New Business License

• Business Site Location:
  1100 Martin L King Blvd. Las Vegas, NV 89106

Nevada State Information:

• Nevada Secretary of State ID:
  NV2015034044
• Nevada State Tax ID:
  (applied)

Business Entity Information:

• Business Entity Type:
  LLC
• Business Entity Name:
  1100 N. MLK LLC
• Daytime Phone:
  None
• Evening Phone:
  None
• Mobile Phone:
  None
• Fax:
  None
• Email Address:
  None
• Email Opt-Out:
  No
• Mailing Address:
  11322 Coulter Canyon, Unit 103
• City:
  Las Vegas
• State:
  NV
• Zip Code:
  89141
• Country:
  None

• Question: Do you have a DBA/Fictitious Firm Name?
  Yes

DBA/Fictitious Firm Information:

• DBA/Fictitious Firm Name:
  Jackie's Iced Out Beauty & Bar
• Daytime Phone:
  (702) 646-5098
• Evening Phone:
  None
• Mobile Phone:
  None
• Fax:
  None
• Email Address:
  None
• Email Opt-Out:
  No
• Mailing Address:
  1100 N. Martin L King Blvd
• City:
  Las Vegas
• State:
  NV
• Zip Code:
  89106
• Country:
  None

Manager/Member X - (individual):

• Last Name:
  Starr
• First Name:
  Jacqueline
• Birth Date:
  01/17/1972
• % Owned:
• Daytime Phone:
  None
• Address:
  11322 Coulter Canyon, Unit 103
• City:
  Las Vegas
• State:
  NV
• Zip Code:
  89141
• Position Held:
  (Managing Member)

Member/Manager X - (Business):

• Business Entity Name:
• % Owned:
• Daytime Phone:
  None
• Address:
  11322 Coulter Canyon, Unit 103
• City:
  Las Vegas
• State:
  NV
• Zip Code:
  89141
• Position Held:
  (Managing Member)

• License Type:
  General License
• Question: Is this a home-based business?
  No
• Home Occupation Acknowledgement:
  N/A
• Primary Business Activity:
  Service
• Category Name:
  B05 - Cosmetological Establishment
• Category Description:
  Barber of cosmetology, which is any person or establishment that is licensed or required to be licensed pursuant to the provisions of NRS Chapter 643 or 664 and that offers barber or cosmetology services to the general public. The fee amount shall be charged for each customer chair or station provided for a licensed professional.
• Category Question:
  What is the total number of stations in your establishment?
• # Units/Seats:
  9
• Description of Business:
  Cut hair at a barber shop.

Required Documents:

• 1. Direct Deposit Form
• 2. License Application

Attached Documents:

• 1. G64-00543_Direct Deposit
• 2. G64-00543_Application

• General Acknowledgement:
  Agreed