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Home My WebLink About981846.tiffRESOLUTION RE: APPROVE CORPORATE REPORT OF CHANGES FOR CONO-SERVICES, INC., DBA CONOCO #06394, 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 #06394, 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 #06394, 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. BOARD OF COUNTY COMMISSIONERS WEL COUNTY, COLORADO ATTEST: Weld County Clerk BY Deputy Clerk to APP:. • n AS TO ounty Att Barbara J. Kirkmeyer 981846 LC0031 1. Authorizeq Sig a re NOR ENFORCEMENT DIVISION ?HER -IAN STREET • VE°9 CG 80261 2C 5.290(; 2D ON RHAALF OP THE FLJCANT BY DILL DILL CARR i'IHIRAKER & HDTCHINGS P.C. (3O3) 777-3737 :355) ❑ LLC 350) ® CORPORATION CorporatelL:.C. Name CONO-SERVICES, INC. Trade Name CONOCO Address of Licensed Premises MULTIPLE LOCATIONS IN COLORADO, SEE ATTA Mailing Address it different than above 5855 S. HAVANA, SUITE 600 CO 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 8404-1 (Individual History Record). position Names of ALL Officers, Held Directors or Managing Members 21 LIMITED LIABILITY COMPANY AND CORPORATE REPORT OF CHANGES Liquor and 3.2 Beer Licenses Submit to Local Authority (Local Authority will submit to State) S100 PER MEMBER FOR BACKGROUND INV. S100 PER PRINCIPLE FOR BACKGROUND INV. 2. State Tax Account Number 21-35816 DO NOT WRITE IN THIS SPACE 3. State Liquor License Number 21-35816 5. Telephone Number City QED LIST State ZIP Code City ENGLEWOOD Home Address SEE ATTACHED State DOB ZIP Code Replaces . LIST ALL 10% (or more) Stockholders or 10% (or more) Members. All 10% (or more) stockholders and members MUST also fill out DR 8404-I (Individual History Record). Stockholders/Members owning 10% (or more) of business CONOCO. INC 100% 600 N DAIRY ASHFORD RD., HOUSTON, ITX N/A NO Owned Home Address DOB Replaces CHANGE D. Registered Agent Address For Service ZHE CORPORATION COMPANY 1 675 BROADWAY, SUITE 1200, DENVER, CO 80202 OATH OF APPLICANT / 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. Title PRESIDENT AND DIRECTOR REPORT OF LOCAL LICENSING AUTHORITY The foregoing changes have been received and examined by the Local Licensing Authority. 2. Local Licensing Authority For Date ;nature est Weld County, Col '1 DO NOT WRITE IN THIS SPA License Account Number Si County O Town/City County Board tier S i�By�jc, f + Y+t•y f:l ark ENT OF REVENUE USE ONLY -r LIA$li �. �n c .:•TION Date Date Period 10/07/98 10/07/98 Cash Fund -100 (999) TOTAL ATTACHMENT TO CORPORATE REPORT OF CHANGES rsition Held Names cf All Officers, Directors or Managing Members resident William R. Hall Director . Pres. . Pres. Treas. cretary _rector .rector T.E. Souls Robert N. Heinrich S.A. Farace II T.E. Souls 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 TS '�- C0NO-SERVICES INC. 21-35816- 'APAHOE COUNTY 327 10210 E. Arapahoe Rd., Englewood 80112 IVADA 318 8170 W. 80th Ave., 80005 438 6393 Ward Rd., 80005 JRORA 312 15351 E. I I iff, 80013 319 19001 E. Quincy Ave., 80015 320 16810 E. Quincy Ave., 80015 336 14501 E. Colfax 8001T 340 290 S. Havana, 80012 344 1100 5. Havana, 80012 406 1090 S. Havana, 80012 409 14401 E. 6th Ave. 80011 RTHOUD 368 1095 1st St., 80513 )OLDER 302 601 S. Broadway, 80303 369 3375 28th St. 80301 410 3000 28th St. 80301 411 600 S. Broadway, 80303 433 5500 E. Arapahoe, Boulder 80303 )LORADO SPRINGS 328 4085 Beverly, 80917 330 1705 W. Uintah, 80904 331 4301 Fountain, 80904 342 4315 N. Academy Blvd., 80907 391 2880 S. Circle Dr. 395 6740 N. Academy Blvd. 414 330 5. Academy Blvd., 80910 416 515 N. Murray Blvd., 80915 434 1003 N. Academy Blvd., 80909 449 2795 N. Powers Blvd. 80917 462 2825 Briargate Blvd., 80920 (breakplace) 95/1-1-/& JMMERCE CITY 360 4981 E. 64th Ave., 80022 =.LAVER 314 4495 Peoria St., 80239 (breakplace) 326 3434 W. Alameda, 80217 329 279 5. Federal Blvd., 80223 333 502 Sheridan, 80216 335 1501 Colorado Blvd., 80220 405 1696 S. Colorado Blvd. 80222 407 303 S. Colorado Blvd. 80222 ,408 2110 5. Federal Blvd., 80219 ,418 3495 S. Monaco Parkway, 80207 ,421 2100 S. Monaco Parkway, 80222 '422 785 Colorado Blvd. Denver, 80208.. ,423 4785 Federal Blvd., 80211 ,424 8900 E. Hampden, 80231 425 7295 E. Belleview, Englewood 80111 DUGLAS COUNTY :317 11515 N. Hwy. 83, Parker 80134 441 9405 S. University Blvd., Highlands Ranch, CO 80126 446 16920 Lincoln Ave., Parker, CO 80134 PASO COUNTY )325 5810 Omaha Blvd., Colo. Spgs. 80915 :IE ;352 4200 NE County Line Rd., Erie 80516 REENWOOD VILLAGE '426 5096 S. Yosemite, 80111 FFERSON COUNTY 365 5600 5. Simms St., Unit A, Littleton 80123 ;375 15900 W. 44th Ave., Golden 80401 •.450 9883 W. Chatfield, Littleton 80123 '448 7695 W. Long Drive, Littleton 80123 454 12624 W. Indora Place, Littleton, 80127(breakplace) tleton, 80123 (breakplace) 7540 VV. Chatfield, 9 7OY \FAYETTE 5373 802 S. Public Rd., 80026 5458 290 N. Hyw 287, 80026 (breakplace) \KEWOOD 5427 3440 5. Wadsworth 80227 \RIMER COUNTY 5354 3809 Mulberry, Ft. Collins 80521 5358 5009 N. Garfield, Loveland 80537 5381 92 Poudre Canyon, Hwy. 287, Bellvue 80512 5382 3312 N. Highway 287, LaPorte 80535 TTLETON 5324 8073 S. Broadway, 80122 DNGMONT 3356 1801 Hover Rd., 80501 5444 2255 Mountain View, 80501 DUISVILLE 5442 520 S. McCaslin Blvd., 80027 DVELAND 5357 1260 14th St. S.W., 80537 tONUMENT 5400 534 State Hwy. 105, 80132 ORTHGLENN 5419 500 W. 120th Ave., 80234 5429 160 W. 104th Ave., 80234 JPERIOR 5447 191 McCaslin Blvd., 80027 9s'i8yc .HORNTON 6310 11090 N. Colorado Blvd., Denver 80233 16396 680 E. 84th Avenue, Thornton 80219 '6402 400 E. 104th Ave, Thornton 80223 -6437 9201 Huron, 80221 )6452 691 E. 120th Ave., 80233 VELD COUNTY '6355 12435 Weld County Rd. #2, Brighton 80601 '6394 3851 Hwy 119, Longmont 80501 VESTMINSTER 6350 7199 N. Federal Blvd.- 80030 6430 7995 N. Federal Blvd., 80030 VHEAT RIDGE 6334 3210 Youngfield 80034 6431 4750 Kipling St. 80034 6439 3790 Wadsworth, 80034 9s' esvca STATE OF COLORADO LIQUOR ENFORCEMENT DIVISION Departme^lt of Re,.e^ue Business Location 1881 Pierce Street • Lake :.00d. Calorado 802 Phone 3C3•20i•'.,:J FAX 303•_05.234' 4 Mailing Address Liquor E: _icemen[ _,•.i;: on • Den'.er. Colorac:o 80261 September 11, 1998 Cono-Services, Inc. D/B/A Conoco PO Box 4784-TR 300 Houston, TX 77210 Roy Romer Governor Renny 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. 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 8481:11--+n. 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 cono3.mas NAME OF RELATIVE NONE 3404 (0294) - _ORADO DEPARTMENT OF REVENUE ItUOR ENFORCEMENT DIVISION 'i5 SHERMAN STREET aWER CO 80261 ' -- - -` -. - 44.•)'{:"..: ,447:43e,c A. :,.tt,:j. no.ia:L. a. ... :ic.,atr i J.rtiv.:33 t4:J.atbUTh .n.)iiod, ,--, l INDIVIDUAL HISTORY:REC0RD :. G "o be completed by each Individual applicant, all general partners of a partnership, ail limited partners owning 10% (or more) of a rartnership; all officers and directors of a corporation, all stockholders of a corporation owning 10% (or more) of the stock of such orporation; all limited liability company MANAGING members, or other limited liability company members with a 10% (or more) wnership 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 iust be answered in their entirety. EVERY answer you give will be Checked for its truthfulness. A deliberate falsehood will Jeopardize the ppllcation as such falsehood within itself constitutes evidence regarding the character of the applicant. •- .. Name of Business CONO—SERVICES, INC. Your FuU Name (last, first, middle) HALL, WILLIAM R. Date 8/3/98 Social Security Numbers) Mailing Address (if different from residence) 6855 S. HAVANA ST., #600, ENGLEWOOD, CO 80112 Residence Address (street and number, city, state, ZIP) ,_ 9901 S. SPRING HILL PLACE, HIGHLANDS'RANCH,`CO 80126 Date of Birth - Naturalized, state where N/A aturaiization Certificate Number N/A Height 6'O" Weight 200 Hair Color BROWN I. Name al Present Employer CONOCO, INC. '. Address of Business Where Employed (street number, city, state. ZIP) • 6855 S. HAVANA ST., #600, ENGLEWOOD, CO 80112 I. Present Position RETAIL MARKETING MANAGER Place of Birth SHAWNEE, OK Date of Certificate N/A Eye Color BROWN When N/A 3. Also Known As (maiden name/nickname, etc.) BILL Home Telephone (303) 471-6200 7. U.S. Citizen? " - El Yes ❑ No Name of U.S. District Court N/A U an Alien, Give Alie :'s Registration Cant Number N/A Sex MALE Race WHITE Marital Status MARRIED . Spouse's Date of Birth Pemmnent Residence Cara Number N/A 9- Do You Have a current Driver's License? If yes. give number, & state ® Yes ❑ No 11. Type of Business or Employment CONVENIENCE STORE AND GAS STATION 15. Name of Spouse (include maiden name it applicable) JAYNELL A. HALL (DIXON) Spouse's Place of Birth CAULDWELL, KS . Spouse s residence address, it cifferent than yours (street and number. sty, state, ZIP) SAME . Spouse's Present Employer A/A Business Telephone (303) 649-4015 . Address of Spouse's Present Employer I/A Occupation N/A - List the name(s) of all relatives working in or having a financial interest in the liquor industry. RELATIONSHIP TO YOU POSITION HELD NAME OF EMPLOYER ( LOCATION OF EMPLOYER Do you now, or have you ever new a Slate 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 Yes No CONTINUED ON REVERSE SIDE ,e you ever been convicted of a crime. or rrrasived a suspended eerreence, deferred sentence. or forfeited bai for any offense in criminal or military mart? (Do not inch adore, unless they resulted in suspension or revocation of your driver's Oconee. or you were convicted of driving under the influence of drugs or akbholie bevetapts whirr in detail. •- • >x!C ::,2 : C O I Yes i No 77 S WO - re you ever received a violation notice, suspension or revocation for liquor law violation, or been denied a liquor or bee/license anywhere in the U.S.? 11 yes. explain in detail. J Yes n No • ' • kart Service (branch) - ... -- --- --- ----------- - tINE CORP .�r'n` L. = ""coon :- From - - 1969 To •— 1971 Serial Number --- _...-_._ . ...• — -- ..in_ ; . ..._ :..... ,'2558605 Type of Oischerge—t HONOK BLE L. • List all addresses -wheie'ydii have lived for the past five years (Attach separate sheet if necessar'y)7:iccs. 1 STREET AND NUMBER • - CITY, STATE, ZIP FROM ' . TO )4 WESTWOOD EDMOND, OK 1996• "1998 )1 ST. FRANCIS SULPHUR, OK 1990 '1996 L4 TAIN 13 CARREBEAN — . HOUSTON, TX• •- EDWARDSVILLE IL 1989 1987 1990 1989 st ail former employers or businesses engaged in within the last five years. (Attach separate sheet if necessary.) NAME OF EMPLOYES ADDRESS (STREET, NUMBER, CITY, STATE, ZIP) POSITION HELD FROM -TO 100O3 INC. 6855 S. HAVANA ST. ENGLEWOOD, CO 80112 MANAGER 1973 •r. PRESENT hat is your relatiarstep to the applicant? (sole owner, partner. corporate officer, director, stocidsolder, member or manager) .PORATE OFFICER stockholder. number of shares owned beneficially or of record k Percent of outstanding stock owned N/A partner, state whether k ■ General ❑ Limited Percent of Partnership Owned • N/A If Limited Liability Company (percent owned) N/A flat amount you wr7 invest in this business, including notes, loans. cash. services or equipment, and operating capital. (Reg. 46-106.1 and Reg. 47-107.1) •no nt S 0 Identity the sources of all funds you will invest in this business as listed in 30 above. List ail bank names, account numbers and the amount derived from such source. Also identity all persons authorized to sign on, or who are part owners of said account. (Attach copies of ail 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 STONE : � atft o _gip icant. „�-, .... x 4VI`.IG, .lM�-.. r . <. ..M.u.+..- t "-bT .._. - ., -. :tare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best ty knowledge. ized Signature Tale I Date RETAIL MARKETING MANAGER 8/3/98 /_/22_,,,--4/y!,11 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. �lUSlC cu re /nom/n /l ' Print Name: r re2-L J / ' lu f%mil Address: fPo Qdx c`,/�j7 Occupation: % r�JA .�.�w( eoc, _ eLd Phone Number: 2(--ZCS -3X)V Date: TO WHOM IT MAY CONCERN: I have known Robert N. Heinrich for etcgr 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. //// Signature Print Name: Address: (s 6c76; )Aiike / z /ez Y&1 ' /16-,/51« , l n 7 3' Occupation: //7 -7 -C4 -,/v Phone Number: Date: Date: TO WHOM IT MAY CONCERN: I have known for cc Robert N. Heinrich 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 (ti 1 2VSL vt D ALLI Address: 600D t4. 4.rct Ekt"Sh‘-'17; 1Tx 712.51:2 -- Occupation: �lh cgC-— Dt lra .1 Phone Number• 0)-g0-13- 312.c ` s-((3 cs 9mx& .LORAOO DEPARTMENT OF REVENUE ' - • 7UOrraIFORCEbAENT DIVISION 75 SHERMAN STREET • NVER CO 80251 _ _ - _�'_ ,. Y : �rINDIVlDUAL HfS•TQRY RECd b— t .. to be completed by each Individual applicant, all general partners of a partnership, all limited partners owning 10% (or more) of a 3artnership; all officers and directors of a corporation, all stockholders of a corporation owning 10X (or more) of the stock of such :orporation; ail limited liability company MANAGING members, or other limited liability company members with a 10% (or more) 3wnership Interest In such company and all managers of a Hotel and -Restaurant license... _ VOTICE: This individual history record provides basic information which is necessary fortis licensing authorities investigation. ALL questions -nust be answered in their entirety. EVERY answer you give will be checked for its truthfulness. A deliberate falsehood will jeopardize the 3pplicatlon as such falsehood within itself constitutes evidence regarding the character of the applicant.7._ _ : a .:,_ .. Name of Business Dam" _ CONOCO , INC . - - _ sO«� seaway Nt+rbeKs) :. Your Full Name (last, first, middle) 5/29%98 I HEINRICH, ROBERT NEAL Mailing Address (if different from residence) SAME Residence Address (street and number, city, state, ZIP) 602 BENDWOOD DRIVE, HOUSTON, TX 77024 Date of Birth Place of Birth HOUSTON, TX Naturalized, state where N/A Iaturalization Certificate Number Y/ A . Height Weight Hair Color BLONDE 7. Name of Present Employer .'ON000, INC. - - ?. Address of Business Where Employed (street number, city, state, ZIP) i00 N. DAIRY ASHFORD, HOUSTON, TX 3. Present Position TANAGER, TREASURY - DOWNSTREAM I. Marital Status Date of Certificate N/A Eye Color Sex M TARRIED Spouse's Date of Birth / . Spouse's residence address, if different than yours (street and number, city, state, ZIP) AME Race W When N/A Nan Wien, Give AGenY Regist abon Cary Number N/A Permanent Residence Card Number N/A 9. Do You Have a current Drivers License? It yes, give number, & state ® Yes 7 No 11. Type of Business or Employment FINANCE 3. Also Known As (maiden name/nickname, etc.) BOB Home Telephone 713-973-6617 7. U.S. Citizen? Yes El No Name of U.S. District Court - N/A 77079 IS. Name of Spouse (include maiden name if applicable) JILL Spouse's Place of Ginn CONNECTICUT Business Telephone 281-293-6913 . Spouse's Present Employer /A . Address of Spouse's Present Employer /A -)NE OCWpa00n N/A List the names) 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 �o you now, or have you ever held a State of Colorado Lquor or Beer ljcense, or loaned money, furniture, ,ortures, equipment or inventory, :o any Colorado Liquor or Beer -censee? If yes. answer in detail 7 Yes ,No • CONTINUED ON REVERSE SIDE i (,i(z/ea 1 re you ever been convicted of a crime. or received a suspended aertlence. deferred sentence, or forfeited bail for any ottense in atminal or military court? (Do lions, unless they resulted in suspension or rsvoeason of your driver's license, or you were convicted of driving under the :Atones of or alcoholic Re be+ieraS . Main in detail. 1 Yes ® No ve you ever received a violation notice. wspaeut'on pa rstioration bra Igtxx law violation or kiln dented a Iigcgr Waal Czertse anywhere in the U.S,? It yes. explain in detail. Yes ®No From . -.. To -.._ _ .__-.Sertai Number _ - - - _ ' - Type of Discharge -• Stacy Service (botch) -- -- . ._ , _.a.„...., ...::- ys;.r", R=_. =:2��-.+Y ._- 174i`titsc:lcitrz^.,.SQ_�aaC-..^a... _ `afV71o,. :.,7-.:•,,n. '7.:17r- PI t .. -. .. ... . ._,_ - ... ._ _, ...�U .. _.,,��_. -, • - . ... _ . . ,..ai... List all addresses where you have lived for the pastfive years: (Attach separate sheet if necessary) •"^^p. STREET AND NUMBER - • CITY, STATE, ZIP FROM ' 'TO • 3 PRISM LANE HOUSTON, TX 77043 10/90 11/97 LITCHFIELD LANE HOUSTON, TX 77024 6/89 10/90 COLUMBUS - AUSTIN,. TX -' 12/87 6/89 1st 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 OCO, INC. 600 N. DAIRY ASHFORD HOUSTON, TX 77079 TREASURY MANAGER 6/89 PRESENP Thal is your relationship to the applicant? (sole owner, partner, corporate officer, director. stockholder, member or manager) YORATE OFFICER I stockholder, number of shares owned beneficially or of record Percent of outstanding stock owned N/A I partner, state whether O General O Limited . Percent of Partnership Owned N/A It Limited Liability Company (percent owned) N/A total amount you will invest in this business, including notes, loans, rash. services or equipment, and operating capital. (Peg. 46-106.1 and Reg. 47-107.1) Amount $ —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 ail persons authorized to sign on, or who are part owners of said account. (Attach copies of ail 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 .-...30r 'Mid .mow.._. .. .:fin'.. _ ., leciare under penalty of perjury in the second degree that this application and all attachments are true, correct, and complete to the best my knowledge. hortzed • nature Trite I A5S./STRAIT -%a2- 4#2. Date 5/29/98 .:C .:." ,;Senn cog • TO WHOM IT MAY CONCERN: I have known x�-i—�-r x y for years and find him/her to be a person of honest and sound character and has the background to maintain a professional approach to the liquor business. It is my opinion that he/she is the type of person who has the maturity and judgment to responsibly handle a liquor or beer license. Signature Print Name: ///eiLeit teD7F S//� � Address: SS S- %f ✓fr14 ,bey/Paac/ Y • 50112_ Occupation: 47rce42 diesin-mite ≤ Ie Phone Number: 3a3 to `7% V/fl Date: 9/iS AUG 04 195E 05'02 95/5-e-/(0 303 777 3923 T0T?L P.a2 PAGE.02 ** TGTPL PAGE.O2 ** TO WHOM IT MAY CONCERN: I have known for 11/4- 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. Address: 6 cf3 11/i'fv,\, o, cL,--(4 _ex C c) C 3 1/44 Occupation: 3LS s,cs , —Cams Phone Number: C3o P, LtS —1(o D Date: 957g -e -/v TO WHOM IT MAY CONCERN: I have known for /O 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. Signature Print Name: /h eiiiNdf E . ...5-CiU /s Address: (.mete) (fss -S, f%uzna Sf y�du�cn� CD is —oh Occupation: k/a4vie, Phone Number: (3(:"3) (G /9-9/.13C Date: SECRETARY'S CERTIFICATE I, the undersigned, Sam A. Farace II, Secretary of Cana -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 H 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 I? day of June 1998. Secretary Cono-Services Inc. eobrado STATE OF TCXd1C COUNTY OF rof This instrument was acknowledged before me an June / / , 1998, by Sam A. Farace II, Secretary of Cono-Services Inc., a Colorado corporation, on behalf of said corporation. C-Vg/"aitt Notary Public c66 : 0-1/40o/ �S(i .ci./(n ** TOTAL PPGE.01 ** ATE 'RADO DEPARTMENT OF STATE CER 1 11- 1CATE I, VICTORIA IB UCKLEY, SECRETARY OF STATE OF THE STATE OF COLORADO HERJEBY CERTIFY THAT ACCORDING TO THE RECORDS OF THIS OFFICE CONO-SERVICES INC. (COLORADO CORPORATION) FILE # 19871461256 WAS FILED IN THIS OFFICE ON January 24, 2982 AND HAS COMPLIED WITH THE APPLIrAALE PROVISIONS CF THE LAWS OF THE STATE OF COLORADO AND ON THIS DATE IS IN GOOD STANDING 'AVL AUTHORIZED AND COMPETENT TO TRANSACT BUSINESS OR TO CONDUCT ITS AFFAIRS WITHIN THIS STATE. Dated: Janu ry 22, 1998 -CLA-4.) SECRETARY OF STATE DILL DILL CARR STONBRAKER & HUTCHINGS A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Daniel W. Can 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. Malsukage" Jon Stonbraker Craig A. Stoner Patrick D. Tooley Leslie Block Kaye' ul Counsel • Also licensed in Arizona and New York • • Also licensed in Nevada ant • CZ.)n r" 2- n W C_7 CO XI ▪ . a= 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, r fa-j4/A)1;1�; J , Nancy J. Parks Paralegal Enclosures 455 SHERMAN STREET, SUITE 300 / DENVER , COLORADO 80203. / FAX (303) 777-3823 / (303) 777-3737 E-mail: dillndill@aol.com 981846 DILL DILL CARR STONBRAKER & HUTCHINGS A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Daniel W. Carr John I. Coates H. Alan Dill Robert A. Dill Thomas M. Dunn Lori Ann Y. Fujioka 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, Fay M. Matsukage•` Ion Stonbraker Craig A. Stoner Patrick D. Tooley Leslie Block Kaye^ of Counsel - Also licensed in Arizona and New York .• Also licensed in Nevada I Nancy J. Parks Paralegal Enclosure O C) rn m O x a 455 SHERMAN STREET SUITE 300 / DENVER , COLORADO 80203 / FAX (303) 777-3823 / (303) 777-3737 E-mail: dillndill@aol.com 9,?/ STATE OF COLORADO LIQUOR ENFORCEMENT DIVISION Department of Revenue Business Location 1881 Pierce Street • LaLe.vood, Colorado 80'_1 4 Phone 303•_'05.2300 FAX 303•_205.2341 Mailing Address Liquor Enforcement Di. .sion • Denver, Colorado 80261 October 8, 1998 Cono-Services, Inc. D/B/A Conoco PO Box 4784-TR 300 _ Houston, TX 77210 Roy Romer Governor Renny Faun 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 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. 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 84.11.6'1n 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: ❑ ❑ ❑ Sincerely, Matt D. Cook 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. C!v r- 111/ Licensing Administrator cono4.mas U.S.G.P.O. 1989-234-555 00, June 1985 E u. co P 387 472 118 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to = G + r o =m-iAO Street ani = Z tll C r <MO° Postmark Z C m hsyour moat_ mzszire; np ddPT. Cf REVENUE December 1994 Conoco 0259597-80179 Domestic Return Receipt ad on INo mum side? (n - Z N C r w •• • ... 8 - xi _ ego z — mmo ill ;ITT? m OaOv liFtE-45 .. 0. ap - (p n - �a g �' R 2 -� i2. s 1 s IN mZm as g Z C O gg 2 i . i; ▪ i7 C -n d R c • S 523 < Z< ii I 0 Z 7 - ₹ ms s m e t !bail a I N Y@ Q�_ipriii, �l 8: ❑❑x •� W a Big I i �m Think you for using Return R.wlq Sankt Po.Ste� 1OMmo _ Postage - w>OO Certified f — CD Z ru m Special D_ 0 m 3 X m1 _ Reslnctec m z m Return R G 1 to whom < O Return R CO m n. Date, anc O TOTAL P Z m ▪ _ Hello