HomeMy WebLinkAbout981948.tiffRESOLUTION
RE: APPROVE CORPORATE REPORT OF CHANGES FOR CONO-SERVICES, INC., DBA
CONOCO #06355, AND AUTHORIZE CHAIR 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, Cono-Services, Inc., dba Conoco #06355, holder of a 3.2 Percent Beer
Retail License in Weld County, Colorado, has presented the Board with a Corporate Report of
Changes, and
WHEREAS, said corporate change is as follows: William R. Hall replaces D. R. Heinzer
as President and Director; Robert N. Heinrich replaces T. J. Casbeer as Vice President and
Treasurer; and S. A. Farace II replaces T. J. Casbeer 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 Cono-Services, Inc., dba
Conoco #06355, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair 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 7th day of October, A.D., 1998.
Weld County Clerk t,
BOARD OF COUNTY COMMISSIONERS
WELQ COUNTY, COLORADO
.CBs✓1./�, � .
Constance L. Herbert, Chair
W. H.
bster, Pro- em
eorge . Baxter
Dale K. Hall
/
[ Barbara J. Kirkmeyer
981948
LC0011
LORADO DEPARTMENT OF REVENUE
]UOR ENFORCEMENT DIVISION
FHER..IAN STREET
`:VEn CC 80261
-3) 2(5-1300
LED ON Amur OP THE
PLIcANT BY DILL DILL CARR Liquor and 3.2 Beer Licenses
GORA%HR & HUTCHINGS P.C.
(303) 777-3737 Submit to Local Authority (Local Authority will submit to State)
2355) ❑ LLC $100 PER MEMBER FOR BACKGROUND INV.
2350) ® CORPORATION $100 PER PRINCIPLE FOR BACKGROUND INV.
. Corporateel.L.C. Name
CONO—SERVICES, INC.
2. State Tax Account Number
21-35816
V`
3 Stale Liquor License Number
21-35816
. Trade Name
CONOCO
5. Telephone Number
. Address of Licensed Premises
MULTIPLE LOCATIONS IN COLORADO, SEE ATTACHED
City
LIST
State
ZIP Code
. Mailing Address if different than above
6855 S. HAVANA, SUITE 600
City
ENGLEWOOD
State
CO
ZIP Code
80112
. LIST ALL officers, directors (corporation) or Managing Members (L.L.C.). Attach a certificate of designation
(good standing) and each officer, director or manager MUST FILL OUT a DR 8404-I (Individual History Record).
position
Held
Names of ALL Officers,
Directors or Managing Members
- Home Address
DOB
Replaces
SEE ATTACHED
. LIST ALL
MUST
10% (or more) Stockholders or 10% (or more) Members. All 10% (or more) stockholders and members
also fill out DR 8404-I (Individual History Record).
Stockholders/Members
owning 10%
(or more) of business
Owned
Home Address
DOS
Replaces
CONOCO.
INC.
100%
600 N. DAIRY ASHFORD RD., HOUSTON,
TX N/A
NO CHANGE
0. Registered
Agent
Address For Service
THE CORPORATION
COMPANY
1675 BROADWAY, SUITE 1200, DENVER, CO 80202
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. attachments.,
1. Authorizes
/1
Sig a re
Title
PRESIDENT AND DIRECTOR
Date
04-/
REPORT OF LOCAL LICENSING AUTHORITY •
The foregoing changes have been receiveaid_-xamined by the Local Licensing Authority.
2. Local Licensing
Authonty For • / �ji //
Weld County, Co a 5>' 1G' ' ij W County
Town/City
;nature
'=t
I
/ /° i. ,
► T! + County Board
tz`r• -
Date
10/07/98
(j
' `
�`B ! c�l
y�
Date
10/07/98
► /. i �17 ��ry el erk
r
DO NOT WRITE IN THIS SPA }T�(�tr rNT OF REVENUE USE ONLY
LIAR „i�-...ION
License Account Number
Period
Cash Fund
-100 (999)
TOTAL
A
21
LIMITED LIABILITY COMPANY AND
CORPORATE REPORT OF CHANGES
ATTACHMENT TO CORPORATE REPORT OF CHANGES
position Names of All Officers,
Held Directors or Managing Members
'resident William R. Hall
Director
▪ Pres. T.E. Souls
". Pres. Robert N. Heinrich
Treas.
'ecretary S.A. Farace II
irector T.E. Souls
irector S.A. Farace II
Home Address
9901 S. Spring Hill Place
Highlands Ranch, CO 80126
7967 S. Clayton Circle
Littleton, CO 80122
602 Bendwood Drive
Houston, TX 77024
14546 Riverforest
Houston, TX 77079
7967 S. Clayton Circle
Littleton, CO 80122
14546 Riverforest
Houston, TX 77079
DOB
Replaces
D.R. 'rr;..,e-
No Change
TJ n¢ -
No Change
No Change
T J " *P0 --
CONO-SERVICES INC. 21-35816-
RAPAHOE COUNTY
5327 10210 E. Arapahoe Rd., Englewood 80112
.RVADA
6318 8170 W. 80th Ave., 80005
5438 6393 Ward Rd., 80005
URORA
5312 15351 E. [lift 80013
0319 19001 E. Quincy Ave., 80015
5320 16810 E. Quincy Ave., 80015
6336 14501 E. Colfax 80011-
6340 290 S. Havana, 80012
5344 1 100 S. Havana, 80012
5406 1090 5. Havana, 80012
5409 14401 E. 6th Ave. 80011
ERTHOUD
6368 1095 1st St., 80513
OULDER
6302 601 S. Broadway, 80303
6369 3375 28th St. 80301
6410 3000 28th St. 80301
6411 600 S. Broadway, 80303
6433 5500 E. Arapahoe, Boulder 80303
:OLORADO SPRINGS
6328 4085 Beverly, 80917
6330 1705 W. Uintah, 80904
6331 4301 Fountain, 80904
6342 4315 N. Academy Blvd., 80907
6391 2880 S. Circle Dr.
6395 6740 N. Academy Blvd.
6414 330 5. Academy Blvd., 80910
6416 515 N. ,Murray Blvd., 80915
6434 1003 N. Academy Blvd., 80909
6449 2795 N. Powers Blvd. 80917
6462 2825 Briargate Blvd., 80920 (breakplace)
�si 9v
OMMERCE CITY
3360 4981 E. 64th Ave., 80022
ENVER
3314 4495 Peoria St., 80239 (breakplace)
5326 3434 W. Alameda, 80217
3329 279 S. Federal Blvd., 80223
3333 502 Sheridan, 80216
5335 1501 Colorado Blvd., 80220
3405 1696 S. Colorado Blvd. 80222
5407 303 S. Colorado Blvd. 80222
3408 2110 S. Federal Blvd., 80219
3418 3495 S. Monaco Parkway, 80207
3421 2100 S. Monaco Parkway, 80222
3422 785 Colorado Blvd. Denver, 80208.
3423 4785 Federal Blvd., 80211
3424 8900 E. Hampden, 80231
5425 7295 E. Belleview, Englewood 80111
OUGLAS COUNTY
5317 11515 N. Hwy. 83, Parker 80134
3441 9405 5. University Blvd., Highlands Ranch, CO 80126
3446 16920 Lincoln Ave., Parker, CO 80134
L PASO COUNTY
3325 5810 Omaha Blvd., Colo. Spgs. 80915
2IE
3352 4200 NE County Line Rd., Erie 80516
REENWOOD VILLAGE
3426 5096 S. Yosemite, 80111
FFERSON COUNTY
3365 5600 S. Simms St., Unit A, Littleton 80123
3375 15900 W. 44th Ave., Golden 80401
3450 9883 W. Chatfield, Littleton 80123
3448 7695 W. Long Drive, Littleton 80123
3454 12624 W. Indora Place, Littleton, 80127(breakplace)
ttleton, 80123 (breakplace)
7540 W. Chatfield,
AFAYETTE
)6373 802 S. Public Rd., 80026
)6458 290 N. Hyw 287, 80026 (breakplace)
AKEWOOD
)6427 3440 S. Wadsworth 80227
ARIMER COUNTY
)6354 3809 Mulberry, Ft. Collins 80521
)6358 5009 N. Garfield, Loveland 80537
)6381 92 Poudre Canyon, Hwy. 287, Bellvue 80512
)6382 3312 N. Highway 287, LaPorte 80535
_ITTLETON
)6324 8073 S. Broadway, 80122
_ONGMONT
)6356 1801 Hover Rd., 80501
)6444 2255 Mountain View, 80501
_OUISVILLE
)6442 520 S. McCaslin Blvd., 80027
_OVELAND
)6357 1260 14th St. S.W., 80537
v1ONUMENT
)6400 534 State Hwy. 105, 80132
VORTHGLENN
)6419 500 W. 120th Ave., 80234
)6429 160 W. 104th Ave., 80234
;UPERIOR
)6447 191 McCaslin Blvd., 80027
THORNTON
06310 11090 N. Colorado Blvd., Denver 80233
06396 680 E. 84th Avenue, Thornton 80219
06402 400 E. 104th Ave, Thornton 80223
06437 9201 Huron, 80221
06452 691 E. 120th Ave., 80233
WELD COUNTY
06355 12435 Weld County Rd. #2, Brighton 80601
06394 3851 Hwy 119, Longmont 80501
WESTMINSTER
06350 7199 N. Federal Blvd.- 80030
06430 7995 N. Federal Blvd., 80030
WHEAT RIDGE
06334 3210 Youngfield 80034
06431 4750 Kipling St. 80034
06439 3790 Wadsworth, 80034
9./ 94/i
STATE OF COLORADO
LIQUOR ENFORCEMENT DIVISION
Department or Res e^ue
Business Location
1881 Pierce Street • Lake,000d. Culorado 80214
Phone 3C:• 205.23:,
FAX 303•:'5.23»'
Mailing Address
Liquor Er-crcemen:=,:is.on • Dern.er, Coloraco 50261
September 11, 1998
Cono-Services, Inc.
D/B/A Conoco
PO Box 4784-TR 300
Houston, TX 77210
Re: Chain Store Application for Cono-Services, Inc. D/B/A Conoco
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:
Thomas E. Souls
Sam A. Farace II
William R. Hall
Robert N. Heinrich
DOB
DOB
DOB
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 Thomas E.
Souls and Sam A. Farace II. The fingerprint cards for William R. Hall and
Robert N. Heinrich have been submitted by us to the Colorado Bureau of
Investigation on September 11, 1998. We will advise by letter of the results
from the CBI and FBI
3. Certificate of Authority or a Certificate of Good Corporate standing from the
Colorado Secretary of State which indicates that Cono-Services, Inc., D/B/A
Conoco, is a corporation authorized to do business in Colorado.
DR 818 10' as.
Cono-Services, Inc.
D/B/A Conoco
Page 2
You must check with the local licensing authority to determine what documents they may
require to process your application. Please feel free to provide them with this 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 local authority need not send change of corporate structure
information previously reported to the Liquor Enforcement Division, as
listed in and approved by this letter.
The only documents which are needed for a new or transfer of
ownership application 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 8442, if manager's registration is required.
Sincerely,
L-742,
Matt D. Cook
Licensing Administrator
cono3.mas
. ,5/ivy'
;tR (3404-i (02'9.4)
OLORADO DEPARTAAENT OF REVENUE
IOUOR ENFORCEMENT DIVISION
375 SHERMAN STREET
ENVER CO 802131 - -- - _. _.
- y;., ,.a _ -d :R:_="G=am_ _ ;'ri7L.: ��n"
• :vyy VV'f T= ,%ans)t, d.,:h.ltufti_nt•13P(b' i s a .0 oc.41P.iyrr i.itJlYY►33;4:'3iib{13K,ie.)4TMY: +a
INDIVIDUAL HISTORYRECORD
To be completed by each individual applicant, ail general partners of a partnership, all limited partners owning 10% (or more) of a
partnership; all officers and directors of a corporation, ail stockholders of a corporation owning 10% (or more) of the stock of such
corporation; ail 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
CON() —SERVICES, INC.
Date
8/3/98
Social Secauity Number(s)
2. Your Full Name (last, first, mtdate)
HALL, WILLIAM R.
3. Also Known As (maiden name/nickname, etc.)
BILL
4. Mailing Address (if different from residence)
6855 S. HAVANA ST., #600, ENGLEWOOD, CO 80112
Home Telephone
(303) 471-6200
5. Residence Address (street and number, city. state, ZIP) ._
9901 S. SPRING HILL PLACE, HIGHLANDS RANCH,`CO 80126
`.
5. Date of Binh
_.
' Place of Birth - _ •-.
SHAWNEE, OK . _ -
7. U.S. Citizen? '' •'
Yes i No
't Naturalized. state where
N/A
When
N/A
Name of U.S. District Cowl
N/A
Naturalization Certificate Number
N/A
Date of certificate
N/A
nail Alien, Give Alien's Regstraeon Card Number I Permanent Residence Card Number
N/A I N/A
3. Height : Weight
6'0" j 200
Hair Color
jBROWN
I Eye Color
BROWN
Sex
MALE
Race
WHITE
9. Do You Have a current
XI Yes
Driver's License? II yes, give number, & state
No
t0. Name of Present Employer
CONOCO, INC.
11. Type of Business or Employment
CONVENIENCE STORE AND GAS STATION
12. Address of Business Where Employed (street number, city, state, ZIP)
6855 S. HAVANA ST., #600, ENGLEWOOD, CO 80112
Business Telephone
(303) 649-4015
3. Present Position
RETAIL MARKETING MANAGER
4. Marital Status
MARRIED
15. Name of Spouse (include maiden name i1 applicable)
JAYNELL A. HALL (DIXON)
6. Spouse's Date of Birth
Spouse's Place of Bird
CAULDWELL, KS
7. Spouse's residence address, if different than yours (street and number, city, state, ZIP)
SAME
8. Spouse's Present Employer
N/A
Occupation
N/A
3. Address of Spouse's Present Employer
N/A
0. List the name(s) of all relatives working in or having a financial interest in the liquor industry.
NAME CF RELATIVE
RELATIONSHIP TO YOU
POSITION HELD
I NAME OF EMPLOYER
LOCATION CF EMPLOYER
NONE
. Do you now, or nave you ever held a State of Colorado Liquor or Seer License, or loaned money, furniture, fixtures. equipment or inventory, to any Colorado Liquor or Beer
Licensee? If yes, answer in detail
Yes 0 No
{
CONTINUED ON REVERSE SIDE
-
ism you ever been convicted of a crime, or received a suspended serene, deferred sentence, or forfeited baiter any offense In criminal or military. ccuri2 (Di not
ioiedoe s, unless they resulted in suspension or revocation of your driver's License, or you were convicted of driving under the inftuenee of drugs or alcohan beverage
oaMin it detail. 4l^ a *7 "r-r?L Z'S -3o
Yes No moo;
lave you ever reamed a violation notice, suspension or revocation for a iquor law vidation, or beendenied a or or beer license anywhere in the U.S.? 1f yes, explain in detail.
Yes No
iaT
*Vary Service (branch)- - _ - -- ------,.- ----
.RINE
From -
1969'
To
1971
Serial Number ---- _ — -- - -
2558605
Type of Discharge T
�'1}}Trr is
HONORABLE
List all addressewhere you have lived for the past five years. (Attach sepa
srate sheet if necessary)".1dq6
STREET AND NUMBER
- -
CITY, STATE, ZIP
FROM
' ' TO
704 WESTW00D
EDMOND, OK
1996
-1998
701 ST. FRANCIS
SULPHUR, OK
1990
1996
314 TAIN
HOUSTON, TX
--
1989
1990
313 CARREBEAN
_ EDWARDSVILLE.
IL
•
1987
=1989
.ist 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
)NOCO, INC.
6855 S. HAVANA ST.
ENGLEWOOD, CO 80112
MANAGER
1973
PRESEN
T
%Uha( is your relationship to the applicant? (sole owner, partner, corporate officer, director, stocldtolder, member or manager)
)RPORATE OFFICER
II stockholder, number of shares owned beneficially or of record
/A
It partner, stale whether ❑ General ❑ Limited
!A
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)
Percent of outstanding stock owned
N/A
Percent of Partnership Owned •
N/A
if Limited Liability Company (percent owned)
N/A
Amount S 0
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
NONE
Sources - Account Numbers
Names on accounts or person who can
sign on this account
r Oatlh o'tApb1 c[ ant
eclare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best
my knowledge.
onzed Signature
Title
RETAIL MARKETING MANAGER
Date
8/3/98
9/9
TO WHOM IT MAY CONCERN:
I have kno Robert N. Heinrich
for years and find him/her to be a person of
honest and sound character and has the background to
maintain a profession approach to the liquor business.
it is my opinion that he/she is the type of person who
has the maturity and judgement to responsibly handle a
liquor or beer license.
g�i s}s�a�i2fe
Print Name: �2-. �4
Address: PeIS c c2.fc'7
7121n<4.51 -e-, k 77LIlC �
Occupation: /C nJJen.. ..nal (OCICZ S./ 4 C_
Phone Number: c2)1-251.3 -3X)V
Date:
/Mr
9g-'9e/g"
TO WHOM IT MAY CONCERN:
I have known
Robert N. Heinrich
for elk- years and find him/her to be a person of
honest and sound character and has the background to
maintain a profession approach to the liquor business.
it is my opinion that he/she is the type of person who
has the maturity and judgement to responsibly handle a
liquor or beer license.
Print Name: 4/15;Y412, / A1647 C4),-2
Address: ot6 N I)AIy �S) /�iK/'/L 2cic
/v i,s/aT , l Pc 7l&&99
Occupation: fi rck,-1
Phone Number: 28/' )-v3-3g%9
Date:
/ %4,y /f8/
TO WHOM IT MAY CONCERN:
I have known
for
Robert N. Heinrich
Ct years and find him/her to be a person of
honest and sound character and has the background to
maintain a profession approach to the liquor business.
it is my opinion that he/she is the type of person who
has the maturity and judgement to responsibly handle a
liquor or beer license.
Print
Name : V c012,(13( vl ccALL,
Address:
V0f7 µ.74:rtt 4$ 4Drc)
tvs ,Tx Zlz�z
Occupation: E'lvt,4hco - 0t \t4S 1
Phone Number • d -8t) )-15' 312.9
Date: 5I (3 Sg
91/ Syr
ri )4u-S-i �licl' 4 j =t:., - 7v r s c' r a o ...
COLORADO DEPARTMENT OP REVENUE �,.� a"+++'3 i
. i ..fin94,.., + i.i7 y QJ1Ali1 3+Kt+3 ��:�-:01 t tL ?
UOUOrK c'-TIFORC5AAENT DIVISION � sir -4.
1375 SHERMAN STREET .
DENVER CO 8O281
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; ail 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
CONOCO, INC.
2. Your Full Name (last, first, middle)
HEINRICH, ROBERT NEAL
4. Mailing Address (if different from residence)
SAME
Date
5/29/98
Social Seasity Number(s)
3. Also Known As (maiden name/nickname, etc.;
BOB
5. Residenca Address (street and number, city, stale, ZIP)
602 BENDWOOD DRIVE, HOUSTON, TX 77024
6. Date of Binh _
If Naturalized, state where
N/A
Naturalization Certificate Number
N/A
8. Height Weight ' Hair Color
BLONDE
10. Name of Present Employer
CONOCO, INC...
12. Address of Business Where Employed ;street number, city, state, ZIP) ...
600 N. DAIRY ASHFORD, HOUSTON, TX 77079
13. Present Position
MANAGER, TREASURY
14. Marital Status
MARRIED
Place of Birth
HOUSTON, TX
When
N/A
Home Telephone
713-973-6617
7. U.S. Citizen?
® Yes
Name of U.S. District Coup -
N/A
Cate of Certificate
N/A
Eye Color
Sex
M
Race
tf an Alien, Clue Aden's Regrstrauon Card Number
N/A
Permanent Residence Card Number
N/A
9. Do You Have a currant Driver's License? If yes, give number. & stale
Yes No
11. Type of Business or Employment
FINANCE
No
- DOWNSTREAM
15. Name of Spouse (include maiden name if applicable)
JILL
16. Spouses Cate of Birth Spouse's Place of Birth
CONNECTICUT
17. Spouse's residence address, if different than yours (street and number. city, state. ZIP)
SAME
18. Spouse's Present Employer
N/A
Business Telephone
281-293-6913
19. Address of Spouse's Present Employer
N/A
Occupation
N/A
20.
NONE
List the name(s) of all relatives working in or having a financial interest in the liquor industry.
NAME OF RELATIVE I RELATIONSHIP TO YOU POSITION HELD
NAME OF EMPLOYER LOCATION OF EMPLOYER
1. Do you now, or have ycu ever held a State of Colorado Lquor or Beer License, or loaned money, lumiture, fixtures, equipment or inventory, to any Colorado :.jquor or Seer
Licensee? if yes. answer .n detail
❑Yes DI No
•
CONTINUED ON REVERSE SIDE
9)9/
■ e you ever been convicted of a crime. or received a suspended sentence, deferred sentence, ortorfeited bail for any offense in cruni nat or military court? (Do not sleetytrtio.',
Sellars, unless they resulted in suspension or revocation of your driver's s license, or you were convicted of driving under the influence of Or aieihoic hevaraO5t1Itvae.
Mein in detail -
3 Yes No
• ° v '"s s ` � se re in the U.S.?IIexplain in detail.
aveyoueverreealvadavblallonnotice.xe0ene%nofieraceilonibriftjtorlawv%Ie6orLa}1�ertderJedaiiquorarbeeS�eensearnyvthe yes. xp
Yes ® No
„_-vg
tr .7 F. ,.- ..
Salary Service (breech) —. __ _
_-::1W,Cf
:tnicr?1r:ai-st:.G . - --j., 12' ihV'Dr^
Type of Discharge -1
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
PRISM LANE
HOUSTON, TX
77043
10/90
11/97
.8
3 LITCHFIELD LANE
HOUSTON, TX
77024
6/89
10/90
cnr.t>t.Otug
-
AUSTIN, TX
._
-
-
12/87 6/897
er 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
600 N. DAIRY ASHFORD
_HOUSTON TX 77079
TREASURY
MANAGER
6/89
PRESENT
AOCO
INC.
What is your relationship to the applicant? (sole owner, partner, corporate officer, director. stockholder, member or manager)
RPORATE 0Fu1UEx
If stockholder, number of shares owned beneficially or of record
A
Percent of outstanding stock owned
N/A
. If partner, state whether • General • Limited
A
Percent of Partnership Owned ,
NLA
If Limited Liability Company (percent owned)
N/A
, 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 S 'O—
• 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
' NONE
3
3
D
Oath d lip ,itc iii
.ter ..
declare under penalty of penury in the second degree that this application and all attachments are true, correct, and complete to the best
if my knowledge.
'honied Sall
-- -
Trice
—,155.157 ht/i -7k-4755 q fie,
Date
5/29/98
it's ''174 11,C :i3U3NT:9CO
TO WHOM IT MAY CONCERN:
I have known
him/her to be a person of honest and sound character and has the background
to maintain a professional approach to the liquor business.
for years and find
It is my opinion that he/she is the type of person who has the maturity and
judgment to responsibly handle a liquor or beer license.
Signature /
Print Name: /Z % 1' J677F S
Address: / S S S- / 4
4677/e6. t 4) , 80,12_
Occupation: e2 duSY ✓%i7t22 3'ua<«
Phone Number: 30 3 Ca e1/2 v/f
Date: 8/W S
PUG 0a 1958 05:02
303 777 3823
TOTAL P.02
PAGE.02
** TOTPL PPGE.02 **
Date:
TO WHOM IT MAY CONCERN:
I have known ?-3 (-(
for /-L years and find him/her to be a person of
honest and sound character and has the background to
maintain a profession approach to the liquor business.
it is my opinion that he/she is the type of person who
has the maturity and judgement to responsibly handle a
liquor or beer license.
Si ature
Print Name:
Address:
6 1f 3 fV 11k) \, -(ci ° CL
Occupation: 3s.esc s•ss Y. tyj2iw f — aeA t_
Phone Number: 3a .J" K -go
�(2z(sc
9 91477
TO WHOM IT MAY CONCERN:
I have known
for
I
i /ThlC tL
years and find him/her to be a person of
honest and sound character and has the background to
maintain a profession approach to the liquor business.
it is my opinion that he/she is the type of person who
has the maturity and judgement to responsibly handle a
liquor or beer license.
/hu4,181
E. Soids
Print Name:
Address:
L'encan) ( s r S, r7ovand
j/e cicoa; Co re/i z_
Occupation: Pcualgty
(3c3) V9- Vise;
Phone Number:
Date: of — / 7 - y f
9Y/ 9yr
SECRETARY'S CERTIFICATE
I, the undersigned, Sam A. Farace II, Secretary of Cono-Services Inc. (the "Corporation"), a
Colorado corporation, hereby certify that:
1. The following is a true and correct copy of resolutions adopted by the Board
of Directors of said Corporation by unanimous written consent to be
effective November 1, 1997, to wit:
RESOLVED, That the resignation of T. J. Casbeer as a Director
and the Vice President and Treasurer of this Corporation is
hereby accepted; and
FURTHER RESOLVED, That S. A. Farace II is elected a Director
of this Corporation; and
FURTHER RESOLVED, That R. N. Heinrich is elected a Vice
President and the Treasurer of this Corporation.
2. The following is a true and correct copy of resolutions adopted by the Board
of Directors of said Corporation by unanimous written consent to be
effective March 23, 1998 to wit:
RESOLVED, That the resignation of D. R. Heinzer as a Director
and the President of this Corporation is hereby accepted; and
FURTHER RESOLVED, That W. R. Hall is elected a Director and
the President of this Corporation; and
IN WITNESS WHEREOF, I have hereunto set my hand as Secretary and affixed the corporate
seal of said Corporation this 17 day of June 1998.
Secretary
Cono-Services Inc. ,
STATE OF TEXAC §
COUNTY OFrh4RRlfr §
This instrument was acknowledged before me on June / 1 , 1998, by Sam A. Farace II,
Secretary of Cono-Services Inc., a Colorado corporation, on behalf of said corporation.
44ig .►Jour
Notary Public
cP L ZA, ' CV/03 /
** TOTPL PPGE.01
**
DEPARTMENT OF
STATE
I,
COLORADO
S
ATE RADO
CER11.WW1CATE
VICTORIA BUCKLEY, SECRETARY OF STATE OF THE STATE OF
ER4BY CERTIFY THAT
ACCORDING TO THE RECORDS OF THIS OFFICE
CONO-SERVICES INC.
(COLORADO CORPORATION)
FILE # 19871461256 WAS FILED IN THIS OFFICE ON January 14, 1982
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 COZDUCT ITS AFFAIRS WITHIN THIS STATE.
Dated: Jana
ry 12, 1998
SECRETARY OF STATE
DILL DILL CARR STONBRAKER & HUTCHINGS
A PROFESSIONAL CORPORATION
ATTORNEYS AT LAW
Daniel W Carr
John J. Coates
H. Alan Dill
Robert A. Dill
Thomas M. Dunn
Lori Ann Y. FuJioka
John A. Hutchings
September 28, 1998
Shelly Miller
Weld County Commissioner's Office
P.O. Box 758
Greeley, CO 80632
Fay M. Matsukage''
Jon Stonbraker
Craig A. Stoner
Patrick D. Tooley
Leslie Block Kaye'
of Counsel
Also licensed in Arizona and New York
"Also licensed in Nevada
RE: CONOCO-SERVICES, INC. D/B/A CONOCO
Dear Shelly:
Please find enclosed a change of corporate structure for the above referenced
matter. The Master File Letter will be forwarded upon receipt.
Should you have any questions, please call. me.
Sincerely,
Nancy J. Parks
Paralegal
Enclosures
455 SHERMAN STREET, SUITE 300 / DENVER , COLORADO 80203. / FAX (3031 777-3823 / (303) 777-3737
E-mail: dillndill@aol.com
Sri 9e/-
DILL DILL CARR STONBRAKER & HUTCHINGS
A PROFESSIONAL CORPORATION
ATTORNEYS AT LAW
Daniel W. Carr
John J. Coates
H. Alan Dill
Robert A. Dill
Thomas M. Dunn
Lori Ann V. Fuiioka
John A. Hutchings
October 12, 1998
Esther Gesick
Weld County Clerk
915 10th Street
Greeley, CO 80632
RE: CONOCO-SERVICES, INC. D/B/A CONOCO
Store Nos: 06355 and 06394
Dear Esther:
Please find enclosed the Master File Letter for the above referenced matter.
Should you have any questions, please call me.
Sincerely,
N eunL9S, Pakj�
Nancy J. Parks
Paralegal
Enclosure
Fay M. Matsukage•'
Jon Stonbraker
Craig A. Stoner
Patrick D. Tooley
Leslie Block Kaye*
of Counsel
Also licensed in Amnna and New York
. • Also licensed in Nevada
914181 h11l08661
455 SHERMAN STREET, SUITE 300 / DENVER , COLORADO 80203 / FAX (303) 777-3823 / (303) 777-3737
E-mail: dillndill@aol.com
n/9
STATE OF COLORADO
LIQUOR ENFORCEMENT DIVISION
Department or Revenue
Business Location
1881 Pierce Street • Lakewood, Colorado 80214
Phone 301.203.22300
FAX 303.205.2341
Mailing Address
Liquor Enforcement Dig, ,sion • De^cer, Colorado 80261
October 8, 1998
Cono-Services, Inc.
D/B/A Conoco
PO Box 4784-TR 300
_ Houston, TX 77210
Roy Romer
Governor
Benny Fagan
Executive Director
David C. Reitz
Division Director
Re: Chain Store Application for Cono-Services, Inc. D/B/A Conoco
Dear Sir or Madam:
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:
Thomas E. Souls
Sam A. Farace II
William R. Hall
Robert N. Heinrich
DOB
DOB
DOB
DOB
2. Fingerprint cards bearing the names and birthdates of the persons listed in
paragraph 1, above. Ali the fingerprint cards have been submitted by us to
the Colorado Bureau of Investigation. The CBI and FBI have checked the
prints and reportedly found no record of any criminal history for those listed
above.
3. Certificate of Authority or a Certificate of Good Corporate standing from the
Colorado Secretary of State which indicates that Cono-Services, Inc., D/B/A
Conoco, is a corporation authorized to do business in Colorado.
DR 84a 1 , , m,
W/gig
Cono-Services, Inc.
D/B/A Conoco
Page 2
You must check with the local licensing authority to determine what documents they may
require to process your application. Please feel free to provide them with this 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 local authority need not send change of corporate structure
information previously reported to the Liquor Enforcement Division, as
listed in and approved by this letter.
The only documents which are needed for a new or transfer of
ownership application 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 8442, if manager's registration is required.
Sincerely,
Matt D. Cook
Licensing Administrator
cono4.mas
9/9v.?
I. your I Jill ADC SS &omp aed on the revere side?
0
P 387 472 122
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse)
s
s Colorado Dept of Revenue
— Liquor Enforcement Div.
P 1375 Sherman Street
a Denver, CO 80261
a
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to whom and Date Delivered
Return Receipt showing to whom.
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