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Home My WebLink About951957.tiffRESOLUTION RE: APPROVE CHANGE OF OWNERSHIP REQUEST FOR LICENSE FROM JOHN N. SIPRES, DBA SIPRES LOUNGE, TO SIPRES LOUNGE, INC., DBA SIPRES LOUNGE, 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, Sipres Lounge, Inc., dba Sipres Lounge, presented to the Board of County Commissioners of Weld County, Colorado, an application for a Change of Ownership of a Tavern Liquor License for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, said license previously held by John N. Sipres, dba Sipres Lounge, 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: 1490 Weld County Road 27, Brighton, Colorado 80601 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 95-15 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 September 4, 1996, 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. 951957 LC0028 CHANGE OWNERSHIP OF TAVERN LIQUOR LICENSE - SIPRES LOUNGE PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of August, A.D., 1995. BOARD OF COUNTY COMMISSIONERS lerk to the Board Deputy ClerJ• the Board APP AS TO FORM: aunt At orney WELD COUNTY, C • LORADO Dale K. Hall, Chairman arbar . Kirkmeyer, ' Tem / 7.4( George E!Baxter DATE OF SIGNING (AYE) W. H. Webster 951957 LC0028 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402110/921 STATE DEPARTMENT ALCOHOLIC OF COLORADO OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver, Colorado 80261 SIPRES LOUNGE INC 1490 WCR 27 BRIGHTON CO 80601 BEVERAGE LICENSE Account Number Liability Information LICENSE EXPIRES AT MIDNIGHT County City Indust. Type Liability Date 03-69427-0000 12 206 5813 C 090595 SEP 04, 1996 Type Name and Description of License Fee 2010 2190 TAVERN LIQUOR LICENSE - MALT, VINOUS, AND SPIRITUOUS COUNTY 85 PERCENT OAP FEE $ 50.00 $ 276.25 EXTENDED This license is issued provision of Title nontransferable only valid through be addressed to Street, Denver, CO testimony whereof, HOURS TOTALFEEISI subject to the laws of the State of Colorado and especially 12, Articles 46 or 47. CRS 1973, as amended. and shall be conspicuously posted in the place above described the expiration date shown above. Questions concerning the Department of Revenue, Liquor Enforcement Division. 80261. I have hereunto set my hand. MET I-ean y,{/� SEP 0 6 S95 1/ Executive $ 326.25 under the This license is This license is this license should 1375 Sherman Director Division Director 951957 Cs. © U G 5 C CL CCI 951957 DR 8177 (03/95) CORPORATE APPLICANT COLORADO DEPARTMENT OF REVENUE , LIQUOR ENFORCEMENT DIVISION INFORMATION AND 1375 SHERMAN STREET ROOM 600 DENVER CO 80261 CORPORATE REPORT OF CHANGES (303) 866-3741 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 Date Stamped Certificate of Certificate of documents to this applicant information: NOTE: All Officers and Directors with a 10% (or more) ownership of the Applicant/Licensee must fill out a DR 8404-I (Individual History Record). All stockholders interest in the Applicant must also fill out a DR 8404-I (individual History Record), Corporate Applicant Name 5( r'4 es L iffac.2 Siva State Tax Account Number 7./- /7/ - aA' State Liquor License Number Trade Nam i lig.e s A can y -c. Telephone V O Number Sy 74 Address /y'fl 71 Licensed Premises Ciry, wc(L _1 -7 h/ei y4TVA/ State Co ZIP Co e SD6O/ Mailing Address it different than above City State ZIP Code ALL APPLICANTS MUST LIST CURRENT OFFICERS AND DIRECTORS. If currently licensed and this is structure, also identify the Officers/Directors replaced and attach a certificate of good standing, dated within Follow instructions in the shaded area above. Attach separate sheet if necessary. a change of corporate the last two years. CURRENT CORPORATE OFFICERS Name Home Address DOB Replaces President i)'14 a y P. 5/pit es- / V iO Luc fit 3_ -7 Vice -President Treasurer Secretary Mi dinA 1, Glue O //61, tui //?4dc I:( -f- CURRENT DIRECTORS Name iif' Ro%e3ddressco DOB Replaces LIST ALL STOCKHOLDERS AND PERCENTAGE OF STOCK NOW OWNED Is this corporation requirements of the Securities and Exchange Act of 1934? (Publicly traded) ❑ Yes stockholders owning 10% (or more) of the issued stock If no, list all stockholders. 6; Ill otos sub ect to the reporting No If yes, list only those Lounge, i 11c.. CURRENT STOCKHOLDERS Name Home Address DOB % of Stock Now Owned i'n A-ay5 ; pars iLi?a w ca 4)-, 3- Registered Address For Service pAgent '�� /!/Ki /l t/ b. S ' P'2'- /990 I,IJCil ..'7 N'g i 7/iVicij Cc OATH OF APPLICANT I declare 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. Authorized Signature `r „--? 7 1() .--AL 1 A,n. Title } e/-7.2---0 Date ----/.97---- /� _ si REPORT ,, O OCAL LICENSING A The foregoing changes have been received and examinedbytheLocal sensing Authority. Local Licensing Authority For Wed tour& , Coiorada: ;, County ❑ Town/City Signature ''. I { II Tme Chairman, Weld County Board of Commissioners Date 08/23/95 Attest/ -If t m %/i1 /®4 ,by:G `j" a 94_4,k_nialbu • Deputy Clerk to Date 08/23/95 "le NOTE: Local authority, for all changes in,Coi'porations, I ase submit all copies o the Liquor Enforceme951957 An acknowledgment will be returned to the local authority. Lr DR 8404 (02/94) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 COLORADO LIQUOR OR 3.2 % FERMENTED MALT BEVERAGE LICENSE APPLICATION 1. Applicant is a zi Corporation (Attach DR 8177) ❑ Individual (Attach DR 8404-I) ❑ Partnership (Attach DR 8441) H Limited Liability Company (Attach DR 8405)i. Date filed with Local Authority P - /y - 7 s- F.E.LN. 1a. Name of Applicant(s) If partnership, list partners' names (at least two); if corporation, name of corporation .., Si n', -s to arigc_ r J. )a• Social Security No. Li&6-loo--9l �/..s� 2. Trade Narrk of Establishment (DBA,� I {-r P/2 r°5 ,-- o a,v < Q.- *tate Sales Tax No. g171-. /315(1,2 8 Business Telephone (303) l0 5-5 -kS-7G 3. Address of Premises (specify exact location of premises 1416 wc/z 7 City ,f1 iKO County State ZIP Code 0/ 4. Mailing Address (Number and Street) I /QD L.0 C 11 �i 7 City or Town , -.; - State ( .... ., ZIP Code n' 6 c:)/ 5. If the premises currently have a liquor or beer license, you MUST answer the following question: Present Trade Name of That Establishment (DBA) C), f//es hOu/lye, Present State License No. liTde-1,253 Present Type of License hvern Present Expiration Date /0:/0,1/R5 6. Is the applicant (including any of the partners, if a partnership; members or manager if a limited liability company; or officers, stockhold- Yes No ers or directors if a corporation) or manager under the age of twenty-one years? ❑ (21 7. Has the applicant (including any of the partners, if a partnership; members or manager if a limited liability company; or officers, stockhold- ers or directors if a corporation) or manager ever; (a) been denied an alcoholic beverage license? ❑ IX (b) had an alcoholic beverage license suspended or revoked? ❑ n (c) had interest in another entity that had an alcoholic beverage license suspended or revoked? ❑ B If you answered yes to 7a, b or c, explain in detail on a separate sheet. 8. Has a liquor license for the premises to be licensed been refused within the preceding two years? If "yes," explain in detail. II 5► Ba. Has a 3.2 beer license for the premises to be licensed been refused within the preceding one year? If "yes," explain in detail. ❑ 9. Are the premises to be licensed within 500 feet of any public or parochial school, or the principal campus of any college, university or • 2 seminary? 10. Has a liquor or beer license ever been issued to the applicant (including any of the partners, if a partnership; members or manager it a limited liability company; or officers, stockholders or directors if a corporation)? If yes, identify the name of the business and list any ❑ [ current financial interest in said business including any loans to or from a licensee. 11. Does the Applicant, as listed on line la of this application, have legal possession of the premises for at least 1 year from the date that this license will be issued by virtue of ownership or under a lease? (If yes, attach a signed copy of deed or lease.) [ ■ • Ownership TX Lease ❑ Other (Explain in Detail) a. If leased, list name of landlord and tenant, and date of expiration, EXACTLY as they appear on the lease: Landlord ZbNIV Id, J"-ICJAAv D, 5rf•ke Tenant S1)1I.P5 koNnyc :LAIC , Expires )• S.e ') l Attach a diagram of the area to be tensed (including dimensions) which shows the bars, walls, partitions, entrances, exits and what each room shall be utilized for in this business. This diagram should be no larger than 8 1/2" X 11". (Doesn't have to be t0 sca e) 12. Who has (including persons, firms, partnerships, corporations, limited liability companies) or will loan or give money, inventory, furniture or equipment to or for use in this business; or who will receive money from this business. Attach a separate sheet if necessary. NAME ADDRESS INTEREST • 5! pie 5 I of.Ln3c, Irv. 7X10 A)! J'& al at ( izm (�O , IOC% Attach copies of all notes and security instruments, and any written agreement or details of any oral agreement, by which any person (including partnerships, corporations, limited liability companies, etc) 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. 13. Optional Premises or Hotel and Restaurant Licenses with Optional Premises All Optional Premises applicants must attach a copy of the local ordinance or resolution authorizing the issuance of Optional Premises licenses. Number of separate Optional Premises areas requested 951957 DR 8404 (2/94) Page 2 14. Liquor Licensed Drug Store applicants, answer the following: Yes 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. ❑ ■ 15. Club Liquor License applicants answer the following and attach DR 8177: (a) Is the applicant organization operated solely for a national, social, fraternal, patriotic, political or athletic purpose and not for pecuniary gain? • • (b) Is the applicant organization a regularly 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 club? 16. 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.) (Attach DR 8438 for each location) (b) If applicant is a wholesaler, does or did any owner, partner, shareholder, director, officer, member or manager have any direct 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 or Brewers Notice? If "yes," attach a copy; if "no," explain whether one has been applied for. ❑• • • ■ ❑ 17. Nonresident Manufacturer (3.2% beer or malt liquor) or Importer (3.2% beer, 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, partner, shareholder, director, officer, member or manager have any direct 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 or Brewers Notice? If "yes,' attach a copy; if "no," explain in detail. (d) Are you the primary source of supply in the U.S.? If "no," explain. (e) Are all your products registered in Colorado? If "no," attach DR 8440 and register said products. ❑ • ❑ • / 18. Name of Manager (If this is an application for a Hotel and Restaurant License, the manager must also submit a Manager Registration Form ' (DR 8367) and individual History Record (DR 8404-I). -- at. D.S.'PP. e5 Date of Birth OAi OF APPLICANT I declare 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. Author zed Signature —�y f) r / � oS cra Title s; ages �nun __..f _ cuan.en r QwrV� -4-Cotp O(-Iictot 5ioLVHuIdfit t -D'4 oats 5' /f —r3 i REP9 T AND (Manufacturers, nonresident manufacturers, APPROVAL OF LOCAL t�ICEN importers, wholesalers, llrnifed #111tMaHa8, disregard the section:below� TH tltl 1 tXX pIubffC tt'$r)spalia'�bn lict.}flSe@g,' Is this application for a: New License X Transfer of Ownership ❑ Other (specify) Each person required to file DR 8404-I: Yes No Has been fingerprintedNI ❑ Background, NCIC and CCIC checked CI • The liquor licensed premises is ready for occupancy and has been inspected by the Local Licensing Authority. X • 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 provisions of Title 12, Article 46 or 47, C.R.S. THEREFORE, THIS APPLICATION IS APPROVED. Local Licensing Authority br +^" Weld County, Colorado ❑ n TOWN, CITY COUNTY Signature -'' a airman, Weld County Board 1' Commissioners Date 08/23/95 Signatur a-st) ..-T e r1 a Ai' w.We d County—Cllerk to Board , , I ' Deputy BS'',5kop}inftvv' Date 08/23/95 If premises are Ibcated within a toWnik/city, the above approval should 6h signed by the mayor and clerk, if in a county, then by the chairman of the board of county commissioners and th"e clerk to1He board. If, by ordinance or otherwise, the local licensing authority is some other official, then such approval should be given by such official. 951957 Bank One, Greeley, NA Greeley Banking Center PO Box 1098 Greeley CO 80632 7th Street at 9th Avenue Greeley CO 80631 RINK ONE. Date: July 21ST 1995 FROM: Oscar Torres - Bank One Quality Service Representative RE: Maria Sipres TO WHOM THIS MAY CONCERN: Tel 303 3561234 On July 20, 1995 Maria Sipres called me at my office. Not knowing what I could posibly do for her, I was overwhelmed by her, asking me to please help her with a character reference letter. I am honored to help such a fine citizen. I have known Maria sipres for eighteen (18) years. She was one of the first people that I met. Maria, is a definetly a person to look up to. I have known her to be a fine person, responsible, caring trustworthy, outstanding, to the book type of person. Who follows all procedures and guidelines to the T. Never hake I heard of any wrong doings from her or any of her immediate family. Plus, I also know that they own there business, which they, I here nothing but good things about it. They run there business very professionally. P.S. Any questions please feel free to call me at my direct line 395-7327. And thank you very much. Sincerely, a r.f� 91957aoa, July 21, 1995 To whom it may concern: This letter is in regards about Maria Sipres and her application for the liquor license. I highly recommend Mrs. Sipres for consideration of the liquor license. I have found in the ten years I've known Mrs. Sipres to be a warm, loving, and kind person. Mrs. Sipres is responsible and adheres to the laws and policies set forth. Mrs. Sipres runs a business which requires tenacity and a certain kind of personality to run a successful entertainment establishment. I have observed Mrs. Sipres be fair to her customers and she executes great judgment when there are individuals bordering on the edge of intoxication. Mrs. Sipres will go above and beyond in ensuring her customers are well taken care of. Mrs. Sipres creates an atmosphere where the patron feels safe and when conflicts occur, they are dealt with in a speedy and efficient manner. Mrs. Sipres does not tolerate minors in her establishment and is very strict about that policy. I highly recommend Mrs. Sipres be considered for the liquor license. She is a proactive law-abiding citizen who is familiar with the laws and policies of the city, state, and county. If you have any questions regarding this matter, please feel free to contact me at Human Resources (303) 353-3800 ext. 3426. Sincerely, Berta Alicia Lopez, Employment Interviewer Community Service Worker O .k.c5-\ nt--cro---fc tSc _ a ) 951957 DR 8404-I (02/94) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 INDIVIDUAL HISTORY RECORD To be completed by each individual applicant, all general partners of a partnership, all limited partners owning 10% (or more) of a partnership; all officers and directors of a corporation, all stockholders of a corporation owning 10% (or more) of the stock of such corporation; all limited liability company MANAGING members, or other limited liability company members with a 10% (or more) hi interest in such company and all managers of a Hotel and Restaurant license. owners p 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 of the applicant. 1. Name of Business r S'pre `) t.,DCi r t - t `nc _ Date `b- �(o--`j5- Social 2. Your Full Name (last, first, middle) C7'rrH9n (Y)NITh(.t. '1e i0 3. Also Known As (maiden name/nickname, etc.) c )-k:( jGrR)u _, r<'3 4. Mailing Address (if different from residence) Home Telephone 303 r//v1-t75:7,9, 5. Residence Address (street and number, city, state ZIP) / ra LiO &1 i 0 //6)(1) %� ) f (Li.N L J I L 1-.2/}(1 i K u�C LCf LL (' �i 6. Date of Birth OLIObt:' of Birth i?retIt1 (16)occicia 7. U.S.Citizens VI Yes No If Naturalized, state where When Name of U.S. District Court Naturalization Certificate Number Date of Certificate If an Alien, Give Alien's Registration Card Number Permanent Residence Card Number 8. Height Weight Hair Color Eye Color Sex ff 4Racg, r at. , i 9. Do You Have a current Driver's //) �klek. lar�1,J✓U teYruat e.J r� :lam Yes 10. Name of rid 4-t--(1 Present Employer �; io Kr., 3is r r , / '- ru ,, / i /' f LOiO✓'>r t�U —' �rV 5 � i i [ii- C. H'E -K if _ Q', F; iV 11. Type of Business or Employment ti ui}G? sa_I4r r� z state, ZIP) . — In 12. Address of Business Where Employed (street number, city, x" ') 'Afor F / 1._ICi C Li'�L J+ - t; I, (. _e'.tu+c0 Business Telephone i ;.O J- w•�-`/elf L-O�`_-4 �Llr� t 13. Present Position "� C. /`l 5;: oIA7"__l - f+,i,i;iror71rcQiii 14. Marital Status r/,; ir`,e..Li 15. Name of Spouse (include maiden name if applicable) i'it;I4.C ;.,i,,u, (Sr?Lye) 16. Spouse's Date of Birth ,' hf— s Place of Birth //•.-;i'�/Ufiu; [r(J/of'4,d6 17. Spouse's residence address, if different than yours (street and number, city, state, ZIP) 18. Spouse's Present Employer tiC I )_a r C/ Occupation u)r,aye.w i lit)S 19. Address of Spouse's Present Employer 5XD 1 'f,, t3red dl,vu,r/ L,I/A-1covu / cli.,/or'gdv S01oil 20. List the name(s) of all relatives working in or having a financial interest in the liquor industry. RELATIVE RELATIONSHIP TO YOU NAME OF EMPLOYER LOCATION OF EMP�OYER y i1" c/,'r NAME r) ) PI OF -D • 5 r "?/Pe5 i✓r) 6 f)1 OWN-0 j o C,, , i 44 , 101 -IN 1r� l V /'J S,irRei �1-�'tken, rl 2pa t 6.0,1/y ex:,, 5, ?i2r�� t-.DuiYF O 21. Do you now, or have you ever held a State of Colorado Liquor or Beer License, or loaned money, furniture, fixtures, equipment or inventory, to any Colorado Liquor or Beer Licensee? If yes, answer in detail Fl Yes [(No n DR 8404-1 (2/94) Page 2 22. Have you ever been convicted of a crime, or received a suspended sentence, deferred 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 drugs or alcoholic beverages.) If yes, explain in detail. LJ Yes j No 23. Have you ever received a violation notice, suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere in the U.S.? If yes, explain in detail. fl Yes No 24. Military Seryi a jt;r7 agch) From To Serial Number Type of Discharge 25 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 /l: o (c) ., 26' List all former employers or businesses engaged in within the last five years. (Attach separate sheet if necessary.) NAME, OF EMPLOYER wf -kr -ft 4.-14 ADDRESS (STREET, NUMBER, CITY, STATE, ZIP) POSITION HELD FROM TO L-) f 27. WIt is your relationship to the applicant? (sole owner, partner, corporate officer, director, stockholder, member or manager 28. If stockholder, nuoIb of shares owned beneficially or of record Percent of outstanding stock owned 2a If partner, state whe her ❑ General ❑ Limited Percent of Partnership Owned ity30. Total amount you invest in this business, including notes, loans, cash, services or equipment, and operating capital. (Reg. 46-106.1 and Reg. 47-107.1) Amount $ If Limited Liability Company (percent owned) 31' Identify the sources of all funds you will invest in this business as listed in 30 above. List all bank names, account numbers and the amount derived from such source. Also identify all persons authorized to sign on, or who are part owners of said account. (Attach copies of all your notes or loans used in or for this business.) Amounts Sources - Account Numbers Names on accounts or person who can sign on this account Oath of Applicant I declare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete of my knowledge. to the best Authorized Signature ._ L Title Date August 16, 1995 To Whom It May Concern: This is a letter of recommendation for Martha Griego whom I have known for approximately ten ( 10) years. I have known Martha both Professionally and as a friend. Professionally we have been co-workers in the same department of State government for ten years. We have served on committees together, we have worked on projects together and many times, we have simply shared information. I have found Martha to be both excellent in her work and in her commitment to getting the job done: She is the type person that can be counted upon to do what ever it is the that needs to be done. Again, she is an excellent worker. As a friend, she is always there if she is needed. I have come to respect her both in how she relates to her family and to her heritage. I am an African American person and I can say without hesitation that Martha respects people for who they are and not what they are. She is a person of the highest moral an ethical character. I treasure our friendship very highly. Again I highly recommend her to you. If you have any questions please do not hesitate to contact me at 762-4379 (w) or 693-8348 (h). Sincere Y, Gaurdie Banister Sr. 951957 I August 16, 1995 To Whom It May Concern: I have known Martha Griego since 1989. She has worked as our unit Secretary at CMHI at Fort Logan. I know her to be highly responsible, timely in her duties and always honest, showing remarkable in- tegrity. I would strongly recommend her for a position on the Board of Directors for Sipres Lounge. Sincerely, 4,O VavZ_tio-e0-6,02, VanDePolder, M.D. LINDA R. RAMOS 857 S. VAN GORDON CT. #F-106 LAKEWOOD, CO 80228 August 16, 1995 To Whom This May Concern: I am writing in regards to Martha Griego. I have known Ms. Griego for a little over 6 years, both as a professional and a friend. At work, Ms. Griego is well known hospital -wide for being a very knowledgeable, efficient, and competent worker. She serves as a resource for computer problems. She is a very active member in several hospital committee's. Ms. Griego has helped plan, organize, and participate in many of the hospital fund raisers for social events. As a friend, Ms. Griego is a very caring and honest individual. She will go out of her way to help someone in need. Ms. Griego gets along with all different types of people and is a very likable person. Ms. Griego is an exceptional friend, colleague, and a productive member of our society. I highly recommend Martha Griego. Sincerely, Linda R. Ramos 951957 FILED COPY ARTICLES OF INCORPORATION OF SIPRES LOUNGE, Inc. The undersigned, who, if a natural person, is eighteen years of age or older, hereby establishes a corporation pursuant to the Colorado Business Corporation Act as amended and adopts the following Articles of Incorporation: FIRST: The name of the corporation is Sipres Lounge, Inc. SECOND: The corporation shall have and may exercise all of the rights, powers and privileges now or hereafter conferred upon corporations organized under the laws of Colorado. In addition, the corporation may do everything necessary, suitable or proper for the accomplishment of any of its corporate purposes. The corpora- tion may conduct part or all of its business in any part of Colorado, the United States or the world and my hold, purchase, mortgage, lease and convey real and personal property in any of such places. THIRD: (a) The aggregate corporation shall have authority to stock, no par value. (b) Each shareholder of each share of stock standing in corporation and entitled to vote. permitted. number of shares which the issue is 1,000 shares of common record shall have one vote for his name on the books of the Cumulative voting shall not be FOURTH: The number of directors of the corporation shall be fixed by the bylaws, or if the bylaws fail to fix such a number, then by resolution adopted from time to time by the board of directors, provided that the number of directors shall not be more than five nor less than one. one director shall constitute the initial board of directors. The following person are elected to serve as the corporation's initial director until the first annual meeting of shareholders or until her successor is duly elected and qualified: 951957 - 2 - Name Address Mary D. Sipres 1490 WCR 27 Brighton, CO 80601 FIFTH: The street address of the initial registered office of the corporation is 1490 WCR 27 Brighton, CO 80601. The name of the initial registered agent of the corporation at such address is Mary D. Sipres. SIXTH: The address of the initial principal corporation is 1490 WCR 27 Brighton Co 80601. SEVENTH: The following management of the business and the corporation, and the same limitation or exclusion of the office of the provisions are inserted for the for the conduct of the affairs of are in furtherance of and not in powers conferred by law. (a) Indemnification_ The corporation shall indemnify, to the maximum extent permitted by law, any person who is or was a director, officer, agent, fiduciary or employee of the corporation against any claim, liability or expense arising against or incurred by such person made party to a proceeding because he is or was a director, officer, agent, fiduciary or employee of the corporation or because he is or was serving another entity or employee benefit plan as a director, officer, partner, trustee, employee, fiduciary or agent at the corporation's request. The corporation shall further have the authority to the maximum extent permitted by law to purchase and maintain insurance providing such indemnification. (b) Limitation on Director's Liability. No director of this corporation shall have any personal liability for monetary damages to the corporation or its shareholders for breach of his fiduciary duty as a director, except that this provision shall not eliminate or limit the personal liability of a director to the corporation or its shareholders for monetary damages for: (i) any breach of the director's duty of loyalty to the corporation or its shareholders; (ii) acts or omissions not in good faith or which involve inten- tional misconduct or a knowing violation of law; (iii) voting for or assenting to a distribution in violation of Colorado Revised Statutes § 7-106-401 or the articles of incorporation if it is established that the director did not perform his duties in 951957 - 3 - compliance with Colorado Revised Statutes § 7-108-401, provided that the personal liability of a director in this circumstance shall be limited to the amount of the distribution which exceeds what could have been distributed without violation of Colorado Revised Statutes § 7-106-401 or the articles of incorporation; or (iv) any transaction from which the director directly or indirectly derives an improper personal benefit. Nothing contained herein will be construed to deprive any director of his right to all defenses ordinarily available to a director nor will anything herein be construed to deprive any director of any right he may have for contribution from any other director or other person. EIGHTH: The n?m and Mary D. Sipres 1490 WCR 27 Brighton, CO 80601 1 DATED the ,�C day of _ the incorporator is: , 1995. Incorpo/rat Mary D. Sipres hereby consents to the appointment as the initial registered agent for Sipres Lounge Inc. 2 2, ( Initial Rcfjistered Agent data50\anti-g4.cor 95195'x' e 7;4;7'17af//ia f! +11.4 -390,11,7, ft/ez ,eet re,a /f/af ",afd a/Othd ie tan F'//,./A; laf./GfJ'47esi tin ,r //eiao& A /width ii/Ant d ,,f,tiu/iirlrai/A/ii4.itw 2 c/ 'tSfJ,on/e/4 S�io�i/�iriiJed f/a✓f'// /.% Recorded at o'clock _ M, on _ Book _ Page Reception No, Recorder cam -'Warta ,VDeed THIS DEED is a conveyance of the real property described below, including any improvements and other appurtenances (the "property") IWm the individual(s), corporation(s), partnership(s), or otherentity(ies).named below as GRANTOR to the individual(s) or entity(ies) named below as GRANTEE. The GRANTOR hereby sells and conveys the property to the GRANTEE and the GRANTOR warrants the title to the property, except for (1) the lien of the general property taxes for the year of this deed, which the GRANTEE will pay (2) any easements and rights -of -way shown of record (3) any patent reservations and exceptions (4) any outstanding mineral interests shown of record (5) any protective covenants and restrictions shown of record, and (6) any additional matters shown below under "Additional Warranty Exceptions". The Specific Terms of This Deed Are: Grantor: (Give name(s) and place(s) of residence, if the spouse of the owner -grantor Is iolning in this Deed to release homestead rights, identify grantors as husband and wile ) UNITED SPANISH AMERICAN ASSOCIATION, a dissolved corporation, acting by and through a majority of the surviving members of its last known Board of Directors D. P. 2.50 Niter recording. return to Grantee: (Give name(s) and add ress Ins), statement of address, including available road or street number, is required.) JOHN N. SIPRES AND MARY D. STORES 2630 West Yale Avenue Denver, Colorado 80219 Form of Co -Ownership: ilt there are Iwo or more grantees named, they will be considered to take as tenants in common unless the words "in loan tenancy" or words of the same meaning are added in the space below.) in joint tenancy Property Description: nnoude county and slate I A tract of land lying in the N'W., of the S'W'&, of Section 29, Township 1 North, Range 66 West of the 6th P.M., Weld County, Colorado, lying West of the right of way of Lie Union Pacific Railway Co. and Vast of State Highway No. 2, except a parcel of land conveyed by Deed recorded in Rook 1190 at Page 330. Property Address: 149(1 ),:o. Id Count v Ron 27 Consideration: IT he statement of a dollar amount •s optional, adequate consideration for this deed will be presumed unless this conveyance is identified as a gilt, in any case mu; conveyance is absolute, final and unconditional.) ONE HUNDRED TWENTY FLUE THOUSAND AND No/100 DOLLARS ($125,000.00) Reservations -Restrictions: (If ;lie GRAN role inlrinds•o'eserve any interest in the property or to convey less than he owns, or it the GRANTOR is 'caroming line ('In AN TEE E right in the property make appropriate indication ) Additional Warranty Exceptions: Ilnclurm deudr of trust being assumed and other mailers not covered above 1 Esecumd by inn G•antnr on _ Septgm}T12 t'_ 19 19 Signature Clause for Corporation, Partnership or Association: Signature Clause for Indlrlduatir): UNITP:D SPANISH et`F.RICAN ASSOCIA,Tlrl';, A DlSSOLVI.0 CORPORATION Name of Grantor Corporation. Partnership r.r A'.'..ir', um ;olllcurA'uejtit By __I _l O -_,. Abel Martinez Ailed STATE OF COLORADO COUNTY OF" weld The rorogcmg".rrs n'r.un ant was ac*nowiedgud below rim Irvn i9Clt Grantor Grantor day of Sep teml)@r nv' Sa11eV {, Ahoytn and Abel 'fart [lied, srl va')ivinp nbers f last Board l'h tied Spanish American .soriation, in rrr.ssolved corporation WI I NESS my hand alld oftl rat seal - /- My eommiastonapft9.dOcoober 20, 1985 STATE OF. ,- . COUNTY (DF., , 1 The foregoing •i irslrcrncn .v as acknowledged baler. inn thin eY' (' ndme individual Or anrorla) or Grantor is Corporation F'a nne rs hi per Association, then identify signers as president or vice president and secretary or asy.nlanl secretary of cor poration. or as parinerlsl of partnership, or as authorized mpmberls) of association I of Grantor , 19 84 Directors of Notary Public 1221 8th Avenue Creeley, Colorado. day of , 19 WITNESS my hand arid official seal My commission expires: ------------ c 1981 UPDATE LEGAL FORMS On n,.. Inr' . r'.r.'nlnv nr,lnrerin enuv BUSINESS LEASE (Net, Net, Net) THIS LEASE is made this 1 st day of September 19 95 between John N. Sipres & Mary D. Sipres (the"Lessor") and Sipres Lounge . Tnce(the "Lessee"). In consideration of the payment of the rent and the performance of the covenants and agreements by the Lessee set forth below, the Lessor does hereby lease to the Lessee the following described property situate in the County of Weld in the State of Colorado, the street address of which is 1490 WCR 27 a tract in NW1 SW1 Section 29-1N-66 W Lying West of TIP Railway__. East of Highway 2 Legal Deter peen TO HAVE AND TO HOLD the same with all the appurtenances unto the said Lessee from twelve o'clock noon on the 1St day of September 19 95 and until twelve o'clock noon on the 1st day of September 19 98 at and for a rental for the full term of $ 3 6 0 0 0 0 0 payable in monthly installments of $ 1 .000.00 on or before twelve o'clock noon on the 1 st day of each calendar month during the term of this lease at the office of the Lessor at 14 90 WCR 27 Brighton Colorado, without notice. The Lessee, in consideration of the leasing of the premises agrees as follows: I . To pay the rent for -the premises above -described. 2. To pay to the Lessor those items listed below, or the Lessee's proportional share thereof, which for the purposes of this Lease is deemed to be 10 0 % which amount shall be considered as additional rent, and shall be due on the presentation of the appropriate bill to the Lessee; (a) all taxes, assessments, and other governmental charges which are levied against and may create a statutory lien upon the leased premises which are levied or assessed during the term of this Lease; (b) all premiums for fire and extended coverage insurance, property damage, and liability insurance in such amounts as the Lessor may reasonably require; and (c) all costs and expenses of repairing and maintaining the building, all of its components, and all land surrounding the building. 3. To keep the improvements upon the premises, including sewer connections, plumbing, wiring and glass in good repair, all at Lessee's expense, and at the expiration of this lease to surrender the premises in as good a condition as when the Lessee entered the premises, loss by fire, inevitable accident, and ordinary wear excepted. To keep all sidewalks on and around the premises free and clear of ice and snow, and to keep the entire exterior premises free from all litter, dirt, debris and obstructions; to keep the premises in a clean and sanitary condition as required by the ordinances of the city and county in which the property is situate. 4. To sublet no part of the premises, and not to assign the lease or any interest therein without the written consent of the Lessor. 5. To use the premises only as Lounge — and to use the premises for no purposes prohibited by the laws of the United States or the State of Colorado, or of the ordinances of the city or town in which said premises are located, and for no improper or questionable purposes whatsoever, and to neither permit nor suffer any disorderly conduct, noise or nuisance having a tendency to annoy or disturb any persons occupying adjacent premises. 6. To neither hold nor attempt to hold the Lessor liable for any injury or damage, either proximate or remote, occurring through or caused by the repairs, alterations, injury or accident to the premises, or adjacent premises, or other parts of the above premises not herein demised, or by reason of the negligence or default of the owners or occupants thereof or any other person, nor to hold the Lessor liable for any injury or damage occasioned by defective electric wiring, or the breakage or stoppage of plumbing or sewerage upon said premises or upon adjacent premises, whether breakage or stoppage results from freezing or otherwise; to neither permit nor suffer said premises, or the walls or floors thereof, to be endangered by overloading, nor said premises to be used for any purpose which would render the insurance thereon void or the insurance risk more hazardous, nor make any alterations in or changes in, upon, or about said premises without first obtaining the written consent of the Lessor therefore, but to permit the Lessor to place a "For Rent" card or sign upon the leased premises at any time after sixty (60) days before the end of this lease. 7. To allow the Lessor to enter upon the premises at any reasonable hour. 8. To pay all charges for water and water rents, and for heating and lighting of the building in which said premises are located. __I I No. 1050. Rev. 3-87, BUSINESS LEASE (TRIPLE NF.T1 ©1983 Di afford Publlshing.5825 W. 6th Ave., Lakewood, CO 60214-(303) 213-6900 9583.9S7 IT IS EXPRESSLY UNDERSTOOD AND AGREED BETWEEN LESSOR AND LESSEE AS FOLLOWS: 9. No assent, express or implied, to any breach of any one or more of the agreements hereof shall be deemed or taken to be a waiver of any succeeding or other breach. Any payment by Lessee, or acceptance by Lessor, of a lesser amount than due shall be treated only as a payment on account. Further, failure of the Lessor to timely bill for taxes, insurance or repairs, as required herein, shall not be deemed a waiver of the'Lessee's liability to pay same. 10. If, after the expiration of this lease, the Lessee shall remain in possession of the premises and continue to pay rent without a written agreement as to such possession, then such tenancy shall be regarded as a month -to -month tenancy, at a monthly rental, payable in advance, equivalent to the last month's rent paid under this lease, and subject to all the terms and conditions of this lease. 1 I . If the premises are left vacant and any part of the rent reserved hereunder is not paid, then the Lessor may, without being obligated to do so, and without terminating this lease, retake possession of the said premises and rent the same for such rent, and upon such conditions as the Lessor may think best, making such change and repairsias may be required, giving credit for the amount of rent so received less all expenses of such changes and repairs, and the Lessees shall be liable for the balance of the rent herein reserved until the expiration of the term of this lease. 12. The Lessor acknowledges receipt of a deposit in the amount of $ to be held by the Lessor for the faithful performance of all of the terms, conditions and covenants of this lease. The Lessor may apply the deposit to cure any default under the terms of this lease and shall account to the Lessee for the balance. The Lessee may not apply the deposit hereunder to the payment of the rent reserved hereunder or the performance of other obligations. 13. If any part of the rent provided to be paid herein is not paid when due, or if any default is made in any of the agreements by the Lessee contained herein, it shall be lawful for the Lessor to declare the term ended, and to enter into the premises, either with or without legal process, and to remove the Lessee or any other person occupying the premises, using such force as may be necessary, without being liable to prosecution, or in damages therefor, and to repossess the premises free and clear of any rights of the Lessee. lf, at any time, this lease is terminated under this paragraph, the Lessee agrees to peacefully surrender the premises to the Lessor immediately upon termination, and if the Lessee remains in possession of the premises, the Lessee shall be deemed guilty of forcible entry and detainer of the premises, and, waiving notice, shall be subject to forcible eviction with or without process of law. 14. In the event of any dispute arising under the terms of this lease, or in the event of non-payment of any sums arising under this lease and in the event the matter is turned over to an attorney, the party prevailing in such dispute shall be entitled, in addition to other damages or costs, to receive reasonable attorney's fees from the other party. 15. In the event any payment required hereunder is not made within ten (10) days after the payment is due, a late charge in the amount of five percent (5%) of the payment will be paid by the Lessee. 16. In the event of a condemnation or other taking by any governmental agency, all proceeds shall be paid to the Lessor hereunder, the Lessee waiving all right to any such payments. 17. This lease is made with the express understanding and agreement that, in the event the Lessee becomes insolvent, or is declared a bankrupt, then, in either event, the Lessor may declare this lease ended, and all rights of the Lessee hereunder shall terminate and cease. THIS LEASE shall be binding on the parties, their personal representatives, successors and assigns. ADDITIONAL PROVISIONS Sipres Lounge, Inc. 951957 Recorded at o'clock M Reception No. Recorder. BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That Mary D. Sipres of the' County of Weld in the State of Colorado, (Seller), for and in consideration of Stock In Sipres Lounge Inc. to him in hand paid, at or before the ensealing or delivery of these presents by Sipres Lounge Inc of the County of Weld in the State of Colorado, (Buyer), the receipt of which is hereby acknowledged, has bargained and sold, and by these presents does gram and convey unto the said Buyer, his personal representatives, successors and assigns, the following property, goods and chattels, to wit Dollars, All Assets of Sipres Lounge Located at 1490 WCR 27 Brighton CO 80601 TO HAVE AND TO HOLD the same unto the said Buyer. his personal representatives. successors and assigns, forever The said Seller covenants and agrees to and with the Buyer, his personal representatives, successors and assigns. to WARRANT AND DEFEND the sale of said property, goods and chattels, against all and every person or persons whomever. Whcn used herein, the singular shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, the Seller has executed this Bill of Sale this day of 19 sia� uR 2� `If in Denver, insert "City and". Signature No. 521. Rev. 9-R3. BILL OF SALE Bradford Publishing. 5825 W. 6th Ave.. Lakewood. CO 80214 — (303) 233-6900 9-85 'IT Copynght 1985 951957 Recorded at o'clock M Reception No Recorder. BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That John N. Sipres of the µ Counry of Weld in the State of Colorado. (Seller). for and in consideration of to him in hand paid. at or before the ensealing or delivery of these presents by of the County of We 1 d in the State of Colorado. (Buser), the receipt of which is hereby acknowledged, has bargained and sold, and by these presents does grant and convey unto the said Buyer. his personal representatives, successors and assigns, the following property, goods and chattels. to wit. Dollars, Mary D. Sipres All Assets of Sipres Lounge Located at Caen WCP 27 Brighton CO 80601 TO HAVE AND TO HOLD the same unto the said Buyer, his personal representatives_ successors and assigns. forever The said Seller covenants and agrees to and with the Buyer, his personal representatives, successors and assigns_ to WARRANT AND DEFEND the sale of said property, goods and chattels. against all and every person or persons whomever. When used herein. the singular shall include the plural_ the plural the singular, and the use of any gender shall be applicable to all genders IN WITNESS WHEREOF, the Seller has executed this Bill of Sale this T+--)— day of 19 *If in Denver. insert "City and" No. 521. Rev. 9-23. BILL OF SALE Bradford Publishing. 5825W_ rah Ave. Lakewood. CO 80214 —43031 233.6900 Sreweas Copynght 1985 951957 LSGTS6 DR 8404-I (02/94) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 INDIVIDUAL HISTORY RECORD To be completed by each individual applicant, all general partners of a partnership, all limited partners owning 10% (or more) of a partnership; all officers and directors of a corporation, all stockholders of a corporation owning 10% (or more) of the stock of such corporation; all limited liability company MANAGING members, or other limited liability company members with a 10% (or more) ownership interest in such company and all managers of a Hotel and Restaurant license. 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 of the applicant. 1. Name of Business ; vacs ,! /) /,Nye ANC Date — �� s� Social Security Number(s) etc.) 4. Mailing Address (if different from residence) Home Telephone C13�� --15 �� 5. Residence Address (street and number, city, state, ZIP i alt>D (A I C K -Z 7 [° \� /2 f rto N ('_,--) ,e)1D‘-', O/ 6. Date of Birth 711 Place of Birth GI /1 7. U.S. Citizen? Yes ❑No .�4V,DSnn If FFuralized, state where I When Name of U.S. District Court Naturalization Certificate Number Date of Certificate If an Alien, Give Alien's Registration Card Number Permanent Residence Card Number 8. Height 'tic' Weight t o Hair Color Biw Eye Color PLte Sex f- Race 9. Do You Have a current Driver's License? If yes, give number, 8 state x Yes ❑ No 10. Name o Present Employer . 11. Type of Business or Employment 12. Address of Business Where Employed (street number, city, state, ZIP) Business Telephone 13. Present Position 14. Marital Status I 15. Name of Spouse (include maiden name if applicable) cc r �� 5 po ses D to of [IL Spouses Place ofBirth� C-4re- eaoA/ TQy r 17. Spouses residence address, if different than yours (street and number, city, state, Zlr) 18. Spouse's Present Employer Occupation 19. Address of Spouse's Present Employer 20. List the name(s) of all relatives working in or having a financial interest in the liquor industry. NAME OF RELATIVE RELATIONSHIP TO YOU POSITION HELD NAME OF EMPLOYER LOCATION OF EMPLOYER L ,' I� 5 r/92Fc /cite() LUC/2fi 21. Do you now, or have you Licensee? If yes, answer Yes `0 ever held a State of Colorado Liquor or Beer License, or loaned money, furniture, fixtures, equipment or inventory, to any Colorado Liquor or Beer in detail No a<4 ors CONTINUED ON REVERSE SIDE DR 8404-I (2/94) Page 2 X 22. Have you ever been convicted of a crime, or received a suspended sentence, deferred 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 drugs or alcoholic beverages.) If yes, explain in detail. U Yes No 23. Have you ever received a violation notice, suspension or revocation for a liquor law violation, or been denied a liquor or beer license anywhere in the U.S.? If yes, explain in detail. L r Yes No 24. Military Service (branch) From To Serial Number Type of Discharge 25. 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 /f_,i U UVc<Z Ds I ' /;')c to 4/ ,C k'6Go/ )%(4/ /ffs- 2s. List all former employers or businesses 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 I fi'gk V)"\ iti/o0 d5 0eivdfe s'aN .(4, VA&D c-6.ecler2 19>70 199# 27. What is your relatiogship to the applicant? (sole owner, partner, corporate officer, director, stockholder, member or manager) .I.„.t (C/ eLos RCLARA:'Ni 0LC' A /L. `�- ;I• offr< c:c /S 1r'(/< 14o/deft/ 4o;cecic4 6 28. If stockholder, number of sha es owned beneficially or of record hoot S , 1tt0 Percent of outstanding stock owned 5 / P C€s Lau /77 E /0e 9S 29. If partner, state whether • General III Limited Percent of Partnership Owned If Limited Liability Company (percent owned) 30. Total amount you will invest in this business, including notes, loans, cash, services or equipment, and operating capital. (Reg. 46-106.1 and Reg. 47-107.1) Amount $!Z! 6 00 , 04 31 Identify the sources of all funds you will invest in this business as listed in 30 above. List all bank names, account numbers and the amount derived from such source. Also identify all persons authorized to sign on, or who are part owners of said account. (Attach copies of all your notes or loans used in or for this business.) Amounts Sources - Account Numbers A, /70 Ai Names on accounts or person who can sign on this account $ a7d000,OO LjiYa N o p 41UIIN SiF�I� $ $ $ Oath of Applicant I declare 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. Authorized Signature ' / LLy y1 J Ti < Ci�/)12� 7 b w A J 22 fi�rtFc �auyk 1: 0)2 , 0-4-F;ete2 51o,( 4' id Date EV2d71/9-5— R f < a- 6-F . it) e5 "A -"r"9 951957 PAY TO THE ORDER OF FOR SIPRES LOUNGE 1490 WELD COUNTY RD. 27 659-8596 B 659-8596 R GHTON. CO 80601 ..... Norwest Bank Colorado. NA ■ Brghlon NOR WEST BANKS (303)659C050.15 South O ghtan. Coolorado 80601Mdn Street Contest Phone Bank (303) 8634300 82-457/1070 4322 19 ?6,r • 2 -c7 ---------------DOLLARS of'+iui/7 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) JSent to Q COLORADO DEPT OF REVENUE LIQUOR ENFORCEMENT DIVISION H STATE CAPITOL ANNEX 1375 SHERMAN ST DENVER CO 80203 Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered en u S Postmark or Date rD E 0 LL N Return Receipt showing to whom. Date. and Address of Delivery TOTAL Postage and Fees «ce.lved krvrn slake as of 4O/45 951957 P 387 472 029 RECEIPT FOR CERTIFIED MAIL 'm I n....„n PS Form 3800, June 1985 NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) SIPRES LOUNGE, INC, DBA SIPRES LOUNGE 1490 WCR 27 BRIGHTON, CO 80601 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 orDate 9.l\ e Dpi 0 1.▪ 4 N v U N 0. E 0 t C 0 0c • ❑ C N 3 o 0 0 U F_ m y w 0 O • c t?, • m o a 0 . 0 y ,--I 0 Ny d4' O— 0' z 6*] 'o pa V -0 "E I —I C 0 tcoo or,m mymz co R7 0 hw«°mod 0 za^O EEE� Eaa . v Z VI CV oo� 0 MA «cm ya r • v r] fl 0 m o Q l 0 v OCmv wanaby t, y 010100 xEEE3«,=Cr•- a6a0iH W UUa`m < m I --I 01.7 W 3 •mco ca m 3 fa 951957 Hello