Loading...
HomeMy WebLinkAbout890427.tiffRESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR TAVERN LIQUOR LICENSE ISSUED TO VALLEY HAYLOFT, INC., - EXPIRES JUNE 26, 1990 WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the We].d County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, Valley Hayloft, Inc., has presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a Tavern Liquor License for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, Valley Hayloft, Inc., has also presented a Change of Corporate Structure removing the name of Gerald Moore and adding James Moore as Vice President of said Corporation, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section TI, C., said applicant has paid the sum of $98.75 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicant has exhibited a State Liquor License for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 3101 Highway 119, Longmont, Colorado 80501-9543 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 License Number 89-9 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location and does hereby authorize and direct the issuance of said license by the Chairman of the Board of County Commissioners, attested to by the County Clerk and Recorder, of Weld County, Colorado, which license shall be in effect until June 26, 1990, providing that said place where the licensee is authorized to sell malt, vinous, and spirituous liquors 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 license. 890427 Page 2 RE: TAVERN LIQUOR LICENSE - VALLEY HAYLOFT, INC. BE IT FURTHER RESOLVED by the Board that the Change of Corporate Structure, removing the name Gerald Moore and adding James Moore as Vice President, be, and hereby is, approved. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 10th day of May, A.D., 1989. ATTEST: Weld County C+•Terk and Recorder and Clerk to the Board eputy County C. rk APPROVED AS TO FORM: County Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO C.r'.. Kiry, Chairman EXCUSED Jac gupline Johnson, Pro-Tem 890427 DR 8400 (3/88) Colorado Department of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 866-3741 LIQUOR OR 3.2 BEER LICENSE RENEWAL APPLICATION '14 Y L 1 3 — yam 4 Cr • License Number: License Type: Liability Information: •iJ 2-., .__ Business Location: L =tUi T cc Current License Expires: JU1 byi�i'.:9 YOUR PROMPT ATTENTION IS REQUIRED. FAILURE TO COMPLETE THIS FORM ACCURATELY AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • FILL OUT THIS FORM COMPLETELY, AND CHECK APPROPRIATE BOX BELOW. This renewal reflects no changes from last application. • SIGN THE FORM There are changes from last application. (Report changes on • ENCLOSE TOTAL AMOUNT DUE form DR 8176 -'Report of Changes - Liquor and 3.2 Beer • SUBMIT FORM TO LOCAL (CITY/COUNTY) LICENSING AUTHORITY FOR APPROVAL I irances' and attach that form to thic renewal nnnlication 1 • CHECK WITH LOCAL AUTHORITY FOR AMOUNT OF LOCAL FEES ,,._..,.._ _..._. �.._...-,,,, ,...,.<"..OATH.FRPP .C7RNT _...--- . ee that this application and all attachments are true, correct, and complete to the best of my knowledge. Authorized Signature: „( , ;) !` Date: Business Phone: Title of Signer (if corporation): f ' avii IvER Sales Tax No. lH IS7 611 LICENSING Local Licensing Authority expiration. applicant is satisfactory, 46 and 47, C.R.S. SUBMIT THE STATE COPY AND LOCAL (CITY/COUNTY) AUTHORITY COPY TO YOUR LOCAL (CITY/COUNTY) AUTHORITY NO LATER THAN 45 DAYS BEFORE YOUR LICENSE EXPIRES. EXCEPTION: Wholesaler, manufacturer, importer, and public transportation system license renewals do not need approval and must be returned directly to the Colorado Department of Revenue no later than 30 days prior to license REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY The foregoing application has been examined and the premises, business conducted and character of the and we do hereby report that such license, it granted, will comply with the provisions of Title 12, Articles THEREFORE THIS APPLICATION IS APPROVED. Local Lic. Auth. I.D. No.: Local Licensing Authority for: ,a ,T. Weld County zT ',era, , „�; ❑ TOWN/CITY ca COUNTY Signature: ,.,za Tide: Chairman, %' r""" Board of County CO11.'lll S - Oit?rr Date: 5/10/39 Aae≤� 1 ... _Date / ft� ♦ .le.�nh Do not deta Do not detach Do not detach Do noe Q .-. _ LUN=aMJNT CJ Name/Trade Name: Use License Number for All Reference LIABILITY INFORMATION RENEWED ALTER SE County City Indust. Type Liab. Date r,1sl,]ti: T Ida, _»—:-`>?b-t w3 41.0 5;1.3 3 L.'337 ?t OAP TYPE OF LICENSE ISSUED SIAIEbhE CITY 85% OAP GO 85°4 41-9 (9) 45-9 (9) 37-1 (9) 49-1 (9) i :,, LI u,JR LACc., : _ ,MALI s l', '„ Ali, Sr' 1X1 1 T.,vUa ( 1)v2 Make check payable to : COLORADO DEPARTMENT OF REVENUE TOTAL AMOUNT DUE 3,:i. 4.. S EXTENDED HOURS - Applies only to Hotel and Restaurant, Beer and Wine, Club, Tavern, and Arts licenses. If desired, check yes' and enclose Total Amount Due PLUS $170.00. DO NOT WRITE BELOW THIS LINE Extended hours? YES 7 NO 890427 ttachment tL -iquor/3.2 License Rent al Application This page must be completed and attached to your signed renewal application form. Farrurew woman, can. p.e...-•-•--rr•_____-- -.____._._. _ Trade Name of Establishment State License Number 1. Do you have legal posession of the premises for which this application for license is made? YESD, NO ❑ ...,L 1f rented, effective and expiration date of lease: Are the premises owned or rented? ..._ 2. (a) Has the applicant, or arty of the partners, or officers, stockholders or directors of said applicant (if a corporation) ever been YES ❑ NO convicted of a crime? If answer is 'yes," explain in detail and attach. (b) Have persons lending assistance or financial support to the applicant, or manager, or employees, ever been convicted of a crime? YES NO® If answer is yes; explain in detail and attach. 3. Has the applicant, or any of the partners, or officers, directors or stockholders of said applicant (A a corporation) or manager; ever:= (a) been denied an alcoholic beverage license? YES (b) had an alcoholic beverage license suspended or revoked? .. _.. YES (c) had interest in any entity that had an alcoholic beverage license suspended or revoked? YES If answer is yes' to any of the above questions, explain in detail and attach. ❑ ■ ■ NO NOD NOS 4. Does or did applicant, or any of the partners, or officers, directors or stockholders of said applicant (if a corporation), have a direct YES ❑ NO or indirect interest in an ether Colorado liquor Iicense 6nclude Towns to or from any licensee, or interest in a ban to any licensee)? If answer is yes,' explain in detail and attach. 5. Identify the persons, firms or corporations who now or will have a financial interest, evidenced either by a loan to, or equity ownership which this license is requested. State the names and addresses and the amount and source of such financial interest (i.e., bank, relatives, owners, etc.), expressed in dollars or other items of value, such as inventory, furniture or equipment. Use separate sheet if necessary. in, the business for friends, previous Name Address Merest Type and Amount 6. List on a separate sheet the names and addresses of all liquor businesses in which any of the persons in question No. 5 are materially interested. 7. Ope Manager Address r Date of Birth - 1, 4 8. If the applicant is a corporation, answer the following: the laws of the State of: c'.:10 ..x Date Incorporated: (a) Corporation is organized under business is: 5'! L' (b) Principal Place of corporate report to the Cob. Secretary of State.' (c) Date of filing last annual (d) Name of each officer listed below: Birth President l '- Home Address Date of ?k VoePres. i., 1r'JY'' Home Address ?%G7� ,i ;rU ', Date of Birth Treasurer Home Address „ Y - Date of Secretary � a r ,o. �L' .,J �, �J s�� CL Home Address ..e / tr ? L "r7 n� .h'✓al'9 vslfc 'o•titi � l � i 'T i.0 V1 re Date of Birth' (e) List all stockh olders,5% or over: if a public corporation) including actual owner or pledgee. (Use separate sheet if necessary) Name c Address "16I.c.' r u.,,; j fin -„t 65, s Date of Birth ' , _ .. - Name Address Percent of Stock Date of Birth Name Address ' r Percent of Stock Date of Birth - ' (f) Name of all Directors'/Trustees of Corporation Name F,:y) , .. M 0r -,. „ C._,, ; r i Ft t� Date of BirthAddress _ .. Name : , ., Oar' s-. _ Address Date of Birth , 8. If applicant is partnership list all general partners. Use separate sheet if necessary. Birth Name Address Date of Name Address Date of Birth taconArY = DR 8176 (1.6/87))* Colorado Department of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, CO 80261 303-863-3741 DO NOT USE THIS FORM TO REFLECT A CHANGE IN PARTNERSHIP. IF THERE IS A CHANGE IN PARTNERSHIP, USE THE DR 8404 OR DRL 403 AND FILE A CHANGE OF OWNERSHIP WITH YOUR LOCAL LICENSING AUTHORITY. f REPORT OF CHANGES LIQUOR AND 3.2 BEER LICENSE • Use to report change of corporate structure, change of trade name or change of manager only. • Submit to Local Authority (Local Authority will submit to State) ALL LI CENSEES F ILL OUT THIS' SECTI! APPLICANT NAME: L`,A/ TRADE NAME: ' ADDRESS OF LICENSED PREMISES: Street Address ._J 0 I MAILING ADDRESS: Street Address 3t4i Hwy. 1� Press ACKNICINLELM DATE MAY 1 R 1AR9 City i.r i. ;7?cwo/1 SALES TAX ACCOUNT NO.: LICENSE NUMBER: 7? -L 7-9 TELEPHONE NUMBER: Slate City J/oH '?P1xorState .;.^JG • Zip a v rY CHANGE OF CORPORATE STRUCTURE {Applies to corporate Ikensees only)fittach a Certificate of Good Corporat6 and, for each mew officer., director,'and stockholder,' attach. a.ARL 4041, Individual: History Record end Copy? at Minutes. REPLACES (Name): NAME of new corporate officers & directors: President Vice President,.. to k Secretary _`a A ; -,/ Treasurer :'; ... % ,- ;r" 5,-i Y d NEW STOCKHOLDERS/TRANSFERS OF CAPITOL STOCK HOME ADDRESS flu--t.r D.O.B. R' 'r F L / AI ray i/ /1 tt,f{ II 2 HOME ADDRESS y/ On. %OF STOCK NOW OWNED DIRECTORS: HOME ADDRESS D.O.B. REPLACES (Name): %CH OF TRADE NAME OLD TRADE NAME: NEW TRADE NAME: CHANGE QE MANAGER (For Seer & Wine, Tavern; Club, Arts, Racetrack, and all 3.2 Beer except "Off Premises") Hotel/Restallrani Licensees must submit a DR 8367, Manager's R'e(gistration Date of Birth FORMER MANAGER: Name NEW MANAGER: Name ,y ( Date of Birth OATH OF APPLICANT I declare under penalty of perjury in the second degree that! have read this report and all attachments thereto and that I know the contents hereof, and that all matters and information set forth therein are true, correct and complete to the best'of my knowledge and information; and I agree to conform to all applicable statutes and all rules and regulations promulgated by the Colorado Department of Revenue in connection therewith. DATE: r _ AUTHORIZED SIGNATURE: Y, IEPORT OP LOCAL LICENSING AUTHORITY; TITLE OF SIGNER (if corporation) The foregoing changes have been received and examined by the Local Licensing Authority. LOCAL LICENSING AUTHORITY FOR: eCm111",b r' LOCAL LICENSING AUTHORITY I.D. NUMBER: COUNTY TOW WCITY SIGNATURE: ATTEST: TITLE: Clio..-.CLaBIt, DATE: DATE: Note: Local Authority, please submit all copies to the Liquor Enforcement Divisio 9041fr I One copy will be returned to the applicant and one to the Local Authority upon acknowle gment. ,tarktigOtAA Rio E \.!1\ taf Q ©f Cof©ra& C tt Off IG tn® Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 VALLEY HAYLOFT INC 3101 HWY 119 LONGMONT CO 80501-9543 Alcoholic Beverage License Amount Number Indust. County City tndum. Type Liablliry Date LICENSE EXPIRES AT MIDNIGHT 14-15764 03 206 5813 3 062777 JUN 26r 1990 Type Name and Oesaiptin of License Foe T TAVERN LIQUOR LICENSE — MALT. VINOUS. AND SPIRITUOUS $ 25.00 COUNTY 85 PERCENT OAP FEE $ 276.25 TOTAL FEES) $ 301.25 This license is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is non- transferable and shall be conspicuously posted in the place above described. This license is only valid through the expiration date shown above. Questions concerning this license should be addressed to the Department of Revenue, Liquor Enforcement Divison, 1375 Sherman Street, Denver, CO 80261. In testimony whereof, I have hereunto set my hand. /45 Division Director OR 8402 (3-88) MAY 1 5 1989 Executive Director 830427 1210se TO BE POSTED IN A CONSPICUOUS PLACE. NON -TRANSFERABLE. M C, rn U 0 z o H L rn o 00 F- W Co 3 C7 H +z 1:1 a -+ o z » ,( WWI Uly.1 t il 1 LI 1 I I a pp■ \\^^ Att 1 h ms 1 and 2 when 'additional servioa WRRN TT9O""pa�SP� on }1thhheee reveres side... Mr d,date. eerdoet n erect, date, W addressee's address,. Mani drawl Ill ZLm r e t ASS Addressed to VALLEY HAYLOFT, INC. 3101 HIGHWAY 119 LONGMONT, CO 80501-9543 X/� 1 , i 41 fl • 890427 EL co ( R\§2 O Eco — Z C) Z /)\\ •-7 008t L"Gli 1 2 7 !!h. | ! I |f1 !f aII1!DMii, 1 ff. ft) 4■2 - 1 4 \ \ 1 i jI 4 % t"I.0 E a f U .� , I ,x,o*w a I- -7 < . � \ I °iii. `� \ LIQUOR ENFORCEMENT COLORADO DEPT. OF ] 1375 SHERMAN STREE' DENVER, CO 80261 § . , I I\ i • • d ■ 890427 RECEIVED OF IEASURER'S OFFICE, WELD COON" Greeley, Colorado.. aut., ..`.��./. x`3 N9 4172 , 19 F9 $ 9f1. is FOR CREDIT ,,((��%% County General Fund 101 0000 �'' v aamP//%� l i.". 7 8 �%_ L; Health Department 119 0000 v I Human Resources 121 0000 Social Services 112 0000 Housing Authority Road & Bridge Fund 111 0000 Airport 177 0000 County Clerk Cash Escrow 810 0803 Fee Fund 900 0912 School District Gen Fund School District C R F 890427 School District Bond F FRANCIS M. LOUSTALET I TOTAL AMOUNT ///��� 9 a 7,-1 County Treasurer Clerk DATE: 5/10ro9 SHERIFF'S OFFICE REPORT FOR BEER OR LIQUOR LICENSE RENEWAL REQUESTS APPLICANT: VALLEY HAYLOFT 3101 HIGHWAY 119 LONGMONT, CO 80501 TYPE OF LICENSE: TAVERN LIQUOR SHERIFF'S REPORT: SHERIFF'S OFFICE HAS BEEN NOTIFIED.(5/9/89) HEALTH DEPARTMENT REPORT: 890427 Hello