ORD NO 30-2026 CITY OF VAN BUREN,ARKANSAS
ORDINANCE NO. SO -2026
BE IT ENACTED BY THE CITY COUNCIL, FOR THE CITY OF VAN BUREN,
ARKANSAS, AN ORDINANCE TO BE ENTITLED:
AN ORDINANCE AUTHORIZING PEYTON BULLINGTON TO
FILE AN APPLICATION FOR A PRIVATE CLUB PERMIT,
PURSUANT TO A.C.A. 3-9-222 WITH THE ALCOHOLIC
BEVERAGE CONTROL DIVISION, AND FOR OTHER
PURPOSES.
WHEREAS, Peyton Bullington has presented to the City of Van Buren, Arkansas, for
consideration of an application for a Private Club Permit for a business to be known
as"Crawford Capital,LLC"to dba"El Olvido Mexican Restaurant" and located at
2414 Alma Highway, Van Buren, Arkansas; and
WHEREAS, the City Council of the City of Van Buren, Arkansas, believes it is in the best
interest of the citizens of the City of Van Buren, Arkansas to authorize Peyton
Bullington to proceed with such petition before the Alcoholic Beverage Control
Division.
NOW,THEREFORE,BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY
OF VAN BUREN, ARKANSAS, THAT:
SECTION 1: The application submitted by Peyton Bullington for his Private Club Permit is
hereby approved to be submitted to the Alcoholic Beverage Control Division.
IN WITNESS WHEREOF, the City of Van.Buren, Arkansas, by its City Council, did
pass, approve, and adopt, by a vote of 4_ for and 0 against, the foregoing Ordinance at its
regular meeting held on the 28th day of September 2026.
co k T re
�~
c�
City of Van Buren Jose h P. Hurst
ayor
ATT D: vrdCounty, a� APPROVED AS FORM:
ShawnnaRey#01W Jacob Howell
City Clerk/Treasurer City Attorney
El Olvido Mexican Restaurant
2414 Alma Hwy Van Buren AR
elolvidoinc@gmail.com
09/09/2026
Mayor Jopeph Hurst
1003 Broadway,Van Buren AR 72956
My name is Peyton Buffington,and I was born and raised in Fort Smith and currently reside in Van Buren.I am an
owner of Top Notch Roofing LLC,as well as an owner of El Olvido Mexican Restaurant,located at 2414 Alma
Highway,Van Buren,Arkansas.
£am writing to respectfully request your approval to pursue a Private Club License for El Olvido Mexican Restaurant.
Our goal;13 to proviU1e the van uurcii comnniunity`vtiit£i a wcIconung,ianiiiy-friendly restauraliI vvhcrc,custoniirs ca%i
enjoy a full menu of authentic Mexican food,specialty dishes,and beverages in a comfortable dining environment,
The restaurant will operate seven days a week from 11:00 aan.to 9:00 pan.In addition to our food menrr,we plan
to offer alcoholic beverages to our customers for consumption on the premises in accordance with all applicable state
and local laws and regulations.Alcoholic beverages will be served only inside the restaurant.We will not have an
outdoor patio or outdoor area for the service nr consumption of aicohoi.
We are committed to operating El Olvido Mexican Restaurant responsibly and professionally and to maintaining a safe,
clean,and enjoyable environment for our customers and the surrounding community.We will ensure that our
employees follow all applicable requirements regarding the responsible sale and service of alcoholic beverages.
We believe El Olvidoo Mexican Restaurant will be a positive addition to the Van Buren community,providing residents
and visitors with another iocai dining option whiie contributing to the£ocai economy.
I respectfully ask for your consideration and approval of our request to pursue a Private Club License.Thank you for
your time and consideration.We look forward to serving the Van Buren community and becoming a valued local
business.
Sincerely,
Peyton Buffington
OVA- V(:()F101 F(.'ii��"l�lRA(;V CfltN'CR01 4
R lfli E Ca,itcrl rlvc",`+uite40i
t:ttts of 1rF .;Insac [.,title hock,AR 72201
Department of Finance
�` t'hcttie; (S ff 1)682-l !f35
And Administration fast: (501) 82-2221
fwvr.tifa,arkrir�ess.gcrw/alcc�hr�lic Five"rake-c-ontr06
Private Club Application
f`OC t a wet or dt-, count\ designation based off the county the
business is located.)
❑ Wet County ($1,500.00)
❑ Dry County ($3,000.00)
Instructions
1. The Private Club Permit authorizes the purchase of controlled beverages from persons holding an off-premises retail
liquor,and the dispensing of such beverages for consumption on the premises of the private club.
2. F lly complete this Application. Incomplete Applications will not be processed.The Application must be notarized by
a notary public, and all required documentation must be complete and attached to the Application unless otherwise
noted.
3. Applicant or named managing agent roust be a citizen of the United States, or a permanent resident alien. !k a
permanent resident,applicant must provide a copy of his/her C..rreen('ard. .Applicant must also be an Arkansas residcrit
and reside in the county in which the physical business is located or live. within 35 miles of the business unless
otherwise noted by Arkansas statutes or ABC Rule.
4. Applicant must visit ARKANSAS LIVESCAN (arkansaslivescan.com) and conduct a criminal background investigation
prior to submitting the application.Applications CANNOT be processed until the background is received by our office.
5. If Applicant is purchasing an existing private club with existing alcohol permits under a non-profit organization, the
Private Club Board of Directors must provide a written request for any changes to be made to the permit by
submitting a Replacement Notice which gives written permission authorizing the new management to operate under
the previous management permit until the new applicant/manager can obtain a permit.
6. If application is for a NEW private club, the applicant must submit an ordinance from the governing body of the
county or municipality in which the private club is or will be located pursuant to Ark.Code Ann.§3-9-222 t�show the
approval of the application by the corporation,partnership, individual,or limited liability company from the body or
municipality,
7. Application must also include each person who (1) holds more than S% of the stock of the corporation or (2) is a
member of the LLC/LLP(these individuals do not have to be Arkansas Residents)see pages 8 and 9 of this application
to provide this information.Additionally,please submit the following information:
a. A FILE-MARKED copy of the Articles of Incorporation/Articles of Organization(All pages)must be submitted.
b. If trade name is different from legal name a FILE-MARKED copy of Fictitious Name Registration (All Pages)
must also be submitted.
c. The Business Federal Employee Identification Number(EIN)can be disclosed for all corporations/LLCs.
4
8. Applicant must provide at minimum three(3)different photos of the business location.These photos should show the
front,side and back view of the exterior of the building.
a. Please attach physical copies of the photos to this application upon submission.
l
A>i C-P(,"ttl„.- 026)
9. This Application must include a floorrilan(can be hand drawn of computer generated and should be 8;6 x 11 inches),
The floor Plan must show the full boundaries of the business, including any outdoor patio of Porch that will bt"used
for customers. The plant,must be fully labeled,indicating customer areas,dining areas(if applicable),employee areas,
bathrooms, kitchens(if applicable), alcohol sales areas, alcohol storage areas,cash registers/check-out stands t s and all
. d
entrance/exit doors. floor plans MUST be legible and easily show the full scope of the business's premises_
10 i'ar On-Premises permits a full and detailed list of activities at the business must be provided (caWrestaurantfloOd
service, Pool hall, dancing, live bands, dancers, etc.)! Using the space provided below please list of all the On"'te
activities your business will offer, if more space is needed, you may attach a separate sheet of Paper. Please be
advised that under 3 CAR § 1.304 any permit issued by ABC is only valid for the uses described in the original
application. Any material changes in the outlet's operations or entertainment other than originally listed, without
Prior approval of the ABC director,shall be grounds for revocation of the permit or other administrative Penalties,
11, The business shall own or lease,be the holder of a buy-sell agreement or offer and acceptance,or have an option to
lease a building,prop",or space for the reasonable comfort and accommodation of its members and the families
and guests of its members.A copy of the lease,deed or agreement must be submitted with this application.
12, In addition to this application your business must also apply for and receive a retailer's/sales tax permit from the
Arkansas Sales and Use Tax section. You will be required to provide our office with a copy of your Sales and '.,'se Tax
certificate (preferably submitted with this application) and your account with Sales and Use Tax MUST be in good
standing.For any questions regarding this process please contact Sales and Use Tax at 501-682-7104.
11 At time of submission of this application the applicant must also provide payment of the 53,000,00(dry counties) or
$1,500.00(wet counties) application fee with either a check or certified funds (money order or cashier's check). WE
DO NOT ACCEPT CASH!
a. Submit half of the amount listed above when making application after December 1,t and before May I,z.
b. All private club's annual renewal fees are$1,500.00.
c. NOTE: To the extent an applicant needs any other Alcohol Permit(s) for their business, those applications
must be submitted independently of this permit application.
Definitions
• Applicant.Means the person(sole prop rieto r/si ngle owner)or business entity applying for an alcohol permit.
• Manager. The person named by the Applicant or Private Club Board who agrees to live within 35 miles of the physical I
location of the business and be responsible for the ABC permits at the business.This person will be considered the manager
of the permit and will have the legal authority to sign and accept and submit legal documents as pertaining to these permits
or the Private Club behalf.
• on-premises consumption. Means the sale of alcoholic beverages by the drink or in broken or unsealed containers for
consumption on the premises where sold or within the boundaries of a designated entertainment district under ACA§14-54-
2523 that is contiguous with the premises.
• Private Club. Means a nonprofit corporation, sole-proprietorship, corporation, partnership, or limited liability company
organized and existing or authorized to do business under the laws of this state.
a Restaurant.Means any public or private place that is primarily engaged in the business of serving a meal for consumption on
the premises to a guest and has a suitable kitchen facility to serve the entire menu approved by the Alcoholic Beverage
Control Division, The menu shall contain a selection of food and shall not be limited to sandwiches or salads. The kitchen
shall:have adequate refrigeration to preserve the food on the menu,be kept in a sanity condition,and comply with the rules
of the Department of Health. Food from the menu shall be available from opening time until two (2) hours before closing i
2
Meal,Means the usuai assortment of food commonly ordered at various hours of the day. f
1. Do you,Applicant,,understand and agree to follow, stay current on,and comply will"ail local, i YES NO
F federal,and state laws,pertaining to Alcoholic Beverages.{ fi
F
S
A full fist of rules®ulations can be found an the ABC website:
https:/Iwww.dfa,arkansas.gov/office/alcohol-beverage-control/ !
2, Do you,Applicant,understand that it is illegal in the State of Arkansas to give, barter or sell to
Y pp g YES[ NO
l anyone under the age of twenty-one(21)alcohol in any form?
3. Has Applicant or any person who owns or operates the business been denied a permit,
license, or other authorization to engage in any business by any government agency(federal, .
state, local or foreign)or had such permit, license or other authorization revoked,suspended YES NO I
or otherwise terminated?
Y yes,please attach to this application the details of each occurrence.
i
4. Has Applicant or any person who owns, operates, or manages the business ever been j
convicted of or found in violation of any Arkansas alcohol statute,rule,or regulation?
l ❑YES NO
if yes,please attach to this application the details of each occurrence.
7 i
Are you,Applicant,purchasing an existing ABC permitted retail location? 1
YES NO
if yes,please provide a Replacement Notice form(obtained from ABC) which authorizes you to
operate using the current ABC permits while your application is processing.
I I
b. Does Applicant verify and agree that it will not operate out of a residential address and that it
will be in compliance with all applicable local, state & federal ordinances, including but not YES❑NO
limited to zoning,building,&health ordinances? _
T Do you,Applicant, understand and agree to provide written notice to the Arkansas Alcoholic
Beverage Control Director when the business changes physical locations?
I AZYES NO
An ABC permit holder must receive ABC approval prior to making any sales at a new,location by
❑
submitting a Transfer of location Application provided by the ABC office.
a. Do you Applicant, understand that if your business is a private club the business MUST exist
for some other reason than the consumption of alcoholic beverages. [) ESQ NO
Please be detailed and specific in your list of activities at the business as outlined an the
Instruction page of this application and in 3 CAR§2-304 of ABC rule. If you are in doubt about
_ - whether to list and item,you are urged to include it.Please attach a separate sheet of paper to
z
ABC-K(02-2026)
-. w.._.. __._ kati,ai*N the cerovfdad Is not drJequate to list all activities j
E
Oo you, Applicant, understand and agree to submit a change of manager notice to the ABC
I;
i Board within thirty(30)days of a change in(i)the managing partner,limited liability company YES ]NO
managing member, or president or chief executive officer of a corporation, partnership, or
r
limited liability company;or(ii)the stockholders affecting more than five percent(5%)of the I
)
1
totai voting shares of a non-publicly traded corporation?
10, DO you. Applicant, understand and agree to maintain a copy of the signed server awareness01
t s
forms for each employee who engages in the sale of any alcohol products, which you must YES[ NO
provide immediately upon demand by ABC and its authorized Agents? I
11. DO you,Applicant, understand and agree to display in a conspicuous place a sign indicating �
that the sale,purchase or possession of alcoholic products by a minor is prohibited by law? YES n NO I
12, Do You, Applicant, understand and agree to display in a conspicuous place a sign indicating
that the consumption of alcoholic products while pregnant is harmful to the health of an
YES L'j NO
unborn child?
i 13, Does Applicant understand an ABC permit cannot be issued until the Arkansas Sales Tax office
deems the business to have a clear account? YES NO
• if your account is not clear, you must satisfy any debt or clear your account before ABC can
approve your permit. Please attach a copy of sales and use tax certificate to this application.
Should you have any questions please contact Sales Tax Compliance at 501-683-5560.
i
14. Do you,Applicant, understand if you are a new location or are changing/amending previous
permit types at the location you will be required to post a public notice poster in a YES❑NO
conspicuous location at the business (typically on or above the main entry doors) for a
minimum of 30 days, to notify the public of Alcohol Sales and provide the public the
opportunity to dispute the opening of your business?
• The poster will be given to you along with formal posting instructions at the time the application
is submitted to the ABC office. 1)
15, Do you,Applicant,understand if you are a new location or are changing/amending previous
permit types at the location the business must also advertise to the public that a license is i
being requested and provide our office with proof of publication?Publication runs either 2 or &YES NO
4 times depending on the permit type. A verification of posting must be submitted and shall
be posted for no less than 30 days.
i
Posting Instructions will be provided to you of the time the application is submitted to the ABC 1
..w._. affice.�._._.
16. Do you,Applicant,understand that under NO CIRCUMSTANCES should any alcoholic products
gi
ven iven away for free? " 0 YES n NO
i ,
A.BC"-i''C'(02-2fl26)
i
17 Cto'+rotl, Applicant„ understand that as part of this application process you MUST attend an }
t`ducationai Sttin"nar class hosted by ABC Administration?
£S NO
+ Please check the ABC website for dotes of upcoming seminar classes and locations.
i
https:IJwww Oto.orkansas.govfofficejafcohol•beverage•control/
4
i
dk8, Do you,Applicant,understand that as part of this application process you MUST successfully
ccitnplele and pass an inspection by an ABC agent to ensure that all requirements are met,allNO
j
codes and ordinances are being followed,and the facility is truly ready to operate and serve ,YES
Alcoholic Beverage Products?
i
• This inspection will be scheduled by you at a time that is convenient for both parties, PLEASE
ENSURE your business is truly ready for an inspection. Any issues or deficiencies found at the
Inspection will delay your permit approval time and require further inspections to show
{ corrective actions have been taken to come into compliance.
> 19, Do you,Applicant,understand that ABC applications will not be finalized until they are
1
approved by the ABC Board? rt YES Q NO
• The ABC board only meets one time each month.it is your responsibility to ensure your
application packet is completely and accurately filled out so that it may be submitted to the
board for approval.
20, Do you, Applicant, understand that there is no set timeframe for our office to process and
issue you an ABC permit? The timing is completely dependent on the completeness and
{ accuracy of your application packet as well as the time it takes to clear your accounts with
other state agencies, receive your completed background checks, perform your final Uj YES❑NO
inspections,and get approval from the ABC board.Our office will typically have permits ready
for pick up within 60 days of submission,however this timeframe cannot be guaranteed.
Permits cleared for release will be available for pick up or will be mailed on the day following the
board meeting in which your application was approved. Permits CANNOT be printed early or
until fully approved.
i
21. Do you,applicant,agree to and understand that if you are a Non-Profit you must have,at time
of application and continually maintain, a list of members for the private club? This list of YES❑NO
members must be available at the business location,
Application continues next page!
Business Inform ion
Permit t et type:$3,000.00 Private club(Dry County),$L1,500.00 Private Club(N%et County)No C riSN
E,c,get 14"incss'C ompany dame:
l ristrrc`+;4 1 csr�*rcrtzc ri ;Sole N"Opr-ietotship{Single Owner) i,1L.I.[:'0 INt;.D Partnership 11 Corporation tj Other
11 t`� patio zi;.Plib r�li`traded?i::Yes i, , o C Corp. ; ., � , G�, 11 other Type . _.... .
yamp°cf"l itless 'f dliHcrcltt from Legal Name:
4 ccitiirus name iir'Ming{cosiness As"(DIIA)mine tni&9ne Sectctary of State',�0(riice►
*ale{Tax Nunibet `
1`IIN:(if applicable) . � .� ....__ ------
Plivsieal 13usttii~ S; I l A.ddres,4:� 1 Gt/,,Y Suiteilait :
iMuSt tv nu enc addr"s plus:strcet name(exaniple. 152 Sniith St)f ANNOT be a P.O,Bmi or kiaation descriptiwi i
City { C'aun /� p Zip Code q 5
p '�! .�..��.�._..��__ _ ..(applicant mast verify and disclose the legal towtuthip where the tnrsines.4 is located)
RusmcSs Mailing Address(if different): .k,ME' Suite.1{nit 4:
(fihi*;is the address where you want to receive any and all mail eckmmunicistion ticmi ABC:CAN include P. Box)
i
City-
County. Zip Cade.
Is the business;inside city limits?*YES ONO Is die beer to be sold in connection with another business?OYES XlNO
if Ycs,please list name and type of business:
Store Phone Number: . ) - Secondary line if applicable:( )If as another business,to your knowledge,held a beer or any other,ABC permit at this location?OYES ONO
Previous ABC Pemiit(s)(if applicable): ,
Busyness Finail. 1,� • Co t"r1
,"lute.Alcoholic Beverage Contr ul prnnarity e-mail to communicate with permit holders,. Please provide the most up-to-date
entail,for)•ciur.httsiness Char is reviewed fretluentlr..1/ynur email address changes for any reason,please note its immediately.
Fcility inirrnicitioir; I own the property OI xcni this property bother
(A copy of lease or option to purchase must be attached if applicable.)
11•renClease,Landlord narne: r L L C Phone Number:
Contact Address: r .0 601
� a
Does the business serve food(restaurant,cafe,etc.):OYES ONO IF YES PLEASE ATTACH A COPY OF YOUR MENU,
If yes,der yott have an Arkansas Health Department certificate for on-site fixed preparation and sales:VYES ONO
If yes,picaw list your Health Department Certification Number:PenjiMrA
(Please mote the Health Department certificate must be presented to the agent during final inspection for verification)
COUNTIES
For businesses in a W7-7 county the following pennits can he added to a Private;Club Permit. Each pennit has its own fee
amount that must be paid in addition to dice,price:for the Private;Club Petmtt Fee.These permits will allow the business to
purchase beer or wine from a distributor which is otherwise prohibited with the private club perniil.
fi
n 1;opon f6 and l Rcutil Beer a any subsequent Wine options;that best fits your business ecd,
,ton jLesti! (div,c-S; (Vtions rare cot husinesscs not classified as a restaurant.)
()tj pTeillisj c, !N'jtjc(allt)w,,z tat,prcjjjjses colls,1111ption'A,'ithoul food)S500.00
R(,md Bect OIt rielimses(allow",()"&off premises colistimption without food)$10-00
RCIA.1urant Options(only allows on premises consumption)
Cafe i Restaurant i Wine(allows on ptcin),ses colisuluption with fix)e,'1$300-00
Combo Beer&Wine(allows on pienifses consumption with footed)S350.00
Total Pa-*meat:$ (Please ensure}gnu have totaled all applicable permilfees for each permit you are requesting
(Lample. $15W00 SSOCH)o+SM(M)—$2,350,17
Type of Application(Please choose one):
Nm Busiacss(an existing business holding an ABC permit is NOT involved.)
Replacement Application(An existing business holding an ABC permit IS involved,)
"Must subinit i-eplacemem Notice.
Application continues next page!
Ente rta itprien t/Activity hiformation. 7
FOR ON-PREMSIS CONSUPTION PERMITS ONLY-Using the space provided picasc list all acti\ities and"'or forms
of entcrtainment thal will be ollered at the business;is outlined in 3 CAR§ 1-304. (please attach a separate sheet ofpaper if
needed)
7
ABC-11C(02-2026)
i Il 'tC_�.... ._ � .r� !
~�
., a .5� w 01_. _ '. . ti .. ? _ _ ._uc�l.cahntG_ be tom?cS_
on
�+^ �!.\.��e..5. CC)10SU r"! ........,.V�.._._._.... r\�tV+'.'....: s.....,...,, ...tM�7E.1.I'/.i l ...aw:......,... LR.i/.R.r..........PAML„L... _..1- ..,... ._.
bG ckrA� a r Pa yo t OLAJOoY_ _atcohol .trt! icf
I
4
If the business is a lance Hall/Club with on premises patron dancing, please provide the size of
the dance floor: x
*Please note that performance dancing or entertainer dancing leas specie requirements that must be followed as outlined
in 3 CAR§3-401
Primary i Information
Tw-ntr/President/CEO Demogrophic Info mation: NOTE: lnlornration must be lnr°the legal head of the camkan,..
Ow O Name: -,11 ljIMV-1-
Date of Birth: I ! ; l
.
Home.Aciri,ess: /j ( UUSt Suitexilittt:
R
ABC-I'(:(02-202fi
Abst tve a numirric idtimss plan street flone `t'� I I It h criPt""111
,I Uj tf^ LA',u) /1p Code
Frnml I(JI �0#I Phone Nufnbcf
_1 Alien Registration No.:D-1ver's License'll)Numbio, Ills.53:115tatc of Issuance:
% Gender,
Percentage of Ownership in business:
Do You live vvithin 3.5 miles ear the business or within the same co"?OYES ONO
Nf no 3iou*#4411 reed to declare a manager who does live within 35 miles of the location to be the primary contact PC;,on1permimefor
the hu'Oness
MALtAaer/PriinarY Contact,Infortitation
MiU_*_Vr_!_PrirdarYC0UtAC(Wermation: Must live,within 35 miles 01 business.
Name: Date of Birth: 0 0 Gender:
V\
Horne Address;
Suite/Unit
(Must be a numeric address plus street name-,CANNOT be a P.0,Box or location description)
City:_UM &rM County: Zip Code:_`1 a9 5 10
-e Phone Numbcr: d—71_')4 5 2- 9141
E-mail Address: PALMLU_�'4qrnaj CaPI
A D
Driver's I icense/111 Number: State of Issuance: Alien Registration No.
Ll 12
SSN: How many miles from the location does the person live?
Does the manager understand that they might be called at any time day or night to appear onsite at the business to respond
to activities or provide information needed by ABC in process of an inspection or investigation?*ES ONO
Does the manager understand and agree that they will be held responsible for all employees in the establishment and can
face prosecution under the flill extent of the law for any violations of Arkansas Alcoholic Beverage Laws, Rules,or
Statutes?*IES ONO
Does the Manager understand that in the absence of the owner of the business they will he considered the primary
responsible party and will be expected to present all documents,invoices,sales transactions,or any other material deemed
necessan,in the course of an Inspection or Investigation at the establishment?AYES ONO
—11�ignaturc of Manager
gn'ture 60"w1_1V'1
i r I
MIND
Uve the following pagesIvections to
9
ABG-11'C(02-2026 j
(1)fixt 01gi1-Other Persfin(s) t.0""Vi w
dered oners, (Example- Wife/flusband,Brother/Sister, Son/Daughter, etc.)
'
oft
(2)(0 list aitr other huviness Partners, LLC memberv, company offircem,wodholderv, etc.
MINSC n0h,II'm also#'o'roftjtnvnded that the px-rsv"(S)are also hvied on you)-salev and uw tat pen",,
USE ADVITIMAL PAGES AS NEC ESISARY
WriccrTat-tricrAtockholder Ift(ov"Isdow ff difjurenlfroni
Date of Birth:
I loinc A,1dress: Suite/Unit
(Must be a numeric address plus street name;CANNOT be a P 0.13ox or location description)
Sim county: , _ba 41 a 13 Zip C(Ae.r
F-mail Address: Phone Number:
I am a-A,US Citizen Permanent Resident Alien Percentage of O-Amership in business:
Drivet'sLicense/lDNumber. �-j2a7qCQ_ State of Issuance:-.A.9N
SSN. q3 2-- it:' C4 t (o or Alien RegistrationAireen Card No.:
Have you ever pled guilty,pled no contest,or been convicted of a Felony? DYES ENO
Have you been convicted or any violation of any laws related to alcoholic beverages within the last 5 years?DYES ICNO
Have you ever previously or currently been involved or held stock in a ABC permitted location?DYES 14NO
Officer/Partner Information:
Name: Date of Birth:
Home,Address- SuitcXnit#:
(,Must be a numeric address plus street name.CANNOT be a P.O.Box or location description)
City:— County: Zip Code:
E-mail Address: Phone Number:(_) -
lama.- _US Citizen—Permanent Resident Alien Percentage of Ownership in business:
Driver's License/lD Number: State of Issuance:
SSN: or Alien Registration/Green Card No-:
Have you ever pled guilty,pled no contest,or been convicted of a Felony? DYES F.1NO
Have you been convicted or any violation of any laws related to alcoholic beverages within the last 5 years? DYES DIM
f dve you ever previously or currently been involved or hold stock in a ABC permitted location?DYES ONO
Important Information
10
Please note that this application ?ail?ST be completed in its entirety. Any application that is submitted that is
incomplete will nrlt be acceptod and will be returned to the applicant, Please review the application to ensure
that you have pTovsided;all required information and documentation for application submission,
By acctxptArIg it perrttit fiicyrta Arkansas Alcoholic Beverage Control, die permit holder is agreeing that they, and
their business, \Vill fk)llow all lawfitil requirements and furthermore acknowledge that they understand that.
Alcoholic Beverage Control Agents, or any ether official Law F.nforcement Agency will periodically conduct
irr;p� t,q,t, <'jaad Compliance checks to ensure compliance with the law,
By dating and signing below, l ccxtity and attest that 1 am an owner or duly authorized agent, partner, officer, or
applicant and hereby declare and sign under penalty of law that the information provided on this application tall
pages. l through 10) is true and correct to the best of my knowledge and belief. The undersigned applicant also
agrees to faithfully comply with all local, state, and federal laws including, but not limited to, all rules
'promulgated pursuant thereto, and all lawful orders of the Alcoholic Beverage Control Board. Applicant
understands and agrees that any intentional false or misleading information, of any nature or relative to any
item,NVill be sufficient;grounds for nial orsubsequent revo Lion of the permit for which he/she is applying.
Date: gnature of//O%k rter or Authorized Representative—(Please sign in notary's presence)
7
Printed Name of Owier or Authorized Representative
Business Title of Owner or Authorized Representative
Subscribed and sworn to before rite,a Notary Public,by ' LG-1 to me well known or
identified to me by government issued photo identification,on this day of ,20
My Commission Expires: 10-4-4-A� Name:
r�
P'leaxe place Alotary Stamp in bo.r For office use only:Date Received
fir.....,.w,,., ,sENr)A ActriLaR
r, Pub ..Arkansas t
se a5tian county
5i Qn Expires 02-22.2033
v 12723028
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8210 Highway 271 S Phone
Fort Smith, AR 72908 AA2291INhk (479) 222-6302
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SINCE 2012
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MEXICAN RESTAURANT
VAN BUREN OZARK
2414 Alma Hwy 205 South 3rd
Van Buren, AR 72956 Ozark, AR 72949
479-XXX-XXXX 479-779-3302
4
BUSINESS HOURS
Sun - Thur i 1 AM - 9 PM
Fri - Sat i i AM - i o PM
IDS MENU DESSERT
KIDS EAT FREE WEDNESDAY FLAN - TRADITIONAL MEXICO CITY STYLE CREMA
SERVED TO CHILDREN UNDER 12 CARAMEL BAKED FRESH DAItY- 6 9
ADULTS EXTRA VANILLA ICE CREAM - 2.99
ADD CHEESE SAUCE FOR EXTRA SOPAPILLA - FRIED FLOUR TORTILLA WITH HONEY,
BUTTER, CINNAMON, AND A SCOOP OF VANILLA IC`
ONE QUESADILLA, RICE AND BEANS - - CREAM. '-, ?
ONE TACO, RICE, AND BEANS - CHOCOLATE STRAWBERRY NACHOS - FRIED FLOUR
ENCHILADA, RICE AND BEANS TORTILLA WITH HONEY, BUTTER AND CINNAMON.
BURRITO, RICE AND BEANS - m'` TOPPED WITH STRAWBERRY PUREE, CHO COLA TF
HAMBURGER OR CHEESEBURGER AND FRIES - SYRUP, F, WHIPPED CREAM. 6,99
CHURROS - MEXICAN FRIED PASTY ROLLED IN
JUANITO SPECIAL - GRILLED CHICKEN$RICE CINNAMON$ SUGAR. :799
TOPPED WITH CHEESE SAUCEi9 CHEESECAKE CHIMICHANGA RICH SMOOTH
PIZZA AND FRENCH FRIES -
CHICKEN TENDERS AND FRENCH FRIES - rt ;.ry CHEESECAKE ROILED IN MEl T-IN-YOUR-MOUTH,
NACHOS - BEEF OR CHICKEN - W/FAJITA FLAKY PASTRY TORTILLA. 6.99
MEAT
CORN DOG - 5.99
ww"'kRINKS
Ira-
a
Soft (Drink i- 3.49
COKE -z DIET COKE 0 SPRITE q
CHEESECAKE CHOCOLA EESST'RAWBERRY
CHIMIHANGA MR PIRO ve FANTA SLEMONADE, ICED TEA, NACHOS
r tlrbbhj 3.99
PEACH TEA MANGO TEA , ,, STRAWBERRY TEA
COFFEE - 2.99& MILK-Z."-I
NO FREE REFILLS
-gpw Trey m 3.99
TAMARIND O MELOIS PINII r'
HORCHATA . JAMAICA gip:
FLAN CHURROS
LUNCH MENU
AVAILABLE ONLY 11 AM TO 3 Pull MONDAY-FRIDAY
ALL SERVED WITH#41XICAH RICE AND BEANS
CHOICE OF FILLINGS: SEAS014ED GROUND BEEF,CHICKEN,OR CHEESE
ADD CHEESE SAUCE FOR ."EXTRA
TACO- CRISPY CORN TORTILLA STUFFED WITH YOUR CHOICE OF FILLING, WITH LETTUCE 6
CHEESE 6.2.5
ENCHILADA - SOFT CORN TORTILLA STUFFED WITH YOUR CHOICE OF FILLING PLUS
ENCHILADA SAUCE 6 CHEESE 6.25
TAMALE - PORK TAMALE TOPPED WITH CHILI SAUCE
CHILE RELLENO- POBLANO PEPPER FILLED WITH CHEESE,BREADED C COVERED WITH RED
SAUCE 8.25
TOSTADA- A FLAT CRIPS CORN TORTILLA COVERED WITH BEEF,LETTUCE, CHEESE,
CHOPPED TOMATOS,C YOUR CREAM 6 25 CHILAQUILES 11.99
C H A L U P A - A FLAT CRISP, TORTILLA COVERED WITH BEANS,LETTUCE; CHEESE CHOPPED
TOMATO, C GUACAMOIE+S.%:`
ft
►! <A
FAJITAS WE USE OUR SPECIAL RECIPE TO COOK TENDER SPECIAL LUNCH#1 CHILE RELLENO, TACO,BEANS 6 GUACAMOLE
STRIPS OF MARINATED CHICKEN BREAST OR BEEF SKIRT SALAD 9.99
STEAK SERVED WITH SAUTf£D ONIONS,BELL PEPPERS,AND SPECIAL LUNCH#2 ONE BEEF BURRITO,MEXICAN RICE, C REFRIED
GARNISHED WITH IfTTUC£GUACAMOLE,SOUR CREAM AND BEANS 7.99
PICO DE GALLO.9.49 SPECIAL LUNCH#3 ONE BEAN BURRITO;CHEESE ENCHILADA, AND
OUESADILLA WITH SPINACH S CHEESE- SPINACH AND CHEESE MEXICAN RICE7,99
00ESA0AA SERVED WITH RICE AND BEANS 7.49 BURRITO EL OLVIDO- IARGEFLOUR TORTILLA FILLED WITH SEASONED
SOPHIA SPECIAL-2 SPINACH ENCHILADAS WITH RICE C BEEF OR CHICKEN TOPPED WITH LETTUCE,SOUR CREAM, TOMATOES, C
PEI M5. COVERED WITH ENCHILADA AND CHEESE SA LICE 7.49 SHREDDED CHEESE. SERVED WITH RICE 6 BEANS 8 25
SPEEDY GONZALEZ- I TACO, 1 ENCHILADA 6 CHOICE OF RICE CHILE COLORADO-BEEF CHUNKS WITH RED SAUCE.SERVED WITH RICE,
OR BEANS 6.99 BEANS AND TORTILLAS.9.25
TACO SALAD- CRISPY FLOUR TORTILLA WITH GROUND BEEF BURRITO CON CHILE VERDE- BURRITO FILLED WITH PORK, TOPPED WITH
OR CHICKEN, CHEESE,LETTUCE, TOMATO,GUACAMOLE,AND GREEN SAUCE 7.25
SOUR CREAM 7.99 BURRITO RANCHERO- ONE BURRITO FILLED WITH PORK, ONIONS C
FAJITA TACO SALAD- CRISPY FLOUR TORTILLA WITH GRILLED TOMATOES, TOPPED WITH GREEN SAUCE 6 RED SAUCE 2 ti
BEEF OR CHICKEN,-CHEESE GRILLED-VEGGIES,LETTUCE. JACK SPECIAL- ONE BURRITO GRILLED WITH CHICKEN OR GRILLED
TOMATO,SOUR CREAM 6 GUACAMOL£?.9�9 STEAK TOPPED WITH MEXICAN CHILI CHEESE SA LICE7.49
LUNCH FAJITA NACHOS-BEEF CHICKEN, OR MIXED WITH JUANITO SPECIAL AKA STEVEN SPECIAL- GRILLED CHICKEN OR STEAK
BELL PEPPERS, TOMA TOES,AND ONIONS 7.99 STRIPS WITH RICE ALL TOPPED WITH CHEESE SAUCE 8 99
BURRITO FAJITA-BURRITO,FILLED WITH CHICKEN OR STEAK EMILY SPECIAL- GRILLED CHICKEN OR STEAK TOPPED WITH CHEESE
COVERED WITH CHEESE SAUCE.SERVED W1TH RICE AND SAUCE, ONIONS, BELL PEPPERS, TOMATOES,MUSHROOMS,RICE, C
BEANS�3 5 TORTILLAS.915 WITH SHRIMP 10.99
CHIMICHANGA- STUFFED FLOUR TORTILLA WITH YOUR POST SPECIAL- GRILLED CHICKEN OR STEAK WITH GRILLED NORMANDY
CHOICE OF CHUNKS OF BEEF OR SHREDDED CHICKEN,DEEP VfGETABLfS ON A BED OF RICE WITH CHEESE SAUCE 9 25
FRIED TO GOLDEN BROWN TOPPED WITH CHEESE SAUCE, HUEVOS RANCHEROS- THREE EGGS TOPPED WITH RANCHERO SAUCE,
LETTUCE, SOUR CRFAM, GUACAMOtf, C PICO DF GALLO. RICE, BEANS,AND TORTILLAS 8 99
SERVED WITH RICE C BEANS 8,25 WITH FAJITA MEAT 9.25' HUEVOS A LA MEXICANA- THREE SCRAMBLED EGGS COOKED WITH
TAOUITO MEXICANOS-2 CORN TORTILLAS WRAPPED PICO DE GALLO. SERVED WITH RICE,BEANS C TORTILLAS 8 99
AROUND YOUR FAVORITE FILLING C DEEP FRIED TO GOLDEN HUEVOS CON CHORIZO- THREE SCRAMBLED EGGS,MEXICAN SAUSAGE,
BROWN.SERVED WITH LETTUCE, GUACAMOLE,SOUR CREAM, REFREID BEANS,MEXICAN RICE 6 TORTILLAS 8.99
PICO DE GALLO,RICE,C BEANS 8 49
FLAUTAS-2 DEEP FRIED FLOUR TORTILLAS, CHOICE OF
CHICKEN OR BEEF, COVERED WITH CHEESE SAUCE, SERVED
WITH RICE 6 BEANS.8.2
A P P E T 1200 E aRh S V E"-a* OE T A OR I A Na's
COMBINATION
BEAN DIP
GUACAMOLE SM `<w LG 10.2E 77
CHEESE DIP SM -5 LG 10 5
CHORIQUESO - GRILLED CHORIZO MIXED WITH
MEL TED CHEESE$ TOPPED WITH PICO Df GALLO ONE CHALUPA, ONE CHEESE ENCHILADA,6
REFRIED BEANS
z TWO BEAN BURRITOS COVERED WITH CHEESE
MEZCAL DIP GROUND BEEF WITH BEANS SAUCE 6 OUR SPECIAL BURRITO SAUCE
CHEESE i':.':: " ONE BEAN BURRITO, ONE CHEESE ENCHILADA,
CHEESE NACHOS - ':' ONE BEAN TOSTADA AND NACHO CHEESE
NACHOS WITH BEANS ONE BEAN BURRITO, ONE QUESADILLA, 6 ONE
NACHOS WITH BEEF CHALUPA
NACHOS WITH CHICKEN TWO QUESADILLAS,RICE 6 BEANS
NACHOS WITH BEEF AND BEANS 119 €.QUESADILLA RELLENA WITH MUSHROOMS F
FAJITA NACHOS - CHICKEN OR STEAK WITH CHEESE WITH LETTUCE, SOUR CREAM,
GRILLED VfGGIES'12,99 TOMATOES, 6 RICE
SUPER FAJITA NACHOS- CHICKEN, STEAK, 6 . ONE BEAN BURRITO, ONE SPINACH ENCHILADA
SHRIMP WITH GRILLED VEGGIES TOPPED WITH WITH RICE S BEANS
LETTUCE, TOMATOES, SOUR CREAM, 6
GUACAMOLE 14.49
QUESADILLA WITH CHORIZO ?fit
CHEESE QUESADILLA e"1�9
HOMEMADE GUACAMOLE
FAJITA NACHOS SHRIMP
TRES AMIGOS - CHEESE DIP,
GUA CAMOLE AND BEAN DIP'. JACK SPECIAL
PG. 6
TRES AMIGOS
SOUPSAND CHILE BLANCO
SALADSy
SOUP - CHICKEN 1399 SHRIMP 14.99 FISH 14.99
MADE TO ORDER. PLEASE ALLOW TIME TO PREPARE
TOSSED SALAD - 99 BIRRIA PLATE 12.99
GUACAMOLE SALAD - &99
CHICKEN TOSSED SALAD - 8.99
SHRIMP TOSSED SALAD- 10.99
FAJITA TACO SALAD - CRISPY FLOUR TORTILLA WITH {
GRILLED BEEF OR CHICKEN, CHEESE, LETTUCE, TOMATO, `" '
GUACAMOLE, SOUR CREAM, $PICO DE GALLO 11.99 �
SHRIMP `99
TACO SALAD - A CRISPY FLOUR TORTILLA WITH GROUND
BEEF OR SHREDDED CHICKEN, CHEESE, LETTUCE, RAZORBACK ENCHILADAS
TOMATO, SOUR CREAM, C GUA CAMOLE 10,99
•►fie �;/
LA PAROALLA
s �wd Chi
POLLO LOCO- GRILLED CHICKEN BREAST MARINATED Wj7if O iF
PARILLADA SEAFOOD- SHRIMP, CRAB MEAT$ TILAPIA WITH SPECIAL SAUCE SERVED WfTHRICf,BEANS,GUACAMOLE SALAD
MEDLEY VEGETABLE. SERVED WITH RICE, BLACK BEANS 6 SALAD TORTILLAS 12,99
„.99 CHORI POLLO-GRILLED CHICKEN BREAST TOPPED WITH CHORIZO Ak,
CAMARONES A LA MEXICANA- SHRIMP COOKED WITH ONIONS, CHEESE SERVED WITH RICE BEANS GUACAMOLE SALAD TORTILLAS
TOMATOES AND BELL PEPPERS, SERVED WITH RICE, BEANS, 6 YOUR '3 9'
CHOICE OF FLOUR/CORN TORTILLAS I6,99 POLLO CHIPOTLE=`TWO GRILLED CHICKENBREASTS COVERED WITH
CAMARONES A LA DIABLA - SHRIMP WITH SPICY HOT SAUCE MEDLEY VEGETABLES WITH SALSA CHIPOTLf.SERVED WITH RICE 6
SALAD 2'-'-,W/SHRIMP'3.99
SERVED WITH SALAD,RICE, 6 BEANS 16.99 POLLO FUNDIDO- GRILLED CHICKEN BREAST TOPPED WITH BELL
SHRIMP CHIMICHANGA-DEEP FRIED TORTILLAS STUFFED WITH PEPPER, ONION MUSHROOM,6 MELTED CHEESE WITH RICE,BEANS,
:SPILLED SHRIMP AND BELL PEPPERS, TOMATOES, 6 ONIONS GUACAMOLE,SALAD, 6 TORTILLAS`2.99
TOPPED WITH CHEESE SERVED WITH RICE 6 BEANS Id.99 POLLO TAPATIO-GRILLED CHICKENBRfAST TOPPED WITH CHEESE
CAMARONES AL MOJO DE AJO- SHRIMP WITH GARLIC BUTTER SAUCE.SERVED WITH RICE BEANS, GUACAMOLE,SALAD,6 TORTILLAS
S'ERVfD WITH RICE,BEANS, GUACAMOLE SALAD,6 YOUR CHOICE 12 `
Of FLOUR TORTILLAS 14.99 JUANITO SPECIAL AKA(STEVEN SPECIAL)- GRILLED CHICKEN OP DTI} !.
OUESADILLA CAMARON- GRILLED TORTILLAS STUFFED WITH STPIPS WITHPICf Ail TOPPED W1TH CHEESE SAUCE.10.9<DOUBLE
GRILLED SHRIMP 6 VEGETABLES. SERVED WITH RICE LETTUCE$ W/SHRIMP IDOUBLE W SHRIMP 16'49
PICO DE GALLO 12.99 POLLO EL OLVIDO- G02LfD CHICKEN,BACON,SHRIMP, TOPPED Wll:
3E SAUCE SERVED W'TH MCI`BEANS tfTTUC,E P?CO DE C At!^, t'
GRILLED SHRIMP- SEASONED GRILLED SHRIMPS WITH BROCCOLI, SOUR CREAM 16 99
:•AULIFL0WER, CARROTS AND RICE 15.49 EMILY SPECIAL-GRILLED CHICKEN OR STEAK TOPPED WITH CHEESE
SHRIMP COCKTAIL- 16.99 SAUCE. ONIONS,BELL PEPPERS, TOMATOES11.99 W/SHRIMP 13.9
TILAPIA LOCA - TILAPIA COOKED IN GARLIC SAUCE SERVED WITH ROSIE SPECIAL- GRILLED CHICKEN OR STEAK WITH GRILLED
RICE, LETTUCI, TOMATOES AVOCADOS, JALAPENO PEPPERS,AND NORMANDY VEGETABLES,ON A BfD OF RICE W/CHEESE SAUCE li 9 '
YOUR CHOICE Of TORTILLAS 14.49 _ WITH SHRIMP-3 '*
TILAPIA A LA PLANCHA• GRILLED TILAPIA SERVED WITH RICE, FAJITAS
LETTUCE, TOMATOES,AVOCADO,JAIAPENOS AND CHOICE Of
TORTILLAS(4.49
TILAPIA CHIPOTLE-TILAPIA AND SHRIMP WITH MEDLEY ALL WITAS APE REPARIOVATHADPJMISBLEIOSFLJNI&S,
VEGETABLES COVERED WITH CHIPOTLE SALSA. SERVED WITH RICE 1 VII'
,SALAD i
TILAPIA A LA DIABLA - GRILLED TILAPIA WITH SPICY SAUCE
SERVED WITH RICE,LETTUCE, TOMATOES, AVOCADO, JALAPENOS GALLO.GIJAGME.AND SE 0 M.
TORTILLAS 13.99
TILAPIA 6 SHRIMP- TILAPIA AND SHRIMP COOKED IN GARLIC FAJITAS - BEEF, CHICKEN OR MIX SINGLE DOUBLE OR
SAUCE SERVED WITH RICE LETTUCE, TOMATOES,AVOCADO, COMBINATION 23.99
J.AI APENOS,6 TORTILLAS io » FAJITAS JALISCO - .MARINATED TENDER STRIPS Of BEEF,
BAJA TACO - BEER BATTERED TILAPIA OR SHRIMP TOPPED WITH CHICKEN C SHRIMP SINGLE 15.99 DOUBLE 26.99
IIOMEMADI CHIPOTLE RANCH,CHEESE, TOMATOES, 00 VEGETARIAN FAJITAS- BROCCOLI, CARROTS, ZUCCHINI,
;CABBAGE SERVED WITH RICE 6 SALAD SQUASH,MUSHROOMS, CAULIFLOWER, TOMATOES, ONIONS,
CHICKEN'1`)'9 FISH OR SHRIMP 13 99 BELL PEPPERS,ALL SAUTEED 6 SERVED WITH RICE 6 SALAD.
SHRIMP CEVICHE- CHOPPED SHRIMP WITH PICO DE GALLO, SINGLE 11.99
+ALAPENOS, S AVOCADO SLICES. SERVED WITH CRACKERS w99 FAJITA POBLANAS - BEEF OR CHICKEN,GRILLED TOMATOES,
ENCHILADAS MAR- THREE CRAB AND SHRIMP ENCHILADAS SAUTEED ONIONS, 6 POBLANO PEPPERS
t:'OVERED WITH CHEESE SAUCE SERVED WITH RICE 6 GUACAMOLE SINGLE 13.99 DOUBLE 23.99
SALAD',-' RIBEYE FAJITAS - TENDER GRILLED RIBEYE STEAK TOPPED
MOJARRA FRITA -A CRISPY DEEP FRIED TILAPIA FISH.SERVED WITH CHEESE SAUCE SERVED WITH ALL THE FIXINGS.16.99
WITH RICE 6 SALAD 13.99 FA11TA HAWAIIANA- TENDER STRIPS OF BEEF, CHICKEN,
SHRIMP 6 PINEAPPLE.SINGLE t4.99 DOUBLE 24.99
SEAFOOD FAJITAS SHRIMP,BELL PEPPERS, TOMATOES,
ONIONS,RICE BEANS B SALAD SINGLE 18 .99 DOUBLE 29.99
r PARILLADA EL OLVIDO- CHICKEN, PORK, STEAK, SAUSAGE,
SHRIMP, CHORIZO 6 COS TIILAS DE STEAK W1TH
VEGETABLES, SERVED WITH CACTUS, SLICE OF QUESO
FRESCO, RICE BEANS$SAL AD. 25.9 9
A FAJITAS CARNITAS- PORK CARNITAS FAJITAS, BELL
i
PEPPERS, TOMATOES, ONIONS,RICE,BEANS 6 SALAD.i3
MIXED FAJITAS
P7 s
ESPECIALIDADES
MEXICAN PIZZA - CRISPYFLOUR TORTILLA TOPPED WITH NACHOS SUPREME- CHEESE NACHOS WITH ASSORTED
GRILLED STEAK OR CHICKEN,BEANS, CHEESE, BELL TOPPINGS OF BEEF, CHICKEN 6 BEANS.ALL COVERED
PEPPERS, ONIONS, TOMATOES, SOUR CREAM, 6 WITH LETTUCE,, GUACAMOLE, AND SOUR CREAM. 12.4
GUACAMOLE FOR DIPPING 14.99 W/SHRIMP 16.99 QUESADILLA RELLENA- FLOUR TORTILLA GRILLED D Flt1£D
A AMBRES- CHOICE OF CHICKEN OR STEAK, COOKED WITH CHUNKS OF BEEF OR CHICKEN 6 SERVED WITH
WITH BACON, ONIONS, 6 CHEESE. SERVED WITH RICE, LETTUCE, GUACAMOLE, SOUR CREAM 6 RICE 11.25
BEANS, SALAD, 6 TORTILLAS15.99 W/SHRIMP 1;.99 QUESADILLA FAJITA - FLOUR TORTILLA GRILLED 6 FILLED
DOUBLE G1,99 WITH CHEESE STEAK OR CHICKEN 6 SERVED WITH
SPECIAL DINNER - CHALUPA, TACO, CHILE RELi£NO, LETTUCE GUACAMOLE, SOUR CREAM, 6 RICE 11.2.5
TAMALE,ENCHILADA. SERVED WITH RICE 6 BEANS 19.99 MILANESA- CHICKEN SLICED 6 BREADED. SERVED WITH
CHIMICHANGA- STUFFED FLOUR TORTILLA WITH YOUR RICE 6 BEANS SALAD, 6 TORTILLAS 12.99
CHOICE OF CHUNKS OF BEEF OR SHREDDED CHICKEN SUPER TACOS - 3 SOFT TACOS ON CORN TORTILLAS, I
DEEP FRIED. TOPPED WITH CHEESE SAUCE, LETTUCE, CHICKEN, I FISH 6 I SHRIMP W1TH CHIPOTIE SALSA,
SOUR CREAM, GUACAMOLE, 6 PICO OE GALL0. SERVED TOMATO, 6 RED CABBAGE SERVED WITH CHEESY RICE
WITH RICE 6 BEANS 12.49 FISH OR SHRIMP 1399 13,99
ENCHILADAS POTOSINAS- 3 CORN TORTILLAS STUFFED ARRACHERA- MARINATED RIBEYE STEAK WITH. SAUTEED
WITH GRILLED STEAK,POTATOES COVERED WITH GREEN ONIONS ON TOP. SERVED WITH RICE, SALSA, GUACAMOLE
AVOCADO SAUCE. TOPPED WITH FRESH CILANTRO 6 6 SALAD 17.25
ONION SERVED WITH RICE 6 BEANS 13 99 COSTILLA DE RES A ALA DIABLA BEEF RIBS WITH SPICY
ENCHILADAS MESQUITE -3 CHEESE ENCHILADAS TOPPED RED SALSA. SERVED WITH SIDE OF BEANS, 6 RICE 15.99
WITH AVOCADO GREEN SALSA, ONIONS, CILANTRO, 6 COSTILLA DE RES A LA PLANCHA- GRILLED BEEF RIBS,
SLICE OF GRILLED THIN STEAK. SERVED WITH RICE 6 CACTUS PORK, ONION 6 JALAPENOS. SERVED WITH RICE
BLACK BEANS 13 Q9 BEANS 6 A SALAD.19.99
ENCHILADAS SUPREMAS - 4 ROLLED CORN TORTILLAS I Porn
BEEF, I CHICKEN I CHEESE 6 1 BEAN TOPPED W1TH
ENCHILADAS SAUCE, CHEESE, LETTUCE, TOMATO, 6 SOUR ENCHILADAS RAZORBACK-3 CHEESE ENCHILADAS TOPPED
C EAM 12,99 WITH PORK 6 COOKED WITH TOMATOES, ONIONS, TOPPED
WITH RANCHERO SAUCE,SERVED WITH SALAD 12.99
ENCHILADAS VERDES 3 CHICKEN ENCHILADAS TOPPED CARNITAS-PORK TIPS SERVED WITH RICE,BEANS,
WITH GREEN SAUCE SERVED WITH GUACAMOLE SALAD GUACAMOLE SALAD, 6 TORTILIAS 13.99
11.99 CHILE VERDE-PORK CHUNKS COOKED IN GREEN SAUCE
ENCHILADAS MEXICANAS- 3 ENCHILADAS I CHICKEN, I SERVED WITH RICE,BEANS 6 TORTILLAS 13.99
CHEESE, 6 I SPINACH SERVED WITH GUACAMOLE, SOUR RAZORBACK NACHOS-MACHOS TOPPED WITH CARNITAS,
CREAM, TOMATOES, 6 LETTUCE 11.9 9 ONIONS, CILANTRO 6 GUACAMOLE12.99
TAQUITOS MEXICANOS- Z ROLLED CORN TORTILLAS
STUFFED WITH BEEF OR CHICKEN SERVED WITH LETTUCE,
GUACAMOLE, SOUR CREAM, 6 PICO DE GALLO 11.99
FLAUTAS- 2 DEEP FRIED FLOUR TORTILLAS STUFFED WITH
CHOICE OF CHICKEN OR BEEF COVERED WITH CHEESE
SA LICE SERVED WITH RICE 6 BEANS 11.99 PANCHO VILLA -GRILLED T-BONE STEAK TOPPED WITH
JACK SPECIAL - I BURRITO, CHICKEN OR STEAK, TOPPED SAUTEED MUSHROOM, TOMATOES, ONION, BELL PEPPERS,
WITH MEXICAN CHILI 6 CHEESE SAUCE,2.99 AND 4 GRILLED SHRIMP. COVERED WITH CHEESE SAUCE,
CHILE COLORADO-BEEF CHUNKS WITH RED SPICY SERVED WITH RICE BEANS,6 TORTILLAS 20.99
SAUCE. SERVED WITH RICE, BEANS, 6 TORTILLAS 12.99 STEAK TAMPIQUENO- T-BONE STEAK SERVED WITH RICE,
PAPAS LOCAS- FAJITA STYLE BEEF OR CHICKEN OVER BEANS, GUACAMOLE SALAD, 6 TORTILLAS 19.99
FRENCH FRIES WITH GUACAMOLE, SOUR CREAM, CHEESE STEAK RANCHERO- 7-BONE STEAK SERVED WITH RANCHERO
SAUCE, 6 SHREDDED CHEESE 12.99 SAUCE WITH RICE,BEANS, 6 TORTILLAS 19.99
EL TORO WITH RICE 6 BEANS 10.99 STEAK MEXICANO- T-BONE STEAK TOPPED WITH COOKED
2 STREET TACOS WITH RICE S BEANS 9.99 ONIONS, TOMATOES,BELL PEPPERS,RICE,6 TORTILLAS
CARNE ASADA- THINL Y SLICED STEAKS SERVED WITH
o GUACAMOLE, SALAD,RICE,BEANS, 6 TORT/LLAS 15.99
MEXICAN PIZZ ESPECIAL CHIAPAS- RIBEYE STEAK,RICE, BEANS, 6 GRILLED
VEGGIES, WITH MEL TED CHEESE 19.99
VALLARTA SPECIAL-RIBEYE STEAK,BAKED POTATO, SHRIMP,
RICE, BEANS,SOUR CREAM,PICO DE GALLO, GUACAMOLE,6
Ft OUR TORTILLAS 2:1-99
N ll`li II P.V111 NN {. s , �.eV'9
P7 6 y
LA CARTE
. wwkBURRITOS
TO 00 ORDERS ARE AN EXTRA 99 LA + , ►!A
BURRITO - BEEF ••! 25 (2) 7.99 •� _
CHICKEN 1.75 (2) 7,49 BURRITO EL OLVIDO - LARGEFLOUR TORTILLA WITH
BEAN (2) 7.99 SHREDDED CHICKEN TOPPED WITH CHEESE, LETTUCE,
CHALUPA - BEAN (2) 7.49
TOMATOES SHREDDED CHEESE« AND SOUR CREAM.
TOSTADA - BEEF (2) 7.2,`; SERVED W1TH RICE&BEANS 12.99
TOSTA GUAC - BEEF OR CHICKEN (2) '.25 BURRITO MEXICANO - FLOUR TORTILLA STUFFED WITH
ENCHILADAS - BEEF 2.50 (3) 6.25 PORK, COOKED WITH TOMATOES, ONIONS$BELL
CHICKEN 2.50 (3) 6.25 PEPPERS TOPPED WI TH CHEESE SAUCf$RED SAUCE
CHEESE ?.50(2) 6.25
SERVED WITH LETTUCE, TOMATOES GUACAMOLE,
CHILE RELLENO - (3) 16.99 RICE, $BfANS'1(:.9=
TACO - BEEF OR CHICKEN 2.49 (3)6,25 BURRITO SPECIAL - ONE BEEF OR CHICKEN BURRITO
TAMALE - PORK TAMALE TOPPED WITH RED SAUCE VVITH RED SAUCE TOPPED W1TH CHEESE SAUCE,
(3) - ^"
SOUR CREAM 9.99
QUESADILLA - SHREDDED CHICKEN OR GROUND BEEF IA`FRONTERA BURRITO- FLOUR TORTILLA FILLED WITH
COOKED WITH TOMATOES$ ONIONS,S.99 CHICKEN OR STEAK TOPPED WITH LETTUCE,
QUESADILLA FAJITA - BEEF OR CHICKEN 6.99 TOMATOES, SOUR CREAM, $ CHEESE SERVED WITH
QUESADILLA WITH SHRIMP - 3.2
RICE e BEANS ?:3
CHIMICHANGA - BEEF OR CHICKEN ,).,-?9 BURRITO CALIFORNIA - FLOUR TORTILLA FILLED WITH
EL TORO - POBLANO PEPPER COATED IN EGG GRILLED CHICKEN OR STEAK, RICE BEANS, SOUR
BAITER, STUFFED WITH GRILLED CHICKEN, SHRIMP, CREAM, TOMATOES, LETTUCE, $ TOPPED WITH CHEESE
BACON, $ TOPPED WITH CHEESE SAUCE 7.99 (2) SAUCE 14.99
13 9 9 (3) 19.49 BURRITO RANCHERO - TWO BURRITOS FILLED WITH
PORK, TOMATOES AND ONIONS, TOPPED WITH GREEN
$RED SAUCE 13.49
STRIESTTACOS BURRITO FAJITA - LARGE FLOUR TORTILLA WITH
CHOICE OF GRILLED CHICKEN OR STEAK WITH
TOMATOES, PEPPERS, $ONIONS TOPPED WITH CHEESE
CARNE ASADA 2.75 SAUCE SERVED W1TH RICE$BEANS. 12.`y9
AL PASTOR :75 BURRITO CAMARON - LARGE FLOUR TORTILLA
CHICKEN ` 5 STUFFED WITH SHRIMP, GRILLED ONIONS, BELL
CARNITAS ' 'S PEPPERS, TOMATOES, AND TOPPED WITH CHEESE
CHORIZO SAUCE SERVED WITH RICE BEANS 113,99
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CREATE YOUR OWN COMBINATION!" 1. ONE BEEF TACO, TWO BEEF ENCHILADAS 6
COMES WITH RICE&BEANS MEXICAN RICE
PICK 3 FOR 15.49 2. ONE BEEF TACO, ONE BEEF ENCHILADA AND
CHOOSE FROM THE FOLLOWING. ONE CHALUPA
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CON QUESO
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� REFRIED BEANS
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MEXICAN RICE AND REFRIED BEANS.
ENC({ MAR 8. ONE BEEF ENCHILADA, ONE TAMALE,
P • MEXICAN RICE AND REFRIED BEANS
9.ONE BEEF ENCHILADA, ONE CHALUPA, AND
MEXICAN RICE.
°* °a l0.TWO BEEF TACOS, MEXICAN RICE, AND
REFRIED BEANS
11. ONE BEEF BURRITO, ONE BEEF TACO, AND
ONE BEEF ENCHILADA
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.- 12. ONE CHALUPA, ONE CHILE RELLENO, AND
PG.5 x '" `, REFRIED BEANS
13. ONE BEEF ENCHILADA ONE BEEF BURRITO
AND ONE CHILE RELLENO
14. ONE BEEF TACO, ONE CHILE RELLENO AND
ONE CHALUPA
15. ONE BEEF BURRITO,ONE BEEF ENCHILADA,
MOLCAJETE EL OLvl AND ONE TAMALE
16.ONE CHALUPA, ONE CHILE RELLENO AND ONE
"h' BEEF BURRITO
17.ONE BURRITO, ONE BEEF ENCHILADA,
MEXICAN RICE AND REFRIED BEANS
18. ONE CHALUPA, ONE CHILE RELLENO, AND ONE
BEEF ENCHILADA
19. ONE CHALUPA, ONE BEEF BURRITO, AND ONE
BEEF ENCHILADA
CHICKEN MILANESA 20. ONE CHILE RELLENO, ONE BEEF TACO,
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21. ONE BEEF TACO, ONE BEEF BURRITO, AND
ONE CHALUPA
22. ONE BEEF BURRITO, ONE CHILE RELLENO AND
�o ONE BEEF TACO
411, 23. ONE BEEF TACO, ONE BEEF BURRITO,
MEXICAN RICE AND REFRIED BEANS
24. ONE CHILE RELLENO, ONE BEEF BURRITO, AND
MEXICAN RICE
ENCHILADAS HEXICANAS 25. ONE CHALUPA, ONE BEEF TACO, AND ONE
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MIXED DRINKS BOTTLED BEER
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HABISCUS MARGARITA �J -
TEXAS RIVER MARGARITA MODELO MICHELOB ULTRA
CRANBERRY MARGARITA MODELO NEGRA MILLER LIGHT
MEXICAN CANDY SHOT VICTORIA BUD LIGHT
CLASSIC BLOODY MARY DOS XX BLUE MOON
MICHELADAS ESTRELLA JALISCO BUSCH LIGHT
CANTARITO CORONA LIGHT HEINEKEN
TEQUILA SUNSET CORONA
PALOMA COCKTAIL PACIFICO
CLASSIC MOJITO
STRAWBERRY MOJITO
EL PEPINO MODELO CABERNET
SEX ON THE BEACH MICHELOB ULTRA WHITE ZINFANDEL
THE REAL LONG ISLAND ICED TEA MODELO NEGRA CABERNET SAUVIGNON
SKINNY MARGARITA COORS LITE
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DAIQUIRIS MILLER LITE
PING COLADAS BUSCH LIGHT MERtOT
CHARDONNAY
CORONARITA
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WHISKEYS SAUVIGNON BLANC
JACK DANIELS MOSCATO
SANGRIA
JAMESON ROSCATO
T ILAS CROWN
MAKERS O46AL A ROSE
HENNESY KIM IM CR CRAWFORD
DON JULIO 70 CAYMUS
DON JULIO 1942
CHAMUCO
PATRON MA► iARITA TOWER
HERRADURA
JUAREZ
CLASSE AZUL 88 OZ OR 126 O'.
CENTENARIO 1 �N� �„ ON THE ROCKS
PEACH
JOSE CUERVO
1800 MANGO
JIMADOR STRAWBERRY
AVION 44 TAMARIND
AVION 2 RASPBERRY
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AND MORE!
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MORE INFORMATION OR CALL
US WHEN YOU ARE READY TO
CONFIRM.'
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S
Cole Jester
ARKANSAS SECRETARY OF STATE n
To All to Whom These Presents Shall Come, Greetings
1, Cole Jester..Arkansas Secretary of State of Arkansas, do hereby certify that the _ *
following and hereto attached instrument of writing is a true and perfect copy of
Application for Fictitious Name
of _
EL OLVIDO VAN BUREN
* for
$ CRAWFORD CAPITAL LLC
filed in this office Y
August 20, 2026
to Testimony Whereof. I have hereunto set my hand
and affixed my official Seal.Done at my office in the
City of Little Rock,this 20th day of August 2026. - ;
w
Cote jester
eg Secretary of State
Online Certificate Authorization Code:
5fca863a8d81dc5b8d8o260c5fb8eb56
b: Wwi # try To verify the Authorization Code.visit sos.arkansas.gov
t
,V J'Nv{lwk Q3. , tvf#�iSilrid�r!;
y FILED-Arkansas Secretary of State-Cole Jester-Doc#:21276386001-Filing#:$11629555-Filed On:812012026-Page(s):f
App. for Fictitious Name for LLC
Filing Information
Entity File Number:811628555
Alt Entity Type: DomLLCLimitedLiabiiityCompany
Entity Name:CRAWFORD CAPITAL LLC
Fictitious Name: EL OLVIDO VAN BUREN
File Date:2026-08-20 07:24:45 I
Alt Tax Type: LLC
Filing Signature: EFFIE DROSOPOULOS
The character of the business being,or to be conducted under such fictitious name:
MEXICAN RESTAURANT
First Name: PEYTON
Middle Name:
Last Name: BULLINGTON
Address 1:3700 WHITE HOUSE LANE
City:VAN BUREN
State:AR
Zip:72956
Country:USA
Phone Number:479-652-9432
Email Address:PEYBULLINGTON@GMAIL.COM
Department Of the Treasury IRS Notice CP575A
Internal Revenue Service
IRSPhiladelphia,PA 19255-0023
Important Information-Please Read
CRAWFORD CAPITAL LLC
PEYTON BULLINGTON MBR
%PEYTON BULLINGTON MBR
PO BOX G
POTEAU,OK 74953
August 14,2026
We assigned you an employer identification number(EIN)
Your EIN is 42.4446562.The name control associated with this EIN is CRAW.
What you need to do
•If you did not apply for this EIN,visit IRS.gov/EINNotRequested.
•Use this EIN and your name exactly as they appear above when you fill out your tax returns.Otherwise, it may cause delays.
Keep a copy of this notice for your records because we'll only send it to you once.You can share a copy with future officers of
your organization or anyone asking for proof of your EIN, if your name or address is incorrect as shown,send the correct
information to the address at the top of this notice.
•You must file the following forms by the dates shown.
Form Due Date
1065 03/1512027
940 01/31/2027
941 01/31/2027
What you need to know
If you need to pay certain types of taxes, like employment or corporate income taxes,we'll send you a package with instructions.The
package will tell you how to pay your taxes online using the Electronic Federal Tax Payment System(EFTPS).We'llll also send you a
personal identification number(PIN)separately.Be sure to activate your PIN when you receive it,so you can start using the EFTPS.
To learn more about EFTPS,refer to Publication 966, Electronic Choices to Pay All Your Federal Taxes.
Additional Information
•Refer to Publication 4557, Safeguarding Taxpayer Data:A Guide for Your Business,for tips on keeping your EIN safe.
•Find tax forms or publications by visiting IRS.gov/Forms or by calling 800-TAX-FORM(800-829-3676).
•Call us at 800-8294933 if you can't find what you need online.If you prefer,you can write to the address at the top of this notice.
Notice CP575A Employer ID Number 42-4446562 Page 1/1
Form 2553(Rev.12-2017) Page 3
Name Employer identification number
CRAWFORD CA PT LL_C_ _ _ 42-4 4 4 6562
Selection of Fiscal Tax Year(see instructions)
Note:All corporations using this part must complete item O and item P, Q,or R.
O Check the applicable box to indicate whether the corporation is:
1. LN A new corporation adopting the tax year entered in item F, Part 1.
2. An existing corporation retaining the tax year entered in item F, Part 1.
3. ❑ An existing corporation changing to the tax year entered in item F, Part 1.
P Complete item P if the corporation is using the automatic approval provisions of Rev. Proc. 2006-46, 2006-45 I.R.B. 859, to
request(1)a natural business year(as defined in section 5.07 of Rev. Proc. 2006-46)or(2)a year that satisfies the ownership
tax year test(as defined in section 5.08 of Rev. Proc.2006-46).Check the applicable box below to indicate the representation
statement the corporation is making.
1. Natural Business Year ► J 1 represent that the corporation is adopting, retaining,or changing to a tax year that qualifies
as its natural business year(as defined in section 5.07 of Rev. Proc. 2006-46)and has attached a statement showing
separately for each month the gross receipts for the most recent 47 months. See instructions. I also represent that the
corporation is not precluded by section 4.02 of Rev. Proc. 2006-46 from obtaining automatic approval of such adoption,
retention, or change in tax year.
2. Ownership Tax Year► ❑ 1 represent that shareholders (as described in section 5.08 of Rev. Proc. 2006-46) holding more
than half of the shares of the stock(as of the first day of the tax year to which the request relates)of the corporation have the
same tax year or are concurrently changing to the tax year that the corporation adopts, retains,or changes to per item F, Part
1, and that such tax year satisfies the requirement of section 4.01(3)of Rev. Proc. 2006-46. 1 also represent that the corporation
is not precluded by section 4.02 of Rev. Proc. 2006-46 from obtaining automatic approval of such adoption, retention,or
change in tax year.
Note: If you do not use item P and the corporation wants a fiscal tax year, complete either item Q or R below. Item Q is used to
request a fiscal tax year based on a business purpose and to make a back-up section 444 election. Item R is used to make a regular
section 444 election.
Q Business Purpose-To request a fiscal tax year based on a business purpose, check box Q1. See instructions for details
including payment of a user fee. You may also check box 02 and/or box Q3.
1. Check here ► J if the fiscal year entered in item F, Part I, is requested under the prior approval provisions of Rev. Proc.
2002-39, 2002-22 I.R.B. 1046.Attach to Form 2553 a statement describing the relevant facts and circumstances and, if
applicable,the gross receipts from sales and services necessary to establish a business purpose. See the instructions for
details regarding the gross receipts from sales and services. If the IRS proposes to disapprove the requested fiscal year,do
you want a conference with the IRS National Office?
El Yes J1 No
2. Check here It, J to show that the corporation intends to make a back-up section 444 election in the event the
corporation's business purpose request is not approved by the IRS. See instructions for more information.
3. Check here ► J to show that the corporation agrees to adopt or change to a tax year ending December 31 if necessary
for the IRS to accept this election for S corporation status in the event(1)the corporation's business purpose request is not
approved and the corporation makes a back-up section 444 election, but is ultimately not qualified to make a section 444
election,or(2)the corporation's business purpose request is not approved and the corporation did not make a back-up
section 444 election.
R Section 444 Election-To make a section 444 election, check box R1. You may also check box R2.
1. Check here ► J to show that the corporation will make,if qualified, a section 444 election to have the fiscal tax year
shown in item F, Part I. To make the election, you must complete Form 8716, Election To Have a Tax Year Other Than a
Required Tax Year, and either attach it to Form 2553 or file it separately.
2. Check here ► ❑ to show that the corporation agrees to adopt or change to a tax year ending December 31 if necessary
for the IRS to accept this election for S corporation status in the event the corporation is ultimately not qualified to make a
section 444 election.
DxA Form 2553(Rev 12-2017}