HomeMy WebLinkAbout900202.tiffRESOLUTION
RE: APPROVE CHANGE OF CORPORATE STRUCTURE FOR METRO OIL COMPANY
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, Metro Oil Company, the holder of a 3.2% Beer License
in Weld County, has presented the Board with a Change of Corporate
Structure, and
WHEREAS, Metro Oil Company has indicated said Change of
Corporate Structure is as follows: Kenneth Pawlowski replaces
Larry Rogers as Secretary/Treasurer and Director, and
WHEREAS, after review, the Board deems it advisable to
approve said Change of Corporate Structure.
NOW, THEREFORE, BE IT RESOLVED by the Board of County
Commissioners of Weld County, Colorado, that the Change of
Corporate Structure submitted by Metro Oil Company, be, and hereby
is, approved.
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 28th day of
February, A.D., 1990.
L... ,_.._ .......gy
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ATTEST: A -__m.. ......
.r nnrnwronc
/' WELD NTY, COLORADO
Weld County Clerk and Recorder
and Clerk to the Board
BY: - %<,_.
eputy County Clerk
APPROVED AS TO FORM:
C ��
ounty Attorney
Geo e Kennedy, Pro-
ff
hstance L. Har•ert
C. Kir
Cord
900202
R 8176 (07/89)
Colorado Department of Revenue
Liquor Enforcement Division
l375 Sherman Street
Denver, CO 80261
303-866-3741
REPORT OF CHANGES
Liquor and 3.2 Beer License
Use to report change of corporate
structure or change of manager only.
Submit to Local Authority
(Local Authority will submit to State)
DO NOT USE THIS FORM TO REFLECT A CHANGE IN PARTNERSHIP. IF THERE IS A CHANGE IN PARTNERSHIP, USE
THE DR 6404 OR DRL 403 AND FILE A CHANGE OF OWNERSHIP WITH YOUR LOCAL LICENSING AUTHORITY.
ALL LICENSEES FILL OUT THIS SECTION (Press firmly or type)
SALES TAX ACCOUNT NO.:
21-79919
APPLICANT NAME:
Metro Oil Co.
LICENSE NUMBER:
TRADE NAME:
wicker's #2748
TELEPHONE NUMBER:
776-7101
ADDRESS O1 LICENSED PREMISES:
3979 Highway 119, Longmont, (Weld Cty.) CO 80501
Street Addr ss City State Zip
MAUUl1 ILIWG AEgDRE49th Ave. Dr., #100, Denver, CO 80216
/ Steel Address City State Zip
CHANGE OF CORPORATE STRUCTURE (Applies to corporate licensees only) Attach a certificate ai Good Corporate Standing;:
and, foreachnew officer, director, and stockholder, attach a DRL 404-I, Individual Histo Record and Co. of Minutes.
NAME of new corporate officers 8 directors:
HOME ADDRESS
D OO B
REPLACES
President r,_ _ . - -. •, -
W - :.. s-� ,- •
�� •-
_ .u. -
, n
Vice Presidenvarant
Sec'eta-y PnnPth A Pp -al n„'ski
5700 S OuPPn St1,11tlei-nn
17-6-
7
Treasurer Tenneth A. Pawlnwsk1
Please cee ahnvp
_Lawrence Rogers
NEW, S1OCKHOI DEC'S-IRV:SFEPS OF CADITOL STOCK
HOME ADDRESS
DO.B.
% OF STOCK NOW OWNED
Tntal Pet rnlerim, Tnr
999 18th Si- 417701 rpnvpr
N/A
300% - Same
DIRECTORS:
HOME ADDRESS
D.O.R.
REPLACES (Name):
Gerald 1, D=Ha 1 -
Please see ahnve
t1 d — - II'
Rennpth A Pawl ruck i
P1Pacp cee ahnvp
Tawn-Pnr-4n Rogers
CHANGE OF MANAGER (For Beer & Wine, Tavern, Club, Arts, Racetrack and all 3 2 Beer -except "Olt Premises")
Hotel/Restaurant Licensees mu t su o)it ,QR 8367 Manager's Registration
yyLilly
FORMER MANAGER. Name ii
�CKNOWLED a !4
Date of Birth
NEW MANAGER. Name r „' rhr O _ t %
1990
Date of Birth
L,IQUJR C:rir.1W.
OATH OF APPLICANT
I declare under penally of perjury in the second degree that I have read this report and all attachments thereto and that I know the contents hereof,
and that all mane -s and in!o'marion set forth therein are true, correct and complete to the best of my knowledge and information; and I agree to
conform to a?appIcable statutes and all rules and regulations promulgated by the Colorado Department of Revenue in connection therewith.
AUTH
r
ED SIG: URE: /�
�V L. ILf Eke
TRL or SIGNER (it co-poralon)
�e�� :��
DAZE
2/2/90
REPORT OF LOCAL LICENSING AUTHORITY
The foregoing changes have been received and examined by the Local Licensing Authority.
LOCAL LICENSING AUTHORITY I . NUMBER:
LOCAL LICENSING AUTHORITY FOR: qi COUNTY
WELD COUNTY, COLORADO O TowNcITY
•I�.AIURE:
TITLE: CHAIRMAN,
BOARD OF COUNTY COMMISSIONERS
DATE:
2/28/90
K.
Alei
//�, C9
DATE:
2/28/90
Note: Lol authority, for corporate structure changes, please sub it all copies to the Liquor Enforcement Division. One
copy will be returned to the applicant and one to the local authority upon acknowledgement.
For change of managers, submit one copy to the Liquor Enforcement Division, retain one copy for local licensing authority
files, and give one copy to the applicant.
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900202
LIST OF LOCATIONS WITH A 3.2% FMB LICENSE
2038
2322
2326
2327
2329
2334
2335
2336
2337
2338
2339
2344
2345
2347
2348
2349
2353
2355
2356
2358
2359
2360
2361
2362
2363
2364
2366
2369
2455
2456
2458
2461
2462
2463
2468
2481
2485
2487
2496
2498
2499
2621
2622
2623
2730
2731
2732
2733
2734
2735
2736
2737
2738
2739
2740
2741
2742
2743
2744
2747
2748
3119 Sinton Rd., Colorado Springs, 80907
12796 E. Colfax, Aurora, 80011
8150 N. Sheridan Blvd., Westminster, 80003
429 S. Nevada, Colorado Springs, 80903
205 N. Main, Security, 80911 (El Paso Cty.)
5455 E. Colfax, Denver, 80220
3808 E. LaSalle, Colorado Springs, 80909
1401 S. Federal Blvd., Denver, 80219
1001 Broadway, Denver, 80203
7045 E. Hampden, Denver, 80224
2210 S. Colorado Blvd., Denver, 80222
7285 Pecos Ave., Westminster, 80221 (Adams Cty.)
715 Wadsworth Blvd., Lakewood, 80215
1401 S. Lincoln, Loveland, 80537 (Larimer Cty.)
6140 N. Federal Blvd., Denver, 80221(Adams Cty.)
6601 W. 44th Ave., Wheat Ridge, 80033
4596 S. Broadway, Englewood, 80110
330 S. Kalamath, Denver, 80223
3490 Colorado Blvd., Denver, 80205
12300 W. 44th Ave., Wheat Ridge, 80033
3860 Peoria St., Denver, 80239
2119 Grand Ave., Glenwood Springs, 81601
4295 N. Academy, Colorado Springs, 80907
801 W. 84th Ave., Federal Heights, 80221
410 E. 104th Ave., Thornton, 80229
7296 E. Belleview Ave., Greenwood Village, 80111
5301 E. Yale, Denver, 80222
803 Riverside, Fort Collins, 80524
4490 S. Kipling, Littleton, 80123 (Denver)
180 Stevens Way, Silverthorne, 80498
300 S. Downing, Denver, 80209
2995 28th St., Boulder, 80301
2020 E. County Line Rd., Denver, 80126 (Doug. Cty.
5171 E. Arapahoe Rd., Littleton, 80122 (Arap. Cty)
1190 S. Chambers Rd., Aurora, 80017
5790 N. Carefree Cir. Colorado Springs, 80917
1794 S. Academy Blvd., Colorado Springs, 80916
2025 S. College St., Fort Collins, 80525
8263 S. Quebec St., Englewood, 80112 (Arap. Cty.)
8500 W. Crestline Ave., Littleton, 80120 (Denver)
7607 E. Iliff Ave., Denver, 80231 (Arapahoe Cty.) (30
1884 Folsom St., Boulder, 80302 (30
200 W. Horsetooth, Fort Collins, 80525 (30
221 W. Prospect Rd., Fort Collins, 80526 (30
8801 N. Washington, Thornton, 80229 (30
1420 Harrison Rd., Colorado Springs, 80906 (71
3115 Sinton Rd., Colorado Springs, 80907 (71
601 US Hwy. 50, Pueblo, 81002 (71
3201 Lake Ave., Pueblo, 81002 (71
5810 N. Broadway, Denver, 80224 (Adams Cty.) (30
3790 S. Chambers Rd., Aurora, 80011 (30
685 Indiana, Golden, 80401 (JeffCo) (30
1310 W. Baptist Rd., Monument, 80132 (El Paso Cty.)(71
134 E. Tomichi, Gunnison, 81230 (30
1305 N. Main St., Fort Morgan, 80701 (30
1501 Argentine, Georgetown, 80444 (30
101 Denver Ave., Fort Lupton, 80621 (30
6150 E. Hwy. 34, Loveland, 80137 (Larimer Cty.) (30
300 W. Northern Ave., Pueblo, 81002 (71
Route 1, Box A, Bennett (Arapahoe Cty.) 80102 (30
3979 Hwy. 119, Longmont, 80501 (Weld Cty.) (30
)(30
(303
(30
(71
(71
(30
(30
(30
(719) 630-7920
(303) 366-3607
(303) 426-6241
(719) 635-5781
(719) 392-4547
(303) 388-2307
(719) 596-5673
(303) 922-3379
(303) 892-0174
(303) 756-4061
(303) 756-8611
(303) 429-7515
(303) 237-7493
(303) 669-0435
(303) 428-7818
(303) 421-2835
(303) 789-0649
(303) 777-0611
(303) 333-2371
(303) 423-7321
(303) 373-1620
(303) 945-8419
(719) 598-5214
(303) 427-4963
(303) 452-4531
(303) 770-6190
(303) 756-7400
(303) 482-0302
(303) 933-2078
(303) 468-7719
(303) 698-1834
(303) 442-0224
3) 730-0948
721-9187
3) 751-1129
9) 637-9513
9) 597-3492
3) 482-9235
3) 721-0980
3) 933-2076
3) 755-3878
3) 443-6455
3) 223-7107
3) 484-3451
3) 288-5419
9) 576-0493
9) 630-7920
9) 545-9709
9) 561-4619
3) 294-9068
3) 344-3810
3) 279-8777
9) 481-3110
3) 641-3497
3) 867-3856
3) 674-0635
3) 857-6066
3) 663-7653
9) 561-1146
3) 644-3488
3) 776-7101
900202
OR 8401-1(1/56)
COLORADO DEPARTMENT OF REVENUE - -
LIQUOR ENFORCEMENT DIVISION INDIVIDUAL HISTORY RECORD
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 manasier of the applicant.
NOTICE: This individual History Record provides basic information which is necessary for the licensing authorities' investigation. ALL
questions must be answered in their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will
jeopardize the application as such falsehood within Itself constitutes evidence regarding the character and reputation of the
applicant.
1. Name of Business:
Metro Oil Co.
Date:
2-2-90
Social S.curtly Number.
2. Your Full Name: (last'firstmiddle)
Pawlowski, Kenneth, A.
3. Also Known As: (maiden namwnickname, etc.)
N/A
4. Mailing Address: (it different from residence)
See below
Nome Telephone:
973-9906
5. Residence Address: (street and number, city, state, zip
5700 S. Queen Street, Littleton, CO 80127
6. Is your residence
O
OWNED
lU
RENTED
If rented, from whom?
_ N/A
7. Date of Brth:
Pace of Birth:
Racine, WI
8. U.S. Cr¢en?
® YES ❑ No
If naturalized, stale where:
N/A
When:
N/A
Nan. of U.S Donna Court:
N/A
Naturalization Certificate No.:
N/A
Date of Certfcate:
N/A
If an alien, gave Alien's Regutabon Card No.:
N/A
Permanant Residence Card No.
N/A
9 Height:
6'4"
Weight:
195 lbs
Hair Color:
Brawn
Eye Color
Hazel _
Sex:
Male
Race:
Cauc. _
10 Do you have a Colorado Dryer's License? If'yes"give number:
❑ YES ❑ NO
i F. What is your relationship to the Applicant? (sole owner, panne, corporate officer, director, stockholder or manager):
Corporate Officer & Director
12. 11 Stockholder, Number of Shares Owned Beneficially or of Record:
N/A
Percent of Outatandrng Stock Owned:
N/A
13. II Partner. state whet er:
N/A 0 GENERAL
Il
LIMITED
Percent of Partnership Bendroally Owned:
N/A
14. Name of Present Employer:
Total Petroleum, Inc.
15. Type of Business of Errcbyment:
Convenience/pas store
Address of Business Wnere Employed. (street and number, wry, slate, zp)
999 18th Street, #2201, Eenver, CO 80202
Business Telephone:
I 291-218516.
17. Present Positron'
Buyer/Mert handiser
-
18 Marta; Status
Married __
19 Name of Spouse. (include maden name if applicable)
Lori P. Pawlowski (Guttman)
20 Spouse's Cate of Birth:
Spouses Place of Binh:
Dearborn, MI
21 Spouse's residence address, if different than yours. (give street and number. wry, state zip)
Same
22 Spouse's Present Employer
None
Occupation'
N/A
23. Address of Spouse's Present Employer:
N/A
24 List the na-els) of all relatives working in the liquor industry, give thee:
Name of Reacve
Relationship to You:
Position held:
Name of Employer:
Location of Employer
None
4f;fl2C'2
CONTINUED ON REVERSE SIDE
25. Do you now, or have you over hod a d✓actor
Indirect -
int......at interest In a Star of Colorado Liquor or Beer Limnos? .. yes; answer In detail.
area supervisor of Vicker's stations which hold beer licenses.
YES ■ NO
26. Do you now, or have you ever had a dreg
Colorado? If yes; describe In Stall.
or indlrea Interest In
Regional manager
licenses -
liquor beer license,
or been employed In a 'quota(
rag Station
beer Sated buskins outside of the Stets of
locations which hold beer
a or
of Total
a YES ❑No Indirect -
27. Nave you ever been convicted & a cnme,
court? (Do not Suds traffic violations, unless
of alcotnlic beverages.) n yse: explain
lined, Imprisoned, placed on probation, reaNed a suspended sentence or forfeited NO for any offense In criminal or military
they resulted In suspenslon or revocation of your driver's icense, or you we convicted of driving under the Influence
In detail.
■ YES ® NO
28. Have you ever received a vlolatlm notice, suspension or nvocatbn for a liquor law violation, or been denied a liquor or beer keno anywhere In the U.S
It yes,- explain In detail.
❑ YES ®NO
29. Have you ever held a gambling or gaming
icense or owned a Federal Gambling Stamp? ryes.' expWn In detail
below
■ YES I!i NO
Slas/Federd
Yew:
City:
State:
Sate/Federal:
Yew:
City:
State:
30. Military Seneca (branch)
None
From:
To:
Serial No.:
Type of Discharge:
31. List all addresses where you have lived la the last five years. (Attach *operate sheet t necessary)
Street and Number
City, Sate, Zip
From:
To:
See attached
i
32. List all former employers or businesses engaged in within the last five years. (Attach separate sheets if necessary.)
Name of employer:
Addeo': (stmt, number. city. state. zip)
Position Hod:
From:
To:
Sane employer for past
five years
33 List the names and anach loners of remmmendacon horn three persona who con vouch for your good character and flow's in comxoon with this applucanon.
Name of reference:
Address: (street, number, dry, stale, zip)
No. of Years Known.
Lawrence M. Rogers
28328 New Castle, Farmington Hills, MI 48331
4
Timothy P. Bever
3601 Foxwood Rd. Racine WI 53405
15
Donald G. priaulx
10370 Via Apolina, Moreno Valley, CA 92387
_ 23
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 is true, correct, and complete to the best of my knowledge. 900202
S.nw
I g/Peifr6.<11--
Tiff:
Secretary/Treasurer asurer
Dale:
2-2-90
Attachment for Individual History Record - DR 8401 - I
#31) 5700 S. Queen Street
Littleton, CO 80127
40612 Tamarack Dr., #104
Canton, Na 48188
3107 Scenic Lake Dr., #10-19
Ann Arbor, MI 48108
4337 Horizonpoint Dr.
Colorado Springs, CO 80925
3395 Knoll Tane, #235
Colorado Springs, CO 80917
5508 Mansfield Ct.
Colorado Springs, CO 80918
10698 N. Huron St., #801
Northglenn, CO 80234
1601 Blaine Ave.
Racine, WI 53405
From 11-89 to Present
From 2-89 to 11-89
From 1-88 to 2-89
Fran 5-87 to 1-88
Fran 8-86 to 5-87
From 12-85 to 8-86
From 4-85 to 12-25
From 8-82 to 4-85
90020P
TO WHOM IT MAY CONCERN:
I have known
A
Ken Pa:w'1if+.'ski.
for
!ears and find him/her to be a person of honest
and sound character end has the back ground to maintain a
professional approach to the liquor business.
It is my opinion that he is the
of person who has
the maturity and judgment to responsibly handle a liquor licence.
Signed,
Print Name: Lawrence Pogers
Address:
zs 3z� N
JJ
Fp„," eQ ) fo rJ
Phone Number: (3 13 `{ gdi
Date : 2/2/90
R:I(S 2 GA; 1-I833/
900202
TO WHOM IT MAY CONCERN:
I have known
/S
LelA telaKf/7
for
years and find him/her to be a person of honest
and sound character and has the background to maintain a
professional approach to the liquor business.
It is my opinion that he is the type of person who has
the maturity and judgment to responsibly handle a liquor license.
Signed,
r,
Signature
// 0 ':li
Print Name:
Address:
/ ox cuc).,.,) A
AC! //vs Lt/i S .s VL-t5
Phone Number: Cyr ,,1l,5``3`' y2c2
Date: C`//`[) cV ill/ &=-!7L/1
/- j,.5 - O
9C r202
TO WHOM IT MAY CONCERN:
I have known
41'
0itAt
for
years and find him/her to be a person of honest
and sound character and has the background to maintain a
professional approach to the liquor business.
It is my opinion that he is the type of person who has
the maturity and judgment to responsibly handle a liquor license.
Signed,
USAF
Print Name: CAPTRIni beuAL1) G t?RvAu LK
Address: '0370 viA APcL1NA
JAQREmo VALLEr,CA. 82387
Phone Number: (7iyO9zy-258'1
Date:
fy sort 90
900202
STAKE OF COLORADO
DEPARTMENT OF
STATE
CERTIFICATE
I, NATALIE MEYER, Secretary of State of the State of
Colorado hereby certify that
According to the records of this office
METRO OIL CO., INC.
(MICHIGAN CORPORATION)
has complied with the applicable provisions of the laws of
the State of Colorado and on this date is in good standing
and authorized and competent to transact business or to
conduct its affairs within this state.
Dated: FEBRUARY 21, 1990
SECRETARY OF STAT
9002C2
METRO OIL CO.
1
CONSENT ACTION IN LIEU OF MEETING OF DIRECTORS
The undersigned, being all of the directors of Metro Oil Co., a
Michigan corporation, acting without a meeting as permitted by Section 525 of the
Michigan Business Corporation Act, as amended, do hereby consent to, approve
and adopt the following finding and resolution:
RESOLVED, that the Corporation acknowledges the resignation
of Lawrence M. Rogers from his position as Secretary and Treasurer
of Metro Oil Co.;
RESOLVED, that the following individual is hereby elected to
serve as an officer of Metro Oil Co., to hold office until the next
annual meeting of directors and until his successors shall be duly
elected and qualify or until he is removed or resigns:
Kenneth A. Pawlowski Secretary and Treasurer
DATED: December I, 1989
Gerald L. DeHague ✓
900292
700 East Speer Boulevard
Denver, Colorado 80203
Telephone 303/777-3737
FAX 303,'777-3823
H. Alan Dill
Robert A. Dill
Jon Stonbraker
Daniel W. Carr
John A. Hutchings
Arthur Keith Whitelaw III
Lucien J. Dhooge
Charles J. Carroll
Joseph M. Elio
DILL and DILL
A Professional Corporation
November 29, 1989
Tommie Antuna
Clerk to the Boardk
Weld County Commissioner's Office
P.O. Box 758
Greeley, CO 80632
RE: Change of Corporate Structure Metro Oil Co.
Dear Tommie
There has been a change in corporate structure for Metro Oil
Company. Larry Rogers has been replaced as corporate
Secretary/Treasurer and Director by Kenneth Pawlowski.
An Individual History Record packet has been sent to Kenneth
Pawlowski and will be filed as soon as I receive the paperwork back
from him.
Metro Oil Company is currently on the Colorado Department of
Revenue's Master File system.
If you have any questions, please call me.
Sincerely,
Dorothy A. Martinez
Paralegal
dm
900202
700 East Speer Boulevard
Denver, Colorado 80203
(FAX 777-3823)
Telephone 303/777-3737
H. Alan Dill
Robert A. Dill
Jon Stonbraker
Daniel W. Carr
John A. Hutchings
Arthur Keith Whitelaw Ill
Lucien J. Dhooge
Charles J. Carroll
Joseph M. Elio
DILL and DILL,
A Professional Corporation
February 26, 1990
Tommie Antuna
Weld County Commissioner's Office
P.O. Box 758
Greeley, CO 80632
Re: Metro Oil Co
Dear Tommie:
Enclosed please find the Change in Corporate Structure documents
for Metro Oil Co. As my letter dated November 29, 1989 stated
Lawrence M. Rogers has been replaced by Kenneth A. Pawlowski as
Secretary/Treasurer and Director.
The State has been sent the following:
1) Report of Changes form with attachments
2) Cashier's check made payable to the Colorado Bureau of
Investigation for $29.00
3) Fingerprint card for Kenneth A. Pawlowski
4) Individual History Record for Kenneth A. Pawlowski
5) Corporate Documents
Metro Oil Co. is currently on the Master File system with the
Colorado Department of Revenue. Once I receive the new Master File
letter (about two to three months after filing with the State), I
will send you a copy.
If you have any questions, please call me.
Sincerely,
Dorothy A. Martinez
Paralegal
Enclosures
906,.2
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