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Home My WebLink About910545.tiffRESOLUTION RE: APPROVE CHANGE OF CORPORATE STRUCTURE FOR METRO OIL COMPANY, DBA VICKER'S #2748 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, dba Vicker's #2748, the holder of a 3.2% Beer License in Weld County, Colorado, 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: Ronald L. Brinkman replaces Kenneth A. Pawlowski 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, dba Vicker's #2748, be, and hereby is, approved. The above and foregoing Resolution was, on motion duly made and seconded, the 3rd day of June, A.D., 1991. • adopted by the following vote on ATTEST: Weld County Clerk to the Board By: >L, Deputy a erk to the Board APPROVED AS TFORM: County Attorney BOARD OF COUNTY COMMISSIONERS WELD COUNTY„(3OLORADO George Kennedy, Pro-Tem f �./ / Gl �c./sue / C i ) e c Constance L. Harbett A7Y4 724- till C. W. Kirby W. H. Webster 910545 L_. CL DR 8176 (07/89) Colorado Department of Revenue Liquor Enforcement Division 1375 Sherman Street Denver, CO 80261 303-866-3741 DO NOT USE THIS FORM TO REFLECT A CHANGE IN PARTNERSHIP. IF THERE IS A CHANGE IN PARTNERSHIP, USE THE DR 8404 OR DRL 403 AND FILE A CHANGE OF OWNERSHIP WITH YOUR LOCAL LICENSING AUTHORITY. iEPORT 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) ALL LICENSEES FILL, OUT THIS SECTION... APPLICANT NAME: SALES TAX ACCOUNT NO.: 21--79919 LICENSE NUMBER: 21-7997.9-047 TELEPHONE NUMBER: 776-7107. TRADE NAME: ADDRESS OF LICENSED QREMISES: „Ai .rtoadV- 119 Street Address MAILI,N&G ADDRESS. av:aila[ St. , Street Address • CHANGE OF CORPORATE•STRUCTURE (Applies to corporate licensees only} Attach acertificate ai Good Corporate standing; and, for each new officer, director, and stockholder, attach a DRL 404 -( Individual History Record and Copy of Minutes IDn;:i.TDnt ('. J f! atty. ) , (X) City State Denver r City CC State €€O501 Zip 80235- 20(:` Zip NAME of new corporate officers. & directors: President 7..t r.il:1 L. T)2Uactue Vice President ' Tac ztnt. Secretary Ju tald. L. 'rinkoTtan Treasurer it laid L. 3rinki-nan NEW STOCKHOLDERS/TRANSFERS OF CAPITOL STOCK HOME ADDRESS 215 Thistle Pdg Cix, Denver 5504 S Newconte St, Littleton Please see above REPLACES (Name): N/A -- Same N/A - Same Kenneth A. Pawlowski Kenneth A. Pawlowski HOME ADDRESS D.O.B. N/A % STOCK NOW OWNED Petroleum, Inc. 999 18th St. t2201, Denver 1002 -- Sane DIRECTORS: HOME ADDRESS D.O.B. REPLACES (Name): L. ltNaque I.c.c al d L. Brinkman Please see above Please see above N/A - Same Kenneth A. Pawlowski CH AN GE OF MAN AGE FORMER MANAGER: Name (Foe Beier & Wine, Tavern, Club, Arts, Racetrack and a113.2 Beer -except "Off Premt atel/Restaurant Licensees must submit a DR 8367. Managers/Restaurant Licensees must submit a DR 8 67. Manager s Reoistratlon ACKN0WI»0GE© Date of Birth NEW MANAGER: Name DATE JUN 1 a fggt Date of Birth OATH OF APPLICANT I declare under penalty 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 matters and information set forth therein are true,,ggrrect and complete to the best ofnt nowledge and information: and I agree to. conform to . all applicable statutes and all rugs lnd regulations promulgated by the Colorado Depart�nf of Revenue in connection therewith. AUTHO D SIG ATURR TITLE OF SIGNER (it corporation) 3ecra_ 1-a r'/l reasurer DATE: REPORT OF LOCAL LICENSING AUTHORITY, The foregoing changes have been received and examined by the Local Licensing Authority. LOCAL LICENSING AUTHORITY I.D. NUMBER: LOCAL LICENSING AUTHORITY FOR: , ..n..i cOui. it v, L(/ COUNTY TOWN/CITY SIGNATURE: ATTEST: TITLE:C.., 1.1 1 DATE: 6/2/7.1 DATE: 6,31 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. 910Lj45 I ()Anent, 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 14, 1991 SECRETARY OF STATE p 5 45 METRO OIL CO. CONSENT ACTION IN LIEU OF ANNUAL MEETING OF DIRECTORS The undersigned, being all of the directors of Metro Oil Co., acting without a meeting as permitted by Section 525 of the Michigan Business Corporation Act, as amended, does hereby consent to, approve and adopt the following resolution: RESOLVED, that the following individuals are hereby elected to serve as officers of Metro Oil Co., to hold office until the next annual meeting of directors and until their successors shall be duly elected and qualify or until they are removed or resign: Gerald L. DeHague President Ronald L. Brinkman Secretary and Treasurer DATED: November 15, 1990 (A44 L Gerald L. DeHague 1 onald L. Brinkman METRO OIL CO. CONSENT ACTION IN LIEU OF MEETING OF SHAREHOLDER The undersigned as the holder of all of the issued and outstanding shares of Metro Oil Co., a Michigan corporation, acting without a meeting as permitted by Section 407 of the Michigan Business Corporation Act, as amended, does hereby consent to, approve and adopt the following resolution: RESOLVED, that the following individual is hereby elected to serve as a director of Metro Oil Co., to hold office until the next annual meeting of shareholders and until his respective successor shall be duly elected and qualify or until he is removed or resigns: Ronald L. Brinkman DATED: November 15, 1990 TOTAL PETROLEUM, INC. By �J ✓/�� K. R. Buckler Executive Vice President 07 1 J RESIGNATION Effective November 14, 1990, I hereby resign as a Director and as Secretary/Treasurer of Metro Oil Company. Kenneth A. Pawlowski DR 8404 - I (2/89) 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 manager 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: 2-7-91 Social Security Number: 2. Your Full Name: (last/first/middle) Brinlanan, Ronald, Lee 3. Also Known As: (maiden name/nickname, etc.) Ron 4. Mailing Address: (if different from residence) See below Home Telephone: 933-2489 5. Residence Address: (street and number. city, state, zip) 5504 S. Newcombe St., Littleton CO 80127 6. Is your residence: 3 OWNED • RENTED If rented, from whom? N/A 7. Date of Birth: Place of Birth: Mankato, MN 8. U.S. Citizen? © YES ❑ NO If naturalized, state where: N/A When: N/A Name of U.S. District Court: N/A Naturalization Certificate No.: N/A Date of Certificate: N/A If an alien, give Alien's Registration Card No.: N/A Permanent Residence Card No.: N/A 9. Height: 6'1" Weight: 215 11 -is Hair Color: Brown Eye Color. Blue Sex: Male Race: Cauc. 10. Do you have E YES a ■ Colorado Driver's License? If yes; give number: NO 11. What is your relationship to the applicant? (sole owner, partner, corporate officer, director, stockholder or manager): Corporate Officer and Director 12. If Stockholder. Number of Shares Owned Beneficially or of Record: N/A Percent of Outstanding Stock Owned: N/A 13. If Partner, state whether: N/A . GENERAL • LIMITED Percent of Partnership Beneficially Owned: N/A 14. Name of Present Employer: Total Petroleum. Tnc. 15. Type of Business of Employment: Convenience/Cas Store t6. Address of Business Where Employed: (street and number, dry, state, zip) 999 18th St., #2201, Denver, CO 80202 Business Telephone: 291-2250 17. Present Position: Buyer/Merchandiser 18. Marital Status: Married 19. Name of Spouse: (include maiden name if applicable) Jayne (Brishois) Brinkman 20. Spouse's Date of Birth: Spouse's Place of Birth: Redwood Falls, MN 21. Spouse's residence address, if different than yours: (give street and number, city, state, zip) Sarre 22. Spouse's Present Employer: Self-employed Occupation: Day Care 23. Address of Spouse's Present Employer: 5504 S Newcombe St Littleton CO 80127 24 List the name(s) of all relatives working in the Iiva industry, give their: Name of Relative: Relationship to You: Position held: Name of Employer: Location of Employer: None emi ,,,f�. CONTINUED ON REVERSE SIDE 25. Do you now, or have you ever held a direct or Indirect interest in a State of Colorado Liquor or Beer License? If yes. answer in detail. ❑ YES NO 28. Do you now, or have you ever had a direct Colorado? If "yes; describe in detail. or indirect interest in a liquor or beer license, or been employed in a liquor or beer related business outside of the State of • YES © 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 drivers license, or you were convicted of driving under the influence of alcoholic beverages.) If yes; explain in detail. ❑ YES ® NO 28. Have you ever received a violation notice, if yes,' explain in detail. suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere in the U.S.? ❑ 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 M NO State/Federal: Year: City: State: State/Federal: Year: City: State: 30. Military Servios: (branch) ' None 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 City, State, Zip From: To: 5504 S. Newccxnbe St. Littleton, CO 80127 12-88 Present 862 E. Phillips Ln. Littleton, CO 80122 4-88 12-88 13000 Welcome In. 13001 Harriat Ave. Burnsville, PSI 55337 Burnsville, MN 55337 7-86 9-85 4-88 7-86 32. List all former employers or businesses engaged in within the last five years. (Attach separate sheets if necessary.) Name of employer: Address: (street, number, city, state, zip) Position Held: From: To: Total Petroleum, Inc. 999 18th St, #2201, Denver. CO 80202 Buyer 3-88 Present Holiday Stores 4567 W 80th, Bloomington, MN 55443 Buyer 9-81 3-88 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) No. of Years Known: Dennis C. Guy 7760 Newman St., Arvada, CO 80005 3 Warren A. Peterson 9021 E. Mansfield, Denver, O3 80237 3 Katie Banks 777 Washington, #1203, Denver, (I) 80203 4 OATH OF APPLICANT I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, a d that all information therein is true, correct, and complete to the best of my knowledge. Signatu Title: Secretary/Treasurer Date: 2-7-91 FEE 01 '51 11:35 DILL AND -"ILL 303 777 3333 P•3'� TO WHOM IT MAY CONCERN: I have known 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. DLN/V(S (. Print Name: Address: 7 7 6 o Newsom/ 5% 4`2✓4134, Co. f,000.. Phone Number: WY -87[ 7 Date: 7 to K k//4Kt j FEE 01 '91 11:48 DILL RN" ILL 303 777 3823 P.2/2 TO WHOM IT MAY CONCERN: I have known -3 SO v 5,4P /frntefN 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, Print Name: bbf4rren A.'P tuson Address: bctoce Phone Number: 3�3 - 773-1.-/oo Date: Cc, .00237 FEE 01 '91 11:43 DILL PNP -'ILL 303 777 3323 P.2/2 TO WHOM IT MAY CONCERN: I have known fox' idettuanziK/ 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, Print Name: Katie_ I inks Address: 777 GUtfrn /20_3 /uvnc Co. 8oao3 Phone Number: 839 - Date: °OA 700 East Speer Boulevard Denver. Colorado 80203 (FAX 777-3823) Te•ephone 303.777-3737 H. Alan D. Roaert A. Diii Jon Sionhraker Danie) W. Carr John A. Hutchings Artnur Keitt` W'ntetav: Luc•en J. Dnooce Lesile B'oc< K;yo Thomas M. Dunn r Daniel E. Br .nste:n DILL and DILL A Professional Corporation Attorneys at Law February 22, 1991 Tommie Antuna Weld County Commissioner's Office P.O. Box 758 Greeley, CO 80632 Re: Metro Oil Co., Inc. d/b/a Wicker's Dear Tommie: Enclosed please find the Change in Corporate Structure documents for Metro Oil Co. Kenneth A. Pawlowski has been replaced by Ronald L. Brinkman as Secretary/Treasurer and Director. The State has been sent the following: 1) Report of Changes form with attachment 2) Cashier's check made payable to "Colorado Bureau of Investigation" for $38.00 3) Fingerprint card for Ronald L. Brinkman 4) Individual History Record for Ronald L. Brinkman 5) Certificate of Good Standing 6) Corporate Minutes and Resignation Metro Oil Co. is currently on the Master File system with the Colorado Department of Revenue, Liquor Enforcement Division. Once I receive the new Master File letter (about two to three months after filing with the State), I will send a copy to You. If You have any questions or need anything else, please call me. Sincerely, 1 '•A/r I DorothvA Martinez Paralegal Enclosures 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 Leslie Block Kaye Thomas M. Dunn Daniel E. Bronstein DILL and DILL A Professional Corporation Attorneys at Law May 3, 1991 Tommie Antuna Weld County Commissioner's Office P.O. Box 758 Greeley, CO 80632 Re: Metro Oil Co. d/b/a Vicker's Dear Tommie: Enclosed please find a copy of the final Master File letter issued from the Department of Revenue, Liquor Enforcement Division. I believe this is the final item to complete the Change in Corporate Structure for Metro Oil Co. If you have any questions or need anything else, please call me. Sincerely, Martinez Dorothy A. Paralegal Enclosure STATE OF COLORADO LIQUOR ENFORCEMENT DIVISION Department of Revenue 1375 Sherman Street, Room 600 Denver, Colorado 80261 Phone (303) 866-3741 FAX (303) 866-4541 April 24, 1991 Metro Oil Co. d/b/a Vicker's PO Box 500 Denver, CO 80201 Re: Chain Store Dear Sir or Madam: Application for This is to advise you that the has, at your request, created,a applicant. As of the date of this letter our items which you have submitted: 1. Individual History following persons: Metro Oil Co. State Liquor Enforcement division "master file" for the above -listed master file includes the following Records (Form DR -8404) for the Gerald Lee DeHague DOB 2. Fingerprint cards bearing the names and birthdates of the persons listed in paragraph 1, above. Ali the fingerprint cards have been submitted by us to the Colorado Bureau of Investigation. The CBI and FBI have checked the prints and reportedly found no record of any criminal history. 3. Certificate of Authority or a Certificate of Good Corporate standing from the Colorado Secretary of State which indicates that Metro Oil Co. is a corporation authorized to do business in Colorado. Roy Romer Gmmmew John J. Tipton Executive Director Roger Morris Division Director COLORADO DEPARTMENT OF REVENUE WHERE EXCELLENCE ADDS UP *1111 ' i Metro Oil Co. April 24, 1991 Page 2 You must check with the local licensing authority to determine what documents they may require to process your application. Please feel free to provide them with this ---as many local authorities will not require you again to submit documents to them if you have already submitted such documents to the State Liquor Enforcement Division. This letter will serve to inform the local authorities exactly which documents you have already submitted to the State Enforcement Division. Finally, once the local authority has approved your application, it must be sent to the Liquor Enforcement Division. The only documents which are needed by the Division are: 1. The approved application signed by the local authority; 2. The appropriate fees; 3. A copy of this letter; 4. Proof of possession of the premises; 5. A diagram of the licensed premises; 6. Completed form DRL-367, if manager's registration is required. Sincerely, Herbert E. Luoma Investigator of vicker-mst.fill 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 III Lucien J. Dhooge Thomas M. Dunn DILL and DILL, A Professional Corporation Attorneys at Law May 23, 1991 Weld County Commissioner's Office Carol Harding 915 10th Street Greeley, CO 80632 Re: Change in Corporate Structure for Vicker's Dear Carol: Enclosed please find a completed original Report of Changes form which you requested. If you have any questions or need anything else, please call me. Sincerely, hif ',zi'(1./''l-,rt,I Dorothy lA. Martinez Paralegal Enclosure P 556 a83 ',5'? 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