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Home My WebLink About20092359.tiff RESOLUTION RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO AMERICAN CANCER SOCIETY, 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,the American Cancer Society presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to Weld County, Colorado, pursuant to the laws providing therefore in payment for a County Retail Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, for an event scheduled for one day only on September 19, 2009, from 5:00 p.m., to September 20, 2009, at 12:00 a.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: 32483 County Road 33, Greeley, Colorado 80631, being more fully described as Lot B of Recorded Exemption #3961; being part of the SE1/4 of Section 10, Township 6 North, Range 66 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has also paid the sum of ONE HUNDRED DOLLARS($100.00) to the Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only. NOW,THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant Special Events Permit #2009-13 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which permit shall be effective from 5:00 p.m. on September 19, 2009, until 12:00 a.m. on September 20, 2009, providing that said place where the permitee 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 permit. 2009-2359 j/��''y�� /� LC0022 L'' I, (11)( ' 4- /9( (i SPECIAL EVENTS PERMIT -AMERICAN CANCER SOCIETY PAGE 2 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 2nd day of September, A.D., 2009. BOARD OF COUNTY COMMISSIONERS E f% WELD COUN', COLORADO ATTEST: 6' n ^.•f -' •'lliam . Garcia, Chair Weld County Clerk to the B� rd ��` �° De u, Clerk tq the - �" 4 'ouglas "ademacher, 'ro-Tem BY: 1� ' ( G (,t%%1'�'�� p e Board c�� / Se P. Conway (D • APPROVED AS TO F J/ ,(�- • �- ' a ra Kirkmerr /� unty Attorney \ David E. Long Date of signature: (tll 1IC 1 /// 2009-2359 LC0022 DR 8428(10/29/07) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE STREET,SUITE 108 LAKEWOOD,COLORADO 80214 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THIS ORGANIZATION AT THIS LOCATION AMERICAN CANCER SOCIETY 34283 WCR 33 GREELEY CO 80631 License Number GE 26-76847-0001 SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITUOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS Date Hour Date Hour FROM SEP 19, 2009 5:00 PM TO SEP 19, 2009 MIDNIGHT Date Hour Date Hour FROM XXXXXXXXXXXX XXXXXXX TO XXXXXXXXXXXX XXXXXXX This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Article 48, Colorado Revised Statutes. This permit is non-transferable. It is issued only for the specific location described above, and must be conspicuously posted at that location. In testimony whereof, I have hereunto set my hand and seal 09/18/09 KA BWr r • l$' to ,f• � w ' IOU R ENFORCEMENT DIRECTOR "ECU E DIRECTOR L U 0 in T •' y 30 Y C 0 y O y s re co V E E N ¢ v w E U te 7En IMTIII7o E. o ! LIMI .c NFa . Ooo °o o ° O 04 O ( N - O= m E O. 0 L Q GQ y, �l u _ - c N . o 1 '° v 0 C u ^ c up N O o t .a H o U O 7 t a " Aa5i U o O cc n oo "\ y y,' ° T T L P. ^`+� ^ ,J cr r_, U. 70 _ o CIO „ vrn r_ �1` S H J� O 0 N O� v O Cl c W. N G b T ,L' ,'". N .ti G G C O � o F C liii !: III QI° m a 0 .7 en E u 6 J f"1 g U 7 i F N . .- ° V,n 0- H = •,� U ° m 6 C#• ° III W � � 0 0 � p fn Hi w V = F m �; `o ? s+ o a N H 0° 9 fs^ - ,�_. F ?. 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G7► E tZ✓ CZ '2o M 0 E- lj O _c 0- 0 ,-1 - OR 8439 106120106) Department Use Only COLORADO DEPARTMENT Of REVENUE APPLICATION FORA SPECIAL LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET EVENTS PERMIT DENVER CO 50261 (303)205-2300 ' IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT.YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING (See bac*for Malta) ❑ SOCIAL ❑ ATHLETIC ❑ PHILANTHROPIC INSTITUTION ❑ FRATERNAL ® CHARTERED BRANCH.LODGE OR CHAPTER ❑ POLITICAL CANDIDATE ❑ PATRIOTIC ❑ OF A NATIONAL ORGANIZATION OR SOCIETY ❑ MUNICIPALITY OWNING ARTS ❑ POLITICAL ❑ RELIGIOUS INSTITUTION FACILITIES GAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: DO NOT WRITE IN THIS SPACE 2110© MALT,VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY LIQUOR PERMIT NUMBER 2170❑ FERMENTED MALT BEVERAGE(3.2 Beer) $10.00 PER DAY I. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE Slate Sales Tax Number(Required) American Cancer Society 98-O1790 2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT (include street,citynown and ZIP) (induce street,dtyrtown and ZIP) 8221 W.20th St.Ste.A Greeley CO 80634 34283 WCR 33 Greeley,Colorado 80631 NAME DATE OF BIRTH HOME ADDRESS(Street,City,State.ZIP) PHONE NUMBER 4. PRES/SEGY OF ORG.or POLITICAL CANDIDATE 5. EVENT MANAGER Nancy Clark 1936 27th Ave Greeley CO 80634 970-350-5019 6. HAS APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN 7. IS PREMISES NOW LICENSED UNDER STATE LIQUOR Oli BEER CODE? ISSUED A SPECIAL EVENT PERMIT THIS CALENDAR YEAR? © NO ❑ YES HOW MANY DAYS? Z NO ❑YES TO WHOM? a. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? ❑Yes ❑No LIST BELOW THE EXACT DATE(S)FOR WHICH APPLICATION IS BEING MADE FOR PERMIT Dale 09/19/09 Date Date Dale Dale Hours From 5:00 p m. Hours From in Hours From in. Hours From m. Hours From m. To 12:00a m To m. To m. To .m. .To m. OATH OF APPLICANT ' I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto,and that all i formation therein is true,correct,and complete to the best of my knowledge. SIGNATU E ) TIRE i �,YJN�/ �l[Yl $tig zao,��'�'CI.a j harDATE gh 7/ REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY(CITY OR COUNTY) The foregoing application has been examined and the premises,business conducted and character of the applicant is satisfactory, and we do report that such permit,if granted,will comply with the provisions of Title 12,Article 48,C.R.S.,as amended. THEREFORE,THIS APPLICATION IS APPROVED. _.._ LOCAL LICENSING AUTHORITY (CITY OR COUNTY) ❑ CITY TELEPHONE NUMBER OF CITYICOUNTY CLERK Weld County. Color 49 J I1 Comm 970-356-4000 X4219 SIGNATURE �/�// l TITLE Chair, DATE Board of Weld SEP 0 2 2009 William F. Garcia `"' �/ County Lommissioners DO NOT WRITE IN THIS SPACE-FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION License Account Number Liability Date State TOTAL -750(999) $ • (Instructions on Reverse Size) 2009-2359 APPLICATION INFORMATION AND CHECKLIST THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED: • Appropriate fee. 71 Diagram of the area to be licensed(not larger that 8 1/2"X 11"reflecting bars,walls,partitions,ingress,egress and dimensions. Note: If the event is to be held outside,please submit evidence of intended control.i e.,fencing,ropes,barriers,etc. © Copy of deed,lease,or written permission of owner for use of the premises. I Certificate of good corporate standing(NONPROFIT)issued by Secretary of State within last two years; or ❑ If not incorporated,a NONPROFIT charter;or ❑ If a political Candidate,attach copies of reports and statements that were filed with the Secretary of State. • • APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY(CITY OR COUNTY)AT LEAST THIRTY(30)DAYS PRIOR TO THE EVENT. THE PREMISES TO BE UCENSED MUST BE POSTED AT LEAST TEN(10)DAYS BEFORE A HEARING CAN BE HEW.(12-48-106 C.R.S.) ❑ ANAPPROVEDAPPUCATION MUST BERECEIVEDBYTHEtIOUOR ENFORCEMENT PIVISIONATLEAST TEN(10)DAYS PRIORTOTHE EVENT. • CHECK PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE (12-48-102 C.R.S.) A Special Event Permit issued under this article may be issued to an organization,whether or not presently licensed under Articles 46 and 47 of this title,which has been incorporated under the laws of this state for the purpose of a social,fraternal, patriotic,political or athletic nature,and not for pecuniary gain or which is a regularly chartered branch,lodge or chapter of a national organization or society organized for such purposes and being non profit in nature,or which is a regularly established religious or philanthropic institution,and to any political candidate who has tiled the necessary reports and statements with the Secretary of State pursuant to Article 45 of Title 1,C.R.S. A Special Event permit may be issued to any municipality owning arts facilities at which productions or performances of an artistic or cultural nature are presented tor use at such facilities. If an event is cancelled,the application fees and the day(s)are forfeited. SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT 1. What type of an event is planned(e.g.,annual,quarterly, benefit, etc.)? Annual Benefit for American Cancer Society (Cattle Barons Ball) 2. Explain in detail the nature of your organization,its function,and who or what benefits from its operations (attach separate sheet if necessary). Organization dedicated to preventing cancer, saving lives + diminishing suffering for cancer through research, education advocacy + service. 3. Who or what organization will be the recipient of funds derived from this event? American Cancer Society 650 guests; 200 volunteers 4. How many attendees are expected at this event? 5. Describe the premises at which this event will take place. Private property (indoor roping arena) Coordinated through 6. What type of security will be provided at this event? John Cooke, Weld County Sheriffs office - Security for property +guests 10-12 7. How many security personnel will be on hand? In uniforms and plain clothes 8. How will security personnel be identified? 9. If this event is being held outdoors, how will the exterior boundaries of the premises be marked (e.g., roped,fenced,etc.)? Event is inside roping arena. Guests + volunteers only allowed inside. Security bracelets to be worn by both. 10. What type of entertainment will be provided, if any,for this event? "Eli Young Band" 11. What method will be used in checking identification for proper age of attendees(e.g.,at the door, at the bar, etc.)and how will underage patrons be identified so as not to be served alcoholic beverages(e.g., stamp or mark on the hand,etc.) Tips training paid. professional bartenders No underage guests or volunteers at the event M:1CTB%cTBF0RMSIF0SPECIALEVENT.D0CSpeclelEvent 12. How will the conduct and level of intoxication of attendees be monitored and by whom? Paid volunteers, security and event manager. 13. Have volunteers or members of your organization been trained in the sale/service of alcoholic beverages: If yes,what training have they received and by whom? Kenny's Stampede Steak House is providing bartenders. 14. What types of alternate beverages and food/snacks will be available? Guest: Coffee,water,full course meal with late night sliders+chips.Volunteers:dinner+snacks. 15. Has a State Sales Tax Number been initiated by you or a member of your organization? If so,write that number in the space provided. 98-01790 16. Explain how this event will be marketed describing what kinds of advertising material.will be distributed and the targeted recipients of such material. Invitations to event; general press release to public (Denver Post) I hereby certify, under penalty of perjury, that the information provided to the Board of County Commissioners of Weld County contained in this affidavit is true and accurate to the best of my knowledge. Applicant's Signatu Date . STATE OF COLORADO ) ve.... ".,xn•I)ss 's a COUNTY OF WELD ) f JENNIFER ` it k VAN EG00M I i :o Subscribed and sworn to before me this I1411 day of II,k! ' ',206. ire Witness my hand and official seal. I y mission expire } t, 1u 1 dirk° l'12( Nota P blic I M:1CTBtcTBFO RMSWOSPEC IALEVENTAOCSPaclalEvant _. ApproAmato lim pp t1 01 I Aovlmot. Gmib of 1 ,, .ravel *An 11 grovel Ari"s 1` I r.1..flsi ^ l Power Pd. �� _ ��,0 NOPre-Eng�rw.rs4 ar w.tlwl LL}4on. c ,..1(o) r boa SW t••.r.w w TO r m.o.. is OM +w..1.NO l IP -k NF- AO' RESERD RON LOT B ) NV) RE-1161 I I, i ._.-_80 RESERVED F 13.901 AC. (12.912 AC. I . ,� .( ; 7 ROW) Meld Born M -r •f30' ROAD ROW ,,,��7o�" - V -.-60. ROAD ROW p GWM.rr. .j n IL 0. kye. Meld loafing "' .... _L _ T 1 111 1 LZ�� . /!// G.O.Q. c'l�..S" r..«11.1 1e h w1 a1 .. - - SIP .NO dlrwu / el �"� I fuWr• ' - VV r ` Churtll MN: 1 E■pon.on ov.w M0.1 0m• 0.16./awl OA.. b STOP i { �� iiiilfilllii: . i NEW • ,. +JJ\ c►,uRCN BIDC. 1 1 •....Awv.t 101 /..� 111.Ch. ^WO.� N1 + V'ICI 4041 i I I_it •Illllll l 1111!III.III11I HIM ; Prop,ty Itorv.y B D.bntion Rand Mc nor / / • - OPT- 1 .�..1.Owl R 10 1610ta811 T:404,AG, RES Sefton 1O-1-14POINT Of BE ACCESS fNO 2 l/2" PLUM CAP 'WE !46.77' LS 23501 .1 IEl M 5 ti s 5 e 3it isfil 30 s i 1 - /Q. 1�1UJIl n no tr.�n nun'i9 a - - uuu■onr�t�� tututu� uuuutratm ao¢, 3�6 tlttututttt C L - -_ 000 0 .0 _ 4,. A 00w1/4_ fP �yy� �s3 ay.,. a'nD4 P 000 = °1 ` 0'' .g Goo O 00 iii ^ yF o i EN \.s... ;0 000 W 2 - m UW ° CSC 9 ei 00°0 N _ 0 .12.,''00 a ad `be° d�ea��pge� qp de�qp O 6' �`"�`a .S u `le" "aw 0 co CO to 1 N u 11 c tsa 8 ._ �1Lt 0 a o II U i x .. , ₹1- a= � : ss. I31i N "- F Io i WI a m5 4 _ d . e AUG-13-2009 THU 10:04 AM HORTON NONTERA CATTLE FAX NO, 9704542432 9, 02 Church Barn LLC 134 Oak Ave Eaton,CO 80615 August 12,2009 American Cancer Society c/o Nancy Clark 8221 W.20th St.Suite A Greeley,CO 80634 RE: Cattle Barons' Ball Dear Nancy: With regards to your application for permits and licenses for the Cattle Barons' Ball to be held on Saturday,September I9"'2009,this letter sets forth the position of Church Barn LLC. The land chosen for the event to occur is owned by Rick Montera,owner of Church Barn LLC. The mailing address for Church Barn LLC is 134 Oak Ave.Eaton, CO 80615. The festivities will be held in the southeast corner of Weld County Road 33 and 70 also known as the southeast%section of section 10,township 6,Range 66 in Weld County, Colorado. This letter verifies permission Rick Montera has been granted by Church Barn LLC for the event to occur at the location indicated above. Church Earn LLC or Rick Montera will have no role or liability in the activities of the event including the license or permits. If you have any questions,please feel free to call. Rick Montera OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE I,Bernie Buescher,as the Secretary of State of the State of Colorado,hereby certify that,according to the records of this office, AMERICAN CANCER SOCIETY,GREAT WEST DIVISION,INC. is a Nonprofit Corporation formed or registered on 07/28/1995 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 19951095742. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 08/14/2009 that have been posted,and by documents delivered to this office electronically through 08/18/2009 @ 14:33:50. 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 08/18/2009 @ 14:33:50 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 7438824. • «: O Elsa Secretary of State of the State of Colorado End of tf Notice:A certificate Issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective However. as on orlon,the issuance and validly of a certificate obtained electronically may be established by visiting the Certificate Conf nnatlon Page of the Secretary of State's Web site, luw://www..sosstatemue/be/CeniftenieSearebCritrriado entering the certificate's confirmation number displayed on the certificate,and following the instructions displayed Confirming the issuance of a certificate is merely oational and u rmt necessary to the valid and effective issuance of a certificate. For more information,visit our Web site. htrp://www.sosstate.co.us/click Redness Center and select"Frequently Asked Questions." CERT GS D Revised 0/2011008 Internal Revenue Service Department of the Treasury P.O.Box 2508 Date: March 9, 2006 Cincinnati,OH 45201 Person to Contact: AMERICAN CANCER SOCIETY INC Kathy Masters ID#31-04015 GREAT WEST DIVISION Customer Service Representative 2120 1ST AVE N Toll Free Telephone Number: SEATTLE WA 98109.2301 877-829-5500 Federal Identification Number: 84-1316555 Group Exemption Number: 0560 Dear Sir or Madam: This is in response to your request of March 9,2006,regarding your organization's tax-exempt status. Your organization is exempt under section 501(c)(3)of the Code because it Is included in a group ruling issued to American Cancer Society, Inc, located in Atlanta,Georgia. Our records indicate that contributions to your organization are deductible under section 170 of the Code,and that you are qualified to receive tax deductible bequests,devises,transfers or gifts under section 2055, 2106 or 2522 of the Internal Revenue Code. If you have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely, Janna K. Skufca, Director,TE/GE Customer Account Services -71. , -._.. NOTICE �'4galY uv� • `tea S 4 �_ Hello