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HomeMy WebLinkAbout20031787.tiff RESOLUTION RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO RONALD MCDONALD HOUSE CHARITIES OF DENVER, 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, Ronald McDonald House Charities of Denver, 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 fora 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 11:00 a.m. until 8:00 p.m. on July 19, 2003, and from 11:00 a.m. until 7:00 p.m. on July 20,2003,outside the corporate limits of any town or city in the County of Weld at the location described as follows: W 1/2 of the NW 1/4 of Section 7, Township 3 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 2003-03 to said applicant to sell 3.2%fermented malt beverages for consumption bythe 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 11:00 a.m. until 8:00 p.m.on July 19,2003,and from 11:00 a.m. until 7:00 p.m.on July 20,2003,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. 2003-1787 LC0022 cc pt. SPECIAL EVENTS PERMIT - RONALD MCDONALD HOUSE CHARITIES OF DENVER, 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 14th day of July, A.D., 2003. BOARD OF COUNTY COMMISSIONERS 4 Erca WE OUN , COLORADO "41 1861 l ` s, �� D i . Long, C air �- �T n to the Bo d ,etko 4, Robert D. Ma den, Pro-Tern • eputy Clerk to the Board — EXCUSED M. J. Geile V AS TO EXCUSED Willis H. Jerke ntyAtt rney Glenn Vaad Date of signature: 4L- , 2003-1787 LC0022 DR 8427(01/03) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1976 SHERMAN ST DENVER CO 60261 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THIS ORGANIZATION AT THIS LOCATION RONALD MCDONALD HOUSE CHARITIES OF DENVER SOUTH OF WCR 36 AND EAST OF WCR 1 DESIGNATED AREA GREELEY CO License Number JE 21.51742 SPECIAL EVENTS PERMIT 3.2% FERMENTED MALT BEVERAGE VALID ONLY FOR THE FOLLOWING PERIODS Date Hour Date Hour FROM TO JUl 19, 2001 U'00 AM Jill 19 2003 &00 PM Date Hour Date Hour FROM JUL 20, 2003 11:00 AM TO JUL 20, 2003 7:00 PM 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 loon described above, and must be conspicuously posted at that location. 111 In testimony whereof, I have hereunto set my hand and seal els. e i bp • i• (Ls, 4. hiAlistpes- L UOUOR ENFORCEMENT DIRE OR EXECUTIVE DIRECTOR 30 39Cd /31 Ci 00LL9890L6 ET:80 E00Z/33/L0 ONLY 3 .2 % BEER SOLD HERE ti*'.t K> t `;: lgil- .r f:' 1/l sp }'Si '4011 .tf . 1� f7'." afit. l . A. - �2 ! {{'�` • .r -.a ... •G , s 0 f ip.• ,y.�4, , , ...x a,fi i l) s-tri !mi..1lr\ l ' / f. .� i Yr/ R T! Zi A. #0 l[��rnk / A,l�' 1 z. w,. l,t �' ��>R• p:;. +w/_a{" Kv y. + .w ,s. `�y .Ede .\fie, > �' :M h �;ii ` V}' 1 �'l.V1ya 9�.f;. >« 1$ T,.� t •r e,�. st ?• `' f !' �l�q'��'� •... ,C�, 4 ••••:10:0$41-..,:,. e... � $ V A • fi f T++2 4 n t r' 't �s���.. g / � j r/ �Q. � �'xasre .e5i i( "ui STATE OF ..+ .t .. 3I!?. lr �b,d • COLORADO : r�/ *'+Sl i 1 e �> � 1 COUNTY OF WELD . (� *DtStr < a � BY AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERS �. �,, h Fermented Malt Beverage License � ' : .;. l 1 R .iTA I L -- SPECIAL EVENTS PERMIT Ronald McDonald House Charities of Denver, Inc.:-: -;, ill is to fderttfy. That.....-..___..._._....__.._.._.._........... - - - _......_... - -..� - _.._.... 11 of the State of Colorado, having applied for a License to sell FERMENTED MALT BEVERAGES at retail and having o• r.L jVii Wi." +� paid to the Treasurer of Weld County, the sum of Ten and 00/100 Dollars therefor, the above applicant is ', '-� i hereby licensed to sell FERMENTED MALT BEVERAGES containing not more than 3.2% of Alcohol by weight at the W1/2 of the NW1/4 of Section 7, Township 3 North, Range 68 West of the 6t1} Val., , ax ' i ,.. r+' ' ���i in the Count of Weld Colorado from 11:00 a.m. to 8:00 m. on Jul 19, 2003, and from 11:00 a.m. to *^ < `r 7:00 p.m. on July 20, 2003, -runless this License be sooner revoked _ { , - - as provided by law. L4 ,,,,� This License is issued subject to the Laws of the State of Colorado, and especially under the pro- ; � ��'' s iz visions of Article 46 of Title 12, Colorado Revised Statutes, as amended. ip �j IN TESTIMONY WHEREOF, The Board of County Commissioners has hereunto subscribed its „ ZS se�.St r name y its officers my authorized,this 14th day of July 2003 � r� E . w , itlaec:ii' uts - r�R ' / a° UBa ,es &ziss�&383aa8a�asns qua-y� N,-<i •• 44- 3 -,.4#-1'E' t-R �sES SaeNr s• da+. t f ? 'Y>.- x�r y},, .�. •a.3,r�. f-V-s. . 1'. 44.4`14.k. 4"h-+ �F fi<S-3ntr-�.4•, t-5.,x-5--d�F->i ArF y .fiv n,F£�7.`-„ • rat, • t1 Y M ,,,Y ,, = g �n ( f rhf�� V�� � . 1 ...._ X fi4�� 117:::::::•"1, , '�. > N r cwt₹-ten-YP-c -d• d-:A-ri-42:- ,-c r-' + -rc P,- *.rte-.-p(_ S„ +p� .� r , I jd i �i .-A' drt s `'gym r `>^ d s h.> H e� #s t•> 5-i-r•r- � i r .,:,,,,,;-:,+„.;,::, rr i r s� r �,i �l N�sl s�� (( , l9, s :: �4Ve 1A. yc. ilu x .;�sVi yl *�Sl%r: V� �� 1�• A .7 Ar ♦ l sR 9",7 rru. •.:4,4,3.r .'4, / . 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CRLOaRADO9DE ARTMM 21 ENT OF REVENUE UQUOR ENFORCEMENT DIVISION APPLICATION FOR A 1375 SHERMAN STREET DEN SPECIAL EVENTS PERMIT DENVER CO CO 800261 (303)206-2300 IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT,YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING (Sae back forestalls)se CHECK CHECK ONE: ❑SOCIAL ❑CHARTERED BRANCH,LODGE OR CHAPTER OF A NATIONAL ORGANIZATION OR SOCIETY ❑FRATERNAL ❑RELIGIOUS INSTITUTION ❑PATRIOTIC ❑PHILANTHROPIC INSTITUTION ❑POLITICAL ❑POLITICAL CANDIDATE DATHLETIC ❑MUNICIPALITY OWNING ARTS FACILITIES DO NOT WRITE IN THIS SPACE UAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: DO NOT WRITE IN THIS SPACE 2110 El MALT,VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY LIQUOR PERMIT NUMBER 2170 laFERMENTED MALT BEVERAGE(3.2 Beer) $10.00 PER DAY 1. E OF APPUCANT ORGANIZATION OR POLITICAL CANDIDATE,: State Sales Tax Number(Required) Ronald QY1e.Oanaid -f-f ou SS (]kAvC( 66 De rl ur t 1 I11G 9R -01 :-)l a - atop 2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT (inaues street,eityllown and ZIP) (Include street,cltyrtown and ZIP) 1300 Fa S{ 21St AVwv u_Q A-HsAcLJ -IS a Iccic,f carsc(y—{)cn beALkeA ( Cc 6'2-cS C+ -� NA frl (;; ( ay NAME I DATE OF BIRTH HOME ADDRESS(Street.City.State,ZIP) PHONE NUMBER s. P ESJSECY OF ORG.or POLITICAL CANDIDATE �/ )tl 1„) �/ cif 0rcir) P!' KM .i-riO / elJ Gi1/ Via �r9:ti (l) Sozos (SCJJ � /-u !/ 5. EVENT MANAGER r niGt/!� 41e/c, e, 40 /ltichc,ca C/ JcainkSt ria?l )270- 4411 6. HAS APPUCANT ORGANIZATION ORPOLITICAL CANDIDATE BEEN 7. IS PREMISES/NOW LICENSEDLNDER STATE LIOUOR R BEER CODE? ISSUED A SPECIAL EVENT PERMIT THIS CALENDAR YEAR? D-gtNO 0 YES HOW MANY DAYS? ONO 0 YES TO WHOM? S. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? El Yes O No UST BELOW THE EXACT DATE(S)FOR WHICH APPUCATION IS BEING MADE FOR PERMIT Date 11 )Ct1(2) Date 1I LC\L{ Date Date Da n Hours From (\ et.m. Hours From (\ 4 .m. - Hours From .m. Hours From .rn. Hours From .m. To 6 (?.m. To 1 r.m. To .m. To .m. To .m. 1 OATH OF APPLICANT ' I declare under penally of perjury hi the second degree that I have read the foregoing application and all attachments thereto.and that all information therein is true,correct,and complete to the best of my knowledge. SIGNATURE/ tt //- TITLE ` / ,/ ^ / /,� / ^� f 7 1( /.i /1 1:�)e it 6e file At-) :C -( 4c-i I 4r/R/L/� / REPORT AND*PPROVAL OF LOCAL LICENSING AUTHORITY(CITY OR COUNTY) The foregoing application has been examined and the premises,business conducted and character of the applicant is satisfactory, and we do report that such pemilt,if granted,will comply with the provisions of Title 12,Article 48,C.R.S.,as amended THEREFORE,THIS APPUCATION IS APPROVED. LOCAL LICENSING AUTHORITY (CITY OR COUNTY) O CITY TELEPHONE NUMBER OF CITY/COUNTY CLERK O COUNTY SIGNATURE TITLE DO NOT WRITE IN THIS SPACE-FOR DEPARTMENT OF REVENUE USE ONLY - - LIABILITY INFORMATION License Account Number Liability Date State TOTAL -750(999) S (Instructions on Reverse Size) 2003-1787 • APPLICATION INFORMATION AND CHECKLIST THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED: ❑ Appropriate fee. ❑ Diagram of the area to be licensed(not larger that 8 1/2'X 11"reflecting bars,walls,partitions,ingress,egress and dimensions. Note: if the event is to be held outside,please submit evidence of intended control,i.e.,fencing,ropes,barriers,etc. ❑ Copy of deed,lease,or written permission of owner for use of the premises. n Certificate of good corporate standing(NONPROFIT)Issued by Secretary of State within last two years; or ❑ If not incorporated,a NONPROFIT charter;or ❑ If a political Candidate,attach copies of reports and statements that were filed with the Secretary of State. I I 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.(12-4e-106 C.R.S.) 1 1 ANAPPROVEDAPPLICATION MUST BE RECEIVED BY THE LIQUOR ENFORCEMENTDIVISIONA TLEASTTEN(10)DAYSPRIORTOTHE EVENT. ❑ CHECK PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE (12-48-102 C.R.S.) A Special Event Permit issued underthis 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'I, 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. An annual benefit event is being planned. 2. The event is to benefit the Ronald McDonald House of Charity by donating proceeds from the event. The event is celebrating La Ley 1170 AM KJJD 5th Year Anniversary. In its 5th year the station would like to thank its listeners,customers and the general public by providing an event for the whole family. For example, live music by famous Mexican Regional artist,clowns and a one-man circus act for the children. This gives families who do not take part in nighttime leisure activities the opportunity to listen and be entertained by there favorite Mexican regional artist. Artists include local,national and international musical groups. Simultaneously time KJJD will like to help out the Ronald McDonald House of Charities for their hard work and contributions to the community. 3. Ronald McDonald House of Charities 4. 2500 people are expected for both dates Sat. July 19,2003 and Sun. July 20,2003 5. Attach is a sketch with dimensions of the assembly and location of dumpsters, restrooms and water locations on the premises.An orange barricade fence will fence of the premises. 6. Orozcos Security Agency will provide security services for the event. A team large enough to handle this kind of event will be assembled. 7. 12 Security officers will be on sight. 3 will monitor the beer garden and check Ids. 8. Security officers will be identified because they will be using their security uniforms. 9. An orange safety barricade fence will outline the premises and exterior boundaries. The work will be performed by R&M Drain and Waterproofing. Attached is a copy of the type of fence and a letter for work to be performed. 10. Mexican Regional Artist will provide live performances. 11. Wristband will identify anyone over the age of 21. People over the age of 21 will be allowed to consume alcohol only in the beer garden area,which can be identified in the drawing that is attached. Tampering with wristbands or the use of fake identification will result in ejection of event. Any fake identification will be handed over to proper authorities. 12. Conduct and intoxication monitoring,will be done by security officers and bartenders serving the beer. A local bar TEXMEX will be assisting us with the serving of alcohol. Any guest who is suspected of misbehavior because of intoxication will be escorted from the premises reported to police. 13.Volunteers from local businesses with liquor license have committed to help serve alcohol. 14.Water, soda and juices will be available on the premises. 1 15. The Ronald McDonald House of Charities has issued us a copy of their 501 c3 Tax Form. 16. This event will receive publicity on the Radio,TV,posters visual in local businesses and flyers. The targeted audience is the local Mexican Regional listening audience,KJJD committed listeners. Also we will be inviting or targeting any other people interested in enjoying this event. 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). Sic �j C:C -C t.‘ �\ti ,LS( r \l.i{i: 3. Who or what organization will be the recipient of funds derived from this event? CAP 6*i CirL ci vt t(,t,.c ( SUE 4. How many attendees are expected at this event? ,SCO (( ;jj,rl-Ccl C'i'Rai' 5. Describe the premises at which this event will take place. 3L( (.+.L(./4 c( 6. What type of security will be,provided at this event? .S-k c G u1ckkl 5 VstrA 7. How many security personnel will be on hand?.C.cQ (AT (c c ttctw ' i � ff rr i 8. How will security personnel be identified? cki ccUc d.t �l rr. cts ' 9. If this event is being held outdoors, how will the exterior boundaries of the premises be marked (e.g., roped, fenced, etc.)? C0( C.41' Cv`'ir:' rt✓rc(cu( � k%..:( 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:\CTEMTBFORMSIFOSPECEV 12. How will the conduct and level of intoxication of attendees be monitored and by whom? ! J 1 Sec <* (ilt ctcl.iirf '......L.4-4 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? cIC 1. r I uaj 14. What types of alternate bever ges and food/snacks will be available? Lc f rjQC CC.; Lk0Lca CiWSti.u. r S .ccr 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. s( ( Cc't!Gtr . CUIS&t_ I c -'(. 16. Explain how this event will be marketed describing what kinds of advertising material will be distributed and the targeted recipients of such material. / L 4 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 knowled/ ge. Applicant's Signature / Date 4 STATE OF COLORADO ) )SS. COUNTY OF WELD ) Subscribed and sworn to before me this day of ,20_. Witness my hand and official seal. My commission expires: Notary Public M:\CTBICT8 FORM SIFOSP EC E V La, L&y� Self/ Aiuivtv-P.vsa,ry I Rowa.Cd McDoiiatd Kocswst of'Ckia.vity 1 5o Q" I E>�� ` . i 'PARKINy 309' • aYj,e EX 11— ^ , s 5 l ! a l , r 0 : Bao+hSize. aka.' a • :el e ; ■:Green- Durnps+ec i/ ' '0 e x='81 e- LOaier/Bsta ►-1_ I , Si►/�uvZ�_� ona= KW - &ec Cyder # • • a . 1 SCA Et I": IcX Ern erwnr�1 J _IZO' ' _. fI r . I ;..< VIP IOC � . I ' ' t�ARk I N 4 , r , { . 3, JUN-18-03 WED 11:03 RONALD MCDONALD HOUSE FAX N0 3038323802 P.02 Pagelot• STATE ... ' RADO �� ,Sp DEPARTMENT 01" STATE • CERTIFICATE • • ii 1• t.nOYL•T TA DAVIDSON.Sixro•-y ut Sane or Ow Sink•t'd cotor4do. Itchy comity thin.osionding to the rteitrds O1'ii;;,n:`.icn, • RONALD MCDONALD HOUSE CH;\RfTMES OF DENVER NC. iColotttlo NONPROFIT CORPORATION' Fiic f:0S7:317lv7 • sr .filed In thin uflic.,rn.Socmin;- :976 and h i ctt,•ttpliod with ticnppiisabie provisions - of the lows at the Mato of Cnitu'ado and on dm&ac ix in good standing and t:ttft5iin•J and curpctcnt to tmnxect businn,or to conduct as ai'tairr within cloA state. Dati:Fehntaty 7.21X2 t . f for Validation: 'CC-Neale ID; 635/89 • i ' To Varna.*this aamRaata,fist tlr(a{s«.,p von 4*.any/tla Oat *as taan fader tat • 1.>•U=Ions c abA. . .. www.soa.aittdeo.tt■J allealaCSRrtjeazo • • • Si:L It:Tr:aw 0!''j l A i'k. • a .. .tttttttttttttwaaw� i ■ • t • littp:/Avvrwasocstate.coms/forte/corporation/imagesMoestrap/GS_19871317197.gif 2/14/2003 a Department of the Treasury 0y _ Internal Revenue Service P . O . 'Box 9941 In reply refer to : 2916820108 Ogden UT 84409 Dec . 19 , 1997 LTR 1224C . 84-0728926 000000 00 000 03317 RONALD MCDONALD HOUSE CHARITIES OF DENVER INC • 1000 E 16TH AVE DENVER CO 80218 - . Taxpayer Identification Number : 84-0728926 • Dear Taxpayer : Thank you far your correspondence dated Nov . 17 , 1997 . Cur records show your organization is exempt from income tax under Section 501 ( c ) C3r\) of the Internal Revenue Code . If you have any questions about this letter , please write tows at the address shown at the top of the first page of this letter . If you prefer , you may call the IRS telephone number listed in your local directory . An employee there , may be able to help you , but the office at the address shown on thi's letter is most familiar with your case . t • whenever you write , please include this letter and , in the spaces below , give us your telephone number with the hours we can reach you . Keep a copy of this letter for your records . Telephone Number (=,a ) C16/-P7s54 Hours OIL a'z'-n - Seo„-1 t s £9'd X1101 . . -2- Ronald McDonald House Charities of Denver Inc - 84-0728926 Your organization is not required to file federal income tax returns unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return. In this letter, we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code. The law requires you to make your organization's annual return available for public inspection without charge for three years after the due date of the return. If your organization had a copy of its application for recognition of exemption on July 15, 1987, it is also required to make available for public inspection a copy of the exemption application, any supporting documents and the exemption letter to any individual who requests such documents in person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials. The law does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Internet (World `Noe Web). You may be liable for a penalty of S20 a day for each day you do not make these documents available fdr public inspection (up to a maximum of 510,000 in the case of an annual return). Because this letter could help resolve any questions about your organization's exempt status and foundation status, you should keep it with the organization's permanent records. If you have any questions, please call us at the telephone number shown in the heading of this letter. This letter affirms your organization's exempt status. • Sincerely, cy John E. Ricketts, Director, TE/GE Customer Account Services 1 • • • • • Internal Revenue Service Department of the Treasury • P. O. Box 2508 Cincinnati, OH 45201 Date: February 5, 2001 Person to Contact: Paul Perry 31-07423 .w • Customer Service Representative Ronald McDonald House Charities of Denver Inc : Toll Free Telephone Number: 8:00 am.to 8:30 pm EST 1300. E. 21st Avenue 877-829-5500 Denver, CO 80205 • Fax Number: 513-263-3756 • Federal Identification Number: 840725926 • Dear Sir or Madam: • - This letter is in response to your request for a copy cf your organization's determination letter. This letter will take the place of the copy you requested. Our records indicate that a determination letter issued in May of 1977 granted your organization exemption from federal income tax under section 501(c)(3) of the Internal Revenue Code. That letter is stiff in effect. Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because it is an organization described in sections 509(a)(1) and 170(b)(1)(A)(vi). This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization. Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of $20 a day, up to a maximum of 510,000, when a return is filed late,-unless there is reasonable cause for the delay. All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of$100 or more paid to each employee mdu Tax Ad ng a calendar year. Your organization is not liable for the tax impeeed under the Federal Unemployment nemp oye (FUTA). Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these arganizations'are not automatically exempt from other federal excise taxes. Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Jackes LLC. Jesse Rodriguez Gallegos 1078 S. Coffman Longmont, Co 80501 July 10,2003 Weld County Office of Clerk To The Board 915 10th Street P.O. Box 758 Greeley,CO 80631 To Whom It May Concern: I Jesse Rodriguez Gallegos give The Ronald McDonald House of Charities and La Ley 1170 AM permission to host " La Ley 1170AM 5th Year Anniversary Celebration and The Ronald McDonald House of Charities Fundraiser" on my property. Attached are a legal description of the property and a certificate of good corporate standing with the state of Colorado for Jackes LLC. If there are any questions please call me at(970)566-8674. Legal description of property were event is to take place: The west one-half of the northwest one-quarter of section 7, township 3 north Range 68 west of the 6th principal median, County Of Weld, state of Colorado, less the county road right-of-way according to the document recorded at book 86, page 273. , Sincerely, l ,p1/9 1 ....S*09 78 J se Rodriguez Gallegos ident/Owner ea LocaLd sou; , q b 36 allA iLad. Oi ()idol C:ktA & j I Page l of l �pF CplV4. • STATE • i'b �,. 'ORADO /DEPARTMENT OF STATE CERTIFICATE I,DONETTA DAVIDSON.Secretary of State of the State of Colorado, hereby certify that.assorting to the records of this office, JACKES,LIE (Colorado LIMITED LIABILITY COMPANY ) _ File*20011032725 was filed in this office on February 13,2001 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 ktlsincss or to conduct its affairs within this state. Dated:June 2.2003 For Validation: Cer1INcate ID: 671338 7o validate this certificate,visa the following web site,enter this certificate ID,then 10 Non the instructions displayed. www.sos.state.co.u■N■Iid■teCertlflcate F. zS i t" -1 r SECRETARY OF STATE • • http://www.sos.state.co.us/forte/corporation/images/docstmp/GS_20011032725.gif 6/9/2003 Tdentify Results Page 1 of 1 WELD COUNTY ASSESSOR PROPERTY PROFILE Account#: R471.7386 Parcel*: 120707000052 Tax Area: 2325 Bordering County: Acres: 74.49 Township Range Section Quart. Sec. Subdivison Name Block# Lot# 03 - 68 -07 -0 - - Owners Name&Address: Property Address: RODRIGUEZ JESSE& Street: 1078 S COFFMAN ST City: LONGMONT, CO 80501 Business/Complex: Sales Summary Sale Date Sale Price Deed Type Reception # 6/21/2002 $360,000 WD 2963143 Legal Description 25481 W2NW4 7 3 68 EXC UPRR RES (3R 2.50S) Land Valuation Summary Land Type Abst Code Unit of Number of Actual Value Assessed Measure Units Value Agricultural 4127 Acres 40.97 Agricultural 4127 Acres 33.52 Land Subtotal: 74.49 $6,157 $1,790 No Buildings on Parcel http://maps.merrick.com/Website/Weld/setSgl.asp?cmd=QUERY&DET=PP&pin=120707... 6/20/2003 Weld County, Colorado Page 1 of 2 Weld County, Colorado l 1 00 Oer.UP': 25_1 1 I e1 • i l� �I k I i4 { Weld County,Cobmdo �.'•. . �f.= =7.. ]UQftt http://maps.merrick.com/servlet/com.esri.esrimap.Esrimap?ServiceNameweldovr&Form... 6/20/2003 Weld County, Colorado Page 2 of 2 Legend ef Iimel ntae_Faf Jte County Border In O a ennui erryeem 0 morass El mom, Fern aicS Fist* Fittitifek CaamCer ellelaty Grin • Munn ASharal Kieresburg • Kerry \\\ "sat • t#fhit • lani s. 1rutl I ,ti Yuen ® 'w.w .° • wm • Frsm n Etta Eg{ Smote Tradan Winn' Passe n Qt SaSonGan photogr+phytlhI hnet) Feowgrephy-nee.) 120707000052 RODRIGUEZ JESSE & Total Taxes: $113.80 1078 S COFFMAN ST Amount Due: $0.00 LONGMONT, CO 80501 http://maps.menick.cos/servleticom.esri.esrimap.Esrimap?ServiceName=weldovr&Form... 6/20/2003 06/18/2093 18:38 9703393725 EP€WAEPDATPGTWAGDMAW PAGE 01 SAO4evhed E-t liquor act Ccw\ tc( , Mt, �-� uJ, n Zp's nct p d"- "' W lt' r �S\ ()awl- 04 n.10.1.1 21 ~ I�`ou a rereaSeaI//ti'Ageney 3601 Magnolia St. - Evans, CO 80620 Phone (970) 339-3725 June 18,2003 To Whom It May Concern: This is to verify that Orozco Security Agency will be pervading security (cceei cror AGREEMENT)for La Lay Radio and Fiesta-2003. On July 19 and 20, 2003 Duties of Guards 1. 12 Properly equipped and uniformed security guards. 2. General Security Services including physical protection of the Property; prevention of vandalism, crowd control &monitoring of I.D. & minors, and parking lots. 3. Guard shall comply with all Federal, State and local laws, Ordinances,Rules and regulations set by Orozco Security Agency. C' I'm pervading copies of: • Workers' compensation Insurance; • Liability Insurance • bond • business license k . If you have any questions or concerned feel free to call me.(970)339-3725 Sincerely, olanda Oroz • 6 Jun 19 03 10: 30a Maria 303 p. 1 R & M Drain and Waterproofing Inc. 7156 Birch St., Commerce City, CO 80022 (303) 316-9124 Fax (SOS) 531.8700 TO, Weld County FROM: Maria F. Olvera Vice President DATE: 6/19/03 • RE: Property of section 7, township 3 R& M Drain and Waterproofing Inc. is responsible for the work performed at the address on west one-half of the northwest one-quarter of section 7, township 3 north range 68 west of the 6th principal median, County of Weld, state of Colorado, To be completed on or before July 18th 2003 for a special event going on July 19th and 20'h 2003. And to maintain property in good condition before and after the event. If you need more information regarding this letter, please fill free to give me a call at(303) 316-9126. • Thank you, -)r\ Maria Olvera Vice President Jun 19 03 10131a Maria 303 p. 2 • nce `{-, Barricade Fence i ahil•st i. rs..a. a�F , T. "" Orange Safety $4..-....a.•„,.' ��ya Highly visible orange safety fence clea w •aalMe ll4�°etreci ecse;etaevime UV Stabilized. 4 X 100 f . rolls ,i;.-y•sa sieofsea°a�,a m®taa�r� Conwed VISI® Fence ;t4he:••loo s°o*olsor 'eaea+s • X05229-004 Utility Fence Plus '0444*;;;44*4.444.4.#w SOW ' • ,• ' rZotaltat-puillteet aiiits 89903004 Ut Tenax ilitty Fence alto M1� a Fence Poles & Ties s ;' 3 Tenax Holes and Poles Systems" consist Black plastic ties for utility fence applic boundaries 30113609 60 in. Holes and Poles 30010201 7 in. black plastic Ties 1000/pk .... Triax • . J • f rigCLERK TO THE BOARD WI PHONE (970) 336-7215, Ext. 4225 FAX: (970)352-0242 P. O. BOX 758 O GREELEY, COLORADO 80632 • COLORADO . July 16, 2003 Colorado Department of Revenue Liquor Enforcement Division Attn: Matt Cook 1375 Sherman Street Denver, Colorado 80261 RE: Special Events Permit for Ronald McDonald House Charities of Denver, Inc. Dear Mr. Cook: The enclosed Special Events Permit Application was approved by the Weld County Board of Commissioners on July 14, 2003, and I inadvertently neglected to submit the application to your office for concurrent review to allow your staff the requested ten-day review period. I realize this was a significant oversight on my part which will result in additional work for your staff; however, the event is scheduled for this weekend, July 19 and 20, 2003, and I am requesting a special accommodation and expedited review. Weld County Attorney, Bruce Barker, has reviewed the application materials and found everything to be complete. If there is any way this paperwork could be processed, it would be greatly appreciated. I would be able to deliver the original paperwork to your office this afternoon, and am more than willing to wait or return and pick it up once the review is complete. I appreciate any accommodation you can make in this matter. Please do not hesitate to contact me at (970) 356-4000, Extension 4226. Very truly yours, Esther E. Gesick Deputy Clerk to the Board File contains oversized map Please see original file Hello