HomeMy WebLinkAbout20260625 Resolution
Approve Corporation Report of Changes and Authorize Chair to Sign — 7-Eleven,
Inc., dba 7-Eleven Store 39510H
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, 7-Eleven, Inc., dba 7-Eleven Store 39510H, holder of a Fermented Malt
Beverage and Wine Off-Premises (County) License at 3914 State Highway 119,
Longmont, Colorado 80504, has presented the Board with a Corporation Report of
Changes Form, and
Whereas, said corporate change is as follows: remove Joseph DePinto as Chief
Executive Officer (CEO) and add Lillian Kirstein as Vice President, and
Whereas, after study and review, the Board deems it advisable to approve said form.
Now, therefore, be it resolved by the Board of County Commissioners of Weld County,
Colorado, that the Corporation Report of Changes Form submitted by 7-Eleven, Inc.,
dba 7-Eleven Store 39510H, be, and hereby is, approved.
Be it further resolved by the Board that the Chair be, and hereby is, authorized to sign
said form.
The Board of County Commissioners of Weld County, Colorado, approved the above
and foregoing Resolution, on motion duly made and seconded, by the following vote on
the 18th day of March, A.D., 2026:
Scott K. James, Chair: Aye ft*
Jason S. Maxey, Pro-Tem: Aye 40 •
Perry L. Buck: Aye • *,
Lynette Peppier: Aye 1L1
Kevin D. Ross: Aye
Approved as to Form: .o,
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
CC '. Su(RS 1mT) CA LcY\ 2026-0625
�31 kq\ aL0 LC0052
DR 8177(04/16/24) RECEIVED
COLORADO DEPARTMENT OF REVENUE
Liquor Enforcement Division
D Box MAR 0 4 2026
Denver CO 80217-0087(303)205-2300
WELD COUNTY
Instructions COMMISSIONERS
Corporation, Limited Liability Company or Partnership Report of Changes
Note: Enclose a check Payable to the Authority where this application will be filed.
For State only licensees $100.00 for each new person listed in either section on the application.
Masterfile applicants must include a fee of$250.00 for each person listed payable to the
Colorado Department of Revenue. (Application filed directly to the state)
Note: Check the appropriate box at the top to indicate whether you are Limited Liability Company(LLC),
Partnership or Corporation.
Attach the following supporting documents to the Report of Changes Application:
• Certificate of Incorporation (or) Date stamped Articles or, Partnership Agreement(Limited and
General Partnerships)
• Certificate of Good Standing dated within the last two years
• Certificate of Authority(only if a foreign corporation)
• Copies of minutes of meetings by the Corporation, Limited Liability Company or Partnership supporting
the changes reflected on the front of this application.This includes letters of resignation,or appointment
of any officers, or directors of a Corporation, or any managing member or members of a Limited Liability
Company, or any general or limited partner in a Partnership(including husband and wife partnerships).
• NOTE: If the Licensee as listed on Line 1 has a sole stockholder that is a Corporation, or
LLC, or Partnership, attach a letter designating one officer, or managing member or the
general partner to be the "principal person" for the applicant. This person MUST ALSO fill out
a DR8404-I (Individual History Record) and submit fingerprints by making an appointment with
an approved State Vendor through the Vendor's website:
The vendors are as follows:
IdentoGO
Appointment Scheduling Website: https://uenroll.identogo.com/workflows/25YQHT
Phone: 844-539-5539 (toll-free)
IdentoGO FAQs: https://cbi.colorado.gov/sections/biometric-identification-and-records-unit/biometric-
identification-and-records-unit-fags
State Liquor Code for IdentoGO: 25YQHT
Colorado Fingerprinting
Appointment Scheduling Website: http://www.coloradofingerprinting.com/cabs/
Phone: 720-292-2722
833-224-2227 (toll-free)
State Liquor Code for Colorado Fingerprinting: C030LIQl
Page 1 of 5
Instructions
Continued
This application and all supporting documents must first be filed with, and approved by,the local
licensing authority(city,town,county).Applications will not be accepted unless all applicable questions
are fully answered, all supporting documents correspond exactly with the name of the applicant.
1. List the name of the Corporation or Limited Liability Company or Partnership.
2. List the State Sales Tax Number.
3. List the Applicant's State Liquor License Number.
4. List the Trade name of the business.
5. List the area code and telephone number of the business.
6. List the complete address, City, State and Zip Code, of the licensed premises.
7. List your mailing address if different than number 6 above.
8. List all officers, directors of a corporation, or all managing members of the LLC, or General
Partners of Limited or General Partnerships. List the person's Position, Home Address, Date
of Birth and the name of the person being replaced (if applicable).
9. List all 10% (or more) stockholders or members or Partners, and indicate ownership
percentage, Home Address, Date of Birth, and the name of the person they purchased
ownership interest from (if applicable).
10. List the name and address for service of the Registered Agent.
11. A person authorized to sign on behalf of the Applicant must sign the application, list their
title, and the date the application was signed.
12. To be filled out by the local licensing authority only. List the name of the authority and
indicate if the authority is a county, town/city. Then sign the application, list your title
and attest the city/county officials signature and date the application.
DR 8177(04/16/24) Page 2 of 5
DR 8177(04/16/24) Do Not Write In This Space
COLORADO DEPARTMENT OF REVENUE
Liquor Enforcement Division
PO Box 17087
Denver CO 80217-0087
(303)205-2300
Report of Changes
Corporation, Limited Liability Company and Partnership
Liquor and Fermented Malt Beverage Licenses
0 LLC/Partnership Q Corporation
See Instructions and Fee Schedule on Page 1 and 2
Corporate/LLC Partnership Name State Tax Account Number State Liquor License Number
7-Eleven, Inc. 02411111-0488 04-01356
Trade Name Telephone Number
7-Eleven, Inc Store 39510H 303-774-7668
Address of Licensed Premises
3914 State HWY 119
City State ZIP Code
Longmont CO 80504
Mailing Address if different than above
P.O Box 139044
City State ZIP Code
Dallas TX 75313
List all officers, directors(corporation)or Managing Members(LLC)or General Partner(s). Each officer,
Director, Managing Member or Partner Must Fill Out a DR 8404-I(Individual History Record).
Position Held Name Date of Birth (MM/DD/YY)
President Stanley W. Reynolds 03/04/1965
Home Address Replaces
2300 Wolf Street, Unit 7D N/A
Position Held Name Date of Birth (MM/DD/YY)
Officer-EVP General Counsel Lillian Kirstein 06/02/1963
Home Address Replaces
9819 Kingsway Avenue N/A
Position Held Name Date of Birth (MM/DD/YY)_
Home Address Replaces
Position Held Name Date of Birth (MM/DD/YY)
Home Address Replaces
Page 3 of 5
List all 10% (or more)Stockholders or 10% (or more) Members or 10% (or more) Limited Partners. Each
person listed Must Fill Out a DR 8404-I (Individual History Record)
Stockholders/Members/Partners owning 10% (or more)of business % Owned Date of Birth (MM/DD/YY)
N/A
Home Address Replaces
Stockholders/Members/Partners owning 10% (or more)of business % Owned Date of Birth (MM/DD/YY
N/A
Home Address Replaces
Stockholders/Members/Partners owning 10% (or more)of business % Owned Date of Birth (MM/DD/YY)
N/A
Home Address Replaces
Stockholders/Members/Partners owning 10% (or more)of business % Owned Date of Birth (MM/DD/YY)
N/A
Home Address Replaces
Stockholders/Members/Partners owning 10% (or more)of business % Owned Date of Birth (MM/DD/YY)
N/A
Home Address Replaces
Stockholders/Members/Partners owning 10% (or more)of business % Owned Date of Birth (MM/DD/YY)
N/A
Home Address Replaces
Registered Agent
N/A
Address For Service
DR 8177(04/16/24) Page 4 of 5
Oath of Application
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.
Authorized Signature
Tit Date(MM/DD/YY)
7-Eleven -Licensing Manager 02/26/2026
Report of Local Licensing Authority
The foregoing changes have been received and examined by the Local Licensing Authority.
Local Licensing Authority For
Weld County, Colorado
County 0 Town/City
Authorized Signature
Scott K. James (see below)
Title ��>ti Date(MM/DD/YY)
, ,cgs ' .. �
Chair,Board of Weld County Commissioners E a ...,4-N+` 03/18/26
Attest Y��' Date (MM/DD/YY)
Esther E. Gesick d. ,0 /, t 03/18/26
3\f/
Do Not Write In This Space — For Department of Revenue Use Only
Liability Information
License Account Number Applicant ID Check Number Total
DR 8177(04/16/24) Page 5 of 5
Ca COLORADO
0 Department of Revenue
CDOR
Specialized Business Group—
Liquor&Tobacco
Physical Address: Mailing Address:
1707 Cole Boulevard,Suite 300 P.O. Box 17087
Lakewood,CO 80401 Denver, CO 80217-0087
February 11, 2026
7-ELEVEN INC
DBA 7-ELEVEN INC
7-ELEVEN LICENSING PO BOX 219088
Dallas TX 75221
Re: State Master File for 7-ELEVEN INC
Account# 24-1 1 1 1 1-0000
Dear Sir or Madam:
This is to advise you that the Colorado Liquor Enforcement Division ("Division")has, at
your request, revised the "master file" for the above-listed Licensee.
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-I)for the following persons:
REYNOLDS, STANLEY
KIRSTEIN, LILLIAN
2. Fingerprint cards bearing the names and birth dates of the persons listed in
paragraph 1, above. All the fingerprint cards have been submitted by us to the Colorado
Bureau of Investigation. The CBI and FBI have checked the prints 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 7-ELEVEN INC, is a corporation
authorized to do business in Colorado.
When filing a new application for additional licensed locations,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 local authorities will not
require you to submit fingerprint cards to them if you have already submitted such
documents to the Division. This letter will serve to inform the local authorities exactly
which documents you have already submitted to the State Liquor Enforcement Division.
Finally,once the local authority has approved your new license or transfer of ownership
application, it must be sent to the Division.
The local authority need not send change of corporate structure information previously
reported to the 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;
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, and an Individual History Record (DR-8404-I)
if manager's registration is required.
Sincerely,
MidudIL . Vate -LfrteiX4-4
Michelle Stone-Principato
Division Director
2 DR4041B(06114/17)
OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO
CERTIFICATE OF FACT OF GOOD STANDING
I, Jena Griswold, as the Secretary of State of the State of Colorado, hereby certify that,
according to the records of this office,
7-ELEVEN,INC.
is an entity formed or registered under the law of Texas ,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 19871057047 .
This certificate reflects facts established or disclosed by documents delivered to this office on
paper through 02/26/2026 that have been posted, and by documents delivered to this office
electronically through 02/27/2026 @ 13:17:26 .
I have affixed hereto the Great Seal of the State of Colorado and duly generated,executed,and issued this
official certificate at Denver, Colorado on 02/27/2026 @ 13:17:26 in accordance with applicable law.
This certificate is assigned Confirmation Number 18261258 .
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Secretary of State of the State of Colorado
End of Certificate
Notice: A certificate issued electronically from the Colorado Secretary of State's website is fully and immediately valid and effective.
However, as an option, the issuance and validity of a certificate obtained electronically may he established by visiting the Validate a
Certificate page of the Secretary of State's website, https://www.coloradosos.gov/biz/CertificateSearchCriteria.do 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 of a certificate. For more information, visit our website,
hops.•//www.coloradosos.gov click"Businesses,trademarks,trade names"and select"Frequently Asked Questions."
7-ELEVEn
January 7, 2026
VIA EMAIL
Virginia Alcoholic Beverage Control Authority
Attn: Krystle Enderle
7450 Freight Way
Mechanicsville, VA 23116
krystle.enderlec virginiaabc.com
Dear Ms. Enderle,
I am writing to confirm the retirement of Joseph DePinto as CEO of 7-Eleven, Inc.
effective December 31, 2025. Mr. DePinto does not have any ownership interest in 7-Eleven,
Inc.
7-Eleven, Inc.
tiolte
Jennifer Mendota, Assistant Secretary
OR 8404-.i (o1ros1C5) BY DILL DILL CARR STONBRA10ER&HUTCHINGS.P.C.
• COLORADO DEPARTMENT OF REVENUE (303)777.3737
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; ail 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.
Ail 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
7—Eleven. Inc.
2.Your Full Name(last,first, middle) 3. List any other names you have used.
Reynolds , Stanley Wayne None
4.Mailing address(If different from residence) Home Telephone
same as below 972-304-0211
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
429 Avalon Lane Coppell, TX 75019 , 6/2002 Present
Previous
705 Post Oak Drive Coppell, TX 75019 1/1994 6/2002
~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 70
SVP, OFO (various)
7— t1cren Inc 2711 N. Haskell Ave, Dallas,. TX75 04 1 19 r n
pese •
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 I POSITION HELD NAME OF LICENSEE
None N/A N/A N/A
I _
B.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 flquor or bedar
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.)
[]Yes LJNo
•
11.Are you currently under probation(supervised or unsupervised), parole,or completing the requirements of a deferred sentence? (if yes,explain In detail.)
Eyes ®No
12. Have you ever had any STATE issued licenses suspended,revoked,or denied including a drivers license? (if yes,explain in detail.)
❑Yes QNo
•
•
u_
PERSONAL AND FINANCIAL INFORMATiON
• Unless otherwise provided by law In 24-72-204 C.R,S.,information providedbelow will be treated as CONFIDENTIAL.
Colorado liquor licensing authorities require the following personal Information In order to determine your suitability for licerlsure pursuant to 12-47-307 O.R.S.
13a.Date of Birth b.Social Security Number SSN c.Place of Birth d,U.S.Citizen?
3/4/1965 432-45-6 712 Arkadelphia, rka,r) a, 5 MYes ❑No
e. If Naturalized,State where f.When g.Name of District Court
N/A N/A N/A
h,Naturalization Certificate Number I.Date of Certification J.If an Allen,Give Alien's Registration Card Number k.Permanent Residence Card Number
N/A • . N/A N/A • N/A
I.Height rt.Weight in.Hair Color o,Eye Color p.Sex . q.Race r,•Do you have a current Driver's License?If so, give numberand state
5 ' 11" 180 Blonde Green M C ®Yes ❑No 06815775 TX
14. Financial Information.
a,Total purchase price$ N/A (if buying an existing business)or Investment being made by the appt)Ing entity, corporation,
partnership,Omitted liability company,other$ N/A
b.List the total amount of your investment In this business including any notes,loans, cash,services or equipment,operating capital,
stack purchases and fees paid$ N/A No personal investment. •
c.Provide details of Investment You must account for the sources of ALL.cash_chow acqulred).Attach a separate sheet tf needed..
Type: Cash,Services or Equipment Source:Name of Bank;Account Type and Number Amount
NLA , N/A . •
�A
•
•
d.Loan information(attach copies of all notes or loans)
Name of Lender and Account Number Address Term Security Amount
N/A • N/A N/A N/A • N/A
•
15.Give name of bank where business account wit be maintained;Account Name and Account Number;and the name or names of persons
ai ithrvi,ofi to brow thornnn
N/A
•
Oath of Applicant
I declare under penalty of perjury In the second degree that tn!s application and all attachments are true, correct, and complete to the best of
my knowledge.
-
Authorized Si Title / Date-
DR 8404-I(03/06/24)
COLORADO DEPARTMENT OF REVENUE
Liquor Enforcement Division
PO Box 17087
Denver CO 80217-0087
(303)205-2300
Individual History Record
To be completed by the following persons, as applicable: sole proprietors; general partners regardless
of percentage ownership, and limited partners owning 10% or more of the partnership; all principal
officers of a corporation, all directors of a corporation, and any stockholder of a corporation owning
10% or more of the outstanding stock; managing members or officers of a limited liability company, and
members owning 10%or more of the company; and any intended registered manager of Hotel and
Restaurant, Tavern and Lodging and Entertainment class of retail license
Notice: This individual history record requires information that is necessary for the licensing
investigation or inquiry.All questions must be answered in their entirety or the license application may
be delayed or denied. If a question is not applicable, please indicate so by"N/A". Any deliberate
misrepresentation or material omission may jeopardize the license application. (Please attach a
separate sheet if necessary to enable you to answer questions completely)
Name of Business
7-Eleven, Inc.
Home Phone Number Cellular Number
972-828-1543 972-828-1543
Your Full Name(last, first, middle)
Kirstein, Lillian, Fouche
List any other names you have used
Lillian Fouche
Mailing address (if different from residence)
3200 Hackberry Rd., Irving, TX 75063
Email Address
lillian.kirstein@7-11.com
1. List current residence address. Include any previous addresses within the last five years. (Attach
separate sheet if necessary)
Current Street and Number Current City, State, ZIP
9819 Kingsway Ave. Dallas, TX 75230
From: To:
07/2022 Present
Previous Street and Number Previous City, State, ZIP
4047 Lomita Lane Dallas, TX 75220
From: To:
03/2017 07/2022
Page 1 of 6
Individual History Record (Continued)
2. List all employment within the last five years. Include any self-employment. (Attach separate sheet
if necessary)
Name of Employer or Business
7-Eleven, Inc.
Address(Street, Number, City, State,ZIP)
3200 Hackberry Rd., Irving, TX 75063
Position Held
Vice President and Secretary
From: To:
04/2012 Present
Name of Employer or Business
Address(Street, Number, City, State,ZIP)
Position Held
From: To:
Name of Employer or Business
Address (Street, Number, City, State,ZIP)
Position Held
From: To:
3. 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:
None
Position Held Name of Licensee
Name of Relative Relationship to You:
Position Held Name of Licensee
DR 8404-I(03/06/24) Page 2 of 6
Individual History Record (Continued)
Name of Relative Relationship to You:
Position Held Name of Licensee
Name of Relative Relationship to You:
Position Held Name of Licensee
4. Have you ever applied for, held, or had an interest in a Colorado Liquor or
Beer License, or loaned money, furniture, fixtures, equipment or inventory to ❑ Yes 0 No
any licensee?
(If yes, answer in detail.)
Listed as an officer of 7-Eleven, Inc. and Speedway LLC, licensee of alcohol, lottery
and tobacco licenses in various states in the U.S. since 03/2022; however, I was not
an officer required to be qualified on the state master file in Colorado.
5. 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 United States?. ❑ Yes No
(If yes, answer in detail.)
None personally. I have been an officer for 7-Eleven, Inc., and Speedway LLC,
which have had violation notices and suspensions in the U.S.
6. 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?. ❑ Yes No
(If yes, answer in detail.)
7. Are you currently under probation (supervised or unsupervised), parole, or
completing the requirements of a deferred sentence?. E Yes ❑� No
(If yes, answer in detail.)
DR 8404-I(03/06/24) Page 3 of 6
Individual History Record (Continued)
8. Have you ever had any professional license suspended, revoked, or denied?.__. ❑ Yes No
(If yes, answer in detail.)
Personal and Financial Information
Unless otherwise provided by law, the personal information required in this section will be treated as
confidential. The personal information required in this section is solely for identification purposes.
Date of Birth Social Security Number Place of Birth
06/02/1963 433-70-3117 Shreveport, LA
If Naturalized, state where When
U.S. Citizen Q Yes ❑ No None N/A
Name of District Court Naturalization Certificate Number Date of Certification
N/A N/A N/A
If an Alien, Give Alien's Registration Card Number Permanent Residence Card Number
N/A N/A
Height Weight Hair Color Eye Color Gender
5'5" 130 lbs Blonde Blue Female
Do you have a current Driver's License/ID? If so, give number and state. Yes ❑ No
Driver's License Number Driver's License State
08830265 TX
Financial Information
9. Total purchase price or investment being made by the applying entity, N/A - Master File Upd
corporation, partnership, limited liability company, other..
10.List the total amount of the personal investment, made by the person
listed on page 1 in this business including any notes, loans, cash,
services or equipment, operating capital, stock purchases or fees 0
paid..
NOTE: If corporate investment only, please skip to and complete question 12
NOTE: Question 10 should reflect the total of questions 11 and 13
DR 8404-I(03/06/24) Page 4 of 6
Personal and Financial Information (Continued)
11. Provide details of the personal investment described in question 10. You must account for all of
the sources of this investment. (Attach a separate sheet if needed)
Type: Cash, Services or Equipment Account Type
None
Bank Name Amount
Type: Cash, Services or Equipment Account Type
Bank Name Amount
Type: Cash, Services or Equipment Account Type
Bank Name Amount
Type: Cash, Services or Equipment Account Type
Bank Name Amount
12.Provide details of the corporate investment described in question 9. You must account for all of the
sources of this investment. (Attach a separate sheet if needed)
Type: Cash, Services or Equipment Loans Account Type
N/A - Master File Update
Bank Name Amount
Type: Cash, Services or Equipment Loans Account Type
Bank Name Amount
Type: Cash, Services or Equipment Loans Account Type
Bank Name Amount
13.Loan Information (Attach copies of all notes or loans)
Name of Lender Address
N/A - Master File Update
Term Security Amount
DR 8404-1(03/06/24) Page 5 of 6
Personal and Financial Information (Continued)
Name of Lender Address
Term Security Amount
Name of Lender Address
Term Security Amount
Name of Lender Address
Term Security Amount
Oath of Applicant
I declare under penalty of perjury that this application and all attachments are true, correct, and
complete to the best of my knowledge.
Auth rized Sig ature
:-\,1'L- Li i4-
Prin ignature
Lillian Kirstein
Title Date (MM/DD/YY)
Vice President and Secretary 11/11/2025
DR 8404-1(03/06/24) Page 6 of 6
\ 1861
COUNTY, CO
Receipts
COUNTY, CO
Clerk to the Board
PO Box 758
Greeley, CO 80631
970-400-4225
970-336-7233- Fax
ctb@weld.gov
Received From:
Receipt#: CTB-LF-20260305-3
Total Paid: 100.00
Date Received: 3/5/2026 12:23:38 PM
Corporate/LLC Change (per person) 100.00
Corporate Report of Changes
Total: 100.00
Check 0021181438 100.00
Total Tendered: 100.00
Thank you for your payment. Have a nice day!
186/
COUNTY, CO
Staff Referral Responses
Leah Flesner
From: Leah Flesner
Sent: Tuesday, March 10, 2026 11:50 AM
To: Matthew Turner
Cc: Chloe White
Subject: Staff Referral Response - Corporation Report of Changes - 7-Eleven, Inc., dba 7-Eleven
Store 39510H
Attachments: Staff Referral - 7-Eleven, Inc.pdf
Good morning,
Please review the Staff Referral form for the Corporation Report of Changes to remove Joseph DePinto and add
Lillian Kirstein. Please review Lillain Kirstein.
Please Respond No Later Than: Monday, March 16, 2026
Please note:
1. Applicant: 7-Eleven, Inc., dba 7-Eleven Store 39510H
Address: 3914 State Highway 119, Longmont, CO 80504
File Location: LC0052
2. Fermented Malt Beverage and Wine Off-Premises (County) Licenses allow fermented malt beverages and
vinous liquors to be sold for off-premises consumption only.
Thank you,
COUNTY.CO
Leah Flesner
Deputy Clerk to the Board
Desk: 970-400-4227
P.O. Box 758, 1150 O St., Greeley, CO 80632
0X 0 00
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please immediately notify sender by return e-mail and destroy the communication. Any disclosure,
copying, distribution or the taking of any action concerning the contents of this communication or any
attachments by anyone other than the named recipient is strictly prohibited.
Clerk to the Board's Office
861 %'.-
.;`�i Phone: (970) 400-4225
�` / — 1150 0 Street
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n ' P.O. Box 758
'GOWN T Y Greeley, Colorado 80632
www.weld.gov
Referral Form
Date: 3/11/2026
To: Weld County Board of Commissioners
From: Captain Matt Turner, WCSO
The Weld County Clerk to the Board's Office has received an application for the below
listed item in Unincorporated Weld County:
Action: Remove Joseph DePinto and Add Lillian Kirstein
License Type: Fermented Malt Beverage and Wine Off-Premises (County) License
Applicant(s): 7-Eleven, Inc., dba 7-Eleven Store 39510H
Address: 3914 State Highway 119, Longmont, CO 80504
File Location: LC0052
Reply By: Monday, March 16, 2026
Page 1 of 2
The application is submitted to you for review and recommendation. Any comments or
recommendation you consider relevant to this request would be appreciated. Please reply
by the above listed date so that we may give full consideration to your recommendation.
If you have any further questions regarding the application, please do not hesitate to
contact me at (970) 400-4227 or Iflesner(c�weld.gov
•We have reviewed the request and find no conflicts with our interests.
EWe have reviewed the request and find that we are not in support of the requested
application.
❑We have reviewed the request and recommend approval given that the below or
attached conditions are met.
❑See attached letter or comments below.
Page 2 of 2
wEtiw0
COUNTY CO
Miscellaneous Correspondence
Clerk to the Board's Officeff 1861 , ,'
Phone: (970) 400-4225
1150 O Street
P.O. Box 758
c o N Y Greeley, Colorado 80632
www.weld.gov
March 19, 2026
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
PO BOX 17087
DENVER CO 80217-0087
Re: Corporation Report of Changes - 7-Eleven, Inc., dba 7-Eleven Store 39510H
To Whom It May Concern:
Please see the attached Corporation Report of Changes application and a copy of all
supporting documentation. The Weld County Board of Commissioners approved the
application on Wednesday, March 18, 2026.
If you have questions or need additional information, please do not hesitate to contact me
at (970) 400-4227 or Iflesner(a�weld.gov.
Respectfully,
y.„,„ (41-(2V'e-(_
Leah Flesner
Deputy Clerk to the Board
Page 1 of 1
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After printing this label:
CONSIGNEE COPY•PLEASE PLACE IN FRONT OF POUCH
1.Fold the printed page along the horizontal line.
2.Place label in shipping pouch and affix it to your shipment.
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within strict time limits,see current FedEx Service Guide.
Transaction Record Few
TRACKING NO.: SHIP DATE: ESTIMATED SHIPPING CHARGES:
889782884401 Mar 19, 2026 8.05 USD
From address To address
Leah Flesner LIQUOR ENFORCEMENT DIVISION
WELD COUNTY COLORADO DEPARTMENT OF REVENUE
1150 O STREET RM 165 PO BOX 17087
80631 CO GREELEY 802170087 CO DENVER
US US
Phone: 9704004225 Phone: 3032052300
Iflesner@weld.gov
Package information
Pieces Weight Dimensions(LxWxH) Carriage value Package options
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Your Packaging FedEx 2Day I'll drop off my shipment at a FedEx
location
Billing information
Bill transportation cost to: ******483 P.O. No.: LEAH FLESNER
Bill duties, taxes and fees to: Invoice No.: CTB
Your reference: WELD CLERK TO THE BOARD Department No.: 10400
Please note:This transaction record is neither a statement nor an invoice,and does not confirm shipment tendered to FedEx or payment.FedEx will not be responsible
for any claim in excess of$100 per package,whether the result of loss,damage,delay,non-delivery,misdelivery,or misinformation,unless you declare a higher value,
pay an additional charge,document your actual loss and flea timely claim.Limitations found in the current FedEx Service Guide apply.Your right to recover from FedEx
for any loss,including intrinsic value of the package,loss of sales,income interest,profit,attorney's fees,costs,and other forms of damage whether direct,incidental,
consequential,or special is limited to the greater of$100 or the authorized declared value.Recovery cannot exceed actual documented loss.Maximum for items of
extraordinary value is$1000,e.g.,jewelry,precious metals,negotiable instruments and other items listed in our Service Guide.Written claims must be filed within strict
time limits;Consult the applicable FedEx Service Guide for details.The estimated shipping charge may be different than the actual charges for your shipment.Differences
may occur based on actual weight,dimensions,and other factors.Consult the applicable FedEx Service Guide or the FedEx Rate Sheets for details on how shipping
charges are calculated.
di Outlook
7-Eleven, Inc., dba 7-Eleven Store 39510H
From Leah Flesner <Iflesner@weld.gov>
Date Mon 6/30/2025 12:21 PM
To GM-ElecRenewals <GM-ElecRenewals@7-11.com>
Cc Chloe White <cwhite@weld.gov>
1 attachment(1 MB)
DR 8177.pdf;
**External - Potential security risk - Exercise caution**
Good morning,
The Colorado Liquor Enforcement Division (LED) emailed our office and stated the DR 8177 form and
fees you submitted last winter updated the master file, but 7-Eleven is still required to update the
individual establishments by submitting the DR 8177 Form and local fees to the local licensing authority
as well, before LED can update their system. Please complete the attached form, following the listed
instructions, and return the packet and $100.00 fee (payable to Weld County) to our office.
If you have any questions or concerns, please do not hesitate to contact us.
Sincere regards,
;;Link to Weld County Website
Leah Flesner
Deputy Clerk to the Board
Desk: 970-400-4227
P.O. Box 758, 1150 0 St., Greeley, CO 80632
;12,WeId County web page containing Weld County social media links
;`',Join Our Team. Learn about jobs with Weld County Government.
IMPORTANT: This electronic transmission and any attached documents or other writings are
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