HomeMy WebLinkAbout20041173.tiff RESOLUTION
RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO MAKE-A-WISH FOUNDATION
OF COLORADO, INC., AND AUTHORIZE CHAIR TO SIGN
WHEREAS,the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, Make-A-Wish Foundation of Colorado, Inc. presented to the Board of County
Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale
of 3.2% fermented malt beverages for consumption by the drink on the premises only, and
WHEREAS,said applicant has paid the sum of TEN DOLLARS ($10.00)to Weld County,
Colorado,pursuant to the laws providing therefore in payment for a County Retail Permit for the sale
of 3.2%fermented malt beverages for consumption by the drink on the premises only,for an event
scheduled for one day only on May 16, 2004, from 8:00 a.m. to 6:00 p.m., outside the corporate
limits of any town or city in the County of Weld at the location described as follows:
Dandy Acres Painted Horse Farm, 1763 Weld County
Road 20.5, Longmont Colorado 80504, being more
fully described as part of Section 18, Township 2
North, Range 68 West of the 6th P.M.,Weld County,
Colorado
WHEREAS, said applicant has also paid the sum of TEN DOLLARS ($10.00) to the
Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of
3.2% fermented malt beverages for consumption by the drink on the premises only.
NOW,THEREFORE,BE IT RESOLVED that the Board of County Commissioners of Weld
County, Colorado, having examined said application and the other qualifications of the applicant,
does hereby grant Special Events Permit Number 2004-02 to said applicant to sell 3.2%fermented
malt beverages for consumption by the drink on the premises only,only at retail at said location;and
the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board
of County Commissioners,attested to by the Clerk to the Board of Weld County, Colorado,which
permit shall be effective from 8:00 a.m.on May 16,2004,until 6:00 p.m.on May 16,2004,providing
that said place where the permitee is authorized to sell 3.2% fermented malt beverages for
consumption by the drink on the premises only, shall be conducted in strict conformity to all of the
laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by
the Board of County Commissioners of Weld County,Colorado,and any violations thereof shall be
cause for revocation of the permit.
2004-1173
LC0022
(`<' ',OG, 5O et //-�'%
SPECIAL EVENTS PERMIT- MAKE-A-WISH FOUNDATION OF COLORADO, INC.
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 19th day of April, A.D., 2004.
BOARD OF COUNTY COMMISSIONERS
LNTY, COLrADO
ATTEST: Lima) IELa` �J
Robert D. Masden, Chair
Weld County Clerk to th g tat 16:142.�
• r 3/4u, illiam H. e e, Pro-Tem
Deputy Clerk to the Bob l2/7
. . eeile
Davi. E. Long
y Attorne
G enn Vaad _
•
Date of signature: se
2004-1173
LC0022
DR 8427(10/03)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET,SUITE 108
LAKEWOOD,COLORADO 80214
STATE OF COLORADO
DEPARTMENT OF REVENUE
VALID ONLY FOR THIS ORGANIZATION AT THIS LOCATION
MAKE-A-WISH FOUNDATION OF COLORADO
DANDY ACRES PAINTED HORSE FARM
1763 WCR 20.5
LONGMONT CO 80504
License Number 27-14685-0007
SPECIAL EVENTS PERMIT
3.2% FERMENTED MALT BEVERAGE
VALID ONLY FOR THE FOLLOWING PERIODS
Date Hour Date Hour
FROM MAY 16, 2004 8:00 AM TO MAY 16, 2004 6:00 PM
,
Date Hour Date Hour
FROM TO
This permit is issued subject to the laws of the State of Colorado and especially under the
provisions of Title 12,Article 48, Colorado Revised Statutes.
This permit is non-transferable. It is issued only for the specific location described above, and
must be conspicuously posted at that location. MAY 0 3 2004
in teSi;mony whereof, i !lave.-.a eunto set my tiand and sea:
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LIQUOR ENFORCEMENT DIRECTOR EXECUTIVE DIRECTOR
}
ONLY 3.2 % BEER SOLD HERE
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• t•e. BY AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERS {
Fermented Malt Beverage License ..
.�y " " RETAIL
S
Whin is to (gyring, That. Make-A-Wiah._Eszundaniun..uf_SA1➢Sasl9 ••_.__....._.............•_.._.._..».._.•-••- -._... .. >
e
/ of the State of Colorado, having applied for a License to sell FERMENTED MALT BEVERAGES at retail and having e,
tw.▪--,:r.st3/4- paid to the Treasurer of Weld County, the sum of__Tan__and__0QU.QU Dollars therefor, the above applicant is
▪ e hereby licensed to sell FERMENTED MALT BEVERAGES containing not more than 3.2% of Alcohol by weight at
II Dandy Acres Painted Horse FaKMx_•],7_fid__WQA__2Q..5.._.bnAgmnnS.,__Lnlnxada_.9ASD_4 ,
} r
e
;•`4r 'Y in the County of Weld, Colorado, from 8:00 a.m._on May 16, 2004, 1,LaZee i ' t
to 6:00 p.m. on May 16, 2004 unless this License be sooner revoked i�
:`714-;'as provided by law.
T ,�▪� 4�5 This License is issued subject to the Laws of the State of Colorado, and especially under the pro- , n, • , ®,;; ; ,e
,za visions of Article 46 of Title 12, Colorado Revised Statutes, as amended. 1��of
4a-?,„".01/4.:,..? irf;, IN TESTIMONY WHEREOF, The Board of County Commissioners has hereunto subscribed its ,i.,6,;ter,, p
�t „g 1.F ''' r i T l' F 5 40
, nam by its officer duly authorized,this 19th day of ApxiL 200.4_
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DR 8439 96/9 21
• COLORADO D NT OF REVENUE APPLICATION FOR A
LIQUOR ENFORCEMENT DIVISION
1375 ECOIANSTREE7
CO 80261 SPECIAL EVENTS PERMIT
DENVER
(303)205-2300
IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT,YOU MUST BE NONPROFIT
AND ONE OF THE FOLLOWING (Sat back for Stalls.)
V CHECK ONE: ❑SOCIAL SCHARTERED BRANCH,LODGE OR CHAPTER
OF A NATIONAL ORGANIZATION OR SOCIETY
❑FRATERNAL OREUGIOUS INSTITUTION
❑PATRIOTIC ['PHILANTHROPIC INSTITUTION
❑POLITICAL ❑POLITICAL CANDIDATE
❑ATHLETIC ❑MUNICIPALITY OWNING ARTS FACILITIES DO NOT WRITE IN THIS SPACE
LAB TYPE OF SPECIAL EVENT APPUCANT IS APPLYING FOR: DO NOT WRITE IN THIS SPACE
2110 ElMy VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY LIQUOR PERMIT NUMBER
2170[,FERMENTED MALT BEVERAGE(3.2 Beer) $10.00 PER DAY
State Sales Tex Number(Required)
1. NAME OF APPUCANT ORGANIZATION OR POLITICAL CANDIDATE e gos90 7
m* -A-1W FSI.r F&s on OF C.Dlaado, _T_c ADDRESS OF PLACE TO HAVE SP�CIAL EVENT
2. MAILING siren citSS wOFn ORGANIZATION OR POLITICAL CA....JATE G, � _,••�„-sod 21P) ,/
(include o6ylolwn end ZIP) S_I!]yed%tJ, tglCJ"'rte_ ''� I•�Or & dtI.rm
1535 6. Hoinpdan Aic.• #3oa )'143 Wtt- a0•5
• t.arLuar, Cz goa3L. g83B
i,.rt yrxrnt r Cc zof7J9
NAME 4 DATE OF BIRTH HOME ADDRESS Maim Cey:s a,zw PHONE NUMBER
4. PRESJSEC•YOFORG.yr.part{cALCANDIDATE / '1951 E. mapLawood Av.., Siz. lab X03-8:24-Od51
. )run mazai f're1./ego
./ j4rp Sine/tT /556I C0e'�2f38
6. HAS APPUCANT.ORRGGAN`NIIZAATII6NA6R P ICAL CANDID,(7E BEN 7. IS PRE« ESN LICENSED UNDER STATE LIQUOR OR BEER CODE?
ISSUE PECIAL EVENT PERMIT THIS CALENDAR YEAR? O El YES TO WHOM?NO El YES HOW MANY DAYS?
8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? aCs O No
UST BELOW THE EXACT DATE(S)FOR WHICH APPLICATION IS BEING MADE FOR PERMIT Dr
.c'_/42—al. Date .m.• I Date Date
Hole✓_ An. Hours From .m.
Am. .m. Hours From
Hours From �j Hours From m. • Hours From
To .m. To .m. To .m.
OATH OF APPLICANT • :
To
I declare under penally of p 4wy in the second degree that I have read the foregoing sppficahon and all attachments Thereto.and
that an information therein is true,correct and complete to the best of my knowledge.
TrtLE /�j�r.�af�/�.}� //
SIGNATUURf. tr��E//�� /PA1" _ /O —6 c
/.(..._...111:..e/Pr-AND _ �rr�n U
REPORT APPROVAL OF iCEieSiNG A' AORIT•f(CITY OR COUNTY)
The foregoing application tas been examined PJ . . of Title2c aR
ed and
character
ter of the.S as applicant
amended.t is satisfactory, .
and we do reportThat such permit,if granted ^I y! ,, I;L'i,}.v ON 1S APPROVED.
r
LOCAL LICENSING AUTHORITY (CITY OR COUNTY) ' '5 • TELEPHONE NUMBER OF CITY/COUNTY CLERK
Wel County,
(�Colora d I )Nil t t ' - �NTY (970) 356-4000 Ext. 4225
SIGNATURE f \KL ` ��Sf�i i 1 iChair, Board ofFir ATTE�{T: ���X�lr/.<. ..-e?. ..(
Boar
Coty Commissioners DenTutly l"sTerk rn r oar
DO NOT WRITE IN TM! rl ` ..9, RTMENT OF REVENUE USE ONLY
•
•
State TOTAL
LicenseAtxolmt Number Liability Date .
-750(999) 2004-1173
(Instructions on Reverse Size) F_& t'c2A
•
•
APPLICATION INFORMATION AND CHECKLIST
THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED:
n Appropriate fee.
❑ Diagram of the area to be licensed(not larger that B 1/2'X 11'reflecting bars,walls,partitions,ingress,egress and dimensions.
Note: If the event is to be held outside,please submit evidence of intended control,i.e.,fencing,ropes,barriers,etc.
❑ Copy of deed,lease,or written permission of owner for use of the premises.
O Certificate of good corporate standing(NONPROFIT)Issued by Secretary of State within last two years; or
n If not incorporated,a NONPROFIT charter,or
n If a political Candidate,attach copies of reports and statements that were filed with the Secretary of State.
❑ APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY(CITY OR COUNTY)AT LEAST THIRTY(30)DAYS
PRIOR TO THE EVENT.
❑ THE PREMISES TO BE LICENSED MUST BE POSTED AT LEAST TEN(10)DAYS BEFORE A HEARING CAN BE HELD.(1248-106 C.R.S.)
❑ AN APPROVED APPLICATION MUST BE RECEIVED BYTHE LIQUOR ENFORCEMENT DIVISION AT LEAST TEN(10)DA YS PRIOR TO THE EVENT.
❑ CHECK PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE
(1248-102 C.R.S.)
A Special Event Permit issued under this article may be issued to an organization,whether or not presently licensed under
Articles 46 and 47 of this title,which has been incorporated under the laws of this state for the purpose of a social,fraternal,
patriotic,political or athletic nature,and not for pecuniary gain or which is a regularly chartered branch, lodge or chapter
of a national organization or society organized for such purposes and being non profit in nature,or which is a regularly
established religious or philanthropic institution, and to any political candidate who has filed the necessary reports and
statements with the Secretary of State pursuant to Article 45 of Title 1,C.R.S. A Special Event permit may be issued to
any municipality owning arts facilities at which productions or performances of an artistic or cultural nature are presented
for use at such facilities.
If an event is cancelled, the application fees and the day(s) are forfeited.
SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT
1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)?
2. Explain in detail the nature of your organization, its function, and who or what benefits from
its operations (attach separate sheet if necessary).
3. Who or what organization will be the recipient of funds derived from this event?
4. How many attendees are expected at this event?
5. Describe the premises at which this event will take place.
6. What type of security will be provided at this event?
7. How many security personnel will be on hand?
8. How will security personnel be identified?
9. If this event is being held outdoors, how will the exterior boundaries of the premises be
marked (e.g., roped, fenced, etc.)?
10. What type of entertainment will be provided, if any, for this event?
11. What method will be used in checking identification for proper age of attendees(e.g.,at the
door, at the bar, etc.) and how will underage patrons be identified so as not to be served
alcoholic beverages (e.g., stamp or mark on the hand, etc.)
M:\CTB\cTBFORMS\FOSPECEV
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12. How will the conduct and level of intoxication of attendees be monitored and by whom?
13. Have volunteers or members of your organization been trained in the sale/service of
alcoholic beverages: If yes, what training have they received and by whom?
14. What types of alternate beverages and food/snacks will be available?
15. Has a State Sales Tax Number been initiated by you or a member of your organization?
If so, write that number in the space provided.
16. Explain how this event will be marketed describing what kinds of advertising material will
be distributed and the targeted recipients of such material.
I hereby certify, under penalty of perjury, that the information provided to the Board of County
Commissioners of Weld County contained in this affidavit is true and accurate to the best of my
knowledge.
-Loll ( ./21
Applicant% Signature Date
STATE OF COLORADO )
)SS.
COUNTY OF WELD
Subscribed and sworn to before me this Z� day of *JAW ,200
Witness my hand and offic f V'••• My commission expires: 0/%5t r�7
Z•'„CsQ • LISA l,O 4,
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STATEJORAD0
/
DEPARTMENT OF
STATE
CERTIFICATE
I,DONETTA DAVIDSON, Secretary of State of the State of Colorado,
hereby certify that, according to the records of this office,
MAKE-A-WISH FOUNDATION OF COLORADO, INC.
(Colorado NONPROFIT CORPORATION)
File# 19871519647
was filed in this office on May 2, 1983 and has complied with the applicable provisions
of the laws of the State of Colorado and on this date is in good standing and authorized and
competent to transact business or to conduct its affairs within this state.
Dated: February 29,2004
For Validation:
Certificate ID: 771973
To validate this certificate,visit the following
web site,enter this certificate ID,then follow the
instructions displayed.
www.sos.state.co.usNalidateCertiflcate
VaiidateCertiflcate
SECRETARY OF STATE
Colorado Secretary of State Page 1 of 1
Og C Colorado Secretary of St
k A., **7•P I i ,
1.
at re [g
v3 -c-) s C
.,; Business
', .. Y
' , �) Center
1876
Search Our Site Certificates of Good Standing Online
II. Step 1. Identify the business entity
Entity:MAKE-A-WISH FOUNDATION OF COLORADO, INC.
ID:19871519647
Registered Agent
Name:
MAZAK JOAN
Street Address:
7951 E. MAPLEWOOD AVE STE 126
GREENWOOD VILLAGE Colorado 80111
PO Box:
None
NOTE: Please verify that this is the correct entity. If not, click Back to select the
correct entity, otherwise click Continue to go on.
Back to 4 Conti.
Elections i Business I Information i Bingo License i Contact Us I Home
https://www.sos.state.co.us/egi-forte/fortecgi/frte_efilingprodaccess 13261 C 1 A291 F08192... 3/16/2004
ii 1 Page 1 of 1
MP$
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otcoioractqSales.Tax Information System ,.
if
License & Exemption
'. ce, • Colorado Sales Tax Account 9805907
Number:
Sdbmit
County & City Tax
Rates
(Input 7 or 11 digits account number. Don't include L or NI prefix, and no dashes or
License & spaces )
Exemption
Location & Tax Registration Number: 98059070000
Rates Name: MAKE A WISH FOUNDTN OF COLO
Address: 7535 E HAMPDEN AV302
DENVER
CO 802314838
License/Exemption: Charitable Sales Tax Exemption
Purchases made with this certificate are exempt from state and local
sales tax if the goods are used as part of the purchaser's regular
charitable function and activity. If the total purchase price is less than
$100, the buyer must sign an affidavit declaring the purchase is made
from the organization's own funds. It the total purchase price is $100 or
more, the charitable organization must pay with its own check or credit
card and not with cash or an individual's check or credit card. The seller
must record the account number, date of sale, items or services
purchased, and the name of the charitable organization. Charitable
activities in home-rule cities may or may not be exempt. You should
contact the city directly.
http://www.revenue.state.co.usifyi/html/sales01.htm
sales2.html
sales3.html
http://www.taxview.state.co.us/LicenseExemption.aspx?selected=2 3/16/2004
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