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Home My WebLink About20073298.tiff RESOLUTION RE: APPROVE APPLICATION FOR TRANSFER OF OWNERSHIP OF HOTEL AND RESTAURANT LIQUOR LICENSE FROM RAMON ZAVALA, DBA EL VAQUERO, TO ALFRED AND CAROLINE LOPEZ, DBA EL VAQUERO, AND AUTHORIZE CHAIR TO SIGN - EXPIRES DECEMBER 20, 2008 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,Alfred and Caroline Lopez, dba El Vaquero, presented to the Board of County Commissioners of Weld County, Colorado, an application for a Transfer of Ownership of a Hotel and Restaurant Liquor License for the sale of malt, vinous and spirituous liquors, said license previously held by Ramon Zavala, dba El Vaquero, and WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid the required fees to the County of Weld for a Transfer of Ownership of the existing license, and WHEREAS, said applicant has exhibited a State Liquor License for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 4322 Highway 66, Longmont, Colorado 80542 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 provide documentary evidence that each employee has been "responsible vendor" trained to the Weld County Clerk to the Board within thirty(30) days of the first available "responsible vendor" class after hiring. 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 License Number 2007-17 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 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 December 20, 2008, 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. 2007-3298 LC0032 00 SO, -PPe- Dl /b--0b' TRANSFER OWNERSHIP OF LIQUOR LICENSE - EL VAQUERO 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 22nd day of October, A.D., 2007. BOARD OF COUNTY COMMISSIONERS WELD COUNTY COLORADO L C C r ATTEST: `� David E. Long, Chair Weld County Clerk to the Board �/-LY Sfr William H. jço-Tem BY: Deputy Clerk to the Board Willliam FF. Garcia c A OV D A O RM: LflU , Robert D. Masden ounty Attorney G Qe trizr- ougla ademach� Date of signature: 1/7/fie 2007-3298 LC0032 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402(10129/07) STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1881 Pierce Street,Suite 108 Lakewood,Colorado 80214 LOPEZ CAROLINE S LOPEZ ALFRED M EL VAQUERO 4322 HIGHWAY 66 LONGMONT CO 80504 ALCOHOLIC BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT 42-55994-0000 03 206 722110 P 122107 DEC 20, 2008 Type Name and Description of License Fee 1971 HOTEL AND RESTAURANT $ 75.00 LIQUOR LICENSE - MALT, VINOUS, AND SPIRITUOUS 2190 COUNTY 85 PERCENT OAP FEE $ 425.00 TOTALFEE(S)I $ 500.00 This license is issued subject to the laws of the State of Colorado and especially under the provision of Ttle 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. Questions concerning this license should be addressed to the Department of Revenue,Liquor Enforcement Division, 1375 Sherman Street, Denver, CO 80261. In testimony whereof, I have hereunto set my hand. DEC 2 4 2007 J KA , ( calm, Division Director Executive Director Z 00 V VI T Y It' F+ .. y O L .N.- ` .y q v o L 3 "/may Q o -• �' o IV N F O E U W ICI N b 4- u M y w `� o = v A a' a e O z c i. W - t O 0 an u V ol) b W0 > 4- m.o •, c W o •5 O it c aa co O a v1 O C as N 9 C 'O A. O a O 4 � ro c Q. � Fq E N yg i�, �r��'�---1111 O m O E G o.- ca O S. 1 w F+ OO O m .`� h r y4 qo a b o CU 'ILOa o a`i o 0 F v d' a.1 G d u rn -c0 c p• 9 r 0 •.I ro N ` .I p o o o O v v o b a ,_ u - > Q• sa . . W • Z F. m . . -l4 MI di W V . o -) > > A O ro -0 I v G v " �3ey = P b ro a� ^ u - E w m M A J o = H ^ ^ CU — 0 0 ti adi 6.c O - per^ r _ O !. _ i W u v W N N > o O c O G d O P _.. / N 7 T o H . v = v A c i-7 V y (i RS ".0.V` < i S W O O V1 ` C H -a y ! 5. 6 !• d Eno o G v art ^ v 1 c r,. W _ a� 1 O n a •-I .-0 •.-I VD A m 0 _ +^ Pc LL o O 6Z c.. A rE cc o jij ! h (!TI t ! fr ea Fro c ^ zO d 4< = rn En ,; or P ahi ') - J z 'V W `d Ora N -O O -O v � � z O C — > w o c z v ca s a 0. 0 d - a ' I 0 E.A0 .O c o - N o XI 8 W W T r] cu h .H N F O E-. m r4 c $4 y rW Ili9 F x � 6 ° 1i v8 o '© vJ W R W i.. z v g m on S E ai >. U �'1 I U l 0O = .5 {-I c A W 4 H III IH •• a> A = = y a M`W •A• W .a = oi` iii IIIIII HA aa. c c' y• t y A `� - 4 16- F" a 3Y ..;z (=Iv raS t' c a E .- $.Ô . g H• ad � v y > al v s o v up " w Q C a = ct o I-� O o ea W R v.. a H = " V W �/ .r o ❑ o s t --e W . U ca O z 0 F. —00 Mz•. i O O '"' 4_ ca = U - U v .° cr a o ..7 ,_' DR 8404(05/23/06)Page 1 21 DEPARTMENT USE ONLY COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION COLORADO LIQUOR DENVER CO 80261 RETAIL LICENSE APPLICATION 0 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 A COPY OF THE COLORADO UOUOR AND BEER CODE(Call303-370.2165) 1. Applicant is applying as a ❑ Individual ❑�1 Corporation ❑ Limited Liability Company p �I Partnership(includes Limited Liability and Husband and Wife Partnerships) ❑ Association or Other 2. Applicant If an LLC,name of LLC;if part/rshi at least 2 partner's names;if corporation,name of corporation Fein Number 19LF/4ro ,z lopzz e / ,poL it,s 5. •C4.3P0,_. 2a.Trade Name of Establishment(DBA) State Sales Tax No. Business Telephone el- 169 tours-Aos ?70.635=4,281 3. ess of Premises(specify exact location of premises) Address of Premises(specify exact location of premises) 4'J .,2 /firs/"/)≤), .Lo nio A) a 8a 5Q City i County State ZIP ode Wel d elcd epic) 0.5—V42 4. Mailing Address (Number and Street) City or Town State ZIP Code 'Y3a a 7/wylo(� LoN9mc,t- coca gn,;iti 5. If the premises currently have a liquor or beer license,you MUST answer the following questions: Present Trade Name of Establishment(DBA) Present State License No. Present Class of License Presen Expiration Dale £/ V4-62UEtCo LII-093`S6' Ko II2octaunutf 8i3Ia00`7 LIA@ SECTION A=s' "7' ,NONREFUNDABLE":APPLICATION FEES imada "SECTIONS(CONT.) i` =.LIQUOR.LICENSE FEES 2300 ❑ Application Fee for New License $1,125.00 1985❑Resort Complex License(City) $500.00 2302 ❑ Application Fee for New License- 1986❑Resort Complex License(County) $500.00 w/Concurrent Review $1,225 00 1988❑Add Related Facility to Resort Complex...$ 75.00 X Total 2310 za Application Fee for Transfer -- - $1,125.00 1990❑Club License(City) $308.75 2312 ❑ Application Fee for Transfer- 1991❑Club License(County) $308.75 w/Concurrent Review $1,225.00 2010❑Tavern License(City) $500.00 1 IAR :SECTIONS l' `LIQUOR-LICENSE FEES 2011❑Tavern License(County) $500.00 2012❑Manager Registration-Tavern $ 75.00 1905 ❑ Retail Gaming Tavern License(City) $500.00 1906 ❑ Retail Gaming Tavern License(County) $500.00 2020❑Arts License(City) $308.75 2021❑Arts License(County) $308.75 1940 ❑ Retail Liquor Store License(City) $227.50 2030❑Racetrack License(City) $500.00 1941 ❑ Retail Liquor Store License(County) $312.50 2031❑Racetrack License(County) $500.00 1950 ❑ Liquor Licensed Drugstore(City) $227.50 2040❑Optional Premises License(City) $500.00 1951 ❑ Liquor Licensed Drugstore(County) $312.50 2041❑Optional Premises License(County) $500.00 1960 ❑ Beer and Wine License(City) $351.25 2045❑Vintners Restaurant License(City) $750.00 1961 ❑ Beer and Wine License(County) $436.25 1970 � Hotel and Restaurant License(City) $500.00 2046❑Vintners Restaurant License(County) $750.00 1971 Hotel and Restaurant License(County) $500.00 2220❑Add Optional Premises to H&R $100.00 X Total 2370❑Master File Location Fee $ 25.00 X_Total 1975 ❑ Brew Pub License(City) $750.00 _ 2375❑Master File Background $250.00 X Total 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 ❑ 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 City County Managers Reg -750(999) 2180-100(999) 2190-100(999) -750(999) %�%%�%%%%%/�%��% Cash Fund New License tarn Fund inns,License TOTAL 2300-100 2310-100 (999) (999) $ • 2007-3298 on 6404(05123/06)Page2 APPLICATION DOCUMENTS CHECKLIST AND WORKSHEET Instructions:This check list should be utilized to assist applicants with filing all required documents for licensure.All documents must be properly signed and correspond with the name of the applicant exactly.All documents must be typed or legibly printed. Upon final State approval the license will be mailed to the local licensing authority. Application fees are nonrefundable. ITEMS SUBMITTED, PLEASE CHECK ALL APPROPRIATE BOXES COMPLETED OR DOCUMENTS SUBMITTED I. APPLICANT INFORMATION ❑ A. Applicant/Licensee identified. [27B. State sales tax license number listed or applied for at time of application. • C. License type or other transaction identified. ❑ D. Return originals to local authority. E E. Additional information may be required by the local licensing authority. II. DIAGRAM OF THE PREMISES ❑ A. No larger than 8 1/2"X 11". ❑ B. Dimensions included(doesn't have to be to scale).Exterior areas should show control(fences,walls,etc.). E C. Separate diagram for each floor(if multiple levels). ❑ D. Kitchen-identified if Hotel and Restaurant. III. PROOF OF PROPERTY POSSESSION ❑ A. Deed in name of the Applicant ONLY(or) ❑ B. Lease in the name of the Applicant ONLY. E C. Lease Assignment in the name of the Applicant(ONLY)with proper consent from the Landlord and acceptance by the Applicant. • D. Other Agreement if not deed or lease. IV. BACKGROUND INFORMATION AND FINANCIAL DOCUMENTS ❑ A. Individual History Record(s)(Form DR 8404-I). 2 B. Fingerprints taken and submitted to local authority. (State authority for master file applicants.) ❑ C. Purchase agreement,stock transfer agreement,and or authorization to transfer license. ❑ D. List of all notes and loans. V. CORPORATE APPLICANT INFORMATION(If Applicable) • A. Certificate of Incorporation (and/or) E B. Certificate of Good Standing if incorporated more than 2 years ago. ❑ C. Certificate of Authorization if foreign corporation. ❑ D. List of officers,directors and stockholders of parent corporation(designate 1 person as"principal officer"), VI. PARTNERSHIP APPLICANT INFORMATION(If Applicable) [1 A. Partnership Agreement(general or limited). Not needed if husband and wife. VII. LIMITED LIABILITY COMPANY APPLICANT INFORMATION(If Applicable) ❑ A. Copy of articles of organization(date stamped by Colorado Secretary of State's Office). ❑ B. Copy of operating agreement. • C. Certificate of Authority(if foreign company). VIII. MANAGER REGISTRATION FOR HOTEL AND RESTAURANT,TAVERN LICENSES WHEN INCLUDED WITH THIS APPLICATION ❑ A. $75.00 fee. 7 B. Individual History Record (DR 8404-I). DR 8404(05/23/06)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- Yes No holders or directors if a corporation)or manager under the age of twenty-one years? 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? ❑ X (b) had an alcohol beverage license suspended or revoked? ❑ 6Q (c) had interest in another entity that had an alcohol beverage license suspended or revoked? ❑ J�di1 If you answered yes to 7a,b or c,explain in detail on a separate sheet. 8. Has a liquor license application(same license class),that was located within 500 feet of the proposed premises,been denied within the preceding two years?If"yes,"explain in detail. ❑ 14 9. Are the premises to be licensed within 500 feet of any public or private school that meets compulsory education requirements of Colorado law,or the principal campus of any college,university or seminary? ❑ IK 10. Has a liquor or beer license ever been issued to 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)?If yes,identify the name of the business and list any current or former financial interest in said business including any loans to or from a licensee. ❑ 11. Does the Applicant,as listed on line 2 of this application,have legal possession of the premises for at least 1 year from the date that this license will be issued by virtue of ownership,lease or other arrangement? ❑ Ownership Lease ❑ Other(Explain in Detail) i4 D a. If leased,list name of landlord and tenant,and date of expiration,EXACTLY as they appear on the lease: Landlord C Tenant/PH . �.;C¢a'rt,t( UlpC21 ttcL es Expi JoNJc'S aer�f��Oi�me&f Co.• .47 f ,942 13431Pot Attach a diagram and outline or designate the area to be licensed(including dimensions)which shows the bars,brewery,walls,partitions, entrances,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 to 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 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 liability 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 with Optional Premises Yes No Has a local ordinance or resolution authorizing optional premises been adopted? ❑ ❑ Number of separate Optional Premises areas requested. (See License Fee Chart) 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 No Pharmacy?COPY MUST BE ATTACHED. ❑ NI 15. Club Liquor License applicants answer the following and attach: (a) Is the applicant organization operated solely for a national,social,fraternal,patriotic,political or athletic purpose and ❑ not for pecuniary gain? (b) Is the applicant organization a regularly chartered branch,lodge or chapter of a national organization which is ❑ operated solely for the object of a patriotic or fraternal organization or society,but not for pecuniary gain? (c) How long has the club been incorporated? (d) How long has applicant occupied the premises (Three years required) _ to be licensed as a club?(Three years required) 16. Brew-Pub License or Vintner Restaurant Applicants answer the following: (a) Has the applicant received or applied for a Federal Permit? El liZI (Copy of permit or application must be attached) t 17b. Does this manager act as the manager of,or have a financial interest in,any other liquor Yes No licensed establishment in the State of Colorado? If yes,provide name,type of license and account number. ❑ 181 18. Tax Distraint Information. Does the applicant or any other person listed on this application and including its partners,officers, Yes No directors,stockholders,members(LLC)or managing members(LLC)and any other persons with a 10%or greater financial interest ❑ n in the applicant currently have an outstanding tax distraint issued to them by the Colorado Department of Revenue? 1P' If yes,provide an explanation and include copies of any payment agreements. DR 8404(05/23/06)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' g*1'Kb /I1 i Lira- //,s 6 7'1a4Lfei i CY 61/44e0 -ryMIitigpc; 57 - `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 ❑ CORPORATION ❑ Cert.of Incorp. ❑ Cert.of Good Standing(if more than 2 yrs.old) ❑ Cert.of Auth.(if a foreign corp.) .PARTNERSHIP ❑ Partnership Agreement(General or Limited) IS Husband and Wife partnership(no written agreement) ❑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(if applicable) Address for Service OATH OF APPLICANT .. 1 declare under penalty of perjuryin the second degree that this application and all attachments are true,correct,and complete to the best ofInowledge.;t ats . cknowledge that it is my responsibility and theTesponsibility of my agents and employees to ly it pro ilia ' bl ratio s.afa3y c hichaffectmylicense. 5 _„I/ ,,a 7 _/' Sign Title �LJ1 Date REPORT AND PROVAL OF LOCAL LICENSING AUTHORITY(CITY/COUNTY) Date application filed with local authority Date of local authority hearing(for new license applicants;cannot be less June 20, 2007 than 30 days from date.et application 12-47-311 (1))C.R.S. October 22, 2007 THE LOCAL LICENSING AUTHORITY HEREBY AFFIRMS: Yes No That each person required to file DR 8404-1(Individual History Record)has: a Been fingerprinted . . . EZ1 ❑ ® Been 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 n ❑ (Check One) ❑ Date of Inspection or Anticipated Date ® 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 report that such license,if granted,will meet the reasonable requirements of the neighborhood and the desires of the adult inhabitants, and will comply with the provisions of Title 12,Arti C.R.S. THEREFORE,THIS APPLICATION IS APPROVED. Local Licensing Authority for -, '4 elephone Number ❑ TOWN,CITY Weld County, Colorado Mr '-...r,:-CV,) ' 70) 356-4000 E COUNTY Signature. - �'ty lr i Date 2 4 2 2007 O\�1� Board' © l . Commissioners OCTlJl t 11 Signature(attest)f6 i / ;Q /9 Tilt C1 .illc ' e Board Date BY: ,,,2014„."..4 /WV , / % -4.,,, OCT 2 2 2007 R Deputy 'tier*, to the Board t I It c�:,Y� , dal-3a9e CR0100M3/01/06) Department Use Only 1375 Sherman Street p 11-17 Denver363.51MCO 802663 9 COLORADO BUSINESS REGISTRATION 1. REASON FOR FILING TFIS APPLICATION o THE REVERSE SIDE ❑orgina]APplicaocn ,�[eange of Owne9lip " i-- . g OF THIS PAGE Do you have a Dept of Revenue Account Number? WYes ❑ No ( 0 2 IF Yes,Account# '-2-'� ?._ —2)r`Jc' n..-2 o MUST BE COMPLETED I ( N0V �GD' IZ Do you want this number assigned to new location? k�,'Yes ❑No y_8 E "—'l 2. Indicate Type of Organization Estate Other Non-Profit Co IJt:%it n r ^ ie i EC Individual Limited Liability Limited 0 ❑ c,"^""'--_...--- W ❑ ❑ ❑ Government --- 2 a General Partnership Partnership(LLLP) ❑ Joint Venture 0 Other tW7 sn Limited Partnership 0 Corporation ❑ Trust - Limited Uabtlity Company(LLC) ❑ 'S'Corporation ❑ Non-profit 501(C)(3) _4Limited Liability Partnership(LLP) ❑ Association (Please enclose copy of the IRS letter of exemption.) SIDE A 1. Taxpayer Name(Owner,Partners or Corporate Name)(Last,Rrst,Middle), - '-;/ M. .(' � f ' r t. J F 2a Trade Name/Da Business As If Applicable) — a rig ( 26. Federal Employer identification Number cc t .4 :,',r# z 4,,-, 24 - 0225 <1 23 O 3a. Street Address of Principal Place of Business in Colorado City State, . ZIP Cade _ .(..../..Y..7;a- /7/4.1 ., t/ W t,i /-41."�/G�h.9d/rrlrt: ',..._r.:.%" ;r5"-22.5-7,'.-7A).": O 3b. County If business is wthin limits of a city,what city? fel hone r4a. In Care 01(00) 4b.Mailing Address(If Different From Above)Qnchde Unit ) a cc O City State ZIP Cade Telephone 5. Bank Name(If Available) Bank Address '.{— t, 6. First Day of Payroll(MolDay/Yr) Payroll Records Location(List Address) Payroll.Records Telephone f }�/:z.,.-. // r .2. ,-) 7'r y.�r—/ a SUd., /jOev1. 'yte-Jv t,6 , /a'J,,ti-7' /-h ,,i, ; / 7 (( /Lt) •J j ,�:5,/ O 7. What prddlrcts and/or services do you provde?(Complete Section"H") Do you sell'motor vehicle tires?El Yes RI'No Is your business in a special taring district? DYes 'No 2 r—=� "t �+. 1e''/-/‘13 r: Do you rent out items for 30 days or less?❑Yes�'No .-�t 8a. Own eriPariner/Corp Offices �. _ — 'E _ Tide ,29 Address(Residence or P.O.Box,Street'Qty,State,ZIP Code) _ , Telephone co 9a OwnerFafiereeorp Officer cn� r Me 'I; 96 Address(Residence or P.O.Box,SYreet'QTy,State,ZIP Code) / Telephone O/'a . ./(/ce.--uxn /-7:://..c476'2-----T(r,I , v c e/ y tj-' C�L9 1 91)74) r-32.4C —2;) .6 '{C:4 k If you acquired the business in whole or in part,complete the following: ` g10a. Prior Tairgayer Name Date of Acquisition Prior Taxpayer UI Tax Account Number 106. Address i ^ f0. II City State ZIP Cade 1 nL, G lY Avg Unit M0W( Co ZCSCl If Seasonal,mark ❑ Jan. ❑ Apr. ❑ July ❑ Oct. - u E — FEES 1. eahbusinessmonth. 0 Mar. 00 May 00 Sept ID Dec. From To 2a Filing Frequency:If sales tax collected is: 12b. First Day of Sales(Mo/Day/Yr) r' (0020-State Sales Tax 0 $15.00hnonih or less-Annually `� ` 610) Deport 13551$ _ N ❑ Under$300#nonih-Ouartedy I',3- AT—O7 Yr , (0060•Sales Tax*"Yr 750) Wholescense (999)$ .C., I 3. Indicate which applies to you: M° M° (0100-Wholesale 0 Wholesaler ❑ Charitable 0 RTD • y"f ^ Syr no) License (999)$ (Mo/DeylYr) Retail-Sales ❑ CD M/ MV°° (1000•Wage Retailers-Use ❑ FD Event Location Cs j `/ -�vr 750) WWhoding (999)$ 0 00 = 1. Filing Frequency:If wage withholding amount is 2.OIUGas M° M° (0160-Gtiantable 9 O $1-$6,999Near-Quarterly $50,000+/Year-Weekly El Withholding , ' 'Yt , n 750) License (999)$ Must fileb Electronic FundsTransfer Make c kpayableto TOTAL $ k a x,$7,000-$49,999/Year-Monthly❑ byColo. Dept.of Revenue , 1_ e. ,, k L BOTHWHIlEPAGESMUSTBERETURNED. kk- I declare under penalty of pe uryin the second degree that the statements made in this application are true and complete to the best of my knowledge Fs SIGNATUREfl1xC 4np' . ,,&CorporateOfficerREOUIRED- The Date .//'4/ /r' fit_ /1( —"..yi./ r , / M ') `..V` .OFF10E'GSE'O 9boggn [ / � — Org t: ! m,. e - oD� ,:50 : R ate ` �f.SagsO-rt - . TIRO; „--4-_,:;.,„rarerm t Trigs ¼ ' (continue on reverse side of this page-) See page 3 for Return Check Policy SIDE B 1. Has the taxpayer paid any Edividuai that is considered contract or subcontract labor? O Yes Iii No O N/A If Yes,desorne the occupation(s) a• 2. Does the business activity consist of employee leasing or management of other businesses?_.-.-._..-.-_..❑Yes Silo O WA Ni r 3. If the taxpayer S a corporation,are any officers who perform services in Colorado pad wages".-..-...-.._-..❑Yes ❑No ❑WA NOTE: Taxable wages include payments to corporate officers and'dividends-paid in lieu of wages to an officer who performs services for an S corporation. 4. If the taxpayer is an individual(sole proprietorship),does he/she have any employees other than the individual,his or her spouse,and his or her children under the age of 21? ....... —.--.IJI[Yee ❑tb ❑WA 5. If the taxpayer is a parbersh ip or any type of united liabiity organization,does it have anyone performing services other than the partners or members of the limited liability organization?...-......._..._.._..❑Yes Elko O WA 6. Did the taxpayer acquire the business in whole or in part? fees ❑No O WA 5 If Yes,complete Form UITL-67,Business Acquisition Questionnaire. 7. Has the taxpayer ever paid or expect to pay wages in the state of Colorado? (SYes O No O WA If the answer is No,do not complete the remainder of section G.BE SURE TO SIGN W SECTION F. gIf Yes,on what date? g8a Employers are required to provide unemployment insurance coverage it they meet the following requirements. Please check the appropriate box and complete eb. JO Business Employer. A commercial,industrial,or professional organization that pays one or more workers a total of$1,500 gross wages in a calendar quarter(Jan.-Mar.,April-June,July-Sept,Oct-Dec.)or employs one or more workers in each of any 20 different calendar weeks in a calendar year. w O O Agricultural Workers. An agricultural employer who pays one or more employees a total of$20,000 gross wages in a calendar quarter(Jars. Mar.,ApdJune,July-Sept,Oct.-Dec.)or has ten or more employees in each of any 20 calendar weeks in a calendar year. di z O Household/Domestic Workers. r A household/domestic employer who pays one or more employees a total of$1,000 gross wages in a calendar quarter (Jan.-Mar.,April-June,July-Sept,Oct-Dec.). O O 501(c)(3)Nonprofit Organization. non profit 501(c)(3) organization that has four or more employees performing services in the(kited States in each of 20 0 weeks in a calendar year. z 8b. Enter date the taxpayer did or will meet the above requirement 7- /-417 i Enter tats gross wages paid in the most recently completed calendar quarter....-........ $ Enter current number of employees 1. Check the description that best describes the taxpayer's business activity in Colorado and explain In detail in box 2 below. O Agricultural(List Crops,Animals,&Services Provided) O Finance&Insurance(Explain in Detail) a O fining(List Product Extracted or Service Performed) O Real Estate and Rental and Leasing(Explain in Detail) g ❑ Utilities(list Type and Explain Services Perkxmed) O Professional and Technical Services(Explain in Detail) O Construction(Explain in Detail in Box 2 Below) O Mamegerned of Companies&Enterprises(Explain) ,., O Construction of Buildings(list Type of Bulking) O Administrative and Waste Services(Explain in Detail) "t O Heavy and Civil Engineering(Explan Below) O Educational Services(E,plai„in Dotal) g O Subcontractor(List Specialty Trade Below and Whether O Health care and Social Assistance(Explain in Detail) es Residential or Commercial Services) O Arts,Emmrm urine t and Recreation(Explain in Detail) z O Manufacturing&Assembly(List Products&Materials Used) O Accommodation and Food Services(Explain in Detail) O O Wholesale Trade(list What Sold and to Whom) Restaurants(Full Service-Wait People Or Limited Service) a T RetailTrade(list What Sold and to Whom) Other services,except Public Admin.(man n Detail) Transportation and Warehousing(List Type&Debts) ❑ Public Administration(Explain in Detail) CC O ❑ Information(Publish,Broadcast,Telecom LSPs)(Etplain) O Household/Domestic u. ? 2. List SPECIFIC products or services and EXPLAIN IN DETAIL.If more than one activity,make ONE a PREDONINANT percent(e.g.51-49%) Y /YfEE/enAl 7a0c/ �e5/Rote,9NT CC a 2 CC m 5 3. Worksite Information-Complete the following for each physical location in COLORADO.For each additional location,copy Section I H and complete.NOTE:If the employee works from home,list the resident address. ✓ Worksite Physical Address(COLORADO BUSINESS OR RESIDENCE ADDRESS)(Do NOT list P.O.Box or accountant address) Average Nastier of Wedsie Phone Wwlsxe camas Person-Please Prim 8 970 S 5 0018/ 04,262449 it/7ei REAL ESTATE LEASE This Lease Agreement (this "Lease") is dated January 1, 2008, by and between Longs Peak Equipment Company, Inc and Alfred and Caroline Lopez dba El Vaquero Restaurant ('Tenant"). The parties agree as follows: PREMISES: Landlord, in consideration of the lease payments provided in this Lease, leases to Tenant 4000+1- Sq. Ft. restaurant space in the Longs Peak Equipment Building. (the "Premises") located at 4322 Hwy 66, Longmont, Co 80504 TERM: This is an interim lease that will begin on January 1, 2008 and will terminate on the execution of the "triple-net" lease or December 31, 2008, whichever is sooner. LEASE PAYMENTS: Tenant shall pay to Landlord monthly installment of$3,400.00(adjusted annually for utilities and taxes), payable in advance on the fifth day of each month. Lease payments shall be made to the Landlord at 4322 Hwy 66, Longmont, Co 80504, which address may be changed from time to time by the Landlord. UTILITIES&TAXES:All utility costs in excess of$7,800 ($650.00 per month) as a total of the following prorated amounts will be due on December 31, 2008. The amounts will be calculated as follows: Twenty-five (25%) percent of the monthly natural gas bill Six and sixty-seven one hundredths percent (6.67%) of the electricity bill Five (5%) percent of the Real Estate Taxes, SECURITY DEPOSIT: At the time of the signing of this Lease, Tenant shall pay to Landlord, in trust, a security deposit of$3,400.00 to be held and disbursed for Tenant damages to the Premises (if any) as provided by law. POSSESSION: Tenant shall be entitled to possession on the first day of the term of this Lease, and shall yield possession to Landlord on the last day of the term of this Lease, unless otherwise agreed by both parties in writing. At the expiration of the term, Tenant shall remove its goods and effects and peaceably yield up the Premises to Landlord in as good a condition as when delivered to Tenant, ordinary wear and tear excepted. USE OF PREMISES: Tenant may use the Premises only for operating a restaurant business. The Premises may be used for any other purpose only with the prior written consent of Landlord, which shall not be unreasonably withheld. FURNISHINGS: The lease of the Premises includes the furnishings listed on the attached exhibit. Tenant shall return all such items at the end of the lease term in a condition as good as the condition at the beginning of the lease term, except for such deterioration that might result from normal use of the furnishings. PROPERTY INSURANCE: Landlord and Tenant shall each maintain appropriate insurance for their respective interests in the Premises and property located on the Premises. Landlord shall be named as an additional insured in such polices. Tenant shall deliver appropriate evidence to Landlord as proof that adequate insurance is in force issued by companies reasonably satisfactory to Landlord. Landlord shall receive advance written notice nom the insurer prior to any termination of such insurance polices. Tenant shall also maintain any other insurance which Landlord may reasonably require for the protection of Landlord's interest in the Premises. Property Damage insurance of$500,000 is the minimum requirement. Tenant is responsible for maintaining casualty insurance on its own property. LIABILITY INSURANCE: Tenant shall maintain liability insurance on the Premises in a total aggregate sum of at least $1,000,000. Tenant shall deliver appropriate evidence to Landlord as proof that adequate insurance is in force issued by companies reasonably satisfactory to Landlord. Landlord shall receive advance written notice from the insurer prior to any termination of such insurance polices. MAINTENANCE: Landlord's obligations for maintenance shall include: 1. The roof, outside walls, and other structural parts of the building. 2. The parking lot, driveways, including snow removal. 3. The sewer(with the exception of the grease trap),water pipes, and other items related to plumbing. 4. The electrical wiring to the fuse panels within the leased space. 5. The large industrial swamp cooler. 6. Items 1-5 above are the responsibility of the landlord only to the extent that damage is not caused by tenant, their employees, or their customers. Tenant's obligations for maintenance shall include: 1. Removal of ice and snow from sidewalks and parking areas, when hours of operation differ from Landlord. 2. Proper operation, scheduled maintenance and cleaning of grease traps. 3. Maintaining the men's and ladies restrooms in the adjacent hallway. 4. Installation and maintenance of the phone lines for the tenant business. 5. Electrical wiring within the premises. 6. All other items used specifically for the tenant's business operation. 7. All other items of maintenance not specifically delegated to Landlord under this Lease. TAXES: Taxes attributable to the Premises or the use of the Premises shall be allocated as follows: REAL ESTATE TAXES: Landlord shall pay all real estate taxes and assessment for the Premises (subject to the annual adjustment). PERSONAL TAXES: Tenant shall pay all personal taxes and any other charges which may be levied against the Premises and which are attributable to Tenant's use of the Premises, along with all sales and/or use taxes (if any)that may be due in connection with lease payments. TERMINATION UPON SALE OF PREMISES: Notwithstanding any other provision of this Lease, Landlord may terminate this lease upon 30days written notice to Tenant that the Premises have been sold. DEFAULTS: Tenant shall be in default of this Lease if Tenant fails to fulfill any lease obligation or term by which Tenant is bound. Subject to any governing provisions of law to the contrary, if Tenant fails to cure any financial obligation within 5 days (or any other obligation within 10 days) after written notice of such default is provided by Landlord to Tenant, Landlord may take possession of the Premises without further notice (to the extent permitted by law), an without prejudicing Landlord's rights to damages. In the alternative, Landlord may elect to cure any default and the cost of such action shall be added to Tenant's financial obligations under this Lease. Tenant shall pay all cost, damages, and expenses (including reasonable attorney fees and expenses) suffered by Landlord by reason of Tenant's defaults. All sums of money or charges required to be paid by Tenant under this Lease shall be additional rent, whether or not such sums or charges are designated as "additional rent". The rights provided by this paragraph are cumulative in nature and are in addition to any other rights afforded by law. LATE PAYMENTS: For each payment that is not paid within 3 days after its due date, Tenant shall pay a late fee of$25.00 per day, beginning with the day after the due date. HOLDOVER: If tenant maintains possession of the Premises for any period after the termination of this Lease ("Holdover Period"), Tenant shall pay to Landlord lease payment(s) during the Holdover Period at a rate equal to 115% of the most recent rate preceding the Holdover Period. Such holdover shall constitute a month-to-month extension of the Lease. CUMULATIVE RIGHTS: The rights of the parties under this Lease are cumulative, and shall not be construed as exclusive unless otherwise required by law. NON-SUFFICIENT FUNDS: Tenant shall be charged $35.00 for each check that is returned to Landlord for lack of sufficient funds. REMODELING OR STRUCTURAL IMPROVEMENTS: Tenant shall have the obligation to conduct any construction or remodeling (at Tenants expense)that may be required to use the Premises as specified above. Tenant may also construct such fixtures on the Premises (at Tenant' expense)that appropriately facilitate its use for such purposes. Such construction shall be undertaken and such fixtures may be erected only with the prior written consent of the Landlord, which shall not be unreasonably withheld. Tenant shall not install awnings or advertisements on any part of the Premises without Landlord's prior written consent. At the end of the lease term, Tenant shall be entitled to remove (or at the request of Landlord shall remove) such fixtures, and shall restore the Premises to substantially the same condition of the Premises at the commencement of this Lease. ACCESS BY LANDLORD TO PREMISES: Subject to Tenant's consent (which shall not be unreasonably withheld), Landlord shall have the right to enter the Premises to make inspections provide necessary services, or show the unit to prospective buyers, mortgagees, tenants or workers. However, Landlord does not assume any liability for the care or supervision of the Premises. As provided by law, in the case of an emergency, Landlord may enter the Premises without Tenant's consent. During the last three months of this Lease, or any extension of this Lease, Landlord shall be allowed to display the usual "To Let" signs and show the Premises to prospective tenants. INDEMNITY REGARDING USE OF PREMISES: To the extent permitted by law, Tenant Agrees to indemnity, hold harmless, and defend Landlord from and against any and all losses, claims, liabilities, and expenses, including reasonable attorney fees, if any, which Landlord may suffer or incur in connection with Tenant's possession, use or misuse of the Premises, except Landlord's act or negligence. DANGEROUS MATERIALS: Tenant shall not keep or have on the Premises any article or thing of a dangerous, flammable, or explosive character that might substantially increase the danger of fire on the Premises, or that might be considered hazardous by a responsible insurance company, unless the prior written consent of Landlord is obtained and proof of adequate insurance protection is provided by Tenant to Landlord. COMPLIANCE WITH REGULATIONS: Tenant shall promptly comply with all laws, ordinances, requirements and regulations of the federal, state, county, municipal and other authorities, and the fire insurance underwriters. However, Tenant shall not by this provision be required to make alteration to the exterior of the building or alterations of a structural nature. MECHANICS LIENS: Neither the Tenant nor anyone claiming through the Tenant shall have the right to file mechanics liens or any other kind of lien on the Premises and filing of this Lease constitutes notice that such liens are invalid. Further, Tenant agrees to (1) give actual advance notice to any contractors, subcontractors or suppliers of goods, labor, or services that such liens will not be valid, and (2)take whatever additional step that are necessary in order to keep the premises free of all liens resulting form construction done by or for the Tenant. ARBITRATION: Any controversy or claim relating to this contract, including the construction of application of this contract, will be settled by binging arbitration under the rules of the American Arbitration Association, and any judgment granted by the arbitrator(s) may be enforcel in any court of proper jurisdiction. SUBORDINATION OF LEASE: This lease is subordinate to any mortgage that now exists, or may be given later by Landlord, with respect to the Premises. ASSIGNABILITY/SUBLETTING: Tenant may not assign or sublease any interest in the Premises, nor effect a change in the majority ownership of the Tenant (from the ownership existing at the inception of this lease), nor assign, mortgage or pledge this Lease, without the prior written consent of Landlord, which shall not be unreasonably withheld. NOTICE: Notices under this Lease shall be deemed valid unless given or served in writing and forwarded by mail, postage prepaid, addressed as follows: LANDLORD: Longs Peak Equipment Company, Inc. 4322 Hwy 66 Longmont, Co 80504 TENANT: Alfred Lopez& Carroll Lopez dba El Vaquero Restaurant 4322 Hwy 66 Longmont, Co 80504 Such addresses may be change from time to time by either party by providing notice as set forth above. Notices mailed in accordance with the above provisions shall be deemed received on the third day after posting. GOVERNING LAW: This Lease shall be construed in accordance with the laws of the State of Colorado. ENTIRE AGREEMENT/AMENDMENT: This Lease Agreement contains the entire agreement of the parties and there are no other promises, conditions, understandings or other agreements, whether oral or written, relating to the subject matter of this Lease. This Lease may be modified or amended in writing, if the writing is signed by the party obligated under the amendment. SEVERABILITY: If any portion of this Lease shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. If a court finds that any provision of the Lease is invalid or unenforceable, but that by limiting such provision, it construed, an enforced as so limited. WAIVER: The failure of either party to enforce any provisions of this Lease shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Lease. BINDING EFFECT: The provisions of this Lease shall be binding upon and inure to the benefit of both parties and their respective legal representatives, successors, and assigns. LANDLORD: Longs P ak Equip e C mpany, Inc. B : Date: December 15, 2007 J. E. . Hutson, President TENANT: By: .>DDate: %a -C'7 Alit#d Lopez J J By: ( 2.14.211/C.-X-4,� P Date: Caroline Lopez DBA El Vaquero Restaurant 4322 Highway 66 Longmont, Colorado 80504 1375, � IA6) Department Use Only i) COLORADO BUSINESS REGISTRATION PL r-P mess FIRMLY AND PRINT MEd.n.Y-INSTRUCTIONS FDRT)OS FORT ARE IN THE PUBLICATION CR101 SE REASON FORFTLNGNIS APHCATIDII o THE REVEI SI 1.DE ❑otai plalm 6lomgosOaadp 3 RECEIVED 741 OF THIS PACE Do yea hate aClod of Finance Maui Ores 0 N R 0 o MUST BE COMPLETED FYI Annaaea MAP1Y ? 5 2097 z DayaismmlfsnuMaasepredmriewta®emo prec flit Q 2. Indicate Type of Organization Estate OMs NwaSN i z I General Partners* ❑ AIM p kint Ware O Ober • Cob. Dept. of Revenue LeadP'm's* 0 Tait Carice 0 Mural 581 CPI a Unita BattyPaamsipALP) ❑ embus (Plase anon cay due Mbar el nempke) ` _c 1. Tama yerNan(Owner.Palmsar Caporals Name)(Last Pistillate) o l.-.FI.�O /✓ . ,S 1.0f ea 1 2a. T Nan dlig As(IAppEnHe d at Fededbmkri . licNmNewha( g '/ft:. ae - 6.2.26-8.23 o 3a Street Mains d Primed Place d BaimsnComaat Z S.2a /r/ ka/ he. �A-otnizs ✓7` Mee fjO,so'y Q . County tlbusmsm Imes ale alyc Eat dyi Telephone aeta beam Of(CO) a.Maim Aadmss(tl Dined FlomM eggwa.Uni Caeld �9Q 5"3,5"- a-?8/ e0 cc Oi cry Bate BP Cade Tech= m ( ) 5. Bark Name(I Available) Bart Maass Bain Amael Membereo/o,Q tao Cm 024,w;be &rn4 e.a.0 W- 9./..r Sr- Ere% PaywlRemidsTelephae 6. Fed Dud Papua(MorDapr) Papal Pecan Izabal(Ls Mies) 4-8-67 Siime (970) C35--oa8/ 0 7. WAN Mara a�S.tseftesde feu NSW Pram Seam 11 Do reminder snide s?DYes ONo byaebusiness ma special being*Aid?❑Yes❑No Po°t Jeruseo Do paired oat isms la30daysa lees?WYE;0 f Sine lta OimenPanettap.a er 'fib g K. Addtess(RSWES a P.O.Box,Street,Ciy,Stlla.lP Cab) Tdepimrm 6/5. 6avnAvCM1ue Cie. 43ee%yiee 8 0L 9 (93 o) 39.2-07686 U) 9a. Owner/Panner/Con ith Scan Sea*a Fatal Emdder Ithacan'Number(FLM) M 0 M Mias(Readace a P.O.Box,Street Cey.Sale.BP Cade) T ekpinne m a If you acquired ON babe In whole a In part,ca bal thefoamilg: 1= lea Hier Indianian* Dale eAccidental PdurTarpayerM Tax ActedNrdm A/3mou Zrn ,4i7 6-/-07 y/-O .388 Kb. Addes /3O7 £.xst,C""Aae rOripe-0..JT u •ge i A9/rxwf aabgercii Oa 1. ❑ II Seasonal,mat F ❑ "- o �' 'technicians man. ❑ Ma. ❑ area ❑ Seµ ❑ Dec Fr m T. Ma Fang Frequency I bsax deeded is: )26.Fist Day d Sales pbeaten) i . .'1'�," (0020-MoatTax /..."- a< ❑ f,5.90hwrlhabes-Ameay ( o � '� °'.4 $10) owe P551$ a ❑ Urdaf3aWmaBr-Weedy ,i° a fie$-31esTa cccn - - 1 Mennen&or more-Mora* N ❑ Wholesale ody-Ara* Lf—L�y'o 33 se- 'wr ` ' SE'S R-a� i 3. bdcainandrapptosmyoe. + :" `:: MN-"iamb 0 Masan 0 Chalk* 0 RID Obpayhrl Ale rr ' sir 750) .": .. M RRetailers-Use 0 FD e Saks El CO Bed Lomita) 0.00 �J� /6 1 Wage 1. F ng Frequency:ti Wage*Molting amount is 2Oil/Gas II° 7M^' I $1-$6.9991Yeer-Gumly $50000i4Yea-Weepy ❑WAlmidrg /r Yr 750) license 1N9$ s ad Make check 0;$LOGO-$19,99RrYea-►at$J MusirleliieeriadicfwaTralNla ciao. a e iiing TOTAL $ S/Yeda g Both White Pages Met Be Returned. Idedaeu eme nd *imams Iremade ntllsappicafon are head couple*btlm beat d ITN knowledge 1 SIGNATURE oOmar.Pma,orapadeOfeerfegdmd � � O FICE USE ONLY Account T C .�orj- n sue+.-4. � j"/ I-C Type HMCS Org LC ID QD SC_ IA Sig 0 TR-1 Dale Tech Sig SEE PAGE 3 FOR RETURN CHECK POLICY Departmental Use Only CR 0002(09121&)6) COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT DENVER CO 80246-1530 RETAIL FOOD ESTABLISHMENT LICENSE APPLICATION FOR CALENDAR YEAR .02,00 7 This application will be rejected unlessaltquesfonsarefullyanswered,properremittanceisattadied,and Health Department approval Health Department Approval is obtained.The State may convert your check to a one time electmric banking transaction.Your bank account may be debited as early as the same day received by the State.If converted,your check will not be returned.If your check is rejected due to insufficient or uncollected funds,the Department of Revenue may collect the payment amount directly born your bank account electronically. Make remittance payable to: Type of Ownership *Individual(if individual or sole proprietor owner,you must complete the enclosed affidavit and provide a notarized copy of an approved identification.) ❑General Partnership ❑Limited Partnership 0 Limited Liability Company 0 Limited Liability Partnership ❑Limited Liabiity Limited Partnership 0 Corporation ❑'S"Corporation 0 Association ❑Estate ❑Government ❑Joint Venture 0 Trust 0 Non-profit 501(c)(3)(please endose copy of IRS letter of exemption)❑Other Non-profit Certific/atelLicennse to be issued in the name(s)of(full legal name of corporation;individual owner or name of first partner) (..99/7-0,41/U. :/9iQOWAJZ f-� Z (names of second and additional partners or corporation officers) fl2c1eMo /l7, L-o�,e _ Trade Name FEIN Nrnmber/Social Security Number Viele u≤fee dG -67.2,2sf.i3 usrness Located at(street or r ral rarta,city,state,and ZIP code) li,3o a N�A&'c d ,Cc& rat,et, 803-6v770•S<35-0a28/ County in which business is a ly bcat Phone Number &lib Mailing Address(if different from location above;include street,oily.Sale,and ZIP code) Date you started business ❑0 seasonal,mark each ❑JAN ❑MAR 0 MAY 0 JULY 0 SEPT ❑NOV business month. ❑FEB 0 APR 0 JUNE El AUG ❑OCT ❑DEC 6 -/-07 Seasonal Dates of operation:Begin Date l_ End Date 1 Month Day Month Day Are you liable for reporting state sales tax? ® Yes 0 No Liquor? N Yes 0 No Gaming?0 Yes $ No If yes,do you have a Dept.of Revenue Sales Tax Account NunbeR tia Yes 0 No If YES Account 0 If no,give the name and address(account number,if possible)of the individual or finn responsible for payment of state sales tax Colorado Sales Tax Account Number Name and address of previous owner A"7.'no it) Zflvi4 /iq -9,5"033,5 /3a Ems,— 4 M4rr,,,,l;1~ io uGn,n4)14, ("PeJ ,SD.5-6/ In consideration thereof,I do hereby certify that I have complied with all items of sanitation as listed in the Colorado Retail Food Establishment Code,and that I have complied with all orders given me by authorized inspectors of the Colorado Department of Public Health and Environnentortoal board of health. I do hereby agree that in the event that the items of sanitation are not complied with,I wil discontinue serving food until such time as requirements are met. Signa Title Date /, Health Department Use Only 0 No fee License(School,Charitable,Penal Grocery Store 20.001-40,000 Sq Ft (3280 750) 3138.00 Institution,Church,Other) (3273 750) $0 Grocery Store 40,001-70.000 Sq Ft (3281 750) $175.00 RRestaurant 0-100 Seats (3274 750) ..$154.00 0 Grocery Store Over 70,000 Sq Ft (3282 750) $250.00 Mobile Unit (3289 750) $154.00 0 Grocery wlDell 0-3,000 Sq Ft (3283 750) $138.00 M (327[]Temporary/Special Event Establishment (3291 750) $154.00 Grocery w/Defi 3,001-10,000 Sq Ft................_(3284 750) $225.00 Restaurant 101-200 Seats 5 750) $175.00 0 Grocery wlDefi 10,001-20,000 Sq Ft (3285 750) $240.00 Restaurant Over 200 Seats (3276 750)........ $189.00 0 Grocery vi/DeN 20,001-40,000 Sq Ft (3286 750) $263.00 0 Grocery Store 0-3,000 Sq Ft (3277 750) $55.00 0 Grocery waDet 40,001-70,000 Sq Ft (3287 750) $300.00 Mobile Unit(Prepackaged Foods) (3292 750) $55.00 0 Grocery w/Deli over 70.000 Sq Ft (3288 750) 3383.00 Temporary/Special Event Establishment (Prepackaged Foods) (3293 750) $55.00 FGrocery Store 3,001-10,000 Sq Ft (3278 750) $100.00 (999) Grocery Store 10,001 -20,000 Sq Ft (3279 750)........$115.00 COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman St,Denver CO 80261 September,2005 AFFIDAVIT OF TRANSFER AND STATEMENT OF COMPLIANCE Pursuant to the requirements of 12-47-303(3)(b), Colorado Revised Statutes, Licensee hereby states that all accounts for alcohol beverages sold to the Applicant are: Paid in full. There are no outstanding accounts with any Colorado Wholesalers. ii EYLicensee hereby certifies that the following is a complete list of accounts for alcohol beverages that are unpaid: Licensee and Applicant agree that all accounts will be paid for from the proceeds at closing by the: ❑Licensee C Applicant Ear Licensee unavailable to certify disposition of accounts for alcohol beverages - Inventory list attached. Transfer by operation of law- Regulation 47-304. Applicant will assume full responsibility for payment of the outstanding accounts as listed above. No alcohol beverage inventory transferred or sold. Licensee hereby authorizes the transfer of its Colorado Retail Liquor License to the Applicant, its agent, or a company, corporation, partnership or other business entity to be formed by the Applicant. Dated this c2S day of /MTV , 200 (p . Seller: Buyer: c �d 4 C — // ( "C"/..vim /071 C.z— Licensee & License Number Applicant AZ /ATLM,eo Le n:Qt/e-ed Trade n Tr--,/ me i� I /r e—rr 7�,,-,',/ Sig ture r Signature Position Position � t/ ZA VAtf- ( Q/?O/2y� �ri c rint Name Print Name C JOHN DEERE LOt4GS PEAKP"Et4T COMPANY 4322 Wry.66 Longmont,CO 80504 Longmont (970)535-4474 Denver (303)892-0684 May 31, 2007 Fred &Carroll Lopez El Vaquero Restaurant 4322 Highway 66 Longmont, CO 80504 This letter will outline the anticipated terms of the proposed five (5) year lease between you, as purchasers of the restaurant, El Vaquero, and Longs Peak Equipment Company, Inc., the Lessor. These terms were discussed at our meeting on May 24 at El Vaquero. Base rent will be on a square footage basis with a three percent(3%) per year escalator. Initially the price will be eight and twenty-five one-hundredth dollars ($8.25) per square foot paid on a monthly basis. The initial rent is two thousand seven hundred fifty dollars ($2,750.00) per month. In addition, gas, electricity, and taxes will be billed on a prorated or triple-net basis. Water and sewer charges are included in the base rent. A monthly estimate of additional costs will be collected with the base rent Once a year on the anniversary of the leacP, the twelve months will be totaled and any overage or underage will be collected or paid. The initial estimate of these costs are six hundred fifty dollars ($650.00) per month. These prorated amounts are: Natural gas—twenty-five percent of the monthly bill (25.0%) Electricity—six and sixty-seven one hundredths percent(6.67%) RE Taxes—five percent(5.0%) Other items included in the original lease will be included. We will require a one month security deposit of$3,400.00. If you have any questions, please contact us. Regards// . E. . (Jay) Knutson e+• ml Manager /t ~` e VV m 32 a2 /o& \ in- .. k (UJ MY � / ` | p \ 1 / \ � .a > >: « El :— . C. I I I ,\ ya d\ I cZy— ] - •- 2 Ii ; is » % / )h • � . I} y r i lit ' iz2, ill ( - ()° k \% ± !� t (--- - .. �\ . ; . , K \ . i \ \ \ ' t 1 ^^ July 31, 2007 Fred &Carroll Lopez El Vaquero Restaurant 4322 Highway 66 Longmont, CO 80504 This letter will outline the anticipated terms of the proposed five (5) year lease between you, as purchasers of the restaurant, El Vaquero, and Longs Peak Equipment Company, Inc., the Lessor. These terms were discussed at our meeting on May 24 at El Vaquero. Base rent will be on a square footage basis with a three percent(3%) per year escalator. Initially the price will be eight and twenty-five one-hundredth dollars ($8.25) per square foot paid on a monthly basis. The initial rent is two thousand seven hundred fifty dollars ($2,750.00) per month. In addition, gas, electricity, and taxes will be billed on a prorated or triple-net basis. Water and sewer charges are induded in the base rent A monthly estimate of additional costs will be collected with the base rent Once a year on the anniversary of the lease,the twelve months will be totaled and any overage or underage will be collected or paid. The initial estimate of these costs are six hundred fifty dollars ($650.00) per month. These prorated amounts are: Natural gas—twenty-five percent of the monthly bill (25.0%) Electricity—six and sixty-seven one hundredths percent(6.67%) RE Taxes—five percent(5.0%) Other items induded in the original lease will be induded. We will require a one month security deposit of$3,400.00. If you have any questions, please contact us. Regards, J. E. H. (Jay) Knutson General Manager REAL ESTATE LEASE This Lease Agreement (this "Lease') is dated July 31, 2007, by and between Longs Peak Equipment Company, Inc and Fred and Carroll Lopez dba El Vaquero Restaurant("Tenant"). The parties agree as follows: PREMISES: Landlord, in consideration of the lease payments provided in this Lease, leases to Tenant 4000+/-Sq. Ft. restaurant space in the Longs Peak Equipment Building. (the"Premises") located at 4322 Hwy 66, Longmont, Co 80504 TERM: This is an interim lease that will begin on August 1, 2007 and will terminate on the execution of the'triple-net" lease or December 31, 2007,whichever is sooner. I EASE PAYMENTS: Tenant shall pay to Landlord monthly installment of$3,400.00 (adjusted annually for utilities and taxes), payable in advance on the fifteenth day of each month. Lease payments shall be made to the Landlord at 4322 Hwy 66, Longmont, Co 80504, which address may be changed from time to time by the Landlord. UTILITIES&TAXES:All utility costs in excess of$3,250 as a total of the following prorated amounts will be due on December 31, 2007. The amounts will be calculated as follows: Twenty-five (25%) percent of the monthly natural gas bill Six and sixty-seven one hundredths percent(6.67%)of the electricity bill Five(5%)percent of the Real Estate Taxes. SECURITY DEPOSIT:At the time of the signing of this Lease, Tenant shall pay to Landlord, in trust, a security deposit of$3,400.00 to be held and disbursed for Tenant damages to the Premises(if any)as provided by law. POSSESSION: Tenant shall be entitled to possession on the first day of the term of this Lease, and shall yield possession to landlord on the last day of the term of this Lease, unless otherwise agreed by both parties in writing. At the expiration of the term, Tenant shall remove its goods and effects and peaceably yield up the Premises to Landlord in as good a condition as when delivered to Tenant, ordinary wear and tear excepted. USE OF PREMISES: Tenant may use the Premises only for operating a restaurant business. The Premises may be used for any other purpose only with the prior written consent of Landlord,which shall not be unreasonably withheld. FURNISHINGS: The lease of the Premises includes the furnishings listed on the attached exhibit. Tenant shall return all such items at the end of the lease term in a condition as good as the condition at the beginning of the lease term, except for such deterioration that might result from normal use of the furnishings. PROPERTY INSURANCE: Landlord and Tenant shall each maintain appropriate insurance for their respective interests in the Premises and property located on the Premises. Landlord shall be named as an additional insured in such polices. Tenant shall deliver appropriate evidence to Landlord as proof that adequate insurance is in force issued by companies reasonably satisfactory to Landlord. Landlord shall receive advance written notice nom the insurer prior to any termination of such insurance polices. Tenant shall also maintain any other insurance which Landlord may reasonably require for the protection of Landlord's interest in the Premises. Property Damage insurance of$500,000 is the minimum requirement. Tenant is responsible for maintaining casualty insurance on its own property. LIABILITY INSURANCE: Tenant shall maintain liability insurance on the Premises in a total aggregate sum of at least$1,000,000. Tenant shall deliver appropriate evidence to Landlord as proof that adequate insurance is in force issued by companies reasonably satisfactory to Landlord. Landlord shall receive advance written notice from the insurer prior to any termination of such insurance polices. MAINTENANCE: Landlord's obligations for maintenance shall include: 1. The roof, outside walls, and other structural parts of the building. 2. The parking lot, driveways, including snow removal. 3. The sewer(with the exception of the grease trap), water pipes, and other items related to plumbing. 4. The electrical wiring to the fuse panels within the leased space. 5. The large industrial swamp cooler. 6. Items 1-5 above are the responsibility of the landlord only to the extent that damage is not caused by tenant, their employees, or their customers. Tenants obligations for maintenance shall include: 1. Removal of ice and snow from sidewalks and parking areas, if hours of operation differ from Landlord. 2. Proper operation, scheduled maintenance and cleaning of grease traps. 3. Maintaining the men's and ladies restrooms in the adjacent hallway. 4. Installation and maintenance of the phone lines for the tenant business. 5. Electrical wiring within the premises. 6. All other items used specifically for the tenants business operation. 7. All other items of maintenance not specifically delegated to Landlord under this Lease. TAXES: Taxes attributable to the Premises or the use of the Premises shall be allocated as follows: REAL ESTATE TAXES: Landlord shall pay all real estate taxes and assessment for the Premises(subject to the annual adjustment). PERSONAL TAXES: Tenant shall pay all personal taxes and any other charges which may be levied against the Premises and which are attributable to Tenants use of the Premises, along with all sales and/or use taxes(if any)that may be due in connection with lease payments. TERMINATION UPON SALE OF PREMISES: Notwithstanding any other provision of this Lease, Landlord may terminate this lease upon 30days written notice to Tenant that the Premises have been sold. DEFAULTS: Tenant shall be in default of this Lease if Tenant fails to fulfill any lease obligation or term by which Tenant is bound. Subject to any governing provisions of law to the contrary, if Tenant fails to cure any financial obligation within 5 days(or any other obligation within 10 days) after written notice of such default is provided by Landlord to Tenant, Landlord may take possession of the Premises without further notice (to the extent permitted by law), an without prejudicing Landlord's rights to damages. In the alternative, Landlord may elect to cure any default and the cost of such action shall be added to Tenants financial obligations under this Lease. Tenant shall pay all cost, damages, and expenses (including reasonable attorney fees and expenses) suffered by Landlord by reason of Tenants defaults. All sums of money or charges required to be paid by Tenant under this Lease shall be additional rent, whether or not such sums or charges are designated as "additional rent". The rights provided by this paragraph are cumulative in nature and are in addition to any other rights afforded by law. LATE PAYMENTS: For each payment that is not paid within 3 days after its due date, Tenant shall pay a late fee of$50.00 per day, beginning with the day after the due date. HOLDOVER: If tenant maintains possession of the Premises for any period after the termination of this Lease("Holdover Period"), Tenant shall pay to Landlord lease payment(s)during the Holdover Period at a rate equal to 115% of the most recent rate preceding the Holdover Period. Such holdover shall constitute a month-to-month extension of the Lease. CUMULATIVE RIGHTS: The rights of the parties under this Lease are cumulative, and shall not be construed as exclusive unless otherwise required by law. NON-SUFFICIENT FUNDS: Tenant shall be charged $35.00 for each check that is returned to Landlord for tack of sufficient funds. REMODELING OR STRUCTURAL IMPROVEMENTS: Tenant shall have the obligation to conduct any construction or remodeling (at Tenants expense)that may be required to use the Premises as specified above.Tenant may also construct such fixtures on the Premises(at Tenant' expense)that appropriately facilitate its use for such purposes. Such construction shall be undertaken and such fixtures may be erected only with the prior written consent of the Landlord, which shall not be unreasonably withheld. Tenant shall not install awnings or advertisements on any part of the Premises without landlord's prior written consent At the end of the lease term, Tenant shall be entitled to remove(or at the request of Landlord shall remove)such fixtures, and shall restore the Premises to substantially the same condition of the Premises at the commencement of this Lease. ACCESS BY LANDLORD TO PREMISES: Subject to Tenants consent(which shall not be unreasonably withheld), landlord shall have the right to enter the Premises to make inspections provide necessary services, or show the unit to prospective buyers, mortgagees,tenants or workers. However, Landlord does not assume any liability for the care or supervision of the Premises.As provided by law, in the case of an emergency, Landlord may enter the Premises without Tenants consent During the last three months of this Lease, or any extension of this Lease, Landlord shall be allowed to display the usual"To Let"signs and show the Premises to prospective tenants. INDEMNITY REGARDING USE OF PREMISES: To the extent permitted by law, Tenant Agrees to indemnity, hold harmless, and defend Landlord from and against any and all losses, claims, liabilities, and expenses, including reasonable attorney fees, if any, which Landlord may suffer or incur in connection with Tenants possession, use or misuse of the Premises, except landlord's act or negligence. DANGEROUS MATERIALS: Tenant shall not keep or have on the Premises any article or thing of a dangerous, flammable, or explosive character that might substantially increase the danger of fire on the Premises, or that might be considered hazardous by a responsible insurance company, unless the prior written consent of Landlord is obtained and proof of adequate insurance protection is provided by Tenant to Landlord. COMPLIANCE WITH REGULATIONS: Tenant shall promptly comply with all laws, ordinances, requirements and regulations of the federal, state, county, municipal and other authorities, and the fire insurance underwriters. However, Tenant shall not by this provision be required to make alteration to the exterior of the building or alterations of a structural nature. MECHANICS LIENS: Neither the Tenant nor anyone claiming through the Tenant shall have the right to file mechanics liens or any other kind of lien on the Premises and filing of this Lease constitutes notice that such liens are invalid. Further, Tenant agrees to (1)give actual advance notice to any contractors, subcontractors or suppliers of goods, labor, or services that such liens will not be valid, and (2)take whatever additional step that are necessary in order to keep the premises free of all bens resulting form construction done by or for the Tenant. ARBITRATION:Any controversy or claim relating to this contract, including the construction of application of this contract, will be settled by binging arbitration under the rules of the American Arbitration Association, and any judgment granted by the arbitrator(s) may be enforcel in any court of propel.jurisdiction. SUBORDINATION OF LEASE: This lease is subordinate to any mortgage that now exists, or may be given later by Landlord,with respect to the Premises. ASSIGNABILITY/SUBLETTING: Tenant may not assign or sublease any interest in the Premises, nor effect a change in the majority ownership of the Tenant(from the ownership existing at the inception of this lease), nor assign, mortgage or pledge this I es.,without the prior written consent of Landlord, which shall not be unreasonably withheld. NOTICE: Notices under this Lease shall be deemed valid unless given or served in writing and forwarded by mail, postage prepaid, addressed as follows: LANDLORD: Longs Peak Equipment Company, Inc. 4322 Hwy 66 Longmont, Co 80504 TENANT: Fred Lopez Carroll Lopez 4322 Hwy 66 Longmont, Co 80504 Such addresses may be change from time to time by either party by providing notice as set forth above. Notices mailed in accordance with the above provisions shall be deemed received on the third day after posting. GOVERNING LAW: This Lease shall be construed in accordance with the laws of the State of Colorado. ENTIRE AGREEMENT/AMENDMENT: This Lease Agreement contains the entire agreement of the parties and there are no other promises, conditions, understandings or other agreements, whether oral or written, relating to the subject matter of this Lease. This Lease may be modified or amended in writing, if the writing is signed by the party obligated under the amendment. SEVERABILITY: If any portion of this Lease shall be held to be invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable. if a court finds that any provision of the Lease is invalid or unenforceable, but that by limiting such provision, it construed, an enforced as so limited. WAIVER: The failure of either party to enforce any provisions of this Lease shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Lease. BINDING EFFECT: The provisions of this Lease shall be binding upon and inure to the benefit of both parties and their respective legal representatives, successors, and assigns. LANDLORD: Longs Peak Equipment Company, Inc. By: Date: 5 E. H. Kn n, President TENANT: _ l / By:(f Date: 7' <'! -e-2 6-20-2007 Alfred&Caroline Lopez 615 62nd Avenue Court Greeley, CO 80634 970-392-2686 Weld County Board of Commissioners 915 10th St. Greeley, CO 80632 RE: Temporary Retail Liquor License El Vaquero Mexican Restaurant Longmont, CO 80504 970-535-0281 Members of the Board of Commissioners; In order for business operations to continue on a regular basis, we would like to request a Temporary Liquor License to be effective June 25th, 2007 while going through the Change of Ownership and Retail Liquor License Transfer on behalf of El Vaquero Mexican Restaurant located at,4322 Highway 66, Longmont,Colorado 80504 Thank You for Your Consideration, Alfred &Caroline Lopez 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 El Vaquero 2.Your Full Name(last,first,middle) 3.List any other names you have used. Lopez, Alfred Melvin 4.Mailing address(if different from residence) Home Telephone 970-392-2686 5.List all residence addresses below.Include current and previous addresses for the past live years. STREET AND NUMBER CITY,STATE, ZIP FROM TO Current 615 62nd Avenue Court Greeley, Colorado 80634 5-15-05 Present Previous 12107 Vista Ranch Avenue Sylmar, California 91342 2-1-1998 5-15-05 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 Santoro Printing&Graphics,In 6812B San Fernando Rd, Glendale, Ca 91201 Manager 4-01-02 4-01-0f L&S Graphics 555 Riverdale Dr#C, Glendale,Ca 91202 General Partner/Mgr 09-01-8E 4-01-02 Walt Disney Company 500 S Buena Vista St., Burbank CA 91505 Bindery 09-76 8-86 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 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.?If yes,explain in detail. Yes 2 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.) Dyes ENo 11.Are you currently under probation(supervised or unsupervised),parole,or completing the requirements of a deferred sentence? (if yes,explain in detail.) ❑Yes 0No 12.Have you ever had any STATE issued licenses suspended,revoked,or denied including a drivers license? (If yes,explain in detail.) ❑Yes ENo 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.Social Security Number SSN c.Place of Birth d.U.S.Citizen? Glendale, California Eyes 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 in.Weight n.Hair Color o.Eye Color p.Sex q.Race r.Do you have a current Driver's License?If so,give number and state 5'9" 145 Blonde Blue M C OYes ❑No Colorado# 14.Financial Information. a.Total purchase price$ 125,000.00 (if buying an existing business)or investment being made by the applying entity,corporation. partnership,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$ 125,000.00 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 Cash-operating capital Colorado Community Bank-Checking#010303372 Lai $40,000.0C Loan on investment property 7250 Hillbum Rd., Bld#1 Purchase Price Loan on investment property 7250 Hillbum Rd.,Bld#1 125,000.0C Pensacola, Florida d.Loan Information(attach copies of all notes or loans) Name of Lender and Account Number Address Term Security ' Amount One Stop Mortgage LLC 8778 Wolf Court#102 30 YRS Real Estate 125,000,00 Westmimister, CO 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. Colorado Community Rank 6222 W. 9th Street, ,r ley f n. 80634—ding escrow closing-Users Alfred &Caroline j open 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. Auth oat r TitIe� Date iNFORMATIO BY LAW DO NO_( DI SEMINATE Date 07/28/07 SO WELD COUNTY RECORDS GREELEY 1950 "0" STREET GREELEY, CO 80631 RE: LOPEZ, ALFRED MELVIN DATE OF BIRTH: SOC: 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 the 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 that 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, Robert C. Cantwell, Director Colorado Bureau of Investigation[ CIVIL APPLICANT RESPONSE ICN E2007209000000041013 CIDN OCA CO0620000 LOPEZ,ALFRED MELVIN W 509 MNU SOC SEX M FPC HENRY CLASS API COCBI0000 COLORADO B OF I DATE FP DENVER CO 2007/05/24 A SEARCH OF THE FINGERPRINTS ON THE ABOVE INDIVIDUAL HAS REVEALED NO PRIOR ARREST DATA. CJIS DIVISION 2007/07/28 FEDERAL BUREAU OF INVESTIGATION rho INFORMATION REGULATED BY LAW U( NOT DISSEMINATE COCBI0000 CO BUREAU OF INVEST COLORADO CRIME INFO CTR STE 3000 690 KIPLING ST DENVER,CO 80215-8001 May 22, 2007 Paul J. Hasty 604 63`° Avenue Greeley, CO 80634 (970) 302-5858 Weld County Board of Commissioners 915 10"' Street Greeley, CO 80634 Re: Letter of Reference for Alfred M. Lopez Weld County Board of Commissioners, Alfred M. Lopez is my neighbor and I have known him since he moved into my subdivision approximately three ago. During that time we have become good friends and my experiences with him have always been positive. Alfred has a generous nature and true respect for others. He is also a very successful and knowledgeable business person and I know that he is excited to begin new ventures in the food service area. I believe that Alfred has the integrity, experience, and knowledge to manage high levels of responsibility successfully and would be an excellent steward of a liquor license. If you have any questions please feel free to contact me. Sincerely, Paul J. Hasty May 24,2007 Rodney D. Dyer 6213 West 7tn St. Greeley, CO 80634 Weld County Board of Commissioners, I confirm that I have known Alfred M. Lopez for two years. Alfred has been my neighbor for two years and has become a very good friend. Together we have worked on community projects,we have had minor business dealings always ending with successful results. At all times I have found Alfred dependable, reliable,trustworthy, very hard working,honest, courteous, and very responsible. I would be happy to provide further information if required, you can contact me at 970-301- 1476. Sincerely, Rodney D. Dyer Date: May 17,2007 Name: William E. Collier Address: 1601 S. Brand Blvd. Glendale, Ca. 91204 Weld County Board of Commissioners 915 10th Street Greeley, Colorado 80634 Weld County Board of Commissioners, . - • I confirm that I have known Alfred Lopez for over ten years. We have been friends And have conducted business together before on a personal and business relationship. At all times I have found Alfred Lopez to be diligent, dependable, reliable, very hard- working, conscientious, one of the most honest persons and courteous to all. Fred would Be the type of person I would have as a partner in any of my businesses. I've had all my businesses for over 25 years, if I happen to need a person to jump in and run one, Fred can do it. Knowledgeable, with common since to do the job correctly and efficiently No matter what was thrown in front of him. He is a friend for life. I'm happy to provide further information if required. Sincere_ ' �-- William E. Colli DR 8404' (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 El Vaquero 2.Your Full Name(last,first,middle) 3.List any other names you have used. Lopez, Caroline Sue Zamora, Santoro, Morris,Muller, Clark 4.Mailing address(if different from residence) Home Telephone 970-392-2686 5.List all residence addresses below. Include current and previous addresses for the past five years. STREET AND NUMBER CITY,STATE, ZIP FROM TO Current 615 62nd Avenue Court Greeley, Colorado 80634 5-15-05 Present Previous 12107 Vista Ranch Avenue Sylmar, California 91342 2-1-1998 5-15-05 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, NI. ER,CITY,STATE, ZIP) POSITION HELD FROM TO Santoro Printing&Graphics,ln 6812B San Fernando Rd, Glendale, Ca 91201 Accountant/Mgr 4-01-02 4-01-0r L&S Graphics 555 Riverdale Dr#C, Glendale,Ca 91202 Accountant General 11-01-8 4-01-02 Coral Cafe 3321 W Burbank BL, Burbank, CA 91505k is Waitress 09-86 11-01-€ 7.List the names)of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. NAME OF RELATIVE RELATIONSHIP TO YOU POSrfION HELD NAME OF LICENSEE 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 WI 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.?If yes,explain in detail. Yes 0 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.) ioYes El No Dill 1987 11_Are you currently under probation(supervised or unsupervised),parole,or completing the requirements of a deferred sentence? (if yes,explain in detail.) Yes ii?)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 nl ll 1987 in California Drivers licenses# suspended for 90 days 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 bcensure pursuant to 12-47-307 C.R.S. 13a.Date of Birth b_Social Security Number SSN a Place of Birth d.U.S.Citizen? Little Rock, Arkansas BYes ENo 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 m_Weight n.Hair Color o.Eye Color' p.Sex q.Race r.Do you have a current Driver's License?If so,give number and state 5'2" 138 Blonde Blue F C pYes OW Colorado# 14.Financial Information. a.Total purchase price S 125,000.00 (if buying an existing business)or investment being made by the applying entity,corporation, partnership,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$ 125,000.00 c.Provide details of Investment You must account for the sources of ALL cash dhow acquired).Attach a separate sheet if needed. Type:Cash,Services or Equipment Source:Name of Bank;Account Type and Number Amount Cash-operating capital Colorado Community Bank-Checking# $40,000.0C Loan on investment property 7250 Hillbum Rd., Bld#1 Purchase Price Loan on investment property 7250 Hillbum Rd., BId#1 125,000.00 Pensacola, Florida d.Loan Information(attach copies of all notes or loans) Name of Lender and Account Number Address Term Security Amount One Stop Mortgage 8778 Wolf Court#102 30 YRS Real Estate 125,000.00 Westmimister, CO 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. Colorado Community Rank 6222 W 9th Street,Greeley_Co 80634-pending escro closing-1 Jsers Ajfred &Caroline Lopez 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. ?u,t,t:17:71zed .,r;i T om. �/ Date e7 USE OF THIS IN IS REGULATED DO NOT DIS<'r7 Date 07/28/07 SO WELD COUNTY RECORDS GREELEY 1950 "O" STREET GREELEY, CO 80631 RE: LOPEZ, CAROLINE SUE DATE OF BIRTH: SOC: 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 the 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 that 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, Robert C. Cantwell, Director Colorado Bureau of Investigation' USE OF THIS INFORMA T IL`< IS REGULATED BY LAW DO NOT DISSEMINATE NAME: LOPEZ,CAROLINE SUE CBI PCN: 014O30088319 STATE ID NUMBER: OO2114713 FBI PCN: E2007209000000040949 FBI NUMBER: DATE OF BIRTH: DCL: REASON FOR REJECTION: Candidate(s) were found. Please resubmit a new set of fingerprints for comparison to the candidate(s) . Di: ! HIS INFORMATION FEGULATED BY LAW J2egthYVI.C Qd Dr) NOT DISSEMINATE 011 (Olfl/O-1 08-05-2007 Caroline Lopez 615 62nd Avenue Greeley, Colorado 80634 RE: Liquor License for El Vaquero Mexican Restaurant In May of 1987 I rreceived a DUI citation after leaving a party. I was intoxicated and had no busi- ness driving. I hid gone to the party with a designated driver that left me there and being under the effects of alcohol used extremely poor judgement to attempt driving home. My husband had driven our vehicle there and he stayed but, I proceeded to take the car.That was my first and only offense. I have been alcohol free for several years since. Thank You, Carolineliline Lopez 5-22-2007 Weld County Board of Commissioners 915 10th St. Greeley, CO 806 TO WHOM IT MAY CONCERN; I have known Caroline Lopez for seven years. In my dealings with Ms. Lopez, I have always found her to be thorough, honest, and efficient. She has exceptional organizational skills,and performs any task timely. On a personal note, Carol is a thoughtful individual who considers all aspects before taking action, and deals with others in a considerate manner. I would highly recommend her. If anything further is needed, please feel free to respond to me. Sharon Nichols Accountant 4052 Woodgreen Dr Las Vegas, NV 89108 702-656-0409 Home 702 357-7748 Cellular May 21, 2007 Nancy McDonald Weld County Board of Commissioners 915 10`°St. Greeley,CO 80634 Dear Weld County Board of Commissioners: I have known Caroline Lopez for six years. She has been a valuable friend,one whose friendship I treasure. Carol Lopez is an extremely honest, dependable, loyal, hard-working person. I cannot say enough regarding Carol's character.To give you an example, when I decided to buy a house in Colorado and move to this state from Los Angeles, Carol traveled hundreds of miles around Colorado looking at houses for me.As I was in California and could not leave my job, I trusted her to choose my house, which I bought sight-unseen. She then flew to Los Angeles, helped me pack, drove to Colorado with me and helped me unpack. I have never had friends or family go to the extremes she has. Carol will always have my gratitude. Without Carol's help, perseverance, hard work and support, I would not have had the courage or energy to fulfill my lifelong dream of moving back to Colorado, where I grew up and spent many happy years. If you have any questions, please do not hesitate to contact me. Best Regards, Nancy McDonald P.O. Box 48 129 W. Carr Ave. Cripple Creek, CO 80813 719-689-0401 5-23-2007 Weld County Board of Commissioners 915 10th St. Greeley, CO 80634 TO WHOM IT MAY CONCERN; I have known Caroline Lopez for six years. I have stayed in her home and had business dealings with Carol. I have always found her to be of high integrity. She is a hard worker and on a personal note,Carol is a thought- ful and considerate person. I would highly recommend her. If anything further is needed, please feel free to contact me. Antoinette Montenegro 4052 Woodgreen Dr Las Vegas, NV 89108 702-656-0409 Home WI" 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: December 19, 2007 Attn: Dan Gunter or Kathleen Fax: 303-205-2341 Pages: 11 +Cover From: Jenny VanEgdom Deputy Clerk to the Board Subject: Alfred and Caroline Lopez, dba El Vaquero COMMENTS: Dan and/or Kathleen, Please find the corrected Application,Amended Colorado Business Registration,and new Real Estate Lease. Per the applicant,the lease was negotiated for the entire calendar year of 2008,and then the triple-net lease will be negotiated within the 2008 year for subsequent years. . Please review and let me know ASAP if everything has been correctly provided. Thanks so much for your patience and assistance. Jenny 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. DR 4679(09/21/06) COLORADO DEPARTMENT OF REVENUE 1 U I 71 pc.,,. *./ __.- AFFIDAVIT - RESTRICTIONS ON PUBLIC BENEFITS i, r }zeji• , swear or affirm under penalty of perjury er the laws of the State I rado that(check one): KI am a United States citizen. 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Date TRANSFER OF OWNERSHIP REVIEW FORM Date: June 27, 2007 TO: {DEPUTY} FROM: Ken Poncelow SUBJECT: Transfer of Ownership/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 within two weeks. Your report will be used by the Board of County Commissioners in considering the Transfer of Ownership for a Hotel and Restaurant Liquor License. PLEASE RESPOND NO LATER THAN: JULY 13, 2007 Present Name of Establishment: New Applicant Name: ESTABLISHMENT: RAMON ZAVALA ALFRED AND CAROLINE LOPEZ DBA EL VAQUERO DBA EL VAQUERO 4322 HIGHWAY 66 4322 HIGHWAY 66 LONGMONT, CO 80542 LONGMONT, CO 80542 Current license expires: August 3, 2007 A Temporary Permit was issued on June 25, 2007, and is valid for 120 days. ******************************************************************************************************** **** No concerns ri/& 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 of the date and time of the Board of Commissioner's Transfer of Ownership hearing. Liquor/Beer License Worksheet The following concerns are noted: /els7-.p [/ RAnir AV Arr4c//eo d4f . tgAr.�� Y ,Q ti '/if !✓/ ,Q . /to?MLLV 4 rMOt PHBe. it/o. Co Ale ate 4, NoT4O wXt// s-C4 G<rf/rt.c Jr. 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) No rf .✓c. fl/cr' 7 Roo ? Establishment 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. it a MEMORANDUM ( TO: JENNY VANEGDOM,CTB FROM: DAN JOSEPH ' ENVIRONMENTAL HEALTH SERVICE 11 7 C. SUBJECT: E CT: LIQUOR I UOR0LICENSE INQUIRY 0COLORADO CC: CINDY SALAZAR; SARA EVANS In response to your request, Environmental Health Services has reviewed the Retail Food Service Establishment file for El Vaquero, located at 4322 Highway 66, Longmont, 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 ,( a MEMORANDUM (1: To: Jenny VanEgdom, Deputy Clerk to the Board June 29, 2007 wokFrom: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services COLORADO Subject: LC0032 Review of the following liquor license renewal by the Department of Planning Services shows the following: 41-09388-000 Alfred & Caroline Lopez dba El Vaquero 4322 Highway 66 Longmont, Colorado 80542 Zone District: C-3 This use is allowed through the zone district. Staff has determined that this site is currently permitted through Site Plan Review (SPR-258); however, any future expansion or change would require the approval of an amended Site Plan Review permit through the Department of Planning Services. As a result of researching my computer and files, there are no current violations occurring on the property. SERVICE,TEAMWORK,INTEGRITY,QUALITY Hello