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HomeMy WebLinkAbout941161.tiffRESOLUTION RE: APPROVE REPORT OF CHANGES TO 3.2% BEER LICENSE FOR WINNY ENTERPRISES, INC., DBA PIZZA HUT RESTAURANT, AND AUTHORIZE CHAIRMAN TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, Winny Enterprises, Inc., dba Pizza Hut Restaurant, holder of a 3.2% Beer License in Weld County, Colorado, has presented the Board with a Report of Changes, and WHEREAS, said change is as follows: Alan Hohenbrink replaces Gary Bolton as manager, and WHEREAS, after study and review, the Board deems it advisable to approve said change of manager, conditional upon Mr. Hohenbrink submitting his fingerprints and Individual History Record to the Clerk to the Board's Office and conditional upon no criminal history as determined by the Board. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Report of Changes submitted by Winny Enterprises, Inc., dba Pizza Hut Restaurant be, and hereby is, approved, conditional upon Mr. Hohenbrink submitting his fingerprints and Individual History Record to the Clerk to the Board's Office and conditional upon no criminal history as determined by the Board. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said report. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 21st day of November, A.D., 1994. ATTEST: Weld County Clerk to the Board BY: APPROVED AS TO FORM: Dale BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO +, /V Webster, lChpirm 0 - . Hall, Pro-Te k its r e.6 eoBaxter -Constance L. Harbert EXCUSED Barbara J. Kirkmeyer 941161 LC0040 DR 8176 (09/91) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver, CO 80261 303-866-3741 REPORT OF CHANGES • Use to report change of corporate structure or change of manager only. Liquor and 3.2 Beer License • Submit to Local Authority (Local Authority will submit to State) DO NOT USE THIS FORM TO REFLECT A CHANGE IN PARTNERSHIP. IF THERE 1S A CHANGE IN PARTNERSHIP, USE THE DR 8404 OR DRL 403 AND FILE A CHANGE OF OWNERSHIP WITH YOUR LOCAL LICENSING AUTHORITY. ALL LICENSEES FILL OUT THIS SECTION (Prods firmly or typo) SALES TAX ACCOUNT NO. 14-2:34'; APPLICANT NAME hri>,znv Lrtternrises , Inc. LICENSE NUMBER 14-2341e TRADE NAME 'izaa L;ut Restaurant TELEPHONE NUMBER i16 -Li 7-63:•.i`> ADDRESS OF LICENSED PREMISES: 252s,reetAc�ess �' v`' eley State CO Zip"°F`.'__ MAILING ADDRESS: ` • SI'rcret A 9A 78995'i ':v`- zi C. c! State ". Zip6 7 '. 7 ' CHANGE OF CORPORATE STRUCTURE.(Appllee to corporate licensees only) FAUST attach a certificate of Good Corporate standing; and, for each NEW officer director, and atOekholder, MUST attach a DRL 404-I, Individual History Record and Copy of Minutes. NAME of NEW corporate officers S directors: HOME ADDRESS D.O.B. REPLACES (Name): President Vice President Treasurer Secretary NEW STOCKHOLDERS/TRANSFERS OF CAPITOL STOCK HOME ADDRESS D.O.B. %OF STOCK NOW OWNED NEW DIRECTORS: HOME ADDRESS D.O.B. REPLACES (Name): CHAh: a` OF MANAGER (For Club, bmit aDR 8 Manag Seer-except eReq st atiooff Premises") must Arts, Hotte estauran't Tavern, FORMER MANAGER: Name Nary t,oltott Date of Birth NEW MANAGER: Name Alan Aonenbrink Date of Birth ' //_; OATH r'=IAPRLIt ...: rt I declare under penalty of perjury in the second degree that I have read this report and all attachments thereto and that 1 know the contents hereof, and that all matters and information set forth therein are true, correct and complete to the best of my knowledge and information; add I agree to conform to all applicable statutes and all rules and regulations promulgated by the Colorado Department of Revenue in connection therewith. AUTHORIZED SIGNATURE: n, .�� 1 .:.�; .rte, .L' k: T'TLE OF SIGNER (if corporation) I DATE: Secretary 111/61)6- REPOT OF LOCAL LICENSINGAUTHORITY The foregoing changes have been received and examined by the Local Licensing Authority. LOCAL LICENSING AUTHOFIlre I jD. NUMBER: ; e'-.- ( 3 LOCAL LICENSING AUTHORITY FOR: ;1:1 COUNTY :, , ter• :. •r" :- ■ TOWN/CITY SIGNATURE TITLE aid : DATE Y�. ATTEST l' '. k' Pin t (:P ' .. DATE Note: Local authority, for corporate structure changes, please submit 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. January 6, 1995 Dear Sirs, I went to college with Alan Hohenbrink and have known him for 12 years. We have remained friends over the years and I can honestly say that he has been an honorable businessman for the past 8 years of his restaurant management career. To the best of my knowledge he has not violated any liquor code or laws pertaining to the operations of the restaurants he has managed. Respectfully, 6U)o/Y)-,2)L Alan Warner January 9, 1995 To Whom It May Concern, I have known Man Hohenbrink for 16 years. I know him to be an honest and ethical businessman. To my knowledge he has not violated any local or state liquor laws in the operation of any restaurant he has been employed by. Respectfully, Andy Pauten 3G•nccr' 9- ics5 To_LOInbr— _r_1(1611f CCnCern haoe. L..3orK _'F'or-'tv1c) KnO, May') F\o ken vr''nK 'cog' *Le. Qa$4- 2 years . i co -v Vnov\esk\,1 Scat' i-t ck* Man -----.:-k s._bzeen---urn---honefaiole_ 10usc,-.essn-nan.'to 1Lz bits+ r>; Yi'11. vcroLa\e king_has (")CU •‘-- Jc\a S -e C"n,/ lrcvo•- L.c.c;'S 6J -- cocie5 ,n n: Career kn rc i- urani- srncere-\y (L%offL tang)) DR 8404-I (07/92) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 IELD COUNTY INDIVIDUAL HISTORY RECOR�0 ,IMISSIONpRS To be completed by each Individual applicant, each general and over 5% limited partn14r o"tal>��erahi i1 over 5% stockholder of public corporation over 5 edab Iiilit 3 P, e ch5 Icer, director, and y company memb ..... ..... ers/persorla managers. NOTICE: This individual History Record provides basic information which is necessary for the lic&hs tilauthorities investigation. ALL questions must be answered in their entirety. EVERY answer you give will be checked for its traralleiesOA.dllberate falsehood will jeopardize the application as such falsehood within Itself constitutes evidence regarding the character and reputation of the applicant. 1. Name of Business Date Social Security Number Pizza FAr WfN �tf.aES I t -ti -q1-1 - 2. Your Full Name (last, first, middle) 3. Also Known As (maiden name/nickname, etc.) f-iceN BR i N V- illAnni [Y- ) t ON IA - 4. Mailing Address (if different from residence) Home Telephone 5. Residence Address (street and number, city, state, zip) ) 3(S 11-14"— ST- 14. Z CQR.CCLGAI CO' q©(03 I 6. If rented, from whom? " Is your residence ❑ owned �-rented J iM '- �v 'IA 0erA441'J 7. Date of Birth Place of Birth 8. U.S. Citizen? `Ct9Le-oo C410EYes • No If Naturalized, state where ^ When i p Name of U.S. D strict rt Naturalization Certificate Number Date of Certificate(en' +er I ( ,( 5 an Alien, Give Alienist Reghiratbn Card Number Permanent pssW/m Card Number 9. Height Weight Hair Color Eye Color Sex i %f _ Race 10. Do You HaHave a(Colorado Driver's LicenwNlf ye/s, give number (Y©t1 (6o j;2>\') e}2L M W ❑ Yes f): No 11. What Is your relationship the applicant? (sole owner partner, corporate officer, director, stockholder, member or manager) 12. If stockholder, number of shares owned beneficially or of record Percent of outstanding stock owned , 13. Percent of Partnership Owned If Limited Liability Company, WnY, percent owned If partner, state whether ❑ General ❑ Limited 14. Name of Present Employer 15. Type of Business or Employment SAME -t300C 16. Address of Business Where Employed (street number, city, state, zip) rinses Telephone 252-3 `6- Rvg . r6£-tr -i CO. `60G3)30'3) 352. - $9 8 j 17. Prese(�t�Po�slttJ(opn, 18. Marital Status 19. Name of Spouse (Include maiden name if applicable S( N(pLr A) i/4- 20. Spouse's Date of girth Spouse's Place of ,Binh nh / 21. Spouse's rnddress, If different than yours ((street/an oeidaee pand number, city, state, zip) 22. Spouse's Present Employer OccupatiVion, / NIA i" 23. Address of Spouse's Present Employer A)l4 !24. List the name(s) of all relatives working in the liquor industry. Name of Relative Relationship to You Position Held Name of Employer Location of Employer J - 3�r•' -,: f 'f1.m.1,, CONTINUED ON AM/PROF cinc 25. Do you now, or have you ever held a direct or indirect ,nterest in a State of Colorado Liquor or Beer License? If yes, _swat In detail ❑ Yes C4 No 26. Do you now, or have you ever had a direct orindirectinterest in a ligli uoruorfor beer e, or been employed in a liquor ,00rrbbeer frelaattedd business outside the State of Colorado? '/ If yes, describe in detail. 4,ts' KeICI -As3 .4 " "' '— �� OLI t& (oAe�) K `s' / ' Tv cod (0/- , O l( •.lf (t LLyvESf4Q ST 'alo4osc Cot UMj3US obit o cn Yes ❑ No I ( r t l DA4ve\it (err-. C©LoUs oHro 27. Have you ever been not include traffic violations, If yes, explain in detail. cKi Yes 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 unless they resulted in suspension or revocation of your drivers license, or you were convicted of driving under the influence of alcoholic beverages.) No Nit' j 0 rill tRREtP Covn7Tt11- -04I0 IN 0EC. aj 3 28. Have ■ you ever received a violation notice, suspension or revocation fora liquor law violation, or been denied a liquor or beer license any where in the U.S.? If yes, explain in detail. Yes No 29. Have ■ you ever held a gambling or gaming license or owned a Federal Gambling Stamp? If yes, explain in detail below. Yes 74 .0 State/Federal r Year City State State/Federal Yew City State 30 Military Service (branch) - From To Serial Number Type of Discharge 31. List all addresses where you have lived for the past five years. (Attach separate sheet if necessary) Street and Number City, State, Zip From To \319 Ca 5MAUh1&€ vnA+r Ott \o 1k3G3-7 Z--76 G,-93 3c -6 --et 1 ProA) W000c NN - GA-N-Pr-m,b4 &44i (13 I2 -1L) 32. List all former employers or business engaged in within the last five years. (Attach separate sheet if necessary.) Name of Employer Address (street, number, dty,_state, zip) Position Held From ' To iDD,NA,0,,r--, Ci-q3 )- i-1 (.,D f=s S t k IJaisE- 3`013 91-13 ()U 0 - comet 9-iS6 I H2- 33. List the names of persons who can vouch for your good character and fitness in connection with this application. Name of Reference Address (street, number, city, state, zip) Number of Years Known 0Li PttArefAi 4107—mss—cors4i I6 pica -A IAA i' EL . rot gc_436--79i U 14 poi -I. sA-14 `?s2 .303- 3S2 -:4743 z OATH OF APPLICANT: / declare under penalty of perjury in, the second degree that I have read the foregoing application and all attach- ments thereto, and that all information therein is true, correct `and complete to the best of my knowledge. %i Signature , �tC _ TMa '. `�''.s:' /i-4� P 387 471 458 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PR0V0L0 NO t (OR IN(ERNAP.0NAL MAIL (See Reve(se) Sent Pa COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 orm 3800. June 1985 SneC R! I Jelrvery Fee stn( led Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showrg to chum Date. and Address Ut Debcery N C I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address O E m x O w c O y O U y L O O 6 > o g — E U r�jr N V N ar. m > � o E E C o - m 7 = w o r -b r O> o v .. N O c f; 0 84-72-8, E 0 7 m t 0 a 0 U a d gm-2-fgtz -nim,c m w yo c E cc E E E O 848 c°' o m c E -8,J a,o°ct a• two > U t 0 • O 2 U' o E C 3 S =' N Q W U U i Qtcri cc 722 Er m co) 0 O � U 22 • ED O a a Ft IC RETURN R O 0 0 N D a O z C W vii w A 1.4 E 2 2 O 1 ¢ E o W V N a z 0 z co W O E ¢ Q z H z zaxo O W ¢ W U ¢ x U vvaPG o0E t - 41 III a a¢ � z o - E r W c a IA c� Q 0 0 Un J LL a a pn Winter Enterprises / 2414 N. Woodlawn, Suite 253 / P.O. Box 789950 / Wichita, Kansas 67278-9950 / Phone: (316) 687-6385 / Fax (316) 681 -1780 November 4, 1994 Clerk to the Board 915 10th Street Greeley, CO 80631 Dear Sir: Enclosed please find our renewal application for our 3.2 Beer License for our Pizza Hut located at 2525 8th Ave., Greeley, CO. I have also enclosed two checks, one in the amount of $92.50 payable to the Colorado Dept. of Revenue, and one in the amount of $57.50 payable to the Clerk of the Board. The only change on the form is a change of manager. I have enclosed the Report of Changes form. The new manager, Alan Hohenbrink will be bringing in his Individual History Record as well as his fingerprints. If you have any questions, please give me a call. Thank you for your assistance. Sincerely, WINNY ENTERPRISES, INC. 40,4 leek Beverly K. Becker Secretary Enclosures 9411 61 6 2922.�L � z 9>o.s1,/ Hello