HomeMy WebLinkAbout20050483.tiff RESOLUTION
RE: APPROVE CORPORATE REPORT OF CHANGES FOR RETAIL LIQUOR LICENSE
AND AUTHORIZE CHAIR TO SIGN - RLF, INC., DBA CJ'S LIQUORS
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, RLF Inc., dba CJ's Liquors, holder of a Retail Liquor Store License for the
sale of malt, vinous and spirituous liquors in sealed containers not for consumption at the place
where sold in Weld County, Colorado, has presented the Board with a Report of Changes, and
WHEREAS, after study and review, the Board deems it advisable to approve said report
of changes.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Report of Changes submitted by RLF Inc., dba CJ's Liquors,
be, and hereby is, approved.
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 9th day of February, A.D., 2005.
BOARD OF COUNTY COMMISSIONERS
E La WELD COUNTY, COLORADO
ISGI AT T.
William H .erke, Chair
Wel lerk to the Board
M. i. elle, ro-Tem
BY:
Deputy Cler to the Board
Id E. Long
O D AS TO FORM
Robert D. Masden
'` ' ; 1/
I County Attorney im
14.Sk_
Glenn Vald
Date of signature: 4451
2005-0483
LC0020
0 a : tvpL, so 03 03 -0C
DR 8177(05/97) PAGE 1 21
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET LIMITED LIABILITY COMPANY AND
DENVER C000261 CORPORATE REPORT OF CHANGES
(303)205-2300
Liquor and 3.2 Beer Licenses
Submit to Local Authority(Local Authority will submit to State)
(2355)❑ LLC $100 PER MEMBER FOR BACKGROUND INV.
(2350)g CORPORATION $100 PER PRINCIPLE FOR BACKGROUND INV. DO NOT WRITE IN THIS SPACE
1. Corp ate/L.L.C.Name 2.State Tax Account Number 3.State Liquor License Number
A,CThc iy-39FJ&-cite aOV-�
4.Trade Name . 5.Telephone Number
GelsA (1OK M32261
6.Address of Licensed Pr s City S ZIP Code
39e)?zikei 7
/4? /a/ 2,41 (6JOj
7.Mailing Address if different than above City State ZIP Code
8. LIST ALL officers, directors(corporation)or Managing Members(L.L.C.). Attach a certificate of designation
(good standing)and each officer, director or manager MUST FILL OUT a DR 8404-I (Individual History Record).
Position Names of ALL Officers, Home Address DOB Replaces
Held Directors or Managing Members P
`Merl AlPir4, /.ter /o bl..Ve;/r,&/o iir3,ni'( £Wx/ A..,.r h/i%14�iz
9. LIST ALL 10%(or more)Stockholders or 10%(or more)Members. All 10%(or more)stockholders and members
MUST also fill out DR 8404-I (Individual History Record).
Stockholders/Members Home Address DOB Replaces
owning 10%(or more)of business Owned P
Diem A,41,401 it, /O 7c _Alu_et/,7i`Ai7!//7,4 O . etnkii/e•rAel/LL
10.Registered Agent 41/4,2,16,,,//Al Address For Service .39/c] J/,.c,� .//y„An� nfr�j
eardfr'
OATH OF APPLICANT
I declare under penalty of perjury in the second degree that this applicationtand all attachments,.
are true, correct, and complete to the best of my knowl-edge.
11.Authorized Signaturepp Title Date
esltt�za � ,-/r, / / //Zr
REPOR �% �� I v SING AUTHORITY'
The foregoing es n changes pay :� a l��g g g � � s,mined bythe Local Licensing Authority.
12. Local Licensing Authority For I
41tr� �o ) $County Town/City
Weld Count. Iddr ( _ � ❑ ❑
Signature \ /� �, -- ' Date
4-1 ' . ( air, Weld County Board
"i Lulum e e yP. " Commies oners 2/9/2005
Attest
(/ ` ® b'f / Date
,'nen tv Clefk 'fo theBoard 2/9/2005
DO NOT WRITE IN THIS SPAC --FOR DEPARTMENT OF REVENUE USE ONLY
' LIABILITY:INFORMATION - ₹ """"
License Account Number Period Cash Fund1E e.;: ""TOTAL
Z-01:74-.1.,f-
' d
100(999) re : k".
2005-0483
OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO
CERTIFICATE
I, Donetta Davidson, as the Secretary of State of the State of Colorado, hereby certify that,
according to the records of this office,
RLF,INC.
is a
Corporation
formed or registered on 01/04/1999 under the law of Colorado, has complied with all applicable
requirements of this office, and is in good standing with this office. This entity has been
assigned entity identification number 19991000330
This certificate reflects facts established or disclosed by documents delivered to this office on
paper through 12/23/2004 that have been posted, and by documents delivered to this office
electronically through 01/04/2005 @ 11:48:51 .
I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed,
authenticated, issued, delivered and communicated this official certificate at Denver, Colorado
on 01/04/2005 @ 11:48:51 pursuant to and in accordance with applicable law. This certificate is
assigned Confirmation Number 6119539 .
•
„3,_ ♦ 4" I tiI
/
8 76 Secretary of State of the State of Colorado
*****************t**********************End of Certificate****************************************
Notice:A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However,
as an option,the issuance and validity of a certificate obtained electronically may be established by visiting the Certificate Confirmation Page of
the Secretary of State's Web site, hitp:. r:i, ( i/irr,r .4 in lit'ritoricedn entering the certificate's confirmation number
displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not
necessary to the valid and effective issuance ofa certificate. For more information, visit our Web site. Imp: !I'll . raIre ro.iu click Business
Center and select"Frequently Asked Questions."
(it
CLERK TO THE BOARD
PHONE (970) 336-7215, Ext. 4225
FAX: (970) 352-0242
P. O. BOX 758
O GREELEY, COLORADO 80632
•
COLORADO
October 19, 2004
Brenda Phillips
RLF, Inc.
C J's Liquors
3907 Highway 119
Longmont, CO 80504
RE: Change of Ownership
Dear Brenda:
Enclosed is Form 8177 required to make the ownership changes you requested. There is no
fee associated with the change.
Please fill out the form per the enclosed instructions and return to this office.
If you have questions or need additional information, please do not hesitate to contact me at
(970) 336-7215, Extension 4228.
Very truly yours,
Debra S. Miller ,
Deputy Clerk to the Board
Enclosures: 2
MEMORANDUM
TO: Bruce Barker January 14, 2005
WIIDCFROM: Debra Miller, Deputy Clerk to the Board
COLORADO SUBJECT: Liquor License Renewal
Attached is a Report of Changes, DR 8177, for RLF, Inc. Does this matter need to go through the
staff referral process?
Please review with comments and return.
tscw��0,), A) .11� • �
a MEMORANDUM
rs : TO: DEBRA MILLER, DEPUTY CLERK TO THE BOARD
FROM: LORI SIEDELMAN
C. DATE: 01/27/05 ISUBJECT:
Q R LICENSE INQUIRY
COLORADO CC: CINDY SALAZAR,
ENVIRONMENTAL HEALTH SERVICES
C J's Liquors, located at 3907 Highway 119, Longmont, Colorado is not a regulated by
the Colorado Retail Food Establishment Rules and Regulations. Other Environmental
Staff members did not state any problems or concerns regarding this establishment.
Should you have any questions regarding this matter, please contact me at extension 2222
or via e-mail at lsiedelman(i)co.weld.co.us .
Thank you.
M'.\ENVIRONMENTAL HEALTH SERVICESFOOD\Memos\Liquor License Inquiry Shell..doc
MEMORANDUM
\ To: Debra Miller, Deputy Clerk to the Board January 19, 2005
mile Atrui-N,
From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0020
COLORADO
Review of the following liquor license renewal by the Department of Planning Services shows the following:
14-39883-0000
RLF, Inc.
dba CJ's Liquor
3907 Highway 119
Longmont, CO 80504
Zone District: C-3
This use is allowed through the zone district and a Site Plan Review (SPR-129). There are no violations
occurring at this time.
SERVICE,TEAMWORK,INTEGRITY,QUALITY
LIQUOR/BEER RENEWAL REVIEW FORM
Date: January 14, 2005
TO: {DEPUTY}
FROM: Commander Broderius
SUBJECT: Liquor License Check
In accordance with the new 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 renewal of the liquor and/or beer
license.
PLEASE RESPOND NO LATER THAN: JANUARY 28, 2005
ESTABLISHMENT: RLF, INC.
DBA C J'S LIQUORS
3907 HIGHWAY 119
LONGMONT, CO 80504
Current license expires: AUGUST 5, 2005
********************************************************************************************************
No concerns `-
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 renewal hearing.
Liquor/Beer License Worksheet
The following concerns are noted:
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)
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.
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