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Home My WebLink About20101735.tiffRESOLUTION RE: APPROVE CORPORATE REPORT OF CHANGES FOR EL CENTENARIO NIGHT CLUB, INC., DBA EL CENTENARIO NIGHT CLUB AND AUTHORIZE CHAIR TO SIGN 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, El Centenario Night Club, Inc., dba El Centenario Night Club, holder of a Tavern Liquor License in Weld County, Colorado, has presented the Board with a Corporate Report of Changes, and WHEREAS, said corporate change is as follows: Jose Rosales replaces Vicente Cuevas - Lopez as President; Cesar Pulacios replaces Jose Rosales as Vice President; and Miguel Rosales replaces Emilio Rosales as Treasurer, and WHEREAS, after study and review, the Board deems it advisable to approve said corporate report of changes. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Corporate Report of Changes submitted by El Centenario Night Club, Inc., dba El Centenario Night Club, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said report. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 2nd day of August, A.D., 2010. BOARD OF COUNTY COMMISSIONERS ATTEST: Weld County Clerk to th Boa BY: Deputy Clerk to the Board.. APP'. ED =.:a-. FIRM Date of signature: ELD COUNTY. COLORADO ara Kirkmeyer, P Sean P. C dliam F. Garcia Cc, so, App/. 340 1( Cul3-to 2010-1735 LC0028 DR 8177 (05/09/08) PAGE 1 COLORADO DEPARTMENT OF REVENUE REPORT OF CHANGES 21 LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO80261 - (303) 205-2300 'CORPORATION, LIMITED LIABILIT "uso COMPANY AND PARTNERSHIP Liquor and 3.2 Beer Licenses SEP 0 8 2010 SEE INSTRUCTIONS AND Liquor Enf Div. FEE SCHEDULE ON PAGE 2 (2355) O LLC/PARTNERSHIP (2350) El -CORPORATION DO NOT WRITE IN THIS SPACE 1. Corporate/LL.C./Partnership Name EG ee/en/Jrm. 11/51-Z ath Zt t2) State Tax Account Number 2go9/517875 44) State Liquor License Number 112-- "151''3 --boa) 4. Trade Name / (C✓i;}wn2'74 IP Ili (44 Z/,Jc 5. Telephone Number Z90 dd 7 -371,- 6. Address of Licensed Premises /4'9a Li) di k's 077 �,E3 r y/,�-i CO ZIP Code 7. Mailing Address If different than above City State ZIP Code 8. LIST ALL officers, directors (corporation) or Managing Members (L.L.C.) or General Partner(s). Each Officer, Director, Managing Member or Partner MUST FILL OUT a DR 8404-I (Individual History Record). Position Held Names Home Address DOB Replaces Pro.. ) n5e., a 5a le S /75 f5_,,,2 CdoAd-Atke r /1Drovq goo/s- 717. LIST ALL 10% (or more) Stockholders or 10% (or more) Members or 10% (or more) Each person listed Must Fill out a DR 8404-I (Individual History Record) Limited Partners. Stockholders/Members/Partners owning 10% (or more) of business ,X, Owned Home Address DOB Replaces J05 -e- •12ri52keS /Go% /955a 5, 1104)1 -Aker, A -tinny WWS 7 / el/id'eue%i^/5 AtKivoma vin 'C 10. Registered Agent Address For Service -D lese PLY -am -es i-i5a3- e. wkrk ,, Au:-otr& Co Sr (4;0)5C, a 720m OATH OF APPLICANT I declare under penalty of penury in the second degree that this application and are true, correct, and complete to the best of my knowledge. pp.� all attachm�lhb.E 11. Autll zed Signature raJ� TI 1L'' -a —c DOG of 0 / REPORT OF LOCAL. LICENSING AUTHORITY The foregoing changes have be: • _ _ved and examined by the Local Licensing Authority. 12. Local Licensing Authority For , ' .. Weld Coun� .I -". ``County - •� Town/City „��, ,,. Irai• , Board of Commissioners 08/02/10 A the Board Date By•t '' 1 ( lark to the Board 08/02/2010 NOT WRI aIN T' $ BR L. s •,��r .'• ARTMENT OF REVENUE USE ONLY \---:r. Lrem3ILITt1NFORMATION License Acdount Number Period Cash Fund -100 (999) TOTAL 2010-1735 DR 8177 Page 2 INSTRUCTIONS C0RP0RMI0N,ILIMITEDt.LIAB:ILITTCOMPANY RTARTNERSHIP4RERGRTaof:°CHANGES NOTE: ENCLOSE A CHECK PAYABLE TO THE AUTHORITY WHERE THIS APPLICATION WILL BE FILED FOR $100.00 FOR EACH PERSON LISTED IN SECTIONS 8 AND 9 ON THE APPLICATION. MASTERFILE APPLICANTS MUST INCLUDE A FEE OF $250.00 FOR EACH PERSON LISTED PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE. (Application filed directly to the state) NOTE: If you are a Limited Liability Company (LLC), or a Partnership (Limited, General, or Husband and Wife) check box 2355. For Corporations check box 2350. Attach the following supporting documents to the Report of Changes Application: • Certificate of Incorporation (or) Date stamped Articles or, Partnership Agreement (Limited and General Partnerships) • Certificate of Good Standing dated within the last two years • Certificate of Authority (only if a foreign corporation) • Copies of minutes of meetings by the Corporation, Limited Liability Company or Partnership supporting the changes reflected on the front of this application. This includes letters of resignation, or appointment of any officers, or directors of a Corporation, or any managing member or members of a Limited Liability Company, or any general or limited partner in a Partnership (including husband and wife partnerships). • NOTE: If the Licensee as listed on Line 1 has a sole stockholder that is a Corporation, or LLC, or Partnership, attach a letter designating one officer, or managing member or the general partner to be the "principal person" for the applicant. This person MUST ALSO fill out a DR8404-I (Individual History Record) and submit fingerprints for background investigation. This application and all supporting documents must FIRST BE FILED WITH, AND APPROVED BY, THE LOCAL LICENSING AUTHORITY (CITY, TOWN, COUNTY). Applications will not be accepted unless all applicable questions are fully answered, all supporting documents correspond exactly with the name of the applicant. 1. List the name of the Corporation or Limited Liability Company or Partnership 2. List the State Sales Tax Number. 3. List the Applicant's State Liquor License Number. 4. List the Trade name of the business. 5. List the area code and telephone number of the business. 6. List the complete address, City, State and Zip Code, of the licensed premises. 7. List your mailing address if different than number 6 above. 8. List all officers, directors of a corporation, or all managing members of the LLC, or General Partners of Limited or General Partnerships. List the person's Position, Home Address, Date of Birth and the name of the person being replaced (if applicable). 9. List all 10% (or more) stockholders or members or Partners, and indicate ownership percentage, Home Address, Date of Birth, and the name of the person they purchased ownership interest from (if applicable). 10. List the name and address for service of the Registered Agent. 11. A person authorized to sign on behalf of the Applicant must sign the application, list their title, and the date the application was signed. 12. To be filled out by the local licensing authority only. List the name of the authority and indicate if the authority is a county, town/city. Then sign the application, list your title and attest the city/ county officials signature and date the application. 08/13/2010 13:24 FAX cot Lot solo 1S G1 al-INCIZZO4 BRATVON.S IMt Utb 5i Litt i[i 002/003 DR 8404-I iou0S/05) COLORADO DEPARTMENTOF REVENUE LIOUOR ENFORCEMENT OI V IRON 1881 FERCE STREET RM 10BA 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 Restauram 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 / Cewletrt2rt0 2. Your F me (last, first, middle) (' "Val ill' tQS LeSCfy- 4. Mailing address (If deerem from residence) 515, Jt1rLAX, iv) C :Thaertniev-Gj 86839 5. Ltst a0 residence addresses below. Irtpude current and previous addresses for the past five years, 3TREETAND NUMBER Current 5/53 DuYArtiv.C�. Previous 3. List any other names you have used. Home Telephone _ 3o3)y35 -C3$3 C > uie MY, STATE, ZIP dieter `dQa3 FROM __199 7 6. List all current and fanner employers or businesses heaped in withSo byte in tram ha years (Attach separate sheet if TO ad /0 NAME OF EMPLOYER ADDRESS (nTREE'I; NUMBER, CITY, STATE, ZIP) POSmON HELD rr FROM To Aweir-CL FranFar.g Get. "I 5.01kade•. F..rttJk ufdti Frtx me r 7. Let the names) of relaS'es working in or hoid:ta a financial interact In +he r..w...r.. _,__,._, &_..__- _ ._ .. NAME OF RELATIVE RELATIONSHIP TO YOU POSmON HELD 8, /lays you ever applied for, held, or had an interest in a Stale of Colorado Liquor or Seer Inventory, to any liquor or bear licensee? If yes, answer in detail, ❑ Yes 0 NAME OF LICENSEE icensa, Qt loaned money, furniture or fixtures, equipment or S. Have you aver received a violation notice suspension or revocation, for liquor law vie tfon, or have you applied for or been d license anywhere in the U.S.? If yes, explain In detail.anima a liquor or bear Cl] Yes No Ed Wd172:80 LOOT; LE '^°N 9£9L9S8£0£: 'ON XUJ solDinJRSIl1NW ONIIU1: Wald 08/12/2010 13:24 FAX RGVCIVCL GO/ 1J/ 2010 1J: 21 dbdbtlt,12 JU4 BRATTON. IHE UPS STORE a003/003 d0.uew rw ewr boon aenvorsa of a admc or rocelnd n ^`rope.wlW as,w, wo, Jarened aanwriw u, MYAend W e ru, mw ummum rr, Melrose ur maamy wort cc do you hews any charges pending? Inckide arrests for DUI and DWAI. (If yes, explain in detail) 0 Yes .d No • 11. Are yo�u g�o''''',anN under probation (supervised or unsupervised), parole, or completing the requirements of a daerrad sentence? Cif yen, explan In detail.) ■Yes !NO 12. Have yo ever had any STATE issued licenses suspended, revoked, or denied Including a drivers license? Of yes, explain ih detail.) ■ Yes ND PERSONALAND FINANCIAL INFORMATION Unless otherwise provided by law h 24-72-204 C.Rs., infomadon provided below w°I bo treated as CONFIDENTIAL Colorado liginrpcansing autoddas require the following persona Irrformatlon h order to determine your euimbfity for °censure pursuant to 12-47.307 CAS. 13a. Data of Birth b. Social Security Number SSN / a Place of Birth (K4 ek/co I d. U.S. Citizen? ■Yes Willa% e. if Naturalized. State where f. Whe g. Name of Dlsblct Court h. Nerufalizatlon Cet Thcaie Number • I. Date of Certification J. if an Alien, OiveAlien's Registration Card Number _ k. Permanent Residence Card Number I. erg t ..1 m. Weight ..1E19 n. Hair Color L3rown o, Eye Color Haze -1 p. Sax M q. Race 14 EI:n3G F r, Do • . E es have a current Driver's License? If so, give number and state II No 14. Financial Information. a. Total purchase pike $ (if buying an easing business) or hvestment being by are made applying entity. corporation, partnership, Smiled Iiabd ty company, other $ b. List the total amount of your Invesapent In errs business including any notes, loans, cash, services or equipment, operating capital, stock purchases and fees paid L- c. Provide details of Investment. You nest account be the sources of ALL cash (how acquired). Attach a separate shoat it needed. Type: Oath, Services or Equtpmetrt Sourcewame of Barrio Account Typo end Number Amount d, Lean McMillian (attach copies of all oaths or loans) _ { Name of Lender and Account Number Address Term Amount 1s. five name of bank WhosebUslness eccaunt w18 be malntelned; Account Name and Account Number, and the name or names of persons authorized to draw thatton• Oath of Applicant correct. and completeto the best of tkallon and all attachments are rile' no degree that this app penally of perjury In the sake Date �pl� I declare under pe X811 my knowledge' Ed WHS£:BB LOO: LE 'nON 9£9L9S8£0£: 'ON XBd SBIJIla3Sllr N <dNIlb1: WOeld 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 E L d ,en f-e/9a r 7 /Vig2Z flub, Xfl a. 2. Your Full Name (last, first, middle) Posq/€s / _Tse- / aH/r0 L 3. List any other names you have used. 4. Mailing address (if different from residence) / l y9O (.�. etk. 677'7, firioyA7fan L'/3 gale 3 Heme-Telephone eat?, 72a- c167---37'0--/?20-523e° SC r / 5. List all residence addresses below. Include currehf and previous addresses for the past five years. STREET AND NUMBER CITY, STATE, ZIP FROM TO Current /Sa e, it)4 -Aker AI I/fora , C .4. Boo/5" Previous 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 l-/`r,�r Y/oaxcvj L19E/lay/CO BO z37 //ygo c`', „SIP') ' / i/ Ly 1 ,— 5' g Li .' rill # 4�S n -D6lo-et ev let hOr c2A3 °As 7. List the 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 IL/A 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? ns/If yes, answer in detail. X. Yens/ [ No L�41S/iH a C L C.�J/��nO Y/ D Mg.i-Z &LAIi Doe , /(2g rL a r 10ar716Ue iK isJ-eS ab/i S P 3,, t O o.l r t 2i�9 ,4in /7074 h2//inq over ?L E5146✓ks/r /yip q S o -F .I49te / .tea/O. 9. Have you'eGer 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.? If yes, explain in detail. ❑ Yes Al 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 IbilNo 11. Are you qurrently 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.) No • Yes I 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 b. yPlace �lof �,Bi/irrth1 /(/A A✓2If % �/C.45 d. U.S. Citizen? ZNo •Yes 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 O 2- Residence Card Number o9a.aa/- 5 /7 m. Weight /7D n. Hair Color BP < o. Eye Color SAO p. Sex q. Race 72') lab/vo r. Do you have a current Driver's License? If so, give number and state [Yes No R _ 95- Total purchase partnership, Information. 5 nog:,dD S� /r -40a. price $ ' a 1 (if buying an existing business) or investment being made by the applying entity, corporation, limited liability company, other $ b. List the total amount of your investment in this business including any notes, loans, cash, services or equipment, operating capital, stock purchases and fees paid $ d ' '2D' cTZ} 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 ,/, 1s k _ ing ye /-F 6 s Ref% lec. E2 C.,i, /,norio 4,4,fI d4,1 b /G; (' Cis/t - C. e4;yz r Aria e/c S -G,vLnd 575-3 borJrrvn S&, 11, 6czt_ao d. Loan Information (attach copies of all notes or loans) Name of Lender and Account Number Address Term Security Amount '7 C.aQQ'5ar rf'nn U1ae/OS S/53 Durham so, Thar//ha//a, Co 30239 a�i-nfl/ZI5 — 15/Doo-it, 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. n /r U i5A'z S 'k " dr©mii, LN. 13 AyAivr, 7di" t L EQn7CeI7 rii) /7%JA- Ch26 ii0c . /D 3 /7) • iss)0 /.." /~ 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 Si nature /� %�zi�s/ Title nGtx, Date L-) o t 06 �.e.a2,e��-� 08/02/2010 11:25 FAX -V-� VV BRATTON.S a002/003 Sag -1 mIeae5) InntADODEIARVIIE11TOF REVENUE LAUGH EeiDRCESENf DMLSIDN fen PIERCE tinter au nee TONER COW= INDIVIDUAL HISTORY RECORD Tube completed by each indnidud 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 stocldiolders of a corporation owning 10% (or more) of the stock of such corporation: all limited liability company MANAGING members, and officers or other limited Iiabihty company members %Oh a 10% (Or more) ownership irderest in such company, and all managers of a Hotel and Restaurant or a Tavern License. no -me This individual history record provides basic information which is necessary for the licensing authority Investigation_ AU questions mud be answered in their entirety or your application may be delayed or not processed. EVERY answer you give all be checked for its inithfulness. A deliberate falsehood or omission will jeopardize the appfallion as such falsehood within itself constitutes evidence regarding the character of the applicant 1. Name of Business E2 G'-eil-/mina rf om4rchh.J dliib trod. a. fiber Ful Rants (lash, test. mfdaal . I ' ROSa.t s !'1`)11J .P...-\ 3. List any otter names you have tread. a. Mang Slaw Of different hem residence) Home Telephone 110' %23— say 4 S. i.ffi ell residence accesses be include current and previous addresses Tor the past five yams STREET AIM NUMBER - alt STATE, ZIP FROM TO Caned 1!$d La.acca 'AVG. Aptly3lc 60tai;.,S Oki sela Oltt `a9oz Oat. tote _ Previous 11''62. e. 4,-,Jd.,U-r Or_ ✓1...'a-- ea rec. (Sr g -4-a- 1495--4If "IL—) et* at current and former employers a businesses engaged in eillin the kW We years (Attach eunaralo Moms necessary) NAME OF EMPLOYER ADDRESS (STREET NuREER, art, STATE. aft POSITION IflD FROM TO f_c1er}.t. S hod ci,, i 7. List the carrels) of rates working In or noting a enendar interest in the Colorado alcohol beverage industry. NAME OF RELATIVE ItEYATTONSNP TO YOU posmON HELD NAME OF LICENSEE -05c_ Ros,lrs 4,1,--x,- ot_.r~.�..--, al_ Le--,rrz..-i,-ir,, for, held. or had en Interest in a Sena of Colorado Liquor or Seer Ucense, or lamed money. furniture orfsduree, equipment or If yes. miser in detail Yes SNo 8. Have you ever wined Inventory, to any Saar or beer licensee? notice suspension or revocation. be liquor lee *talon, a have you appied (or or been denied a liquor or beer espial In delaa. QYes IA No S. Have you ever recellred a violation license anywhere In the U.S.? If yea. E9/Z9 3Etid 3JOlS Sdfl BELL b9EZ989E9E ZE:EI 9t9Z/Z9/89 05/02/2010 11:25 FAX V ••• V" �,,. V BRATT0N. .]003/003 'it Naveyou over been oerwtaed of a MOM dt rwniveda amended sentence. deferred sentence. or Vofl& d bail for any otonse in criminal inal of malty oeun 'or goyoo have my ragas pnWtg7 kst tit anent tar DUI and OWN. (dyes, exploit in data&) Ends OW rt.M yea mew* under realm (aupervbsd or una4entaed). parole, cc competing the requirements of a Munroe a gw 7 (Q yea. WW1 al deta0.) [Wes 3No 12. Nam you ever had any STATE Seed limrses suspended, revoked. or denied trctdag a Mtwara to ids? WM. emtmn in delad) ©ter PFASONAL AND FINANCIAL ItFONMATION providedby law n 2474 C 204 RS_ infanmyen presided below Ml he tad as CONFIDENTIAL. Unless °Mediae Colorado fox; deeming euahaldeea ate Mowing personal itasion nader todtem ine your suitability for immure pnrwtartto 12-07-307 C.R.S, t. Dale etdh Olin/ Social Society Number SSN CAOtt- el Ent 14 & c i d US. GUhen? 1 Yee ONO e. R Nasalized. Sam where t When g. Name of District Court It. Nakwallzatlm Crattleas Number L Date orCe Scatiat k. ten Aeon, GNeAllaKs Regktbdar Card Number k. Positron) Reaid:rew Card Hunter L Hargis Ott to Weight tic it Near Coke .ken. a. Eye Caor IQo Es. Sex IA 4 Rae r. Do you have a o.nerdCtivs's license?if so, gveremtber and state Kit Olt oH-3Z4t- Somalian. a Taal pmcit se purees Sr pt baying en slang badness) br Ines►aerd be.® made by ea silting entity. corporation, panwrshlp, lofted Salty °s muarty. other s b. Lice the total annrart of your rrwesaaea In this business Shake any notes.loans, cash, services or equipment, o0wawug aged stork p ndseass and fees paid • C. RoVida details of bwast natf. You must a000ud for the sources a ALL cash thaw acquired). Alfadi a sc r is asset a madded. Type: Cash, Stabs or Equipment Soinciliame Account Type as Number Amount d.Lamu IdoumSIon Wench copies et aft notes or foams) - llama of Lender and Account Malts Mates Tarn Seem* Amount Z77-'-*V..-*I.7-e-VVtS. Dive name a bank Mare business account we be manlained: Account Name andAt oust Runhher, cord the name or names of persons authorized to draw therein. Oath of Applicant I declare under penally of perjury in the second degree that this eppljceton and a1 attachments are hue, correct and complete to the best of my knowledge.. Authorized•1-7-7-c---IvSigntlauce _ Title Data gZ 7 /c? /C l f E/E0EO/E0 3c91Yd 3801S Sdfl 3Hl b9EZ089898 ZE:ET 0TOZ/Z0/80 Kka 27 Qcto Z`w� r (ter Vckcel a Uly- i /k9 -Qkr }0 W wV rS C©nCcrr. V S *O lY'�'tc�rv�� A Lock "w ee✓\ \AsJo c k'CP � `2oas -2o lO. Kc kowe o5c-\ckS_ 0 Ck ct%eov ;«1.3e rerSOv I C -a Lix3v VvC�Ue 0. (A CPS \ 0v\ QCe e'-(The_e\ -rree �o CcalI ,tee, fV 333-&13S-63'93 e 1 Imp✓ o U C„v.cec , Icy< Vace)a Dean Kramcha 7002 East Arkansas Avenue Denver, Colorado 80224 720-519-1667 May 27, 2010 To Whom It May Concern: I am writing this letter in support of Mr. Jose Rosales. He is and will remain a great example to many of us in terms of his kindness, honesty, and dedication to his family and to his hard work to assure the utmost opportunity for their success. Over the years, I observed Mr. Rosales in action at home, celebrating special occasions such as family birthdays and high school and college graduations of his sons and at soccer games in support of his sons, as well as in the community at large. I commend Mr. Rosales for his support and generosity for those around him and his family — whether it is providing a ride to and from soccer practice or games to an athlete whose parents are unavailable, or providing a meal for a group of hungry soccer friends. Through his actions, Mr. Rosales has earned the highest respect from others. His charisma and will to succeed are outstanding, as he has demonstrated very consistently over the years. Please feel free to contact me if I can be of further assistance. Cindy Corrales BSN 17594 E. Whitaker Dr. Aurora, Colorado 80015 Cell: 720-6849910 cindv corralesirr ahoo.eom 5/27/2010 To Whom It May Concern: This letter is in recommendation of Jose Rosales as he applies for a position with your business. I have personally known Jose for the past 15 years. He is a hard working individual and dedicated family man. I have found him to be an honest and straightforward person who displays loyalty and reliability in his work ethic. He and his wife have raised three sons in a loving home, where he has effectively role modeled upstanding, forward striving behaviors and civic responsibility. He is a self sacrificing individual who is willing to go above and beyond expectations of employment. I feel he would have the characteristics to both work effectively within a team, as well as assume a leadership role as the job demands. He is organized and thoughtful in his approach to difficult situations and considers various options in problem solving. I feel he would be an asset to any employer and I'm grateful to have had the honor of knowing this hard-working and generous man. Sincerelyy,, Cindy Corrales BSN Document must be filed electronically Paper documents will not be accepted. Document processing fee Fees & forms/cover sheets are subject to change. To access other information or print copies of filed documents, visit www.sos.state.co.us and select Business Center. $10.00 ABOVE SPACE FOR OFFICE USE ONLY Statement of Change Changing the Registered Agent Information filed pursuant to § 7-90-305.5 and § 7-90-702 of the Colorado Revised Statutes (C.R.S.) I. The entity ID number and the entity name, or, if the entity does not have an entity name, the true name are Entity ID number Entity name or True name 20091507875 (Colorado Secretary of State ID number) EL CENTENARIO NIGHT CLUB INC 2. (If applicable, adopt the following statement by marking du bas and enter all changes.) ❑✓ The registered agent name has changed. Such name, as changed, is Name (if an individual) OR (if an entity) Rosales (Last) Jose (First) Manuel (Middle) (Suffix) (Caution: Do not provide both an individual and an entity name.) (The following statement is adopted by marling the box.) ❑✓ The person appointed as registered agent has consented to being so appointed. 3. (If applicable, adopt the following statement by marking the box and enter all changes.) ❑✓ The registered agent address of the registered agent has changed. Such address, as changed, is Street address CHANGE_ RA 17582 E. Whitake (Street number and name) Aurora CO 80015 (City) (Skate) (ZIP Code) Page I of 3 Rev, 4/10/2009 Mailing address 1490 W.C. R. 27 (leave blank if same as street address) (Street number and name or Post Office Box information) Brighton Co 80603 (State) (ZIP (:ode) 4. grapplicable, adopt the following statement by marking the box) ❑✓ The person appointed as registered agent has delivered notice of the change to the entity. 5. (If applicable, adopt the following statement by marking the box and include an attachment.) D This document contains additional information as provided by law. 6. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a date) (If the following statement applies, adopt the statement by entering a date and, V applicable, time using the required format) The delayed effective date and, if applicable, time of this document are 06/01/2010 0nm/dd/yyyy hour: minute am/pm) 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 such document is such individual's act and deed, or that such individual in good faith believes such document is the act and deed of the person on whose behalf such individual is causing such document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent documents and the organic statutes, and that such individual in good faith believes the facts stated in such document are true and such 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 identified in this document as one who has caused it to be delivered. 7. The true name and mailing address of the individual causing this document to be delivered for filing are Rosales Jose Manuel 1490 Wf()R.27 (First) (Middle) (Suffix) (Street number and name or Post Office Box information) Brighton CO 80603 (09) Untietl)States (ZIP/Postal Code) (Province —(1applicable) (Country) (If applicable, adopt the following statement by marking the box and include an attachment) ❑ This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be CHANGE_ RA Page 2 of 3 Rev. 4/10/2009 amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should be addressed to the user's legal, business or tax advisor(s). CHANGE_ KA Page 3 of 3 Rev. 4/10/2009 Minutes June 1, 2010 El Centenario, Inc. RAgk*h Attendance: Vicente Cuevas; Jose Rosales; Mary Sipres; Emilio Rosales; Martha Griego Discussion: Reorganization of Officers and Resignation of Vicente Cuevas and Emilio Rosales Solution: As of June 1, 2010 Vicente Cuevas, President and Registered Agent has dissolved his portion of El Centenario,,,Inc.; as well as Emilio Rosales. 1ti9} Vicente has turned in a resignation letter to be sent to the City of Weld County and has turned over all business aspects of El Centenario, ,Inc. to Jose Rosales. >Uyl O - Jose Rosales has accepted this opportunity and will get two new board officers to join him in El Centenario, Inc. President Vicente Cuevas 6 BILL OF SALE OF BUSINESS For good and sufficient consideration, receipt of which is hereby acknowledged, the undersigned Centenario Nightclub Inc. ("Seller") hereby sells, transfers and conveys to Jose Rosales ("Buyer"): 1. WHEREAS, the Seller has continuously and lawfully occupied the store premises since 10/01/2009. 2. The whole of the good will of the "Centenario Night Club" located at 1490 WCR 27, Brighton CO 80603; business formerly operated by the undersigned which is the subject of this sale, the Seller acknowledges that the name "Centenario Night Club" will be transferred to the Buyer. 3. The Buyer agrees to pay the sum of Fifteen Thousand Dollars ($15,000.00 dollars). 4. The Buyer and Seller hereby agree to acknowledge the sale of this contract to be and take effect at 12:01 am on 06/01/2010. 5. The Buyer agrees and acknowledges that any claims that arise due to negligence and or any other type of clai shall be the sole responsibility of the Buyer. • _ = i ?swill be transferred to the Buyer upon the execution of this sal- ontract. The Buyer h eby also agrees th t he will obtain the licenses required to op: ate the business, incl ing but not limite to: Liquor lice i� es, Sales Tax license, Business lic:,se, Wage Withholdin_ License etc. The Buyer hereby acknowledges and assumes the debt owed to Mr. Emilio Rosales from Centenario Night Club Inc. in the sum of Four Thousand Eight Hundred ($4,800.00 Dollars) which shall be paid in equal monthly installments of One Thousand Dollars ($1,000.00 Dollars) beginning on June 1st, 2010 and the final payment of Eight Hundred ($800.00 Dollars) shall be made on October 1st, 2010. The undersigned warrants that said goods and chattels are free and clear of all encumbrances, that it has full right and title to sell the same, and that it will warrant and defend the same against the claims and demands of all persons. Vicente CueV President/ Centenario Nightclub Inc. Seller Jose Rosales Buyer Signed and sworn before me on this _L day o ki/ Notary Public Notary Public Date l a 12010 in the city o DATE 06/10/2010 SO WELD COUNTY RECORDS GREELEY 1950 "O" STREET GREELEY, CO 80631 RE: ROSALES,JOSE MANUEL DATE OF BIRTH: SOC: XXX-XX- 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 UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION CRIMINAL JUSTICE INFORMATION SERVICES DIVISION CLARKSBURG, WV 26306 COCBI0000 ICN E2010161000000190664 TCN 014C60484067 AGENCY CASE CO0620000 THE FBI IDENTIFIED YOUR TEN -PRINT SUBMISSION WHICH CONTAINED THE FOLLOWING DESCRIPTORS: NAME ROSALES,JOSE MANUEL DATE ARRESTED/FINGERPRINTED 2010/06/07 SEX RACE BIRTH DATE HEIGHT WEIGHT EYES HAIR M U 507 170 BROWN BLACK STATE ID BIRTH PLACE CO2509904 MEXICO OTHER BIRTH DATES NONE ALIAS NAME(S) NONE SCARS -MARKS -TATTOOS SOCIAL SECURITY MISC NUMBERS NONE NONE END OF COVER SHEET UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION CRIMINAL JUSTICE INFORMATION SERVICES DIVISION CLARKSBURG, WV 26306 COCBI0000 ICN E2010161000000190664 BECAUSE ADDITIONS OR DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY SHOULD BE REQUESTED WHEN NEEDED FOR SUBSEQUENT USE. THIS RECORD IS SUBJECT TO THE FOLLOWING USE AND DISSEMINATION RESTRICTIONS UNDER PROVISIONS SET FORTH IN TITLE 28, CODE OF FEDERAL REGULATIONS (CFR), SECTION 50.12, BOTH GOVERNMENTAL AND NONGOVERNMENTAL ENTITIES AUTHORIZED TO SUBMIT FINGERPRINTS AND RECEIVE FBI IDENTIFICATION RECORDS MUST NOTIFY THE INDIVIDUALS FINGERPRINTED THAT THE FINGERPRINTS WILL BE USED TO CHECK THE CRIMINAL HISTORY RECORDS OF THE FBI. IDENTIFICATION RECORDS OBTAINED FROM THE FBI MAY BE USED SOLELY FOR THE PURPOSE REQUESTED AND MAY NOT BE DISSEMINATED OUTSIDE THE RECEIVING DEPARTMENT, RELATED AGENCY OR OTHER AUTHORIZED ENTITY. IF THE INFORMATION ON THE RECORD IS USED TO DISQUALIFY AN APPLICANT, THE OFFICIAL MAKING THE DETERMINATION OF SUITABILITY FOR LICENSING OR EMPLOYMENT SHALL PROVIDE THE APPLICANT THE OPPORTUNITY TO COMPLETE, OR CHALLENGE THE ACCURACY OF, THE INFORMATION CONTAINED IN THE FBI IDENTIFICATION RECORD. THE DECIDING OFFICIAL SHOULD NOT DENY THE LICENSE OR EMPLOYMENT BASED ON THE INFORMATION IN THE RECORD UNTIL THE APPLICANT HAS BEEN AFFORDED A REASONABLE TIME TO CORRECT OR COMPLETE THE INFORMATION, OR HAS DECLINED TO DO SO. AN INDIVIDUAL SHOULD BE PRESUMED NOT GUILTY OF ANY CHARGE/ARREST FOR WHICH THERE IS NO FINAL DISPOSITION STATED ON THE RECORD OR OTHERWISE DETERMINED. IF THE APPLICANT WISHES TO CORRECT THE RECORD AS IT APPEARS IN THE FBI'S CJIS DIVISION RECORDS SYSTEM, THE APPLICANT SHOULD BE ADVISED THAT THE PROCEDURES TO CHANGE, CORRECT OR UPDATE THE RECORD ARE SET FORTH IN TITLE 28, CFR, SECTION 16.34. - FBI IDENTIFICATION RECORD - WHEN EXPLANATION OF A CHARGE OR DISPOSITION IS NEEDED, COMMUNICATE DIRECTLY WITH THE AGENCY THAT FURNISHED THE DATA TO THE FBI. NAME ROSALES,JOSE MANUEL FBI NO. 445079PA8 SEX RACE BIRTH DATE HEIGHT WEIGHT EYES HAIR M W 505 145 BRO BLK BIRTH PLACE MEXICO FINGERPRINT CLASS PATTERN CLASS 23 04 12 PM 12 RS RS RS WU RS LS LS LS LS LS 20 11 14 15 03 AU AU END OF PART 1 - PART 2 TO FOLLOW COCBI0000 PART 2 DATE REQUESTED 2010/06/10 UNITED STATES DEPARTMENT OF JUSTICE FEDERAL BUREAU OF INVESTIGATION CRIMINAL JUSTICE INFORMATION SERVICES DIVISION CLARKSBURG, WV 26306 ION E2010161000000190664 - FBI IDENTIFICATION RECORD - FBI NO-445079PA8 1 -ARRESTED OR RECEIVED 1990/09/22 SID- CA09997654 AGENCY -POLICE DEPARTMENT SOUTH GATE (CA0196900) AGENCY CASE -191656 CHARGE 1 -THROW SUBS AT VEH W/GBI INTENT COURT -MUNICIPAL COURT HUNTINGTON PARK (CA019193J) CHARGE -23110 A VC -THROW SUBSTANCE AT VEHICLE SENTENCE- DISMISSED/FOJ/MOTION OF PROSECUTOR CHARGE -594 A PC -VANDALISM SENTENCE- CONVICTED-PROBATION-036MONTHS PROBATION - FINE RESTN RECORD UPDATED 2010/06/10 ALL ARREST ENTRIES CONTAINED IN THIS FBI RECORD ARE BASED ON FINGERPRINT COMPARISONS AND PERTAIN TO THE SAME INDIVIDUAL. THE USE OF THIS RECORD IS REGULATED BY LAW. IT IS PROVIDED FOR OFFICIAL USE ONLY AND MAY BE USED ONLY FOR THE PURPOSE REQUESTED. Hello