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Home My WebLink About20010063.tiff RESOLUTION RE: APPROVE CORPORATE REPORT OF CHANGES FOR CONO SERVICES, INC., DBA CONOCO #06394, 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, Cono Services, Inc., dba Conoco#06394, holder of a 3.2 Beer Retail License in Weld County, Colorado, has presented the Board with a Corporate Report of Changes, and WHEREAS, said corporate change is as follows: John Durbin replaces Robert Heinrich as Assistant Treasurer; Carol Wilson replaces S. A. Farace, II, as Secretary, and WHEREAS, after study and review, the Board deems it advisable to approve said corporate report of changes. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Corporate Report of Changes submitted by Cono Services, Inc., dba Conoco #06394, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said report. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 8th day of January, A.D., 2001. BOARD OF COUNTY COMMISSIONERS WELD/ CO TY, COLORADO ATTEST: pI , Owe` , 7' `1 Qa'L M. Ji. Geile,9�ua Chair Weld County Clerk to th •- • .N err ry' lenn Vaad, Prt BY: Deputy Clerk to the Bob �U�� ✓, a Z ' ♦ r/ H. Jerke APPR E A TO FORM: 4 H David E. Long Courtly Attorney \ & Robert D. Masden 2001-0063 LC0031 lot : , to.4,10 seriiee5 DILL DILL CARR STONBRAKER & HUTCHINGS A PROFESSIONAL CORPORATION D ATTORNEYS AT LAW _l C 'iT y Daniel W Carr Fay M.Matsukage" Sean A Chase t. _ Felicity Rossi John I.Coates Adam P Stapen H-Alan Dill _ e� Ion Stnnbraker Robert A.Dill .,JI ! �� a AM «' 52 Craig A Stoner Thomas M.Dunn Patrick D.Tooley John A.Hutchings Stephen M.Lee Leslie Block Kaye" REC` i of(ounel Also licensed in Arizona and New York December 14, 2000 Also rcerued on Nevada Shelly Miller Weld County Commissioner's Office P.O. Box 758 Greeley, CO 80632 RE: Change of Corporate Structure Dear Shelly: Enclosed please find several documents regarding Cono-Services,Inc.change of corporate structure for your files. The documents are as follows: 1. Corporate Report of Changes Form, DR 8177 2. New Master File Letter from State of Colorado 3. Individual History Record for Carol Jean Wilson 4. Individual History Record for John Edward Durbin 5. Secretary's Certificate 6. Certificate of Good Standing from the Secretary of State As you know, the state has approved this change already, however, please feel free to let me know if you need anything else. Sincerely, Lois Rentz LR:elc Enclosures 2001-0063 1LOO31 455 SHERMAN STREET,SUITE 300/DENVER,COLORADO 80203/FAX(303)777-3823/(303)777-3737 E-mail:dillndill@aol.com DR 9177(05/97) PAGE t 21 • COLORADO DEPARTMENT OF REVENUE • UO5 HENFORCEMENT 1375 SHERMAN STR STREEET DIVISION LIMITED LIABILITY COMPANY AND DENVER CO 80261(303)205-2300 CORPORATE REPORT OF CHANGES FILM ON THE APPLICANT IILLPDILL CARR Liquor and 3.2 Beer Licenses STONBRARER & HUTTCH NGS, P.C. (303) 777-3737 Submit to Local Authority(Local Authority will submit to State) (2355)❑ LLC S100 PER MEMBER FOR BACKGROUND INV. (2350) PT CORPORATION S100 PER PRINCIPLE FOR BACKGROUND INV. DO NOT WRITE IN THIS SPACE 1. Corporate,L.L.C.Name 2.State Tax Account Number 3.State Liquor License Number CONO—SERVICES, INC. 91_35816 0067 21 35816 —0062 4.Trade Name 5.Telephone Number CONOCO if 06394 303-776-9396 6.Address of L censea Premises I City I State r ZIP Code 3851 Hwy. 119 'Longmont I CO 80504 7.Mailing Acoress it mtterent than agave i C.,V 'Slate ZIP Code I 600 N. DAIRY ASHFORD, I HOUSTON TX i 77024 I 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 DOG Replaces Held Directors or Managing Members PRES WILLIAM R. HALL 9901 S SPRING HILL, HIGHLANDS RCH :8/25/501 NONE VP/DIR • T.E. SOULS 7967 S CLAYTON CIR, LITTLETON. CO 4/8/54 I NONE I ASST THE JOHN E. DURBIN 2021 WELCH ST. , HOUSTON. TX 3/16/55 HEINRICH. RORER SEC CAROL J. WILSON 1126 CROSSFIELD DR. , KATY. TX 11/12/51 FARACE TT. S A; I • 9. LIST ALL 10%(or more)Stockholders or 10%(or more)Members. All 10%(or more)stockholders and members MUST also :ill out DR 8404-I (Individual History Record). Stockholders/Members Home Address DOB Replaces owning 10%(or morel of business Owned CONOCO, INC. 100% 600 N. DAIRY ASHFORD, HOUSTON, TX ! NONE 10. Registered Agent Aadress For Service The'Corporation Company 1675 Broadway, Suite 1200, Denver, CO 80202 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. 11. Aumonzed:ignature c /j//�//ter tle Cate l /'�_�`�1 Ei'�IGC.Gf' President /U/,3 z/ 6 �GC YREPORT OF LOCAL LICENSING AUTHORITY The foregoing changes ha - LLy— eceived and examined by the Local Licensing Authority. 12. .ocat'_,cens:rg Aumcriry rtr L ,. .— Weld Cou. y, '• r` EX LiTowrvC.ty y. .. Slgnat�fj� i •,' air, Weld County Board Cate � d/ act aiii. is Commissioners Dare 01/08/2001 � *Mt ,i �Fr .&ti Deputy ! 01/08/2001 t DO NOT WRITE I lef •:S+'= ` DEPARTMENT OF REVENUE USE ONLY `L•�?�TY INFORMATION ' License Account Number • Period Cash Fund TOTAL• -100 (999) DEC-01-2000 15 13 CO LIQUOR ENFORCEMENT DIV 303 205 2341 F.02/03 STATE OF COLORADO frIff LIQUOR ENFORCEMENT DIVISION >ca Department of Revenue Boldness Location ,L-J,ti 1887 Pierce Street•Lakewood,Colorado 80214 i j 1.• Phone 303.205.2300 FAX 3030205.2341 Mailing Address Liquor Enforcement Division • Denver.Colorado 80261 Bill Owens E•maih nhamby®spike.dor.stateco.us Governor Website:www.state.cu.us/gov__dir/revenue_dir/liquor_dir/ I lquor.html Fred Fisher Executive Director December 01, 2000 David C.Reitz Division Director Cono-Services, Inc. D/B/A Conoco PO Box 4784-TR 300 Houston, TX 77210 Re: Chain Store Application for Cono-Services, Inc. D/B/A Conoco Dear Sir or Madam: This is to advise you that the State Liquor Enforcement Division has, at your request, created a "master file" for the above-listed applicant. As of the date of this letter our master file includes the following items which you have submitted: 1. Individual History Records (Form DR-8404) for the following persons: Thomas E. Souls DOB 04-08-54 William R. Hall DOB 08-25-50 John E. Durbin DOB 03-16-55 Carol J. Wilson DOB 11-12-51 2. Fingerprint cards bearing the names and birth dates of the persons listed in paragraph 1. have been checked by CBI and FBI and reportedly found no record of any criminal history for those listed above. 3. Certificate of Authority or a Certificate of Good Corporate standing from the Colorado Secretary of State which indicates that Cono-Services, Inc., D/B/A Conoco, is a corporation authorized to do business in Colorado. OR Mel(e1/0O) DEC-01-2000 15:13 CO LIQUOR ENFORCEMENT Da. 303 205 2341 F.03/03 Cono-Services, Inc. D/B/A Conoco Page 2 You must check with the local licensing authority to determine what documents they may require to process your application. Please feel free to provide them with this letter, as many local authorities will not require you again to submit fingerprint cards to them if you have already submitted such documents to the State Liquor Enforcement Division. This letter will serve to inform the local authorities exactly which documents you have already submitted to the State Enforcement Division. Finally, once the local authority has approved your application, it must be sent to the Liquor Enforcement Division. The local authority need not send change of corporate structure Information previously reported to the Liquor Enforcement Division, as listed in and approved by this letter. The only documents which are needed for a new or transfer of ownership application by the Division are: ❑ 1. The approved application signed by the local authority; ❑ 2. The appropriate fees; ZI 3. A copy of this letter; ❑ 4. Proof of possession of the premises; ❑ 5. A diagram of the licensed premises; ❑ 6. Completed form DR 8442, if manager's registration is required. Sincerely, • Matt D. Cook Licensing Administrator cono6.mas TOTAL P.03 DR 84041 (02/94) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 INDIVIDUAL HISTORY RECORD To be completed by each individual applicant,all general partners of a partnership,all limited partners owning 10%(or more)of a partnership;all officers and directors of a corporation,all stockholders of a corporation owning 10%(or more)of the stock of such corporation;all limited liability company MANAGING members,or other limited liability company members with a 10%(or more) ownership interest in such company and all managers of a Hotel and Restaurant license. NOTICE:This individual history record provides basic information which is necessary forthe licensing authorities investigation.ALL questions must be answered in their entirety.EVERY answer you give will be checked for its truthfulness.A deliberate falsehood will jeopardize the application as such falsehood within itself constitutes evidence regarding the character of the applicant. 1.Name of Business Date Social Security Number(s) CONO—SERVICES INC. 11/16/2000 524-72-47222 2.Your Full Name(last,first,middle) 3.Also Known As(maiden name/nickname,etc.) WILSON, CAROL JEAN ATTERMAN (MAIDEN) 4.Mailing Address(if different rrom residence) Home Telephone SAME AS #12 BELOW (281) 578-2471 5.Residence Address(street and number,city,state,Z1P) 1126 CROSSFIELD DRIVE, KATY, TX 77450 6.Date of Birth Place of Birth 7.U.S.Citizen? 1:/21/51 DANVILLE, IL Yes ❑ No If Naturalized,state where When Name of U.S.District Court N/A N/A N/A Naturalization Certificate Number Date of Certificate If an Alien,Give Aliens Regtstralion Card Number Permanent Residence Card Number N/A N/A N/A N/A 8.Heignt Weight Hair Color Eye Color Sex Race 9.Do You Have a current Driver's License?If yes,give number,8 state 5'7" 130 BRN GRN F W g Yes ❑ No 13252054 TEXAS 10.Name of Present Employer 11.Type of Business or Employment CONOCO, INC. ENERGY COMPANY 12.Address of Business Where Employed(street number,city,state,ZIP) Business Telephone 600 N. DAIRY-ASHFORD ROAD, HOUSTON, TX 77070 281-293-2874 13.Present Position MANAGER, CATEGORY MANAGEMENT 14.Marital Status 15.Name of Spouse(include maiden name if applicable) DIVORCED N/A 16.Spouse's Date of Birth Spouse's Place of Birth /, N/A 17.Spouse's residence address,if different than yours(street and number,city,state,ZIP) N/A 18.Spouse's Present Employer Occupation N/A N/A 19.Address of Spouse's Present Employer N/A 20. List the name(s) of all relatives working in or having a financial interest in the liquor industry. NAME OF RELATIVE RELATIONSHIP TO YOU POSITION HELD I NAME OF EMPLOYER I LOCATION OF EMPLOYER N/A 21.Do you now,or have you ever held a State of Colorado Liquor or Beer License,or loaned money,furniture,fixtures,equipment or inventory,to any Colorado Liquor or Beer Licensee?If yes,answer in detail • ❑ Yes Ni] No NONE PERSONALLY BUT CONO—SERVICES INC. HOLDS NUMEROUS 3 77 LICENSES IN COLORADO. DR 8404-I(2/94) Page 2 22.Have you ever been convicted of a crime,or receives speeded sentence,defenedsentence.or forfeited bail foram Ise in criminal or military court?(Do not include traffic violations,unless they resulted in suspension or revocation of your drivers license,or you were convicted of driving under the influence of drugs Oralcaholic beverages.)If yes, explain in detail. ❑ Yes ® No 23.Have you ever received a violation notice,suspension or revocation fora liquor law violation,or been denied a liquor or beer license anywhere in the U.S.?If yes.explain in detail. ❑ Yes No NONE PERSONALLY BUT CONO—SERVICES INC. MAY HAVE RECIEVED VIOLATIONS, THOSE MATTERS BEING OF RECORD BEFORE THE VARIOUS LICENSING AUTHORITIES . 24.Military Service(branch) From To Serial Number Type of Discharge N/A 25. List all addresses where you have lived for the past five years. (Attach separate sheet if necessary) STREET AND NUMBER CITY,STATE,ZIP FROM TO MORE THAN 5 YEARS 1126 CROSSFIELD DR. KATY, TX - 1995 PRES 2s.List all former employers or businesses engaged in within the last five years. (Attach separate sheet if necessary.) NAME OF EMPLOYER I ADDRESS(STREET,NUMBER,CITY,STATE,ZIP) POSITION HELD I FROM TO MANAGER, 5 YEARS PLUS CONOCO INC. 600 N. DAIRY ASHFORD, HOUSTON, TX CATEGORY MGT.- 95 PRES 27.What is your relationship to the applicant?(sole owner.partner,corporate officer,director,stockholder,member or manager) CORPORATE OFFICER - SECRETARY AND DIRECTOR 28.If stockholder,number of shares owned beneficially or of record Percent of outstanding stock owned N/A NONE NONE 29. If partner,state whether ❑ General ❑ Limited Percent of Partnership Owned If Limited Liability Company(percent owned) NONE NONE 30.Total amount you will invest in this business,including notes,loans,cash,services or equipment,and ocerating capital.(Reg.46-106.1 and Reg.47-107.1) N/A Amount S NONE 31, Identify the sources of all funds you will invest in this business as listed in 30 above. List all bank names, account numbers and the amount derived from such source. Also identify all persons authorized to sign on, or why ate pail owneta of bald account. (Allactrcopies of all your-noteNSFb tanaihkg)5NbAjtjAWtrZhan nes4mounts Sources - Account Numbers sign on this account $ N/A — NONE $ . Oath of Applicant -- /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. Authonzed Signature Title Date el SECRETARY /16/2000 DA &101 1(02(94} ..l0,®ONImWlW71eAPPUCIUIT COLORADO DEPARTMENT OF REVENUE DILL � LIQUOR ENFORCEMENT DIVISION - BY HUTCHINGS.P.C 1375 SHERMAN STREET (303)777-3737 DENVER CO 80261 INDIVIDUAL HISTORY RECORD To be completed by each individual applicant,all general partners of a partnership,all limited partners owning 10%(or more)of a - partnership;all officers and directors of a corporation,all stockholders of a corporation owning 10%(or more)of the stock of such corporation;all limited liability company MANAGING members,or other limited liability company members with a 10%(or more) ownership interest in such company and all managers of a Hotel and Restaurant license. NOTICE:This individual history record providesbasic information which is necessaryforthe licensing authorities investigation.ALL giestions must be answered in their entirety. EVERY answer you give will be checked for its truthfulness.A deliberate falsehood will jeopardize the application as such falsehood within itself constitutes evidence regarding the character of the applicant. 1.Name of Business .. . Dale Social Security Number(s) CONO-SERVICES INC. l 11-20-00 516-72-6419 2.Your Full Name(last..lrst,middle) 3.Also Known As(maiden name/nickname,etc.; DURBIN, JOHN EDWARD 4.Mailing Andress(if different from residence) Home Telepnone SEE #12 BELOW (713) 527-0446 - 5.Residence Address(street and numoer,city,state,ZIP) 2021 WELCH ST. , HOUSTON, TX 77019-6199 6.Date of Binn Place of Birth 7.U.S.Citizen? 3-16-55 LEWISTOWN, MT .7t. Yes ❑ No It Naturalized,state'anent When J Name of U.S.District Court N/A Naturalization Certificate Number ' Date of Certificate Ian Pion.GM miens Registration Cam Sumter j Permanent Pesaerce Can?Car N/A B.Height Weignt Hair Calor Eye Color Sex Race 9.Do You Have a current Omens License?If yes,give number.&state 5' 11" I 160 ,i BLONDE . BLUE MALE C Yes L! No 12069595 TX 10.Name of Present Employer 1-.11.Type of Business or Emotoyment CONOCO INC. PETROLEUM 12.Address of Business Where Employed(street number.cry,state.ZIP) I Business Telephone 600 N. DAIRY ASHFORD, HOUSTON, TX 77-79-1175 (281) 293-3281 13.Present Position ASSISTANT TREASURER 14.Mental Status 15.Name of Spouse(include maiden name if applicable) rurr v 18.Spouses Owe of Bunn Spouses Place at Birth N/A 17.Sccuse s:estdence accress. f afferent than yours;street and number,cry.slate.ZIP) N/A 18.Spouses Present Employer Occupation N/A 19.Actress of Spouses Present Employer N/A 20. List the name(s) of all relatives working in or having a financial interest in the liquor industry. NAME OF RELATIVE RELATIONSHIP TO YOU I POSITION HE.DI NAME OF EMPLOYER LOCATION OF EMPLOYER NONE i I 21.Do you now,or have you ever held a State of Colorado liquor or Beer License.or loaned money.furniture,Eases.equipment or inventory,to any Colorado Liquor or Beer Licensee?If was,answer in detail yes C Nc NONE PERSONALLY BUT CONO-SERVICES INC. HOLDS NUMEROUS 3.27 FMB LICENSES IN COLORADO. OR 8404♦(2/94) Page 2 . 22.Have you ever been convicted damns,or receivertnniVIMWROMCailattlaNteleaki&leihidbei for any offense in almindor mealy wart?(Dona India;t65, flora unless they resultedstiallenAttisraryThassgtegolen tense iligivalapyleted d dmnng under the influence of drugs oraloohoie beverages.)11 n explain in detail. ❑ Yes ® No , 23.Have you ever received a violation nonce.susoension or revocation for a liquor lawviolaticn,or been denied a liquor or beer license anywhere in the U.S.?It yea,explain in detail. ❑ Yes 2 No NONE PERSONALLY BUT CONO-SERVICES INC. MAY HAVE RECEIVED SOME VIOLATION`;, _ _ _. THOSE MATTERS BEING OF RECORD, $EF0RE THE .VARIOIJS IJCENSING.AUTHORflflS. 24.Military Service(branch) - From To Serial Number - - ... Type of Discharge NONE . 2s. List all addresses where you have lived for the past five years.(Attach separate sheet if necessary) STREET AND NUMBER f CITY,STATE,ZIP FROM F TO 2021 WELCH ST. HOUSTON, TX 77019-6199 1-94 PRES. 28. List all former employers or businesses engaged in within the last five years. (Attach separate sheet if necessary.) NAME OF EMPLOYER ADDRESS(STREET.NUMBER,CITY.STATE.ZIP) POSITION HELD I FROM I TO ASST CONOCO INC. 600 DAIRY ASHFORD RD. , HOUSTON, TX TREAS 11994 PRES. 27.What is your reiationsnio o the appiicanr?(sole owner.„arrr.er,corporate officer.director,stockholder.member or manager) ASSISTANT TREASURER 28.if stocxnoider,number of snares owned benetically or of record Percent of outstanding stock owned NONE NONE 29.If partner, state whether " General `; United Percent of Psrmership Owned If Umited Lability Company(percent owned) N/A NONE NONE 20.Total amount you will;twest In ms ousness. ncucing notes.roans.casn.services or equipment and operating capital.(Reg.48-106.1 and Reg.47-107.1)- Amount$ NONE 37' Identify the sources of all funds you will invest in this business as listed in 30 above. List all bank names, account numbers and the amount derived from such source. Also identify all persons authorized to sign on, or who are part owners of said account. (Attach copies of all your notes or loans used in or for this business.) Amounts Sources -Account Numbers Names on accounts or person who can sign on this account S NONE $ 3 , declare under penalty of penury in the second degree that this application and all attachments are true, correct and complete to the best of my knowledge. Sigrrawre title Dale ASSISTANT TREASURER 11-20-00 SECRETARY'S CERTIFICATE I, F. E. Adams, Ill, Assistant Secretary of Cono-Services Inc., a corporation organized and existing under and by virtue of the laws of the State of Colorado (the "Corporation"), hereby certify as follows: 1. As Assistant Secretary I am authorized to execute this certificate on behalf of the Corporation. 2. That the following are the duly appointed and qualified officers of the Corporation as elected by the Board of Directors of said Corporation by unanimous written consent effective May 10, 2000: W. R. Hall President T. E. Souls Vice President J. E. Durbin Vice President & Treasurer S. L. Scheck _ Controller C. J. Wilson i Secretary F. E. Adams, Ill Assistant Secretary IN WITNESS WHEREOF, I have hereunto set my hand as Assistant Secretary and affixed the corporate seal of the Corporation, this 30th day of October, 2000. 611 _Et Assistant Secretary Cono-Services Inc. rt74, _,_____:._: 70.j.Z0.e.p.c.,\,,c)\,\\ * (� O 1 */ ✓�' , STATE r 8= t. ,_7' = I RADO 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 CONO-SERVICES INC. (COLORADO CORPORATION) FILE # 19871461256 WAS FILED IN THIS OFFICE ON January 14, 1982 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: October 20, 2000 4 n • SECRETARY OF STATE Hello