The URL can be used to link to this page

Browse Search

Home My WebLink About940722.tiff RESOLUTION RE: APPROVE CHANGE OF OWNERSHIP REQUEST FOR TAVERN LIQUOR LICENSE, WITH EXTENDED HOURS, FROM DENNIS G. ZITEK, DBA LAZY D, TO LAZY D ENTERTAINMENT CENTER, INC. , DBA THE LAZY D - EXPIRES JULY 25, 1995 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, Lazy D Entertainment Center, Inc. , dba The Lazy D, presented to the Board of County Commissioners of Weld County, Colorado, an application for a Change of Ownership of a Tavern Liquor License, with extended hours, for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, said license previously held by Dennis G. Zitek, dba Lazy D, 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 Liquor License for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 39520 WELD COUNTY ROAD 136, HEREFORD, COLORADO 80732 NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant License Number 94-10 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location and does hereby authorize and direct the issuance of said license by the Chairman of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license shall be in effect until July 25, 1995, providing that said place where the licensee is authorized to sell malt, vinous, and spirituous liquors for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the license. 940722 lr n. ')CI CHANGE OWNERSHIP OF TAVERN LIQUOR LICENSE, WITH EXTENDED HOURS - LAZY D PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of April, A.D. , 1994. BOARD OF COUNTY COMMISSIONERS ATTEST: Lela WELD COUNTY COFLORADO Weld County Clerk to the Board •/( I*// ,ttj. trP /, . W. H. Webster, Chairman CI BY: s £�G�', A_ / b U. et C_ EXCUSED DATE OF SIGNING (AYE) Deputy CJtrk to the Board Dal K. Hall, FO-Tem APPROVED AS TO FORM: ‘._ 4 ,i _" /LL' Geo ge Baxter ount Attor ey Constance L. Harbert EXCUSED DATE OF SIGNING (AYE) Barbara J. Kirkmeyer 940722 • THIS LICENSE MUST BE POSTED IN PUBLIC VIEW OR S402110/92) STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver.Colorado 80261 LAZY D ENTERTAINMENT CENTER INC LAZY D THE 39520 WELD COUNTY RD 136 HEREFORD 00 80732 AMENDED • ALCOHOLIC BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date LICENSE EXPIRES AT MIDNIGHT • 02-92502 03 206 5813 3 072694 ,JULY 25, 1995 Type Name and Description of License Fee 2010 TAVERN LIQUOR LICENSE - MALT, VINOUS, AND SPIRITUOUS $ 50.00 2180 CITY 85 PERCENT OAP FEE $ 276.25 EXTENDED HOURS TOTALFEEISI $ 326.25 • This license is issued subject to the laws of the State of Colorado and especially under the provision of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is nontransferable 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 Division. 1375 Sherman Street Denver,CO 80261. • testimony whereof,I have hereunto set my hand.c“,t , & J U L 291994 MET dean et Division Director (/ Executive Oita for. • 940722 • / ,, 0 l.3 d > — c I'o Cd y c 3 o y I .°y� T O S - = =v ' .`'-. a `__.' ro. O (di o c v a, d la i C emu° .,;at. d p0', U ,O r - - Q - a m d a ti • u .,.4 Si '� a o ' 8 a �` 4 a a) �` ° CSC] CP CD CC OD • F D a) a .^^ q ^J ° rn C.'. it d d .^ O cn _ oA G d "' .Z III i Pizi N o D ) O tiJ ,�-, F c�Wy •CJ 0.Ci'. .-. Ci I 0 e a - z O aL F. A x 'Flit;m J ^ d. C) 4 z U , O '.' G W c W ^4 'C C 'C', ti < 2 - I N 0 Z F •-^ — C u = C -o G '— {� Z • O h �� 01 3 O z > t7 ryn q E • I.O. �'-. >, O OF FO . .. W C.) SC t'1 .-2 'mot '� q C C _. Z U e 0 z I"I O O F I 0 O F z -I = C O Do � x ' a ° W .a a. _ c., _1 O .� .. W 'C., ,, .J o a a. a Z z ,. O _ _. Z o y a •— c., t. —.� � G' l� , �r ) , L ~ b: ' . fl 7. , ; U 41 5 � F o ZZ 2 ^ ;j Fe :n 0 , „ m O 1 ✓ � ', • +it ry. // x H Y W O] C1. m OT > L 'l) .1-1 C It_I Imo:1/2 . [- /I�� t • y % ' O0O x 2 = a i-i w ° a voi S. q y e oa ,.. /r-,tI N. II SS, CI"F I I CO -I F W °j 02 Cl•W E c c q O„.. £t /c I ril Ind V W 0 .a v d a) .�. ' '^�,,,a'7 O w --71P � f/ ' O G > e q .I . a. > >L a : a, a) q-0 -0 s U. I ll 6 .. Z u - U 0 V � y � r, < vi d �� O E M `vim . F N m q GS a y. ^. W ` U U l.0 < z ,. t - O w N F Z F F .-' H e c> CVO 7 O c3.1 a J -6. 0 >. a c=E • L d m �>, - O • r r7 ? Yy..��r� , I cn W H �a. Igl ��/j\ a z :1,1... :_::: ° - .rz111 WM1 Fill N ° T > '^^�O r.*.s w H *' lei, a Fr�1,, I W ° �° ov O P7 4z "22:c _ld�' y O Otr4 m o > -4. ' w es a H to a° If ' .S- a) o 7 y, .r:e o ••; •w .d m s 940722 l __ .r c- N 4 IV s. of oui &)tleSdf ' '' DR 8404(01/91) •".../....••••" " „......-...-• C0LORAODO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 t. Denver CO0rman 61 COLORADO. LIQUOR Denver 0 80261 . LICENSE APPLICATION License Issued Through Use License Account No. IMPORTANT: For those retail licenses described in Column A below, this application and all supporting documents must FIRST BE FILED IN DUPLICATE WITH,AND APPROVED BY,THE (Expiration Date) for all reference LOCAL LICENSING AUTHORITY(CITY,TOWN, COUNTY). Applications will not be accepted unless all applicable questions are fully answered,all supporting documents correspond exactly with the name of the applicant(s),and proper fees are attached. btikniS1413aragriONigniiMagNiil separate Y `0un4y' (lY.,` ieb. Date:: You may attach sheets or additional documents if necessary to full complete this 8 O InthlS9y'kPa LY application. All documents must be typewritten or legibly printed in black ink. • • Form DR 8404-I, individual History Record' must be completed and filed in duplicate by the following: FEEPA117 • Each applicant • Over 5%limited partners ' Cash Fund $4# r`r .CiaX` t Calmly • All stockholders f corporation a corporation • E Managers pers 66-1 ..41.9 ' :.fly c :t49.t • All stockholders of a not subject • Each person required to file form .� �' ' to the Securities and Exchange Act of 1934 DR 8404-I must submit fingerprints • Over 5%stockholders of a corporation subject to the Local Licensing Authority. to the Securities and Exchange Act of 1934 Please note:Fingerprints submitted wdl • All Limited Liability Company members and managers be used to check criminal history V:::::$:,;,:i::;k:: ii.mtialaiiiii EliEtimegaExtHrs • All general-partners records with the FBI and CBI _ .,.,.x.44 .:1.37%9 m49_i: -i' NOTE: License status will not be given over the telephone. License will be mailed by the Liquor Enforcement Division to the Local Licensing Authority upon issuance. ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN liningEO 4 APPS CANTS FO ORANOW'N I.10EN$EL 00 TAAN$FERtS OF OWNERsHIt' = IYIL CHECK THE'APPRI PR1ATE .. la#W tN EITttEt-KUMN A OR COWMN B F o s giiiiiingibteaaSaWniiiit44.I1STA SII CHst a,"•Er#Box(18": W 19h ≥ 41 9layi :; >.: t*,.f.'tltgiktAz . ntiiT'1CTE'iiES{ :.nz :sue 943#`. • COL.tIMN;Ek 9i`k'1'iFEt3 18 ❑ Application Fee for New License $450.00 1 Application Fee for New License $450.00 19 [9 Application Fee for Transfer of Ownership 450.00 E Appliication Fee for Transfer of Ownership 450.00 20 0 Retail Liquor Store License-City 202.50 6 ❑ Public Transportation License each $50.00 20 0 Retail Liquor Store License-County 287.50 27 0 Manufacturers License-Brewery 275.00 21 0 Liquor Licensed Drugstore-City 202.50 28 ❑ Manufacturers License-Winery 275.00 21 ❑ Liquor Licensed Drugstore-County 287.50 29 7 Manufacturers License-Distillery or Rectifier 1025.00 22 0 Beer&Wine License-City 177.50 31 D Wholesale Liquor License(Vinous&Spirituous) 1025.00 22 ❑ Beer&Wine License-County 262.50 32 0 Wholesale Beer License(Malt Liquor) 525.00 23 O Hotel& Restaurant Lic. ❑ City ❑County 326.25 37 O Importers License(Malt Liquor) 275.00 24 0 Hotel&Restaurant Lic. 38 0 Importers License(Vinous&Spirituous Liquor) 275.00 w/Optional Premises ❑ City ❑County 326.25 43 O Limited Winery License 45.00 25 C Club License ❑ City ❑C unty 135.00 44 ❑ Nonresident Manufacturer's License(Malt Liquor) 275.00 40 a/Tavern License ❑ City (unty 326.25 41 ❑ Arts License ❑ City ❑County 135.00 42 ❑ Racetrack License ❑ City ❑County 326.25 45 ❑ Optional Premises Lic. ❑ City ❑County 326.25 M Extended Hours-Special License 170.00 1. Name of Applicant(s): If partnership,list partners'names(at least two):if corporation,name of corporation: I Date filed with Local Authority: 7 /: J :(,-?'y )� n Sri ( / 3-/. -9/ 12 I--, 7>.-Tien ij-•-ten% C.-,•�, / i 1a.Applicant is a: , F.E.I.N.: EG Corporation ] Individual Li Partnership n Limited Liability Company 5- — la y[)66 2. Trade Name of Establishment: (DBA) State Sales Tax No.: Social Security No.: cri;t,. kr — i, O OA -- J::3l'`2— Jr.2/- OF-G/ 2/ 3. Address of Premises:(Spedfy exact location of premises. Diagram of premises must accompany this application.) Business Telephone: 3g02a wcR /3L 303 f195 2 i City: County: / C/ State: Zip Code: /i•e i .e. ;O f Co iv 23 Z 4. Mailing Address: (Number and Street) City or Town: State: Zip Code: 3 ?C,tc' ciceq in ne.er-e-fu,(1 ca F'o ?32 5. If this is a transfer of ownership or renewal application,you MUST answer the following questions about this business: Pre9ent Trade Name of That Esjablishment(DBA): Prgssent t teJ,icense No.: Pent Type of License: Prase t Expiration Date: .,r A2 Z),..,y i) y �j a,/ ,- ', 7 A/94/ 11 te e,/-,:Ic 940722 YES NO 6. Is the applicant,or any of the partners,or officers,stockholders or directors of said applicant(if a corporation),or manager, under the age of twenty-one 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. Exclude minor traffic violations.on C�H( U/a9 (✓/!/a/✓<� /r a /.+na�Mf `L C�X.nn.� l4a 42a / r ct Th.. 12n ss eh/ Flail • 1 do nol 6izu..- /si ee £#a5 Coe✓,cTed eviler' cw(Tj.,/ (b)Have 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. Exclude minor traffic violations. L.J 0-412-€401 in / S'S' oe /979 8. Has the applicant,or any of the partners,or officers,directors or stockholders of said applicant(if a corporation),or manager,ever: 2. (a)been denied an alcoholic beverage license? (b)had an alcoholic beverage license suspended or revoked? (c)had interest in an entity that had an alcoholic beverage license suspended or revoked? If'yes,'explain in detail on separate sheet. - - 9. Has a liquor license for the premises to be licensed been refused within the preceding two years?If'yes;explain in detail. 10. Are the premises to be licensed within 500 feet of any public or parochial school,or the principal campus of any college, ✓" university or seminary? 11. Does or did the applicant,or any of the partners,or officers,directors or stockholders of said applicant(if a corporation) RI.have a direct or indirect interest in any other Colorado Liquor License(include loans to or from any licensee,or interest in a loan to any licensee)? If yes,'explain in detail. Da.vir-es /5 0 eve..✓ sal Cac/et 7 -es 1, 12. State whether the applicant has legal possession of the premises by virtue of ownership or under a lease.Attach a copy of / deed or lease. If leased,list name and address of landlord and term of lease.Attach a copy of diagram of premises. • 13. 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 of any such persons, and the amount and source of such financial interest expressed in dollars or other items of value, such as inventory, furniture or equipment(i.e., bank, relatives,friends,previous owners,etc.). Use separate sheet if necessary. NAME ADDRESS INTEREST PP/lilt" t . �7 � v/-t " %k �//y��/ �� ;i?i 14. 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 BUSINESS ADDRESS 2,Q.7,,,, ,7T.,>k C17.r•'„>,t / O (4, n✓sue 3c/ r& eic./? )36 Attach copies of all notes and security instruments,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 conditional in any way by volume,profit,sales,giving of advice or consultation. Page 2 of 4 940722 ' - YES NO • 15. Uqubr Licensed Drug Store appliee answer the following: NO (a)Does the applicant for a Liquor Licensed Drug Store have a license issued by the Colorado Board of • Pharmacy?COPY MUST BE ATTACHED. Er 76, Club Liquor License applicants answer the following: . . (a)Is the applicant organization pperated solely for a national,social,fraternal,patriotic,political or athletic purpose and not for pecuniary gain? +I ,1,I (b)Is the applicant organization aregularly chartered branch,lodge or chapter of a national organization which is operated solely for the object of a patriotic or fraternal organization or society,but not for pecuniary gain? (c) How long has the club been incorporated? (d)How long has applicant occupied the premises (Three years required) to be licensed as a dub? Note: Applicants must also answer question 21,parts(a)through(d),and(f),below. 17. Colorado Manufacturer,Wholesaler or Limited Winery applicants,answer the following: (a)Will the applicant store or sell alcoholic beverages at more than one location in Colorado. If'yes,'provide the address of each location and explain the activity to be conducted at each location(e.g.,warehouse,salesroom,etc.) (b)If the applicant is a wholesaler,does or did any owner,part owner,shareholder,director or officer have any drect or indirect financial interest in a wholesaler,retailer,manufacturer or importer already licensed by the State of Colorado to sell malt,vinous or spirituous liquor? If yes;attach explanation in detail. (c) Does the applicant have a valid Federal Basic Permit? If"yes,"attach a copy of the permit;if'no,'explain whether one has been applied for. 18. Nonresident Manufacturer(malt liquor)or Importer(malt,vinous or spirituous liquor)applicants,answer the following: (a)To what Colorado licensed wholesaler do you intend to ship your merchandise? (b)Does or did any owner,part owner,shareholder,director or officer of the applicant have any drect or indirect financial interest in an importer,manufacturer or retailer already licensed by the State of Colorado to sell malt,vinous or spirituous liquor? If'yes,'attach 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. (d)Are you the primary source of supply in the U.S.?If'no,'explain. 19. If the applicant is a partnership,answer the following: (Attach separate sheet if necessary.) (a)Name of each general partner and each limited partner Home Address,City and State Social Security# Date of Birth holding a greater than 5%.interest. Date: (b)On what date was the partnership formed? Attach a copy of the partnership agreement (except for partnerships consisting only of a husband and wife). 20. If the applicant is a Limited Liability Company,answer the following: (a)Name of each member and manager of the Limited Home Address,City and State Social Security# Date of Birth Liability Company Date: (b)On what date was the Limited Liability Company formed? Attach the following: 1.A copy of articles of organization. 2.Acknowledgement from Secretary of State's office. 3.Copy of operating agreement (c) Name of Responsible party Page 3 of 4 940722 21. If the applicant is a corporation,answer the following: (a) Corporation is organized under the laws of the State of: Co /6 . Date of Incorporation: /2/I�/9 3 (Attach Certificate olf Authority (b)Out-Of-state corporations,give date authorized to do business in Colorado: from Cob.Secretary of State]._ (c) Date of filing last annual corporate report to the Secretary of State: (d)Name of each officer listed below: Home Address,City and State: Social Security it Date of Birth: President: raq n, 5 G Z.7e ie _".59'4.2,4 WO? /34 %'/�r�o✓d h /-G�'G�9/ /U .2��/sr Vice resident zif 9f L„cRt /3L 6---vi/.,.••• 9////` -- Treasurer: l //4 Q°'/ TI, z' Tr it '/G1-/e,/99ZU c41,4 ellrr'w-- d/!./y7/ Secretary: • (e)Name all 5%or greater stockholders; Home Address,City and State %of stock Date of Birth: include actual owner or pledgee . 0eanij c 7 i7,4 394-2o et/rig ,9% /-/o - e4 , e/ 33r3 /ozsr ' ' / 24'lek 4// v /2 cc 4,x /3G O.. ,i //L. rn.etv /-) r ` 33.3 9 /4/ GS 0pv7v t, 3 Z,no k 4//. 4ifC 4,ri4 /3c C rr, „,, 37, 3 t i 7 7/ • (f) Name of all Directors or Trustees of Home Address,City and State Corporation: • Sail, QS Q Aain . 22. Manager _ /`` '�j +� // [ `�.R.7 f'!.� n .41. C 9J1-2g(> !u c- .0 /'J/o ger 2 S�'ri /�^7'1-/5' < _ �`c�i .e8 8s >.E;�s. '4"yu c 'N'3o� s �4##i'{'H'C�1�*** 3 5 1C; under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best of my knowledge. Aut/ Signature �/(] ,(y� Tile 'Date: REPORT AND APPROVAL OF LOCAL LICENSING AUTHORITY ;fdanufacturer* nanreside t marurfecuiSra,lmpct1ers,Whofeaalera,8m[ted winarles,ant#public transpor ation pceneeea sitaregardtttesectionbatow} . Is this application for a: New License C ansfer of Ownership Other(specify): YES NO Each person required to file DR 8404-I: Has been fingerprinted 4 Background NCIC and CCIC checked Ell- The liquor licensed premises is ready for occupancy and has been inspected by the Local Licensing Authority. If"no;the building will be completed and ready for inspection by(date) The foregoing application has been examined; and the premises, business to be conducted, and character of the applicant are satisfactory. We do report that such license, if granted,will meet the reasonable requirements of the neighborhood and the desires of the inhabitants,and will comply with the provision of Title 12,Article 47,C.R.S.THEREFORE,THIS APPLICATION IS APPROVED. Loral Licensing Authoray for: D TOWN,CITY Weld County, Colorado ® COUNTY Sgnat This: Chairman, Weld County Board of Date: 4 Commissioners 04/27/94 • Signature an )^:„� / Tnle: Weld Coun 1 to Board pale: ry By;� Deputy 04/27/94 If premises are located within a town or city,the above approval should be signed by the mayor andcl ,if in a county,then by the chairman of the board of county commissioners and the clerk to the board. If,by ordnance or otherwise,the local licensing authority is some other official,then such approval-should be given by such official. ,r� Page 4 of 4 940'7?2 DR 8404-I(07/921 :.:. ' COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET .. .. DENVER CO 80261 INDIVIDUAL HISTORY RECORD 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 public corporation,over 5%limited liability company members/persons and managers. 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 Date Social Security Number i . //,-e let.?ye n P.,%erTcr(nn. .e.� Ce..Tit," r'nc : A ,..-Id 9y S2/ Lf G/P/ 2.Your Full Namellast,first,middle) 3.Also Known As(maiden name/nickname,etc.) Z,Tek Pint/,5 Go .7 -r' /i$4 el 4.Mailing Address(if different from residence) Home Teleph, 5.Residence Address(street and number,city,state,zip) 394-00 4/ r? /3L N'ere5ntc/ re, e2C2 232 6. It rented,from whom? is your residence It-owned ❑ rented T. 7.Date of Birth Place of Birth 8.U.S.Citizen? JD�.1V 4/9 Pin. /3zoVs- edy0 IA-Yes ❑ No i If Natu alized,state where When Name of U.S.District Court I Naturalization Certificate Number Date of Certificate B an Alien,Give Allen's Registration Card Number Permanent Residence Card Number 9.Height Weight Hair Color Eye Color Sex Race 10.Do You Have a Colorado Driver's License?If yes,give number CSt / 3a BR R m te/ gYYes 0 N ,,/ ?7fzri 11.What Is your relationship to 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 `3 33`2. 1 33. 3 13. Percent of Partnership Owned If Limited Liability Company,percent owned If partner, state whether ❑ General ❑ Limited 14.Name of Present Employer 15..Type of Business or Employment ,p if Pat c1.0;__ ' / rni/• ii— r4,:-. 16.Address of Business Where Employed(street number,city,state,zip) Business Telephone`1. 3.--,,,,27,,c; 4 c:tY !3C /A-•.4"2.. c/ C' `r°239 7(7a3) _Fq -2i. // 17.Present Position g' f e51d .,7 of Z7-ek On,,',,� f/ijc ' d(u Ad cr 04 /Xm L , z 2 ' 18.Marital Status 19.Name of Spopse(Include maiden name if applicable / Pid,: :,/ 20.Spouse's Date of Birth Spouse's Place of Birth 21.Spouse's residence address,if different than yours(street and number,city,state,zip) 22.Spouse's Present Employer Occupation 23.Address of Spouse's Present Employer 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 CONTINUED ON REVERSE SIDE 94 7?•2 25.Do you now,or have.you ue dic ever held a direct or In .A interest in a State of Colorado Liquor or Beer License?If y,._answer in detail ❑ LJ Yes No 26.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 Me Slate of Colorado?If y_esdescribe in detail. _ _ _. • 2<es 0 N onrer of Tlv Lazy r/7rr 27.Have you ever been convicted of a crime,fined,imprisoned,placed on probation,received iv 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. i ❑ L�Yes No 28.Have you ever received ed aaviolation notice,suspension or revocation for a liquor law violation,or been denied a liquor or beer license any where in the U.S.?If yes,explain in detail. ❑ Yes LAS No 29.Have you ever held ambling or gaming license or owned a Federal Gambling Stamp?If yes,explain in detail below. ❑ Yes Hi No Year City State State/Federal State/Federal Year City State 30 Military Service(branch) From • To I Serial Number Type of Discharge LJ�/d ,-.z."At C✓>r, 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 _ 39 fa d A., c it i 36 _Hee, o .'fowl /' n c'r7 h 3 2 //in fJ.,,,c:; "7,179% Iw, c- AP 13 G (7.. ,-) ,1,r� Co F O 9g 9. 5n7A 2; 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,city,state,zip) Position Held From To 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 Know./ of Years Knno Pdrn /1 /?ao -.DIGd•-• NP Care„ / -e✓ 4is. n T!/ 4L JdAm G/n/ct•«, R R 1 r I, ,q/+.x7d yam. %), ,/,‘, ," ffR Gr/elv-�k- CO ai yYG 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. Date �/ Title / 4 DR 8404-I(07/92) .. :., . COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION - . - 1375 DENVE ERMAN STREET INDIVIDUAL HISTORY RECORD DENVER CO 80261 -r 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 public corporation,over 5°/a limited liability company members/persons and managers:is necessary for quest ons This bevidual answer{ed in their entircord ety. EVERY answer you rovides basic on givehwill be checked for its the Athorities deliberate falsehoodation. A will Jeopardize the application as such falsehood within Itself constitutes evidence regarding the character and reputation of the applicant. Date Soda Security Number 1.Na//m 4�If Business //n \1 i3 //q4/ c-7 ? r ,c-7.-- -'Z-2 O. `n7 Z y rpm /!/ / / 3.3.Also Known As(maiden name/nickname,etc.) 2.Your Ful ama(last,// first,middle) • 4-2-1-42-1 • � :-I-t-k. / " / erL� Telephone 4.Mailing Address(if different from residence) - Coo 80 .71 1 3 Home el—one a z 8 3`ISa0 ' wC/2 6 HcfrovrL o / 5.Residence Address(street and number,city,state,zip) �s+A7 e- If rented,from whom? 6. Is your residence owned ❑ rented t Place of Birth I a.U.S.citizen?�--✓ 7.Dante of B / `�-Q' /'��e'.) pp Yes ❑ No If Nat line tats here I "�^� Wy() When Name of U.S. str! Court• Naturalization Certificate Number Date of Certificate N an Mien,Give Alien's Reghlratbn Card Number Permanent Residence Card Number Race 10.Do You Have a No Colorado Drivers License?If yes,give number 9.Haigh Weight Hair Color Eye Color �J 4 , 0 1135 I 6C -0"4 I$•a YI'1/oLe IUf ❑ Yes 11.What is your relationship to the applicant?(sol owner,partner,corporate officer,director,stockholder,me ar manager) 33, 3 Percent of outstanding stock owned 12-If stockholder,number of shares owned beneficially or of record3,3 1,' 33 , 3 I Percent o Partnership Owned if Limited Liability Company,percent owned 13. MZ _r7,a. If partner, state wheth�e'ranI ❑ Limited 14.Name of Present Employer L y-Ly 4 [15.Type of Business or Employment � �� e74 . r ea-ralS / A party Pig/// Business Telephone 16.Address o; usiness Where Employed(a(ut number,city,state,xlp 895 Z �, C� 2, 7 17.Present Position ^1 / :i.2.-a —Frt./ 0 ,(/l^r ✓ e r. 18.Marital Status 19.Name of Spouse(Include maiden name if applicable s;`sDz 20.Spous Date of Birth Spouaab P!en of RIrth 21.Spouse's residence address,If different than yours(street and number,city,state,zip) Occupation 22.Spouse's Present Employer 23.Address of Spouse's Present Employer 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 CONTINUED ON REVERSE SIDE 34Vrate:. 25.Do you now,or h e y ever held a director It .x Interest In a State of Colorado Liquor or Beer License?, ,answer in detail ❑ Yes (J No 26.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 the State of Colorado?II yea describe in detail. ❑ Yes JJ 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?(Dc not indude traffic violations,unless they resulted in suspension or revocation of your drivels license,or you were convicted of driving under the influence of alcoholic beverages.) If yes,explain in detail \ Yes o Cc,14� �'�'- !I"s/ �/'Ga \-7Lt1 , ,vf,J 28.Have you ever received a violation notice,suspension or revocation bra liquor law violation,or been denied a liquor or beer license any wherein the U.S.?If yes,explain in detail. ❑ Yes XNo 29.Have you ev@�r fhj d a gambling or gaming license or owned a Federal Gambling Stamp?If yes,explain in detail below. 4 ❑ Yes No Year City State State/Federel �, StatelFederel 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 4‘y99 WOA /3 6 ern U (In Raj /icy. i i /o yo / M rrn,5-, Grrov-er Oa 9v 7L q !s 01: <</�9 u/d (3 6 r;/--rtly --el- Coo` -9(-}22-9 //0071, 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,city,state,zip) Position Held From To Can��rfp r ,t•-c o /11,er1 — ��a U ..2,7\-- Col �4rr 729 /- Cl Y71( , -rt 5 6ro6-r''— Ca Pc y bc,- ��r 1 'IC� -/-7 C`)/`L ( /, f/fr /1l/�r€ I.L-C; �/lj a9C. Lo ur 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 Knov 41,k -e� 1,o cA �mv-ems' (1O r�'o72q /O - iSY` '"' W*. (I 6 //e.'h�,. c & �0' o44-t-o L:el 2 P0}0Qh-n.o_. C 4r zn7er- IV o. < 0 y `, OATH OF APPLICANT: I declare under penalty of perjury in the snd degree that I Kaye read the foregoing application and all attach- ments thereto, a that all information therein is true, correct,and corBlate to the best of m knowledge. Sig /�� 440'7?2` p, r� ZLXi02S r C. O C a O o° �' 3 0 (l) -1- ea 100,1 Cf) I ood li s X. I N 0 1\ -r i i a o o 0 II,' co Sicg ti o -O c. ` J L ; ) U 0 O � P U- . I \ V • Ii‘..., 'il ;.j / I 1.,l ' - rJ 940722 mEmORAnDUfl1 D t 41.4 Wilk Liquor Application File for -5 4. 13 To Lazy D Entertainment Centu„ July 5, 1994 CLE ,i( COLORADO From Bruce T. Barker, County Attorney- -7--7 " --) sub;« Probation for Clinton Zitek On July 1, 1994 I spoke with Dave Ilgen of the Probation Department regarding the terms of probation for Clinton Zitek. The notice which we received from Probation in Criminal Action # 91-CR-85 stated that Clinton had complied with all of his terms of probation. The case was closed on May 20, 1993 . The fingerprint check by the Colorado Bureau of Investigation revealed no criminal history for Clinton Zitek. I suspected that if Clinton complied with the terms of his probation, his record would be cleared. Mr. Ilgen checked his computer and found that there was no statement in the file to the effect that the case would be removed from Clinton' s record if he complied with the terms of probation. Mr. Ilgen further explained that such conditions are usually limited only to deferred sentences . Apparently, Clinton had the choice of doing deferred sentence or probation, but plead guilty to the charge of second degree burglary and was given probation. �rzL Bru T. Barker 1 Weld County Attorney BTB/gb: liquor 940722 IN THE DISTRICT COURT COUNTY OF WELD AND STATE OF COLORADO CRIMINAL ACTION / girRAs DIVISION Tv PEOPLE OF THE STATE OF COLORADO Plaintiff, vs . 93 &AY20 P3 : 55 CTTNTON 7TTFK Defendant . 19ra JUDIciAL DIST. PETITION FOR ( 1s,_ EARLY ) TERMINATION OF ( DEFERRED SENTENCE ) (_ EXPECTED) ( PROBATION • The defendant was placed under the supervision of the Probation Department upon a conviction ofs,rnna nagro< R”,31 -, (r_A ) on in/siai by the Honorable w411 ; „ WE=r , Judge . The defendant has substantially complied with all conditions of supervision as ordered by the Court and , it appearing that no further intervention by the Probation Department is warranted , it is respectfully recommended that the defendant be discharged from further supervision and that all proceedings against the defendant in this case be terminated . Respectfully Submitted , Approved By: Probation Officer (v � D sion Supervisor� ,�� 6/020l9_3 (Required only for Deferred Sentence Termination ) DISTRICT ATTORNEY APPROVAL GRANTED : (_) rift DISTRICT ATTORNEY APPROVAL WITHHELD: (_) tut Deputy District Attorney FILED iN ®STRICT COO UP ' WILD CO.. COLO. ORDER as s r s• IT IS HEREBY ORDERED BY THE COURT that the above- •- - t be discharged from further supervision and that all proceedings against said defendant be terminated . IT IS FURTHER ORDERED THAT THE BALANCE DUE 9$CEPT FOR RESTITUTION BE WAIVED . BY THE COURT: -.5-2/ - � etr DATE DYSTRICT JUDGE Rev . 12/89 White-Court ; Pink-Probation ; Yellow-Defendant ;Blue-D.A. ,j„e.,T2: • e/;sc1 4ohi 7; ) L -,55 - 1571 <.5o3) ?c13-Zz? / .5 -La_ rega.O ` h e eha/1 D[o c5� - - frt .__62.7272,42.c224at: � emu ✓c_o Q�(��_�-�c,e_ _54,____ P c2-4A_ Staf 6c Cam- - — 1?ti _con _fill /tos*a(pck,01 5 __W-CAL Clua;5._,bityczicityki cue_ ail red i ham - -- lao --noh.,A __ , c Wad - 9407?n e.)3 °Led rk‘)c_. (rL_ vJ� nLd .. _k nviu cam- _ • (A. aeideA) 940792 ar,o/ 704_4_77a 9*-4114,4, _bioahava cu-t_ Cso3/4/2a-f--01 CiA.L-2)-+ la . Vtaicok hrisc \ �x,q\ \ \._1L�1_ (11) afoL (4,12.2— ,L sic ) ci 4cz --J- a Anil �ltl�l—sa col CC( If irewr c wp tcp 940'82 Pc ¢ XNI U : cNI w CNQ -;...cf. , 1-- 41 ( 0 ......9%(.22 is! NJ 73 ti two ,,,.3 SJ 3 to m 94679,2 MAY-25-1994 09:01 Fri MCNIFF & PATTON TO 13033520242 P.02/03 .Patron &Davison John C Poison ' ATTORNEYS AT LAW . Joseph F.Maier •RlcmrdvL Davison P.O.Box 945 OF COUNSEL award aaT.COmdAB Qicr:Nos,Wyoming t2003-0945 s Gregory Thomas . admits i CIE SO adNB - Tdephone(307)635-4111 Way 25, 1994 VIA EA' Bruce Barker. weld County Attorney P. O. Box 1948 Greeley, CO 80632 RE: Lazy D Entertainment Center, Inc. Dear Bruce: • Enclosed is .a copy of the Articles of Incorporation for the above-referenced corporation. I have ordered a Certificate of Good Standing from the Secretary of State and will fax that to you upon receipt. • If you have any .questions or' need further information, please advise. Sincerely, PATTON & DAVISON BY: Alexander R. Davison ARD:mw Enclosure ms,tainavare.oes Ls • • • crnrcrtrrEasuuntio .: FAX(l0N)63$4904 1920 TO3SES AVENUE,SUITE 600O C YEN31b WYOMING 0001. . MAY 25 '94 9: 58 307 635 6904 PAGE . 002 940922 MAY-25-1994 09:01 FROM._ CNIFF 8. PATTON TO 12033520242 P.03/03 Secretary of State F, - c. corporations Office �' '`' 1560 Broadway, Suite 200 Fig Denver, CO 90202 (kart aancLES OF YNCORPUR]fTSON I. Corporate Name: The Lazy D Entertainment Center, Inc. �� .:.... ,. �73�1�gy p�pp II. Number and class of shares`lwflch the corpG gdt117 '08:30 authorized to issue that together---have--'unlimite4 voting rights: 100,000 shares, all voting, no par value. III. No cumulative voting in the election of directors. IV. The registered agent and street address of its registered office are: Dennis .G.' Zitek 39520 Weld County Road 13G Hereford CO 80732 (303) 496-2281 V. The number of directors on the initial Board who shall serve until their successors are elected and qualified is three: Dennis G. Zitek Merle A. Zitek 46499 WCR 136 46499 WCR 136 Weld County Weld County Grover, CO 80729 Grover, CO 80729 (303) 496-2465 (303) 496-2465 Clinton J. Zitek 46499 WCR 136 Weld County Grover, CO 80729 (303) 496-2465 — 12.:..-_d!Ga-.a;ame-aad-address-of-the-4nctrparator is: Dennis -C. Zitek 46499 WCR 136, Weld County Grover, Colorado 80729 (303) 496-2465 Signed .� �9sa..1 $ Dated: oat r/7.0 ,.nerwfe.e00 Pinata N. itn IOW AZ TOTAL P.03 MAY 25 ' 94 9: 58 307 635 6904 PAGfa.4DA.,,?,� MAY-31-1994 14:41 FPCn MCNIFF & PATTON TO - 13033520242 P.02/02 % P(Gel c0 - - - -- ._. STATE'_ ' �%. RADO DEPARTMENT OF STATE CERTIFICATE r, NATALIE NEYER, Secretary of State of the State of Colorado hereby certify that A0Ocrdiag'to tbggoords of l33s-office _... _ ......- -._-- ---- ----.-.-- THE LAZY D ENTERTAINMENT CENTER. INC. (COLORADO CORPORATION) file t 931139412 vas filed in this office on DECEMBER 27, I993, and has compiled 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: lrisT�p; T9Si-•.._. — . . -- W) SECRETARY OP STA ■ lasulag ars ■ TOTAL P.02 MAY 31 ' 94 15: 38 307 635 6904 PAGE . 002 OAIfl99 Patton & Davison ATTORNEYS AT LAW Joseph Pi Maier John Cl Patton OF COUNSELAlexander K. Davison P.O. Box 945 admitted in WY,CO and NE Cheyenne, Wyoming 82003-0945 S. Gregory Thomas admitted in WY,SD and NE Telephone (307) 635-4111 June 30 , 1994 VIA FAX & MAIL Bruce Barker 7 Weld County Attorney �jS �' ' P. O. Box 1948 ,'Y " 2?. `. a—L.1' }{ �' Greeley, CO 80632 11 't t11t JUL U 5 1994 !Il I. RE: Lazy D Liquor License at\ /Vi :VELD COUNTY Dear Bruce: ATTORNEY'S OFFICE First let me express my appreciation as attorney for Lazy D Entertainment, Inc. , as well as that of Dennis Zitek, for your efforts in regard to the above-referenced liquor license. You have asked for an explanation of the Lease which was faxed to you earlier today. As you noted, this lease evidences transfer of ownership interest from Dennis Zitek in his individual capacity to Lazy D Entertainment, Inc. , a Colorado corporation. In essence, what has transpired is that Mr. Zitek has changed the nature of his bar and grill business from that of a sole proprietorship to a corporation. The real estate where the Lazy D is located is owned by Dennis Zitek, Marjorie Zitek and Merle Zitek. In order to obtain the original liquor license in his name, Mr. Zitek obtained a lease of the property from Dennis Zitek, Marjorie Zitek and Merle Zitek to Dennis Zitek as an individual. The lease which you received this morning simply transfers that leasehold interest from Mr. Zitek in his individual capacity to the Lazy D. i apologize for some of the confusion regarding this transaction and ask that any additional questions be brought to my attention at your convenience. Sincerely, ATTON & DAVISON kBy: Alexander K. Davison AKD:mw cc: Dennis Zitek OFFICE: FAX(307)635-6904 CITY CENTER BUILDING ��•, 1920 THOMES AVENUE,SUITE 600 n CHEYENNE,WYOMING 82001 9407917 JUN-30-1994 10:49 F 1 MCNIFF 8 PATTff1 - 1U 13033520242 P.02/0F -!_D CCU;;TY x,FasE : . 71 3: 53 Tars LEASE entered into this 1st day of July, 19944 at �"_ „Th Hereford, Colorado, by and between Dennis Zitek hereinafter- -. called ^Lessor", and The Lazy D Entertainment Center, Inc. , hereinafter called "Lessee". WITSTESSETFI: WHEREAS, Lessor owns the real property described on Exhibit A attached hereto, including any buildings and other improvements located thereon all or which real property is hereinafter called the "premises'. NUMMEAS, Lessor desires to lease that portion of the land, building and office space of the premises now used by The Lazy D Entertainment Center, Inc. , and Lessee desires to rent same from Lessor, on the terms and conditions hereinafter set forth. ROW, TsEIEeamE, it is mutually agreed between the parties hereto as follows: 1. DENISE AND TERM. Lessor hereby leases to Lessee, and Lessee hereby rents from Lessor, said premises for a term of twenty-six months, said term to commence on July 1, 1994 or on the date Lessor acquires title to the property. 2. RENT. Lessee snail pay as fixed rent for the premises, the sum of $10.00, payable annually, in advance on the first day of each and every year during the term hereof. 3. QUIET E16TOThENT. Lessor warrants that he is the owner of the premises and has full right and authority to enter into this Lease. Lessor covenants that, for and during the term of this Lease and any extension or renewals thereof, he will not cause or allow anything to be done which will impair Lessee's leasehold interest and rights hereunder. Lessor shall defend the Lessee in the enjoyment and peaceful possession of the premises during all terms of this Lease. 4. USE OP PREMISES. Lessee shall, in the conduct of its business on premises, at Lessee's expense, comply with and carry out all applicable laws, ordinances, regulations and orders of public authority. Lessee shall, at his expense, comply with and carry out all applicable laws, ordinances, regulations and orders of public authority respecting the structure and other conditions of the premises. Page 1 of 5 JUN 30 '94 11 : 46 307 635 6904 PAGE . 001 9407?,2 3u4-30-1994 1050 FRY- MCNIFF 8 PRTTCN TO 130=20242 P.03/06 5. CONDITIONS OF PRENIsES. Lessee's entry into possession of the premises shall be deemed its acceptance of the premises in good order, condition and repair.t or Upon termination of this Lease, whether by lapse of otherwise, Lessee shall immediately yield up possession, and surrender same to Lessor, with the leased premises in a good state of repair and condition. 6. UTILITIES. Lessee shall pay for all utilities and services used on the premises. 7. REPAIR AND MAINTENANCE. Lessee shall, at its expense, keep and maintain the premises in a clean, sightly, sanitary order and in good condition and repair. Lessee shall not cause or permit any waste or nuisance in or about the leased premises. 8. ACCESS. Lessor, and his duly authorized agents, after notice to Lessee, shall nave access to the premises at all reasonable times for the purpose of inspecting the same. 9. LIENS. Lessee agrees and covenants that it will not cause or suffer the creation of any mechanic's liens, or other liens, for any labor performed or materials furnished for or on behalf of Lessee, which may cloud or impair Lessor's title to the leased premises; and that if any such lien shall arise due to an act or omission of Lessee, Lessee shall promptly remove the same at its own expense. 10. NON-LIABILITY. Lessee hereby waives any and all claims against Lessor or- Lessor's agents or employees for any loss of, or damage to, personal property or for any injury sustained on or about the premises arising from any event, except any loss, damage or injury that is directly caused by the negligent act of Lessor, Lessor's agent, or Lessor's employees. 11. ALTERATIONS. Lessee shall not make any alterations to the leased preaises, or any part without the consent of Lessor first had and obtained. Any addition to, or alterations of, the leased premises shall becomen thing fhb rnshall affect Lessee and belong to 'sor; ided respect to trade fixtures and other movable property. Lessee shall, at its expense, repair any damage caused to the leased premises by the removal of its property. 12. DESTRUCTION OF PREMISES- In the event that the leased premises shall be rendered unfit to a material extent for use by Lessee due to fire, earthquake, flood, windstorm or other casualty, the rent payable under this Lease shall abate during the time such damage remains unrepaired. Lessor shall promptly proceed to repair the damage due to such casualty. If such damage cannot be repaired within 180 days Page 2 of 5 JUN 30 '94 11 : 46 307 635 6904 PR1,/perr, JUN-30-1994 10:51 F MCNIFF 8 PRTTON TO 1303 20242 P.04/06 from the date yr damage because of its extent or the impossibility to obtain materials, labor, or due to governmental restrictions, strikes or other events beyond the control of Lessor, Lessor shall promptly notify Lessee in writing of such fact and Lessee shall then have the option to terminate this Lease forthwith. If Lessee notifies Lessor that he does not elect to exercise this option to terminate, Lessor shall arrange and proceed to repair such damage as soon as reasonably possible. 13. CONDEMNATION. In the event that the premises, or a substantial part thereof, shall be condemned or taken by public authority, Lessee shall have the election to terminate this Lease. In the event of a partial condemnation or taking, and if Lessee continues its use and occupancy of the portion not so condemned or taken, the fixed rent payable hereunder shall be reduced by the proportion that the value of the condemned portion of the leased premises bears to the total value of the leased premises. Lessee shall, in any event be entitled to claim compensation from the public authority concerned for the loss of, or damage to, its leasehold interests hereunder and its equipment and other property on the leased premises by seeking a separate award of compensation. 14. ASSIGNMENT. Lessee shall not assign this Lease without the prior written consent of Lessor, but such consent shall not be unreasonably withheld. Lessor's consent to one assignment shall not be deemed a consent to any other or further assignment. Upon Lessor's consent to an assignment of this Lease and such assignee's written assumption of the payment of rent and performance of all other obligations to be performed on the part of Lessee with respect to the leased premises, the Lessee's liability hereunder shall cease and terminate. 15. ALCOHOLIC BEVERAGES. Lessor agrees and covenants that Lessee shall have Lessor's permission to use the property for the sale of alcoholic beverages for consumption on the property and for the sale of package liquor during the term of this lease. 16. SUBLET. Lessee shall not have the right to sublet the leased premises for any purpose without the prior written consent of the Lessor which shall not be unreasonably withheld. 17. INSORAJCB. Lessee shall procure and keep in force, at all times, during the term of this Lease at is expense, public liability insurance for personal injury to any one person, and property damage. Lessor shall be named as one of the insured parties. When requested by Lessor, Lessee shall furnish Lessor with certificate, or Page 3 of 5 • JUN 30 '94 11 : 47 307 635 6904 PAGE . 003 Qtlfleel0n JUN-30-1994 10:51 FROM" MCNIFF & PATTON TO 13033520242 P.05,06 • • certificates, issued by the insurance carrier evidencing such insurance. • Is. remnant. Lessee shall reimburse and bold Lessor harmless from any claim by, or liability to, any third person arising from the use of the leased premises by Lessee, or any licensee, customer or contractor of Lessee, provided that such loss, damage or injury did not result from a negligent or wrongful act of Lessor. 19. REMEDIES. In case the Lessors shall fail or neglect to keep and perform any of the covenants or agreements in this Lease contained on the part of the Lessors to be kept and performed, the Lease, in addition to all other remedies now or hereafter afforded or provided by law, may at its election perform such covenant or agreement for or on behalf of the Lessors or make good any such default, any amount or amounts which the Lessee shall advance on that behalf shall be repaid by the Lessors to the Lessee on demand, together with interest thereon at the legal rate, from the date of such advance to the repayment thereof in full, and if the Lessors shall not repay any such amount or amounts upon demand, the Lessee may, without forfeiture of its term herein, deduct same, together with interest thereon as aforesaid, from the next installment or installments of rent to accrue under this Lease. 20. WAIVER. No waiver by Lessor of any breach or default by Lessee in the performance of any of the provisions, agreements or covenants hereunder shall be construed as a waiver of such provision, agreement or covenant or of any other or subsequent breach thereof. 21. HOLDING OVER. In the event Lessee continues to occupy the leased premises after 'the last day of the term of this Lease or the extended term and Lessor elects to accept rent thereafter, or otherwise consents to such continued occupancy, a tenancy from month-to-month shall be created at the same rental as herein provided, computed on a monthly basis, and on the terms and conditions of this Lease so far as applicable. • 22. REAL PROPERTY TAX. Lessee shall pay when due all real property taxes and special tax assessments levied during all tans of this Lease. Such taxes shall be prorated between the parties hereto for any year not fully covered by this Lease. 23. MODIFICATION. Lessor and Lessee agree that this Lease contains the entire agreement between them and shall • not be modified in any manner except by an instrument in writing signed by each of them. • Page 4 of 5 JUN 30 '94 11 : 47 307 635 6904 PAGE . 0apeA d?9? JLt4-30-1994 10:52 F'-M MCNIFF 8 PATTON TO 13033520242 P.06'06 24. BINDING. The terms of this Lease shall become binding upon the successors, administrators, executors, heirs and assigns of the parties hereto. IN wrnams P, j�Ae ies hereto have hereunto set their hands at lit Ct. , the day and year first above written. ,D LESDENNIS ZITEK LESSEE: THE LAZY D ENTERTAINMENT CENTER, INC. JJnsy DENNIS Z , President • xipecrgaasA.em ass Se, as at.n a• • • • Page 5 of 5 '--' TOTAL P.06 111\1 OfA ' OA 1 1 . 40 mrn OOS COMA OOGC Mm94 OW!'A March 18 , 1994 To Whom It May Concern: I have known Merle Zitek for several years . He has proven himself to be a responsible adult. I feel he would not abuse a liquor license , but use it wisely . It is my recommendation that he is granted a liquor license. Sincerely , (24n_ + 9407'2 TO WHOM IT MAY CONCERN: Having known Merle Zitek for 20 plus years, I have always found him to be a very honest and trustworthy person. As his employer he was dependable and very conscientious. SINCERELY, 1/t/Le r/° MIKE LOYD HEREFORD, COLORADO • Z • p p 0c rw _ 9407?2 DR 8404-I(07/92)., COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 _ DENVER CO0261 ERMANSTREET DENVER INDIVIDUAL HISTORY RECORD . 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 public corporation,over 5%limited liability company members/persons and managers. 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. Date / Sodal Security Number 1.Name of usiness—777 to I 16/9c1 s5 a1 1-65 -I57 3.Al K n As(maiden name/nickname,etc.) 2.Your Ffll Name(Ied,fi t ) .z —77.6 le me 4.Ma"n9 Address different from r 'dance) - (4 p C • a JAY S zq 62—O S s1en ess(stroll umb ti Nnate,zlpy) 0e1 Rn`29 ll hfj� /l/_1 l/ I N U�IIff`/renteJd,from whom? Is your residence owned ❑ rented I. 8.U.S.Citizen? 7.Date of Birth q �� Q ��Y es NO [7 --1 Ile I P' % w When Name of U.S.DI rl Court It Naturalized,state where Naturalization Certificate Number Date of Certificate If en Mien,Give Miens Registration Card Numbed Pennant Residence Card Number 9.H.g Weight ,,H Color El CfIQ � Sex it y, Rnr / 10.�D,ofYou Have a Colorado Driver's License?N yes,give number ;5 /b �l (d &k 1L7cIr 1 �/ (.�4)i[S Yes ❑ No 0l/7CC79:"(] 7 1/ 11.What is your r tionship to the applicant?(sole owner,partner,corporate officer,director,et kholder,member or manager) ,ar )62-to Percent of oNetanding stock owned 12.If stockholder,number of shares owned beneficially or of record �p '�� 7r, Percent of Partnership Owned If Limited Liability Company,percent owned 13. if partner, state whether ❑ General E Limited 15.Type of Business or Employment 14.Name of Present Employer, --It Q. 1(2 .-1) �Ncbr d. ,-.(r t--5� 1-tn% LI i 16.Address o;Bus Where Employed(street number,cit state,zi / Business ele h t`'` �Itv LeC l c�L { k-ccA , ) Kl.il (C5D- 195 - Z1-?I 17.Present Position 1a.Marital Statu 19.Name of Spouse(Include maiden name If applicable 20.Spouse's Date of Bin Spout,in PV-..?of 91Ch 21.Spouse's residence address,If different than yours(street and number,city,state,zip) 22.Spouse's Present Employer Occupation 23.Address of Spouse's Present Employer 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 --' 1fi1: _7, k fob owe r 6 elt 1A-VrL_oLf inifC 7A_ ut LA. It P JI�Q A �1� 2r TPar CONTINUED ON REVERSE SIDE 9/!O";-7,? ❑ Yes NO of Colorado Liquor or Beer License?If y..,answer in detail 25.Do you now,or hale Y ever held a direct or inn,._t interest a State 26.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 the State of Colorado?If yes,.describe in detail. ...,,,,,f ❑ Yes L� No 27.Have you ever been convicted of a aims,fined,imprisoned,placed on probation,received a suspended sentence or forfeited bail for any offense in criminal or military court?(Do not indude 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. , -1 Yes ❑ Noll 1 " D( CAD 28.Have you ever received aviolation notice,suspension or revocation fora liquor law violation,or been denied a liquor or beer license any wherein the U.S.?If yes,explain in detail. • Ell Yes 9!J No ;; 29.Have you eve t hheld a\gambling or gaming license or owned a Federal Gambling Stamp?If yes,explain in detail below. • El Yes NO Year City State State/Federal State/Federal Year City State 30 Military Service(branch) From To I Serial Number Type of Discharge 37. List all addresses where you have lived for the past five years. (Attach separate sheet if necessary) Street and Number ,( �� City,State,ZII ,(� From r 1 To CC /c 6 / _PC.N 4 U 7 � � d(i i -'1 Az. --7�� o, < tIA mi P W/ ?� o o/qo 1P/q ; 5/95 i>/q' 32' L ilted '^' 4€5 f�rC., V 1 010. LS List all former employers p or business engaged in within the last five years. (Attach separate sheet if necessary.) Name of Employer Address(street,number,city,state,zip) Position Held From To r , ad OA "Vk Cam .1 c LE( t9 LkTh:(n l lr \Pr uq 1 1 1 ( `' NS .(� h X1,0 : 57-LA,t_; t; N ; 5 - (it /ch 1 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,nulpber,city,state,zip) Number of Years Know infer 6-) rl e \Aoki 4 tnU lAlOOPA (2,4pQ.7, 5.i- (,c ii iATi, H of APPLICANT: /declare under penalty of perjury in the second degree that I have read the foregoing application and all attach- ments t��th all inform ' n therein is true, correct,and complete to the best of my knowledge. Signs 'v///J T"` Man e La Ma.1/162,0r 4g/9m d. 42/ Azivcrei co ,.9..maam Jo) 499 0114y77 do9etz/n; Ytd.yric -eyt 2- QCC �„, e�c� �L Ixe.C. #2__ 144a.,___aste/4 -1-61542 "Amax:A.2Q -- .gin--- rind 7 n Azo �; .gyp.-nccctL a ru `LALJ_ Q m aiou . _,CL1., jy ' qt.. Ct._pa/V' ?it -Aacil2:4-44-e. d• J ? C , ' co; CI- AL:r. U�!_c:';EZ ..L) Z�` � 4/Y2iZ S,cCIZ >ry�S-91c;t_ i J ,.Lu. a - z h -LPL , (L,(4.6.:6j: O At yid te `: ,'f Cl y_:C;YL cl,0 CL✓ 1 CuYI�� cZ,�.c, LZ� 12z( ()..G7LlCL ci- fir, 940'7?2 940 79, March 18 , 1994 To Whom It May Concern: I have known Clint Zitek for several years . He has proven himself to be a responsible adult. I feel he would not abuse a liquor license , but use it wisely. It is my recommendation that he is granted a liquor license . Sincerely , d 2 94 792 --- _) - \ ' I I r;' _ I tk.--w_ / 94Q"Y??• THE LAZY "D" 1484 SALES TAX ✓102-81494 39520 WCR 136 303-496-2281 999463/1023L �1IL HEREFORD, CO 80732 r/ 19_QQ PAY TOTHE (^v-..0 I W l 2a " ii; ORDER OF \ ,A :I �- ' •_-i/1[,/ �is �' -r4 0Actsf-� r DOLLARS TaE FnnMsaS STATE 435 THE LAZY "D" P.O.Box ,WYOMING 82 3535 BURNS.WYOMING 82053 FOR 'u44 �: LI I: 10 2 30 16 361: 5 96 L 6H. 1484 , o.wRuxo+Sea - i. ...„,-o,....s�. k THE LAZY "D" 1482 SALES TAX x02-81494 39520 WCR 136 303-496-2281 99-163/1023 HEREFORD, CO 80732 3//� 19�� ORDERPAY TO OF /1.f"".'- ,,.. //// CO-C 1.c'L.IX� I $ 77‘ 4., ORDER IH V iy OO 0( DOLLARS �1 THE THE LAZY D FARMERS STATE BANK Vv _ " " I,I P O.Box 100 (307)5473535 ��[�/y BURNS.WYOMING 82053 42,2,4.----, {� I FOR -4 4�•Pil „,---64. 7 LPL --" V L% J L:22:30 55 961 6" 1482 SRARIAND ISIS �/. ��DATE SA 19_ No. 3211 RECEIVED FROM ® ay.. Sc1. �1e�Y77tt , d?l-C. ADDRESS ff// �L1 y G - .a DOLLARS '.3)17 . Zr / F•R ,A 4./� ii j ffIC , � i .r� 7 01 eAtt,CCSUNT HAW ^U /7 a.a , .�� ,Y5x I. Ip°. r'k1 BY / 94Q7?c m m 0- .c m (� w a W P i8 i 472 528 ` O y_] my2 a, o Q c ci ? LS! C2 O to p _ CO ct RECEIPT FOR CERTIFIED MAIL — m cys m a n ...r.ikCF o U a • s w m m in W H n co W u_ H COLORADO DEPT OF REVENUE I @ ; CJ r, H Qo T `` '� r� m H O w LIQUOR ENFORCEMENT DIVISION _ `s' c Z ~ m p w — 1- � V ��> v,3 e a • m"- (3. 0 STATE CAPITOL ANNEX o t o.�re a v c Ci 0 13 75 SHERMAN ST ° a N cr t� x ca p DENVER CO 80203 0 d 4I.]. U O _ C m A - m O v ° N 't:e1!,..n Fo., I ! r!i Y m m p -. O I a - .. •.__ .-_._ ._ o m m - m ,`, .a m ZO a m m m o 0 m E c W to m to -- — — 8A0 >.o 0 A - I):.:c •i.)d Ao]tr:r;•:,t I ii-I•or.--, c.,t m a o — m Z Z jF FE 'OIAl I�OSI'ui.•.•-u1I...•. �vb L° m m—cc 0 t,4 H 0 a, °, acm �F ¢ a .. W V] N N o ,1 iD m v +' � v F U W O ,n V O O O U CO o - w,: •:..r ,? y �, mc Ec my 0.4 O F - OD o rn `'� i m°C 'Cr; A H E �� CO O L~ V won't��•N� ''3' E O W 6 W U a, m � �� ` ) - "`9 mm � c:2 . c y A U Z a W0.O.� mm2II) ° - O F ' > c, c, C' O E c.c ... -c m 4 ,. O'< N Z t!3 U) U ZUUd Q -'' m O I-I H M W v, ,11 m m t7 U ,_1 v) ,--I A ]i cG ILL IV) . • • . p •... • 1 *7 • • 9 '72 0 a) m a) H NI o N CL - ▪ X N P 3 8 7 4 7 2 5 3 3 ≥ w 03 �y 0 W • a t a)-O w CC RECEIPT FOR CERTIFIED MA: m '° N 0 — tx cr c T Z ..i:NCI r:Iyl:, n:'+,:...r.. p N �r ♦Y U N •Set?Revernr1 m .> \ O COLORADO DEPT OF REVENUE Lii a cc a d �• ' CJ `ct v-- Ix U LIQUOR ENFORCEMENT DIVISION g •; ❑ ❑ ? .W > a a STATE CAPITOL ANNEX o — n. c z �roi o°' ti N 1375 SHERMAN ST pN. m._ Li.' DENVER CO 80203 y o Q t d m a" o 1:,-o-0 a E CC O w 0 a cco L N (6 _d^ —I .,CRit.t.!,1 f C.: N C cu i a) ._ a O N :i:),•1,.•.,'I) .:...Y 1-,.... .. U ' E. 0 aj m h y Z U E m C▪ > rp H � - p E L . W (!) O '{t`tl :. :u�•..e::): ,ret�v..ly .. _..--' Oa m 0 '`7 I--I m Ur*" ".1-•1 t'Me!QPI.�q,•..: r r - �✓ aI C j N { rli gtqur..•-)0,-I)::,' ..1%)Wnt)li,.h1''.,.— ._.._ _ .D p O O 7 A a) N N r E %CY • ).A: 0,-,!o-:••ant.: Fri • dDa r E ar (� Z C•7 � .. '� i °v ro m a) a)` O • E' o _ O C _ mO Yp•Q w0 N N m A m I)^.,II,.:w .I i .I'• '" mcy oo'5 o a t-.1 rZ COy \ a .Q r t+j m U Q) N .p-, . E j 7— i/ 9e 1 c Cam] n Q nr - 0 �1 o : co m . F t N p .J a. .. �' K N N N a) .' a) 1 is, O. = V n `m v > `c° 0 .> .4- ,i y " CC o < cu-E r 2 0 . 0 ,r0- cc c •- ? z 'N ro Y \`� m E- c cc O d N .U-� Nwoo ,` 7 0 E O P 3L7 472 5'4 y > = E Ufr2 y w CC RECEIPT FOR CERTIFIED MAIL ' ; p) a L. E. d'\ ❑ n '� v-- _U v :.:i!'. I'FA.ticE:'0Vi HAG',PNC.VIU=;: • h ._ ❑ n - E'"t o _ m i- N...' •;IA INiiHAA:':taA, MA',. m 3 No' >'• m e. I-v m N a y Cl) -L:.,See Reverse?) — m N TD 0 p y w•y �C� COLORADO DEPT OF O REVENUE ° a to s w v a C LIQUOR ENFORCEMENT DIVISION E X CD STATE CAPITOL ANNEX • i ,p c a a❑ ❑ ad g E N o o g 1375 SHERMAN ST rn 0 N DENVER CO Q `E' o .a 80203 's o a; to y y a E Ce 't ert Fe.: m HO a p• L E• c is) � cn ---- -- - M y o .n Speo;r:Delivery c eO . y Z ', u W C 7 r W H Result:we'i).r..,,,y Fee o d . T o y W a ,/ __ w aIS y YO c 7 C4 E-i W 17 , .— --.--- fV ro O'E d Z Z rn }kj Helm')'aeceN'' ,r..)w,nq l� W z - to whom.1'ed natl.@.Ilve-e4 -52 c o • n a 60 Z < F 0 �al \ p) rieiurn iiei:c‘f,::;r�t+wrrty t:.;whom m m c L p p'm ro E+ U �l 0 N _, V O ^ N .. V •'.)JiC.,n+41 AAAr•a;.of Ilebsn•y .-tM m.. _ N y W O 0E. Z CO d t m NNmcoolra �Afs, H v i c '4,I I Ai I)nryt:).:..d:IC F•'c•: m m m«2 t;,2 ro E Z t1r C4 O a r 0.glit:72.el CCa) m °n0t• a- m 73 I:4 O fs] w m m E ` • p o o 3 m ° Q07 0 Nu-) c c o '11 2Ut:�a•-405. m 0 H F en W U) U) �u Lu r m Y ty60 a v) r-I q to NI U) • . • .. • a . Lc; m a s1 r+" • ci.J.'.. 4 P 38? 4?2 541 Y2 RECEIPT FOR CERTIFIEC MAIL x ° y _. '40 AS:JOANCt 1:OIFRA3L"F(j•.'�., ai n N' - R rN°f.P'.AI^.NAI :1A.: •5 m a > .- 'm a3 2.) W ' cc C See Rr.C•case r d o Q °Jv) 0 o la a°i ti CC N CC N N A H Q , O LAZY D ENTERTAINMENT CTR,INC. U y y � J- i '` N 7,.._5 y DBA THE LAZY D 3 y a o a ❑ ❑ ❑ 39520 WCR 136 �-� ° m r('�� rt a E CO 80732 `° =r a .. .≥ J a,.. 'ter . . •, o HEREFORD, V To U °1 rL, y a tw i — L - > " Y 2.a� i_ y Zr., --- I Q (n aO7i d a m C _o ,\ vi CD . CU _ J O ° a N -- - - - d H(!lurn :pr,t:.pl, 1ow:ri4 vOi COm E � �i to whom,arid Dare r CI V(r(•(} g y a ao t'---- c a>i m r H a rn Reru n%Receipr showing ro who, o c c7 Date and AtincesJ nt Do'VPry CU r4 0 ac £ O vi c • - H 4. g I i,CT Ai Postage.)nd F()e. co o ao °•o m U 1 c O O PosI^i:r'k Or Dale I N o'O c)�; c H M m o.— v z N rn ;51-6- E Q W rin -- — C /- . .7 • / o E' CO z c. O Z O (p t ic . , co co-o.ar -a H CO y �' O cr ° ° D Q m �_ a a M m c a CO H ° rn rn a� c E y rr y rx �•+ cn 0 0 EEE = `� `� � w N N U � ,a� 0 " ` "� � aQ Et .. g IS rLi °� ' gYmCr c ID w U a N a" n ix a) m °j,O r a: a) 7; Da 3 04 7 o (Y) '.L Liu-a 0EECmN. ° (-' A H O 44 c cE o °-- 3 .JY Q N W cm co a d • i-7 (a en x (r) (Oa. 9407" Hello