HomeMy WebLinkAbout871458.tiffRESOLUTION
RE: APPROVE CHANGE OF OWNERSHIP REQUEST FOR 3.2% BEER LICENSE FOR
HIGHLANDLAKE, INC. - EXPIRES NOVEMBER 9, 1988
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, Highlandlake, Inc. has presented to the Board of
County Commissioners of Weld County, Colorado, an application for
a Change of Ownership for the sale of fermented malt beverages,
containing not more than 3.2% of alcohol by weight, for
consumption on and off the premises, said license previously held
by Lawrence and Mary Jensen, dba Highland Lake Campground, and
WHEREAS, pursuant to Weld County Ordinance No. 6, Section
II., C., said applicant has paid the required fees to the County
of Weld for a Change of Ownership of the existing license, and
WHEREAS, said applicant has exhibited a State License for the
sale of 3.2% fermented malt beverages for consumption on and off
the premises, outside the corporate limits of any town or city in
the County of Weld at the location described as follows:
16983 Weld County Road 5, Platteville, CO 80651
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 approve the Change of Ownership and grants License Number
87-23 to said applicant to sell 3.2% fermented malt beverages for
consumption on and off the premises, 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 November 9, 1988,
providing that said place where the licensee is authorized to sell
3.2% fermented malt beverages 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, Colorad, and any
violations thereof shall be cause for revocation or suspension of
the license.
871458
Page 2
RE: CHANGE OF OWNERSHIP - HIGHLANDLAKE, INC.
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 21st day of
October, A.D., 1987.
ATTEST:
Weld County Clerk and Recorder
and Clerk to the Board
eputy County lerk
APPROVED AS TO FORM:
ounty Attorney
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY.-1QQLOP
ene R. Bra'htner
EXCUSED DATE OF SIGNING - AYE
Jacszuelane Johns
Frank ama4'iichi
871458
Executive Director Deputy Director
DR 8402 (4187)
ess
rta.
fib® OOLI C010r"dOO
Ca it Of 2,cn1@
Liquor Enforcement Division
1375 Sherman Street
Denver, Colorado 80261
HIGHLANDLAKE INC
17029 WELD CNTY RD 5
PLATTEVILLE CO 80651
Alcoholic Beverage License
Account Number
Indust.
County City , dt7st7" T�ype Liability Date
UCENSE EXPIRES AT MIDNIGHT
14-27324
03 206 5952 3 111087
NOV 9, 1988
Type
Name and Description of License
Fee
3
3.2 PERCENT BEER RETAIL LICENSE
$ 25.00
COUNTY 85 PERCENT OAP FEE
$ 42.50
TOTAL FEE(S)
$ 67.50
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. N O V 1 3 1987
=77-df ,0r4:ad
Division Director
s71458
to
on
NOVEMBER 9
N
k
Postmark or Date
//4th
al
Certified Fee
Special Delivery Fee
Restricted Delivery Fee 1
Return Receipt showing
to whom and Date Delivered
Return Receipt showing to whom,
Date, and Address of Delivery
TOTAL Postage and Fees
a-
_._r_,_SSd
\
i.
l
\.
ta
k
8. Addressee's Address (ONLY if
requested and fee paid)
•SENDER: Complete items 1 and 2 when additional services ere desired, and coma
md4.
Put your address In the "RETURN TO" Space on the reverse side. Failure to do this will
card from bding returned to you. The return (ocelot fee will rovde you the name 4
Aefyesad to d the date of pdWrv. For additional fees the following services are avails
Postmaster for fees and check box(*) for additional servkNs) requested.
I. 0 Show to whom delivered�`7and addressee's address 2. 0 Restricted Delivery
f Extno t1 harde,It
kis.
I.
!�
.
{
Always obtain signature of
or pent and
0.
!
Z■
I O
3. Article Addressed to:
HIGHLANDLAKE, INC.
17029 WELD COUNTY ROAD 5
PLATTEVILLE, CO 80651
6. SIgneture — Agent
(
X
7. Date of Delivery
|x
0.
§
§
k
§
•
871458
3 NOT WRITE IN THIS BLOCK
DRL 40: (Rev. 9/83)
STATE OF COLORADO
DEPARTMENT OF REVENUE
DIVISION OF LIQUOR ENFORCEMENT
1375 SHERMAN STREET
DENVER, COLORADO 80261
COLORADO FERMENTED MALT BEVERAGE
(3.2% BEER) LICENSE APPLICATION
Instructions on Page 3 of Application.
USE LICENSE ACCOUNT NO.
FOR ALL REFERENCE
LICENSE ISSUED THROUGH
(EXPIRATION DATE)
LIABILITY INFORMATION
COUNTY CITY INDUSTRY TYPE LIABILITY DATE
KEY CODE
STATE FEE
PAID
CITY
COUNTY
(03)
45-9
37-1
49-1
TOTAL FEE
ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN
1. Name of Applicantis): If partnership, list partners names (at least two); if corporation, name of corporation:
Date filed with Local Authority:
2. Trade Name of Establishment: (DBA)
State Sales Tax No
/Z_ 27324/
Business Telephone:
53S—ya43
3. Address of Premises: (Exact location of premises must be given. Give street and number. when possible. If place to be licensed is located in a town or rural
—district where it is impossible to give street and number, the lot and block number or part of section where located must be given 1
%(0 9 3 ftu - A?d , S cite -C:1 o
City: County: State: Zip Code:
4. Mailing Address: (Number and Street)
170;9 wcL f? S
5. If these premises are now licensed. answer the following:
Trade Name of Establishment (DBA):
j1h,tAtA --Rk<.4
City or Town:
��e,Gtiv /
State:
ti-Celta-tize—
Zip Code:
6S/
State License No.:
,4—oy5-,�s
Type of License:
3 • (737a f t_,r a�
Expiration Date:
///c3/
KEY COLUMN A
CODE
STATE
FEES
LOCAL
FEES
11 ❑ Retail 3.2% Beer: Fermented Malt
Beverage License - City
11 NI Retail 3.2% Beer: Fermented Malt
Beverage License - County
$ 46.25 $ 3.75
$ 67.50 7.50
❑ Other (Specify)
(Change of Corporate structure, location, trade
name, renewal, etc.)
KEY COLUMN B
CODE
12 ❑ Wholesale 3.2% Beer License
13 I1 Manufacturer's 3.2% Beer Llcnese
16 Li Nonresident Manufacturer or
Importer License (Fermented Malt
Beverage)
STATE
FEES
$100.00
100.00
100.00
Page 1 of 4
Q91 &SRI
I continued)
YES NO
6. Is the applicant; or any of the partners; or officers, stockholders or directors of said applicant lif a corporation); \�
or manager; under the age of eighteen years?
7. (a) Has the applicant; or any of the partners; or officers, stockholders or directors of said applicant (if a corporation)
ever been convicted of a crime? If answer is "yes," explain in detail.
(b) Has persons lending assistance or financial support to the applicant; or the manager; or employees; ever been
convicted of a crime? If answer is "yes," explain in detail.
❑ rP
❑
8. Has the applicant; or any of the partners; or officers, directors or stockholders of said applicant (if a corporation);
or manager; ever:
(a) been denied an alcoholic beverage license?
(b) had an alcoholic beverage license suspended or revoked?
(c) had interest In an entity that had en alcoholic beverage license suspended or revoked?
If answer is "yes." explain In detail (Attach separate sheet If necessary.)
g. Has a fermented malt beverage license for the premises to be licensed been refused within the preceding one year?
tD, Does or did the applicant; or any of the partners; or officers, directors or stockholders of said applicant (if a corporation), have a direct
or indirect interest in any other Colorado Liquor or Fermented Malt Beverage license (include loans to or from any licensee, or Interest In a
loan to any licensee)? if answer is "yes," explain in detail.
11. State whether the applicant has legal possession of the premises by virtue of ownership or under a lease. If leased, list
name and address of landlord and term of Ieas�
12. Identify the persons, firms or corporations who now or will have. a financial interest, evidenced either by loans or equity ownership in the business for
which this license is requested. State the names and addresses, and the amount and source of such financial interest expressed in dollars or other items
f 1 uch as invento furniture or equipment; (i.e., bank, relatives, friends, previous owners, etc.). Use separate sheet if necessary.
o ve ue, s ry.
NAME
i-.,-
_ ✓
ADDRESS
INTEREST 1
7 2
L./d .-_ r
7
,
List the names and addresses of all liquor businesses In which any of the persons In the previous question are materially Interested.
(Use separate sheet if necessary.)
NAME
Ga-dvrf11/.v /lil ,Zensem
Ayr/ c ✓-Posen
BUSINESS
/ale
/7i%i, / Lo -,4e
ADDRESS geg A /&a rrlr k `a,rs�sn.r, tam/
/70,-9/1°04; /%A//ti, ✓4.,2dS/
Attach copies of all notes end security instrument, and any written agreement or details of any oral agreement, by which any person (including a
corporation) will share in the profit or gross proceeds of this establishment, and any agreement relating to the business which is contingent or con-
ditional in any way by volume, profit, sales, giving of advice or consultation.
14. Colorado Manufacturer or Wholesaler app'.icants, answer the following:
(a) Does the applicant own, lease or operate any Colorado warehouse or storage plant in connection with this business?
If answer is "yes," give full address; if "no," explain in detail.
YES NO
(b).Does the applicant have an active surety bond for the payment of liquor excise taxes?
If answer is "yes," give amount and name and address of insuror; if "no." explain in detail.
(c) If the applicant is a wholesaler, does or did any owner, part owner, shareholder, director or officer have any direct or
indirect financial interest in a wholesaler, retailer, manufacturer or importer already licensed by the State of Colorado
to sell fermented malt beverages, or malt, vinous or spirituous liquor? If answer is "yes." attach ex?lanation in detail.
(dl Does the applicant have a valid Federal Basic Permit? If "yes." attach a copy of the permit; if "no," explain in detail.
Page 2 of 4
871458 (continued)
f "no," explain n, use.,,.
16. If the applicant is an individual or partnership, answer the following: (Attach separate sheet i necessary.)
— (a) Name of individual or name and class Home Address, City and State:
— of each partner: -
(e1 To what Colorado licensed wnoiesaier oo you anent."+ " T--• -
-
lb) If the applicant is an importer or manufacturer, r' —es omanufactu er, wholesaler or retailer ar did any owner, part owner, lready I cerr orhyofficer have
der, director any direct or indirect financial interest in ir.
State of Colorado to sell fermented malt l beverage. or melt, vinous or spirituous liquor? If answer Is "Yee .ttach explanation in detail. (^
(c) Does the applicant have a valid Federal Basic Permit? If "yes." attach a copy of the permit; if "no," explain in detail. a O
(d) If the applicant is an importer or manufacturer, are you the primary source of supply in the U.S.?
Date of Birth:
Date of Birth:
Ibl Name of Operating Manager:
Home Address, City and State:
fel When did said partnership commence doing business? (Attach a copy of the partnership agreement, except as between husband and wife,
and trade name affidavit.) Date
n n
17. I f the applicant is a corporation, answer the following'
la) Corporation is organized under the laws of the State of:
lb) Principal busyness is conducted, at: ,,ii
-7",i. 4 i
lc) Date of filing I- t annual corporate report to the secretary of state:
)d Name of each officer listed below' Home Address, City and State
Presiders
Vice -President:
Treasurer:
Secretary:
Operating Manager
County o
(a) NList ame ofrstockholder include actual owner or pledgee. (Use separate sheet if Home Address, City and State:necessary)
Name of all Directors or Trustees
of Corporation:
State
% of stock:
Date of Birth
Date of Brth:
3 -
of Birth:
Home Address, City and State:
INSTRUCTIONS
1) Check the appropriate box for the type of license(s) being applied for on page 1. If you are applying for a retail license described in
Column A, contact the Local Licensing Authority to obtain all local procedures and requirements.
2) You may attach separate sheets or additional documents if necessary to fully complete this application. Copies may be accepted (other
than application) if signatures are evident. All documents must be typewritten or legibly printed in BLACK
ink. documents must FIRST
3) IMPORTANT: For those retail licenses described in Column A on page 1, this application and all supporting be accepted OCAL fBE FLED IN DUPICAE
eIquestions a eLfullyTansuweed, all supportOing documents ITH AND APPRVED BY THE Lcorrespond T exactly with HORITY. p hecname of ation Ithe tapplicantt(s) and eproperpees
are attached.
4) Form DR L 404-1, " Individual History Record" must be completed and filed in duplicate by the following:
a. Each applicant
b. All general partners
c. Over 5% limited partners
d. All officers and directors of a corporation
e. All stockholders of a corporation not subject to the Securities and Exchange Act of 1934.
f. Over 5% stockholders of a corporation subject to the Securities and Exchange Act of 1934.
g. Operating managers
h. Each person required to file form DRL 404-I must submit fingerprints to Local Licensing Authority.
5) NOTE: License status will not be given over the telephone. License will be mailed to the Local Licensing Authority upon issuance.
Page 3 of 4
871458
OATH OF APPLICANT
This appllication is to be signed by individual, each general partner of partnership and by corporate applicants.
I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto,
and that I know the contents thereof, 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. -
INDIVIDUALS AND ALL GENERAL PARTNERS OF CORPORATIONS SIGN HE E:
PARTNERSHIPS MUST SIGN HERE:
DATE:
By
idenJ, ice Presi• or Secretary) a �[
DATE: .,2 J �j
REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY
(MANUFACTURERS, IMPORTERS, WHOLESALERS DISREGARD THIS SECTION)
The foregoing application has been examined and the premises, business conducted and character of the applicant is
satisfactory. We do report that such license, if granted, will meet the reasonable requirements of the neighborhood
and the desires of the inhabitants, and complies with the provisions of Title 12, Article 46, CRS 1973 as amended.
CRS 1973,as amended, 12-46-117
(1) (a) The local licensing authority shall restrict the use of said license to:
(I) Sales for consumption "off" the premises of the licensee; or H
(II) Sales for consumption "on" the premises of the licensee; or ❑
(I l l) Sales for consumption "both on and off" the premises
of the licensee.
Check One:
(b) The provisions of paragraph (1) (a) shall not apply to any license issued or applied for under
this article prior to July 1, 1967, nor to any renewal or reissuance thereof.
THEREFORE THIS
APPLICATION IS HEREBY APPROVED.
DATED AT Greeley
AT
BY:
WELD COUNTY
this 21st day of October A D 19 87
ATTEST:
'�tjf+M'4 alrr8f rYQ-o commissioners or other title of the lice
(Clerkretary of other iifficar having the ojf al the licensing authority
uthority)
ly" r¢�%
(If the premises are located within a town or city, the above approval should be signed by the mayor and clerk, if in a county,
then by the chairman of the board of county commissioners and the clerk to the board. If, by ordinance or otherwise, the local
licensing authority is some other official, then such approval should be given by such official.)
Local Licensing Authority report the following pertaining to each person required to file form DRL 404-I:
FINGERPRINTED & SUBMITTED BACKGROUND N.C.I.C. & C.C.I.C. CHECKS
Yes S7 No ❑
Yes Q No ❑
871455
Page 4 of 4
DR 84041 (2/85)
STATE OF COLORADO
DEPARTMENT OF REVENUE/LIQUOR ENFORCEMENT
1375 Sherman Street
Denver, Colorado 80261
To be completed by each individual applicant, each general and over 5% limited partner of a partnership, each officer, director, and over 5%
stockholder of a public corporation, and the manager of the applicant.
NOTICE
This Individual History Record provides basic information which is necessary for the licensing authorities' investigation.
answered in their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will jeopardize
as such falsehood within itself constitutes evidence regarding the character and reputation of the applicant.
ALL questions must be
the application
1. Name of Business:
14/�hLkNnLAK6
Date:
/0-6- '2
Social Security Number:
,117
2. Your Full NN/me: (last/first/middle) (
%�/4 �/Q'Ji�c
3/Also
,,Known As: (maiden name/nickname/etc.)
/i, ,t sic /2( O/N.�Gz. i
4, Date f Birth: / /
,.,.t
state where: (/
When:
Name of U.S. District Court:
,,YES
Naturalization Certificate No.:
Date of Certificate:
If an alien, give Alien's Registration Card No.:
Permanent Residence Card No.:
6, Height: h
3/ / /7
We�igght:
//.2
/Hair Color:
VLnc
Eye Color:
//lt i
Sex: /
1-
Race:
1/
7. Do you have a Colorado Drivers License?If' YES", give number.
YES 0 N £ � �
eofficer/directo /st ckholder or manager)
8. Your Rela ionship to Applicant: (sole owner/partner/c/orp�o// rat��
r Kuril- ( !fi,C ce (Y�G
..
g, If Stockholder, Number of Shares Owned Beneficially or of Record:
7n -Z,
Percent of Outstanding Stock Owned:
/OD 570
10Jf Partner State Whether:
❑GENERAL ❑LIMITED
Percent of Partnership Beneficially Owned:
11. Residence Address: (street and number/city/state/zip),
/ 14/ :2 9 . 3 ,O7.&avrz4t Ca. uaGS /
12.Is your residence:
OWNED ❑RENTED
7rJ
If rented, from whom?
13. Mailing Address, If Different From Residence:
14. Name of Present Employer:
15.Type of Business of Employment:
16. Address of Business Where Employed: (street and number/city/state/zip)
17. Present Position:
18.Home Telephone:
5-3 -.5.- -4‘2 9 3
Business Telephone:
S -1—c_.—
19.Marital Status:
20. Name of Spouse (include maiden name if applicable):
21,SPouse's Date of Birth:
Place of Birth:
22. If spouse's residence address is different than yours, list here.: (street and number/city/state/zip)
23. If spouse works, state name of present employer:
Occupation:
Address of present employer:
24. List the name(s) of all relatives working in the liquor industry, giving their:
Name of Relative:
Relationship to you:
Position held:
Name of employer:
Location of employer:
Name of Relative: t
Relationship to you:
Position held:
Name of employer:
Location of employer:
25.Do you now, or have you ever held a direct or indirect interest in a a .State of Colorado Liquor or Beer License? If "YES", answer in detail.
%YES ONO G ,irgd 4 ("-'/
INDIVIDUAL HISTORY RECORD
871458
N26. Do you now, or have you ever had a direct or indirect interest in a liquor or beer license, or been employed in a liquor or beer related business outside ofthe
State of Colorado? If "YES", describe in detail.
EYES T*NO
27. Have you ever been convicted of a crime, fined, imprisoned, placed on probation, received a suspended sentence or forfeited bail for any offense in criminal or
military court? (Do not Include traffic violations, unless they resulted in suspension or revocation of your driver's license, or you Were convicted of driving
under the influence -���of alcoholic beverages.) If "YES", explain in detail.
,tIV
ONO O
ever
28. Have you received a violation notice, suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere in the U.S.?
If "YES", explain in detail.
DYES siNO
29. Have you ever held a gambling
or gaming license or owned a Federal Gambling Stamp? If "YES", explain in detail.
AYES ri,NO
State/Federal:
Year:
City:
State:
State/Federal:
Year:
City:
State:
30. Military Service: branch:
From:
To:
Serial No.:
Type of Discharge:
31. List all addresses where you have lived for the last five years.(Attach separate sheet if necessary)
Street and Number:
j 7 0 2 ri Pi S
City/State/Zip:
G �i..>G vrrvG�c.. & g vG,s-
From:
To:
Street and Number:
City/State/Zip:
From:
To:
32. List all former employers or businesses engaged in within the last five years: (Attach additional sheets if necessary)
Name of Employer:
Address: (street and number)
(city/state/zip)
Position Held:
From:
To:
Name of Employer:
Address: (street and number)
(city/state/zip)
Position Held:
From:
To:
33. List the names and attach letters of recommendation from three persons who can vouch fo your good character and fitness in conne tion with this application.
Name of Reference: ® p
&A i 4
Address: (street and number)
/ -'i .f —/G (11 G` 17 !
(city/state/zip
`-C7 t -r at ca . gosi /
No.Years Known:
/r d
Name of Refer oc
." 2
Address: (street and number)
/;.-2 2 7 O72Ga
(city/state 1p)
%- 'x,72,14 CO r °SU I
No. Years Known:
3-0
Name of Reference:
®4cx,t_.—
Address: (street and number)
(city/state/zip)
"«P' Go. q asVa
No. Years Known:
Ae G
OATH OF APPLICANT
I declare under penalty of perjury in the second degree that l 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:
X17 Q
TITLE: v
DATE:
1G -G -f7
871456
DR 84041 (2/85)
STATE OF COLORADO
DEPARTMENT OF REVENUE/LIQUOR ENFORCEMENT
1375 Sherman Street
Denver, Colorado 80261
INDIVIDUAL HISTORY RECORD
To be completed by each individual applicant, each general and over 5% limited partner of a partnership, eacn Dtticer, airectui, diiu t,vt' pro
stockholder of a public corporation, and the manager of the applicant.
NOTICE
This Individual History Record provides basic information which is necessary for the licensing authorities' investigation.
answered in their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will jeopardize
as such falsehood within itself constitutes evidence regarding the character and reputation of the applicant.
ALL questions must be
the application
1. Name of Bum ss:
fi//� / /and /a,&
Date: c
/D —��6�
/
Social Security Number'.
^/
2. Your Kull Name' (last/first/middle)
v'2.& h
3. Also Known As: (maiden name/nickname/etc.)
(01717re`/r-e
4,Date of Birth:
/
state where:
When:
Name of U.S.
District Court:
No.:
14sYES
Naturalization Ce
tificate No.:
Date of Certificate:
If an alien, give Alien's Registration. Card No..
Permanent Residence Card
6. Height:
/Irai
Weight:
Z�0
Hair Color:
P/�7 CO /l'a
/EEyye
Color:
Z¢/
Sex:
Race:
l_
7. Do you have a Colorado Drivers
/
B. Your Relationship to/Applicant:
7/rector
solee�
partner/corpgLete�officer/directo /stoS holder or manager)
/nor Crs Ty/`I
//
g, If Stockholder, Number of Shares Owned Beneficially or of Record:
Pe cent of Outstanding Stock Owned:
l0Jf Partner State Whether:
❑GENERAL ['LIMITED
Percent of Partnership Beneficially Owned:
11. Residence Address: (street and
•/03 161;fir`
umber/city/state/zip)
Loh/ /2,0H 72 K rQos-w
12.1s you residence:
XOWNED ['RENTED
If rented, from whom?
13. Mailing Address, If Differen
From Residence:
14. Name of Present Employer: n/ /
S.e/lC le-nlr cPAValekE8o/TP0m I ?/Ac
15. Type of Business of Employment:
C PS
16. Address of Business Where EEmployed: (street and number/city/state/zio)
S/S'
r'rnAp
17. Present Position:
Pre"sidloiaL
18.Home Telephone:
7710 ,V S3%
Business Telephone.
770 7964
19. Marital Status:
of Spouse (include maiden name if applicable):
20. .Name /
21.Spouse's Date of Birth:
Place of Birth:
22. If spouse's residence address is different
S7/ii
than yours, list here.: (street and number/city/state/zip)
o_
23. if spouse works, state name of present employer:
Occup ion:
/ea/7 r
.s-e/r
Address of present employ //
94/� /04 /P4Me is/ ?OSd/
A°�
24. List the name(s) of all relatives working in the liquor in ustry, giving their: w(/h
Name of Relative:
Relationship to you:
Position held:
Name of employer:
Location of employer:
Name of Relative: t
Relationship to you:
Position held:
Name of employer:
Location of employer:
25.D....z��zo you now, or have you ever held adirect /or indirect interest in a State of�pldrado Liquor or Beer License? If "YES", answer in detail.
,,,,t111 YES ENO L."a%lr�A/ icsy/ Are /yo/s/f r
R71 45F4
X16. Do you now, or have you ever had a direct or Indirect interest in a liquor or beer license, or been employed in a liquor or beer related business outside ofthe
State of Colorado? If "YES", describe in detail.
OYES $NO
27. Have you ever been convicted of a crime, fined, imprisoned, placed on probation, received a suspended sentence or forfeited bail for any offense in criminal or
military court? (Do not Include traffic violations, unless they resulted in suspension or revocation of your driver's license, or you (dere convicted of driving
under the influence of alcoholic beverages.) If "YES", explain in detail.
DYES EiNO
28. Have you ever received a violation notice, suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere in the US.?
If "YES", explain in detail.
DYES Iat NO
29. Have you ever held a gambling or gaming license or owned a Federal Gambling Stamp? If "YES", exp ain in detail.
OYES cgNO
State/Federal:
Year:
City:
State:
State/Federal:
Year:
City:
State:
30. Military Service: branch:
tinny
From:
/9SS-
To:
/14/
Serial No.:
Type of Discharge:
i%Norrr,b/e
31. List all addresses where you have lived for the last five years.(Attech separate sheet if necessary) _Cavil F .af eriovio_
Street and Number:
City/State/Zip:
From:
To:
Street and Number:
City/State/Zip:
From:
To:
32. List all former employers or busengaged in within the last five years: (Attach additional sheets if necessary)
Name of Employer:
Address: (street and number)
(city/state/zip)
Position Held:
From:
To:
Name of Employer:
Address: (street and number)
(city/state/zip)
Position Held:
From:
To:
33. List the names and attach letters of recommendation from three persons who can vouch for your good character and fitness in connection with this application.
Name of Reference:
Address: (street and number)
(city/state/zip)
No.Years Known:
Name of Reference:
Address: (street and number)
(city/state/zip)
No. Years Known:
Name of Reference:
Address: (street and number)
(city/state/zip)
No. Years Known:
OATH OF APPLICANT
I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that
all information therein fsrue, corr, an complete th ' t t d to the best of my knowledge.
SIGNATURE:
TITLE:
747020
DATE:
-,o -3c"
871458
DEPARTMENT OF
STATE
,91, NATALIE MEYER , [Peczeiaty of Wale of the blade el
eoleitado hay cab dint ate A0e/%etlui/rik k Yee &uase
Ihui cedi have lean Atifilled in ccin$ iaince with law
and ate fxtnd la confrm to law.
s tic cau/ ww, the undetoiened, lny ?Ake of the aulhaily
,vebzea 6n me 4y law, l�hd Gooae6 A CERTIFICATE OF INCORPORATION
TO HIGEL ANDLAKE: INC.
DATED: SEPTEMBER 25, 1985
Vata-AD
SECRETARY OF STATE
871458
7/7/
F
[PE P 25 All : tl 8
ARTICLES OF INCORPORATION
OF
HIGHLANDLAKE, INC.
The undersigned person, who is more than eighteen years of age,
hereby establishes a corporation pursuant to the statutes of the State of
Colorado, and adopts the following Articles of Incorporation.
I. NAME
The name of the Corporation is Highlandlake, Inc.
II. TERM
The Corporation shall have perpetual existence.
III. PURPOSES AND POWERS
A. Purposes. The Corporation shall be permitted to engage in
or conduct all business or businesses permitted by law.
B. Powers. In furtherance of the foregoing purposes, the
Corporation shall have and may exercise all of the rights, powers and
privileges now or hereafter conferred upon corporations organized under
the laws of Colorado. In addition, it may do everything necessary, suit-
able or proper for the accomplishment of any of its corporate purposes.
IV. SHARES
A. Number of Shares. The aggregate number of shares which
the Corporation shall have authority to issue is 50,000 shares of common
stock, without par value.
B. Voting of Shares. Each shareholder of record shall have
one vote for each share of stock standing in his name on the books of the
Corporation and entitled to vote, except that, in the election of
871458
directors, he shall have the right to vote such number of shares for as
many persons as there are directors to be elected. Cumulative voting
shall not be allowed in the election of directors or for any other
purposes.
C. Distributions to Shareholders. The Board of Directors
may, from time to time, distribute to the shareholders in partial
liquidation, out of stated capital or capital surplus of the Corporation,
a portion of its assets, in cash or property, subject to the limitations
contained in the statutes of Colorado.
D. Restrictions on Share Transfer. The Board of Directors
is authorized to impose any restriction on the sale, pledge, transfer, or
other disposition of shares of the Corporation which, in its sole
discretion, is necessary or desirable for the Corporation, including, but
not limited to, those restrictions necessary to enable the Corporation to
comply with state or federal securities laws.
The following legend will be placed on each share certificate
issued by the Corporation to restrict the transferability of the
Corporation's share:
The shares represented by this certificate are subject to
restrictions on transfer. A copy of the restrictions will be
furnished by the corporation to the holder of this certificate
upon written request and without charge.
V. BOARD OF DIRECTORS
The business and affairs of the Corporation shall be managed by
a board of directors which shall exercise all of the powers of the Cor-
poration, except as otherwise provided by law or by these Articles of
Incorporation. The number of directors of the Corporation, which shall
constitute the whole Board of Directors, shall be such as is from time to
2
871458
time fixed by, or in the manner provided in, the Bylaws. No decrease in
the number of directors shall shorten the term of any incumbent director.
The Board of Directors shall have the power to adopt such Bylaws as may
be necessary and proper for the management of the affairs of the Corpora-
tion and to alter, amend or repeal the same in accordance with the pro-
visions to that effect contained in said Bylaws.
VI.- INITIAL BOARD OF DIRECTORS
Three directors shall constitute the initial Board, their names
and addresses being as follows:
Mary Jensen
17029 Weld County Road 5
Platteville, Colorado 80651
Dorothy Scott
730 Kimbark Street
Longmont, Colorado 80501
Lawrence M. Jensen
515 Kimbark Street
Longmont, Colorado 80501
VII. REGISTERED OFFICE AND AGENT
The address of the initial registered office of the Corporation
is 515 Kimbark Street, Suite 107, Longmont, Colorado 80501. The name of
its initial registered agent at such address is Lawrence M. Jensen. The
Corporation may conduct all or part of its business in any other part of
Colorado, of the United States or of the world. It may hold, mortgage,
lease and convey real and personal property in any of such places.
3
871458
VIII. MISCELLANEOUS
The following provisions are inserted for the management of the
business and for the conduct of the affairs of the Corporation, and the
same are in furtherance of and not in limitation or- exclusion of the
powers conferred by law.
A. Contracts with Directors, etc. No contract or other
transaction, of the Corporation with any other person, firm or corpora—
tion, or in which this Corporation is interested, shall be affected or
invalidated by:
1. The fact that any one or more of the directors or
officers of this Corporation is interested in or is a director or officer
of another corporation; or
2. The fact that any director or officer, individually
or jointly with others, may be a party to or may be interested in any
such contract or transaction. Each person who may become a director or
officer of the Corporation is hereby relieved from any liability that
might otherwise exist by reason of his contracting with the Corporation
for the benefit of himself or any firm or corporation in which he may be
in any way interested.
B. Negation of Equitable Interests in Shares or Rights. The
Corporation shall be entitled to treat the registered holder of any
shares of the Corporation as the owner thereof for all purposes, includ-
ing all rights deriving from such shares, and shall not be bound to rec-
ognize any equitable or other claim to, or interest in, such shares or
rights deriving from such shares, on the part of any other person, in-
cluding, but without limiting the generality hereof, a purchaser,
assignee or transferee of such shares or rights deriving from such
871458
4
shares, unless and until such purchaser, assignee, transferee or other
person becomes the registered holder of such shares, whether or not the
Corporation shall have either actual or constructive notice of the inter-
est of such purchaser, assignee or transferee or other person. The pur-
chaser, assignee or transferee of any of the shares of the Corporation
shall not be entitled: to receive notice of the meeting of the share-
holders; to vote at such meetings; to examine a list of the shareholders;
to be paid dividends or other sums payable to shareholders; or to own,
enjoy and exercise any other property or rights deriving from such shares
against the Corporation, until such purchaser, assignee or transferee has
become the registered holder of such shares.
IX. INCORPORATOR
The name and address of the incorporator are:
Lawrence M. Jensen
515 Kimbark Street
Longmont, Colorado 80501
Dated: OAS
Lawrence M. Jensen
STATE OF COLORADO )
) ss.
COUNTY OF BOULDER )
1, ihouvuth_ejir a Notary Public,
pJ,ub�l i c, hereby
u/i
certify that on the/_day of Saki/, 19A personally
appeared before me Lawrence M. Jensen, who being by me first duly sworn,
5
871458
declared that he was the person who signed the foregoing Articles of
Incorporation as incorporator and that the statements therein contained
are true.
ss my hand and official seal.
ission expires:
LKS:bs
7/2/89
Ors -
Notary Public
♦
6
871458
BYLAWS
OF
HIGHLANDLAKE, INC.
ARTICLE I
Identification
1.1 NAME. The name of the Corporation is Highlandlake, Inc.,
hereinafter called the Corporation.
1.2 PRINCIPAL OFFICE, REGISTERED OFFICE AND REGISTERED AGENT. The
principal office of the Corporation shall be located in Boulder County,
Colorado. The Corporation may have such other offices, either within or
outside Colorado, as the Board of Directors may designate or as the
business of the Corporation may require from time to time.
The registered office of the Corporation required by the Colorado
Corporation Code to be maintained in Colorado may be, but need not be
identical with the principal office if in Colorado, and the address of
the registered office may be changed from time to time by the Board of
Directors.
The registered agent of the Corporation required by the Colorado
Corporation Code to maintain a business office identical with the
registered office of the Corporation may be changed from time to time by
the Board of Directors.
1.3 CORPORATE SEAL. The Board of Directors shall provide a
suitable corporate seal containing the name of the Corporation, which
seal shall be in the charge of the Secretary. If so directed by the
Board of Directors, a duplicate of the seal may be kept and used by the
Treasurer or an Assistant Secretary or Assistant Treasurer.
ARTICLE II
Shareholders
2.1 ANNUAL MEETING. The annual meeting of the shareholders of the
Corporation shall be held at 10:00 A.M. on the second Saturday in the
month of May in each year beginning with the year 1986, for the purpose
of electing directors and for the transaction of such other business as
may come before the meeting. If the day fixed for the annual meeting
shall be a legal holiday in Colorado, or in the event that such annual
meeting is omitted by oversight or otherwise on the date herein provided
for, the directors shall cause a meeting in lieu thereof to be held as
soon thereafter as conveniently may be, and any business transacted or
elections held at the meeting shall be as valid as if transacted or held
at the annual meeting. Such subsequent annual meetings shall be called
in the same manner as provided for the annual shareholders' meeting.
871458
2.2 SPECIAL MEETINGS. Except as otherwise provided by law, spe-
cial meetings of the shareholders of the Corporation shall be held when-
ever called by the President or Vice President or by the Treasurer or by
a majority of the Board of Directors or whenever one or more share-
holders who are entitled to vote and who hold at least ten percent of
the capital stock issued and outstanding shall make written application
therefor to the Secretary or an Assistant Secretary stating the time,
place, and purpose of the meeting called for.
2.3 PLACE OF MEETING. The Board of Directors may designate any
place, either within or outside Colorado, as the place for the annual
meeting or for any special meeting called by the Board of Directors. A
waiver of notice signed by all shareholders entitled to vote at a meet-
ing may designate any place, either within or outside Colorado, as the
place for such meeting. If no designation is made, or if a special
meeting shall be called otherwise than by the Board, the place of meet-
ing shall be the registered office of the Corporation in Colorado.
2.4 NOTICE OF MEETING. Written or printed notice stating the
place, day and hour of the meeting, and, in case of a special meeting,
the purposes for which the meeting is called, shall be delivered no less
than ten nor more than fifty days before the date of the meeting, either
personally or by mail, by or at the direction of the President, or the
Secretary, or the officer or persons calling the meeting, to each share-
holder of record entitled to vote at such meeting, except that if the
authorized capital stock is to be increased, at least thirty days' no-
tice shall be given. If mailed, such notice shall be deemed to be de-
livered when deposited in the.United States Mail, addressed to the share-
holder at his address as it appears on the stock transfer books of the
Corporation, with postage thereon prepaid. If requested by the person
or persons lawfully calling such meeting, the Secretary shall give notice
thereof at corporate expense.
2.5 CLOSING OF TRANSFER BOOKS OR FIXING OF RECORD DATE. For the
purpose of determining shareholders entitled to notice of or to vote at
any meeting of shareholders or any adjournment thereof, or shareholders
entitled to receive payment of any dividend, or in order to make a de-
termination of shareholders for any other proper purpose, the Board of
Directors may provide that the stock transfer books shall be closed for
any stated period not exceeding fifty days. If the stock transfer books
shall be closed for the purpose of determining shareholders entitled to
notice of or to vote at a meeting of shareholders, such books shall be
closed for at least ten days immediately preceding such meeting. In
lieu of closing the stock transfer books, the Board of Directors may fix
in advance a date as the record date for any such determination of share-
holders, such date in any case to be not more than fifty days, and, in
case of a meeting of shareholders, not less than ten days prior to the
date on which a particular action, requiring such determination of share-
holders, is to be taken. If the stock transfer books are not closed and
no record date is fixed for the determination of shareholders entitled
to notice of or to vote at a meeting of the shareholders, or shareholders
2
871458
entitled to receive payment of a dividend, the date on which notice of
the meeting is mailed or the date on which the resolution of the Board
of Directors declaring such dividend is adopted, as the case may be,
shall be the record date for such determination of shareholders. When a
determination of shareholders entitled to vote at any meeting of share-
holders has been made as provided in this section, such determination
shall apply to any adjournment thereof except where the determination
has been made through the closing of the stock transfer books and the
stated period of the closing has expired.
2.6 VOTING LISTS. The officer or agent having charge of the stock
transfer books for shares of the Corporation shall make, at least ten
days before each meeting of shareholders, a complete list of the share-
holders entitled to vote at such meeting or any adjournment thereof,
arranged in alphabetical order, with the addresses and the number of
shares held by each. For a period of ten days prior to such meeting,
this list shall be kept on file at the principal office of the Corpora-
tion, whether within or outside Colorado, and shall be subject to in-
spection by any shareholder at any time during usual business hours.
Such lists shall also be produced and kept open at the time and place of
the meeting and shall be subject to the inspection of any shareholder
during the whole time of the meeting. The original stock transfer books
shall be prima facie evidence as to who are the shareholders entitled to
examine such list or transfer books or to vote at any meeting of share-
holders.
2.7 QUORUM. A majority of the shares entitled to vote, repre-
sented in person or by proxy, shall constitute a quorum at a meeting of
shareholders. If less than a majority of the outstanding shares are
represented at a meeting, a majority of the shares so represented may
adjourn the meeting from time to time without further notice. At such
adjourned meeting at which a quorum shall be present or represented, any
business may be transacted which might have been transacted at the meet-
ing as originally notified. The shareholders present at a duly organ-
ized meeting may continue to transact business until adjournment, not-
withstanding the withdrawal of enough shareholders to leave less than a
quorum.
If a quorum is present, the affirmative vote of a majority of
the shares represented at the meeting and entitled to vote on the sub-
ject matter shall be the act of the shareholders unless the vote of a
greater number or voting by classes is required by law or the Articles
of Incorporation.
2.8 PROXIES. At all meetings of shareholders, a shareholder may
vote by proxy executed in writing by the shareholder or his duly autho-
rized attorney in fact. Such proxy shall be filed with the Secretary of
the Corporation before or at the time of the meeting. No proxy shall be
valid after eleven months from the date of its execution, unless other-
wise provided in the proxy.
3
8'71458
2.9 VOTING OF SHARES. Each outstanding share, regardless of class,
shall be entitled to one vote, and each fractional share shall be enti-
tled to a corresponding fractional vote on each matter submitted to a
vote at a meeting of shareholders, except to the extent that the voting
rights of the shares of any class or classes are limited or denied by
the Articles of Incorporation as permitted by the Colorado Corporation
Code. In the election of directors each record holder of stock entitled
to vote at such election shall have the right to vote the number of
shares owned by him for as many persons as there are directors to be
elected, and for whose election he has the right to vote. Cumulative
voting shall not be allowed.
2.10 VOTING OF SHARES BY CERTAIN HOLDERS. Neither treasury shares,
nor shares of its own stock held by the Corporation in a fiduciary ca-
pacity, nor shares held by another corporation if a majority of the
shares entitled to vote for the election of the directors of such other
corporation is held by this Corporation, shall be voted at any meeting
or counted in determining the total number of outstanding shares at any
given time.
Shares standing in the name of another corporation may be
voted by such officer, agent or proxy as the bylaws of such corporation
may prescribe or, in the absence of such provision, as the board of
directors of such corporation may determine.
Shares held by an administrator, executor, guardian or con-
servator may be voted by him, either in person or by proxy, without a
transfer of such shares into his name. Shares standing in the name of a
trustee may be voted by him, either in person or by proxy, but no trustee
shall be entitled to vote shares held by him without a transfer of such
shares into his name.
Shares standing in the name of a receiver may be voted by such
receiver, and shares held by or under the control of a receiver may be
voted by such receiver without the transfer thereof into his name if
authority so to do be contained in an appropriate order of the court by
which such receiver was appointed.
A shareholder whose shares are pledged shall be entitled to
vote such shares until the shares have been transferred into the name of
the pledgee, and thereafter the pledgee shall be entitled to vote the
shares so transferred.
2.11 CHAIRMAN OF MEETING. The President or, in his absence, a Vice
President shall preside at all meetings of the shareholders; and, in the
absence of the President and Vice President, the Board of Directors may
appoint any shareholder to act as chairman of the meeting.
2.12 SECRETARY OF MEETING. The Secretary of the Corporation shall
act as secretary of all meetings of the shareholders; and, in his ab-
- 4 -
871458
sence, the chairman may appoint any person to act as secretary of the
meeting.
2.13 INFORMAL ACTION BY SHAREHOLDERS. Any action required to be
taken at a meeting of the shareholders, or any other action which may be
taken at a meeting of the shareholders, may be taken without a meeting
if a consent in writing, setting forth the action so taken, shall be
signed by all of the shareholders entitled to vote with respect to the
subject matter thereof. Such consent shall have the same force and
effect as a unanimous vote of the shareholders, and may be stated as
such in any articles or documents filed with the Secretary of State of
Colorado under the Colorado Corporation Code.
ARTICLE III
Board of Directors
3.1 GENERAL POWERS. The business and affairs of the Corporation
shall be managed by its Board of Directors, except as otherwise provided
in the Colorado Corporation Code or the Articles of Incorporation.
3.2 NUMBER, TENURE AND QUALIFICATIONS. The number of directors of
this Corporation shall be not less than three; provided, however, that
if all outstanding shares of stock of the Corporation are held of record
by less than three shareholders, then there need be only as many direc-
tors as there are shareholders of record. Subject to such limitation,
the number of directors shall be fixed by resolution of the Board of
Directors and may be increased or decreased by resolution of the Board
of Directors, but no decrease shall have the effect of shortening the
term of any incumbent director.
Directors shall be elected at each annual meeting of share-
holders. Each director shall hold office until the next annual meeting
of shareholders and thereafter until his successor shall have been elec-
ted and qualified. Directors need not be residents of Colorado or share-
holders of the Corporation. Directors shall be removable in the manner
provided by the statutes of Colorado.
3.3 VACANCIES. Any director may resign at any time by giving
written notice to the President or to the Secretary of the Corporation.
Such resignation shall take effect at the time specified therein;'and
unless otherwise specified therein, the acceptance of such resignation
shall not be necessary to make it effective. Any vacancy occurring in
the Board of Directors may be filled by the affirmative vote of the
majority of the remaining directors though less than a quorum. A direc-
tor elected to fill a vacancy shall be elected for the unexpired term of
his predecessor in office. Any directorship to be filled by reason of
an increase in the number of directors shall be filled by the affirma-
tive vote of a majority of the directors then in office or by election
5
871458
at an annual meeting or at a special meeting of the shareholders called
for that purpose, and a director so chosen shall hold office for the
term specified in Article 3.2 above.
3.4 REGULAR MEETINGS. A regular meeting of the Board of Directors
shall be held without other notice than this bylaw immediately after and
at the same place as the annual meeting of shareholders. The Board of
Directors may provide by resolution the time and place, either within or
outside Colorado, for the holding of additional regular meetings without
other notice than such resolution.
3.5 SPECIAL MEETINGS. Special meetings of the Board of Directors
may be called by or at the request of the President or any two direc-
tors. The person or persons authorized to call a special meeting of the
Board of Directors may fix any place, either within or outside Colorado,
as the place for holding any special meeting of the Board of Directors
called by them.
3.6 NOTICE. Notice of any special meetings shall be given at
least seven days previously thereto by written notice delivered per-
sonally or mailed to each director at his business address, or by notice
given at least two days previously by telegram. If mailed, such notice
shall be deemed to be delivered when deposited in the United States Mail
so addressed, with postage thereon prepaid. If notice be given by tele-
gram, such notice shall be deemed to be delivered when the telegram is
delivered to the telegraph company. Any director may waive notice of
any meeting. The attendance of a director at a meeting shall constitute
a waiver of notice of such meeting, except where a director attends a
meeting for the express purpose of objecting to the transaction of any
business because the meeting is not lawfully called or convened. Nei-
ther the business to be transacted at, nor the purpose of, any regular
or special meeting of the Board of Directors need be specified in the
notice or waiver of notice of such meeting.
3.7 QUORUM. A majority of the members of the Board of Directors
as constituted for the time being shall constitute a quorum for the
transaction of business at any meeting of the Board of Directors, but if
less than such majority is present at the meeting, a majority of the
directors present may adjourn the meeting from time to time without
further notice.
3.8 MANNER OF ACTING. The act of the majority of the directors
present at a meeting at which a quorum is present shall be the act of
the Board of Directors.
3.9 COMPENSATION. By resolution of the Board of Directors, any
director may be paid any one or more of the following: (a) his ex-
penses, if any, of attendance at meetings; (b) a fixed sum for atten-
dance at each meeting; or (c) a stated salary as director. No such
payments shall preclude any director from serving the Corporation in any
other capacity and receiving compensation therefor.
871458
6
3.10 PRESUMPTION OF ASSENT. A director of the Corporation who is
present at a meeting of the Board of Directors at which action on any
corporate matter is taken shall be presumed to have assented to the
action taken unless his dissent shall be entered in the minutes of the
meeting or unless he shall file his written dissent to such action with
the person acting as the secretary of the meeting before the adjournment
thereof or shall forward such dissent by certified mail to the Secretary
of the Corporation immediately after the adjournment of the meeting.
Such rights to dissent shall not apply to a director who voted in favor
of such action.
3.11 EXECUTIVE COMMITTEE. The Board of Directors, by resolution
adopted by a majority of the members of the Board of Directors as con-
stituted for the time being may designate from among its members an
executive committee and one or more other committees, each of which, to
the extent provided in the resolution or in the Articles of Incorpora-
tion or the Bylaws of the Corporation, shall have all the authority of
the Board of Directors not otherwise prohibited by the Colorado Corpora-
tion Code. No such delegation of authority shall operate to relieve the
Board of Directors or any members of the Board from any responsibility
imposed by law.
3.12 INFORMAL ACTION BY DIRECTORS. Any action required or permit-
ted to be taken at a meeting of the directors may be taken without a
meeting if a consent in writing, setting forth the action so taken,
shall be signed by all of the directors entitled to vote with respect to
the subject matter thereof. Such consent shall have the same force and
effect as a unanimous vote of the directors, and may be stated as such
in any articles or documents filed with the Secretary of State of Colo-
rado under the Colorado Corporation Code.
ARTICLE IV
Officers and Agents
4.1 GENERAL. The officers of the Corporation shall be a Presi-
dent, one or more Vice Presidents, a Secretary and a Treasurer. The
Board of Directors may appoint such other officers, assistant officers,
committees and agents, including a chairman of the board, assistant
secretaries and assistant treasurers, as they may consider necessary,
who shall be chosen in such manner and hold their offices for such terms
and have such authority and duties as from time to time may be deter-
mined by the Board of Directors. One person may hold any two offices,
except that no person may simultaneously hold the offices of President
and Secretary. In all cases where the duties of any officer, agent or
employee are not prescribed by the bylaws or by the Board of Directors,
such officer, agent or employee shall follow the orders and instructions
of the President.
4.2 SALARIES. The salaries of all the officers of the Corporation
811458
- 7 -
shall be fixed from time to time by the Board of Directors and no offi-
cer shall be prevented from receiving such salary by reason of the fact
that he is also a director of the Corporation.
4.3 ELECTION AND TERM OF OFFICE. The officers of the Corporation
shall be elected by the Board of Directors annually at the first meeting
of the Board held after each annual meeting of the shareholders. If the
election of officers shall not be held at such meeting, such election
shall be held as soon thereafter as conveniently may be. Each officer
shall hold office until the first of the following to occur: Until his
successor shall have been duly elected and shall have qualified; or
until his death, or until he shall resign; or until he shall have been
removed in the manner hereinafter provided.
4.4 REMOVAL. Any officer or agent may be removed by the Board of
Directors or by the executive committee whenever in its judgment the
best interests of the Corporation will be served thereby, but such re-
moval shall be without prejudice to the contract rights, if any, of the
person so removed. Election or appointment of an officer or agent shall
not in itself create contract rights.
4.5 VACANCIES. A vacancy in any office, however occurring, may be
filled by the Board of Directors for the unexpired portion of the term.
4.6 PRESIDENT. The President shall, subject to the direction and
supervision of the Board of Directors, be the chief executive officer of
the Corporation and shall have general and active control of its affairs
and business and general supervision of its officers, agents and em-
ployees. He shall, unless otherwise directed by the Board of Directors,
attend in person or by substitute appointed by him, or shall execute on
behalf of the Corporation written instruments appointing a proxy or
proxies to represent the Corporation, at all meetings of the share-
holders of any other corporation in which the Corporation shall hold any
stock. He may, on behalf of the Corporation, in person or by substitute
or by proxy, execute written waivers of notice and consents with respect
to any such meetings. At all such meetings and otherwise, the Presi-
dent, in person or by substitute or proxy as aforesaid, may vote the
stock so held by the Corporation and may execute written consents and
other instruments with respect to such stock and may exercise any and
all rights and powers incident to the ownership of said stock, subject
however to the instructions, if any, of the Board of Directors. The
President shall have custody of the Treasurer's bond, if any.
4.7 VICE PRESIDENTS. The Vice Presidents shall assist the Presi-
dent and shall perform such duties as may be assigned to them by the
President or by the Board of Directors. In the absence of the Presi-
dent, the Vice President designated by the Board of Directors or (if
there be no such designation) designated in writing by the President
shall have the powers and perform the duties of the President. If no
such designation shall be made, all Vice Presidents may exercise such
powers and perform such duties.
871458
-8-
4.8 SECRETARY. The Secretary shall: (a) keep the minutes of the
proceedings of the shareholders, executive committee and the Board of
Directors; (b) see that all notices are duly given in accordance with
the provisions of these Bylaws or as required by law; (c) be custodian
of the corporate records and of the seal of the Corporation and affix
the seal to all documents when authorized by the Board of Directors; (d)
keep at its registered office or principal place of business within or
outside Colorado a record containing the names and addresses of all
shareholders and the number and class of shares held by each, unless
such a record shall be kept at the office of the Corporation's transfer
agent, registrar or attorney; (e) sign with the President, or a Vice
President, certificates for shares of the Corporation, the issuance of
which shall have been authorized by resolution of the Board of Direc-
tors; (f) have general charge of the stock transfer books of the Corpor-
ation, unless the Corporation has a transfer agent; and (g) in general,
perform all duties incident to the office of Secretary and such other
duties as from time to time may be assigned to him by the President or
by the Board of Directors. Assistant Secretaries, if any, shall have
the same duties and powers, subject to supervision by the Secretary.
4.9 TREASURER. The Treasurer shall be the principal financial
officer of the Corporation and shall have the care and custody of all
funds, securities, evidences of indebtedness and other personal property
of the Corporation and shall deposit the same in accordance with the
instructions of the Board of Directors. He shall receive and give re-
ceipts and acquittances for monies paid in on account of the Corpora-
tion, and shall pay out of the funds on hand all bills, payrolls, and
other just debts of the Corporation of whatever nature upon maturity.
He shall perform all other duties incident to the office of the Trea-
surer and, upon request of the Board, shall make such reports to it as
may be required at any time. He shall, if required by the Board, give
the Corporation a bond in such sums and with such sureties as shall be
satisfactory to the Board, conditioned upon the faithful performance of
his duties and for the restoration to the Corporation of all books,
papers, vouchers, money and other property of whatever kind in his pos-
session or under his control belonging to the Corporation. He shall
have such other powers and perform such other duties as may be from time
to time prescribed by the Board of Directors or the President. The
Assistant Treasurers, if any, shall have the same powers and duties,
subject to the supervision of the Treasurer.
The Treasurer shall also be the principal accounting officer
of the Corporation. He or persons under his control or at his direction
shall prescribe and maintain the methods and systems of accounting to be
followed, keep complete books and records of account, prepare and file
all local, state and federal tax returns, prescribe and maintain an
adequate system of internal audit, and prepare and furnish to the Presi-
dent and the Board of Directors statements of account showing the finan-
cial position of the Corporation and the results of its operations.
4.10 NEGOTIABLE INSTRUMENTS, DEEDS AND CONTRACTS. All checks,
drafts, notes, bonds, bills of exchange, and orders for the payment of
871458
-9-
money of the Corporation; all deeds, mortgages, and other written con-
tracts and agreements to which the Corporation shall be a party; and all
assignments or endorsements of stock certificates, registered bonds, or
other securities owned by the Corporation, shall, unless otherwise di-
rected by the Board of Directors, or unless otherwise required by law,
be signed by the President or by any two of the following officers who
are different persons: Vice President, Secretary, or Treasurer. The
Board of Directors may, however, authorize any one of such officers to
sign any of such instruments, for and in behalf of the Corporation,
without necessity of countersignature; may designate officers, employees
or agents of the Corporation, other than those named above, who may, in
the name of the Corporation, sign such instruments; and may authorize
the use of facsimile signatures of any of such persons.
ARTICLE V
Stock
5.1 CERTIFICATES. Certificates representing shares of the capital
stock of the Corporation shall be in such form as may be approved by the
Board of Directors and shall be signed by the Chairman or Vice -Chairman
of the Board of Directors, or the President or a Vice President, and by
the Treasurer or an Assistant Treasurer, or by the Secretary or an Assis-
tant Secretary. All certificates shall be consecutively numbered, and
the names of the owners, the number of the shares and the date of issu-
ance shall be entered on the books of the Corporation. Each certificate
representing shares shall state upon its face (i) that the Corporation
is organized under the laws of the State of Colorado, (ii) the name of
the person to whom issued, (iii) the number of shares which the certifi-
cate represents, (iv) the par value, if any, of each share represented
by the certificate, and (v) any restrictions imposed by the Corporation
upon the transfer of the shares represented by the certificate.
5.2 CONSIDERATION FOR SHARES. Shares shall be issued for such
consideration, expressed in dollars (but not less than the par value
thereof) as shall be fixed from time to time by the Board of Directors.
Treasury shares may be disposed of for such consideration expressed in
dollars as may be fixed from time to time by the Board. Such consid-
eration may consist, in whole or in part, of money, other property,
tangible or intangible, or in labor or in services actually performed
for the Corporation or in secured, negotiable promissory note from a
person other than the purchaser of or subscriber for the shares.
5.3 LOST CERTIFICATES. In case of the alleged loss, destruction
or mutilation of a certificate of stock, the Board of Directors may di-
rect the issuance of a new certificate in lieu thereof upon such terms
and conditions in conformity with law as it may prescribe. The Board of
Directors may in its discretion require a bond in such form and amount
and with such surety as it may determine, before issuing a new certifi-
cate.
- 10 -
871458
5.4 SHARE TRANSFER RESTRICTIONS. No shareholder shall encumber his
stock in any manner whatsoever. No shareholder shall sell, assign, or
otherwise dispose of his stock, either in whole or in part, to any person
who is not a lineal descendant of Mary Jensen or Dorothy Scott, without
first making a written offer to sell such shares to the Corporation or to
the other shareholders.
The Corporation and other shareholders shall have 60 days in which
to elect to purchase the stock of the withdrawing shareholder. If both
the Corporation and the other shareholders elect to purchase, the
Corporation shall have the first right to purchase and electing share-
holders shall be entitled -to purchase only the stock not purchased by the
Corporation. If an election to purchase is made, written notice of the
election must be delivered to the withdrawing shareholder within the
60 -day period. If no election to purchase is made, the withdrawing
shareholder shall make a written offer to sell his stock to the other
shareholders for the same price and subject to the same conditions as
offered to the Corporation. Each shareholder shall be entitled to
purchase a portion of the shares offered based on the ratio of the shares
he then owns to the total number of shares owned by all the nonwit-
hdrawing shareholders, except that if any shareholder does not purchase
his portion of the shares offered such portion shall then be available to
the other shareholders on a proportional basis. If no election is made
by the Corporation, or by the other shareholders, to purchase the offered
stock, the withdrawing shareholder shall be free to dispose of his stock
or the remaining portion thereof not so purchased without regard to the
terms of this agreement.
If an election is made to purchase the stock of a withdrawing
shareholder, the price for the stock shall be at the same price and upon
the same terms as a bona fide offer to purchase made by a third party
purchaser, in writing.
5.5 TRANSFER OF SHARES. Upon surrender to the Corporation or to a
transfer agent of the Corporation of a certificate of stock duly endorsed
or accompanied by proper evidence of succession, assignment, or authority
to transfer, and such documentary stamps as may be required by law, it
shall be the duty of the Corporation to issue a new certificate to the
person entitled thereto, and cancel the old certificate. Every such
transfer of stock shall be entered on the stock book of the Corporation
which shall be kept at its principal office, or by its registrar duly
appointed.
The Corporation shall be entitled to treat the holder of record of
any share of stock as the holder in fact thereof, and accordingly shall
not be bound to recognize any equitable or other claim to or interest in
such share on the part of any other person whether or not it shall have
express or other notice thereof, except as may be required by the laws of
Colorado.
-n -
871458
5.6 LIMITATIONS AND RESTRICTIONS ON TRANSFER OF SHARES. Nothing
contained in these Bylaws shall prevent the shareholders of the Corpora-
tion from enacting bylaws or entering into agreements placing restric-
tions, limitations and conditions upon the transfer of shares of the
Corporation, provided such bylaws and agreements comply with the require-
ments of the laws of Colorado. There shall be no lien in favor of the
Corporation upon the shares represented by a certificate issued by the
Corporation and there shall be no restriction upon the transfer of shares
so represented by virtue of any bylaw of the Corporation or by reason of
agreement between the shareholders, unless the right of the Corporation
to such lien or the restriction is stated upon the certificate.
5.7 TRANSFER AGENTS, REGISTRARS AND PAYING AGENTS. The Board may
at its discretion appoint one or more transfer agents, registrars and
agents for making payment upon any class of stock, bond, debenture or
other security of the Corporation. Such agents and registrars may be
located either within or outside Colorado. They shall have such rights
and duties and shall be entitled to such compensation as may be agreed.
ARTICLE VI
Indemnification of Officers and Directors
6.1 Each director and officer of this Corporation, and each person
who shall serve at its request as a director or officer of another
corporation in which this Corporation owns shares of capital stock or of
which it is a creditor, whether or not then in office, and his personal
representatives, shall be indemnified by the Corporation against all
costs and expenses actually and necessarily incurred by him in connection
with the defense of any action, suit or proceeding in which he may be
involved or to which he may be made a party by reason of his being or
having been such director or officer, except in relation to matters as to
which he shall be finally adjudged in such action, suit or proceeding to
be liable for negligence or misconduct in the performance of duty. Such
costs and expenses shall include amounts reasonably paid in settlement
for the purpose of curtailing the costs of litigation, but only if the
Corporation is advised in writing by its counsel that in his opinion the
person indemnified did not commit such negligence or misconduct. The
foregoing right of indemnification shall not be exclusive of other rights
to which he may be entitled as a matter of law or by agreement.
ARTICLE VII
Miscellaneous
7.1 WAIVERS OF NOTICE. Whenever notice is required by law, by the
Articles of Incorporation or by these Bylaws, a waiver thereof in writing
signed by the director, shareholder or other person entitled
- 12 -
871458
to said notice, whether before, or after the time stated therein, or his
appearance at such meeting in person or (in the case of a shareholders'
meeting) by a proxy, shall be equivalent to such notice.
7.2 FISCAL YEAR. The fiscal year of the Corporation shall be as
established by the Board of Directors.
7.3 AMENDMENTS. The Board of Directors shall have the power to
make, amend and repeal the Bylaws of the Corporation at any regular
meeting of the Board or at any special meeting called for that purpose.
APPROVED AND ADOPTED by consent of the Board of Directors this
day of - , 198 .
Mary Jensen
Dorothy Scott
Lawrence M. Jensen
- 13 -
871458
HIGHLAND LAKE PREMISES LEASE
1. Parties. The parties to this lease are Mary Jensen/Dorothy Scott
(Lessors) and Highlandlake, Inc. (Lessee).
2. Lease of Premises. The Lessor hereby leases unto the Lessee the
premises which it owns and has use rights to known as Highland
Lake.
3. Rental. The Lessee agrees to pay the Lessor one-third of gross
revenues earned from use of the premises for recreational
activities. Gross revenues, for this purpose, will not include
concession stand sales, or restaurant sales.
4. Term of Lease. The term of this lease shall be indefinite. The
lease may be terminated on December 31 of any year at the discretion
of either the Lessor or Lessee.
5. Dated: October 6, 1987
MARY JENSEN/DOROTHY SCOTT
ByOGG1o41/d�/'�
Lawrence M nsen who has
Power of A orney for Dorothy
Scott
MARY JENSEN/DOROTHY SCOTT
BY {ti'G; dam,-itGv�
Mary JensenPartner)
HIGHLANDLAKE, INC.
By 11/'‘‘:-)C,(_
Mary Jensen (P, esident)
871458
Funds for Highland Lake, Inc., are provided by previous business.
Lawrence Jen
Mary E. Jensen
SUBSCRIBED AND SWORN to before me this 0- day of October,
1987, by Lawrence Jensen and Mary E. Jensen.
WITNESS my hand and official seal.
Notary Pub
My commission expires: 8/7/89 Greeley, CO 80631
915 Tenth St.
871458
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Sioaci
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riera y refins:c5
no are/ 4r
8`71458
DRL 1555 (Rev. 10/33) .4.2% BEER AND LIQUOR LICENSE APPLICATION
r STATE OF COLORADO DOCUMENTS CHECKLIST AND WORKSHEET
DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
INSTRUCTIONS: This checklist MUST be completed by the applicant and the local licensing
authority, and submitted with all necessary documents. ALL documents must be properly
signed and correspond with the name of the applicant exactly. Copies (other than
application) may be accepted if signatures are legible. ALL documents must be typed or
legibly printed in BLACK INK. Upon final State approval, the license will be mailed to the
local licensing authority.
TYPE OF APPLICANT (check one): II Individual II Partnership I I Corporation
NAME OF APPLICANT:
TRADE NAME:
PLEASE CHECK ALL APPROPRIATE BOXES
Applicant Local State
Documents
I. APPLICATION OR ADDENDUM
I-1 I 1 I i* A. Original (green or yellow), not a copy
I I I I I* B. Complete all appropriate sections
I I I I i* C. Sign application
/ I I I 1 I I* D. Attach appropriate fee
I I
I I
II. PROOF OF PROPERTY POSSESSION
I=1 I=1* A. Deed (or)
I,i I I I* B. Lease (or)
I_I I_I 1. Lease must cover entire license period
(minimum one year)
I I I —I* C. Lease Assignment
I I I I 1. Acceptance of applicant
I I I I 2. Consent by landlord
I I D. All possession documents must be signed
I_I I I* E. Floor diagram of premises to be licensed
(maximum size 8 1/2" x 14")
III. FINANCIAL DOCUMENTS
I I I I* A. Purchase agreement or stock transfer agreement
B. Affidavit on source of all funds invested
(Continued on Reverse Side)
t3j1458
Applicant Local Statt. Docume, s
I I_1 Ii C. Notes or loans (i.e., assumed, banks, previous
owner, etc.)
-I I I II 1. Applicant may not have any unlawful
financial interest in any other licensed
establishment
IV. BACKGROUND INFORMATION
I 1 Ivl I1* A. Individual History Record(s) (form DRL 404-I)
II I 1 Ii B. Fingerprints taken and submitted
V. MANAGEMENT (if other than applicant)
II A. A. Manager Registration Fo ,, •rm DRL 367)
r e c,ired oil" if Hotel and
staurant license
1-1 II II B. Wri nagement agreement (or)
I1 I I -I C. Affidavit describing •u imitations and
compensation
VI. CORPORATE DOCUMENTS (if applicable)
I-_1 I 1 1-1* A. Certificate of Incorporation (or) 4
I I I 1 1=1* B. Certificate of Good Standing if corporation is
more than two years old (or)
I I I 1 II* C. Certificate of Authorization if foreign
corporation
1-_1 1=1 I=1 D. Articles of Incorporation
I-1 I 1 1=1 E. Minutes of meeting electing current officers
I1 11 II F. Stock certificates (100% of issued stock)
I I II I=1 G. List of officers, stockholders and directors of
parent corporation (if applicable)
VII. PARTNERSHIP DOCUMENTS (if applicable)
I 1 I
I I-1* A. Partnership agreeme• a or limited)
II II II . Not n--•-• f husband and wife
I I
I1 B. Dissolutionment of partnership lapiL cable)
-
VIII. ADDITIONAL LOCAL REQUIREMENTS
I I I -I
I-1 1=1
A.
B.
Trttrr af-c 2r mEfammze
8211'..
Jensen, Stelmack & Butterfield PC
Certified Public Accountants
Lawrence M. Jensen, CPA
Richard A. Stelmack, CPA
Susan H. Butterfield. CPA
515 Kimbark Street • Longmont. Colorado 80501 • (303) 776-4366 Local • (303) 571-5655 Metro
October 12, 1987
Mr. Bruce Barker
Board of County Commissioners
Weld County, Colorado
P. 0. Box 758
Greeley, Colorado 80632
Re: Highland Lake Beer License
Dear Mr. Barker:
Enclosed are the following documents:
Power of Attorney for Dorothy Scott.
Copy of Will of Florence Mead.
I hope this will be sufficient for transfer and renewal of the beer
license. Please call if I can be helpful.
LMJ:lab
Enclosure
cc: M. Jensen
Very truly yours,
Lawrence M. Jensen
Members of American Institute of Certified Public Accountants
871458
No it
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►ixutt A.1.1.14:\ B1 THESE ►' a:SUNIS: 'l'hat
Dorothy M. Scott
of the County of
Boulder , State of Colorado , reposing special t rust and confidence in
Lawrence M. Jensen or Mary E. Jensen
of the County of Boulder . State of Colorado
has made, con-
stituted and appointed, and by these presents does make, constitute and appoint the said
Lawrence M. Jensen or Mary E. Jensen
true and lawful attorney for her and in her name. place and stead, for
sole use and benefit to exercise or perform any act, power, duty, right or
obligation whatsoever that I now have or may hereafter acquire, relating
to any person, matter, transaction or property, real or personal, tangible
or intangible, now owned or hereafter acquired including, without limitation:
to acquire, by purchase or otherwise, and sell, convey, mortgage, lease and in
any manner deal in or with, real and personal property; to make, sign,
endorse, accept, collect, through all lawful ways, assign and/or deliver
checks, notes, securities and/or other orders for the payment of money,
debts and documents of title; to conduct or participate in any lawful
business for me and in my name; to prepare, sign and file tax returns;
to have access to and to surrender any safety deposit box rented by me,
wheresoever located; and generally, to do all acts necessary for the
conduct of my business as fully as I could do personally; and to do all
acts necessary or desirable regarding my personal affairs or person, in-
cluding consenting to or approving any medical or other professional care,
counsel, treatment or service of or to me by a licensed or certified pro-
fessional person or institution engaged in the practice of, or providing, a
healing act.
No person or institution shall be required to inquire as to the circumstances
of the issuance, or use, of any instrument signed in accordance with the
foregoing authority, or the application or disposition of such instrument,
or the proceeds thereof.
Hereby giving and granting unto said attorney full power and authority to do and perform
all and every act and thing whatsoever requisite and necessary to be done -in and about the
premises, as fully to all intent and -purposes as
if I
might or could do if personally
present, including, but not limited to, the execution of Deeds conveying real estate, with full
power of revocation hereby ratifying and confirming all that said attorney shall lawfully do or
cause to be done by virtue hereof.
'This power of attorney shall not be affected by disability of the principal.
*This power of attorney shall become effective upon the disability of the principal.
IN WITNESS WHEREOF, have hereunto set mu� hand and seal this a�
day of July , 19 84
Dorothy M. Scott
I SEAL]
[ SEAL]
(Sec reccrxc for d, mew lydg t
n
[ : EAL[
871458
STATE uF t'(LtfRAf)U
County of .,C,., ,t,
The foregoing instrument was acknowledged hefore nu• this - ' day of
by -ccLLc _."-r f. CC-
-411
31y commission expire. CCCULt I`J ��� . R'itness my hand and ,fficia; seal. -4
-
15-14-501, CRS 1973. When power of attorney not affected by disability. When a principal
designates another his attorney in fact or agent by a power of attorney in writing and the
writing contains the words "This power of attorney shall not be affected by disability of the
principal", or "This power of attorney shall become effective upon the disability of the princi-
pal", or similar words showing the intent of the principal that the authority conferred shall be
exercisable notwithstanding his disability, the authority of the attorney in fact or agent is
exercisable by him as provided in the power on behalf of the principal notwithstanding later
disability or incapacity of the principal at law or later uncertainty as to whether the principal is
dead or alive. Any acts done by the attorney in fact or agent pursuant to the power during any
period of disability or incompetence or uncertainty as to whether the principal is dead or alive
have the same effect and inure to the benefit of and bind the principal or his heirs, devisees, and
personal representative as if the principal were alive, competent, and not disabled. If a conser-
vator thereafter is appointed for the principal, the attorney in fact or agent, during the con-
tinuance of the appointment, shall account to the conservator rather than the principal. The
conservator has the same power the principal would have had if he were not disabled or
incompetent, to revoke, suspend, or terminate all or any part of the power of attorney or agency.
C
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STATE OF COLORADO
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I, FLORENCE HEAD, of Iongmont, Boulder County, Colorado,
being of sound and disposing mind and memory, and under no con-
straint, do hereby make, publish and declare this my Last Will and
Testament, as follows:
FIRST:
I direct that all of my just debts and funeral expenses
be paid from my estate as soon after my decease as shall be found
advisable.
SECOND;
I give, devise and bequeath all of my estate, real and
personal, of which I may die seized and possessed, or to which
may be entitled at the time of my death, and wheresoever situate,
to my two daughters, namely, DOROTHY SCOTT and MARY JENSEN; share
and share alike; TO HAVE AND TO HOLD the same to them and their
heirs and assigns forever.
THIRD:
I nominate and appoint my said two daughters to be the
executrices of this my will, and direct that they serve without
bond; and I authorize and empower them to sell and dispose of any
or all of my estate and property at such time after my decease as
they shall.find advisable.
IN WITNESS WHEREOF, I, the said FLORENCE MEAD, have
hereunto set my hand and seal this eighteenth day of July, in the
7
871455
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1644 F.37
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one thousand nine hundred and sixty-one.,
1-g° 4 14 —
Signed, seal,d, published and declared by the sated
FLORENCE !TAD, as her last -will and testament, in our presence, who
- at her request, in her presence and in the presence of each other,
have hereunto set our hands as witnesses thereof, the day and year
last above written; and we do hereby declare that at the time of
signing and acknowledging said will, said testatrix was of sound
mind and memory and under no constraint. Said will Is written on
• two (2) sheets of paper, inclusive hereof.
ATTEST: TRUE COPY
CHAS. . E. SN NvL:Y---
fl of Mstricf Court
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871458
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State of C-okrado, 1
County of E..uldcr )
IN THE LiATTLR OF THE ESTATE OF
FLORFECE-IiEhD, also known as
FLO2Ei;CE B. MEAD,
Deceased -
13 ook 12 3
Fzc,.4 ot_.• d -Jna SEP 1 6 1974
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Order Admitting Will to Probate and for
Publication of Notice to Creditors
And now on this day, pursuant to order heretofore made in this matter, comes on for bearing
the probate of an Instrument in writing, heretofore filed In this Court, purporting to he the Last
Will and Testament see- Ee =ieA--.-Skere-tie of Florence Mead,
_Deceased -
AND IT APPEARING TO THE COURT from the records and files herein that citation has
been duly and sufficiently issued and served on, or service waived by, all necessary parties as pro-
vided by law and the order of this Court; that lawfully sufficient testimony, proofs and evidence
have been presented; and It satisfactorily appearing therefrom that the said Instrument in writing
•v.3 ce&J1_ erelo• was were executed, declared, and attested as provided by law as said
decedent's last will and testament and that said testatllX_ •was of sound mind and memory at
the time the same was executed, declared and attested; and no fraud, compulsion or other im-
proper conduct being exhibited, and the Court being now sufficiently advised
wised In the premises,
IT IS itle.REFORE ORDERED, ADJUDGED AND DECREED, That the said instrument
In writing •ard.rn.Th n eh auto* be and the same Is • • hereby admitted to probate and record
as the Last Will and Testament of the said testatri r
IT IS FURTHER ORDERED, That upon taking and filing the statutory oath of executrices
(and upon entering Into bond In the penal sum of _T�+enty—Five Thousand
'dollar,
conditioned as required by law) that letters testamentary issue to.Qorothy Scott and
Mary Jensen,
the execut rice%amed in said will; and now having so taken
having entered Into said bond, which is approved by the Court)
That the said letters issue to said execvirineV and that the
record.
and Sled the said oath (�
IT L^ THEREFORE ORDERED
same be filed and entered of
IT IS FURTHER ORDERED, That said_ QQEQ_tJsy_S g tc and Mary Jense
.la,,i. : publish a Notice to Creditors as prqiided by law, said notice to he published at least once a we*
u- c
during each of four successive cal fly-. tr r in,LOngzoIIt
. •e: ':`1•1,4"7N . 31�K.-=.Ltt::��d11'
. i` B�petIpaper printed and published in said Boulder
r,,,� / tit 13 .. 0._sir l�c Yi.• K �'Y t 1 G ;1� µ}`�iftj`'d°y: kite: the Lc-uaace"ot Lcttr:�
Dated ..__C�'`o Cn.
n CC.7 Courtdtht-_-$Etdi aj Cl Mo A_m�er _�:.,. - .
n..+. .. 1tY.--,.� c� O? Off• �: `aY
8'/1458
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Form 17
r.ry 7/73
Racmced
Paz I4s, Jf'"n�_c7 S. L-, 9,:.-a, Jr., rtxrr:s
0_f
q._
;dock r A_u JILL§ 1974
STATE OF Cfli_02ADO
DEPAITMENT OF REEVENU2
^acF TAX DIVIF:Ca"
RELEASE 7F INHERITANCE TAX LIEN
Estate of Florence Mead
Date of Death October 13, 1972
Gros Er, -re t 75.778-15
It appearing to the Executive Director, Department of Revenue, that it is not necessary
o to preserve the lien granted by the Colorado inheritance tax law against the hereinafter
described real estate, in which the above named decedent had an interest, by virtue of
the authority vested in me under the provisions of Sec. 133-3-31, CRS., 1963, I do hereby
forever release and discharge the inheritance tax lien against the following described real
estate, to -wit:
All that part of the southwest quarter of the S.W. tt, of
Section 4, in Township 3 North, of Range 68 West of the 6th
P.M., bounded and described as follows: Beginning at a point
38 rods (672 ft) east of the southwest corner of said Section
4; thence north 280 feet; thence east 3 chains and 6 links
(201.96 ft) to the west line of the County Road running in
a northwesterly and southeasterly direction; thence follow-
ing the west line of said County Road south to the south
line of said quarter section; thence west to the point of
beginning; together with all ditch and water rights apper-
taining to said premises.
Also, all that part of the S. h of the S.H. k of Section 4,
in Township 3 North, of Range 68 West of the 6th P.M., des-
cribed as follows: Beginning 38 rods (627 ft) east and 20
rods (330 ft) north of the southwest corner of said section;
thence due north 2 chains, 78 links (183.48 ft); thence
south 630 45' east 3 chains, 19 links (210.54 ft); thence
south 80 east 1 chain, 40 links (92.40 ft); thence due west
3 chains, 6 links (201.96 ft) to point of beginning. Also,
beginning 38 rods (627 ft) east and 20 rods (330 ft) north
of the southwest corner of said section; thence due east
3 chains, 6 links (201.96 ft); thence south 8° east 50 feet;
thence due west 3 chains, 6 links (201.96 ft); thence due
north 50 feet to point of beginning; excepting rights of way
for public highways, maps and sworn statements, of any, per-
taining to reservoir sites and irrigating ditches.
Also, all that part of the N.W lc of the R.W. k of Section 9,
in Township 3 North, of Range 68 West of the 6th P.M., des—
cribed as follows: Beginning 879 feet east of the northwest
corner of said section nine; thence south along the west line
of the public highway, 513 feet, more or less, to the point
of intersection of the west line of said highway and the high
water line of the Highland Lake Reservoir; thence northwesterly
along the high water line of said reservoir to the north line
of said section; thence east along said section line 130 feet,
more or less, to the point of beginning.
811458
;..,ecc,3` 1
Also, as described by Quit ClaLa Deed dated August 24, 1905
from The Highland Lako ReLervoic Company to Malcolm G. Mead -
and Rufus Mead, recorded in Book 212, Page 216 of the Veld
County records, the use of and control for all purposes wYat-
soever of what is known as The Highland Lake Reservoir, ex-
cepting that the said Highland Lake Reservoir Company retains
the use and control of said reservoir for irrigating and
domestic purposes the same as if this deed had not been made. _..
CO
ti
JOHN H. HECKERC
eon lye DI
Y.ra-:L' a•,- r..a is root ta Cn a=ro d tad asec!a d Cs e, =y La art -lea
rt
871458
STATE OF COLORADO )
COUNTY OF EOULDER )
IN TILE CLATTER OF THE ESTATE OF
FLORENCE MEAD�__
Deceased
1-I-
SEP 4-1-374 g:ii
IN THE DISTRICT (:Gt1RT
No. 13..142.._ _____
.
DECREE OF FINAL SETTLEMENT
And now on this day core S_ Mary JenSeO e. rid DPSQtrry Scott
the exertstricea of the Estate of Florence _.bread._______
deceaanrl, and prrsent___to the Court a final report of Altair -acts and doings as such, ask __.___that the same
be approved end that be discharged and said estate decreed to be fully administered according to law.
And it appearing to the Court, from the record, and files herein, end the Court loth find that ___,_
Florence Mead d- artc� this life on .O about the __ 1}th -_ day of ctober
A -D. 19.72 ; and thereaft_-rt Mary Jensen andere_ duly appointed exr rtltri rag
of said Estate. Dorothy Scott - -
And it further appearing to the Court ani the Court doth find that a notice to claimants to file claims ageing
said Estate was published in the mars= and as required by law, end that the Clerk of this Court has sent notices
to all claim mants whose claims had not been allowed or disallowed by this Court, of the date fixed for final settle-
ment as required 'ny law and such claims, of such claimants hare been allowed and satisfied or disallowed end all
other claims, costs of administration and Inheritance taxes have been allowed and satisfied.
And the Coast loth further find that the statutory period for filing claims has elapsed and that there hasher=
published a proper Notice of the filing of the final report which Notice fixed Jiuguat.27 th .
1974 as the last day for filing with this Court written objections to said report •
And it appearing from said report, and the Court doth find, that said _eX_eQutrjgjs ha_YS received,
for and on behalf of said Estate, the sum of $__13..7.7_.5-3.9____; and ha .YE expended the aura of $-H.Tfi2, 67
leaving In.t hei! Lands the sum of $ I�-72._to be distributed to the following named heirs at law
'and legatees, to wit:
To Mary Jensen , daughter of said deceased the •nm of S. 6.36.
To . Dorothy Scott _ daughter of said deca.sed the sum of S - • 6.36
To _____of said deceased the 5001 of S _
To of said deceased the sum of S_
To - ____of said deceased the sum of $_
To of said deceased the sum of $ _
To _.___.of said deceased the turn of $
To _____ of said deceased the sum of S.. _
To of said deceased the aura of $
And the Court doth further find that said ._Matey _Jensen and Dorothy -rtes-tt.
ha,�.'t eirh F.Tiy adeiaistcra7 tie catat0.-ol-ea:Z.lecca:cd which hes corm to S hc'Zhnnda an w x�ully per.
loaned tS. P i NaCea as such end as provided by law.
It is Therefore Ordered, Adjudge and Decreed that the said final report and all acts and doings of said
executrices
"''"'S# 3 about the 13miv'utretioa of the said Estate be, and the earns
are hereby in all things folly retie c confirmed 'a.:d tp.groved by the Court, and the said _PJie.C3a -x..1.Scs_
_. _are. Is fuerrtho4ni\- t4L trsbcte tic,norey in t let Venda, to the above named parties teepee.
theiy or to their legal rnprmintar za; iajhe &most as above act forth, and having so distributed the tam
r �vv-vrrtr.., .= 1-t. r_�-_-: � t:._.'cbi ye• tho C_ets t11t tl Y__be discharged and t leiibond,rnr releawd
tb.: rf ;_-.2;..t om 'C'J t'
.. a
F1? x 9 124 "t
... Done op= o Conti LLB; ' I `� ,"Cam of — /L D. 197!}s_
• i.l"`a E- Si IJ,n•e. "Y ilssall'iTTE COURT. 1 ►i'�n..J� n- of �i'riy CC.rtt 1..Q •��-_... �'Y. ... t. "'`�'rfJ. ,
8r1458
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rye items 1 .
•(� DER: omplete items 1 and 2 when additional services are desired, and complete items 3
and 4.
Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this
from being to The return receipt fee will provide You the namiLgtspe person
card returned you.
delivered to and the date of delivery. For additional fees the
following services are ev . Consult
requested.
2. 0 Restricted Delivery
S' xtra ch``arge)1
postmaster for fees and check box(es) for additiona Lag,�,.�ce(s)
1. 0 Show to whom delivered, date, and addressee�Cd ress.
t(Extra charge/t
3, article Addressed to:
COLORADO DEPT. OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET
DENVER, CO 80261
po
NumbeF•
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cA.'-9istepsll �Qspred
...artifi� D
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s obtain signae(pf addressee
t anxP≥PATE ER ED.
5. Signature — Addressee
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esse ddra ( TLY if
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6. Signature — Agent
x
7. Date of Delivery
PS Form 3811, Mat 1987
* U.S.G.P.0. 1987-178-268
8 /1453
`REASURER'S OFFICE, WELD COUN
L
Greeley, Colorado i\C4.� 7
RECEIVED OF r'`"" � Olt -.1\
pp N° 426
19 (�
$ aQs 7
FOR .`C
/CREDIT
County General Fund 101 0000
+5-7
x
3---C)
Health Department 119 0000
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 9000912
School District Gen Fund
School District C R F
1458
School District Bond Fund 871458
FRANCIS M. LOUSTALET
a
TOTAL AMOUNT
��
County Treasurer
County
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