The URL can be used to link to this page

Browse Search

Home My WebLink About20132951.tiffFINDINGS AND RESOLUTION RE: FINDINGS AND RESOLUTION CONCERNING APPLICATION OF CLUB AUTENTIKO, LLC, DBA CLUB AUTENTIKO, FOR A TAVERN LIQUOR LICENSE, AND AUTHORIZATION FOR CHAIR TO SIGN The application of Club Autentiko, LLC, dba Club Autentiko, 1490 County Road 27, Brighton, Colorado 80603, for a Tavern Liquor License, came on for hearing on the 21st day of October, 2013, at 9:00 a.m., and the Board of County Commissioners of Weld County, Colorado, having heard the testimony and evidence adduced at said hearing, having considered the testimony, evidence and remonstrances filed with said Board, and having carefully weighed the same, now makes the following findings: 1. The evidence discloses that the applicant has sustained the burden of proof as to the desires of the inhabitants. 2. The applicant is of good character and reputation. 3. The applicant has proven the reasonable requirements of the neighborhood. RESOLUTION WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has considered the application of Club Autentiko, LLC, dba Club Autentiko, 1490 County Road, Brighton, Colorado 80603, for a Tavern Liquor License, for the sale of malt, vinous, and spirituous liquors, for consumption by the drink on the premises only, and WHEREAS, said applicant has paid to the County of Weld the sum of $875.00 for the hearing fee, in addition to the other required fees, and WHEREAS, due to the Findings of the Board of County Commissioners in this matter as stated herein, the Board deems it advisable to approve said application for a Tavern Liquor License for Club Autentiko, LLC, dba Club Autentiko. WHEREAS, the Licensee shall host "responsible vendor" training every six (6) months as agreeable to the Colorado Department of Revenue Liquor Enforcement Division, and this training shall be open to other area licensees. Each employee shall be "responsible vendor" trained, and the Licensee shall provided documentary evidence that each employee has been "responsible vendor" trained to the Weld County Sheriff's Office within thirty (30) days of the fist available "responsible vendor" class after hiring. Evidence of such shall be included in the referral report submitted by the Sheriff's Office at the time of annual renewal. ee : So, Ate/. ll-5-eel 3 2013-2951 LC0028 TAVERN LIQUOR LICENSE - CLUB AUTENTIKO PAGE 2 NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that having examined said application, the qualifications of the applicant, and the testimony of those present at the hearing, does hereby grant License Number 2013-17 to said applicant to sell malt, vinous, and spirituous liquors for consumption by the drink on the premises only, and the Board does hereby authorize and direct the issuance of said license by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license shall be in effect until October 30, 2014, providing that said place where the licensee is authorized to sell malt, vinous, and spirituous liquors for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the license. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 21st day of October, A.D., 2013. BOARD OF COUNTY COMMISSIONERS WELD Cp N 9jj, COLORADO ATTEST: Weld County Clerk to the Board BY: Deputy Clerk to the Boa APPR Couun Date of signature: i"4k William Garcia, Chair EXCUSED ouglas Rademacher, Pro-Tem Cr Bann P. Conway ry n Mike Freeman arbara Kirkmeyef 2013-2951 LC0028 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402 (07/01/2012) STATE OF COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 Pierce Street, Suite 108 Lakewood, Colorado 80214 CLUB AUTENTIKO LLC dba CLUB AUTENTII£O 1490 W.C.C. 27 BRIGHTON CO 80603 ALCOHOL BEVERAGE LICENSE Liquor License Number 4702190 License Type. TAVERN (COUNTY) Authorized Beverages License Expires at Midnight October 30 2014 MALT, VINOUS, AND SPIRITUOUS This license is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is nontransferable and shall be conspicuously posted in the place above described. This license is only valid through the expiration date shown above. Any questions concerning this license should be addressed to: Colorado Liquor Enforcement Division, 1881 Pierce Street, Suite 108, Lakewood, CO 80214. In testimony whereof, I have hereunto set my hand. 10/31/2013 RLE Division Director Executive Director acrr. fmc--n err. mr.c.c.mq GG cn U � , � a-) 't3 .4 cn .5 � o a o ccu 4-4 ct v 4 Os 3 cz o Oo t, 0Q o � en Gen .) �vo ° y L r°�ortj v U �' ° � • � O N • I � C1 1cr,__515,1_51515,5115,1_51.5:11. ra,r). 1 V w cp H O z TO BE POSTED IN A CONSPICUOUS PLACE. BOARD OF COUNTY COMMISSIONERS PHONE: (970) 336-7204, EXT.4200 FAX: (970) 352-0242 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 October 18, 2013 Club Autentiko, LLC dba Club Autentiko 1490 County Road 27 Brighton, Colorado 80603 RE: Report of Investigation for Colorado Liquor License Application - Club Autentiko Dear Club Autentiko: On October 17, 2013, I traveled to the proposed licensed premises known as Club Autentiko, located at 1490 County Road 27, Brighton, Colorado 80603. While there I made an on -site inspection regarding the Tavern Liquor License Application filed. It will be heard by the Board of County Commissioners as the liquor licensing authority for Weld County on October 21, 2013, at 9:00 a.m. My inspection revealed the following: 1. The proposed licensed premises is not directly connected to a different licensed premises. Section 12-47-301(3)(a), C.R.S. 2. The diagram of the proposed licensed premises is correct. Section 12-47-309(3), C.R.S. 3. There are no other liquor licensed or 3.2% beer licensed premises within the neighborhood. 4 The sign noticing the place, date, and time of the hearing for the liquor license application was posted by the applicant in such a manner that the notice was conspicuous and plainly visible to the public, when I was there at approximately 4:00 p.m. on October 17, 2013. 5. There are no public or parochial schools, or principal campus of any college, university, or seminary within 500 feet of the proposed licensed premises. Section 12-47-313(1)(d)(I), C.R.S. uyi9 -=-2 cifp-pe iciN LC0028 REPORT OF INVESTIGATION - CLUB AUTENTIKO, LLC, DBA CLUB AUTENTIKO PAGE 2 6. The proposed premises will be serving catered food and snacks. The proposed premises has the capability of heating and serving sandwiches and other foods, as required by Section 12-47-103(22)(a), C.R.S. ***'ONLY FOR TAVERNS**** Very truly yours, BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO arbara Kirkmeyer, Commissioner l Xt<fryz.-- cc: Brad Yatabe, Assistant County Attorney LC0028 WEL�UNTY October 14, 2013 Colorado Department of Revenue Liquor Licensing Division 1881 Pierce St, Rm 108A Denver, CO 80261 CLERK TO THE BOARD PHONE (970) 336-7215, Ext. 5226 FAX: (970) 352-0242 P. O. BOX 758 GREELEY, COLORADO 80632 RE: Club Autentiko, LLC Club Autentiko, LLC dba Club Autentiko, filed application materials for a new Retail Liquor License in our office on September 16, 2013, and requested a Concurrent review of the application materials, and paid the required $100.00 fee. PERMISSION GIVEN FOR THIS APPLICATION TO BE FORWARDED TO THE LIQUOR ENFORCE (.T IVISION FOR CONCURRENT REVIEW BY:( William F. Garcia Board of Weld County Commissioners Enclosed is a copy of the application submitted to our office for a new liquor license for Club Autentiko, LLC dba Club Autentiko, and the required application fee. If you have questions or need additional information, please do not hesitate to contact me at (970) 336-7215, Extension 5226. Very truly yours, Tammy Waters Deputy Clerk to the Board Enclosures: DR8404 (and accompanying documents) Money orders: 14-771710314, 14-771710311, 14-771710312, 14-771710313, 14-761880512 erThgert-fr 7Sziri!> 2013-2951 Mag DR 8404 (05/07/09) Page 1 COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION DENVER CO 80261 COLORADO LIQUOR RETAIL LICENSE APPLICATION 21 NEW LICENSE ❑ TRANSFER OF OWNERSHIP ❑ LICENSE RENEWAL • ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN • APPLICANT MUST CHECK THE APPROPRIATE BOX(ES) • LOCAL LICENSE FEE $ • APPLICANT SHOULD OBTAIN ACOPY OFTHE COLORADO LIQUOR AND BEER CODE(Ca11303370-2165) 1. Applicant is applying as a 'zb Corporation ❑ Partnership (includes Limited Liability and Husband and Wife Partnerships) 2. Applicant If an LLC, name of LLC; if partnership, at least 2 partner's names; if corporat on, name of corporation Club RuknV7Ko LLC 2a.Trade Name of Establishment (DBA) Club Ru'tec\kflca 3. Address of Premises (specify exact location of premises ►HRO w.C.C. an City er.,O OrIokinkon 4. Mailing Add s (Number and Street) DEPARTMENT USE ONLY ❑ Individual • Limited Liability Company ❑ Association or Other Coun State Sales Tax No. c3U),koct15-006, e \ c% cony City or Town / State 1604 g 1kutan i4. (\p}- 4 ( Neckh lv.nn CO 5. If the premises currently have a liquor or beer license, you MUST answer The following questions M A Present Trade Name of Establishment (DBA) Present State License No. State Co Present Class of License Fein Number y lo- 35a 3t-17 Business Telephone :)01'70{-0435 ZIP Code Salon3 ZIP Code gust/ Present Expiration Date L_ A SECTION A NONREFUNDABLE APPLICATION FEES 2300 i[ Application Fee for New License $1,025.00 2302 h0 Application Fee for New License - T w/Concurrent Review $1,125 00 2310 El Application Fee for Transfer $1,025.00 LAS SECTION B (CONT.) 1985 El Resort Complex License (City) $500.00 1986 El Resort Complex License (County) $500.00 1988 ❑ Add Related Facility to Resort Complex... $ 75.00 X Total 1990 ❑ Club License (City) $308.75 1991 ElClub License (County) $308.75 2010 ElTavern License (City) $500.00 2011 Ertravern License (County) $500.00 2012O Manager Registration - Tavern $ 75.00 2020 ElArts License (City) $308.75 2021 ❑ Arts License (County) $308.75 2030 ❑ Racetrack License (City) $500.00 2031 ElRacetrack License (County) $500.00 2040 ❑ Optional Premises License (City) $500.00 2041 El Optional Premises License (County) $500.00 2045 ❑ Vintners Restaurant License (City) $750.00 2046 ❑ Vintners Restaurant License (County) $750.00 2220 El Add Optional Premises to H & R $100.00 X Total 2370 ❑ Master File Location Fee $ 25.00 X Total 2375 ❑ Master File Background $250.00 XTotal LIQUOR LICENSE FEES LIAR SECTION B LIQUOR LICENSE FEES 1905 ❑ Retail Gaming Tavern License (City) $500.00 1906 ❑ Retail Gaming Tavern License (County) . $500.00 1940 ❑ Retail Liquor Store License (City) $227.50 1941 ❑ Retail Liquor Store License (County) $312.50 1950 ❑ Liquor Licensed Drugstore (City) $227.50 1951 ❑ Liquor Licensed Drugstore (County) $312.50 1960 ❑ Beer and Wine License (City) $351.25 1961 ❑ Beer and Wine License (County) $436.25 1970 El Hotel and Restaurant License (City) $500.00 1971 ❑ Hotel and Restaurant License (County) $500.00 1975 ❑ Brew Pub License (City) $750.00 1976 ❑ Brew Pub License (County) $750.00 1980 ❑ Hotel and Restaurant License w/opt premises (City)$500.00 1981 ❑ Hotel and Restaurant License w/opt premises (County) $500.00 1983 El Manager Registration - H & R $ 75.00 DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION County City Industry Type License Account Number Liability Date License Issued Through (Expiration Date) FROM TO State -750 (999) City 2180-100(999) County 2190-100(999) Managers Reg -750 (999) Cash Fund New License 2300-100 (999) Cash Fund Transfer License 2310-100 (999) TOTAL • DR 8404 (05/07/09) Page 3 6. Is the applicant (including any of the partners, if a partnership; members or manager if a limited liability company; or officers, stock- holders or directors if a corporation) or manager under the age of twenty-one years? • Yes No • N 7. Has the applicant (including any of the partners, if a partnership; members or manager if a limited liability company; or officers, stockholders or directors if a corporation) or manager ever (in Colorado or any other state); (a) been denied an alcohol beverage license? (b) had an alcohol beverage license suspended or revoked? (c) had interest in another entity that had an alcohol beverage license suspended or revoked? If you answered yes to 7a, b or c, explain in detail on a separate sheet. • 1 • IY 8. Has a liquor license application (same license class), that was located within 500 feet of the proposed premises, been denied preceding two years? If "yes," explain in detail. within the • X 9. Are the premises to be licensed within 500 feet of any public or private school that meets compulsory education requirements Colorado law, or the principal campus of any college, university or seminary? of • Et, 10. Has a liquor or beer license ever been issued to the applicant (including any of the partners, if a partnership; members or manager limited liability company; or officers, stockholders or directors if a corporation)? If yes, identify the name of the business and list current or former financial interest in said business including any loans to or from a licensee. if a any ■ ►.� 11. a. Attach en to Does the Applicant, as listed on line 2 of this application, arrangement? in of have legal possession of the premises by virtue of ownership, lease or other Detail) • Ownership N Lease • Other (Explain • If leased, list name of landlord and tenant, and date expiration, EXACTLY as they appear on the lease: Landlordrn ® l' a f t Dce,5 Tenant A o C\oo taokesnklkt Lt.Q Expires 1ec Art 1rdtt9 a diagram and ohtline or desinate the area to be licensed (including dimensions) which shows the bars, brewery, walls, partitions, rances, exits and what each room shall be utilized for in this business. This diagram should be no larger than 8 1/2" X 11". (Doesn't have be to scale) 12. Who, besides the owners listed in this application (including persons, firms, partnerships, corporations, limited liability companies), will loan or give money, inventory, furniture or equipment to or for use in this business; or who will receive money from this business. Attach a separate sheet if necessary. NAME DATE OF BIRTH FEIN OR SSN INTEREST NIA Attach copies of all notes and security instruments, and any written agreement, or details of any oral agreement, by which any person (including partnerships, corporations, limited liabi ity companies, etc.) will share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent or conditional in any way by volume, profit, sales, giving of advice or consultation. 13. Optional Premises or Hotel and Restaurant Licenses Has a local ordinance or resolution authorizing optional Number of separate Optional Premises areas requested with Optional Premises premises been adopted? (See License Fee Chart) Yes No • • 14. Liquor Licensed Drug Store applicants, answer the following: (a) Does the applicant for a Liquor Licensed Drug Store have a license issued by the Colorado Board of Yes Pharmacy? COPY MUST BE ATTACHED. No • • 15. Club Liquor License applicants answer the following (a) Is the applicant organization operated solely not for pecuniary gain? (b) Is the applicant organization a regularly operated solely for the object of a patriotic (c) How long has the club been incorporated? (Three years required) and attach: for a national, social, fraternal, patriotic, political or athletic purpose and Yes chartered branch, lodge or chapter of a national organization which is or fraternal organization or society, but not for pecuniary gain? (d) Has applicant occupied an establishment for three years that was operated solely for the reasons stated above? No III ■ ■ U ■ ■ 16. Brew -Pub License or Vintner Restaurant Applicants answer the following: Yes (a) Has the applicant received or applied for a Federal Permit? (Copy of permit or application must be attached) No 17a. Name of Manager (for all on -premises applicants) application for a Hotel, Restaurant or Tavern License, 17b. Does this manager act as the manager of, or have a licensed establishment in the State of Colorado? If t 1 30-00511.101. 3eiiox n & k 1 ,y2n4&s (If this is an 8404-I). Date of Birth (t - manager must also submit an Individual History Record (DR financial interest in, any other liquor yes, provide name, type of license and account number. Yes No ■ [S. 18. Tax Distraint Information. Does the applicant or any other person listed on this application and including its partners, officers, directors, stockholders, members (LLC) or managing members (LLC) and any other persons with a 10% or greater financial interest Yes in the applicant currently have an outstanding tax distraint issued to them by the Colorado Department of Revenue? If yes, provide an explanation and include copies of any payment agreements. No ■ I. OR 8404 (05/07/09) Page 4 19. If applicant is a corporation, partnership, association or limited liability company, applicant must list ALL OFFICERS, DIRECTORS, GENERAL PARTNERS, AND MANAGING MEMBERS. In addition applicant must list any stockholders, partners or members with OWNER- SHIP OF 10% OR MORE IN THE APPLICANT. ALL PERSONS LISTED BELOW must also attach form DR 8404 I (Individual History record), and submit finger print cards to their local licensing authority. NAME HOME ADDRESS, CITY & STATE DOB POSITION % OWNED* Sava na`.C, oS <Oloy$ 44oro( sk (a A. 901 "Pet 094 memher )00,1,5 VaikiA Co FDD-I *If total ownership percentage disclosed here does not total 100% applicant must check this box ❑ Applicant affirms that no individual other than these disclosed herein, owns 10% or more of the applicant Additional Documents to be submitted by type of entity i IORPORATION ❑ Cert. of Incorp. ❑ Cert. of Good Standing (if more than 2 yrs. old) ❑ Cert. of Auth. (if a foreign corp.) L] PARTNERSHIP ❑ Partnership Agreement (General or Limited) ❑ Husband and Wife partnership (no written agreement) `mot LIMITED LIABILITY COMPANY ❑ Articles of Organization ❑ Cert. of Authority (if foreign company) ❑ Operating Agrmt. ❑ ASSOCIATION OR OTHER Attach copy of agreements creating association or relationship between the parties Registered Agent Of applicable) Address for Service OATH OF APPLICANT 1 declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. I also acknowledge that it is my responsibility and the responsibility of my agents and employees to comply with the provisions of the Colorado Liquor or Beer Code which affect my license. Author zed Signature `) C.... Title ooner 3T0nle Merel6er q Date -b -l3 REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY (CITY/COUNTY) Date application filed with local authority �'e r �� Date of local authority hearing (for new license applicants; cannot be less than 30 days from date of application 12-47-311 (1)) C.R.S. THE LOCAL LICENSING AUTHORITY HEREBY AFFIRMS: That each person required to file DR 8404-I (Individual History Record) has: Yes No ,,,td' Been fingerprinted W IIILBeen subject to background investigation, including NCIC/CCIC check for outstanding warrants ' ❑ That the local authority has conducted, or intends to conduct, an inspection of the proposed premises to ensure that the applicant is in compliance with, and aware of, liquor code provisions affecting their class of license IVE VD -(Check One) /� il�i Date of Inspection or Anticipated Date `ter/API do 0 3 ❑ Upon approval of state licensing authority. The foregoing application has been examined; and the premises, business to be conducted, and character of the applicant are satisfactory. We do reportthat such license, if granted, will meetthe reasonable requirements of the neighborhood and the desires of the adult inhabitants, and will comply with the provisions of Title 12, Article 46 or 47, C.R.S. THEREFORE, THIS APPLICATION IS APPROVED. Local Licensing Authority for �f ` Weld County, Colorado ;�' IFS Telephone Number 970-356-4000 x 4225 ❑ TOWN, CITY Zi COUNTY Si. nat:r- ` r rd of County Commissioners Date OCT 2 1 2013 Sig-* r- (attes �i�r�i�;` 72#� jerk to the Board Date OCT 2 1 2013 &tv3- 995/ 5. Lusk o-\\ s2Si8,.ence. a ctsses be\ec,3, c c1.�ae Pctv`icos &A resses coc -Ictnc c 4 -ark,,e eac's, Cucren 6 anc\ . ID \4oron %k PO. Ito 1 Nockk knn, co 3oa% 4 Lopcc r c Gt,1,\ekee Ltf €a;71(c, Rpf\ X013 'J, I Si `7 )\c‘orn F `bes , CO g a,0`� mom . 5` 15 -A.009) . X155 beeak�r 5k NJ-eswu , 60 7?oac-i .To` fi-©cnn . 1 C) 5 L° s,lc- (x)� Ctieren-k -o e C_r s 1-loron sk Ael. got Nock�}e Co �oz3`1 Tcowt _- l o\Y t 1-0 0 - Rrese.k GI)Lo sierrct r Ge\\e'cke \ Y V2? 1 Lb — �c© — IPg©\ ` a,o\1 i o — 3one go , 2-0'3 Qs; ckence D-Qtouco °ne\Ocle- o -n c`- ev ic3O5 aclo ces Ses pc \\„e (Th c -s 3) is?% Sul sA_ Denver Co 026y — — d_0\\ --0qn Lk ,P.010 - \ O — arc11 , ZOO 4)11gc Deco -}us s Oenver Co 020c{ FEorv� — Ma�L 5, ez-0ag _ \ o — .F1?; \ So 2D i 0 DR 8404-I (01/06/05) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE STREET RM 108A DENVER CO 80261 INDIVIDUAL HISTORY RECORD To be completed by each individual applicant, all general partners of a partnership, and limited partners owning 10% (or more) of a partnership; all officers and directors of a corporation, and stockholders of a corporation owning 10% (or more) of the stock of such corporation; all limited liability company MANAGING members, and officers or other limited liability company members with a 10% (or more) ownership interest in such company and all managers of a Hotel and Restaurant or a Tavern License. NOTICE: This individual history record provides basic information which is necessary for the licensing authority investigation. All questions must be answered in their entirety or your application may be delayed or not processed. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood or omission will jeopardize the application as such falsehood within itself constitutes evidence regarding the character of the applicant. 1. Name of Business Chub B ke..nV° ko L I- C 2. Your Fu I Name (last, first, middle) oQn- o \n S avo�nn�. 3. List any other names you have used. N IA 4. Mailing address (if different from residence) Iolny5t 11ocon s\. APA.4o1 Home Telephone 301-709.0935 years. 5. List all residence addresses below. Include current and previous addresses for the past five STREET AND NUMBER CITY, STATE, ZIP FROM TO Current 1®ls`I'Z� %Focnn s4.ApV.'wi. 1\) or Al(15kimi CO t asq MAY/ aot3 ?resent Previous (sO Vitro, bra G° 11eA4e W `I Sal la W ACM (l, 1104-61l Tune, ao \'3 6. List all current and former employers or businesses engaged in within the last five years (Attach separate sheet if necessary) NAME OF EMPLOYER ADDRESS (STREET, NUMBER, CITY, STATE, ZIP) POSITION HELD FROM TO -T- Jaia(Xtno Mzeiesn ?oak Cliktelte W Y '5010 E t -\WI Ita\b 8a1tto 0t)JfEa Vlo cch aotl SO+ .4ota ` Wo`5ons k.,ec.\ tc t.okcwood. t4SoO W CtcoN Qve. Co sotto) si, \e) n ssocIowsre „Ti_ &20c AC90' rellor Envyconmetof 3a34 %eeah C- GolAene,M010 Recep4;on,s} anvart-j J&Dui - abd7 7. List t e name(s) of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. NAME OF RELATIVE RELATIONSHIP TO YOU POSITION HELD NAME OF LICENSEE NIiA 8. Have you ever applied for, held, or had an interest in a State of Colorado Liquor or Beer License, or loaned money, furniture or fixtures, equipment or inventory, to any liquor or beer licensee? If yes, answer in detail. Yes .No 9. Have you ever received a violation notice suspension or revocation, for a liquor law violation, or have you applied for or been denied a liquor or beer license anywhere in the U.S.? II yes, explain in detail. U Yes No 10. Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited bail for any offense in criminal or military court or do you have any charges pending? Include arrests for DUI and DWAI. (If yes, explain in detail.) ❑Yes No 11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (if yes, explain in detail.) ❑Yes No 12. Have you ever had any STATE issued licenses suspended, revoked, or denied including a drivers license? (If yes, explain in detail.) ❑Yes No PERSONAL AND FINANCIAL INFORMATION Unless otherwise provided by law in 24-72-204 C.R.S., information provided below will be treated as CONFIDENTIAL. Colorado liquor licensing authorities require the following personal information in order to determine your suitability for licensure pursuant to 12-47-307 C.R.S. 13a. Date of Birth c. Place of Birth t �• (' EN 1,en'ct 0 \,O..1(txb6r tcL d. U.S. Citizen? 'Yes II No e. If Naturalized, State where f. When g. Name of District Court h. Naturalization Certificate Number i. Date of Certification j. If an Alien, Give Alien's Registration Card Number k. Permanent Residence Card Number I. Height S s m. Weight t? \ n. Hair Color %ft(A%l o. Eye Color V a.an p. Sex ' q. Race 1-i r. Do you have a current Driver's License? If so, give number and state 7},es No 14. Financial Information. a. Total purchase price $ (if buying an existing business) or investment being made by the applying entity, corporation, partnership, limited liability company, other $ $ to 30 , o0 b. List the total amount of your invest stock purchases and fees paid $ n3t,,,in this lY } business including any notes, loans, cash, services or equipment, operating capital, 1 o .. <`® c. Provide details of Investment. You must account for the sources of ALL cash (how acquired). Attach a separate sheet if needed. Type: Cash, Services or Equipment Source:Name of Bank; Account Type and Number Amount 0 AUtOb5 �� how d. Loan Information (attach copies of all notes or loans) Name of Lender and Account Number Address Term Security Amount 15. Give name of bank where business account will be maintained; Account Name and Account Number; and the name or names of persons authorized to draw thereon. Oath of Applicant I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. Authorized Sign ure i /% •t L , Title in:)c. (1gnnes ,� .e.nnbFr 4 ek„ibo4en-VM0 Date q-9 aOi3 LLC September 4, 2013 To Whom It May Concern, I am writing this reference for Savannah Cuentas, who is applying for a liquor license so that she can open her own bar. I have known Savannah personally for over ten years, and have always known her to be an organized, responsible, and hardworking individual. While attending the Community College of Denver, we had most of our classes together. She was always focused and calm under stress of pressure. Savannah is always looking to learn new things and is the type of person that strives for the best in everything she does. Additionally, Savannah is a cheerful, friendly, and business -minded individual. I believe that she will make an excellent owner and manager for her new establishment. If you have any further questions, please feel free to contact me by phone or email. Regards, Amanda Pino 720-882-7451 amandapino.ap@gmail.com MEktl'i\11�^ I To Whom It May Concern: = \\ e.r BrAviv,. (:.i V 2 ,,,, r 7(50.i44.4401 September 3, 2013 It has been my pleasure to write this reference letter for Savannah Cuentas. I have known Savannah for 23 years, throughout that time I have seen Savannah grow to a mature and responsible young lady. She has shown dedication, integrity and true responsibility on all her careers which she has withheld. During this time that I was able to observe and see what a self -motivated and responsible person she has become as an individual. Savannah showed responsibility dedication toward projects and assignment provided to her, she is an excellent team player. Savannah is a hardworking individual, who is willing to help others that surround her. She is a self- starter and motivated individual that I know will excel in anything she puts her mind to. Savannah owned a Mexican restaurant called the Jalapeno Mexican Food for a little over 3 years where she showed true responsibility as an owner and Manager. She followed all FMSA rules and compliance treated customers with the upmost respect and courtesy. Her restaurant was a thriving success. Savannah has shown true honesty and integrity which should not prevent her from obtaining a liquor license. I highly recommend Savannah Cuentas to obtain a liquor license for this new business which I know without a doubt will as well be a success as Savannah is a hardworking and well managed individual. If you should need any further information, please feel free to contact me at 760-351-3254 or at Cavila@pmhd.org Cecilia A Avila September 1, 2013 To Whom It May Concern, My name is Christina Gurule; a friend of Savannah Cuentas for over eight years. Over time Ms. Cuentas has proved to be nothing other than a responsible, hardworking, motivated patron. Ms. Cuentas has proven her loyalty and kindness over and over again throughout our friendship. She has never had any issues that should prevent her from obtaining a liquor license. Please feel free to contact me regarding any questions of Ms. Cuentas responsibility or intentions. Sincerely, Christina Gurule 720-928-2841 -i •2? lainsisaws 6 Ice _ ___t______,,,, _....., \�i o [o\ .-7 i Document must be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more information or to print copies of filed documents, visit www.sos.state.co.us. Colorado Secretary of State Date and Time: 09/06/2013 03:59 PM ID Number: 20131500757 Document number: 20131519745 Amount Paid: $25.00 ABOVE SPACE FOR OFFICE USE ONLY Articles of Amendment filed pursuant to §7-90-301, et seq. and §7-80-209 of the Colorado Revised Statutes (C.R.S.) ID number: 1. Entity name: 2. New Entity name: (if applicable) 20131500757 Club Autentiko (lfchanging the name of the limited liability company, indicate name before the name chafe) 3. Use of Restricted Words (if any of these terms are contained in an entity name, true name of an entity, trade name or trademark stated in this document, mark the applicable box): 4. Other amendments, if any, are attached. 5. If the limited liability company's period of duration as amended is less than perpetual, state the date on which the period of duration expires: or Club Autentiko LLC ❑ "bank" or "trust" or any derivative thereof ❑ "credit union" O "savings and loan" ❑ "insurance", "casualty", "mutual", or "surety" (nm/dd/yyyy) If the limited liability company's period of duration as amended is perpetual, mark this box: 6. (Optional) Delayed effective date: (mm/dd/yyyy) Notice: Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the secretary of state, whether or not such individual is named in the document as one who has caused it to be delivered. 7. Name(s) and address(es) of the individual(s) causing the document to be delivered for filing: Cuentas Savannah (Last) (First) (Middle) (Suffix) AMD_LLC Page 1 of2 Rev. 12/01/2012 1490 W.C.R.27 (Street name and number or Post Office Box information) otion) Brighton CO 80603 (City u kta )States (Postal/Zip Code) (Province —if applicable) (County— if not US) (The document need not state the true name and address of more than one individual, However, if wish; to state the name and address of any additional individuals causing the docanenI to be delivered for filing, mark this box [1 and include no attachment stating the name and address of such individuals.) Disclaimer: This form, and any related instructions, are not intended to provide legal, business or tax advice, and are offered as a public service without representation or warranty. While this form is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form. Questions should be addressed to the user's attorney. AMD_LLC Page 2 of 2 Rev. 12/01/2012 OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE I. Scott Gessler, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office. Club Autentiko is a Limited Liability Company formed or registered on OS 2S 2013 under the law of Colorado. has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number ?013 1500757. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 08 29 2013 that have been posted. and by documents delivered to this office electronically_ through 09 01 2013 ft 1':55:05. I have -affixed hereto the Great Seal of the State of Colorado and duly generated, executed. authenticated, issued. delivered and communicated this official certificate at Denver. Colorado on 09 01 2013 a 1':55:05 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 8631163. Secretary of State of the State of Colorado ...i'1i'•`';iwii'ii?`�'Yf iPY1Y rY ¢Yi NP:ki Yi.yrYi;a_,�.YY YfYYi YYY iFY?§Y?g?^giw #Y YY'FM•: `Fz 8'Y'5y L,1 iyT�f4'-'l LP:. J`;.... LO:u ....1 Vii_ e. ' ?:_..a .: - - l•... ... ..:.. ...: f_!i:C.... .. J`�e:C••. ..:.n:, _ ::F .... ::� :.. t F_ Ca_ ::-_.:ca c; ::i .: .i Y�ir: o c:...: .. ':p: -c..: F-... .:F _ .• -' ..:i 176, `': C'c: +:x -._.J J.. .::.: 0L (.i•::F"., ....d�{:: _ . - 0:,67::0 COMMERCIAL LEASE This Commercial Lease ("Lease") is executed and delivered this 1st day of September , 2013 by and between MARY SIPRES, Property Owner at 1490 WCR 27, Brighton, Colorado 80603, herein called Lessor; and Club Autentiko, LLC at 1490 W.C.C. 27, Brighton, CO 80603, herein collectively called Lessee. Lessee hereby leases and accepts from Lessor certain premises located in the City of Brighton, County of Weld, State of Colorado, described as the downstairs/main-floor part of the building located at 1490 WCR 27, Brighton, Colorado 80603, hereinafter referred to as the "Premises" or "demised premises," as well as certain Assets including furniture, fixtures, equipment and leasehold improvements related to the operation of a restaurant/nightclub business in the Premises, all in their present condition, as -is, where -is, and with all faults, upon the following TERMS and CONDITIONS: 1. Term and Rent. Lessor leases the demised premises to Lessee for a fixed term of Fifteen Months (15) commencing on September 1, 2013 and terminating on December 31, 2014 payable in equal monthly installments of Three Thousand Five Hundred Dollars ($3,500.00) on the first day of the month. As of September 1, 2013, Rent will be One Thousand Dollars ($1,000.00) until Liquor License has been granted. Thereafter, once Liquor License has been granted Rent will be Three Thousand Dollars ($3,000.00) for the next Three (3) Months, thereafter the Rent will be Three Thousand Five Hundred Dollars($3,500.00)for the remainder of the Commercial Lease, payable in advance on the first day of each and every month for that month's rental, during the term of this Lease. All rental payments shall be made to Lessor at the address specified above. 2. Use. This Lease Agreement is only for a properly licensed and lawfully operated Restaurant and Night Club use. Living Quarters upstairs is not included with this Lease Agreement. Lessor makes no representation or warranty that the Premises are suitable or zoned for Lessee's intended uses. Lessee's uses shall confirm all zoning, licensing and permitting requirements, and Lessee shall only use and occupy the demised premises for Lessee's lawful business purposes. The demised premises shall be used for no other purpose without the prior written consent of Lessor. Lessee shall not use the demised premises for storing, manufacturing or selling any explosives, flammables, or any other illegal or dangerous substance, chemical, hazardous material, thing or device. Lessee shall not use or allow the Premises to be used for any immoral, unlawful, or objectionable purposes. Lessee shall not commit, or suffer to be committed, any waste upon the Premises, or cause, suffer or permit any nuisance (public or private) or disturbance in the Premises. Page 1 of 8 3. Security Deposit. The amount of the Security Deposit is Five Thousand Dollars ($5,000.00) payable as follows. On or before September 1, 2013, Lessee shall deposit with Lessor One .Thousand Five Hundred Dollars ($1,500.00); and Lessor agrees, deposit will be divided into monthly installments such as: One Thousand Dollars ($1,000.00) each month until fully paid, as security for the full and faithful performance by Lessee of all terms hereof, to be returned to lessee, without interest, on the full and faithful performance by Lessee of all provisions hereof and returning the Premises (and all Assets) in as good condition or better as existed at the inception of this Lease, normal wear and tear excepted. Security Deposit will be non-refundable if he/she changes their mind. If Liquor License or finger prints are denied, Lessor will keep $1,000.00 of deposit and return the remainder of deposit. Deposit is ONLY for damages that may occur on the premises. Deposit is not for late rental payment. 4. Liquor License. This Lease Agreement is contingent upon Lessee obtaining a Liquor License from Weld County and the State of Colorado, for alcohol sales at the Premises. Lessee shall promptly apply for and use diligent efforts to obtain such licnese(s). Lessee shall comply with all terms, conditions and requirements of such license(s). At the end of the Term or upon any other termination of this Lease, the Lessee shall not terminate its Liquor License and if necessary shall extend such license(s), such that any subsequent lessee or buyer can obtain a transfer of such licenses for the operation of its business, including: Liquor License, Sales Tax License, Cabaret/Dance License, Restaurant License, and any other license that is required by the laws of the City of Brighton, Weld County, and the State of Colorado to operate Lessee's business in the Premises. If Lessee receives a suspension or revocation of any license issued by the State, County or any other governmental entity, and such suspension or revocation is not promptly and properly cured and the license reinstated, then Lessor may terminate this Lease Agreement and Lessee shall remain liable to pay all remaining amounts due under this Lease Agreement. 5. Sales Taxes. Lessee shall pay in full when due all sales or other taxes related to the operation of its business on the Premises, and shall provide Lessor copies of all sales tax reports to the requisite State and Local governmental authorities, and evidence of payment of the same, on a quarterly basis, commencing December 2013, and continuing on March 2014, and June 2014, September 2014 and December 2014, while this Lease is in effect. 6. Care and Maintenance of Premises. Lessee acknowledges that it has inspected the demised premises and that the same are in good order and repair and acceptable to Lessee, and Lessee hereby accepts the Premises as is and with all faults. Lessee shall, at its own expense and at all times during the Term, maintain the demised premises in good and safe condition, including plate glass, electrical wiring, plumbing and heating installations and any other system or equipment upon the demised premises, and shall surrender the same, at termination hereof, in as good or better condition as received, normal wear and tear excepted. Lessee shall be responsible for all repairs and maintenance, excepting major maintenance and repair of the demised premises, not due to Lessee's misuse, waste or neglect or that of its employees or visitors, which major repairs and maintenance (any one repair Page 2 of 8 exceeding ($2,500.00) shall be the responsibility of Lessor. Particularly, the roof, exterior walls and structural foundations shall be maintained and repaired by Lessor. Lessee shall also maintain in good condition all areas adjacent and appurtenant to the demised premises, such as sidewalks, driveways, lawns and shrubbery. If snow is not removed within 24 hours after the last snow fall, Lessor will hire a contractor for that day and lessee will pay the charges for having the snow removed. Lessee shall be responsible for any damage caused to the demised premises by Lessee's misuse or negligence and that of Lessee's employees, customers, agents, guests and visitors. 7. Alterations. Lessee shall not, without first obtaining the written consent of Lessor, make any alterations, additions, or improvements, in, to, or about the demised premises. Any alterations that are completed by Lessee, Lights, Carpet, any type of fixtures, shall remain on the premises of 1490 W.C.R. 27, Brighton, Co 80603. 8. Ordinances and Statutes. Lessee shall comply with all statutes, ordinances and requirements of all municipal, state and federal authorities now in effect and as the same may hereafter be amended, pertaining to the demised premises, occasioned by or affecting the use thereof by Lessee. 9. Assignment and Subletting. Lessee shall not assign this Lease or sublet any portion of the demised premises without prior written consent of Lessor, which consent may be withheld in the Lessor's sole and absolute discretion. Any such assignment or subletting without the prior written consistent of Lessor shall be void and, at the option of Lessor, may terminate this Lease. Lessee agrees to execute an assignment of rents owned to Lessor, in favor of Lessor's lender, if required by Lessor's lender. 10. Utilities. Unless otherwise separately agreed in writing signed by the Parties, all applications and connections for necessary utility services on the demised premises shall be contracted -for in the name of Lessee only, and Lessee shall be solely liable for all utility charges as they become due, including those for sewer, water, gas, electricity, television and telephone services. In the event that any utility or service provided to the demised premises is not separately metered, Lessor shall pay the amount due and separately invoice Lessee for Lessee's pro rata share of the charges. Lessee shall pay such amounts within fifteen (15) days of invoice. Lessee acknowledges that the demised premises are designed to provide standard office use electrical facilities and standard office lighting. Lessee shall not use any equipment or devices that utilize excessive electrical energy, or that may, in Lessor's reasonable opinion, overload the wiring or interfere with electrical services to other lessees or occupants. Lessor will continue to live in the residence above the nightclub. If Lessor moves out of the above residence, Lessor may, but shall not be obligated to, offer such upstairs residence for lease to Lessee for an additional rent. 11. Entry and Inspection. Lessee shall permit Lessor or Lessor's agent(s) to enter the demised premises at reasonable times and upon reasonable notice, or the purpose of inspecting the same, and shall permit Lessor at any time Page 3 of 8 within fifteen (15) days prior to the expiration of this lease, to place upon the demised premises any usual "To Let", "For Lease" or "For Sale" signs, and shall permit Lessor and prospective lessees or purchasers desiring to lease or purchase to inspect the demised premises. 12. Parking. During the term of this lease, Lessee shall have the nonexclusive use in common with the Lessor, and other tenants or occupants and their guests and invitees, of the non -reserved common area established parking areas, driveways, and foot ways, subject to rules and regulations for the use thereof as prescribed from time to time by Lessor. Lessor reserves the right to designate specific parking areas for Lessee and Lessee's agents and employees. Upon Lessor's request, Lessee shall provide Lessor with a list of all license numbers for vehicles owned or used by Lessee, its agents and employees. 13. Possession. If Lessor is unable to deliver possession of the demised premises at the commencement hereof, Lessor shall not be liable for any damage caused thereby, nor shall this lease be void or voidable, but rent shall abate until possession is delivered. Lessee may terminate this lease if possession is not delivered within thirty (30) days of the commencement of the term thereof. 14. Indemnification of Lessor. Lessee acknowledges and agrees that Lessor shall not be liable for any claim, demand, loss, damage or injury to Lessee, or any other person, or to any property, occurring on the demised premises or any part thereof, occurring during or in connection with lessee's term of occupancy. Lessee shall indemnify, defend and hold Lessor harmless from any and all claims or demands for damages which arise in connection with any such occurrence. Said indemnification shall include indemnity from any costs or reasonable attorneys fees which Lessor may incur in defending said claim or demand. 15. Insurance; Exhibit A. Lessee, at its expense, shall obtain and maintain at all times during the Term, adequate worker's compensation insurance as required by Colorado Law, public commercial general liability and casualty insurance, including bodily injury and property damage, and "dram shop" liquor liability insurance, insuring Lessee and Lessor (as an additional insured), with minimum coverage amounts, and types of insurance coverage, as set forth on the attached Exhibit A, incorporated by reference. At or before the commencement date, Lessee shall provide Lessor with Certificates of Insurance showing Lessor as an additional insured, and demonstrating that all insurance required by Exhibit A is in place and the premiums therefore are paid. The Certificate shall provide for a thirty -day written notice to Lessor in the event of cancellation or material change of coverage. To the maximum extent permitted by insurance policies which may be owned by Lessor or Lessee, Lessee and Lessor, for the benefit of each other, waive any and all rights or subrogation which might otherwise exist. If the demised premises or any other part of the building is damaged by fire or other casualty resulting from any act of negligence of Lessee or any of Lessee's agents, employees or invitees, rent shall not be diminished or Page 4 of 8 abated while such damages are under repair, and Lessee shall be responsible for the costs of repair not covered by insurance. Lessee shall also maintain such liquor liability or "dram shop" insurance as is required by Exhibit A. 16. Eminent Domain. If the demised premises, or any part thereof or any estate therein, or any other part of the building materially affecting Lessee's use of the demised premises shall be taken by eminent domain, this lease shall terminate on the date when title vests pursuant to such taking. The rent, and any additional rent, shall be apportioned as of the termination date, and any rent paid for any period beyond the date shall be repaid to Lessee. Lessee shall not be entitled to any part of the award for such taking or any payment in lieu thereof, but Lessee may at its expense pursue its own separate claim again the condemning authority for any taking of fixtures and improvements owned by Lessee, and for moving expenses. 17. Destruction of Premises. Lessee shall give Lessor immediate notice in case of fire or other damage or casualty to the demised premises, or any part thereof. In the event of partial destruction of the demised premises during the term hereof, from any cause, Lessor shall forthwith repair the same, provided that such repairs can be made within sixty (60) days under existing governmental laws and regulations, but such partial destruction shall not terminate this lease, except that Lessee shall be entitled to a proportionate reduction of rent while such repairs are being made, based upon the extent to which the making of such repairs shall interfere with the business of Lessee on the demised premises. If such repairs cannot be made within the said sixty (60) days, Lessor, at Lessor's options, may make the same within a reasonable time, this lease continuing in effect with the rent proportionately abated as aforesaid, and in the event that lessor shall elect not to make such repairs which cannot be made within sixty (60) days, this lease may be terminated at the option of either party. In the event that the building in which the demised premises are situated is destroyed to an extent of not less than one-third of the replacement costs, thereof, Lessor may elect to terminate this lease whether the demised premises be injured or not. A total destruction of the building in which the demised premises may be situated shall terminate this lease. 18. Lessor's Remedies on Default. If Lessee fails to make payment of any installment of Rent for more than three (3)days, after the due date, Lessee agrees to pay an additional $200.00 per day late fee. If not paid, within Three (3) days, Lessor will have the right to terminate the Lease Agreement, effective immediately. If any default is made in payment of rent, or any part thereof, at the times hereinbefore specified, or if any default is made in the performance of or compliance with any of the other terms or conditions hereof, this lease, at the option of Lessor and to the extent permitted by law, shall terminate and be forfeited, and Lessor may re-enter the demised premises and remove all persons there from to the extent permitted by law. Lessor may accelerate the rent and recover damages, reasonable attorney's fees and costs of enforcing this Lease and collecting unpaid rent, and may retain the security deposit in whole or in part. 19. Common Area Expenses. In the event the demised premises is situated in a commercial building in which there are common areas, Lessee agrees to pay its Page 5 of 8 pro rata share of maintenance, taxes and insurance for the common area, including parking areas, plus any pro rata share of insurance premium increase. 20. Attorney's Fees. In case Lessor shall retain the services of an attorney to enforce this Lease, whether for recovery of the demised premises or for any sum due hereunder, or because of any act which may arise out of Lessee's possession of the demised premises, the Lessor shall be entitled to recover from Lessee all costs incurred in connection with such action, including a reasonable attorney's fee. In the event that Lessee is the prevailing party in any such proceeding, then this attorney fee shifting provision shall be reciprocal. 21. Waiver. No failure of Lessor to enforce any term hereof shall be deemed to be a waiver. 22. Notices. All notices pursuant to this agreement shall be in writing. 23. Heirs, Assigns, Successors. This lease is binding upon and inures to the benefit of the heirs, assigns and successors in interest to the parties. 24. Subordination. This lease is and shall be subordinated to all existing and future liens and encumbrances against the property. 25. Radon Gas Disclosure. As required by law, Lessor makes the following disclosure: "Radon Gas" is a naturally occurring radioactive gas that, when it has accumulated in a building in sufficient quantities, may present health risks to persons who are exposed to it over time. Levels of radon gas that exceed federal and state guidelines have been found in buildings in Colorado. Additional information regarding radon gas and radon testing may be obtained from your county public health unit. Lessor has no knowledge of radon gas levels in the premises and Lessee is advised to conduct regular inspections. 26. Entire Agreement. The foregoing constitutes the entire agreement between the parties and may be modified only by a writing signed by both parties. 27. Liability. Lessor shall not be liable for any loss, expense or damage to any person or property, unless it is due to Lessor's gross negligence. Lessee is responsible for all acts, omissions, conduct or negligence of Lessee, its employees, customers, agents, visitors or invites. 28. Paragraph Headings. The paragraph headings are for convenience only. 29. Choice of Law. This lease shall be governed by the laws of the State of Colorado, and all disputes shall be subject to the jurisdiction of the Courts of Weld County, Colorado. 30. Renewal of Lease. If current Lessee would like to extend Lease for another year, Lessor may or may not grant a renewal. If Lessor agrees, rental of demise premises will raise %10 of current rental agreement. 31. Driver's License and Social Security Number. On a Separate document Lessee will furnish his/her Driver's License number and Social Security Number. Page 6 of 8 32. Continuance of Commercial Lease Agreement. If anything shall happen to Mary Sipres, Property Owner of 1490 W.C.R. 27, Brighton, CO 80603; Daughter, Martha Griego, will continue with Lessee to complete Commercial Lease Agreement. 33. Sale of Premises. I currently have the premises on the market. If there is a buyer your Commercial Lease Agreement will continue. The buyer will continue with all stipulations on the Lease Agreement. When Commercial Lease Agreement expires, it will be the decision of the new buyer to continue lease or terminate lease. 34. Septic Tank Usage. Per Weld County Health and Environment, Usage on water is 298 gallons per day and permanent seating is 40. The capacity per building code is 292. IN WITNESS WEHREOF, the parties have executed this lease the day, month and year first above written. LESSOR: Mary Sipres, Property Owner 1490 W.C.R. 27, Brighton, Co 80603 Date: LESSEE(S): Club Autentiko, LLC 1490 W.C.R. 27 Brighton, CO 80603 Date: 9-1-/3 NOTICE: Lessees are advised to seek assistance from an attorney before signing this Lease. Page 7 of 8 EXHIBIT A TYPES OF INSURANCE AND REQUIRED COVERAGE AMOUNTS (To be provided by Insurance Agent) Page 8 of 8 LIMITED LIABILITY COMPANY OPERATING AGREEMENT FOR CLUB AUTENTIKO LLC A Colorado, LIMITED LIABILITY COMPANY THIS OPERATING AGREEMENT ("Agreement") is entered into this 6 day of September, 2013, by and between the following person(s): Savannah Cuentas (Hereinafter Referred to as the "Party" or "Member") The Member in the above -described Limited Liability Company agrees as follows: FORMATION OF LIMITED LIABILITY COMPANY I. FORMATION OF LLC. The Member having formed a Limited Liability Company named Club Autentiko LLC (Hereinafter referred to as the "LLC") in the State of Colorado. The LLC shall be operated by the terms of this Agreement and the applicable laws of the State of Colorado relating to the formation, taxation and operation of a LLC. The Member agrees that the LLC shall be taxed as a sole proprietorship. The sole proprietorship shall be inoperative if there are any provisions of this agreement that may cause the LLC not to be taxed as a sole proprietorship. II. BUSINESS. The primary business of the LLC shall be: Bar/ Live Music The LLC shall be legally allowed to conduct or promote any lawful business or purpose within the State of Colorado or any other jurisdiction where the LLC may be conducting business activities. Page 1of12 III. ARITCLES OF ORGANIZATION. The LLC acting through its Member named Savannah Cuentas, filed Articles of Organization, ("Articles") in the records of the Colorado Secretary of State on August 28, 2013 and thus, creating the LLC. IV. PLACE OF BUSINESS. The official place of business of the LLC shall be 1490 W.C.R 27 City of Brighton State of Colorado Zip Code 80603. V. REGISTERED OFFICE. The official registered office of the LLC shall be 1490 W.C.R 27 City of Brighton State of Colorado Zip Code 80603. If at anytime the registered office should change, all necessary government authorities shall be notified. VI. REGISTERED AGENT. The official registered agent of the LLC shall be Savannah Cuentas If at anytime the registered agent should change, all government authorities shall be notified. VII. FISCAL YEAR. The LLC's fiscal and tax year shall end Dec 31, 2013 VIII. DURATION. The LLC will commence business as of the date of filing and will continue in perpetuity. IX. INITIAL MEMBERS. The initial Member of the LLC, their initial capital contributions, and their percentage interest in the LLC are as follows: Members Percentage Interest in LLC Capital Contribution (If any) Savannah Cuentas 100 Page 2 of 12 X. ADDITIONAL MEMBERS. Upon the consent of the sole Member and in compliance with the provisions of this agreement, new members may be admitted. XI. MANAGEMENT. The Member has elected to manage the LLC as follows (check as appropriate): ElThe management of the LLC shall be vested in the Member without an appointed manager. The Member shall elect an officer(s) who shall manage the company. The President and Secretary may act for and on behalf of the LLC and shall have the power and authority to bind the LLC in all transactions and business dealings of any kind as otherwise provided in this Agreement. 1 The Member shall hereby delegate the management of the LLC to Manager(s), subject to the limitations set out in this agreement. There shall be 1 initial Manager. The initial Manager is: Savannah Cuentas A Manager shall hold their position until the Member elects a successor. The Member shall elect and may remove the Manager(s) by majority vote. The authority shall be held by the Member to take all necessary and proper actions in order to conduct the business of the LLC. Any Manager can take any appropriate action on behalf of the LLC, including, but not limited to signing checks, executing leases, and signing loan documents except for decisions concerning distributions. With or without the notice of a meeting, the action of the Manager shall be based on a majority vote of the Managers when determining the timing and total amount of distribution to the Members. Page 3 of 12 The compensation to the Manager(s) shall be in the discretion of the Member of the LLC. XII. OFFICERS AND RELATING PROVISIONS. If the Member decides to manage the LLC, rather than appointing a Manager, the Member shall appoint officers for the LLC and the following provisions shall apply: (a) OFFICERS. The officers of the LLC shall consist of a president, a treasurer and a secretary, or others that may be elected and appointed by the Member. A Member may hold more than one or all offices. The officers shall supervise the operation of the LLC under the direction and management of the Member, as further described below. (b) TERM OF OFFICE/ELECTION. The Member shall elect the officers of the LLC annually by a majority vote. Vacancies may be filled or new offices created and filled at any meeting of the Member. All officers shall hold their office positions unless until their death, removal of office, or resignation. Election or appointment of an officer or agent shall not of itself create a contract right. (c) REMOVAL. The Member may decide to remove any officer or agent by a majority vote whenever they decide that the best interest of the company would be served thereby. If an officer or agent is removed, it shall be without prejudice to the contract rights. (d) PRESIDENT. The President shall be the chief executive officer of the LLC and shall be present at all meetings with the Member. The president shall have all powers to perform such duties that are outlined in this Agreement. (e) THE TREASURER. The Treasurer shall be the chief financial officer of the LLC. The Treasurer is responsible for all funds and securities of the LLC. The Treasurer shall preside at the meeting with the Member when the President is absent. The Treasurer must receive and give receipts for moneys due and payable to the LLC from any money source whatsoever, and deposit all such moneys in the name of the LLC in any such money institution, which shall be selected by the Member of the LLC. The Treasurer shall perform all other duties that may be assigned to the office of treasurer by the President or by the Member of the LLC. (f) SECRETARY. The Secretary shall keep a time log of the Member's meetings in a file provided for that purpose and also see that all notices are duly given in accordance with the provisions of this Agreement or as required by law. The Secretary shall have custody of the LLC records, addresses of Member, Member's resolutions, and other documents to Page 4 of 12 (g) the LLC as true and correct. The Secretary shall preside at the meetings of the Member in the absence of the President and Treasurer and also perform all other duties that may be assigned to the office of secretary by the President or by the Member of the LLC. VACANCIES. A vacancy is any office because of death, resignation, removal, and disqualification or otherwise may be filled by the Member for the unexpired portion of the term. XIII. MEMBER ONLY POWERS. Notwithstanding any other provision of this Agreement, the Member may: (a) sell or encumber any real estate owned by the LLC, or (b) incur debt, expend funds, or otherwise obligate the LLC if the debt, expenditure, or other obligation the Member wishes. XIV. INTEREST OF MEMBER. The Member shall own a full One Hundred Percentage (100%) interest in the LLC. The percentage interest shall control the Member's share of the profit, losses, and distributions of the LLC. XV. CONTRIBUTIONS. The initial contribution and initial percentage interest of the Member are as set out in this Agreement. XVI. ADDITIONAL CONTRIBUTIONS. In the case the Member is called upon by the LLC to make additional cash contributions, the additional cash contribution shall be based on the sole Member. XVII. PERCENTAGE INTEREST/RECORD OF CONTRIBUTIONS. This Agreement, any amendment(s) to this Agreement, and all Resolutions of the sole Member of the LLC shall constitute the record of the Member of the LLC and of their respective interest therein. XVIII. DISTRIBUTIONS. Distribution of cash and other assets of the LLC (other than in dissolution of the LLC) shall be made in the total amounts and at the periods decided upon by the Member. Any such distributions shall be allocated among to the Member on the basis of the Members' percentage interest in the LLC. XIX. PROFITS AND LOSSES. On the basis of the Members' percentage interest in the LLC, the profits and losses and all other tax attributes of the LLC shall be allocated to the Member. XX. CHANGE IN INTEREST. IF during any year there is a change in the Member's percentage interest, the Member's share of the profits and Page 5 of 12 losses and distributions in that year shall be determined under a method which takes into account the varying interest during that year. XXI. VOTING BY MEMBERS. In relation with the Member's percentage interest, the Member shall be entitled to vote on all matters that provide for a vote on the subject of the LLC. XXII. MAIORITY DEFINED. The term "Majority" of the Member(s) shall mean a majority of the ownership interest of the LLC as determined by the records of the LLC on the date of the action when used throughout this agreement. XXIII. MAJORITY REQUIRED. The majority of the Members, or sole Member, based upon their percentage ownership, except as otherwise provided and delegated to the Officers or Managers, shall decide all decisions made. XXIV MEETINGS. Meetings of the Member(s), Manager(s), and Officer(s) may be called in the event by any member owning 10% or more of the LLC, or, if Managers were selected, by the Manager of the LLC, or if Officers were elected, by any officer. XXV. WRITTEN CONSENT/MEETINGS. The Member or Officer(s) do not have to hold a meeting in order to accomplish an action but evidence of the action shall be recorded and signed by the majority of Members or the sole Member. Action without a meeting may be evidence by a written consent signed by the Member, President, or Secretary. XXVI. MEMBER HAS NO EXCLUSIVE DUTY TO LLC. The Member may have other business interests and may participate in other investments in addition to those relating to the LLC. The Member shall not be required to participate in the LLC as their sole and exclusive business. The Member shall not be held liable to the LLC by participating in outside businesses, investments, or activities. XXVII. DUTIES OF MEMBERS: LIMITATION OF LIABILITY/GOOD FAITH. The owner of the LLC shall perform their duties in good faith and perform with such care to be in the best interest of the LLC. The Member shall be held responsible if an Officer finds them guilty of fraud, gross negligence, deceit, willful misconduct, or a wrongful taking. No Member or Officer, by reason of being or having been a Member or Officer, shall be liable to the LLC or to any other member or Officer for any loss or damage sustained by the LLC. XXVIII.PROTECTION OF MEMBERS AND OFFICERS. Page 6 of 12 (a) As used herein, the term "Protected Party" refers to the Member and officer(s) of the Company. (b) To the extent that, at law or in equity, a Protected Party has duties (including fiduciary duties) and liabilities relating thereto to the LLC or to any other Protected Party, a Protected Party acting under this Agreement shall not be liable to the LLC or to any other Protected Party for good faith reliance on: (i) The provisions of this Agreement; (ii) The records of the LLC; and/or (iii) Such information, opinions, reports or statements presented to the LLC by any person as to matters the Protected Party reasonably believes are within such other person's professional or expert competence and who has been selected with reasonable care by or on behalf of the LLC. (c) The provisions of this agreement, to the extent that they restrict the duties and liabilities of a Protected Party to the LLC or to any other Protected Party otherwise existing at law or in equity, are agreed by the parties hereto to replace such other duties and liabilities of such Protected Party. XXIX. INSURANCE AND IDEMNIFICATION. (a) Right to Indemnification. (i) Any person who is or was a member or officer of the LLC and who is or may be a party to any civil action because of his/her participation in or with the LLC, and who acted in good faith and in a manner which he/she reasonably believed to be in, or not opposed to, the best interest of the LLC may be indemnified and held harmless by the LLC. (ii) Any person who is or was a member or officer of the LLC and who is or may be a party to any criminal action because of his/her participation in or with the LLC, and who acted in good faith and had reasonable cause to believe that the act or omission was lawful, may be indemnified and held harmless by the LLC. (b) Non -Exclusivity of Rights. The Member and Officer(s) of the LLC shall adopt and enter into indemnification agreements for the Member and Officer(s). The right to indemnification and Page 7 of 12 payment of fees and expenses conferred in this section shall not be exclusive of any right which any person may have or hereafter acquire under any statute, provision of this agreement, contract, agreement, vote of the Member or otherwise. (c) Advancement of Expenses. All expenses including legal fees incurred by an indemnified person in defending any proceeding shall be paid in advance of the proceedings conclusion. Should the indemnified member or officer ultimately be determined to not be entitled to indemnification, that member or officer agrees to immediately repay to LLC all funds expended by the LLC on behalf of the Member or Officer. (d) Effect of Amendment. No amendment, repeal or modification of this Article shall adversely affect any rights hereunder with respect to any action or omission occurring prior to the date when such amendment, repeal or modification became effective. (e) Insurance. With a majority vote, or, at the discretion of the sole Member, may decide to purchase and maintain insurance for the LLC, for the Member and officer(s), and/or on the behalf of any third party or parties whom the members might determined should be entitled to such insurance coverage. XXX. TERMINATION OF MEMBERSHIP. The Member's interest in the LLC shall cease upon the incidence of one or more of the following events: (a) The Member dies (b) The Member decides to give notice of withdrawal to the LLC thirty days (30) in advance of the withdrawal date. There is no breach of Agreement when a Member decides to withdraw in this fashion. (c) A Member assigns all of his/her interest to a qualified third party. (d) There is an entry of an order by a court of competent jurisdiction adjudicating the Member incompetent to manage his/her person or his/her estate. (e) In the case of an estate that is a Member, the distribution by the fiduciary of the estate's entire interest in the LLC. (f) If within one hundred twenty (120) days after the commencement of any action against a Member seeking reorganization, readjustment, Page 8 of 12 composition, readjustment, liquidation, arrangement, dissolution, or similar relief under any statue, law, or regulation, the action has not been dismissed and/or has not been consented to by a majority of the members. (g) If within ninety days (90) after the appointment, without the Member's consent or acquiescence, of a trustee, receiver, or liquidator of the Member or of all or any substantial part of the Member's properties, said appointment is not vacated or within ninety days (90) after the expiration of any stay, the appointment is not vacated and/or has not been consented to by the Member. (h) The Member, without consent: (1) makes an assignment for the benefit of creditors; (2) files a voluntary petition in bankruptcy; (3) is adjudicated a bankrupt or insolvent; (4) files a petition or answer seeking for himself any reorganization, arrangement, composition, readjustment, liquidation, dissolution, or similar relief under any statute, law or regulation; (5) files an answer or other pleading admitting or failing to contest the material allegations of a petition filed against him in any proceeding of the nature described in this paragraph; (6) seeks, consents to, or acquiesces in the appointment of a trustee, receiver, or liquidator of the Member or of all or any substantial part of his properties; or (7) if any creditor permitted by law to do so should commence foreclosure or take any other action to seize or sell any Member's interest in the LLC. (i) Any of the events provided in applicable code provisions that are not inconsistent with the dissociation events identified above. XXXI. ENCUMBRANCE. With consent from the Members, a Member can encumber his LLC interest by a security interest or other form of collateral. XXXII. LLC INTEREST. The Member has no interest in property owned by the LLC. The LLC interest is personal property. XXXIII. SALE OF INTEREST. The Member has the full right at any point in time to sell his LLC interest. XXXIV. TERMINATION OF LLC. Only upon the consent of the Member can the LLC and it affairs be dissolved. XXXV. FINAL DISTRIBUTIONS. Upon the ending of the LLC, the assets must be distributed as follows: (a) to the LLC creditors; and (b) to the Member first for the return of their contributions and secondly Page 9 of 12 respecting their LLC interest, in the proportions in which the Member shares in profits and losses. XXXVI. RECORDS AND INSPECTION. The LLC shall maintain at its place of business the Articles of Organization, any amendments thereto, this Agreement, and all other LLC records required to be kept by the Act, and the same shall be subject to inspection and copying at the reasonable request, ad the expense, of any Member. XXXVII.RECORDS AND INSPECTION. The LLC shall maintain at its place of business the Articles of Organization, any amendments thereto, this Agreement, and all other LLC records required to be kept by the Act, and the same shall be subject to inspection and copying at the reasonable request, ad the expense, of any Member. XXXVIII. OBTAINING ADDITIONAL INFORMATION. The Member of the LLC has the right to reasonably demand information related to the LLC including: (a] Business information and the financial condition of the LLC; (b) If available, obtaining copies of the LLC's federal, state, and local income tax returns for each year. (c) Obtaining information in regards to the affairs of the LLC as is just and reasonable. XXIX. APPLICABLE LAW. Within the means of the law, this Agreement shall be constructed in accordance with and governed by the laws of the State of Colorado. XL. AMENDMENT. If at any time the Member may wish to propose a new amendment, the Member shall submit it to be in effect. This Agreement may not be amended nor may any rights hereunder be waived except by an instrument in writing signed by the party sought to be charged with such amendment or waiver, except as otherwise provided in this Agreement. XLI. COUNTERPARTS. The instrument may be executed in any number of counterparts each of which shall be considered an original. XLII. PRONOUNS. The use of a pronoun shall be deemed to include singular, plural, individuals, feminine, masculine, partnerships or corporation where applicable when referencing to the Member or a Manager. XLIII. FURTHER ACTION. Upon the request by the LLC, each Member has the duty and shall agree to perform all appropriate and necessary assignments within the provisions of this Agreement. Page 10 of 12 XLIV. FACSIMILES. For purposes of this Agreement, any copy, facsimile, telecommunication or other reliable reproduction of a writing, transmission or signature may be substituted or used in lieu of the original writing, transmission or signature for any and all purposes for which the original writing, transmission or signature could be used, provided that such copy, facsimile telecommunication or other reproduction shall have been confirmed received by the sending Party. XLV. SPECIFIC PERFORMANCE: The Member agrees that it would be greatly damaging if any of the provisions of this Agreement were not performed to meet their specific performance and that monetary damages would not provide an adequate remedy in such event. XLVI. METHOD OF NOTICE. All written notices shall be sent to the address of the LLC at its place of business or to the Member who is set forth on the signature page of this Agreement. All notices shall be effective when received either by hand or receipt of delivery. XLVII. COMPUTATION OF TIME. In computing any period of time under this Agreement, the day of the act, event or default from which the designated period of time begins to run shall no be included. The last day of the period so computed shall be included, unless it is a Saturday, Sunday or legal holiday, in which event the period shall run until the end of the next day which is not a Saturday, Sunday, or legal holiday. XLVIII. ENTIRE AGREEMENT The undersigned hereby agree, acknowledge, and certify that the foregoing operating agreement is adopted and approved by each Member. Each member agrees to be bound by all of the terms and conditions of this agreement and the formation certificate or articles. SIGNATURE OF MEMBER MEMBER Signature Print Name of Member: Savannah Cuentas Address: 1490 W.C.R 27 City, State, Zip: Brighton, Colorado, 80603 Phone: 307-704-0435 Page 11 of 12 Serving Alcohol Responsibly. Selling alcohol responsibly is going to be my top priority for my liquor -licensed business. Employees and my myself ( Savannah Cuentas the single managing member of the Club Autentiko, LLC) will have a role in keeping alcohol out of the hands of minors and those who are apparently intoxicated. As the Managing Member of Club Autentiko, LLC. 1. I shall speak regularly with all employees about checking ID, refusing sales to apparently intoxicated patrons, preventing disorderly conduct and other liquor laws. 2. I shall have and post written policies following the Colorado State Liquor Laws. 3. I shall only sell alcohol products during the hours of 7:00a.m., until 2:00a.m. 4. I shall require all employees who sell alcohol to attend training by the Colorado Department of Revenue liquor and tobacco enforcement division approved vendors for seller and server training regarding appropriate sales of alcohol and recognition of signs of intoxication. 5. To prevent underage drinking all patrons under the age of 21 shall be marked M (for Minor) on the front of their hands with a permanent marker. The M on all minors will show all employees that they are not to serve alcohol to these minors. 6. To prevent underage drinking all patrons over the age of 21 will be required to wear a Tyvek bracelet only to show the employees that they are of age to consume alcohol. 7. If for any reason a patron cannot provide an ID showing date of birth, picture, signature, and expiration date they will automatically be marked M (for Minor) with a permanent marker and will not be allowed to consume alcohol. 8. Security will be placed to prevent situations that could lead to harm, such as fights between patrons. Page 12 of 12 20130906-01431 DATE 08/16/2013 SO WELD COUNTY RECORDS GREELEY 1950 "0" STREET GREELEY, CO 80631 RE: CUENTAS,SAVANNAH SOC: XXX-XX- DATE OF BIRTH: No Colorado record of arrest has been located based on above name and date of birth or through a search of our fingerprint files. The Colorado Bureau of Investigation's database contains detailed information of arrest records based upon fingerprints provided by Colorado law enforcement agencies. Arrests which are not supported by fingerprints will not be included in this database. On occasion the Colorado criminal history will contain disposition information provided by the Colorado Judicial system. Additionally, warrant information, sealed records, and juvenile records are not available to the public. Since a record may be established after the time a report was requested, the data is only valid as of the date issued. Therefore, if there is a subsequent need for the record, it is recommended another check be made. Falsifying or altering this document with the intent to misrepresent the contents of the record is prohibited by law and may be punishable as a felony when done with intent to injure or defraud any person. sincerely, Ronald C. Sloan, Director Colorado Bureau of Investigation Page 1 Tammy Waters From: Sent: To: Subject: Janet Carter Friday, September 20, 2013 4:42 AM Tammy Waters Re: Club Autentiko LLC - New Tavern License Application This is an existing location, public works doesn't have any comments at this time. Janet Carter Sent from my iPhone On Sep 19, 2013, at 12:47 PM, "Tammy Waters" <twaters@co.weld.co.us> wrote: > In accordance with the procedure for Liquor and/or beer license checks, please review all records on the following establishment for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering a New Tavern Liquor License. > PLEASE RESPOND NO LATER THAN: October 1, 2013 > NEW APPLICANT: > Club Autentiko, LLC > Club Autentiko > 1490 COUNTY ROAD 27 > BRIGHTON, CO 80601 > File Location: LC0028 > The building is leased out by Mary Sipres. > Tammy Waters > Deputy Clerk to the Board > 1150 0 StreetIP.O. Box 758IGreeley, CO 80632 > tel: (970) 336-7215 X5226 >[cid:image001.jpg@010EB535.EF746580] > Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. > <Club Autentiko LLC - New Tavern License Application.pdf> > <image001.jpg> To: Weld County Board of Commissioners From: Deputy Mark Mellon Date: September 26, 2013 RE: Club Antentiko Dear Commissioners, I have researched and found no reported calls for service to the address of 1490 CR 27, Weld County Colorado, Club Antentiko for the Calendar year of 2013 to present day. This is a new Liquor License applicant. I find no grounds for disapproval for the renewal of the liquor license. Respectfully Submitted, Deputy Mark Mellon Community Resource Officer Weld County Sheriffs Office 1950 "O" Street Greeley, CO 80631 WELD COUNTY SHERIFF'S OFFICE CommunayResource Office LIQUOR ur R E NFORGEtilENT WORKSHEET 1950 l.Sti:eet Greeley, Colorado 80631 Voice (970) 356-4015 o Fax (970) 304-6467 -0— Inspection Report L1 Incident Report CR#: ticenreeTrade Name� T/ /9 ,ekt ie, ./�L 2> !/ G Licensee Name: I � � �ll� u 7Z ��L7� U License 4 / T Type: Date of Repoli l Incident D Address: /yv 64 Z7 Person Contacted: 5Li(r6%i i✓A ('‘‘2,4_,.(43. / City, Slate, Zips j-3,,.. `L6'r c .dd (J0�0 3 Telephone #: :30 7U/ G' //3S State Liquor License Posted I ( Manager Registered K v State Sales Tax license Posted S4, License in Control of Premises IL County Liquor License Posted k ' Trade Name Properly Registered >L i Federal Form 11 * Call (800) 398-2822 ; X Premises Physical Control Adequate 4 Food Service license Posted SC : Acceptable Dispensing System X Minor Warning Sign Posted X._ Off Premise Storage Licensed X Meals and Snacks Available ' A I Only Permitted Items Sold i x Cleanliness Adequate x Alcohol From Permitted Source Books & Invoices Available Q. Discuss Sales of Liquor to Minors X. Alcohol Beverage Stock Acceptable X Discuss Sates to Intoxicated Persons k OWarning OFollow-Up Inspection Licensee J Representative Signature 9 I3 Date Ublathon: Date: I Time: Subject: [ DOB: Hat: Wgt: I Eyes: Hair: Clothing: DL / ID#• Stale: Address: [ City: Slate: Zip: Evidence: Yes NO HPtN Phone ft Summons 4: Court Date: Photos: yes NO Narrative: /mss z 3cozbo273 6602 A/P r ) I 1lc,r IiCE'ol5P GCfif��ln�— Alp /dJ(fth/5 1f41 :5, 7(''' r Deputy: A, f1'lt'/,ct #: 1!JC 92/ Date: Oz673 NEW TAVERN LIQUOR LICENSE REVIEW FORM Date: September 24, 2013 TO: Lisa Carpenter and Pete Wagner FROM: CTB — Tammy Waters SUBJECT: Liquor License Check In accordance with the procedure for Liquor and/or beer license checks, please review all records on the following establishment for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering a Tavern Liquor License. PLEASE RESPOND NO LATER THAN: October 1, 2013 NEW APPLICANT: Club Autentiko, LLC Club Autentiko 1490 COUNTY ROAD 27 BRIGHTON, CO 80601 File Location: LC0028 The building is leased out by Mary Sipres. No concerns fix Deputy's Initials The Sheriffs Office had a concern and the deputy has mutually worked with the licensee to correct the concern. (Complete Attached Worksheet) Unresolved concerns exist requiring a Probable Cause Hearing scheduled by the Board of County Commissioners. (Complete Attached Worksheet) Please notify at Extension Board of Commissioner's New Application hearing. of the date and time of the Liquor/Beer License Worksheet The following concerns are noted: /9/4- N 4PiZeani The Licensee and the Sheriffs Office have collectively agreed to implement the following to correct concerns noted above: (A time line and corrective action should be listed for each concern) Establi ment Owner, Please Print Date Establishment Signature Deputy's Signature Use another sheet of paper or attach separate proposal to this packet if needed. Attach copies of all reports associated with this establishment for the last year. Both the Deputy and the Owner of the establishment will be required to attend the Liquor Hearing to testify to the above agreement. Memorandum TO: Tammy Waters FROM: Dan Joseph SUBJECT: Liquor license inquiry DATE: October 2, 2013 CC: Cindy Salazar; Debra Adamson In response to your request, Environmental Health Services has reviewed the Retail Food Service Establishment file for Club Autentiko, located at 1490 CR 27, in Brighton, Colorado. At this time, there are no problems or concerns regarding this establishment. Should you have any questions regarding this matter, please contact me via e-mail at djoseph@co.weld.co.us or by phone at 970-304-6415 extension 2206. Thank you. Dan Joseph Environmental Specialist III MEMORANDUM To: Tammy Waters, Deputy Clerk to the Board October 3, 2013 From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0028 Review of the following liquor license renewal by the Department of Planning Services shows the following: Owner: Mary D. Sipres 1490 CR 27 Brighton, Co 80603-9332 Applicant: Club Autentiko, LLC Dba: Club Autentiko, LLC 1490 County Road 27 Brighton, Co 80603 Situs Address: 1490 CR 27 Brighton, Co 80603 Zone District: A (Agricultural) This use has existed prior to zoning and a Nonconforming Use File (NCU-80), has Planning Department. Any expansion, construction or change in use would need to Department of Planning Services prior to completion. Historically, there have been issues with the septic/water, please check with Health comments. No Zoning Violations are occurring on the property at this time. SERVICE, TEAMWORK, INTEGRITY, QUALITY been set up by the be submitted to the Department for any Tammy Waters From: Sent: To: Subject: Roy Rudisill Thursday, October 03, 2013 9:56 AM Tammy Waters; Bethany Salzman; Brad Yatabe; Dan Joseph; Frank Piacentino RE: Club Autentiko LLC - New Tavern License Application Hi Tammy, sorry this is so late, no concerns from OEM. Roy Director Roy Rudisill Weld County Office of Emergency Management 1150 O St. Greeley Co. 80632 970-304-6540 Office 970-381-0417 Cell Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tammy Waters Sent: Wednesday, October 02, 2013 10:38 AM To: Bethany Salzman; Brad Yatabe; Dan Joseph; Frank Piacentino; Roy Rudisill Subject: FW: Club Autentiko LLC - New Tavern License Application Importance: High Hello, I know everyone is crazy busy © But, I really need to get going on this application. Please send me your referrals as soon as possible. Thank you, Tammy Waters Deputy Clerk to the Board 1150 O Street/P.O. Box 758/Greeley, CO 80632 tel: (970) 336-7215 X5226 1 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tammy Waters Sent: Thursday, September 19, 2013 12:47 PM To: Bethany Salzman; Brad Yatabe; Dan Joseph; Deb Adamson; Frank Piacentino; Janet Carter; Roy Rudisill Subject: Club Autentiko LLC - New Tavern License Application In accordance with the procedure for Liquor and/or beer license checks, please review all records on the following establishment for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering a New Tavern Liquor License. PLEASE RESPOND NO LATER THAN: October 1, 2013 NEW APPLICANT: Club Autentiko, LLC Club Autentiko 1490 COUNTY ROAD 27 BRIGHTON, CO 80601 File Location: LC0028 The building is leased out by Mary Sipres. Tammy Waters Deputy Clerk to the Board 1150 O Street/P.O. Box 758/Greeley, CO 80632 tel: (970) 336-7215 X5226 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 Tammy Waters From: Sent: To: Subject: Frank Piacentino Wednesday, October 16, 2013 9:32 AM Tammy Waters RE: Club Autentiko LLC - New Tavern License Application Tammy, There are no concerns from Building Inspection Department Frank Piacentino Building Official Weld County Building Inspection 970-353-6100 Ext 3531. Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tammy Waters Sent: Wednesday, October 02, 2013 10:38 AM To: Bethany Salzman; Brad Yatabe; Dan Joseph; Frank Piacentino; Roy Rudisill Subject: FW: Club Autentiko LLC - New Tavern License Application Importance: High Hello, I know everyone is crazy busy O But, I really need to get going on this application. Please send me your referrals as soon as possible. Thank you, Tammy Waters Deputy Clerk to the Board 1150 O Street/P.O. Box 758/Greeley, CO 80632 tel: (970) 336-7215 X5226 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return 1 e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tammy Waters Sent: Thursday, September 19, 2013 12:47 PM To: Bethany Salzman; Brad Yatabe; Dan Joseph; Deb Adamson; Frank Piacentino; Janet Carter; Roy Rudisill Subject: Club Autentiko LLC - New Tavern License Application In accordance with the procedure for Liquor and/or beer license checks, please review all records on the following establishment for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office. Your report will be used by the Board of County Commissioners in considering a New Tavern Liquor License. PLEASE RESPOND NO LATER THAN: October 1, 2013 NEW APPLICANT: Club Autentiko, LLC Club Autentiko 1490 COUNTY ROAD 27 BRIGHTON, CO 80601 File Location: LC0028 The building is leased out by Mary Sipres. Tammy Waters Deputy Clerk to the Board 1150 0 Street'P.O. Box 758IGreeley, CO 80632 tel: (970) 336-7215 X5226 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 NOTICE Pursuant to the liquor laws of the State of Colorado and the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior to the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 336-7215, Extension 4226, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631. Petitions and comments may be filed in the office of the Clerk to the Board of County Commissioners. E -Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E -Mail correspondence into the case file, please send a copy to egesick@co.weld.co.us. DOCKET #: 2013-79 HEARING DATE: October 21, 2013 HEARING TIME: 9:00 a.m. APPLICANT: Club Autentiko, LLC dba Club Autentiko 1490 County Road 27 Brighton, Colorado 80603 DATE OF APPLICATION: September 6, 2013 REQUEST: To grant a Tavern license for the consumption by the drink on the premises only. LEGAL DESCRIPTION OF NEIGHBORHOOD SERVED: Sections 19, 20, 21, 28, 29, 30, 31, 32, and 33, all within Township 1 North, Range 66 West of the 6th P.M., Weld County, Colorado BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: October 3, 2013 PUBLISHED: October 8, 2013 in the Greeley Tribune Affidavit of Publication NOTICE Pursuant to the liquor laws of the State of Colorado and the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior to the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to partiot- pate in this hearing, please contact the Clerk to the Board's Of -I floe at (970) 336-7215, Extension 4226,. prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, :Weld County Ad- ministration Building,J150 O Street(, Greeley, Colorado 80631.1'. Petitions and comments may be filed in the office of the Clerk to the Board of County Commissioners E -Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E -Mail correspondence into the case file, please send a copy to egesick@co.weld.co.us. DOCKET e: 2013-79 HEARING DATE: October 21, 2013. HEARING TIME: 9:0O a.m. APPLICANT: Club Autentiko, LLC dba Club Autentiko 1490 County Road 27 Brighton, Colorado 80603 DATE OF APPLICATION: September 6, 2013 - REQUEST: To grant a Tavern license for the consumption by the drink on the premises only. LEGAL DESCRIPTION OF NEIGHBORHOOD SERVED: Sec- tions 19, 20, 21, 28, 29, 30, at 32, and 33, all within Township 1 North, Range 66 West of the 6th P.M., Weld County, Colorado BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: October 3, 2013 The Tribune , October 8, 2013 STATE OF COLORADO County of Weld, I Desirea Larson ss. of said County of Weld, being duly sworn, say that I am an advertising clerk of THE GREELEY TRIBUNE, that the same is a daily newspaper of general circulation and printed and published in the City of Greeley, in said county and state; that the notice or advertisement, of which the annexed is a true copy, has been published in said daily newspaper for consecutive (days): that the notice was published in the regular and entire issue of every number of said newspaper during the period and time of publication of said notice, and in the newspaper proper and not in a supplement thereof; that the first publication of said notice was contained in the Eighth day of October A.D. 2013 and the last publication thereof: in the issue of said newspaper bearing the date of the Eighth day of October A.D. 2013 that said The Greeley Tribune has been published continuously and uninterruptedly during the period of at least six months next prior to the first issue thereof contained said notice or advertisement above referred to; that said newspaper has been admitted to the United States mails as second-class matter under the provisions of the Act of March 3,1879, or any amendments thereof; and that said newspaper is a daily newspaper duly qualified for publishing legal notices and advertisements within the meaning of the laws of the State of Colorado. October 8, 2013 Total Charres: $9.10 8th day of My Commission Expires 2/14/2015 Notary Public O O p (-1 O co O O U >; a o0 c a) O o r2.0 U ox a) -o m N Oa.O CIO Ui O ca O o -,c2 U o 0 m CD c m n O 0x ° o a' -o Y m D O N O OOO WEI O -a o p N Ti U O o) ›.1,- co co c a)O o -c U o U ° o a) -o Y m m N N 2 'UaO �Q 0 0.(:: - : a mg 2 I IA l RECEIPT DATE CI -17- 2.08 NO. 87149 RECEIVED FROM elull> Nat e1-4.4. a_CWQii&L ettcntowv ADDRESS 11kt-a Y rg c°/tom $ ilgo.(21) FOR Lici bo r L.I1C,Qvtijv 11 * aTb a HOW PAID CASH CHECK MONEY ORDER jc o RECEIPT CEIVED F ADRESS HOW PAI CHECK 14-1717/0315, 3141 3/7 #3(8 BY DATE q - 11-ZA)3 MONEY ORDER BY g•At RECEIPT DATE lb\ OP RECEIVED FROM ADDRESS Ck Acdo 67) Iry NO.87150 NO.87183 1010 0002 8988 8863 U.S. Postal SerVICeTM CERTIFIED MAIL,. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) m C C N Postage Codified Fee Return Reciept Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees Sent To " al.l1XA`L.-7o Postmark Here II)LO) I3 Street, Apt No.; "..� o �c,�y. ' /l�( or PO Box Na /04242 MAI:aY: 3 ' : Z -Q3( City, State. ZlP+Mar�4�r pn �p.,y SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. Also complete Item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: {1.II/l • Sauenrwl.. Cutnlc&s do3 Auttnt(ew )O(n48 Norm S -IP gel MJort/iste.rin\, CA 80x39 COMPLETE THIS SECTION ON DELIVERY A. Sign Xf` ❑ Agent ❑ Addressee B. Received by (Printed Name) nun nnu D. Is deliverya• --d If YES, en -r • = ivery address Jo 3. Service Type lit Certified Mail • ..• Mall O Registered O Return Receipt for Merchandise O Insured Mall O C.O.D. C. Date of Delivery 1? ❑ Yes O No 4. Restdcted Delivery? (Extra Fee) O Yes 2. Article Number (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 7003 1010 0002 8988 8863 102595-02-M-1540 J6/3 -295/ Le, OO..zS Hello