Business Registration

Business Information

Business Name	Papa Saverio’s of Richmond
Street Address (Including Unit or Suite, if applicable)	---
City, State, Zip	Richmond IL 60071
Business Phone	+18156787272
Email Address	---
Would you like to sign up for the Village E-Blast for current events and information?	---
Website Address	---

Business Owner Information

Business Owner(s) Name	---
Business Owner(s) Home Address	---
Business Owner(s) Phone Number (Home or Cellphone)	---
Building's Landlord (if Different from Owner)	---
Landlord Address (Incl. City, State, Zip Code)	---

Is This A New Business?

Is This A New Business?

No, my business was registered under the same name prior to May 1st of this year.

Other Important Information

Illinois Sales and Use Tax and/or Retailers Occupation Tax	---
Operating Hours	10:00 AM to 10:00 PM SUNDAY TO THURSDAY 10:00 AM TO 11:00 PM FRIDAY AND SATURDAY
Number of Shifts	2
Number of Employees	17
Nature of Business	RESTAURANT AND VIDEO GAMING CAFE

Fueling Stations

Does your business have fueling stations on site?

No

Hoses

Number of gas hoses

0

Police Required Information

Burglar Alarm	Yes
Fire Alarm	Yes
Other Security Measures	---
Hazardous Materials	No

Burglar Alarm

Please Provide Additional Information	---
Monitoring Agency	---
Monitoring Agency Telephone Number	---
Alarm Type	---

Fire Alarm Information

Please Describe Alarm Box Location	---
Monitoring Agency	---
Monitoring Agency Telephone Number	---
Alarm Type	---

Emergency Contacts: Please provide 3 names/phone numbers of key holders who are available 24 hours in case of an emergency.

1) Name	MIKE PATEL
1) Phone Number	+12243881346
1) Alternate Phone Number
2) Name	BRIAN LANTZ
2) Phone Number	+12246229206
3) Name	JACKIE
3) Phone Number	+17735956125

Certification Number

Certificate No	---
Fiscal Year	2025