDWOOD JOHNNY'S #1960
YOGI'S
1110 Page Ave, Jackson 49203
119-, 121 E Cortland Ave, Jackson 49201
812 N Blackstone St, Jackson 49202
300 Homewild Ave, Jackson 49201
1314 N West Ave, Jackson 49202
102 W Michigan Ave, Jackson 49201
801 Wildwood Ave, Jackson 49202
730 Lansing Ave, Jackson 49202
Address:
Address:
Address:
Address:
Address:
Address:
Address:
Address:
241882
3524
3402
4295
220207
244020
246681
213485
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)782-1573
(517)784-0852
(517)789-9492
(517)783-1803
(517)784-6474
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
383060776
383257072
382257355
361924025
383013625
382418573
264531604
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
NATIONAL SPECIALTY INSURANCE COMPANY (02/23/2017-Present)
STAR INSURANCE COMPANY (05/01/2017-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (10/20/2016-Present)
STAR INSURANCE COMPANY (04/18/2017-Present)
ZURICH AMERICAN INSURANCE COMPANY (09/28/2009-Present)
NORTHLAND CASUALTY COMPANY (09/12/2016-Present)
FEDERATED MUTUAL INSURANCE COMPANY (05/09/2017-Present)
GENERAL CASUALTY COMPANY OF WISCONSIN (03/26/2011-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 270734-2017
SDM 270735-2017
SDM 4209-2017CLASSC 5396-2017
SDM 8558-2017CLASSC 5214-2017
CLASSC 6602-2017SDM 463-2017
SDM 185060-2017
SDM 267487-2017
SDM NQ 275438-2017
SDDRES 179654-2017
SDM 179655-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), DANC-ENT, OD-SERV
SUNDAY SALES (PM)
SUNDAY SALES (PM), DANC-ENT
SUNDAY SALES (PM), OD-SERV
SUNDAY SALES (AM)
BEER & WINE SAMPLING
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), SUNDAY SALES (AM)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
NON-TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1533(7)
MCL 436.1531(5)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
SOPER, BERNARD B
TOWN BAR, INC.
CHANGES, INC.
TRACY CORPORATION
WALGREEN CO. (AN ILLINOIS PUBLIC CORPORATION)
WALT'S HEALTH FOOD & SPECIALTY SHOP, INC.
WALTERS-DIMMICK PETROLEUM, INC.
MKRK, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 27 of 42
LEONI TWP
JACKSON CITY
NO BUSINESS NAME ON FILE WITH MLCC
AMERICAN LEGION ROSE CITY POST #324
BARTO'S WILDCAT CREEK COUNTRY STORE
C & B GENERAL STORE
CENTER THREE HORSE CLUB, INCORPORATED
COMMET WELCOME PHARMACY
DOLLAR GENERAL #16064
140 W Michigan Ave, Jackson 49201
1190 Falahee Rd, Jackson 49203
6121 Seymour Rd, Jackson 49201
2401 Hilton Rd, Jackson 49201
4793 Page Ave, Michigan Center 49254
4646 Page Ave, Michigan Center 49254
5841 Ann Arbor Rd, Jackson 49201
Address:
Address:
Address:
Address:
Address:
Address:
Address:
235671
234624
238394
230736
8944
10189
241487
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)764-5271
(517)764-5124
(517)764-0400
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
380983133
461933241
383456615
381892028
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CONIFER INSURANCE COMPANY (04/18/2017-Present)
CONIFER INSURANCE COMPANY (11/18/2016-Present)
CONIFER INSURANCE COMPANY (05/29/2017-Present)
PRIMEONE INSURANCE COMPANY (05/03/2017-Present)
SECURA INSURANCE, A MUTUAL COMPANY (11/19/2013-Present)
HARTFORD CASUALTY INSURANCE COMPANY (05/01/2011-Present)
ACE AMERICAN INSURANCE COMPANY (12/09/2015-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 246395-2017
SDM 246396-2017
CLUB 236061-2017
SDM 251699-2017
SDM 224566-2017
CLUB 21090-2017
SDM 1249-2017SDD 12736-2017
SDM 257252-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), DANC-ENT, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), DANCE
SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
RANDU INC
AMERICAN LEGION ROSE CITY POST #324
WILDCAT CREEK AUTOMOTIVE, LLC
PUDLIK, WILLIAM S
CENTER THREE HORSE CLUB, INCORPORATED
COMMET WELCOME PHARMACIES, INC.
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name Purpose(s) Phone Nbr Fax Nbr Address
LE MASTER, RANDY L 208 E GOLF AVE. JACKSON, MI 49203ESCROW LICENSES
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 28 of 42LEONI TWP
DOLLAR GENERAL #9410
EXPRESS STOP
FRATERNAL ORDER OF EAGLES, MICHIGAN CENTER AERIE #3634
HARD KNOCK GRILL
LAKELAND HILLS GOLF CLUB
LAKESIDE CONVENIENCE STORE
LOS TRES AMIGOS
4530 Page Ave, Michigan Center 49254
3465 Page Ave, Jackson 49203
302 5th St, Michigan Center 49254
3705 Ann Arbor Rd, Jackson 49202
5119 Page Ave, Jackson 49201
506 5th St, Michigan Center 49254
328 5th St, Michigan Center 49254
Address:
Address:
Address:
Address:
Address:
Address:
Address:
227599
236365
8529
219302
141162
145124
222774
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(810)229-6323
(517)764-6660
(517)962-5456
(517)764-5292
(517)748-2300
(517)764-0600
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
471632264
382172809
800459299
383623533
352197877
800490274
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
CAPITOL INDEMNITY CORPORATION (02/01/2017-Present)
CONIFER INSURANCE COMPANY (07/01/2017-Present)
SCOTTSDALE INSURANCE COMPANY (12/28/2016-Present)
FRANKENMUTH MUTUAL INSURANCE COMPANY (02/13/2013-Present)
FOUNDERS INSURANCE COMPANY (07/07/2016-Present)
PHOENIX INSURANCE COMPANY, THE (04/01/2014-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 212559-2017
SDM 242247-2017
CLUB 20580-2017
CLASSC 187877-2017
SDM 209919-2017
CLASSC 108363-2017
SDM 119859-2017
CLASSC 187568-2017
SDM 187569-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), DANCE, OD-SERV
SUNDAY SALES (PM), SUNDAY SALES (AM), DANC-ENT, SPECIFIC PURPOSE PERMIT(FOOD), OD-SERV, ADDBAR
SUNDAY SALES (PM), SUNDAY SALES (AM), DANCE, OD-SERV, ADDBAR, SPECIFIC PURPOSE PERMIT(GOLF)
SUNDAY SALES (PM), SUNDAY SALES (AM), SPECIFIC PURPOSE PERMIT(FOOD), OD-SERV, DANC-ENT
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
NON-TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1521a(1)b
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
PAGE SDM, LLC
FRATERNAL ORDER OF EAGLES, MICHIGAN CENTER AERIE #3634
MGKR, LLC
LAKELAND HILLS GOLF CLUB, LLC
LAKESIDE CONVENIENCE STORE, LLC
LOS TRES AMIGOS-MICHIGAN CENTER, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 29 of 42LEONI TWP
MEIJER #56
MEIJER GAS STATION #56
PINE HOLLOW GOLF COURSE
R BAR
RITE AID #4350
3333 E Michigan Ave, Jackson 49202
3333 E Michigan Ave, Jackson 49202
5400 Trailer Park Dr, Jackson 49201
4201 Page Ave, Michigan Center 49254
3100 E Michigan Ave, Jackson 49202
Address:
Address:
Address:
Address:
Address:
9511
247052
132256
228031
130423
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(616)791-3223
(517)764-4200
(517)315-7790
(717)214-8545
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
381274536
381274536
382933693
453933029
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
OLD REPUBLIC INSURANCE COMPANY (03/01/2008-Present)
OLD REPUBLIC INSURANCE COMPANY (05/22/2017-Present)
HOME-OWNERS INSURANCE COMPANY (05/25/2017-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (03/12/2017-Present)
ACE AMERICAN INSURANCE COMPANY (01/01/2006-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 10838-2017SDD 11015-2017
SDM 276280-2017
SDM 74837-2017CLASSC 74836-2017
CLASSC 223029-2017
SDM 223030-2017
SDM 73643-2017SDD 215780-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SEC LOCSUNDAY SALES (PM), SUNDAY SALES (AM), GAS PUMPS, BEER &WINE SAMPLING
SUNDAY SALES (AM), GAS PUMPS,BEER & WINE SAMPLING
SUNDAY SALES (PM), SUNDAY SALES (AM), OD-SERV, ADDBAR, SPECIFIC PURPOSE PERMIT(GOLF)
SUNDAY SALES (PM), DANC-ENT, OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM)
Permits
Permits
Permits
Permits
Permits
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1533(7)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MEIJER, INC.
MEIJER, INC.
S.E.A. GOLF, INC.
R BAR LLC
RITE AID OF MICHIGAN, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name
Contact Name
Purpose(s)
Purpose(s)
Phone Nbr
Phone Nbr
Fax Nbr
Fax Nbr
Address
Address
MC ALARY, ILEANA
NUNN, DON
BROWN, MICHAEL J
(616)735-7370
(616)791-3223
(517)321-4616
(616)787-5624
(616)791-5349
(517)321-4642
MEIJER, INC. 2929 WALKER NW GRAND RAPIDS,MI 49544SUBSIDIARIES & AFFILIATES 2929 WALKER AVENW GRAND RAPIDS, MI 49544
Carlin Edwards Brown PLLC 6017 W St Joe Hwy Ste 202 Lansing, MI 48917
VIOLATION MATTERS
ESCROW LICENSES
ESCROW LICENSESLICENSE APPLICATIONSVIOLATION MATTERS
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 30 of 42
LIBERTY TWP
LEONI TWP
SPEEDWAY #5519
STARK'S PARTY STORE
SUBURBAN LANES
THE MINNOW BUCKET
TIM'S MARKET
WISCONSIN CHEESE CASTLE
NO BUSINESS NAME ON FILE WITH MLCC
3346 E Michigan Ave, Jackson 49202
3651 Page Ave, Jackson 49203
3801 Ann Arbor Rd, Jackson 49202
6015 Ann Arbor Rd, Jackson 49201
715 Napoleon Rd, Michigan Center 49254
208 Napoleon Rd, Michigan Center 49254
5509 Ann Arbor Rd, Jackson 49201
Address:
Address:
Address:
Address:
Address:
Address:
Address:
246480
12045
155371
186152
143772
232498
12734
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)764-2212
(517)764-3200
(517)764-1909
(517)764-4106
(517)315-4049
(517)764-3850
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
311551430
841654969
208432601
352182032
383039632
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA (02/28/2017-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (05/16/2017-Present)
CONIFER INSURANCE COMPANY (11/01/2016-Present)
ILLINOIS UNION INSURANCE COMPANY (03/23/2017-Present)
STAR INSURANCE COMPANY (02/24/2017-Present)
MERCHANTS MUTUAL INSURANCE COMPANY (12/10/2015-07/24/2017)
HOME-OWNERS INSURANCE COMPANY (02/10/2013-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 272636-2017
SDD 17277-2017
SDM 13573-2017
CLASSC 132020-2017
SDM 132021-2017
SDM 156008-2017
SDM 116562-2017SDDRES 189740-2017
SDM 234386-2017
SDD 18541-2017SDM 11508-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM), DANCE, SPECIFIC PURPOSE PERMIT(BOWLING)
SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM)
BEER & WINE SAMPLING
SUNDAY SALES (PM)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLENON-TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1533(7)
MCL 436.1531(5)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
SPEEDWAY LLC (A DELAWARE LIMITED LIABILITY COMPANY)
BRENAN, INC.
R. DANIELS, LLC
MB CORNERS II, LLC
TIM'S MARKET, INC.
WISCONSIN CHEESE CASTLE, LLC
N & B PARK CORPORATION
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 31 of 42
NAPOLEON TWP
LIBERTY TWP
DEER RUN GOLF CLUB
LIBERTY GENERAL STORE
PINE HILL LAKE MARINA PARTY STORE
AGGIE'S
DOLLAR GENERAL #16401
EXPRESS STOP
GREEN VALLEY GOLF COURSE
R 1, 3200 Hanover Rd, Horton 49246
217 E Liberty Rd, Cement City 49233
3675 Hanover Rd, Hanover 49241
108 Brooklyn Rd, Jackson 49201
317 Brooklyn Rd, Napoleon 49261
125 S Brooklyn Rd, Napoleon 49261
5751 Brooklyn Rd, Jackson 49201
Address:
Address:
Address:
Address:
Address:
Address:
Address:
2989
165032
142686
4168
244508
244659
1178
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)688-3350
(517)529-9433
(517)688-9716
(517)536-8059
(517)536-8165
(517)764-0270
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
382536613
205402795
300044998
382462960
610852764
371802868
382242787
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
AMCO INSURANCE COMPANY (07/03/2010-Present)
MID-CENTURY INSURANCE COMPANY (04/09/2014-Present)
AUTO-OWNERS INSURANCE COMPANY (04/27/2012-Present)
SECURA INSURANCE, A MUTUAL COMPANY (04/04/2016-Present)
ACE AMERICAN INSURANCE COMPANY (11/29/2016-Present)
CAPITOL INDEMNITY CORPORATION (02/01/2017-Present)
PRAETORIAN INSURANCE COMPANY (05/11/2010-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 11876-2017CLASSC 4571-2017
SDD 150277-2017
SDM 150278-2017
SDM 124650-2017
CLASSC 6423-2017
SDM 19731-2017
SDM 269792-2017
SDM 269460-2017
CLASSC 1839-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), DANCE, OD-SERV, ADDBAR, SPECIFIC PURPOSE PERMIT(FOOD,GOLF)
SUNDAY SALES (PM), SUNDAY SALES (AM), GAS PUMPS
GAS PUMPS
SUNDAY SALES (PM), SUNDAY SALES (AM), ADDBAR, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (AM), GAS PUMPS
OD-SERV, SPECIFIC PURPOSE PERMIT(GOLF)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
SLABY, FRANCIS JOSEPHKASPRZYCKI, STANLEY DFOSTER, JOHN MICHAEL
LIBERTY STORE, INC.
PINE HILL LAKE MARINA, LLC
AGATHA ENTERPRISE, INC.
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
NAPOLEON SDM, LLC
GAUSS'S GREEN VALLEY G.C. CORP.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 32 of 42
NORVELL TWP
PARMA TWP
NAPOLEON TWP
L & B KWIK STOP
VIC'S FOOD STORE
JUGHEADS
NO BUSINESS NAME ON FILE WITH MLCC
BP
CINDY'S 128 MARATHON & DELI
DOLLAR GENERAL #11128
4051 Brooklyn Rd, Jackson 49201
101 Austin Rd, Napoleon 49261
102 Exchange, Norvell 49263
11400 Waterman Rd, Brooklyn 49230
107 W Main St, Parma 49269
12250 W Michigan Ave, Parma 49269
410 N Parma Rd, Parma 49269
Address:
Address:
Address:
Address:
Address:
Address:
Address:
133805
11788
211542
17786
235007
237370
228225
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)764-4401
(517)536-8686
(734)365-3926
(517)592-6170
(517)531-3400
(517)531-4736
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
TR2357471
382668579
262466419
383203413
463419583
471218999
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CONIFER INSURANCE COMPANY (09/11/2016-Present)
CAPITOL INDEMNITY CORPORATION (04/01/2017-Present)
UNITED STATES LIABILITY INSURANCE COMPANY (06/30/2017-Present)
CAPITOL INDEMNITY CORPORATION (01/10/2017-Present)
FRANKENMUTH MUTUAL INSURANCE COMPANY (09/30/2016-Present)
FRANKENMUTH MUTUAL INSURANCE COMPANY (07/01/2015-Present)
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDD 76598-2017
SDM 76599-2017
SDD 16691-2017
SDM 555-2017
SDM 192331-2017SDD 218576-2017
SDM 19614-2017
SDM 234899-2017
SDM 251217-2017
SDM 216428-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), LIV-Q
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM), LIV-Q
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (AM), GAS PUMPS
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
BERRY, LISA R
VIC'S FOOD STORE, LTD.
JUGHEADS, LLC
BP PARMA, LLC
CINDY'S 128 MARATHON & DELI, LLC
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 33 of 42
PARMA VILLAGE
PULASKI TWP
PARMA TWP
PARMA TRAVEL CENTER #92
SUNOCO
UNIVERSITY LANES
FERG'S PARMA PUB
NO BUSINESS NAME ON FILE WITH MLCC
BIG "9" SPORTSMAN CLUB OF CONCORD, INC.
12301 W Michigan Ave, Parma 49269
2496 N Parma Rd, Parma 49269
16653 E Michigan Ave, Albion 49224
110 W Michigan Ave, Parma 49269
300 E Michigan Ave, Parma 49269
12000 Folks Rd, Hanover 49241
Address:
Address:
Address:
Address:
Address:
Address:
206053
240855
237632
4585
244196
9050
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(810)695-1436
(517)531-3037
(517)343-2005
(517)531-4280
(517)914-8699
(517)524-6219
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
380545990
461318069
382482407
463419583
382536630
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
FEDERATED MUTUAL INSURANCE COMPANY (05/12/2015-Present)
CONIFER INSURANCE COMPANY (06/18/2017-Present)
CONIFER INSURANCE COMPANY (11/20/2016-Present)
FOUNDERS INSURANCE COMPANY (07/23/2016-07/23/2017)
NORTHLAND CASUALTY COMPANY (05/11/2017-Present)
PHILADELPHIA INDEMNITY INSURANCE COMPANY (11/07/2016-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 168896-2017SDD 184991-2017
SDM 253805-2017
CLASSC 244362-2017SDM 244363-2017
CLASSC 7031-2017SDM 11061-2017
SDD 270498-2017
SDM 270499-2017
CLUB 21225-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), DIR-CON - 2, GAS PUMPS
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM)
SUNDAY SALES (PM), DANCE
SUNDAY SALES (AM), SUNDAY SALES (PM)
SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD), DANC-ENT, DIR-CON - 1
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
RPF OIL COMPANY
PREET FUEL INC
UNIVERSITY LANES, LLC
F. H. I. INC.
BP PARMA, LLC
BIG "9" SPORTSMAN CLUB OF CONCORD, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 34 of 42
RIVES TWP
SANDSTONE TWP
PULASKI TWP
PULASKI GROCERY
TWIN PINES CAMP GROUND AND CANOE LIVERY
NO BUSINESS NAME ON FILE WITH MLCC
RIVES QUALITY MEATS
VILLAGE LIQUOR
BURR OAK GOLF CLUB
9959 Pulaski Rd, Hanover 49241
9800 Wheeler Rd, Hanover 49241
7331 Pulaski Rd, Concord 49237
396 E Main St, Rives Junction 49277
6387 Lansing Ave, Jackson 49201
3491 N Parma Rd, Parma 49269
Address:
Address:
Address:
Address:
Address:
Address:
131477
14744
2798
17325
159716
7564
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)524-6164
(517)524-6298
(517)524-8906
(517)569-3915
(517)784-7482
(517)531-4741
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
368462951
383226398
382364139
382375848
203124154
383275872
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
STAR INSURANCE COMPANY (10/05/2016-Present)
WEST BEND MUTUAL INSURANCE COMPANY (05/13/2017-Present)
FOUNDERS INSURANCE COMPANY (04/04/2016-Present)
FOUNDERS INSURANCE COMPANY (03/05/2015-Present)
CONIFER INSURANCE COMPANY (07/01/2017-Present)
HARLEYSVILLE LAKE STATES INSURANCE COMPANY (11/05/2014-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 73595-2017SDD 73594-2017
SDM 6924-2017
CLASSC 4297-2017
SDM 6377-2017
SDM 17685-2017
SDD 138733-2017
SDM 138734-2017
CC RES 41237-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM)
DIR-CON - 1
SUNDAY SALES (PM), SUNDAY SALES (AM), SPECIFIC PURPOSE PERMIT(GOLF)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM), OD-SERV, ADDBAR, SPECIFIC PURPOSE PERMIT(GOLF)
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
NON-TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1531(3)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
SMITH, KATHLEEN S
TWIN PINES CAMPGROUND AND CANOE LIVERY, INCORPORATED
TODALISA CONCORD HILLS GOLF COURSE, INC.
F. W. HOSLER, INC.
HAILEY ENTERPRISES, INC.
BURR OAK GOLF CLUB, INC.
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 35 of 42
SPRING ARBOR TWP
SANDSTONE TWP
CROSSROADS CONVENIENCE STORE #2
R & R SANDSTONE PARTY STORE
DOLLAR GENERAL #12490
LAUGHLIN'S SLICE OF SPICE
NO BUSINESS NAME ON FILE WITH MLCC
NO BUSINESS NAME ON FILE WITH MLCC
NO BUSINESS NAME ON FILE WITH MLCC
2428 N Dearing Rd, Parma 49269
6710 W Michigan Ave, Jackson 49201
8031 Spring Arbor Rd, Spring Arbor 49283
VILLAGE CROSSING MALL, 7851 Spring Arbor Rd, Spring Arbor 49283
8006 Spring Arbor Rd, Spring Arbor 49283
8025 Spring Arbor Rd, Spring Arbor 49283
1426 Arbor Hills Rd, Jackson 49201
Address:
Address:
Address:
Address:
Address:
Address:
Address:
241157
148258
227715
223034
246947
16738
193692
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)962-2177
(517)750-2775
(517)962-4311
(517)750-3373
(517)333-1600
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
455303497
383661819
272086961
381966492
382220039
208569341
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
EMPLOYERS MUTUAL CASUALTY COMPANY (05/20/2016-Present)
NATIONAL SPECIALTY INSURANCE COMPANY (06/11/2017-07/28/2017)
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
PROPERTY-OWNERS INSURANCE COMPANY (11/22/2010-Present)
HUDSON SPECIALTY INSURANCE COMPANY (03/30/2017-Present)
MICHIGAN INSURANCE COMPANY (05/04/2013-Present)
SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA (03/05/2011-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDD 262535-2017
SDM 262536-2017
SDD 125034-2017SDM 125035-2017
SDM 215999-2017
CLASSC 196557-2017
SDM 196558-2017
SDM 273852-2017
SDM 15173-2017SDD 131592-2017
CLASSC 168396-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM), SUNDAY SALES (PM), GAS PUMPS
SUNDAY SALES (PM)
SUNDAY SALES (PM), OD-SERV, ENT
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM), OD-SERV, DANC-ENT, SPECIFIC PURPOSE PERMIT(FOOD,GOLF), ADDBAR
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1533(7)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
CROSSROADS NORTHWEST, INC.
R & R SANDSTONE PARTY STORE, INC.
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
JDLD, LLC
FOLK OIL COMPANY, INC.
HUTCH'S FOOD CENTER, INC.
DINING ONE, LLC
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 36 of 42SPRINGPORT VILLAGE
SUMMIT TWP
HOTEL TAVERN
SPRINGPORT TRADING POST
NO BUSINESS NAME ON FILE WITH MLCC
A & A II MARKET
BOB'S COUNTRY STORE
BONE ISLAND GRILLE
DOLLAR GENERAL #12375
119 E Main St, SPRINGPORT 49284
108 E Main St, Springport 49284
213 E Main St, Springport 49284
2422 Page Ave, Jackson 49203
R 1, 2103 Horton Rd, Jackson 49203
4614 Francis St, Jackson 49203
3330 Spring Arbor Rd, Jackson 49203
Address:
Address:
Address:
Address:
Address:
Address:
Address:
5496
241093
17815
144251
15098
157380
227687
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)857-2720
(517)857-3509
(517)857-2662
(517)783-4500
(517)789-6500
(517)783-2144
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
383358432
475405848
382490273
043711883
382184271
383553417
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CONIFER INSURANCE COMPANY (10/13/2016-Present)
CONIFER INSURANCE COMPANY (11/10/2016-Present)
SCOTTSDALE INSURANCE COMPANY (07/01/2017-Present)
AMCO INSURANCE COMPANY (11/01/2011-Present)
STAR INSURANCE COMPANY (08/01/2017-Present)
CONIFER INSURANCE COMPANY (08/18/2017-Present)
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 8402-2017
SDM 9050-2017
SDD 256845-2017
SDM 256846-2017
SDM 19784-2017
SDM 119461-2017
SDM 8370-2017
CLASSC 134355-2017
SDM 134356-2017
SDM 212566-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SPECIFIC PURPOSE PERMIT(FOOD), DANC-ENT
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), DANC-ENT, OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
SPRINGPORT HOTEL TAVERN, INC.
AGLG INC
C-STORES INC.
M & K-2, LLC
ATSE CORP.
F & K HOLDING CO., INC.
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 37 of 42SUMMIT TWP
DOLLAR GENERAL #13201
GENE DAVIS & SONS, INC.
GRANDE GOLF CLUB
HICKORY HILLS GOLF CLUB
JACKSON COMMUNITY COLLEGE CULINARY SCHOOL
KEY LARGO LOUNGE
KIBBY COBB MARKET
811 E McDevitt Ave, Jackson 49203
3575 Francis St, Jackson 49203
1293 Floyd Ave, Jackson 49203
2540 Par View Dr, Jackson 49201
2111 Emmons Rd, Jackson 49201
1896 Horton Rd, Jackson 49203
2628 Kibby Rd, Jackson 49203
Address:
Address:
Address:
Address:
Address:
Address:
Address:
229468
133948
140298
1724
228091
214607
244743
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)789-8878
(517)768-9494
(517)750-3636
(517)787-0800
(517)782-4143
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
381873519
383581975
383275869
381795703
262280439
813517588
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
ACE AMERICAN INSURANCE COMPANY (02/01/2013-Present)
PROPERTY-OWNERS INSURANCE COMPANY (03/06/2014-Present)
WEST BEND MUTUAL INSURANCE COMPANY (03/01/2011-Present)
HARLEYSVILLE LAKE STATES INSURANCE COMPANY (11/05/2014-Present)
CINCINNATI INSURANCE COMPANY (07/01/2014-Present)
CONIFER INSURANCE COMPANY (03/25/2017-Present)
ACUITY, A MUTUAL INSURANCE COMPANY (12/20/2016-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 219529-2017
CLASSC 101064-2017
CLASSC 113317-2017
SDM 113318-2017
CLASSC 2707-2017
CLASSC 217934-2017
CLASSC 180184-2017
SDM 180185-2017
SDD 270254-2017
SDM 270255-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), DANC-ENT
SUNDAY SALES (PM), SUNDAY SALES (AM), OD-SERV, DANC-ENT, SPECIFIC PURPOSE PERMIT(FOOD,GOLF), ADDBAR
SUNDAY SALES (PM), DANCE, SPECIFIC PURPOSE PERMIT(FOOD,GOLF), OD-SERV, ADDBAR
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (AM), SUNDAY SALES (PM), DIR-CON -
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
NON-TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL 436.1513(a)
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
DOLGENCORP, LLC (A KENTUCKY LIMITED LIABILITY COMPANY)
GENE DAVIS & SONS, INC.
GRANDE BANQUET, L.L.C.
HICKORY HILLS GOLF CLUB, INC.
JACKSON COMMUNITY COLLEGE
X-ADLER, INC.
BAWA ONE LLC
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 38 of 42SUMMIT TWP
KLAVON PIZZERIA & PUB
KNIGHT'S STEAKHOUSE & GRILL
KORNER KEG
LOS TRES AMIGOS
POLLY'S
PRIME CUTS
1361 E Mc Devitt Ave, Jackson 49203
2125 Horton Rd, Jackson 49203
2500 Page Ave, Jackson 49203
1923 W Michigan Ave, Jackson 49202
2119 Ferguson Rd, Jackson 49203
1821 Horton Rd, Jackson 49203
Address:
Address:
Address:
Address:
Address:
Address:
227720
136116
3915
211798
12166
223313
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)937-1848
(517)783-2777
(517)782-5797
(517)990-0727
(517)787-6096
(517)768-8090
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
453340192
383562566
383209272
010912865
061831461
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
STAR INSURANCE COMPANY (02/10/2017-Present)
STATE AUTOMOBILE MUTUAL INSURANCE COMPANY (02/20/2001-Present)
STAR INSURANCE COMPANY (11/22/2016-Present)
PHOENIX INSURANCE COMPANY, THE (04/01/2014-Present)
HAMILTON MUTUAL INSURANCE COMPANY (08/10/2011-Present)
CITIZENS INSURANCE COMPANY OF AMERICA (10/29/2013-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
CLASSC 237697-2017
SDM 237698-2017
CLASSC 79536-2017SDM 79537-2017
CLASSC 6016-2017
SDM 6910-2017
CLASSC 173406-2017
SDM 173407-2017
SDD 17525-2017
SDM 6589-2017
SDM 192191-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), OD-SERV, DANC-ENT
SUNDAY SALES (PM)
SUNDAY SALES (PM), OD-SERV, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM), ENT, SPECIFIC PURPOSE PERMIT(FOOD), OD-SERV
SUNDAY SALES (PM), SUNDAY SALES (AM), BEER & WINE SAMPLING
BEER & WINE SAMPLING
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
KLAVON ENTERPRISES II, LLC
KNIGHT'S RESTAURANT OF JACKSON, INC.
KORNER KEG, INC.
LOS TRES AMIGOS-WEST JACKSON, INC.
POLLY'S FOOD SERVICE, INC.
PRIME CUTS OF JACKSON, LLC
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 39 of 42SUMMIT TWP
RITE AID #1265
RITE-AID DISCOUNT PHARMACY #4539
SOUTH SIDE DELI
STEAKS EATERY
TAKE OUT PARTY STORE
THE COUNTRY CLUB OF JACKSON
2255 S Jackson Rd, Jackson 49201
1733 Spring Arbor Rd, Jackson 49203
2000 Brooklyn Rd, Jackson 49203
4243 Oaklane Rd, Jackson 49203
2206 Francis St, Jackson 49203
3135 Horton Rd, Jackson 49203
Address:
Address:
Address:
Address:
Address:
Address:
129575
13436
157129
167796
224663
153593
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(717)214-8545
(313)334-1300
(517)787-3531
(517)783-0898
(517)784-6833
(517)783-2661
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
380857390
380947300
522399650
381873519
273265208
380448725
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
ACE AMERICAN INSURANCE COMPANY (01/01/2006-Present)
ACE AMERICAN INSURANCE COMPANY (01/01/2006-Present)
HOME-OWNERS INSURANCE COMPANY (02/03/2010-Present)
PROPERTY-OWNERS INSURANCE COMPANY (03/06/2014-Present)
GENERAL CASUALTY COMPANY OF WISCONSIN (02/14/2017-Present)
GRANITE STATE INSURANCE COMPANY (11/03/2004-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 72194-2017
SDM 1474-2017
SDD 133725-2017
SDM 133726-2017
CLASSC 151629-2017
SDD 198574-2017
SDM 198575-2017
CLASSC 132110-2017
SDM 132111-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM)
SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM)
SUNDAY SALES (PM), SUNDAY SALES (AM)
SUNDAY SALES (PM), SUNDAY SALES (AM), SPECIFIC PURPOSE PERMIT(FOOD,GOLF), OD-SERV, DANC-ENT, ADDBAR
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
RITE AID OF MICHIGAN, INC.
PERRY DRUG STORES, INC.
NB & EB, INC.
GENE DAVIS & SONS, INC.
MEET, INC.
THE COUNTRY CLUB OF JACKSON
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name
Contact Name
Purpose(s)
Purpose(s)
Phone Nbr
Phone Nbr
Fax Nbr
Fax Nbr
Address
Address
BROWN, MICHAEL J
BROWN, MICHAEL J
(517)321-4616
(517)321-4616
(517)321-4642
(517)321-4642
Carlin Edwards Brown PLLC 6017 W St Joe Hwy Ste 202 Lansing, MI 48917
Carlin Edwards Brown PLLC 6017 W St Joe Hwy Ste 202 Lansing, MI 48917
ESCROW LICENSESLICENSE APPLICATIONSVIOLATION MATTERS
ESCROW LICENSESLICENSE APPLICATIONSVIOLATION MATTERS
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 40 of 42
TOMPKINS TWP
SUMMIT TWP
VANDERCOOK CONVENIENCE STORE
VANDERCOOK SHELL #1900
NO BUSINESS NAME ON FILE WITH MLCC
NO BUSINESS NAME ON FILE WITH MLCC
NO BUSINESS NAME ON FILE WITH MLCC
NORTHWEST MEAT MARKET
401 Hague Ave, Jackson 49203
1302 E McDevitt Ave, Jackson 49203
201 Park Ave, Vandercook Lake 49203
1712 Spring Arbor Rd, Jackson 49203
1821 Spring Arbor Rd, Jackson 49203
R 4, 7051 Standish Rd, Jackson 49201
Address:
Address:
Address:
Address:
Address:
Address:
235154
14890
9340
793
10131
10417
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)536-4960
(269)781-4654
(517)783-4226
(517)784-3602
(517)787-5228
(517)787-5005
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
464552692
382418573
381519248
382492546
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
CONIFER INSURANCE COMPANY (04/16/2017-Present)
FEDERATED MUTUAL INSURANCE COMPANY (05/24/2017-Present)
HAMILTON MUTUAL INSURANCE COMPANY (08/10/2011-Present)
FOUNDERS INSURANCE COMPANY (08/06/2008-Present)
HAMILTON MUTUAL INSURANCE COMPANY (08/10/2011-Present)
STAR INSURANCE COMPANY (05/01/2017-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDM 236233-2017
SDM 7512-2017
SDD 10602-2017
SDM 694-2017
CLASSC 1246-2017
SDM 102280-2017
SDM 9350-2017SDD 12580-2017
SDD 13367-2017SDM 9625-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (AM), DIR-CON - 1
SUNDAY SALES (AM), GAS PUMPS
SUNDAY SALES (PM), SUNDAY SALES (AM), BEER & WINE SAMPLING
SUNDAY SALES (PM), DANCE, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM), BEER & WINE SAMPLING
SUNDAY SALES (PM)
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLETRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
JHA, INDRA N
WALTERS-DIMMICK PETROLEUM, INC.
POLLY'S FOOD SERVICE, INC.
WEST POINT INN COMPANY
POLLY'S FOOD SERVICE, INC.
MILLIGAN, JACK R
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)
Contact Name Purpose(s) Phone Nbr Fax Nbr Address
DIMMICK, JOHN M (269)244-8607 57276 SODAMAN RD MARCELLUS, MI 49067LICENSE APPLICATIONS
July 02, 2017 07:08 PM
ACTIVE LICENSEE LISTING FOR COUNTY OF JACKSONMichigan Department Of Licensing And Regulatory Affairs
Page 41 of 42
WATERLOO TWP
TOMPKINS TWP
ZIMMERMAN'S TRADING POST
COLUMBO'S PARTY STORE
MUGG&BOPPS
MUNITH CAFE, INC.
SANDHU ENTERPRISES
VAL'S COUNTRY CORNERS
WATERLOO GOLF COURSE
R1, 8131 Woodard Rd, Rives Junction 49277
13100 Territorial Rd, Ste A, Stockbridge 49285
329 N Main St, Munith 49259
9004 Plum Orchard Rd, M106, Munith 49259
8275 Clear Lake Rd, Grass Lake 49240
R 2, 12226 Seymour Rd, Grass Lake 49240
11800 Trist Rd, Grass Lake 49240
Address:
Address:
Address:
Address:
Address:
Address:
Address:
225978
133861
245196
231993
220363
143629
6781
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
Bus.Nbr:
(517)569-3648
(517)851-0044
(517)596-2727
(517)596-3100
(734)475-7067
(517)522-8980
(517)522-8527
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
Bus.Ph:
383821340
383539016
461949251
611603586
264197913
300386268
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
Tax ID:
STAR INSURANCE COMPANY (04/01/2017-Present)
STAR INSURANCE COMPANY (07/25/2017-Present)
ACE AMERICAN INSURANCE COMPANY (11/10/2016-07/07/2017)
GENERAL CASUALTY COMPANY OF WISCONSIN (10/23/2014-Present)
UNITED STATES LIABILITY INSURANCE COMPANY (10/29/2016-Present)
FREMONT INSURANCE COMPANY (02/21/2012-Present)
FRANKENMUTH MUTUAL INSURANCE COMPANY (01/02/2008-Present)
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
Insurer:
SDD 243093-2017
SDM 243094-2017
SDM 77716-2017
SDM 269415-2017SDD 272299-2017
CLASSC 227044-2017
SDM 227045-2017
SDD 185737-2017
SDM 185738-2017
SDD 116833-2017
SDM 116834-2017
TAVERN 334-2017
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
License (Type-Nbr-Yr)
SUNDAY SALES (PM), SUNDAY SALES (AM), GAS PUMPS
GAS PUMPS
SUNDAY SALES (AM), SUNDAY SALES (PM), BEER & WINE SAMPLING, GAS PUMPS
SUNDAY SALES (PM), ENT, SPECIFIC PURPOSE PERMIT(FOOD)
SUNDAY SALES (PM), SUNDAY SALES (AM), LIV-Q
SUNDAY SALES (AM), SUNDAY SALES (PM)
LIV-Q, OD-SERV, SPECIFIC PURPOSE PERMIT(GOLF)
Permits
Permits
Permits
Permits
Permits
Permits
Permits
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLETRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
TRANSFERABLE
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
Transfer Status
SDD 2 MILE WAIVER
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
MCL Act
ZIMMERMAN'S TRADING POST LLC
COLUMBO'S PARTY STORE, L.L.C.
CD OKEMOS 10 LLC
MUNITH CAFE, INC.
SANDHU ENTERPRISES, INC.
VAL'S COUNTRY CORNERS, L.L.C.
HAGLUND, KEITH V
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
Licensees
(CONTINUED)