HomeMy WebLinkAbout20092437.tiff RESOLUTION
RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO MEAD ROTARY CLUB
FOUNDATION, 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 Mead Rotary Club Foundation, 16931 Potts Place,Mead,Colorado,80542
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 26, 2009, from 9:00 a.m. to
7:00 p.m., outside the corporate limits of any town or city in the County of Weld at the location
described as follows:
6105 Weld County Road 32, Platteville, Colorado
80651, being more fully described as the SW1/4 of
Section 18,Township 3 North, Range 67 West of the
6th P.M., Weld County, Colorado
WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00)
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 Number#2009-12 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 9:00 a.m. to 7:00 p.m., on September 26, 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.
2009-2437
LC0022
SPECIAL EVENTS PERMIT - MEAD ROTARY CLUB FOUNDATION
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 14th day of September, A.D., 2009.
BOARD OF CO NTY COMMISSIONERS
,p ` f Lai WELD O COLORADO
ATTEST: Lail 1/ 7i� / c . .7
C a F. Garcia, Chair
Weld County Clerk to the ViP
`� Douglas -demac =r, Pro-Tem
BY: ) g
Depu Clerk the Board
Sean P. Conway
AP V D AS T RM:
, ar Kirkmeyer
unty ttorney Fit
David E. Long
Date of signature: clI17IL j
2009-2437
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
MEAD ROTARY CLUB FOUNDATION
6105 WCR 32
PLATTEVILLE CO 80651
License Number GE-12-85406-0000
SPECIAL EVENTS PERMIT
MALT, VINOUS AND SPIRITUOUS LIQUOR
VALID ONLY FOR THE FOLLOWING PERIODS
Date Hour Date Hour
FROM SEPT 26, 2009 9:00 AM TO SEPT 26, 2009 7:00 PM
Date Hour Date Hour
FROM XXXXXXXXXXXXX XXXXXXXX TO XXXXXXXXXXXXX XXXXXXXX
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 09/17/09 IQ
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IOU R ENFORCEMENT DIRECTOR XECU E DIRECTOR
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DR 8439(06/28/06) Department Use Only
COLORADO DEPARTMENT OF REVENUE APPLICATION FOR A SPECIAL
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET EVENTS PERMIT
DENVER CO 80261
(303)205-2300
IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT,YOU MUST BE NONPROFIT \
AND ONE OF THE FOLLOWING (See back for details.)
❑ 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
LIAB 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 j FERMENTED MALT BEVERAGE(3.2 Beer) $10.00 PER DAY
1. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE State Sales Tax Number(Required)
VAPAC RA* (J b t�/.,Ac➢ tlCL& S O 1 CC)
2. MAILING ADDRESS OF ORGANIAA ION OR POLITICAL CANDIDATE 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT
(include street,city/town and ZIP) (include street,cityttown and ZIP)
( &Ci3i ,r1o11•t Place (0105 UJC,2 32
N\1-GC2 ) C. O -"v;Si`V-2— pia tfe , i (1e. , Lti - k06Cl
NAME DATE OF BIRTH HOME ADDRESS(Street,City,State,ZIP) PHONE NUMBER
4.•PRES./SECY OF ORG.or POLITICAL CANDIDATE 3 C? ?Q Co�,,}S-(s,,,,o_LC,e y
V \cr`Csn NOtCu:._cto (
L.n�'�CCgqvvi.\At [ u 3- i;co3 1 134Li�cn3c,G
6. HAS APP ANT ORGANIZATIt kOR POLITICAL CANDIDATE BEEN 7. IS PF b115ES NOW LICENSED UNDER STATE LIQUOR OR BEER CODE?
ISSUED ECIAL EVENT PE T THIS CALENDAR YEAR?
LN NO ❑ YES HOW MANY DAYS? OLNO n YES TO WHOM?
8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? gYes ❑No
LIST BELOW THE EXACT DATE(S)FOR WHICH APPLICATION IS BEING MADE FOR PERMIT
Date q 12C bpcf Date Date Date Date
Hours From Cl 0d 11.m, Hours From .m. Hours From .m. Hours From .m. Hours From .m.
To 1'.00 P.m. To .m. To .m. To .m. To .m.
OATH OF APPLICANT
(declare under penalty of perjury in the second degree that 1 have read the foregoing application and all attachments thereto, and
that all information therein is true, correct, and complete to the best of my knowledge.
SIGNATURE- AT TITLE k DATE 1
t fb,, ). V„2c.c Gr V 2,w,+: �S 121 )c i
REPORT ANROVAL OF LOCAL LICENSING AUTHOR(CITY OR COUNTY)
The foreg pplication has bee����iiiiil'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 CITY/COUNTY CLERK
Weld County, Colorac}d If COUNTY 970-356-4000 Ext. 4228
SIGNATURE 2- -,' TITLE DATE
/ �- Chair, Board of Weld
William F. Garcia (/j County Commissioners 09/14/2009
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)
2009-2437
SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT
1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)?
Annual Benefit
2. Explain in detail the nature of your organization, its function, and who or what benefits from
its operations (attach separate sheet if necessary).
Social Organization that raises money for many philanthropic
organizations and charities.
3. Who or what organization will be the recipient of funds derived from this event?
Mead Rotary Club
4. How many attendees are expected at this event? 300 to 500
5. Describe the premises at which this event will take place. Open farm field
6. What type of security will be provided at this event? Private Security
7. How many security personnel will be on hand? 15-20
8. How will security personnel be identified? Uniforms
9. If this event is being held outdoors, how will the exterior boundaries of the premises be
marked (e.g., roped, fenced, etc.)?
Farm hay bales and rope
10. What type of entertainment will be provided, if any, for this event?
Country Music
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.)
One bar where all patron's identification will be checked
and then they will be stamped.
M:ICTBICTBF0RMSIF0SPECIALEVENT.D0CSpecialEvent
12. How will the conduct and level of intoxication of attendees be monitored and by whom?
Mead Rotary will limit the number of beers and will monitor the bar.
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?
Yes - Three (3) Beer company personnel
14. What types of alternate beverages and food/snacks will be available?
Soda Pop, Water, BBQ, Chicken, Salads and Desserts
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.
Non Profit
16. Explain how this event will be marketed describing what kinds of advertising material will be
distributed and the targeted recipients of such material.
Flyers will be mailed and handed out through other Rotary
organizations and chapters within the area.
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 Si n:ture Date
STATE OF COLORADO )
ss
COUNTY OF WELD
Subscribed and sworn to before me this c9/ GT day of Of/94.,/,t/ ,20 C'.`)
Witness my hand and official seal. My c sion expires: C> / 7- iO r"I
rNF;' '• Notary Pu lic
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Aug 31 2009 09 : 51 AM Anadarko Petroleum 7209296000 a/J
NICK SEKICH
6790 WCR 32
Platteville,CO. 80651
970-381-6616
Re: Sugarbeet Festival, State of Colorado Liquor License
To Whom It May Concern:
I,Nick Sekich, am aware and in fact am one of the sponsors of the Mead Area
Sugarbeet Festival which will be taking place on the Sekich Properties on September 26,
2009.
This event has my full support to take place on my property.
Please don't hesitate to call me at the above number if you have any questions.
Sincerely,
II 1111111II11111111111NH 1111111111 of III III III
1 of 1 R 6.00 D 0.00 awe Moreno Clerk&Recorder
QUITCLAIM DEED
THIS DEED is made this 24°day of June 2003,between NICK SEKICH of the County of
Weld and State of Colorado,grantor,and SEKICH PROPERTIES LLC,whose legal address is
4315 Highway 66,Longmont,80504 of the County of Weld and State of Colorado,grantee,
WITNESSETH,That the grantor, for and in consideration of Ten Dollars ($10.00), the
receipt and sufficiency of which is hereby acknowledged,hereby sells and quitclaims unto the
grantee all the right,title,and interest of the grantor in and to the following real property,together
with improvements,if any,in the County of Weld and State of Colorado:
Lot B of Amended Recorded Exemption No. 1209-18-3 AMRE 2819 in Section 18,
Township 3 North,Range 67 West of the 6"P.M.according to the Map recorded
September 11,2001,under Reception No.2882694.
also known as vacant land.
IN WITNESS WHEREOF the grantor(s)have/has executed this deed on the date set forth
above. ryb p
NICK SEKICH
STATE OF COLORADO )
)ss.
COUNTY OF WELD )
The foregoing instrument was acknowledged before me this 24 th day of June,2003 by NICK
SEKICH.
WITNESS my hand and official seal.
My commission expires 7- 0 5- 04-
,
ti ctvµ4 (n_At s-fs
„..'S CR.FS Notary Public
,7. A
`OF ��-'
I WAOSEKICH IME]Vn0r.QO W'fe
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,
Mead Rotary Club Foundation
is a Nonprofit Corporation formed or registered on 10/02/2008 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 20081524989.
This certificate reflects facts established or disclosed by documents delivered to this office on paper
through 08/19/2009 that have been posted, and by documents delivered to this office electronically
through 08/22/2009 @ 15:59:59.
1 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 08/22/2009 @
15:59:59 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation
Number 7442087.
Qr • coz -
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41 PiL
(& /
Secretary of State of the State of Colorado
*********************************************End of Certificate********************************************
.Notice:A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However.
as an option,the issuance and validity of a certificate obtained electronically may be established by visiting the Certificate Confirmation Page of
the Secretary of State's Web site. http: r.sossrate.ea rrs he{-ertifrcateSeard Jee rt raw-u. entering the certificate's confirmation number
v n
displayed on the certificate, and following the instructions displayed. Confirming the issuance of certificate is merely optional and is not
necessary to the valid and effective issuance of certificate. For more information,visa our Web sire, hap. n nn coe.cuneco.ns click Business
Center and select"Frequently Asked Questions."
CERT US U Revised 08 20'2005
Aug 1 GUU u : ul Am nnuacrsco retrojeum /Gu c,ouuu O/ O
IRS Department of the Treasury
Internal Revenue Service
P.O. BOX 2508 In reply refer to : 9999999999
CINCINNATI ON 45.201 July 24, 2009 LTR 3367C SO
08-1524989 000000 00
00025988
BODC: TE
M AD ROTARY CLUB FOUNDATION INC
6931 POTTS PL
F_ ) MEAD CO 80542-4533
gal
014982
Employer Identification Number : 08-1524989
Tax Form: 1023
Document Locator Number : 17053-194-34803-1
For assistance, call : 1-877-829-5500
Dear Applicant,
We received your application for exemption from Federal income tax
and your user fee payment .
During the initial review process, applications for exemption are
separated into three groups:
1 . Those that can be processed immediately based on information
submitted,
2. Those that need minor additional information to be resolved, and
3. Those that require additional development .
If your application falls in the first group or second group , you will
receive your determination letter stating that you are exempt from
Federal income tax or a request for information via phone, fax, or
letter . If your application falls within the third group, you will be
contacted when your application has been assigned to an Exempt
Organizations specialist for technical review. You can expect to be
contacted within approximately 90 days from the date of this notice.
IRS does not issue "tax exempt numbers" or "tax exempt certificates"
for state or local sales or income taxes. If you need exemption from
these taxes, contact your state or local tax offices.
General information about the application process and tax-exemption
can be found by visiting our website, www.irs.gov/eo. If you are
unable to locate the information needed, you may call our toll free
number shown above Monday through Friday. When communicating with us,
please refer to the employer identification number and document
locator number shown above .
Sign up for Exempt Organizations' ED Update, a regular e-mail
newsletter that highlights new information posted on the Charities
pages of irs.gov. To subscribe, go to www. irs.gov/eo and click on
"ED Newsletter ."
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CLERK TO THE BOARD
PHONE 970 336-7215, Ext. 4225
( )
FAX: (970) 352-0242
P. O. BOX 758
WI I D O GREELEY, COLORADO 80632
COLORADO
September 9, 2009
Department of Revenue
Liquor Enforcement Division
1375 Sherman Street
Denver, Colorado 80261
RE: Special Events License Application for Mead Rotary Club Foundation
The Mead Rotary Club Foundation has provided an application for a Special Events Permit for an
event happening on September 26, 2009. The applicant submitted the application thirty(30)days
before the event; however, due to scheduling conflicts, the hearing to be held by the local licensing
authority, to approve the application, is not scheduled to take place until September 14, 2009. In
order to ensure timely review of the application materials, I have enclosed the application materials
for review and processing by your office, including the appropriate fee. I will fax a copy of the
signed report and approval by Weld County on September 15, 2009.
If you have questions or need additional information, please do not hesitate to contact me at
(970) 356-4000, Extension 4228.
Very truly yours,
(
Jennifer VanEgdom
Deputy Clerk to the Board
Encl: DR8439 (and accompanying documents)
Check #1166
Win FAX TRANSMISSION
COLORADO
Weld County
Clerk to the Board
PO Box 758
Greeley,CO 80632
Fax: 970-352-0242
Phone:970-336-7215,ext.4228
To: State Liquor Enforcement Date: September 16, 2009
Attn: Special Events
Fax: 303-205-2341 Pages: 1 + Cover
From: Jenny VanEgdom
Deputy Clerk to the Board
Subject: Special Events Permit for Mead Rotary Club Foundation
COMMENTS:
This file was previously sent (early), for review, due to time constraints. Please find the signed copy of the
application page.
Let me know if there are any questions, thanks!
CONFIDENTIAL
This facsimile is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged
confidential,and exempt from disclosure under applicable law. If the reader of this facsimile is not the intended recipient nor the employee or agent
responsible for delivering the facsimile to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this
communication is strictly prohibited. If you have received this communication in error,please notify us immediately by telephone and return the
original message to us at the above address via the U.S.Postal Service. Thank you.
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