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Home My WebLink About950998.tiffRESOLUTION RE: APPROVE CORPORATE REPORT OF CHANGES FOR METRO OIL, INC., DBA TOTAL #2748, 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, Metro Oil, Inc., dba Total #2748, holder of a 3.2% Beer License in Weld County, Colorado, has presented the Board with a Corporate Report of Changes, and WHEREAS, said corporate change is as follows: David E. Hackett replaces Ronald Brinkman as Director, and WHEREAS, after study and review, the Board deems it advisable to approve said corporate report of changes. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Corporate Report of Changes submitted by Metro Oil, Inc., dba Total #2748, be, and hereby is, approved. 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 1st day of May, A.D., 1995. BOARD OF COUNTY COMMISSIONERS Wt=6RCOUNTY, COL ATTEST: the Board Weld County Clerk t It, BY: ( C -4-°' r '> til Deputy Clerk to the' 64ar _ APF3OVEP AS 1 9 tRM: ounty Attorney Dale K. Hall, Chairman FXCI ISFr1 IlATF r1F SIONINf Barber'J. Kirkmeyer, ro-Tem C (AYE) (G ; S779TE I/Web-C/72)/S eorge L: Bax ter g FXrI ISFrl Constance L. Harbert 7y it ii,f0 W. H. Webster 950998 LC0006 CR 8177 (0294) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET ROOM 600 DENVER CO 80261 (303) 866-3741 CORPORATE APPLICANT INFORMATION AND CORPORATE REPORT OF CHANGES 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 IS A CHANGE IN PARTNERSHIP, USE THE DR 8404 AND FILE A CHANGE OF OWNERSHIP WITH YOUR LOCAL LICENSING AUTHORITY. Attach the following documents to this applicant information: ❑ Certificate of Incorporation if incorporated more than 2 years ❑x Certificate of Good Standing dated within the last two years ❑ Certificate of Authority if a foreign corporation Ix l Corporate minutes reflecting election of the current officers, directors and stockholders. NOTE: All Officers and Directors of the Applicant/Licensee must fill out a DR 8404-I (Individual History Record). All stockholders with a 10% (or more) ownership interest in the Applicant must also fill out a DR 8404-I (Individual History Record). Corporate Applicant Name State Tax Acct. Number METRO OIL, INC. Trade Name TOTAL, s 2748 Address of Licensed Premises 3979 HIGHWAY 119 State Liquor License Number 21-79919-047 Telephone Number (303)-776-7101 City LONGMONT State ICO ZIP Code 80501 CHANGE OF CORPORATE STRUCTURE You MUST attach a certificate of Good Corporate standing; and a Copy of Minutes. All Officers and Directors of the Applicant/Licensee must fill out a DR 8404-I (Individual History Record). All stockholders with a 10% (or more) ownership interest in the Applicant must also fill out a DR 8404-I (Individual History Record) CURRENT CORPORATE OFFICERS President Vice -President VACANT Treasurer Secretary DAVID M. BOCKS DAVID E. HACKETT DAVID E. HACKETT Name Home Address ttgEt6r'e8 rgu127 .:rADA.LG8UN8000S SZUb PLEASE SEE ABOVE I LD BRINKMAN DOB I Replaces / SAME: NO CHANCR / RONALD BRINKMAN RONA NEW STOCKHOLDERS/TRANSFER OF CAPITAL STOCK Is this corporation subject to the reporting requirements of the SegatD'es and, Exchange Act of 1934? (Publicly traded) Yes ❑ No If yes, list only those stochfwlders owning 10% (or note) of the issued' stock. If no, list all stockholders. CURRENT STOCKHOLOERS'TRANSFERS OF CAPITAL STOCK Name Home Address NO CHANGE DOB % of Stock Now Owned CURRENT DIRECTORS Name Home Address DOB I Replaces DAVID M. ROCKS DAVID E. HACKETT FT RASE SFF ABOVE LEASE SEE ABOVE ISAMR: NO CHANGE ROHM O RRTN[CNAN Registered Agent Address For Service NO CHANGE OATH OF APPLICANT ACKNOWLEDGED I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best ofy nowledge. / Autrwrize4 Signature V REPOFStEelf,LOCAL Atte Iie Title SECRETARY -MAY 23 Date 1/27/95 The foregoing changes have been received and examined by the Local. NSING AUTHORITY Licensing Authority. WELD COUNTY, COLORADO X County El Town/City iTIueCHAIRMAN, WELD COUNTY BOARD OF COMMISSIONERS 6LpoiRENTY CLERK BY: (./��k/j9/ , DEPUTY • = t °city, for all changes in Corporations, pl se submit all copies to the Liquor Enfor One copy will be returned to the applicant and one to the local authority upon acknowledgment. Date 05/01/95 Date 05/01/95 25. Do you row, YES or II have you ever held a direct or Indirect Intent in a Stale of Colorado Liquor or Seer License? II yes: answer In data. NO 28. Co Colorado? ■ you row, or nave you ever had a direct or indirect Interest in a liquor or beer license, or been employed in a 'duct or beer related business outside of the State of If yes: describe In decd. YES ® NO ... _ 27. Have you ever been convicted of a aim*, fined. imprisoned. placed on probation, received a suspended sentence or forfeited bail for any offense In criminal or military court? (Do not Include traffic Nblationte, unless they resulted in suspension or revocation of your &iveys license, or you were convicted of driving under the innuendo - , of sicetnlb beverages.) If "yea; explain In deal. --. _ - O YES ] NO a. Have you ever received a violation notice, suspension or revocation for a iquor In tioktion. or been denied a liquor or beer license wieners in the U.S.? If yes explain In decal. . NO ' Q YES g.] _ _ .. _ .. _ . 4 29. Have you ever held a gambling or gaming license or owed a Federal Gambling Sterne? If yes,' explain in dotal below. - . . - - - . , O YES LINO. r --_.._. .-.... - - 24 /Al' ._, I .. ...---.., Stuanfederat _' ' ' N/A . N/A_ .rose.-:-.. h - ....- 30. Aeltery SenNoe: (branch)._-; .- USMC From: -._ _ ... 08-69 Tp:. __ - .---'- 08-73 SeAel No:r -. --. -' :-. " 456-82-8347 . HONORABLY 31. List al addresses where you have Ived for the last five years. (Aoadh septa sheet If necessary) - .. � Surat aid Number - _ . Gry. State, Zip .. . - 1 From: l•To: 7809 ALLISON WAY, APT 205 ARVADA, CO 80005 .-"- 10/93 PRESENT 9995 W. 81ST"AVENUE .I. ARVADA, CO 80005 _ 2/91 10/93 _ *7. - -- ' — - 32. List as brew emobyers or businesses engaged in within the 'an five years. (Andh separate Need If necessary.) Name of emoioyec Address: (street. number, city, ante. to) Position Held: From: To: TOTAL PETROLEUM, INC. 900 19TH STREET. DENVER. CO 80201 *EMPLOYED BY TOTAL FOR 11 YRS. 33. List the names of persons who can vouch for your good dureder and fitness in connection with this application. Name of reference Address: (street. number, city, state. cep) No. of Years Known: ROBERT BEESON #10 REGENCY, TEXARKANA, TX 75502 30 JERRY HAMILTON 1805 NEW BOSTON RD., TEXARKANA, TX 75501 17 MIKE BELLON 04 GREEN SPRUCE, LITTLETON, CO 80127 5 OATH OF APPLICANT I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that all information therein is true, correct, and complete to the best of my knowledge. Spna re:, Title: TREASURER/SECRETARY Date: 1/27/95 AC(Q�— • • P 387 471 694 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) N COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 N 0, _m W C G m M E LL Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered Return Receipt showing to whom. Date. and Address of Delivery TOTAL Postage and Fees S Postmark or Date g—/7-7 SENDER: • Complete items 1 and/or 2 for additional services. • Complete items 3, and 4a & b. • Print your name and address on the reverse of this form so that we can return this card to you. • Attach this form to the front of the mailpiece, or on the back if space does not permit. • Write "Return Receipt Requested" on the mailpiece next to the article number. 3. Article Addressed to: COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 5. Signature (Addressee) 6. Signature (Agent) I also wish to receive the following services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. 4a. Article Number 97( 694/ 4b. Service Type ❑ Registered ❑ Insured yt Certified ❑ COD ❑ Express Mail ❑ Return Receipt for Merchandise 7. Date of Delivery S. `;:Atl�rgs�s Address (Only if requested and fee is paid) MAY 191995 PS �Form �3811, pctober 1990 Qu.s. GPO: 1980-213-801s C DOMESTIC RETURN RECEIPT 950998 r STATE � �'RADO DEPARTMENT OF STATE CERr11-41CATE I, VICTORIA BUCKLEY, Secretary of State of the State of Colorado hereby certify that According to the records of this office METRO OIL CO., INC. (MICHIGAN CORPORATION) file # 871646843 was filed in this office on NOVEMBER 25, 1985, and 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: MARCH 2, 1995 C -e -L4 -t -LC SECRETARY OF STATE 9S©998 MICHAEL D. BELLON, D.D.S., M.S. ORTHODONTICS FOR CHILDREN AND ADULTS 5150 E. YALE CIRCLE, SUITE 302 DENVER, COLORADO 80222 (303) 692-96:0 March 3, 1995 Total Petroleum Inc. 900 19th St. Denver, CO 80202 7325 S. PIERCE, SUITE 204 LITTLETON, COLORADO 80123 (303)933-6830 To Whom It May Concern: I have had the privilege of knowing David Hackett for the past five years. I have been involved with David both on a personal and professional level, during which time David has shown himself to be an honest, dependable and extremely caring individual. I feel very fortunate to know David Hackett, and without any reservation, I give him my highest recommendation. If you have any questions, please feel free to contact me. Since rely, Michael D. Bellon, D.D.S., M.S. Member American Association of Orthodontists 950998 MAR 20 '95 09:21AM TOTAL BONER RETAIL P.7� METRO OIL CO. CONSENT ACTION IN LTEII OF 1143311TING OF DIRECTORS The undersigned, being alt of the directors of Metro Oil Co., acting without a meeting as permitted by Section 525 of the Michigan Business Corporattnn Act; as amended, does betel/. consent to, approve and adopt the following resolution: RESOLVED, that the Corporation aclmawledges the resignation of 1onald L Brinioaan from his position as Secretary/Treasurer of Metro Oil Co.; and RESOLVED, that the following individual is hereby elected to sere as Secretary/Treasurer of Metro Oil Co., to hold office until the neat taniztr. meeting of shareholders and until his respective successor shall Do :isl; elected and qualify or until he is removed or resigns: David E. Hackett DATED: December 31, 1994 G David M. Bola David B. Hackett 95099? LQAx 1-25-95 TO WHOM IT MAY CONCERN; David Hackett began working for me in my durg store at the age of 16, and worked for the remainder of his school years. During the 30 years I have known David, he has always been hard working, dependable, and honest. Prior to the time he went to work for Truman Arnold, he did various things and was successful at all of them. He married, raised a family, served in the Marine Corp. After leaving the Marines, he returned to Tex- arkana, went to collece, became a police officer, During this time, he took foster children into his home. After going to work for Arnold in the Roadrunner chain he became a supervisor until the time Total bought Roadrunner. I have been in contact with David during this time and feel that he is a fine person. Sincerely, Robert L. Beeson # 10 Regency Drive Texarkana, AR 75502 (501) 772-0073 950998 TO WHOM IT MAY CONCERN: I have known aWo for years and find him 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 individual who has the maturity and judgment to responsibly handle a liquor license. Signed, l /:%/1 !c. Signature / Print Name: ii4ii ..%1 / Cf �c�khic Address: /75 CAa 3e C l�" /i j 7'y S lc/ C1' �(.`Z t 6 Phone Number: 3c 5 _mac c , 4 r3 a Date: 2(aq 5- 950999 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 March 28, 1995 Metro Oil Company D/B/A Vickers PO Box 500 Denver, CO 80201 Re: Chain Store Application for Metro Oil Company. Dear Sir or Madam: Roy Romer Governor Renny Fagan Executive Director David C. Reitz Division Director This is to advise you that the State Liquor Enforcement Division has, at your request, created a "master file" for the above -listed applicant. As of the date of this letter our master file includes the following items which you have submitted: 1. Individual History Records (Form DR -8404) for the following persons: David Michael Bocks David E. Hackett DOB 2. Fingerprint cards bearing the names and birthdates of the persons listed in paragraph 1, above. All 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 for those listed above except for David E. Hackett. THIS DIVISION HAS NOT RECEIVED THE FINGERPRINT RESULTS BACK FOR DAVID E HACKETT. HIS PRINTS WERE SUBMITTED TO CBI ON MARCH 28, 1995. 3. Certificate of Authority or a Certificate of Good Corporate standing from the Colorado Secretary of State which indicates that Metro Oil Company is a corporation authorized to do business in Colorado. n.41938941 Metro Oil Company D/B/A Vicker's Page 2 You must check with the local licensing authority to determine what documents they may require of you to process your application. Please feel free to provide them with this letter as many local authorities will not require you again to submit fingerprint cards 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 docduments 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 DR 8367, if manager's registration is required. Sincerely, Matt D. Cook Licensing Administrator s:trnetromas.mar 950998 Hello