The URL can be used to link to this page

Browse Search

Home My WebLink About20190225.tiffFINDINGS AND RESOLUTION RE: FINDINGS AND RESOLUTION CONCERNING APPLICATION FOR A TRANSFER OF OWNERSHIP FROM CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS, TO LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS, FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE, AND AUTHORIZE CHAIR TO SIGN The application of LD Crow Valley Liquors, LLC, dba Crow Valley Liquors, 37937 State Highway 14, Briggsdale, Colorado 80611, for a Retail Liquor Store (County) License, came on for hearing on the 9th day of January, 2019, at 9:00 a.m., and the Board of County Commissioners of Weld County, Colorado, having heard the testimony and evidence adduced at said hearing, having considered the testimony, evidence and remonstrances filed with said Board, and having carefully weighed the same, now makes the following findings: 1. The evidence discloses that the applicant has sustained the burden of proof as to the desires of the inhabitants. 2. The applicant is of good character and reputation. 3. The applicant has proven the reasonable requirements of the neighborhood. RESOLUTION 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, the Board has considered the application from LD Crow Valley Liquors, LLC, dba Crow Valley Liquors, 37937 State Highway 14, Briggsdale, Colorado 80611, for a Transfer of Ownership of a Retail Liquor Store (County) License, said license previously being held by Crow Valley Liquors, LLC, dba Crow Valley Liquors, for the sale of malt, vinous, and spirituous liquors not for consumption at the place where sold, subject to the rules and regulations found in Article 3, Title 44, C.R.S., and WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid to the County of Weld the sum of $787.50 for the transfer of an existing Retail Liquor Store (County) License, and WHEREAS, due to the Findings of the Board of County Commissioners in this matter as stated herein, the Board deems it advisable to approve said application for the Transfer of Ownership of a Retail Liquor Store (County) License for LD Crow Valley Liquors, LLC, dba Crow Valley Liquors. cc =So cRSlZrniac),ca.c cBc), a-PPL aH Ioa/i9 2019-0225 LC0004 TRANSFER OF OWNERSHIP OF A RETAIL LIQUOR STORE (COUNTY) LICENSE - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS PAGE 2 WHEREAS, the Licensee shall host "responsible vendor" training every six (6) months as agreeable to the Colorado Department of Revenue Liquor Enforcement Division, and this training shall be open to other area licensees. Each employee shall be "responsible vendor" trained, and the Licensee shall provide documentary evidence that each employee has been "responsible vendor" trained to the Weld County Sheriff's Office within thirty (30) days of the fist available "responsible vendor" class after hiring. Evidence of such shall be included in the referral report submitted by the Sheriff's Office at the time of annual renewal. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that having examined said application, the qualifications of the applicant, and the testimony of those present at the hearing, does hereby grant License Number 2019-01 to said applicant to sell malt, vinous, and spirituous liquors not for consumption at the place where sold, and the Board does hereby authorize and direct the issuance of said license by the Chair 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 March 1, 2020, providing that said place where the licensee is authorized to sell malt, vinous, and spirituous liquors not for consumption at the place where sold, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, per Article 3, Title 44, C.R.S., heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the license. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application and license. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of January, A.D., 2019. BOARD OF COUNTY COMMISSIONERS WLD COUNTY, CQLORADO ATTEST: diavt, je40;ok, Weld County Clerk to the Board BY: APP ounty Attorney Date of signature: L -1l ai tq' Barbara Kirkmeyr, Chair Conway Mike Freeman, Pro -Tern K. James i teve Moreno 2019-0225 LC0004 THIS LICENSE EXPIRES MARCH 1, 2020 tr":..M.M.C.Crrrr.C..C..CCWr.C.Carrrr:Crrrrf�J�� JJ1 �J` ��` Jt J_/` J_/1 �.../1 �J1 �J` J...l1 J��.J` � � 1 License Number 2019-01 STATE OF COLORADO License Fee $787.50 COUNTY OF WELD IW .\UTHORITY OF THE BOARD OF COUNTY COMMISSIONERS FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE TO SELL MALT, VINOUS, AND SPIRITUOUS LIQUORS This is to Certify, that LD Crow Valley Liquors, LLC, dha Crow Valley Liquors, of the State of Colorado, having applied for a I ,icense to sell malt, vinous, and spirituous liquors not for consumption at the place where sold, and having paid to the Count\ "Treasurer the sum of Seven Hundred Eighty-seven and [50/100] ($787.50) Dollars; therefore, the above applicant is hereby licensed to sell malt, vinous, and spirituous liquors containing more than 3.2% Alcohol by weight, by the drink nut h ►� consumption at the place where sold, as a Retail Liquor Store, at the address of 37937 State Highway 14, Briggsdale, Colorado 80611, in the County of Weld, State of Colorado, for a period beginning on the 1st day of March, 2019, and ending on 1st day of March, 2020, unless this License is revoked sooner as provided by law. This license is issued subject to the Laws of the State of Colorado and especially under the provisions of Article 3 of Title 44, Colorado Revised Statues, as amended. IN TESTIMONY WHEREOF, the Board of County Commissioners has hereunto subscribed its name by its officers duly authorized this 9th day of January, 2019. -�-, Deputy Clerk to the Board TO BE POSTED IN A CONSP The Board of County ommissioners Chair, Board of Cou Comrnissio ers .Jo PLACE. NON -TRANSFERABLE. THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402 (07/01/2012) STATE OF COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1697 Cole Blvd, Suite 200 Golden, CO 80401 LD CROW VALLEY LIQUORS LLC dba CROW VALLEY LIQUORS 37937 CO 14 BRIGGSDALE CO 80611 ALCOHOL BEVERAGE LICENSE Liquor License Number 03-11168 License Expires at Midnight 03/01/2020 License Type LIQUOR STORE (COUNTY) Authorized Beverages MALT, VINOUS AND SPIRITUOUS LIQUOR This license is issued subject to the laws of the State of Colorado and especially under the provisions of Title 44, Articles 4, 3, CRS 1973, as amended. This license is nontransferable and shall be conspicuously posted in the place above described. This license is only valid through the expiration date shown above. Any questions concerning this license should be addressed to: Colorado Liquor Enforcement Division, 1697 Cole Blvd, Suite 200 Golden, CO 80401. In testimony whereof, I have hereunto set my hand. 3/1/2019 CM Patrick Maroney, Division Director Heidi Humphreys, Interim Executive Director dJ a a rR CERTIFICATE OF DELIVERY DATE: March 28, 2019 FROM: Chloe A. Rempel, Deputy Clerk to the Board SUBJECT: LD Crow Valley Liquors, LLC, dba Crow Valley Liquors I hereby certify that I have sent the below documents in accordance with the requirements of Weld CountyRfrtciandthe Colorado Department of Revenue, Liquor Enforcement Division, on this day of pr; t , 2019. One copy of the signed Weld County Resolution approving Transfer of Ownership from Crow Valley Liquors, LLC, dba Crow Valley Liquors, to LD Crow Valley Liquors, LLC, dba Crow Valley Liquors, for a Retail Liquor Store (County) License One original Weld County Liquor License One copy of Colorado Liquor License One Liquor Sale and Consumption Warning Sign U.S. Postal Service' CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com Certified Mail Fee Extra Services & Fees (check bcx, add fee as appropriate) ❑ Return Receipt (hardcopy) ❑ Return Receipt (electronic) Certified Mail Restricted Delivery ❑ Adult Signature Required $ O Adult Signature Restricted Delivery $ Postage Postmark Here H jai iq Total Postage and Fees $ t �M� Sent To /� �-F !�l • �h � Z Nit I C t S , LLCAd Cco - -tit�•1 �� id s_. Street and pt. NIT, or PO Box No. P•O • j( t� C't , State, ZIP+4 PS Fon . 3C30, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions COMPLETE THIS SECTION ON DELIVERY • 2 lV 0) t!) U) N a) c L- O) D < a 3 .3 a) > a) a N E -z > ❑ ❑ ) O im) i ct ≥cn i .D cz0 Sa) -, O w -O} CA SENDER: COMPLETE THIS SECTION 01-4 0 I Egg — .W-. •C (n fn aocccocad 2 ❑ ❑ ❑ ❑ a U 0 ci m C 0) .05 L as. 03 a) En ze- E C 0 C Cu C 0 Ct E :C.- C ° U mV 7 .2. U 03 • -' Qj cn (n CC ❑ ❑ o .o > -0 O ' a) > la o o L -- O U Q) VI U cc - -- or a) a.) CCccO•vVoo < 0000 t ❑ ❑❑❑1 4) a) N 0 U) c'7 TVA 1O c -D (Lf (t N 10 as O QJ � O O O •c O U 0- co • • U .Q E Ca 0 0 so 4ce-+ O Ca a 1. Article Addressed to: J r)-{ CL jai° 0 re sE > � d x O O O coo • T7 ._ +oof J -odd) 9590 9402 1714 6053 4720 00 Article Number (Transfer from service label) CI c0 Lri U. a CI a CJ a 1N - Domestic Return Receipt Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com BOARD OF COUNTY COMMISSIONERS PHONE: (970) 336-7204, EXT.4200 FAX: (970) 352-0242 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 December 27, 2018 LD CROW VALLEY LIQUORS, LLC DBA CROW VALLEY LIQUORS P.O. BOX 101 BRIGGSDALE, CO 80611 RE: REPORT OF INVESTIGATION FOR COLORADO LIQUOR LICENSE TRANSFER APPLICATION - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS Dear Applicant: On December 13, 2018, I traveled to the proposed licensed premises known as Crow Valley Liquors, located at 37937 State Highway 14, Briggsdale, Colorado 80611. While there, I made an on -site inspection regarding the transfer Liquor License application filed. The Liquor License application is to transfer a Retail Liquor Store (County) License from Crow Valley Liquors, LLC, dba Crow Valley Liquors, to LD Crow Valley Liquors, LLC, dba Crow Valley Liquors. These items will be heard by the Board of County Commissioners as the Liquor Licensing Authority for Weld County on Wednesday, January 9, 2019, at 9:00 a.m. My inspection revealed the following: 1. The proposed licensed premises is not directly connected to a different licensed premises, pursuant to C.R.S. §12-47-301(3)(a). 2. The diagram of the proposed licensed premises is correct. 3. There are no other license types located in the immediate area. 4. There are no public or parochial schools, or principal campus of any college, university, or seminary within 500 feet of the proposed licensed premises, pursuant to C.R.S. §12-47-313(1)(d)(I). LC0004 REPORT OF INVESTIVATION - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS PAGE 2 5. The Retail Liquor Store (County) classification of license allows for the sale of malt, vinous and spirituous liquors in sealed containers not to be consumed at the place where sold, and allows the sale of non -alcohol products if the annual gross revenues from the sale of these products does not exceed twenty percent of the retail liquors store's total annual gross revenues, C.R.S. §44-3-409. 7. The sign noticing the place, date, and time of the hearing for the transfer Liquor License application was posted by the applicant in such a manner that the notice was conspicuous and plainly visible to the public, when I was there at approximately 10:30 a.m. on December 13, 2018. Very truly yours, BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Commissioner cc: Weld County Attorney's Office LC0004 Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Thursday, December 27, 2018 1:48 PM 'Danielle Dempsey' REPORT OF INVESTIGATIONS LETTER - LD Crow Valley Liquors, LLC Report of Investigations Letter - LD Crow Valley Liquors, LLC.pdf Please see the attached report of investigation letter regarding the inspection Commissioner Freeman and I performed on December 13, 2018. A hard -copy has also been mailed. If you have any questions or concerns, please do not hesitate to contact me. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 WELD COUNTY LIQUOR LICENSE CERTIFICATE OF MAILING FIRST NAME LAST NAME COMPANY ADDRESS 1 CITY STATE POSTAL CODE DANIELLE DEMPSEY LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS P.O. BOX 101 BRIGGSDAL E CO 80611 ddempsey88@gmail.com I hereby certify that I have sent a report of investigation letter in accordance with the notification requirements of Weld County in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list this 27th day of December, 2018. Chloe A. Rempel Deputy Clerk to the Board DR 8404 (08/03/18) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Colorado Liquor Retail License Application ❑ New License ❑ New -Concurrent Transfer of Ownership ❑ State Property Only • All answers must be printed in black ink or typewritten • Applicant must check the appropriate box(es) • Applicant should obtain a copy of the Colorado Liquor and Beer Code: www.colorado.gov/enforcement/liquor 1. Applicant is applying as a/an ❑ Individual Limited Liability Company ❑ Association or Other ❑ Corporation ❑ Partnership (includes Limited Liability and Husband and Wife Partnerships) 2. Applicant If an LLC, name of LLC; if partnership, at least 2 partner's names; if corporation, name of corporation FEIN Number t_D Crow Vcx11e U'c uOrS ._,_C, ' g3 -I I -35G7 2a. TradeName of Establishm (DBA) State Sales Tax Number Business Telephone Crow VcU l-eul Lioivar 3(0315131p 3. Address of Premises (specify act location of premises, include suite/unit numbers) 3-1eln Co I4 City (eri3CdscicLl� County we.(cy State C.G ZIP Code $oo I I 4. Mailing Address (Number and Street) City or Town State ZIP Code Po C3ox l01 rt`NSCIO.1L Co tOto I I 5. Email Address 6. If the premises currently has a liquor or beer license, you must answer the following questions Present Trade Name of Establishment (DBA) CrOLO \a.11e (A� LLC-, Present State License Number '+1013)1 Present Class of License Liquors -tore 5tc�re County Present Expiration Date 5/30 f 19 Section A Nonrefundable Application Fees Section B (Cont.) Liquor License Fees • Application Fee for New License $1,100.00 ■ Lodging & Entertainment- L&E (County) $500.00 • Application Fee for New License w/Concurrent Review $1,200.00 $1,100.00 • Manager Registration - H & R • Manager Registration - Tavem $75.00 $75.00 1. Application Fee for Transfer Section B Liquor License Fees • Manager Registration - Lodging & Entertainment $75.00 $ X Total • Master File Location Fee $25.00 X Total • Add Related Facility to Resort Complex$75.00 • Arts License (City) $308.75 ■ Master File Background $250.00 X Total • Arts License (County) $308.75 ■ Optional Premises License (City) $500.00 ■Beer and Wine License (City) $351.25 • Optional Premises License (County) $500.00 . • Beer and Wine License (County) $436.25 • Racetrack License (City) $500.00 • Brew Pub License (City) $750.00 • Racetrack License (County) $500.00 • Brew Pub License (County) $750.00 • Resort Complex License (City) $500.00 • Campus Liquor Complex (City) $500.00 ■ Resort Complex License (County) $500.00 • Campus Liquor Complex (County) $500.00 ■ Related Facility - Campus Liquor Complex (City) $160.00 • Campus Liquor Complex (State) $500.00 ■ Related Facility - Campus Liquor Complex (County) $160.00 • Club License (City) $308.75 • Related Facility - Campus Liquor Complex (State) $160.00 • Club License (County) $308.75 • Retail Gaming Tavern License (City) $500.00 • Distillery Pub License (City) $750.00 • Retail Gaming Tavern License (County) $500.00 • Distillery Pub License (County) $750.00 ■ Retail Liquor Store License —Additional (City) $227.50 • Hotel and Restaurant License (City) $500.00 SI Retail Liquor Store License —Additional (County) $312.50 • Hotel and Restaurant License (County) $500.00 ■ Retail Liquor Store (City) $227.50 • Hotel and Restaurant License w/one opt premises (City) $600.00 Retail Liquor Store (County) $312.50 • Hotel and Restaurant License w/one opt premises (County) $600.00 ■ Tavern License (City) $500.00 • Liquor —Licensed Drugstore (City) $227.50 ■ Tavern License (County) $500.00 • Liquor —Licensed Drugstore (County) $312.50 • Vintners Restaurant License (City) $750.00 • Lodging & Entertainment - L&E (City) $500.00 • Vintners Restaurant License (County) $750.00 Questions? Visit: www.colorado.gov/enforcement/liquor for more information Do not write in this space - For Department of Revenue use only Liability Information License Account Number Liability Date License Issued Through (Expiration Date) Total $ 1 Application Documents Checklist and Worksheet Instructions: This checklist should be utilized to assist applicants with filing all required documents for licensure. All documents must be properly signed and correspond with the name of the applicant exactly. All documents must be typed or legibly printed. Upon final State approval the license will be mailed to the local licensing authority. Application fees are nonrefundable. Questions? Visit: www.Colorado.gov/enforcement/liquor for more information Items submitted, please check all appropriate boxes completed or documents submitted I. Applicant information RECEIVED A. Applicant/Licensee identified it B. State sales tax license number listed or applied for at time of application ®' C. License type or other transaction identified NOV 2 7 2018 ai D. Return originals to local authority ES E. Additional information may be required by the local licensing authority WELD COUNTY 2. F. All sections of the application need to be completed COMMISSIONERS II. Diagram of the premises IZ A. No larger than 8 1/2" X 11" ig B. Dimensions included (does not have to be to scale). Exterior areas should show type of control (fences, walls, entry/exit points, etc.) • C. Separate diagram for each floor (if multiple levels) • D. Kitchen - identified if Hotel and Restaurant Sr E. Bold/Outlined Licensed Premises III. Proof of property possession (One Year Needed) • A. Deed in name of the applicant (or) (matching question #2) date stamped / filed with County Clerk Si B. Lease in the name of the applicant (or) (matching question #2) • C. Lease assignment in the name of the applicant with proper consent from the Landlord and acceptance by the Applicant • D. Other agreement if not deed or lease. (matching question #2) (Attach prior lease to show right to assumption) IV. Background information and financial documents a A. Individual History Records(s) (Form DR 8404-I) 12 B. Fingerprints taken and submitted to local authority (State Authority for Master File applicants) • C. Purchase agreement, stock transfer agreement, and/or authorization to transfer license • D. List of all notes and loans (Copies to also be attached) V. Sole proprietor/husband and wife partnership (if applicable) • A. Form DR 4679 • B. Copy of State issued Driver's License or Colorado Identification Card for each applicant VI. Corporate applicant information (if applicable) • A. Certificate of Incorporation date stamped by the Colorado Secretary of State's Office • B. Certificate of Good Standing • C. Certificate of Authorization if foreign corporation • D. List of officers, directors and stockholders of applying corporation (If wholly owned, designate a minimum of one person as principal officer of parent) VII. Partnership applicant information (if applicable) • A. Partnership Agreement (general or limited). Not needed if husband and wife ■ B. Certificate of Good Standing (If formed after 2009) VIII. Limited Liability Company applicant information (if applicable) kr A. Copy of articles of organization (date stamped by Colorado Secretary of State's Office) .kr B. Certificate of Good Standing . C. Copy of operating agreement • D. Certificate of Authority if foreign company IX. Manager registration for Hotel and Restaurant, Tavern, Lodging & Entertainment, and Campus Liquor Complex licenses when included with this application • A. $75.00 fee • B. Individual History Record (DR 8404-I) • C. If owner is managing, no fee required 2 Name Type of License Account Number 7. Is the applicant (including any of the partners if a partnership; members or managers if a limited liability company; or officers, stockholders or directors if a corporation) or managers under the age of twenty-one years? Yes No ■ U� 8. Has the applicant (including any of the partners if a partnership; members or managers if a limited liability company; or officers, stockholders or directors if a corporation) or managers ever (in Colorado or any other state): (a) Been denied an alcohol beverage license? (b) Had an alcohol beverage license suspended or revoked?• (c) Had interest in another entity that had an alcohol beverage license suspended or revoked? If you answered yes to 8a, b or c, explain in detail on a separate sheet. • 5g • 9. Has a liquor license application (same license class), that was located within 500 feet of the proposed premises, been denied preceding two years? If "yes", explain in detail. within the • 10. Are the premises to be licensed within 500 feet, of any public or private school that meets compulsory education requirements Colorado law, or the principal campus of any college, university or seminary? Waiver by local ordinance? Other: of • X or • • 11. Is your Liquor Licensed Drugstore (LLDS) or Retail Liquor Store (RLS) within 1500 feet of another retail liquor license for off -premises sales in a jurisdiction with a population of greater than (>) 10,0000? NOTE: The distance shall be determined by a radius measure- ment that begins at the principal doorway of the LLDS/RLS premises for which the application is being made and ends at the doorway of the Licensed LLDS/RLS. • principal 12. Is your Liquor Licensed Drugstore (LLDS) or Retail Liquor Store (RLS) within 3000 feet of another retail liquor license for off -premises sales in a jurisdiction with a population of less than (<) 10,0000? NOTE: The distance shall be determined by a radius measurement that begins at the principal doorway of the LLDS/RLS premises for which the application is being made and ends at the principal doorway of the Licensed LLDS/RLS. • 13a. For additional Retail Liquor Store only. Was your Retail Liquor Store License issued on or before January 1, 2016? ■ g 13b. Are you a Colorado resident? gl • 14. Has a liquor or beer license ever been issued to Limited Liability Company; or officers, stockholders current financial interest in said business including the applicant (including any of the partners, if a partnership; members or manager or directors if a corporation)? If yes, identify the name of the business and any loans to or from a licensee. if a list any • g 15. Does the applicant, as listed on line 2 of this application, arrangement? have legal possession of the premises by ownership, lease or other Detail) '4 • ,�( • Ownership Ial Lease • Other (Explain in a. If leased, list name of landlord and tenant, and date of expiration, exactly as they appear on the lease: Landlord -Chris A . Sch u I t2 Tenant oa..n (el le Vern P$e\ Thory,cAs emu. 5 Expires 8131 I iq b. Is a percentage of alcohol sales included as compensation to the landlord? If yes, complete que on 16. • g c. Attach a diagram that designates the area to be licensed in black bold outline (including dimensions) which shows the bars, brewery, 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". 16. Who, besides the owners listed in this application (including persons, firms, partnerships, corporations, limited liability companies) 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. Last Name I First Name Date of Birth FEIN or SSN Interest/Percentage Last Name Mir First Name Date of Birth FEIN or SSN Interest/Percentage 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. 17. Optional Premises or Hotel and Restaurant Licenses with Optional Premises: Has a local ordinance or resolution authorizing optional premises been adopted? Number of additional Optional Premise areas requested. (See license ■ fee chart)I 18. Liquor Licensed Drugstore (LLDS) applicants, answer the following: (a) Is there a pharmacy, licensed by the Colorado Board of Pharmacy, located within the applicant's LLDS premise? If "yes" a copy of license must be attached. • cti 19. Club Liquor License applicants answer the following: Attach a copy of applicable documentation (a) Is the applicant organization operated solely for a national, social, fratemal, patriotic, political or athletic purpose and not for pecuniary (b) Is the applicant organization a regularly chartered branch, lodge or chapter of a national organization which is operated solely the object of a patriotic or fraternal organization or society, but not for pecuniary gain? (c) How long has the club been incorporated? (d) Has applicant occupied an establishment for three years (three years required) that was operated solely for the reasons stated gain? ■ �A for • N above? • KI 20. Brew -Pub, Distillery Pub or Vintner's Restaurant applicants answer the following: (a) Has the applicant received or applied for a Federal Permit? (Copy of permit or application must be attached) ■ 01 3 Name Type of License Account Number 21. Campus Liquor Complex applicants answer the following: (a) Is the applicant an institution of higher education? Yes No ■ 0 (b) Is the applicant a person who contracts with the institution of higher education to provide food services? • .W If "yes" please provide a copy of the contract with the institution of higher education to provide food services. 22. For all on -premises applicants. a. Hotel and Restaurant, Lodging and Entertainment, Tavern License and Campus Liquor Complex, the Registered Manager must also submit an Individual History Record - DR 8404-I and fingerprints. b. For all Liquor Licensed Drugstores (LLDS) the Permitted Manager must also submit an Manager Permit Application - DR 8000 and fingerprints. Last Name of Manager `� First Name of Manager 23. Does this manager act as the manager of, or have a financial interest in, any other liquor licensed establishment in the State of Colorado? If yes, provide name, type of license and account number. 24. Related Facility - Campus Liquor Complex applicants answer the following: Yes No a. Is the related facility located within the boundaries of the Campus Liquor Complex? • [r If yes, please provide a map of the geographical location within the Campus Liquor Complex. If no, this license type is not available for issues outside the geographical location of the Campus Liquor Complex. b. Designated Manager for Related Facility- Campus Liquor Complex Last Name of Manager First Name of Manager II A- 25. Tax Distraint Information. Does the applicant or any other person listed on this application including its partners, officers, directors, stockholders, members (LLC) or managing members (LLC) and any other persons with a 10% or greater financial interest in the • X applicant currently have an outstanding tax distraint issued to them by the Colorado Department of Revenue? If yes, provide an explanation and include copies of any payment agreements. 26. If applicant is a corporation, partnership, association or limited liability company, applicant must list all Officers, Directors, General Partners, and Managing Members. In addition, applicant must list any stockholders, partners, or members with ownership of 10% or more in the applicant. All persons listed below must also attach form DR 8404-I (Individual History Record), and submit fingerprint cards to the local licensing authority. Name Home Address, City & State SOO ( DOB Position %Owned nielle Dec €-\ 0(OC�Q62 6ncsckaleI Co Co ou ner 4-( Name Home Address, City & State' �( DOB Position %Owned ihOMG-S Lw\5 UISUI0cQq(06r1 afetCO , CC5wne- L q Name Home Address, City & State-, DOB Position %Owned Name Home Address, City & State DOB Position %Owned Name Home Address, City & State DOB Position %Owned "" If applicant is owned 100% by a parent company, please list the designated principal officer on above. "" Corporations - the President, Vice -President, Secretary and Treasurer must be accounted for above (Include ownership percentage if applicable) "" If total ownership percentage disclosed here does not total 100%, applicant must check this box: LA Applicant affirms that no individual other than these disclosed herein owns 10% or more of the applicant and does not have financial interest in a prohibited liquor license pursuant to Title 47 or 48, C.R.S. 4 Name Type of License Account Number ign 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. I also acknowledge that it is my responsibility and the responsibility of my agents and employees to comply with the provisions of the Colorado Liquor or Beer Code which affect my license. Au ized Si ., atu Printed Name and Title e\ IC. Ni )em, sue. D uneY ort and Approval of Local Licensing AuthOfity (City/County) Date /0/ i I ii Date application filed with local authority November 27, 2018 Date of local authority hearing (for new license applicants; cannot be less than 30 days from date of application) January 9, 2019 The Local Licensing Authority Hereby Affirms that each person required to file DR 8404-I (Individual History Record) or a DR 8000 (Manager Permit) has been: • Fingerprinted lI Subject to background investigation, including NCIC/CCIC check for outstanding warrants That the local authority has conducted, or intends to conduct, an inspection of the proposed premises to ensure that the applicant is in compliance with and aware of, liquor code provisions affecting their class of license (Check One) M Date of inspection or anticipated date ❑ Will conduct inspection upon approval of state licensing authority 12/13/2018 Is the Liquor Licensed Drugstore (LLDS) or Retail Liquor Store (RLS) within 1,500 feet of another retail liquor license for off - premises sales in a jurisdiction with a population of > 10,0000? Is the Liquor Licensed Drugstore(LLDS) or Retail Liquor Store (RLS) within 3,000 feet of another retail liquor license for off - premises sales in a jurisdiction with a population of < 10,0000? NOTE: The distance shall be determined by a radius measurement that begins at the principal doorway of the LLDS/RLS premises for which the application is being made ajI.yfaiyncipal doorway of the Licensed LLDS/RLS. ❑ Does the Liquor -Licensed Drugstore �!', .;lef `'nty percent (20%) of the applicant's gross annual income derived from the sale of food, during the prime. The foregoing application has been examin report that such license, if granted, will me with the provisions of Title 12, Article 46 or Local Licensing Authority for Weld County, C lorado .lure aleAtiA-bit-gye/L- L - , `, ature Print Esther E. Gesick Yes No El El to be conducted, and character of the applicant are satisfactory. We do .f the neighborhood and the desires of the adult inhabitants, and will comply herefore, this application is approved. Telephone Number (970) 400-4213 a Kirkmeyer BY: ❑ Town, City n County Title Chair, County Commissioners Title C lerk to the Board Deputy Clerk to the Board !JAN u E 2219 Date 1/9/2019 Date 1/9/2019 5 Colorado Commercial Lease Agreement This Commercial Lease Agreement ("Lease") is made and effective September 1, 2018, by and between Chris A. Schultz ("Landlord") and Danielle Dempsey and Thomas Lewis ("Tenant"). Landlord is the owner of land and improvements commonly known and numbered as 37937 Hwy. 14, Briggsdale, CO 80611and as defined in Exhibit A and legally described as follows (the "Building"): part of Lot A, Recorded Exemption No. 0545-20-04 REC12-0079. Landlord desires to lease the Leased Premises to Tenant, and Tenant desires to lease the Leased Premiisesfrom Landlord for the term, at the rental and upon the covenants, conditions and provisions herein set forth. THEREFORE, in consideration of the mutual promises herein, contained and other good and valuable consideration, it is agreed: 1. Term. A. Landlord hereby leases the Leased Premises to Tenant, and Tenant hereby leases the same from Landlord, for an "Initial Term" beginning September 1, 2018 and ending August 31, 2019. Landlord shall use its best efforts to give Tenant possession as nearly as possible at the beginning of the Lease term. If Landlord is unable to timely provide the Leased Premises, rent shall abate for the period of delay. Tenant shall make no other claim against Landlord for any such delay. B. Either Landlord or Tenant may terminate the tenancy at the expiration of the renewal term by giving written notice to the other at least 45 days prior to the expiration date of the renewal term. In the event such written notice is not given or if tenant holds over beyond the renewal term, the tenancy shall automatically become a month to month tenancy upon the same terms and conditions contained herein. Thereafter, the tenancy may be terminated by either Landlord or Tenant giving the other 45 days written notice prior to the last day of the final period of the tenancy. 2. Rental. A. Tenant shall pay to Landlord during the Initial Term rental of $9,000.00 per year, payable in installments of $750.00 per month. Each installment payment shall be due in advance on the first day of each calendar month during the lease term to Landlord at 34978 WCR 83, Briggsdale, CO 80611 or at such other place designated by written notice from Landlord or Tenant. The rental payment amount for any partial calendar months included in the lease term shall be prorated on a daily basis. B. The rental for any renewal lease term, if created as permitted under this Lease,,shall be $9,000 per year payable in installments of $750.00 per month. L 3. Security Deposit. A deposit in the amount of $500 shall be due and payable in advance or at signing of this Lease, hereinafter referred to as the "Security Deposit." It shall be held in escrow by the Landlord as security for the faithful performance of the terms and conditions of the Lease. The Security Deposit may not be used to pay the last month's rent unless written permission is received from the Landlord. 4. Use The Landlord is leasing the premises to the Tenant and the Tenant is hereby agreeing to lease the premises for the purpose of running a retail store selling liquor, beer, wine, and associated merchandise in accordance with the laws of the State of Colorado. Any changes in use of the premises other than those described above are not permitted unless Tenant receives written consent from the Landlord. 5. Sublease and Assignment. Tenant shall have the right without Landlord's consent, to assign this Lease to a corporation with which Tenant may merge or consolidate, to any subsidiary of Tenant, to any corporation under common control with Tenant so long as the corporation is part of the business plan contemplated for the Use of the Premises outline in paragraph 4 above. Except as set forth above, Tenant shall not sublease all or any part of the Leased Premises, or assign this Lease in whole or in part without Landlord's consent. 6. Repairs. During the Lease term, Tenant is responsible for general upkeep including minor repairs and maintenance that the Tenant is able to accomplish on their own such as cleaning, changing lightbulbs, and removing all rubbish. Tenant is required to recycle to the maximum extent possible. Landlord shall make, at Landlord's expense, all necessary repairs to the Leased Premises. Repairs shall include such items as repairs of floors, walls, ceilings, and other parts of the Leased Premises damaged, as well as major, mechanical systems or the roof, subject to the obligations of the parties otherwise set forth in this Lease. In the event that damage is caused by Tenant, their employees, agent, business invitees, or independent contractors serving the Tenant, the Tenant will be billed for the reasonable cost of repairs. Tenant is responsible for making any claims to their insurance company or the damaging party's insurance company. 7. Alterations and Improvements. Tenant, at Tenant's expense, shall have the right following Landlord's consent to remodel, redecorate, and make additions, improvements and replacements of and to all or any part of the Leased Premises from time to time as Tenant may deem desirable, provided the same are made in a workmanlike manner and utilizing good quality materials. Tenant shall have the right to place and install personal property, trade fixtures, equipment and other temporary installations in and upon the Leased Premises, and fasten the same to the premises. All personal property, equipment, machinery, trade fixtures and temporary installations, whether acquired by Tenant at the commencement of the Lease term or placed or installed on the Leased Premises by Tenant thereafter, shall remain Tenant's property free and clear of any claim by Landlord. Tenant shall have the right to remove the same at any time during the term of this Lease provided that all damage to the Leased Premises caused by such removal shall be repaired by Tenant at Tenant's expense. 8. Property Taxes. Landlord shall pay, prior to delinquency, all general real estate taxes and installments of special assessments coming due during the Lease term on the Leased Premises, and all personal property taxes with respect to Landlord's personal property, if any, on the Leased Premises. Tenant shall be responsible for paying all personal property taxes with respect to Tenant's personal property at the Leased Premises. 9. Insurance. A. If the Leased Premises or any other part of the Building is damaged by fire or other casualty resulting from any act or negligence of Tenant or any of Tenant's agents, employees or invitees, rent shall not be diminished or abated while such damages are under repair, and Tenant shall be responsible for the costs of repair not covered by insurance. B. Landlord shall maintain fire and extended coverage insurance on the Building and the Leased Premises in such amounts as Landlord shall deem appropriate. Tenant shall be responsible, at its expense, for fire and extended coverage insurance on all of its personal property, including removable trade fixtures, located in the Leased Premises. C. Tenant and Landlord shall, each at its own expense, maintain a policy or policies of comprehensive general liability insurance with respect to the respective activities of each in the Building with the premiums thereon fully paid on or before due date, issued by and binding upon some insurance company approved by Landlord, such insurance to afford minimum protection of not less than $1,000,000 combined single limit coverage of bodily injury, property damage or combination thereof. Landlord shall be listed as an additional insured on Tenant's policy or policies of comprehensive general liability insurance, and Tenant shall provide Landlord with current Certificates of Insurance evidencing Tenant's compliance with this Paragraph. Tenant shall obtain the agreement of Tenant's insurers to notify Landlord that a policy is due to expire at least (10) days prior to such expiration. Landlord shall not be required to maintain insurance against thefts within the Leased Premises or the Building. 10. Utilities. Tenant shall pay all charges for water, sewer, gas, electricity, telephone and other services and utilities used by Tenant on the Leased Premises during the term of this Lease unless otherwise expressly agreed in writing by Landlord. In the event that any utility or service provided to the Leased Premises is not separately metered, Landlord shall pay the amount due and separately invoice Tenant for Tenant's pro rata share of the charges. Tenant shall pay such amounts within fifteen (15) days of invoice. Tenant acknowledges that the Leased Premises are designed to provide standard office use electrical facilities and standard office lighting. Tenant shall not use any equipment or devices that utilizes excessive electrical energy or which may, in Landlord's reasonable opinion, overload the wiring or interfere with electrical services to other tenants. Landlord will pay the cost of trash service. Tenant is required to recycle to the maximum extent possible. 11. Signs. Following Landlord's consent, Tenant shall have the right to place on the Leased Premises, at locations selected by Tenant, any signs which are permitted by applicable zoning ordinances and private restrictions. Landlord may refuse consent to any proposed signage that is in Landlord's opinion too large, deceptive, unattractive or otherwise inconsistent with or inappropriate to the Leased Premises or use of any other tenant. Landlord shall assist and cooperate with Tenant in obtaining any necessary permission from governmental authorities or adjoining owners and occupants for Tenant to place or construct the foregoing signs. Tenant shall repair all damage to the Leased Premises resulting from the removal of signs installed by Tenant. 12. Entry. Landlord shall have the right to enter upon the Leased Premises at reasonable hours to inspect the same, provided Landlord shall not thereby unreasonably interfere with Tenant's business on the Leased Premises. 13. Parking. During the term of this Lease, Tenant shall have the non-exclusive use in common with Landlord, other tenants of the Building, their guests and invitees, of the non -reserved common automobile parking areas, driveways, and footways, subject to rules and regulations for the use thereof as prescribed from time to time by Landlord. Landlord reserves the right to designate parking areas within the Building or in reasonable proximity thereto, for Tenant and Tenant's agents and employees. G 14. Building Rules. Tenant will comply with the rules of the Building adopted and altered by Landlord from time to time and will cause all of its agents, employees, invitees and visitors to do so; all changes to such rules will be sent by Landlord to Tenant in writing. 15. Damage and Destruction. Subject to Section 8 A. above, if the Leased Premises or any part thereof or any appurtenance thereto is so damaged by fire, casualty or structural defects that the same cannot be used for Tenant's purposes, then Tenant shall have the right within ninety (90) days following damage to elect by notice to Landlord to terminate this Lease as of the date of such damage. In the event of minor damage to any part of the Leased Premises, and if such damage does not render the Leased Premises unusable for Tenant's purposes, Landlord shall promptly repair such damage at the cost of the Landlord. In making the repairs called for in this paragraph, Landlord shall not be liable for any delays resulting from strikes, governmental restrictions, inability to obtain necessary materials or labor or other matters which are beyond the reasonable control of Landlord. Tenant shall be relieved from paying rent and other charges during any portion of the Lease term that the Leased Premises are inoperable or unfit for occupancy, or use, in whole or in part, for Tenant's purposes. Rentals and other charges paid in advance for any such periods shall be credited on the next ensuing payments, if any, but if no further payments are to be made, any such advance payments shall be refunded to Tenant. The provisions of this paragraph extend not only to the matters aforesaid, but also to any occurrence which is beyond Tenant's reasonable control and which renders the Leased Premises, or any appurtenance thereto, inoperable or unfit for occupancy or use, in whole or in part, for Tenant's purposes. 16. Default. If default shall at any time be made by Tenant in the payment of rent when due to Landlord as herein provided, and if said default shall continue for fifteen (15) days after written notice thereof shall have been given to Tenant by Landlord, or if default shall be made in any of the other covenants or conditions to be kept, observed and performed by Tenant, and such default shall continue for thirty (30) days after notice thereof in writing to Tenant by Landlord without correction thereof then having been commenced and thereafter diligently prosecuted, Landlord may declare the term of this Lease ended and terminated by giving Tenant written notice of such intention, and if possession of the Leased Premises is not surrendered, Landlord may reenter said premises. Landlord shall have, in addition to the remedy above provided, any other right or remedy available to Landlord on account of any Tenant default, either in law or equity. Landlord shall use reasonable efforts to mitigate its damages. 17. Quiet Possession. Landlord covenants and warrants that upon performance by Tenant of its obligations hereunder, Landlord will keep and maintain Tenant in exclusive, quiet, peaceable and undisturbed and uninterrupted possession of the Leased Premises during the term of this Lease. 18. Condemnation. If any legally, constituted authority condemns the Building or such part thereof which shall make the Leased Premises unsuitable for leasing, this Lease shall cease when the public authority takes possession, and Landlord and Tenant shall account for rental as of that date. Such termination shall be without prejudice to the rights of either party to recover compensation from the condemning authority for any loss or damage caused by the condemnation. Neither party shall have any rights in or to any award made to the other by the condemning authority. 19. Subordination. Tenant accepts this Lease subject and subordinate to any mortgage, deed of trust or other lien presently existing or hereafter arising upon the Leased Premises, or upon the Building and to any renewals, refinancing and extensions thereof, but Tenant agrees that any such mortgagee shall have the right at any time to subordinate such mortgage, deed of trust or other lien to this Lease on such terms and subject to such conditions as such mortgagee may deem appropriate in its discretion. Landlord is hereby irrevocably vested with full power and authority to subordinate this Lease to any mortgage, deed of trust or other lien now existing or hereafter placed upon the Leased Premises of the Building, and Tenant agrees upon demand to execute such further instruments subordinating this Lease or attorning to the holder of any such liens as Landlord may request. In the event that Tenant should fail to execute any instrument of subordination herein require d to be executed by Tenant promptly as requested, Tenant hereby irrevocably constitutes Landlord as its attorney -in -fact to execute such instrument in Tenant's name, place and stead, it being agreed that such power is one coupled with an interest. Tenant agrees that it will from time to time upon request by Landlord execute and deliver to such persons as Landlord shall request a statement in recordable form certifying that this Lease is unmodified and in full force and effect (or if there have been modifications, that the same is in full force and effect as so modified), stating the dates to which rent and other charges payable under this Lease have been paid, stating that Landlord is not in default hereunder (or if Tenant alleges a default stating the nature of such alleged default) and further stating such other matters as Landlord shall reasonably require. 20. Notice. Any notice required or permitted under this Lease shall be deemed sufficiently given or served if sent by United States certified mail, return receipt requested, addressed as follows: If to Landlord to: Chris A. Schultz 34978 WCR 83, Briggsdale, CO 80611 If to Tenant to: Danielle Dempsey & Thomas Lewis 37937 Hwy 14, Briggsdale, CO 80611 Landlord and Tenant shall each have the right from time to time to change the place notice is to be given under this paragraph by written notice thereof to the other party. 21. Brokers. Tenant represents that Tenant was not shown the Premises by any real estate broker or agent and that Tenant has not otherwise engaged in, any activity which could form the basis for a claim for real estate commission, brokerage fee, finder's fee or other similar charge, in connection with this Lease. 22. Waiver. No waiver of any default of Landlord or Tenant hereunder shall be implied from any omission to take any action on account of such default if such default persists or is repeated, and no express waiver shall affect any default other than the default specified in the express waiver and that only for the time and to the extent therein stated. One or more waivers by Landlord or Tenant shall not be construed as a waiver of a subsequent breach. of the same covenant, term or condition. 23. Memorandum of Lease. The parties hereto contemplate that this Lease should not and shall not be filed for record, but in lieu thereof, at the request of either party, Landlord and Tenant shall execute a Memorandum of Lease to be recorded for the purpose of giving record notice of the appropriate provisions of this Lease. 24. Headings. The headings used in this Lease are for convenience of the parties only and shall not be considered in interpreting the meaning of any provision of this Lease. 25. Successors. The provisions of this Lease shall extend to and be binding upon Landlord and Tenant and their respective legal representatives, successors and assigns. G. 26. Consent. Landlord shall not unreasonably withhold or delay its consent with respect to any matter for which Landlord's consent is required or desirable under this Lease. 27. Performance. If there is a default with respect to any of Landlord's covenants, warranties or representations under this Lease, and if the default continues more than fifteen (15) days after notice in writing from Tenant to Landlord specifying the default, Tenant may, at its option and without affecting any other remedy hereunder, cure such default and deduct the cost thereof from the next accruing installment or installments of rent payable hereunder until Tenant shall have been fully reimbursed for such expenditures, together with interest thereon at a rate equal to the lesser of twelve percent (12%) per annum or the then highest lawful rate. If this Lease terminates prior to Tenant's receiving full reimbursement, Landlord shall pay the unreimbursed balance plus accrued interest to Tenant on demand. 28. Compliance with Law. Tenant shall comply with all laws, orders, ordinances and other public requirements now or hereafter pertaining to Tenant's use of the Leased Premises. Landlord shall comply with all laws, orders, ordinances and other public requirements now or hereafter affecting the Leased Premises. A copy of any and all local, state, or federal permits acquired by the Tenant which are required for the use of the Premises shall be kept on site at all times and shall be readily accessible and produced to the Landlord and/or their agents or any local, state, or federal officials upon demand. 29. Final Agreement. This Agreement terminates and supersedes all prior understandings or agreements on the subject matter hereof. This Agreement may be modified only by a further writing that is duly executed by both parties. 30. Governing Law. This Agreement shall be governed, construed and interpreted by, through and under the Laws of the State of Colorado. IN WITNESS WHEREOF, the parties have executed this Lease as of the day and year first above written. 0fi -'6'05cL(Az_ Chris A. Schultz, Landlord ielle Dempsey, ena Thomas Le is, Tenant DR 8004 (12/21/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Derision (303) 205-2300 Wholesaler Affidavit of Compliance Section 12-47-303(1)(d), C.R.S. Wholesaler Licensee Name (If an LLC; partnership; corporation or name of corporation) Republic National Distributing Company LLC License Number 28499270004 Trade Name of Establishment/Doing Business As (DBA) Republic National Distributing Company LLC Phone Number 303-734-2400 Physical Address 8000 Southpark Terrace City Littleton State CO ZIP 180120 Email Address brittany.marcum@rndc-usa.com Transferor Retailer Licensee Name Crow Valley Liquors LLC License Number 4701331 Trade Name of Establishment/Doing Business As (DBA) Crow Valley Liquors Phone Number Physical Address 37937 Hwy 14 City Briggsdale State CO ZIP 80611 The above wholesaler affirms that all alcohol [I Paid in Full (only for the purposes of complying Note: If Paid in full is selected, the wholesaler local and state licensing authorities have beverages delivered to the above transferor retailer are: with section 12-47-303(1)(d), C.R.S.) may no longer extend credit to the transferee or transferor until the approved the transfer of the liquor license. ■ Not Paid in Full Wholesaler: Republic National Distributing Company LLC Sign jre ---- ,.;- A 11------- Print I Title Brittany Marcum I AR Clerk Date 04/30/18 DR 8004 (12121/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205.2300 Wholesaler Affidavit of Compliance Section 12-47-303(1)(d), C.R.S. Wholesaler Licenseo•Name (lf an LLC; partnership; corporation or name of corporation) �Nt�sw 13USe . u -c License Nu ber (j4-&510.3 Ph e Number 0663(R?6 ZIP.S3a 0 Trade Name of Establishment/Doing As Busines DBA) v(ON v�.5k twv.,JUt;Ce Physical Address n_t M k DDw u7�� rw�.G,i City r e J( ord U.wf. State Cb Email Address Trans aror Retailer Licensee Name ,a 1,—,� .G_G_G YOU) U(�, �Cc.O,.,ti License Number 1170133/ Trade Name of Establishment/Doing business As (DOA) Phone Number Physical Address (t 3-7'-/37 /4a,yl'f Cit I ,f1,-;fi�(6 Stale !lc ZIP 5c/,. The above wholesaler affirms that all alcohol beverages delivered to the above transferor retailer are: (Said in Full (only for the purposes of complying with section 12-47-303(1)(d), C.R.S.) Note: If Paid in full is selected, the wholesaler may no longer extend credit to the transferee or transferor until the local and state licensing authorities have approved the transfer of the liquor license. ❑ Not Paid in Full Wholesaler: !� Km..r�r (/i4lwt4u F Signature ) 4l Print Snc) Title aiS et►zaa✓ D t Wtsb� ti DR 8004 (12/21/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 2O5-2300 Wholesaler Affidavit of Compliance Section 12-47-303(1)(d), C.R.S. Wholesaler Licensee Name (If an LLC; partnership; corporation or name of corporation) Beverage Distributors Company LLC License Number (!)()©,— 40-04782-0004 Trade Name of Establishment/Doing Business As (DBA) Breakthru Beverage Colorado Phone Number 303-371-3421 Physical Address 3980 Central Park Blvd City Denver State CO ZIP 80238 Email Address JJJOHNSON@BREAKTHRUBEV.COM Tr, sr0 Retail c^n�see Name A ' ` tY% II() I� VlAs1(DBA) L l\e\ntt/Do Licen.$e Num \r Tr e Name of Est bli n Busin x0k) No_- rS Phone Number c\ -(40 -34 Physical -01 \A"1 tY'k.CC�1n Sate ZIP%ap11 The Bove wholesaler affil- that all alcohol in Full (only for the purposes of complying k Note: If Paid in full is selected, the wholesaler local and state licensing authorities have beverages delivered to the abov,ti ansferor retailer are: with section 12-47-303(1)(d), C.R.S.) may no longer extend credit to the transferee or transferor until the approved the transfer of the liquor license. • Not Paid in Full Wholesaler: Breakthru Beverage Colorado Signature k=-' yam _ \ ) Print Jaime J Johnson Title Credit Associate III Date ((MA �0 DR 8004 (12/21/16) COLORADO DEPARTMENT OF REVENUE L nuor Errtorcer gent Division (303) 205-2300 Wholesaler Affidavit of Compliance Section 12-47-303(1)(d), C.R.S. Wholesaler Licensee Name (If an LLC; partnership; corporation or name of corporation) High Country Beverage Corp License Number 23687180001 Trade Name of Establishment/Doing Business As (DBA) High Country Beverage Corp Physical Address 4200 Ronald Reagan Blvd City Johnstown I Phone Number 970-622-8444 State SIP CO 80534 Email Address www.highcountryheverage.com Transferor Retailer Licensee Name A, dtAi \/01— i , i1; -< 1 Gar License Number it 7 6 133 i Trade Name of Establishmeng As (DBA) ,tD v of ( Y 4._i 1d u.0 trs Physical Address U 3731 (4c� City i re 5cla, Phone Number 97c1766 -73'-i341/ State 1ZIP ISG(O!( The above wholesaler affirms that all alcohol beverages delivered to the above transferor retailer are: 1I Paid in Full (only for the purposes of complying with section 12-47-303(1)(d), C.R.S.) Note: If Paid in full i€s selected, the wholesaler may no longer extend credit to the transferee or transferor until the local and state licensing authorities have approved the transfer of the liquor license. E Not Paid in Full Wholesaler: High Country Beverage Corp Signature Pr. , I Title ,usruAdziAd ₹ Gate DR 8004 (12/2115) COLORADO DEPARTMENT OF REVENUE Liquor Enforcemert Division (303) 205-2300 Wholesaler Affidavit of Compliance Section 12-47-303(1) (d), C.R.S. Wholesaler Licensee Name (If an LLC; partnership: corporation or name of corporation) Trade NameSo9P ablisfimenttuoi g business As��B AND SPIRT TS License Num ber 445351-0002 Physical Address 7 0 FO. STREET' Email Address q1ede7.md@SgWS.com Transferor -Retailer Licensee Name City DENVER Tra a Name of Establis ment/Doing Business As (DBA) mw\JPtEyL-1Qtw0tt2.5 Physial1e? ( 14...vi \./ 1 4 Phone Number 303-292-1711 State CO ZIP 80216 License Number Lfr13DiOOO0 Phone Number LO- !V& i irqqsda The above wholesaler affirms that all alcohol beverages delivered to the aboe transferor retailer are: Paid in Full (only for the purposes of complying with section 12-47-303(1)(d), C.R.S.) Note: If Paid in full is selected, the wholesaler may no longer extend credit to the transferee or transferor until the local and state licensing authorities have approved the transfer of the liquor license. ❑ Not Paid in Full Wholesal- : SGWS OLORQDO Print GLORIA LEDEZMA CtTOMER CARE MANA ce1/la, J 18 OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING I, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, LD Crow Valley Liquors LLC is a Limited Liability Company formed or registered on 06/24/2018 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20181492587 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 09/28/2018 that have been posted, and by documents delivered to this office electronically through 10/01/2018 @ 15:52:21 . I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 10/01/2018 @ 15:52:21 in accordance with applicable law. This certificate is assigned Confirmation Number 11147201 . Secretary of State of the State of Colorado *********************************************End of Certificate******************************************* Notice: A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of State's Web site, http://www.sos.state.co.us/biz/CertificateSearchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, http:// www,sos.state.co.us/click "Businesses, trademarks, trade names" and select "Frequently Asked Questions." t _t 1 83- ► 04354) Sale �ck,c - 30315 I No Document must be filed electronically. Paper documents are not accepted. Fees & forms are subject to change. For more information or to print copies of filed documents, visit www.sos.state.co.us. M" -Filed Colorado Secretary of State Date and Time: 06/24/2018 03:33 AM ID Number:; 20181492587 Document number: 20181492587 Amount Paid: $50.00 ABOVE SPACE FOR OFFICE USE ONLY Articles of Organization filed pursuant to § 7-90-301 and § 7-80-204 of the Colorado Revised Statutes (C.R.S.) 1. The domestic entity name of the limited liability company is LD Crow Valley Liquors LLC (The name of a limited liability company must contain the term or abbreviation "limited liability company "ltd. liability company', "limited liability co. ". "ltd. liability co. ", "limited", "Ile.", "I/c ", or "ltd.;". See §7-90-601, (Caution: The use of certain terms or abbreviations are restricted by law. Read instructions for more information.) 2. The principal office address of the limited liability company's initial principal' office is Street address 48010 County Road 96 (Street number and name) Briggsdale CO 80611 (City) (Province — if applicable) (State) (ZiP/Postal Code) United States (Country) Mailing address (leave blank if same as street address) (Street number and name or Post Office Box information) (City) (State) (ZIP/Postal Code) (Province — if applicable) (Cduntry) 3. The registered agent name and registered agent address of the limited liability company's initial registered agent are 1 Name (if an individual) or (if an entity) (Caution: Do not provide both an individual and an entity name.) Dempsey (Last) Danielle (First) M. (Middle) (Suffix) Street address 48010 County Road 96 (Street number and name) Briggsdale (City) CO 80611 (State) (ZIP Code) Mailing address (leave blank if same as street address) (Street number and name or Post Office Box information) ARTORG LLC Page 1 of 3 Rev. 12/01/2012 i t CO (City) (The following statement is adopted by marking the box.) (Sate) (ZIP Code) The person appointed as registered agent has consented to being so appointed. 4. The true name and mailing address of the person forming the limited liability company are Name (if an individual) or (if an entity) (Caution: Do not provide both an individual and an entity name.) Dempsey Danielle ; (Last) (First) M. (Middle) (Suffix) Mailing address 48010 County Road 96 (Street number and name or Post Office Box information) Briggsdale CO 80611 (City) (State) (ZIP/Postal Code) United States . (Province - if applicable) (Cpuntry) (If the following statement applies, adopt the statement by marking the box and include an attachment.) The limited liability company has one or more additional persons forming the limited liability company and the name and mailing address of each such person are stated in an attachment. 5. The management of the limited liability company is vested in (Mark the applicable box.) one or more managers. or n the members. 6. (The following statement is adopted by marking the box.) x There is at least one member of the limited liability company. 7. (If the following statement applies, adopt the statement by marking the box and include an attachment,) n This document contains additional information as provided by law. 8. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a date.) (If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format) The delayed effective date and, if applicable, time of this document is/are (tnn✓dd/yyyy hour: minute am/pm) Notice: Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered far tiling, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. ART0RG_LLC Page 2 of 3 Rev. 12/01/2012 This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State, whether or not such individual is named in the document as one who has caused it to be delivered. 9. The true name and mailing address of the individual causing the document to be delivered for filing are Moseley Cheyenne (last) (First) 101 N. Brand Blvd., 11th Floor (Middle) (Suffix) (Street number and name or Post Office Box information) Glendale CA 91203 (Cif)) (State) (ZIP/Postal Code) United States . (Province — if -applicable) (Country) (If the following statement applies. adopt the statement by marking the box and include an attachment.) ❑ This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should be addressed to the user's legal, business or tax advisor(s). ARTORG LLC Page 3 ot'3 Rev. 12/01/2012 Attachment to Articles of Organization LD Crow Valley Liquors LLC Additional Organizers of the Limited Liability Company are: Organizer Name Organizer Address Thomas R. Lewis, Jr. 48010 County Road 96, Briggsdale, CO 80611 4q Ye Ethyl Luemma Lewis 48010 County Road 96, Briggsdale, CO 80611 a 70 LIMITED LIABILITY COMPANY OPERATING AGREEMENT OF Li) (You-) VaIl-e j I .kt\ , LLC FORMED IN THE STATE OF COLORADO This Agreement, entered into on Nov. G , 20 I% , is a (Check One) ❑ - SINGLE -MEMBER LLC OPERATING AGREEMENT, entered into by and between , LLC, a (State) LLC (the "Company") and of (Address), hereinafter known as the "Member" ll - MULTI -MEMBER LLC OPERATING AGREEMENT, entered into by and between (Do n\elle M Oern� , of c�UIU ciz% 1IC lC, co sob' (Address), -rnorrlrks �.1.f.W cs Si' , of (Address), Ethqi Luemma Lewis , of V (Address), hereinafter known as the "Members" WHEREAS the Member(s) desire to create a limited liability company under the laws of the State of Colorado and set forth the terms herein of the Company's operation and the relationship between Member(s). NOW, THEREFORE, in consideration of the mutual covenants set forth herein and other valuable consideration, the receipt and sufficiency of which hereby are acknowledged, the Member(s) and the Company agree as follows: 1. Name and Principal Place of Business The name of the Company shall be Li) CYUW ViAtt Uttue,r LLC. The principal place of business of the Company shall be at 3103'1 co rid( , City of SC\O-k. , in the State of Colorado or at such other place of business as the Membe*ir gshall determine. 2. Formation The Company was formed on 7Un�. o)14 , 20 1`6 , when the Member(s) filed the Articles of Organization with the office of the Secretary of State of the State of Colorado pursuant to the statutes governing limited liability companies in the State of Colorado. (the "Statutes") 3. Purpose 1 The purpose of the Company is to engage in and conduct any and all lawful businesses, activities or functions, and to carry on any other lawful activities in connection with or incidental to the foregoing, as the Member(s) in their discretion shall determine. 4. Term The term of the Company shall be perpetual, commencing on the filing of the Articles of Organization of the Company, and continuing until terminated under the provisions set forth herein. 5. Member Capital Contributions (Check One) ❑ - Single Member LLC: The Member may make such capital contributions (each a "Capital Contribution") in such amounts and at such times as the Member shall determine. The Member shall not be obligated to make any Capital Contributions. The Member may take distributions of the capital from time to time in accordance with the limitations imposed by the Statutes. - Multi -Member LLC: Each Member has contributed the following capital amounts to the Company as set forth below and are not obligated to make any additional capital contributions: ()OP l lt_ DerN $ 93 1110res (rw6 $ w`5 $ d Members shall have no right to withdraw or reduce their contributions to the capital of the Company until the Company has been terminated unless otherwise set forth herein. Members shall have no right to demand and receive any distribution from the Company in any form other than cash and members shall not be entitled to interest on their capital contributions to the Company. The liability of any Member for the losses, debts, liabilities and obligations of the Company shall be limited to the amount of the capital contribution of each Member plus any distributions paid to such Member, such Member's share of any undistributed assets of the Company; and (only to the extent as might be required by applicable law) any amounts previously distributed to such Member by the Company. 6. Distributions For purposes of this Agreement "net profits" and "net losses" mean the profits or losses of the Company resulting from the conduct of the Company's business, after all expenses, including depreciation allowance, incurred in connection with the conduct of its business for which such expenses have been accounted. The term "cash receipts" shall mean all cash receipts of the Company from whatever source derived, including without limitation capital contributions made by the Member(s); the proceeds of any sale, exchange, condemnation or other disposition of all or any part of the assets of the 2 Company; the proceeds of any loan to the Company; the proceeds of any mortgage or refinancing of any mortgage on all or any part of the assets of the Company; the proceeds of any insurance policy for fire or other casualty damage payable to the Company; and the proceeds from the liquidation of assets of the Company following termination. The term "capital transactions" shall mean any of the following: the sale of all or any part of the assets of the Company; the refinancing of mortgages or other liabilities of the Company; the receipt of insurance proceeds; and any other receipts or proceeds are attributable to capital. (Check One) ❑ - SINGLE -MEMBER: A "Capital Account" for the Member shall be maintained by the Company. The Member's Capital Account shall reflect the Member's capital contributions and increases for any net income or gain of the Company. The Member's Capital Account shall also reflect decreases for distributions made to the Member and the Member's share of any losses and deductions of the Company. - MULTI -MEMBER: The "Capital Account" for each Member shall mean the account created and maintained for the Member in accordance with Section 704(b) of the Internal Revenue Code and Treasury Regulation Section 1.704-1(b)(2)(iv). The term "Members' Percentage Interests" shall mean the percentages set forth opposite the name of each Member Below: Member Percentage Interest *It eAle mps L4-9 ornos Le vs w -q % During each fiscal year, the net profits and net losses of the Company (other than from capital transactions), and each item of income, gain, loss, deduction or credit entering into the computation thereof, shall be credited or charged, as the case may be, to the capital accounts of each Member in proportion to the Members' Percentage Interests. The net profits of the Company from capital transactions shall be allocated in the following order of priority: (a) to offset any negative balance in the capital accounts of the Members in proportion to the amounts of the negative balance in their respective capital accounts, until all negative balances in the capital accounts have been eliminated; then (b) to the Members in proportion to the Members' Percentage Interests. The net losses of the Company from capital transactions shall be allocated in the following order of priority: (a) to the extent that the balance in the capital accounts of any Members are in excess of their original contributions, to such Members in proportion to the excess balances until all such excess balances have been reduced to zero; then (b) to the Members in proportion to the Members' Percentage Interests. The cash receipts of the Company shall be applied in the following order of priority: (a) to the payment of interest or amortization on any mortgages on the assets of the Company, amounts due on debts and liabilities of the Company other than those due to any Member, costs of the construction of the improvements to the assets of the Company and operating expenses of the Company; (b) to the payment of interest and establishment of cash reserves determined by the 3 Members to be necessary or appropriate, including without limitation, reserves for the operation of the Company's business, construction, repairs, replacements, taxes and contingencies; and (d) to the repayment of any loans made to the Company by any Member. Thereafter, the cash receipts of the Company shall be distributed among the Members as hereafter provided. Except as otherwise provided in this Agreement or otherwise required by law, distributions of cash receipts of the Company, other than from capital transactions, shall be allocated among the Members in proportion to the Members' Percentage Interests. Except as otherwise provided in this Agreement or otherwise required by law, distributions of cash receipts from capital transactions shall be allocated in the following order or priority: (a) to the Members in proportion to their respective capital accounts until each Member has received cash distributions equal to any positive balance in their capital account; then (b) to the Members in proportion to the Members' Percentage Interests. It is the intention of the Members that the allocations under this Agreement shall be deemed to have "substantial economic effect" within the meaning of Section 704 of the Internal Revenue Code and Treas. Reg. Section 1.704-1. Should the provisions of this Agreement be inconsistent with or in conflict with Section 704 of the Code or the Regulations thereunder, then Section 704 of the Code and the Regulations shall be deemed to override the contrary provisions thereof. If Section 704 or the Regulations at any time require that limited liability company operating agreements contain provisions which are not expressly set forth herein, such provisions shall be incorporated into this Agreement by reference and shall be deemed a part of this Agreement to the same extent as though they had been expressly set forth herein. 7. Books, Records and Tax Returns (Check One) ❑ - SINGLE -MEMBER: The Company shall maintain complete and accurate books and records of the Company's business and affairs as required by the Statutes and such books and records shall be kept at the Company's Registered Office and shall in all respects be independent of the books, records and transactions of the Member. The Company's fiscal year shall be the calendar year with an ending month of December. The Member intends that the Company, as a single member LLC, shall be taxed as a sole proprietorship in accordance with the provisions of the Internal Revenue Code. Any provisions herein that may cause may cause the Company not to be taxed as a sole proprietorship shall be inoperative. MULTI -MEMBER: The Members, or their designees, shall maintain complete and accurate records and books of the Company's transactions in accordance with generally accepted accounting principles. The Company shall furnish each Member, within seventy-five days after the end of each fiscal year, an annual report of the Company including a balance sheet, a profit and loss statement a 4 capital account statement; and the amount of such Member's share of the Company's income, gain, losses, deductions and other relevant items for federal income tax purposes. The Company shall prepare all Federal, State and local income tax and information returns for the Company, and shall cause such tax and information returns to be timely filed. Within seventy-five days after the end of each fiscal year, the Company shall forward to each person who was a Member during the preceding fiscal year a true copy of the Company's information return filed with the Internal Revenue Service for the preceding fiscal year. All elections required or permitted to be made by the Company under the Internal Revenue Code, and the designation of a tax matters partner pursuant to Section 6231(a)(7) of the Internal Revenue Code for all purposes permitted or required by the Code, shall be made by the Company by the affirmative vote or consent of Members holding a majority of the Members' Percentage Interests. Upon request, the Company shall furnish to each Member, a current list of the names and addresses of all of the Members of the Company, and any other persons or entities having any financial interest in the Company. 8. Bank Accounts All funds of the Company shall be deposited in the Company's name in a bank account or accounts as chosen by the Member(s). Withdrawals from any bank accounts shall be made only in the regular course of business of the Company and shall be made upon such signature or signatures as the Members from time to time may designate. 9. Management of the Company The business and affairs of the Company shall be conducted and managed by the Member(s) in accordance with this Agreement and the laws of the State of Colorado. (Check One) ❑ - SINGLE -MEMBER: , as sole member of the Company, has sole authority and power to act for or on behalf of the Company, to do any act that would be binding on the Company, or incur any expenditures on behalf of the Company. The Member shall not be liable for the debts, obligations or liabilities of the Company, including under a judgment, decree or order of a court. The Company is organized as a "member -managed" limited liability company. The Member is designated as the initial managing member. MULTI -MEMBER: Except as expressly provided elsewhere in this Agreement, all decisions respecting the management, operation and control of the business and affairs of the Company and all determinations made in accordance with this Agreement shall be made by the affirmative vote or consent of Members holding a majority of the Members' Percentage Interests. Notwithstanding any other provision of this Agreement, the Members shall not, without the prior written consent of the unanimous vote or consent of the Members, sell, exchange, lease, 5 assign or otherwise transfer all or substantially all of the assets of the Company; sell, exchange, lease (other than space leases in the ordinary course of business), assign or transfer the Company's assets; mortgage, pledge or encumber the Company's assets other than is expressly authorized by this Agreement; prepay, refinance, modify, extend or consolidate any existing mortgages or encumbrances; borrow money on behalf of the Company in the excess of $ .00; lend any Company f nds or other assets to any person in an amount or with a value in excess of $ .00; establish any reserves for working capital repai-s, replacements, improvem nts or any other purpose, in excess of an aggregate of $ ¢ .00; confess a judgment against the Company; settle, compromise or release, discharge or pay any claim, demand or debt in excess of $ (� .00, including claims for insurance; approve a merger or consolidation of the Company with or into any other limited liability company, corporation, partnership or other entity; or change the nature or character of the business of the Company. The members shall receive such sums for compensation as Members of the Company as may be determined from time to time by the affirmative vote or consent of Members holding a majority of the Members' Percentage Interests. (Check if Applicable) - MULTI -MEMBER: Meetings of Members The annual meeting of the Members shall be held on Tan00-fr 1st (day/month) at the principal office of the Company or at such other -time and place as the Members determine, for the purpose of transacting such business as may lawfully come before the meeting. If the day fixed for the annual meeting shall be a legal holiday, such meeting shall be held on the next succeeding business day. The Members may by resolution prescribe the time and place for the holding of regular meetings and may provide that the adoption of such resolution shall constitute notice of such regular meetings. Special meetings of the Members, for any purpose or purposes, may be called by any Members (or such other number of Members as the Members from time to time may specify). Written or electronic notice stating the place, day and hour of the meeting and, in the case of a special meeting, the purpose for which the meeting is called, shall be delivered not less than three days before the date of the meeting, either personally or by mail, to each Member of record entitled to vote at such meeting. When all the Members of the Company are present at any meeting, or if those not present sign a written waiver of notice of such meeting, or subsequently ratify all the proceedings thereof, the transactions of such meeting shall be valid as if a meeting had been formally called and notice had been given. At any meeting of the Members, the presence of Members holding a majority of the Members' Percentage Interests, as determined from the books of the Company, represented in person or by proxy, shall constitute a quorum for the conduct of the general business of the Company. However, if any particular action by the Company shall require the vote or consent of some other number or percentage of Members pursuant to this Agreement, a quorum for the 6 purpose of taking such action shall require such other number or percentage of Members. If a quorum is not present, the meeting may be adjourned from time to time without further notice, and if a quorum is present at the adjourned meeting any business may be transacted which might have been transacted at the meeting as originally notified. The Members present at a duly organized meeting may continue to transact business until adjournment, notwithstanding the withdrawal of enough Members to leave less a quorum. At all meetings of the Members, a Member may vote by proxy executed in writing by the Member or by a duly authorized attorney -in -fact of the Member. Such proxy shall be filed with the Company before or at the time of the meeting. A Member of the Company who is present at a meeting of the Members at which action on any matter is taken shall be presumed to have assented to the action taken, unless the dissent of such Member shall be entered in the minutes of the meeting or unless such Member shall file a written dissent to such action with the person acting as the secretary of the meeting before the meeting's adjournment. Such right to dissent shall not apply to a Member who voted in favor of such action. Unless otherwise provided by law, any action required to be taken at a meeting of the Members, or any other action which may be taken at a meeting of the Members, may be taken without a meeting if a consent in writing, setting forth the action so taken, shall be signed by all of the Members entitled to vote with respect to the subject. Members of the Company may participate in any meeting of the Members by means of conference telephone or similar communication if all persons participating in such meeting can hear one another for the entire discussion of the matters to be vote upon. Participation in a meeting pursuant to this paragraph shall constitute presence in person at such meeting. (Check if Applicable) - MULTI -MEMBER: Assignment of Interests Except as otherwise provided in this Agreement, no Member or other person holding any interest in the Company may assign, pledge, hypothecate, transfer or otherwise dispose of all or any part of their interest in the Company, including without limitation, the capital, profits or distributions of the Company without the prior written consent of the other Members in each instance. The Members agree that no Member may voluntarily withdraw from the Company without the unanimous vote or consent of the Members. A Member may assign all or any part of such Member's interest in the allocations and distributions of the Company to any of the following (collectively the "permitted assignees"): any person, corporation, partnership or other entity as to which the Company has given consent to the assignment of such interest in the allocations and distributions of the Company by the affirmative vote or consent of Members holding a majority of the Members' Percentage Interests. An assignment to a permitted assignee shall only entitle the permitted assignee to the allocations and distributions to which the assigned interest is entitled, unless such 7 permitted assignee applies for admission to the Company and is admitted to the Company as a Member in accordance with this Agreement. An assignment, pledge, hypothecation, transfer or other disposition of all or any part of the interest of a Member in the Company or other person holding any interest in the Company in violation of the provisions hereof shall be null and void for all purposes. No assignment, transfer or other disposition of all or any part of the interest of any Member permitted under this Agreement shall be binding upon the Company unless and until a duly executed and acknowledged counterpart of such assignment or instrument of transfer, in form and substance satisfactory to the Company, has been delivered to the Company. No assignment or other disposition of any interest of any Member may be made if such assignment or disposition, alone or when combine with other transactions, would result in the termination of the Company within the meaning of Section 708 of the Internal Revenue Code or under any other relevant section of the Code or any successor statute. No assignment or other disposition of any interest of any Member may be made without an opinion of counsel satisfactory to the Company that such assignment or disposition is subject to an effective registration under, or exempt from the registration requirements of, the applicable Federal and State securities laws. No interest in the Company may be assigned or given to any person below the age of 21 years or to a person who has been adjudged to be insane or incompetent. Anything herein contained to the contrary, the Company shall be entitled to treat the record holder of the interest of a Member as the absolute owner thereof, and shall incur no liability by reason of distributions made in good faith to such record holder, unless and until there has been delivered to the Company the assignment or other instrument of transfer and such other evidence as may be reasonably required by the Company to establish to the satisfaction of the Company that an interest has been assigned or transferred in accordance with this Agreement. (Check One) ❑ - SINGLE -MEMBER: Ownership of Company Property. The Company's assets shall be deemed owned by the Company as an entity, and the Member shall have no ownership interest in such assets or any portion thereof. Title to any or all such Company assets may be held in the name of the Company, one or more nominees or in "street name", as the Member may determine. Except as limited by the Statutes, the Member may engage in other business ventures of any nature, including, without limitation by specification, the ownership of another business similar to that operated by the Company. The Company shall not have any right or interest in any such independent ventures or to the income and profits derived therefrom. - MULTI -MEMBER: Right of First Refusal If a Member desires to sell, transfer or otherwise dispose of all or any part of their interest in the Company, such Member (the "Selling Member") shall first offer to sell and convey such interest to the other Members before selling, transferring or otherwise disposing of such interest to any other person, corporation or other entity. Such offer shall be in writing, shall be 8 given to every other Member, and shall set forth the interest to be sold, the purchase price to be paid, the date on which the closing is to take place (which date shall be not less than thirty nor more than sixty days after the delivery of the offer), the location at which the closing is to take place, and all other material terms and conditions of the sale, transfer or other disposition. Within fifteen days after the delivery of said offer the other Members shall deliver to the Selling Member a written notice either accepting or rejecting the offer. Failure to deliver said notice within said fifteen days conclusively shall be deemed a rejection of the offer. Any or all of the other Members may elect to accept the offer, and if more than one of the other Members elects to accept the offer, the interest being sold and the purchase price therefore shall be allocated among the Members so accepting the offer in proportion to their Members' Percentage Interests, unless they otherwise agree in writing. If any or all of the other Members elect to accept the offer, then the closing of title shall be held in accordance with the offer and the Selling Member shall deliver to the other Members who have accepted the offer an assignment of the interest being sold by the Selling Member, and said other Members shall pay the purchase price prescribed in the offer. If no other Member accepts the offer, or if the Members who have accepted such offer default in their obligations to purchase the interest, then the Selling Member within 120 days after the delivery of the offer may sell such interest to any other person or entity at a purchase price which is not less than the purchase price prescribed in the offer and upon the terms and conditions which are substantially the same as the terms and conditions set forth in the offer, provided all other applicable requirements of this Agreement are complied with. An assignment of such interest to a person or entity who is not a Member of the Company shall only entitle such person or entity to the allocations and distributions to which the assigned interest is entitled, unless such person or entity applies for admission to the Company and is admitted to the Company as a Member in accordance with this Agreement. If the Selling Member does not sell such interest within said 120 days, then the Selling Member may not thereafter sell such interest without again offering such interest to the other Members in accordance with this Agreement. (Check if Applicable) EN - MULTI -MEMBER: Admission of New Members The Company may admit new Members (or transferees of any interests of existing Members) into the Company by the unanimous vote or consent of the Members. As a condition to the admission of a new Member, such Member shall execute and acknowledge such instruments, in form and substance satisfactory to the Company, as the Company may deem necessary or desirable to effectuate such admission and to confirm the agreement of such Member to be bound by all of the terms, covenants and conditions of this Agreement, as the same may have been amended. Such new Member shall pay all reasonable expenses in connection with such admission, including without limitation, reasonable attorneys' fees and the cost of the preparation, filing or publication of any amendment to this Agreement or the Articles of Organization, which the Company may deem necessary or desirable in connection with such admission. 9 No new Member shall be entitled to any retroactive allocation of income, losses, or expense deductions of the Company. The Company may make pro rata allocations of income, losses or expense deductions to a new Member for that portion of the tax year in which the Member was admitted in accordance with Section 706(d) of the Internal Revenue Code and regulations thereunder. In no event shall a new Member be admitted to the Company if such admission would be in violation of applicable Federal or State securities laws or would adversely affect the treatment of the Company as a partnership for income tax purposes. (Check if Applicable) lk- MULTI -MEMBER: Withdrawal Events In the event of the death, retirement, withdrawal, expulsion, or dissolution of a Member, or an event of bankruptcy or insolvency, as hereinafter defined, with respect to a Member, or the occurrence of any other event which terminates the continued membership of a Member in the Company pursuant to the Statutes (each of the foregoing being hereinafter referred to as a "Withdrawal Event"), the Company shall terminate sixty days after notice to the Members of such withdrawal Event unless the business of the Company is continued as hereinafter provided. Notwithstanding a Withdrawal Event with respect to a Member, the Company shall not terminate, irrespective of applicable law, if within aforesaid sixty day period the remaining Members, by the unanimous vote or consent of the Members (other than the Member who caused the Withdrawal Event), shall elect to continue the business of the Company. In the event of a Withdrawal Event with respect to an Member, any successor in interest to such Member (including without limitation any executor, administrator, heir, committee, guardian, or other representative or successor) shall not become entitled to any rights or interests of such Member in the Company, other than the allocations and distributions to which such Member is entitled, unless such successor in interest is admitted as a Member in accordance with this Agreement. An "event of bankruptcy or insolvency" with respect to a Member shall occur if such Member: (1) applies for or consents to the appointment of a receiver, trustee or liquidator of all or a substantial part of their assets; or (2) makes a general assignment for the benefit of creditors; or (3) is adjudicated a bankrupt or an insolvent; or (4) files a voluntary petition in bankruptcy or a petition or an answer seeking an arrangement with creditors or to take advantage of any bankruptcy, insolvency, readjustment of debt or similar law or statute, or an answer admitting the material allegations of a petition filed against them in any bankruptcy, insolvency, readjustment of debt or similar proceedings; or (5) takes any action for the purpose of effecting any of the foregoing; or (6) an order, judgment or decree shall be entered, with or without the application, approval or consent of such Member, by any court of competent jurisdiction, approving a petition for or appointing a receiver or trustee of all or a substantial part of the assets of such Member, and such order, judgment or decree shall be entered, with or without the application, approval or consent of such Member, by any court of competent jurisdiction, approving a petition for or appointing a receiver or trustee of all or a substantial part of the 10 assets of such Member, and such order, judgment or decree shall continue unstayed and in effect for thirty days. 10. Dissolution and Liquidation (Check One) ❑ - SINGLE -MEMBER: The Company shall dissolve and its affairs shall be wound up on the first to occur of (i) At a time, or upon the occurrence of an event specified in the Articles of Organization or this Agreement. (ii) The determination by the Member that the Company shall be dissolved. Upon the death of the Member, the Company shall be dissolved. By separate written documentation, the Member shall designate and appoint the individual who will wind down the Company's business and transfer or distribute the Member's Interests and Capital Account as designated by the Member or as may otherwise be required by law. Upon the disability of a Member, the Member may continue to act as Manager hereunder or appoint a person to so serve until the Member's Interests and Capital Account of the Member have been transferred or distributed. Ej - MULTI -MEMBER: The Company shall terminate upon the occurrence of any of the following : (i) the election by the Members to dissolve the Company made by the unanimous vote or consent of the Members; (ii) the occurrence of a Withdrawal Event with respect to a Member and the failure of the remaining Members to elect to continue the business of the Company as provided for in this Agreement above; or (iii) any other event which pursuant to this Agreement, as the same may hereafter be amended, shall cause a termination of the Company. The liquidation of the Company shall be conducted and supervised by a person designated for such purposes by the affirmative vote or consent of Members holding a majority of the Members' Percentage Interests (the "Liquidating Agent"). The Liquidating Agent hereby is authorized and empowered to execute any and all documents and to take any and all actions necessary or desirable to effectuate the dissolution and liquidation of the Company in accordance with this Agreement. Promptly after the termination of the Company, the Liquidating Agent shall cause to be prepared and furnished to the Members a statement setting forth the assets and liabilities of the Company as of the date of termination. The Liquidating Agent, to the extent practicable, shall liquidate the assets of the Company as promptly as possible, but in an orderly and businesslike manner so as not to involve undue sacrifice. The proceeds of sale and all other assets of the Company shall be applied and distributed in the following order of priority: (1) to the payment of the expenses of liquidation and the debts and liabilities of the Company, other than debts and liabilities to Members; (2) to the payment of debts and liabilities to Members; (3) to the setting up of any reserves which the Liquidating Agent may deem necessary or desirable for any contingent or unforeseen liabilities or obligations of the Company, which reserves shall be paid over to licensed attorney to hold in 11 escrow for a period of two years for the purpose of payment of any liabilities and obligations, at the expiration of which period the balance of such reserves shall be distributed as provided; (4) to the Members in proportion to their respective capital accounts until each Member has received cash distributions equal to any positive balance in their capital account, in accordance with the rules and requirements of Treas. Reg. Section 1.704-1(b)(2)(ii)(b); and (5) to the Members in proportion to the Members' Percentage Interests. The liquidation shall be complete within the period required by Treas. Reg. Section 1.704- 1(b)(2)(ii)(b). Upon compliance with the distribution plan, the Members shall no longer be Members, and the Company shall execute, acknowledge and cause to be filed any documents or instruments as may be necessary or appropriate to evidence the dissolution and termination of the Company pursuant to the Statutes. 11. Representations of Members (Check if Applicable) ❑ - MULTI -MEMBER: Each of the Members represents, warrants and agrees that the Member is acquiring the interest in the Company for the Member's own account for investment purposes only and not with a view to the sale or distribution thereof; the Member, if an individual, is over the age of 21; if the Member is an organization, such organization is duly organized, validly existing and in good standing under the laws of its State of organization and that it has full power and authority to execute this Agreement and perform its obligations hereunder; the execution and performance of this Agreement by the Member does not conflict with, and will not result in any breach of, any law or any order, writ, injunction or decree of any court or governmental authority against or which binds the Member, or of any agreement or instrument to which the Member is a party; and the Member shall not dispose of such interest or any part thereof in any manner which would constitute a violation of the Securities Act of 1933, the Rules and Regulations of the Securities and Exchange Commission, or any applicable laws, rules or regulations of any State or other governmental authorities, as the same may be amended. 12. Certificates Evidencing Membership (Check if Applicable) ❑ - MULTI -MEMBER: Every membership interest in the Company shall be evidenced by a Certificate of Membership issued by the Company. Each Certificate of Membership shall set forth the name of the Member holding the membership interest and the Member's Percentage Interest held by the Member, and shall bear the following legend: "The membership interest represented by this certificate is subject to, and may not be transferred except in accordance with, the provisions of the Operating Agreement of , LLC, dated effective as of 20 , as the same from time to time may be amended, a copy of which is on file at the principal office of the Company." 12 13. Notices (Check if Applicable) ❑ - MULTI -MEMBER: All notices, demands, requests or other communications which any of the parties to this Agreement may desire or be required to give hereunder shall be in writing and shall be deemed to have been properly given if sent by courier or by registered or certified mail, return receipt requested, with postage prepaid, addressed as follows: (a) if to the Company, at the principal place of business of the Company designated by the Company; and (b) if to any Member, to the address of said Member first above written, or to such other address as may be designated by said Member by notice to the Company and the other Members pursuant to this Article 13. 14. Arbitration (Check if Applicable) ❑ - MULTI -MEMBER: Any dispute, controversy or claim arising out of or in connection with this Agreement or any breach or alleged breach hereof shall, upon the request of any party involved, be submitted to, and settled by, arbitration in the city in which the principal place of business of the Company is then located, pursuant to the commercial arbitration rules then in effect of the American Arbitration Association (or at any other time or place or under any other form of arbitration mutually acceptable to the parties involved). Any award rendered shall be final and conclusive upon the parties and a judgment thereon may be entered in a court of competent jurisdiction. The expenses of the arbitration shall be borne equally by the parties to the arbitration, provided that each party shall pay for and bear the cost of its own experts, evidence and attorneys' fees, except that in the discretion of the arbitrator any award may include the attorney's fees of a party if the arbitrator expressly determines that the party against whom such award is entered has caused the dispute, controversy or claim to be submitted to arbitration as a dilatory tactic or in bad faith. 15. Amendments (Check if Applicable) ❑ - MULTI -MEMBER: This Agreement may not be altered, amended, changed, supplemented, waived or modified in any respect or particular unless the same shall be in writing and agreed to by the affirmative vote or consent of Members holding a majority of the Members' Percentage Interests. No amendment may be made to Articles that apply to the financial interest of the Members, except by the vote or consent of all of the Members. No amendment of any provision of this Agreement relating to the voting requirements of the Members on any specific subject shall be made without the affirmative vote or consent of at least the number or percentage of Members required to vote on such subject. 16. Indemnification a) SINGLE -MEMBER: The Member (including, for purposes of this Section, any estate, heir, personal representative, receiver, trustee, successor, assignee and/or transferee of the Member) shall not be liable, responsible or accountable, in 13 damages or otherwise, to the Company or any other person for: (i) any act performed, or the omission to perform any act, within the scope of the power and authority conferred on the Member by this agreement and/or by the Statutes except by reason of acts or omissions found by a court of competent jurisdiction upon entry of a final judgment rendered and un-appealable or not timely appealed ("Judicially Determined") to constitute fraud, gross negligence, recklessness or intentional misconduct; (ii) the termination of the Company and this Agreement pursuant to the terms hereof; (iii) the performance by the Member of, or the omission by the Member to perform, any act which the Member reasonably believed to be consistent with the advice of attorneys, accountants or other professional advisers to the Company with respect to matters relating to the Company, including actions or omissions determined to constitute violations of law but which were not undertaken in bad faith; or (iv) the conduct of any person selected or engaged by the Member. The Company, its receivers, trustees, successors, assignees and/or transferees shall indemnify, defend and hold the Member harmless from and against any and all liabilities, damages, losses, costs and expenses of any nature whatsoever, known or unknown, liquidated or unliquidated, that are incurred by the Member (including amounts paid in satisfaction of judgments, in settlement of any action, suit, demand, investigation, claim or proceeding ("Claim"), as fines or penalties) and from and against all legal or other such costs as well as the expenses of investigating or defending against any Claim or threatened or anticipated Claim arising out of, connected with or relating to this Agreement, the Company or its business affairs in any way; provided, that the conduct of the Member which gave rise to the action against the Member is indemnifiable under the standards set forth herein. Upon application, the Member shall be entitled to receive advances to cover the costs of defending or settling any Claim or any threatened or anticipated Claim against the Member that may be subject to indemnification hereunder upon receipt by the Company of any undertaking by or on behalf of the Member to repay such advances to the Company, without interest, if the Member is Judicially Determined not to be entitled to indemnification as set forth herein. All rights of the Member to indemnification under this Agreement shall (i) be cumulative of, and in addition to, any right to which the Member may be entitled to by contract or as a matter of law or equity, and (ii) survive the dissolution, liquidation or termination of the Company as well as the death, removal, incompetency or insolvency of the Member. The termination of any Claim or threatened Claim against the Member by judgment, order, settlement or upon a plea of nolo contendere or its equivalent shall not, of itself, cause the Member not to be entitled to indemnification as provided herein unless and until Judicially Determined to not be so entitled. 14 17. Miscellaneous This Agreement and the rights and liabilities of the parties hereunder shall be governed by and determined in accordance with the laws of the State of Colorado. If any provision of this Agreement shall be invalid or unenforceable, such invalidity or unenforceability shall not affect the other provisions of this Agreement, which shall remain in full force and effect. The captions in this Agreement are for convenience only and are not to be considered in construing this Agreement. All pronouns shall be deemed to be the masculine, feminine, neuter, singular or plural as the identity of the person or persons may require. References to a person or persons shall include partnerships, corporations, limited liability companies, unincorporated associations, trusts, estates and other types of entities. This Agreement, and any amendments hereto may be executed in counterparts all of which taken together shall constitute one agreement. This Agreement sets forth the entire agreement of the parties hereto with respect to the subject matter hereof. It is the intention of the Member(s) that this Agreement shall be the sole agreement of the parties, and, except to the extent a provision of this Agreement provides for the incorporation of federal income tax rules or is expressly prohibited or ineffective under the Statutes, this Agreement shall govern even when inconsistent with, or different from, the provisions of any applicable law or rule. To the extent any provision of this Agreement is prohibited or otherwise ineffective under the Statutes, such provision shall be considered to be ineffective to the smallest degree possible in order to make this Agreement effective under the Statutes. Subject to the limitations on transferability set forth above, this Agreement shall be binding upon and inure to the benefit of the parties hereto and to their respective heirs, executors, administrators, successors and assigns. No provision of this Agreement is intended to be for the benefit of or enforceable by any third party. IN WITNESS WHEREOF, the parties have executed this Agreement this 'd.0 day of hlovember , 20 I& . LA Crow 1('a -11e J-:lc4)4or , LLC 11 ber Signatt Member Signature Member Signature 15 STATE OF �%or et4O COUNTY OF r l mtv' The foregoing instrument was acknowledged before me this a day of 1pV'tir l bc.C , 20 IS/ , by er ('t Celt' 10 ry scx.t, JENNIFER LINDA THOMAE S :: I) Notary Public Stab of Colorado Notary IC 20154007801 M Commission E Wes Feb 24, 2019 Notar Public My Commission Expires: OW a14 ` a0 L STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day of , 20 , by (Seal) Notary Public My Commission Expires: STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day of , 20 , by (Seal) Notary Public My Commission Expires: 16 17. Miscellaneous This Agreement and the rights and liabilities of the parties hereunder shall be governed by and determined in accordance with the laws of the State of Colorado. If any provision of this Agreement shall be invalid or unenforceable, such invalidity or unenforceability shall not affect the other provisions of this Agreement, which shall remain in full force and effect. The captions in this Agreement are for convenience only and are not to be considered in construing this Agreement. All pronouns shall be deemed to be the masculine, feminine, neuter, singular or plural as the identity of the person or persons may require. References to a person or persons shall include partnerships, corporations, limited liability companies, unincorporated associations, trusts, estates and other types of entities. This Agreement, and any amendments hereto may be executed in counterparts all of which taken together shall constitute one agreement. This Agreement sets forth the entire agreement of the parties hereto with respect to the subject matter hereof. It is the intention of the Member(s) that this Agreement shall be the sole agreement of the parties, and, except to the extent a provision of this Agreement provides for the incorporation of federal income tax rules or is expressly prohibited or ineffective under the Statutes, this Agreement shall govern even when inconsistent with, or different from, the provisions of any applicable law or rule. To the extent any provision of this Agreement is prohibited or otherwise ineffective under the Statutes, such provision shall be considered to be ineffective to the smallest degree possible in order to make this Agreement effective under the Statutes. Subject to the limitations on transferability set forth above, this Agreement shall be binding upon and inure to the benefit of the parties hereto and to their respective heirs, executors, administrators, successors and assigns. No provision of this Agreement is intended to be for the benefit of or enforceable by any third party. IN WITNESS WHEREOF, the parties have executed this Agreement this 11°' day of tilovcr ilbex , 20 1T , LLC �J �/•�,/� �Y✓lit-.. c� Member Signature Member Signature Member Signature 15 See t& %Re virr Merhuy STATE OF Nb(W CIc1tr�0,. COUNTY OF fors0ln The foregoing instrument was acknowledged before me this nth day of gove.MKi►►u►ii,,�� , 20 1g , by ..,��M •PAA , e'% I. (Seal) : cafO1Arn- 0= Pu6�- Z >0 r. S.,:<6 03 -27•? -°:k. .,/,i4 TH CU" •`N% My Commissiori'EVIS9es: (N2,1 I Z02( Jus-kin mqarha,n_ . STATE OF COUNTY OF The foregoing instrument was acknowledged before me this ,20 ,by (Seal) My Commission Expires: day of Notary Public STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day of ,20 ,by (Seal) Notary Public My Commission Expires: 16 APPLICATION FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS MAPS AND PROPERTY INFORMATION I\(\ e r _, 5 w ioe S `'-)e 1f Cycno vale\h"Aketi l7tL0P5 I I r \' LD Crow Valley Liquor, LLC Security Plan LD Crow Valley Liquor, LCC D.B.A Crow Valley Liquor is located at 37927 CO 14 in Briggsdale, CO 80611. The premises is secured with 2 exterior security doors that only the landlord (Chris A Schultz) and tenant (Danielle M Dempsey) have keys to. There are also security cameras present on the interior of the building. The front door will be unlocked during business hours with the side exterior door being used as an emergency exit only. v _ ,. y . • 1 l' 0') O 0-a -o rn D� )00 m Z Z CO V cfl CO v 10 u La 9 0 O 0a up C) w C • LOT B -NOT A PART - WATER Tag Z � ABSORPTION BED SEPTIC TANK cd O Nit WQCV POND REQ. VOL.=---- 703 SQ. FT. 4:1 SLOPE 1' DEEP NO BUILD/ STORAGE AREA 50' ROAD ROW LREC.#815243 5/3/1939 S88°35'54"W D w w sr) tD M 62.7' -SIGN CMP 10, PROPANE TANK SIGN 6. 1 2131.61' • • L- COMMERCIAL ACCESS STATE HWY PERMIT =412 C_ r 4 I S ..••_,_ .. -. Z: •. -. ,t 8 *18'07"E 387.9'' LOTA 3.57 AC.i (3.11AC. ± VIA/C ROAD ROW) x ENCLOSED TRASH AREA - kee fl• • 2O' co (BASIS OF BE_? S88`35'54" 406.58' A. CO. ST. COUNTY ROAD 77 VACATED ROAD Ri PER RESOLUTION - EC.=2657034 ea. AMON 1998 LIM RECORED EXEMPTION NO. 0545-20-04 RECX12-0079 SOUTH ONE-HALF SOUTHEAST ONE -QUARTER (SE SE4), SECTION 20 TOWNSHIP 8 NORTH, RANGE 62 WEST OF THE 6TH P.M., WELD COUNTY, COLORADO LOT LINE TABLE GT SITIVICTOR NOT, ci.Au one x«era•« %It or were firm srax er colo.nae vnl«. axr.a ern..wx.. Nre i) xo te^ f"s-?S;n 5.)w1eM� a mr one% .pie. ani°v. ne/nrh ioreb• C ult. m. f . e xm x l onto n e"sr. g. pEARIx2� •n m " moa..."rp Lmm�r!urnortls �si9, anew, sa.rT2 plat (82)co«r a .M a"s 0.niarn•a anomnmI and recorded easements have LOTA 57 AC. pr r Cf A 2P,gb.a.xxRpn'.., M. PROPERTY ESCNPxoN• mS(e)"xonn, xe#p. 040 .T20I62) wa.1 Ierf n. °enr s•or'Cn pw•nh (f0), tow,mlp ea..eea. Th• error.-a°•eawa po«•I er lena e.rs .w•e. men err r••.. •L .r /s p/ Scale 1' = 200' Ix 4 TEnu s. 08080 004?) �� l 9WNER's APPROVAL MI^o 'n - pw(y a enby O°,.p•xuXvmr)•.also rmemee le p emae areas ler Stole of 4.18.842) Cevnh er1—)j The 'crap., 6.rmloale was eeb,ew e a Wore me thI*& -aor e My Commission Ex..: Notary Public; ,a- Tnl.{pauv mmyrecone a>y"dvaa bme oevomnenr o' Prannrnv Sends. for nlrnp. mreaxnOsparimenl cf rx, Services sae of COIer ea) ) ° eanrr m y,1p,� ) The foregoing a•n'naafe was aaenaw pea before me o,x,4,, or.Nev+maer 4.0.. 00,.2 My Commie.'.,Esp..: Y/6(gp/y Mine. my Nand and Seal, VIE)R'TV MAP 2.a•. r"...a...a ••rmeR x m..•^0— aenre,"`'.Px• ma, "' a �) °e.x, E..,P+e, n:rma... ,". xnal:� amm" eaaxePa,.. x. w «•aa:xn a:..." .«a .".:I I,.Ia.. x. • aeem I. a.rnPl `s7.rs ':n x.. x ao«xa en as aI ox.r. ne EmrA m n.". pr, Mile ce��ry,�ea•. nalr e• .«pone'• i •r eem«pinp Za .rb:t••eu ;:even' x C"onr.. re. nnln« .na n el x• e gung. trwa.. r�) wirla [�evnxva� for', pRxxp w n. x«a a, r vmv«•a ra..I 4 t r«II1 Aanry.��. a e wai mpa Immer E a en x• • , 'III e• •av:na ra ea"•re ro '"• r« nmmvx a, can r ere �.i2raxnna."o,",':) ra oPes a'.R. w.x. axn "apmm, e«abe.. Ia:... o. a".r .wara....nI•„ � ° a' en' « ena _ a (4.202) •« 06.. on *Ire (Isl. e, «• rerer• of Delnwe) '��`xe'xp mllam,. ear"na.. a r r+nuloeaawelwv'imu ICAIu ■ e ^ape«oI a ma w=. rra. ..«. a me.o prwrm tight w..... s»um •1.41 -TO .r tm To. C..,r. e. lets nun... e, m -e. entolomm Mrw IMlman• in. p.ev..rr »«n) Mee M ,»a« a r... (a). er mw^ . ...n.M1»e«w« 'e w. sw =roe .= V.= p..17o .,eibee. 2 -. . .. o. o er «M ..m er x. swa w... u.Ivee111.. mo r.emi» LI. :=1."'°".i:rian. w..Irry ct «V' ,,..rr..r rrw..r....,wl.. • "w.n <..I, r.w.nn a. IM wpaere ama wawa I. e«m«.a. «In r emeoma "ea. whew, me,. et m Mm. .nelw0m"nnol, m1. In. 004.E p0rm.� or`"rw a 4.0,7.11«. Ii .wa-O. °mtli. w ..r« .,.an w„ A.n mt. oorn. engo eopkoele w» «a »w oaone el sale ono Mee. *Win ma Me I. M•v p�nrm,...»a ua an re « »oe». a oanm. — ,» .In.Mn. er a. w.# an .roa.«m iMmmmn ml -» "— » m. I« aa-I_ mom, m.o.; �.e••.'n.,...nm « rem... Tor *ay .nn Me Mawr venom« of Sam., mw.a .an wMbeMe.-I..m.ompha,.40 .Omww#n.,anwe.0,». At:: e:^r re.. celenea en nv aa: may m «.a .w« rra, be .mlo....nn « eentraeao iv. SM. natl.. met. ea. en Me prem. at become is-r_r a, ..»«.aw ,m a«r.wwv '" «wu. ««., Mnu«r ro ueam AZT-peel n«n, e.m el t rldop momaxaiwlnv Ma oww am. eew ,...dm. OM ore. a..x^10 be vree.a a M�pmw.,I• w •or.anan °, .a.. 07."1- =7;4.= raw Mmn nwmmn. •'1rM»or ew O...ww»mr slanamo. nneerwnn w�-ol. aI..w the Mato be an.. le Me Own Rpm. Prom ontoxma.IrmI"'"no.re»r�^M°no°pn`«.r Yam.. °"°.00°e«n'vr«,':a.. wano«r m=�• cempl�inn r m. pa Ml by M �eaN .l�«h uaenurrl«airarnunm aropm.nr aaN. mar e...won la. raweelra.. er Iemm., n.« ,«el Wee . #n elln«I urban Mmilare le meal Nee Cowry=:1,4 «yrawwr^itr'It.lebretwan pwp or°rm o ameba la. MI. On mof aertelzeael. MMat eta ieu° .wm *ITTebell not lbe Mc a.' c«ax�.ws.am. AlAl Me M a agrla.A.Imp.a'ano anon ea"eewn " "tr.'r. rn•moM . en . rw1 ma me or ow ea 1!"?' Mw oenr.rruHn. n ..nrw.u. m Inu ......�nmrbap^w ..^rinlrm o.. m. eaa,weeaa ranl a rn..w.. • ml« ImmirrMMen� m^,wa. a hI. P.Wan a Ea^ .Mae ^m .. Wm.r"p°rera.. al USR 12-0076 LOCATED IN THE SOUTH ONE-HALF SOUTHEAST ONE -QUARTER (S2 SE4), SECTION 20 TOWNSHIP 8 NORTH, RANGE 66 WEST OF THE 6TH P.M., WELD COUNTY, COLORADO VICINITY MAP PROP/..IITY 041.13 MOM I/O I.p RAMOS CITY ..aca I PROPERTY OWNER PARCEL I I) 74.2.wr t guar can le) tom fen. co. 0sasas0un0a0 2)O.. 1a)Mme•aw.» 1) Jane. Moneo 05.02000012 10) 0. 0"rmn 0.545281.010 s) Jana. O«q 05452900.13 201 2,7.4»4. Mein. me. 0045.24200017 q can rm.m, c> an errovae. Men. No. 054528200013 a) Tem . Me Han 05452.0000,0 22) PM... Moor. nab 5) tnr. 1 Items xnuna OP43.21300017 II) IW.Iae sonrb OEMPOIMMIP ao Mr. A Nom Mme 0541.21330014 Lamy freemen2a) .a..nen .) Anne Sam* 0443113.015 25) Mar.^» at Jee Moil 05004200010 II) ueuw II E... I.c 1010 200011 II) MITTORMTI5 7.0. 0045.0.0200011 III 1.O, A1an.ra. 555 07) Mem. wawa 05.52.120400.3 .$) wow lbo. 01412914424 a) Panay ") M'n '°""w'°",!, 4.110140:1 29) Jana. le.u' OPMa1a0s41 10) Omw 1 owns Oa.. 054326200010 rl.xl-a rm.,sv0. 11.111.- a a. a Cn aac.n.x::�a..�. w' :r. wr„m'"°rrrl •" "" Ose " County ` ...Mr in.llon »,a«atm..at. mbar. .*or "a 000 Ca. co ,c . .nrna"w 011517 can roJ lyJne rC^Iwa Ip.ew r.2 ^^ m. 73µm'::= neon w.'".044°"=1:1"71.7 .r q .qq,moo.. um. end US. M Simon R. SoMila Mole el Colon. a. ,,,an...Mt...Zed, may amt ga 6 G hex 1 iFATIRAONWOMbliolffidlimat USR7 2-0076 LOCATED IN THE YflI 1TH ONE-HALF SOUTHEAST ONEQUARTER(52 SE®?, SECTION 20 TOWNSHIP © NORTH. RANGE 62 WEST OF THE 6TH P1f., WEED COUNTY. COLORADO - I O ro su..._ ,. —wn.w MIRiYG 'WEARS VISISSr �SEYEEYSYCYL REYPIPpela EEE.PURIW,Y YOE Seale r = SII^ Y. SIMI. Mal �� SPE CEESSYLIZOIY IRIS assoc. WY. EMMY PEP YodE SISSZBIG SUN SAMISSIS SEPTIC AM YPEEPPYI tab. POP'S COMPISION OP ISIS SMELTS PEP YPIEP .0122. �Yr e.ma ssm.Y..wm Ewary ES a ..s+.+ Ykotlanno fasovw owr Coayr Yam !— Y+w++m m. 6.ar wc._u it dr igtOc. flaw 66•462.6, mp w.mYank a mm ma.. CM* .Yoga YaryYy a y a: Ew.,.w. — — w�Yw Yw«..rA m, 6.1 Y. *NY le ow evool NIP eay acPy +, Spay yew B.W. Ow* aW @JwrrW iww sa• sW-r�. lW wr Msr 4 w. s.r ma.. r afiL togs. Yaw ifir* 6,6116.6•216 *OW 661.66-0 a.• �m.ay* sap ovs s w Yam NM, ..p 201.• .w`,.. hi.w Y rEwa lar tot wydr}. wog me/we a n, mat —d 1 lMa16W..9x'- ' .r Y4 as a — 6gy ... Yana a .Ls p..** `sw.-- Earn, EYE r Sea poop...... rsx •N•S p -Wes *we aw....p. >1mlagt r`w�rr• ... i w w pµEl Toyr rr+ se a 000 f.. Yo waft 1�bir Yr Pay •, ysoy yet ads py.��.�Ywrw ms Wiwr Prodaykyd at Yeoman, Ass*. L law. LS- N'Sam Fs, poi ea OYPY v pax a a a J Mir WELD COUNTY dais.i,E ��,�,,,,��, Crow Valley Liquors 3,700.7 0 OFFICE TRAI 1,850.37 WGS 1984 Web Mercator Auxiliary Sphere c Weld County Colorado 3,700.7 Feet This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable THIS MAP IS NOT TO BE USED FOR NAVIGATION Legend Parcels USR - Uses by Special Reviev Floodplain - 500 Year Floodplain - 100 Year Zone A Floodplain - 100 Year Floodwa Floodplain - 100 Year Zone AE Floodplain - 100 Year Zone AI- Floodplain - 100 Year Zone AC Highway Road Road Highway City Limits - Extended Ault Berthoud Brighton Dacono Eaton Erie Evans Firestone Fort Lupton Frederick Garden City Gilcrest Greeley Notes IIIMI! WELD COUNTY Crow Valley Liquors ONLINE MAPPING • t14. r. . 4 f s •, i I y.. c ',0 r 44-236 ,`� _ Legend ` \,, I—' Parcels to R .L .. . �► ` Floodplain Floodplain - 500 - 100 Year Year Zone A r _ `t %` kFloodplain ilt .4 S. Sips s t' it •- 4,s 1 if 444129 — - - Floodplain Floodplain Floodplain Highway - 100 - 100 - 100 - 100 Year Floodwa Year Zone Year Zone Year Zone AE Ab AC %. •. �,.• i i •r ! k - - I. County Boundary -1%s tot • ,, as ..1 1..4. rNet:- -:.i, .44vitteitiopit .. . . _ , „a: - - . _ - .4, . ... . , to a ,i , . _. .. , , .... ... •1 ,ti _-_ art' _- - -. _..- _ y,-.._ -- --- - = _..__ -- ---. ;.;,<.....::; -� . _i .. . .-u. HIGHWAY 14 1,1 •_f_379674p ,• } VVV VVV r•-�%1 f _. im' q < . _ _ -. • • • ,. - ..All,. •v., ♦ r • 4• r•� . .. . .e.' -.. i-S _ - -. . _ 1i • '_ .. ._ ._. - 1. __ 95 f ai i •._ [,'^r • rT?t i- r.-. - .._ iw era 4? r 4 �`{ .... 41 t t 4 n $ T . .., 43 827.?tt ,� _ qz.+754- 1: 5,551 0 Notes 41.11, 925.2 0 462.59 925.2 Feet This map is a user generated static output from an Internet mapping site and is for WGS c Weld 1984_ County reference only. Data layers that Web_ Mercator Auxiliary Sphere Colorado THIS appear MAP on IS this NOT map may or may current, or otherwise TO BE USED FOR not be accurate, reliable. NAVIGATION "IPWELD COUNTY ONLINE MAPPING Crow galley liquors 115.6 0 57.82 WGS_1984 Web Mercator Auxiliary Sphere c Weld County Colorado 115.6 Feet This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION • er . • • J • Legend Ls Parcels Floodplain Floodplain Floodplain Floodplain Floodplain Floodplain Highway County Boundary - 500 Year - 100 Year Zone A - 100 Year Floodwa - 100 Year Zone AE - 100 Year Zone AF- - 100 Year Zone AC Notes 10/2/2018 Property Report Weld County PROPERTY PORTAL Property Information (970) 400-3650 Technical Support (970) 400-4357 Account: R6782110 October 2, 2018 Account Information Account Parcel Space Account Tax Type Year Buildings R6782110 054520400001 Commercial 2018 3 Legal PT S2SE4 20 8 62 LOT A REC EXEMPT RECX12-0079 Subdivision Block Lot Land Economic Area Property Property Address City 37967 HIGHWAY WELD 14 BRIGGSDALE COMMERCIAL Actual Assessed Value Value 74,705 12,270 Zip Section Township Range 20 08 62 Owner(s) Account Owner Name Address R6782110 SCHULTZ STEVEN R R6782110 SCHULTZ CHRIS A 34978 COUNTY ROAD 83 BRIGGSDALE, CO 806117809 Document History https://propertyreport.co.weld.co.us/?account=R6782110 1/10 10/2/2018 Property Report Reception Rec Date Type Grantor Grantee Doc Fee Sale Date Sale Price 3891556 3891556 11-28-2012 RE 11-28-2012 RE RECX12- RECX12 0.00 11-28-2012 0079 0079 RECORDED RECX12- EXEMPTION 0079 0.00 CASS SCHULTZ 3916287 03-11-2013 WD RANDOLPH STEVEN 12.00 03-08-2013 120,000 J R USE BY 3934626 05-23-2015 USR SPECIAL REVIEW USR12- 0076 LIQUOR STORE 0.00 ID Building Information AccountNo Building ID R6782110 Type Building 1 NBHD Occupancy Residential 7001 Single Family Residential on Ag Occupancy Single Family Residential on Ag Complete 100 Bedrooms Baths Rooms ID Exterior Roof Interior HVAC Perimeter Units Unit Type Make Cover Frame Hardboard ID Square Ft 864 Plaster Floor/Wall Furnace Condo Total Finished SF Basement Basement SF SF 864 Garage Carport Balcony ' Porch SF SF SF SF 140 https://propertyreport.co.weld.co.us/?account=R6782110 2/10 10/2/2018 Property Report Built As Details for Building 1 ID Built As Square Year Ft Built 1.00 Story Ranch 1 ry 864 1915 Additional Details for Building 1 ID Detail Type Description Bsmnt Conc 8 ft Basement Fixture Fixture Fixture Porch AccountNo R6782110 ID Type 2 Commercial ID Exterior 2 Bath 4 Sink Standard Water Heater Ceiling Open Slab Open Slab Solid Wall Wood Roof Building 2 Stories Length Width 0 Units 140 Building ID Occupancy 2 Retail NBHD Occupancy Complete ! Bedrooms Retail ; 100 Roof Interior HVAC Perimeter Units Cover Gable Floor Wall 122 Furnace 864 81 140 140 140 Baths Rooms Unit Type Make https://propertyreport.co.weld.co.us/?account=R6782110 3/10 10/2/2018 Property Report I 2 Square Ft Condo SF Total Finished Basement Basement SF SF 0 Built As Details for Building 2 ID Built As Square Year Ft Built Garage Carport ! Balcony Porch SF SF SF SF Stories Length Width 2.00 Restaurant 820 1948 1 No Additional Details for Building 2 AccountNo R6782110 ID Type 3 Commercial ID Exterior 3 Building 3 Building ID Occupancy 3 Utility Building NBHD Occupancy Complete Bedrooms Baths Rooms Roof Cover Gable ID Square Condo Ft SF 3 806 Utility Building Unit Type Interior HVAC Perimeter Units None Total Finished Basement Basement SF SF 114 Make Garage Carport Balcony ! Porch SF SF SF SF https://propertyreport.co.weld.co.us/?account=R6782110 4/10 10/2/2018 Property Report Built As Details for Building 3 Square Year Ft Built ID 3.00 Built As Comm Shed - Utility 806 1930 Stories Length Width No Additional Details for Building 3 Type Code Improvement 2212 Valuation Information Description MERCHANDISING - IMPROVEMENT Improvement 4277 FARM/RANCH RESIDENCE -IMPS Land 2112 MERCHANDISING - LAND Land Totals 4147 GRAZING LAND - AGRICULTURAL Actual Value Assessed Value Acres 16,567 4,800 0.000 43,070 3,100 0.000 15,000 4,350 0.574 25,000 Land SqFt 68 20 2.996 130,510 74,705 12,270 3.570 155,510 For Single Family Residential Houses, search for sales of similar properties using our Property Portal. Tax Authorities https://propertyreport.co.weld.co.us/?account=R6782110 5/10 10/2/2018 Property Report Tax District Area ID District Name 1007 0700 AIMS JUNIOR COLLEGE 1007 0524 BRIGGSDALE FIRE 1007 1050 HIGH PLAINS LIBRARY 1007 0210 SCHOOL DIST RE10J- BRIGGSDALE Current Mill Levy 6.317 4.002 3.256 15.219 1007 0100 WELD COUNTY 15.800 1007 1200 WEST GREELEY CONSERVATION Total - - 45.008 0.414 Photo https://propertyreport.co.weld.co.us/?account=R6782110 6/10 https://propertyreport.co.weld.co.us/?account=R6782110 10/2/2018 Property Report Open Slab 6.0' 14.0' 36.0 sf Solid Wall o 224.0 sf - Bldg #1 Sketch by Apex Medina^' 24.0' Residence 864.0 sf Bsmnt Conc 8 ft 864.0 sf Open Slab 40' 12.0 sf Building 1 Page 1 36.0' Bldg #2 20.0' Sketch by 'hex Medina^" 41.0' Restaurant 820.0 sf Building 2 Page 1 13.0' Bsmt entry 78.0 sf O O https://propertyreport.co.weld.co.us/?account=R6782110 9/10 10/2/2018 Property Report Bldg #3 Sketch by Poe], Medina". 31.0' Utility 806.0 sf Building 3 Page 1 O N Copyright © 2018 Weld County, Colorado. All rights reserved. Privacy Policy & Disclaimer I Accessibility Information https://propertyreport.co.weld.co.us/?account=R6782110 10/10 APPLICATION FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS BACKGROUND CHECK DR 8404-I (08/10/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Individual History Record To be completed by the following persons, as applicable: sole proprietors; general partners regardless of percentage ownership, and limited partners owning 10% or more of the partnership; all principal officers of a corporation, all directors of a corporation, and any stockholder of a corporation owning 10% or more of the outstanding stock; managing members or officers of a limited liability company, and members owning 10% or more of the company; and any intended registered manager of Hotel and Restaurant, Tavern and Lodging and Entertainment class of retail license Notice: This individual history record requires information that is necessary for the licensing investigation or inquiry. All questions must be answered in their entirety or the license application may be delayed or denied. If a question is not applicable, please indicate so by "N/A". Any deliberate misrepresentation or material omission may jeopardize the license application. (Please attach a separate sheet if necessary to enable you to answer questions completely) 1. Name of Business Lo C(C)W Va.11 Liquors Home Phone Number N I Cellular Number cf7o anS1 3 2. Your Full Name (last, first, middle) -1 ?OMp , Oo-n'd\e, mo.x+ e, 3. List any o her names you have used N Pk" 4. Mailing a ldres�',if different from residence) NI .A. Email Address e mizseq,SP rno-i Isom 5. List current residence address. Include any previous addresses within the last five years. (Attch sepal -1.1e sheet if necessary) and Number City, State, Zip From To Current 1-60 tO CR Cl o Qbr�gc�ScaC -lei co 80 (o t I 8/ ) 5 Preseri1 8/i5 a�aq�u.Previous U.t-1 #101 � GreeleA, co $0(1)3(4 cilia 6. List all employment within the last five years. Include any self-employment. (Attach separate sheet if necessary) Name of Employer or Business Address (Street, Number, City, State, Zip) Position Held From To Mxx leuJoed 59 nt .aOI 51%,Im -4 I 1 > n , Co so(o 15 C:coh (er 3' IS g q Ira Mc&r-l-in Mar►ettrk Qa 5 N, 35 rtve. Greelej, Co 8a03 D6veX 51(3 11 /17 7. List the name(s) of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. Name of Relative Relationship to You Position Held Name of Licensee N\A- 8. Have you ever applied for, held, or had an interest in a Colorado Liquor or Beer License, or loaned money, Yes g*No furniture, fixtures, equipment or inventory to any licensee? (If yes, answer in detail.) 9. Have you ever received a violation notice, suspension, or revocation for a liquor law violation, or have you Yes lk, No applied for or been denied a liquor or beer license anywhere in the United States? (If yes, explain in detail.) 10. Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited ❑ Yes A No bail for any offense in criminal or military court or do you have any charges pending? (If yes, explain in detail.) 11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a ❑ Yes No deferred sentence? (If yes, explain in detail.) 12. Have you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.) ❑ Yes gi No Personal and Financial Information Unless otherwise provided by law, the personal information required in question #13 will be treated as confidential. The personal information required in question #13 is solely for identification purposes. 13a. Date of Birth b. Social Security Number c. Place of Birth n /,o� KiS� I V ' " 1District d. U.S. Citizen 'Yes ❑ No e. If Naturalized, state where f. When g. Name of Court h. Naturalization Certificate Number i. Date of Certification j. If an Alien, Give Alien's Registration Card Number k. Permanent Residence Card Number I. Height 510 m. Weight Z.00 n. Hair Color bondc o. Eye Color 610e. p. Gender F q. Race Wh itt r. Do you have a current Driver's License/ID? If so, give number and state. AYes ❑ No # 12 CO 14. Financial Information. a. Total purchase price or investment being made by the applying entity, corporation, partnership, limited liability company, other. b. List the total amount of the personal investment , made by the person listed on question #2, in this business including any loans, cash, services or equipment, operating capital, stock purchases or fees paid. $ notes, * If corporate investment only please skip to and complete section (d) ** Section b should reflect the total of sections c and e c. Provide details of the personal investment described in 14b. You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Account Type Bank Name Amount d. Provide details of the corporate investment described in 14 (a). You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Loans Account Type Bank Name Amount 1. i(-). e. Loan Information (Attach copies of all notes or loans) Name of Lender Address Term Security Amount i Oath of Applicant I declare under penalty of perjury that this ap lication and all attachments are true, correct, and complete to the best of my knowledge. Au 'zed n e not Signature ye-i f 1' Title nV ou ' e De d I I I� 1 COLORADO Bureau of Investigation e ,e ri r. a:,i of t1u lic Su` ny Identification 690 Kipling Street, Suite 3000 Lakewood, CO 80215 DATE 10/08/2018 SO WELD COUNTY RECORDS GREELEY 1950 "O" STREET GREELEY, CO 80631 Page 1 of 1 RE: DEMPSEY,DANIELLE MARIE DATE OF BIRTH: SOC: XXX-XX- No Colorado record of arrest has been located based on above name and date of birth or through a search of our fingerprint files. The Colorado Bureau of Investigation's database contains detailed information of arrest records based upon fingerprints provided by Colorado law enforcement agencies. Arrests which are not supported by fingerprints will not be included in this database. On occasion the Colorado criminal history will contain disposition information provided by the Colorado Judicial system. Additionally, warrant information, sealed records, and juvenile records are not available to the public. Since a record may be established after the time a report was requested, the data is only valid as of the date issued. Therefore, if there is a subsequent need for the record, it is recommended another check be made. Falsifying or altering this document with the intent to misrepresent the contents of the record is prohibited by law and may be punishable as a felony when done with intent to injure or defraud any person. Sincerely, John Camper, Director Colorado Bureau of Investigation 700 Kipling Street Suite 1000, Lakewood, CO 80215 cdpsweh.state.co.us John W. Hickenlooper, Governor I Stan Hilkey, Executive Director Page 1 of 1 CIVIL APPLICANT RESPONSE ICN E2018282000000011122 CIDN OCA CO0620000 DEMPSEY,DANIELLE MARIE DOB MNU SOC SEX F RAC W HGT 505 COCBI0000 COLORADO B OF I DENVER CO 2018/10/05 A SEARCH OF THE FINGERPRINTS ON THE ABOVE INDIVIDUAL HAS REVEALED NO PRIOR ARREST DATA. CJIS DIVISION 2018/10/09 FEDERAL BUREAU OF INVESTIGATION COCBI0000 CO BUREAU OF INVEST COLORADO CRIME INFO CTR STE 3000 690 KIPLING ST DENVER,CO 80215-8001 Richard E Dempsey 24 Sherman Dr. Hilton Head Island, SC November 9, 2018 To Whom it May Concern, It is my pleasure to recommend Danielle M Dempsey for a retail liquor license. She is an upstanding member of the community and has experience in the retail liquor business. She will be a responsible license holder and an asset to her customers. Sincerely, Richard E Dempsey Chris Schultz 34978 Weld Co. Rd. 83 Briggsdale, CO 80611 970/656-3632 October 2, 2018 To Whom it May Concern It is my pleasurer to write this letter of recommendation for Danielle Dempsey for her application for a retail liquor license. I have known Danielle as a customer and friend for four years. She has been a member of the Briggsdale community during our relationship. Danielle has experience in the liquor retail business and she would be a qualified and responsible license holder. Sincerely, Chris Schultz November 11, 2018 TM PRECISIO(1 SPIRITS To Whom it May Concern,I'm writing to recommend Danielle Dempsey for a retail liquor license. As I know from my own business, liquor licenses require a great deal of record keeping and devotion to customer service. I think that Danielle will excel at both of those things since I have seen her work successfully in multiple fields over several years. I've known Danielle for over 5 years, and I believe that she has the business and retail liquor experience to be an excellent, responsible license holder. Yours Sincerely, Heather Bean Syntax Spirits, LLC 700 6th Street, Greeley, CO 80631 970.352.5466 info@syntaxspirits.com www.syntaxspirits.com DR 8404-I (08/10/16) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205-2300 Individual History Record To be completed by the following persons, as applicable: sole proprietors; general partners regardless of percentage ownership, and limited partners owning 10% or more of the partnership; all principal officers of a corporation, all directors of a corporation, and any stockholder of a corporation owning 10% or more of the outstanding stock; managing members or officers of a limited liability company, and members owning 10% or more of the company; and any intended registered manager of Hotel and Restaurant, Tavern and Lodging and Entertainment class of retail license Notice: This individual history record requires information that is necessary for the licensing investigation or inquiry. All questions must be answered in their entirety or the license application may be delayed or denied. If a question is not applicable, please indicate so by "N/A". Any deliberate misrepresentation or material omission may jeopardize the license application. (Please attach a separate sheet if necessary to enable you to answer questions completely) 1. Name of Business L) C,VOW V Ltq uo S Home Phone NIA Number CelarNumber�/ 7Os;t T7 b� 2. Your Full Nam.slest, (,€t i t firstiddle)) 60)-143 All Jr 3. List any otthlgrrnames you have used I„ 4. Mailing address (if different from residence) n Email Address 5. List current residence address. Include any previous addresses within the last five years. (Attach separate sheet if necessary) Streetand Number City, State, Zip From To Current x l o C/C 4 (tc(U 'v/^f, iscigt i ( (� D�° it � il's P14,L Previous Z ({ t.). 2- Cl <- p 11°I Cer 2/ e �j (0 gr16 1 y 0 Z G► �� 6. List all employment within the last five years. Include any self-employment. (Attach separate sheet if necessary) Name of Employer or Business Address (Street, Number, City, State, Zip) Position Held From To fltv /lice kk//h ;36 I rf 4 ✓-e- 6,€(4,6 N ,./74,, (t /13 cm 7. List the name(s) of relatives working in or holding a financial interest in the Colorado alcohol beverage industry. Name of Relative Relationship to You Position Held Name of Licensee /1/C0e.- 8. Have you ever applied for, held, or had an interest in a Colorado Liquor or Beer License, or loaned money, Yes oallo furniture, fixtures, equipment or inventory to any licensee? (If yes, answer in detail.) 9. Have you ever received a violation notice, suspension, or revocation for a liquor law violation, or have you Yes iiN No applied for or been denied a liquor or beer license anywhere in the United States? (If yes, explain in detail.) 10. Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited ❑ YesNo bail for any offense in criminal or military court or do you have any charges pending? (If yes, explain in detail.) 11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a ❑ Yes (No deferred sentence? (If yes, explain in detail.) 12. Have you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.) ❑ Yes gi No Personal and Financial Information Unless otherwise provided by law, the personal information required in question #13 will be treated as confidential. The personal information required in question #13 is solely for identification purposes. 13a. D4f SocialSecurity is° c. Pic o1- f Birth L A When C d. U.S. Citizen [Yes ❑ No e. If Naturalized, state where f. g. Name of District Court h. Naturalization Certificate Number i. Date of Certification j. If an Alien, Give Alien's Registration Card Number k. Permanent Residence Card Number I. Height S -1/0/c n m. Weight / fo n. Hit Color /lH /�4e o. Eye Color E$/u.� p. Gender Al q. Race r. Do you have a current Driver's License/ID? If so, givenumber and state. `F State N Total $—_C) Information. purchase price or investment being made by the applying entity, corporation, partnership, limited liability company, other. b. List the total amount of the personal investment , made by the person listed on question #2, in this business including any operating capital, stock purchases or fees paid. $ notes, loans, cash, services or equipment, * If corporate investment only please skip to and complete section (d) ** Section b should reflect the total of sections c and e c. Provide details of the personal investment described in 14b. You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Account Type Bank Name Amount 1\1. IA d. Provide details of the corporate investment described in 14 (a). You must account for all of the sources of this investment. (Attach a separate sheet if needed) Type: Cash, Services or Equipment Loans Account Type Bank Name Amount 14A e. Loan Information (Attach copies of all notes or loans) Name of Lender Address Term Security Amount NIA Oath of Applicant I declare under penalty of perjury that this application and all attachments are true, correct, and complete to the best of my knaowledge. Auth zed Signature Print ignature Title D COLORADO Bureau of Investigation l)...E :krtmera of Public Sa`e,y Identification 690 Kipling Street, Suite 3000 Lakewood, CO 80215 DATE 10/09/2018 SO WELD COUNTY RECORDS GREELEY 1950 "O" STREET GREELEY, CO 80631 Page 1 of 1 RE: LEWIS,THOMAS RAY JR DATE OF BIRTH: SOC: XXX-XX- No Colorado record of arrest has been located based on above name and date of birth or through a search of our fingerprint files. The Colorado Bureau of Investigation's database contains detailed information of arrest records based upon fingerprints provided by Colorado law enforcement agencies. Arrests which are not supported by fingerprints will not be included in this database. On occasion the Colorado criminal history will contain disposition information provided by the Colorado Judicial system. Additionally, warrant information, sealed records, and juvenile records are not available to the public. Since a record may be established after the time a report was requested, the data is only valid as of the date issued. Therefore, if there is a subsequent need for the record, it is recommended another check be made. Falsifying or altering this document with the intent to misrepresent the contents of the record is prohibited by law and may be punishable as a felony when done with intent to injure or defraud any person. Sincerely, John Camper, Director Colorado Bureau of Investigation 700 Kipling Street Suite 1000, Lakewood, CO 80215 cdpsweb.state.co.us John W. Hickentooper, Governor I Stan Hilkey, Executive Director Page 1 of 1 CIVIL APPLICANT RESPONSE ICN E2018282000000059602 CIDN OCA CO0620000 LEWIS,THOMAS RAY JR DOB MNU SOC SEX M RAC W HGT 510 COCBI0000 COLORADO B OF I DENVER CO 2018/10/05 A SEARCH OF THE FINGERPRINTS ON THE ABOVE INDIVIDUAL HAS REVEALED NO PRIOR ARREST DATA. CJIS DIVISION 2018/10/09 FEDERAL BUREAU OF INVESTIGATION COC BI0000 CO BUREAU OF INVEST COLORADO CRIME INFO CTR STE 3000 690 KIPLING ST DENVER,CO 80215-8001 November 11, 2018 TM PRECISIOf SPIRITS To Whom it May Concern,I'm writing to recommend TJ Lewis (Thomas R. Lewis Jr.) for a retail liquor license. I've known TJ for over four years, and have seen him work successfully in the local oil industry as both an employee and a small business owner. Liquor licenses require consistent effort to maintain, and I think that TJ has a strong work ethic and the skills to succeed. I believe that he will be beneficial to the community and act as a responsible license holder. Yours Sincerely, Heather Bean Syntax Spirits, LLC 700 6th Street, Greeley, CO 80631 970.352.5466 info@syntaxspirits.com www.syntaxspirits.com Richard E Dempsey 24 Sherman Dr. Hilton Head Island, SC November 9, 2018 To Whom it May Concern, It is my pleasure to recommend Thomas R. Lewis Jr for a retail liquor license. I have known him for 8 years and have the honor of calling him my friend. He's an experienced small business owner in the local oilfield industry and would be a responsible license holder and an asset to the community. Sincerely, Richard E Dempse Chris Schultz 34978 Weld Co. Rd. 83 Briggsdate, CO 80611 970/656-3632 October 2, 2018 To Whom it May Concern It is my pleasurer to write this letter of recommendation for Thomas Lewis for his application for a retail liquor license. I have known Thomas as a customer and friend for four years. He has been a member of the Briggsdate community during our relationship. Thomas has experience as a small business owner in the transportation industry he would be a qualified and responsible license holder. Sincerely, Chris Schultz October 3, 2018 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P. O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com DEPARTMENT OF PUBLIC SAFETY COLORADO BUREAU OF INVESTIGATION ATTN: CCIC 690 KIPLING STREET, SUITE 3000 DENVER, CO 80215-9901 RE: SUBMITTAL OF FINGERPRINT CARDS FOR BACKGROUND CHECKS FOR COUNTY LIQUOR LICENSING - DANIELLE DEMPSEY AND THOMAS LEWIS, JR. To Whom It May Concern: Please see the attached fingerprint card(s) and credit card authorization form for the associated fees for a background check for Weld County Liquor Licensing. If you have questions or need additional information, please do not hesitate to contact me at (970) 400-4213. Very truly yours, a2u2a Rod.t_e. Chloe A. Rempel Deputy Clerk to the Board crempel@weldgov.com LEAVE BLANK APPLICANT FD -258 (REV.31-10) 1110-0046 TYPE OF ,,_.:,:VT ',LL INFORMATION IN BLACI\ Y°tktf3'YN6INN IE LLE M,UDLE (�N nG 6 I BRIGGSDALE, CO 80611 SIGNATURE OF SON FING PRIN 1 DATE SIGNATU RUcOF 4F ICIAL TA 10-01-2018 LL YY EMPLOYER AND ADDRESS Weld Count Clerk to the oard's 1150 "0" Str, et Greeley, CO 80631 ALASES AKA 55BIZENSHIP CTZ U 0 3 8'? U YOUR NO OCA C00620000 ELD COCBI0000 COLORADO B OF 1 DENVER, CO F OfficeBI NO FBI l TNYONG MNU REASON FINGERPRINTED LIQUOR LIC - LOCAL PD SO 1 -2 -47= -3117 - SO 44-3-307 LCHVO bLAINC APPLICANT See Pnvac. Au 0c306 Eack FD -258 (REV31-10) 1110-0046 ,S ,IAmE NAM RS_ r,,:•I,IE LEWIS,THOMAS RAY JR SIGNATURE OF PER FINGERPRINTED ALIASES AKA COCBI0000 REESI O NCE OCR RSON FINGERPRINTED BRIGGSDALE, CO 80611 DATE 10 -02 - SIGNATURE OF OFFICIAL TAKIN ?018 WCO254 - EMPLOYER AND ADDRESS COLORADO B OF DENVER, CO DATE OF BIRTH DOB CITIZENSHIP CTZ CS YOUR NO. OCA 000620000 SE M RACE w d IGIj 3111 X BFLY B LA�R eLLCE OF BIRTH POB Weld County,: v 1 FBI NO. FBI Clerk to the Bard s Office 1150 "0" Street Greeley, CO 80631 REASON FINGERPRINTED LIQUOR LIC - LOCAL PD SO 44-3-307 ARMED FORCES NO MNU SOCIAL SECURITY NO SOC MISCELLANEOUS NO MNU Pc. . UrUN_UUUU rnLEAVE BLANK CLASS REF APPLICATION FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS °VP' couNTY NOTICES SIGN POSTING AFFADAVIT DATE: December 3, 2018 FROM: Chloe A. Rempel, Deputy Clerk to the Board SUBJECT: LD Crow Valley Liquors, LLC Pursuant to Article 3, Title 44, C.R.S., notice given by posting shall include a sign of suitable material, not less than twenty-two inches wide and twenty-six inches high, composed of letters not less than one inch in height and stating the type of license applied for, the date of the application, the date of the hearing, and the name and address of the applicant, and such other information as may be required to fully apprise the public of the nature of the application. I hereby certify that I provided the Notice Sign for notification of hearing to consider a liquor license application on this 3rd of December, 2018. �.. I /3/18' Chloe A. Rempel, Deputy Cler to the Board Date Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com POOR DIMS D.•r0.•. I. etrs�r trlb' q. tailed OMt merle Cowie 1.>JulIse •rM 'rnnturt flits email originated !r 4n .vtnde of 1%eld county c;ovemment 1 M till click links .t open :mnchnnents union you recngntx the mnkt know the content n ate III chicle Ilerc s the pictures .4 the sign that we ponied ( ci roc know if this wicks Ihunks. I Wuellc I kmpsev I %Vie low w i -tsas:.rt 37937 b. l I . . it 1 f";- , lI I. • r ^' .ia1111j4. ..,� rl,,:earri_ 4121707cONN — Z ' • 4.1 C, �x- - -s . s i at'+ter„ 1 affeisfriair r 1 U PURSUANT TO THE LIQUOR LAWS OF COLORADO AND THE AUTHORITY OF THE WELD COUNTY BOARD OF COMMISSIONERS L-ato�i►-1lt La n car a ki.C. I 41 HAS REQUESTED THE LICENSING OFFICIALS OF: WELD COUNTY COLORADO 1O1 APPLICATI1 1C& COUNTY ADMINISTRATION BUILDING 1150 O STREET GREELEYL CO 80631 FOR FURTHER INFORMATION, PLEASE CONTACT Ca,,,Anigtes_14. Reerflpe AT THE WELD COUNTY CLERK TO THE BOARDS OFFICE AT (970) 400-4225 LIQUOR MW.. • - . '1 .!L MtAA7.G Y.Gn NOTICE OF APPLICATION TO TRANSFER A LIQUOR LICENSE Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 400-4213, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631. E-mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your e-mail correspondence into the case file, please send a copy to crempel@weldgov.com. DOCKET #: 2018-147 DATE: January 9, 2019 TIME: 9:00 a.m. APPLICANT: LD Crow Valley Liquors, LLC dba Crow Valley Liquors 37937 State Highway 14 Briggsdale, CO 80611 REQUEST: Application to transfer a Retail Liquor Store (County) License from Crow Valley Liquors, LLC, dba Crow Valley Liquors, to LD Crow Valley Liquors, LLC, dba Crow Valley Liquors LEGAL DESCRIPTION: Lot A of Recorded Exemption, RECX12-0079; being part of the S1/2 SE1/4 of Section 20, Township 8 North, Range 62 West of the 6th P.M., Weld County, Colorado LOCATION: Located approximately 1,112 feet northeast of the intersection at State Highway 14 and State Highway 392; three (3) miles northwest of the intersection at State Highway 14 and County Road 71 (see Legal Description for precise location) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: December 21, 2018 PUBLISHED: December 28, 2018, in the Greeley Tribune Affidavit of Publication NOTICE OF APPLICATION TO TRANSFER A LIQUOR LICENSE Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 0 Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing, The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order tot you to partici- pate in this hearing, please contact the Clerk to the Board's Of- fice at.(970)400-4213, prior to the dayof the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Ad- ministration Building, 1150 0 Street, Greeley, Colorado .80631.. E-mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your e- -mail correspondence into the case file; please sends copy to crempel@weldgov.com. DOCKET #: 2018-147 DATE: January 9, 2019 TIME: 9:00 a.m. APPLICANT: LD Crow Valley Liquors, LLC dba Crow Valley Liquors 37937 State Highway 14 Briggsdale, CO 80611 REQUEST: Application to transfer a Retail Liquor Store (Coun- ty) License from Crow Valley Liquors, LLC, dba Crow Valley Liq- uors, to LD Crow Valley Liquors; LLC, dba Crow Valley Liquors LEGAL DESCRIPTION:. Lot A of Recorded Exemption, RECX12-0079; being part of the S1/2 SE1.14 of Section 20, Township 8! North. Range 62 West of the 6tn P.M., Weld County, Colorado LOCATION: Located approximately 1,112 feet northeast of the intersection at State Highway 14 and State Highway 392{ three (3) miles northwest of the intersection at State Highway 14 and County Road 71 (see Legal Description for precise location) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED:.. December 21, 2018 The Tribune December 28, 2018 STATE OF COLORADO County of Weld, I Lucy Montoya SS. of said County of Weld, being duly sworn, say that I am an advertising clerk of THE GREELEY TRIBUNE, that the same is a daily newspaper of general circulation and printed and published in the City of Greeley, in said county and state; that the notice or advertisement, of which the annexed is a true copy, has been published in said daily newspaper for consecutive (days): that the notice was published in the regular and entire issue of every number of said newspaper during the period and time of publication of said notice, and in the newspaper proper and not in a supplement thereof; that the first publication of said notice was contained in the Twenty -Eighth day of December A.D. 2018 and the last publication thereof: in the issue of said newspaper bearing the date of the Twenty -Eighth day of December A.D. 2018 has been published continuously and uninterruptedly during the period of at least six months next prior to the first issue thereof contained said notice or advertisement above referred to; that said newspaper has been admitted to the United States mails as second-class matter under the provisions of the Act of March 3,1879, or any amendments thereof; and that said newspaper is a daily newspaper duly qualified for publishing legal notices and advertisements within the meaning of the laws of the State of Colorado. December 28, 2018 Total Charges: $14.29 28th day of December 2018 My Commission Expires 08/13/2022 Notary Public VICKIE G GARRETTS NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20144031754 MY COMMISSION EXPIRES AUGUST 13, 2022 December21, 2018 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com ATTN: DANIELLE DEMPSEY LD CROW VALLEY LIQUORS, LLC DBA CROW VALLEY LIQUORS P.O. BOX 101 BRIGGSDALE, CO 80611 RE: HEARING TO CONSIDER TRANSFER APPLICATION FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE Dear Applicant: This is to advise you that the Weld County Board of Commissioners will hear your request to transfer a liquor license from Crow Valley Liquors, LLC, dba Crow Valley Liquors, to LD Crow Valley Liquors, LLC, dba Crow Valley Liquors, at the property described as: 37937 State Highway 14, Briggsdale, Colorado 80611. The meeting is scheduled for Wednesday, January 9, 2019, at 9:00 a.m., in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631. If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4213 or crempel@weldgov.com. Sincerely, OLC2..„sc. Re,„-4.k,e, Chloe A. Rempel Deputy Clerk to the Board cc: Weld County Attorney's Office Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Friday, December 21, 2018 3:06 PM 'Danielle Dempsey' NOTICE OF HEARING - Transfer Liquor License Application Notice of Hearing to Consider Transfer Application.pdf This is to advise you that the Weld County Board of Commissioners will hear your request to transfer a liquor license on Wednesday, January 9, 2019, at 9:00 a.m. Please see the attached letter for further information. Happy holidays, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 WELD COUNTY LIQUOR LICENSE CERTIFICATE OF MAILING FIRST NAME LAST NAME COMPANY ADDRESS 1 CITY STATE POSTAL CODE DANIELLE DEMPSEY LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS P.O. BOX 101 BRIGGSDAL E CO 80611 ddempsey88@gmail.com I hereby certify that I have sent a notification of hearing date letter in accordance with the notification requirements of Weld County in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list this 21st day of December, 2018. Chloe A. Rempel Deputy Clerk to the Board APPLICATION FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS RECEIPTS ) O a) 0 0 O a_ PO Box 758 Co 0 CO O U a a) a) C5 Greeley CO 80632 HOW PAID CASH CHECK €c&47 O MONEY ORDER RECEIPT RECEIVED FROM RECEIPT DATE I I Wi Wt.2'. No 90154 RECEIVED FROM ni tat C'VTh. Detneele ADDRESS t,igptQ C %,,Brisjpctecp. 2'o&L Leaf t-londrtd. athrs8.-stintn and llod $ • SO FOR Qxin Ty. TrarsFer u o r '4;cense Oppi iCofi on C�.f� e- Pl,' 'Bon Cao n r a. Ti mpor-ckt y. recrn t -t en-`QtI _R-+ct; icboor 54o re BY600fre, RoNe9 DATE t(IQ7/SOLc? HOW PAP` f (- CASH CHECK Cal 1 t w so MONEY ORDER Danie([e L Dempsey 48010 CR 96 Brshale, CO 80611 97 -373-8163 Paydto Off We\� Ccunk L Order I Ehk hwclec\ and e\ o‘iti L\ 5€ven ccnd �/GOt>o11ars QIWOWFB.NA WELLS FARGO Wells Fargo Bank, N.A. South Carolina wellsfargo.corn For an 1:05320??66':LO1032L0? LO 96 Briggsle, CO 80611 -373 -8163 \g-dic-6 Paw NO. 90155 1\ I Date 1011 67-776/532 9422 1010324071018 $ X87 30 Photo Safe Deposits Deals (In bock 1012 67-776/532 9422 1010324071018 Paryder to the 1 o rad o c c r 1} c �'e n u` , ILL .:1\ Oof I CM theueLnei -Roux hL:no re c\ -ra .d ve and U Dollars I 4 2 WELLS FARGO Wells Fargo Bank. N.A. South Carolina wellsfargo.corn For I:05320??661: L0L032110?L0LBn'0L012 50, )0 • Photo Safe Deposit') APPLICATION FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS STAFF REFERRAL RESPONSES Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Friday, December 21, 2018 2:10 PM Alan Caldwell; Bethany Pascoe; Bob Choate; Bruce Barker; Curtis Hall; Dan Joseph; Dawn Anderson; Don Dunker; Elizabeth Relford; Frank Haug; Gabri Vergara; Hannah Dutrow; Jose Gonzalez; Joshua Noonan; Karin McDougal; Lauren Light; Tom Parko Jr.; Wendi Inloes APPLICATION FOR TRANSFER OF A LIQUOR LICENSE - LD Crow Valley Liquors, LLC, dba Crow Valley Liquors Transfer Liquor License - LD Crow Valley Liquors, LLC.pdf; Staff Referral Memo - LD Crow Valley Liquors, LLC.pdf In accordance with the procedures for processing Transfer Liquor License Applications, please complete and return the attached "Staff Referral Memo — LD Crow Valley Liquors, LLC". Your report will be used by the Board of County Commissioners in considering the Applicant's Liquor License. PLEASE RESPOND NO LATER THAN: Thursday, January 3, 2019 Please note: 1. The application is to transfer the liquor license from Chris Schultz with Crow Valley Liquors, LLC, dba Crow Valley Liquors, to Danielle Dempsey and Thomas Lewis with LD Crow Valley Liquors, LLC, dba Crow Valley Liquors. 2. This property is permitted under USR12-0076. 3. The Commissioners approved a Temporary Permit (2018-3851), which allows the applicant to operate while the transfer application is being reviewed. If you have any questions or concerns, please do not hesitate to contact me. Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel.: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 MEMORANDUM TO: Board of County Commissioners FROM: Dan Joseph DEPARTMENT: Environmental Health DATE: 12/26/18 SUBJECT: Transfer Liquor License Application The Weld County Clerk to the Board's Office has received an application for the transfer of a liquor license in Unincorporated Weld County: License Type: Retail Liquor Store (County) License Applicant(s): LD Crow Valley Liquors, LLC, dba Crow Valley Liquors (Danielle Dempsey and Thomas Lewis) Address: 37937 State Highway 14, Briggsdale, CO 80611 File Location: LC0004 Reply By: Thursday, January 3, 2019 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel(cr�weldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested transfer application. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. To: MEMORANDUM Chloe Rempel, Deputy Clerk to the Board December 28, 2018 From: Hannah Dutrow, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0004 Review of the following Liquor License Ownership Transfer application by the Department of Planning Services, Compliance Division, shows the following: PERMIT INFORMATION: Sales Tax License #: Operating Manager: Licensee Name: Dba: Mailing Address: Situs Address: 36375136 Danielle Dempsey & Thomas Lewis LD Crow Valley Liquors LLC Crow Valley Liquors PO Box 101, Briggsdale, Co 80611 37937 Hwy 14, Briggsdale, CO 80611 PROPERTY INFORMATION: Parcel Number: Zone District: Land Use: 0545-20-4-00-001 (3.570 acres +/-) Agricultural Use by Special Review (USR12-0076). Upon review of my case files and computer, no active Zoning Violations were noted. STAFF COMMENTS: No compliance comments. No planning comments. SERVICE, TEAMWORK, INTEGRITY, QUALITY MEMORANDUM TO: Board of County Commissioners FROM: Captain Alan Caldwell DEPARTMENT: Weld County Sheriff's Office DATE: 12/28/18 SUBJECT: Transfer Liquor License Application The Weld County Clerk to the Board's Office has received an application for the transfer of a liquor license in Unincorporated Weld County: License Type: Retail Liquor Store (County) License Applicant(s): LD Crow Valley Liquors, LLC, dba Crow Valley Liquors (Danielle Dempsey and Thomas Lewis) Address: 37937 State Highway 14, Briggsdale, CO 80611 File Location: LC0004 Reply By: Thursday, January 3, 2019 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel(a�weldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested transfer application. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. MEMORANDUM TO: Board of County Commissioners FROM: Dawn Anderson DEPARTMENT: Public Works DATE: January 7, 2019 SUBJECT: Transfer Liquor License Application The Weld County Clerk to the Board's Office has received an application for the transfer of a liquor license in Unincorporated Weld County: License Type: Retail Liquor Store (County) License Applicant(s): LD Crow Valley Liquors, LLC, dba Crow Valley Liquors (Danielle Dempsey and Thomas Lewis) Address: 37937 State Highway 14, Briggsdale, CO 80611 File Location: LC0004 Reply By: Thursday, January 3, 2019 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel(a�weldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested transfer application. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. MEMORANDUM TO: Board of County Commissioners FROM: Jose Gonzalez DEPARTMENT: Building DATE: 01/07/2019 SUBJECT: Transfer Liquor License Application The Weld County Clerk to the Board's Office has received an application for the transfer of a liquor license in Unincorporated Weld County: License Type: Retail Liquor Store (County) License Applicant(s): LD Crow Valley Liquors, LLC, dba Crow Valley Liquors (Danielle Dempsey and Thomas Lewis) Address: 37937 State Highway 14, Briggsdale, CO 80611 File Location: LC0004 Reply By: Thursday, January 3, 2019 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempelaweldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested transfer application. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. APPLICATION FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS MISCELLANEOUS CORRESPONDENCE January 11, 2019 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P. O. BOX 758 GREELEY, COLORADO 80632 COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION P.O. BOX 17087 DENVER, CO 80217-0087 RE: TRANSFER APPLICATION FOR A RETAIL LIQUOR STORE (COUNTY) LICENSE - LD CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS To Whom It May Concern: Please see the attached transfer application, a copy of all supporting documentation, and the associated fees. The Weld County Board of Commissioners approved the application on Wednesday, January 9, 2019. If you have questions or need additional information, please do not hesitate to contact me at (970) 400-4213. Very truly yours, 11(2)„.,,- 0. R,Q-PAAr-Z Chloe A. Rempel Deputy Clerk to the Board crempel@weldgov.com 1/11/2019 FedEx Ship Manager - Print Your Label(s) rn C) 0 co OO ED M N Z 0 z 1006 £5Z1 ',P11 1HOINN3A0 A1I IORId 40£:04 NYr VI, - NOW m J182118881581uv -0Zw O < m o o cm oC 777 Om 0 C, 03 N J�7 V C) 0 p r m -� 0 0 co o z o mm 0 0 0 0 co r A O c p m 03 m -.i0O m > —I m z m� zo O� m V) 73 5 Z m m 552J21D74C1DCA5 • • Q U, B0N3S ills After printing this label: 1. Use the 'Print' button on this page to print your label to your laser or inkjet printer. 2. Fold the printed page along the horizontal line. 3. Place label in shipping pouch and affix it to your shipment so that the barcode portion of the label can be read and scanned. Warning: Use only the printed original label for shipping. Using a photocopy of this label for shipping purposes is fraudulent and could result in additional billing charges, along with the cancellation of your FedEx account number. Use of this system constitutes your agreement to the service conditions in the current FedEx Service Guide, available on fedex.com.FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non-delivery,misdelivery,or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim.Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental,consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented loss.Maximum for items of extraordinary value is $1,000, e.g. jewelry, precious metals, negotiable instruments and other items listed in our ServiceGuide. Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/shipmentConfirmationAction.handle?method=doContinue 1/2 1/11/2019 FedEx Ship Manager - Print Your Label(s) ■ e' Shipment Receipt Address Information Ship to: LIQUOR ENFORCEMENT DIVISION COLORADO DEPARTMENT OF REVENUE PO BOX 17087 DENVER, CO 802170087 US 3032052300 Ship from: CHLOE REMPEL WELD COUNTY 1150 O STREET RM 166 GREELEY, CO 80631 US 9704004225 Shipment Information: Tracking no.: 774172539007 Ship date: 01/11/2019 Estimated shipping charges: 7.10 USD Package Information Pricing option: FedEx Standard Rate Service type: Priority Overnight Package type: FedEx Envelope Number of packages: 1 Total weight: 0.70 LBS Declared Value: 0.00 USD Special Services: Pickup/Drop-off: Drop off package at FedEx location Billing Information: Bill transportation to: COUNTYOFWELD-483 DEPARTMENT NAME: WELD CLERK TO THE BOARD SENDER NAME: CHLOE A. REMPEL ADDITIONAL INFO: CTB DEPARTMENT FUND: 10400 Thank you for shipping online with FedEx ShipManager at fedex.com. Please Note FedEx will not be responsible for any claim in excess of $100 per package, whether the result of loss, damage, delay, non -delivery, misdelivery, or misinformation, unless you declare a higher value, pay an additional charge, document your actual loss and file a timely claim. Limitations found in the current FedEx Service Guide apply. Your right to recover from FedEx for any loss, including intrinsic value of the package, loss of sales, income interest, profit, attorney's fees, costs, and other forms of damage whether direct, incidental, consequential, or special is limited to the greater of $100 or the authorized declared value. Recovery cannot exceed actual documented loss. Maximum for items of extraordinary value is $1000, e.g., jewelry, precious metals, negotiable instruments and other items listed in our Service Guide. Written claims must be filed within strict time limits; Consult the applicable FedEx Service Guide for details. The estimated shipping charge may be different than the actual charges for your shipment. Differences may occur based on actual weight, dimensions, and other factors. Consult the applicable FedEx Service Guide or the FedEx Rate Sheets for details on how shipping charges are calculated. https://www.fedex.com/shipping/shipmentConfirmationAction.handle?method=doContinue 2/2 Chloe Rempel From: Sent: To: Subject: Attachments: Good evening, Chloe Rempel Wednesday, December 12, 2018 6:38 PM 'Danielle Dempsey' Transfer Application - LD Crow Valley Liquors, LLC Operating Agreement - LD Crow Valley Liquors, LLC.pdf; 20183852.pdf; 20183851 - Temporary Permit.pdf I have attached to this email a copy of your operating agreement, the resolution approving your temporary permit and the permit itself, as well as the resolution to establish the neighborhood, assign a Commissioner to make an on -site inspection, and set the hearing date to consider your transfer liquor license application. Commissioner Freeman and I look forward to seeing you tomorrow at 10:30 a.m. for the inspection. I am also hoping to have information for you tomorrow regarding tastings. Please let me know if you have any questions or concerns. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 Chloe Rempel From: Sent: To: Subject: Attachments: Chloe Rempel Wednesday, November 28, 2018 11:47 AM 'Danielle Dempsey' Notice of Hearing to Establish the Neighborhood, Designate a Commissioner for Inspection, and Set the Next Hearing Date Hearing Scheduled - LD Crow Valley Liquors, LLC.pdf Good morning, Please see the attached letter advising you that the Weld County Board of Commissioners have set a hearing to establish the neighborhood to be served, designate a Commissioner to make an on -site inspection, and set the hearing date to consider your Transfer Application for a Retail Liquor Store (County) License. The hearing is scheduled for the same day as your request for a Temporary Permit (Monday, December 3, 2018, at 9:00 a.m. If you have any questions or concerns, please do not hesitate to contact me. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel.: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 November 28, 2018 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com DANIELLE DEMPSEY LD CROW VALLEY LIQUORS, LLC DBA CROW VALLEY LIQUORS P.O. BOX 101 BRIGGSDALE, CO 80611 RE: HEARING TO ESTABLISH THE NEIGHBORHOOD TO BE SERVED, DESIGNATE A COMMISSIONER TO MAKE AN ON -SITE INSPECTION, AND SET THE HEARING DATE CONCERNING THE APPLICATION TO TRANSFER THE RETAIL LIQUOR STORE (COUNTY) LICENSE Dear Applicant: This is to advise you that the Weld County Board of Commissioners have set a hearing to establish the neighborhood to be served, designate a Commissioner to make an on -site inspection, and set the hearing date to consider your Transfer Application for a Retail Liquor Store (County) License at the property described as: 37937 State Highway 14, Briggsdale, Colorado 80611. The meeting is scheduled for Monday, December 3, 2018, at 9:00 a.m., in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631. If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4213 or crempel@weldgov.com. Sincerely, ed)e, 0- f.o‘it, Chloe A. Rempel Deputy Clerk to the Board cc: Weld County Attorney's Office Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Tuesday, November 27, 2018 3:13 PM 'Danielle Dempsey' Notice of Hearing to Consider Temporary Permit Temporary Permit Hearing Scheduled - LD Crow Valley Liquors, LLC.pdf This is to advise you that the Weld County Board of Commissioners will hear your request for a Temporary Permit for a Retail Liquor Store (County) License Transfer Application on Monday, December 3, 2018, at 9:00 a.m. Please see the attached letter for further information. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 November 27, 2018 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com DANIELLE DEMPSEY LD CROW VALLEY LIQUORS, LLC DBA CROW VALLEY LIQUORS P.O. BOX 101 BRIGGSDALE, CO 80611 RE: REQUEST FOR A TEMPORARY PERMIT - RETAIL LIQUOR STORE (COUNTY) LICENSE TRANSFER APPLICATION Dear Applicant: This is to advise you that the Weld County Board of Commissioners will hear your request for a Temporary Permit for a Retail Liquor Store (County) License Transfer Application at the property described as: 37937 State Highway 14, Briggsdale, Colorado 80611. The meeting is scheduled for Monday, December 3, 2018, at 9:00 a.m., in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631. If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4213 or crempel@weldgov.com. Sincerely, er Q, R.,, Chloe A. Rempel Deputy Clerk to the Board cc: Weld County Attorney's Office Chloe Rempel From: Sent: To: Subject: Chloe Rempel Wednesday, May 1, 2019 2:47 PM dor_liqlicensing@state.co.us RE: Check Received by Weld County from DOR for Crow Valley Liquors That makes sense — thank you for helping guide me through this. I'll let Chris Schultz know that the refund is for Danielle Dempsey. Thanks again, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: lenore.smutka-susman@state.co.us <lenore.smutka-susman@state.co.us> On Behalf Of LIQLICENSING - DOR, DOR Sent: Wednesday, May 1, 2019 2:46 PM To: Chloe Rempel <crempel@weldgov.com> Subject: Re: Check Received by Weld County from DOR for Crow Valley Liquors Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. That is usually the case, but this year the director told us to go by application receive date. Since it was received/assigned after January 1st, they were issued a refund. You don't need to worry about getting revised checks - since it was our decision to lower the fees, we will take care of refunding any overpayments. Thank you, Licensing Department Colorado Liquor Enforcement Division °LORA 1 tvt O5/07 1 ,o t 9-oaa5 L c,000'1 1697 Cole Blvd, Suite 200, Lakewood, CO 80401 office: 303-205-2300 I fax: 303-866-2428 email: DOR LIQLicensing®state.co.us www.colorado.gov/enforcement/liquor On Wed, May 1, 2019 at 2:42 PM Chloe Rempel <crempel@weldgov.com>wrote: Thank you for looking into it. I thought the fees were determined as of application submittal, not as of when the State finishes reviewing the application. I received the application on November 27, 2018, which is why I charged the current fee at that time of $1,100.00. If I have been assessing fees incorrectly and I need to start refunding applicants or asking them to submit an updated check if the fees are adjusted after they submit their applications, please let me know. Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 From: lenore.smutka-susman@state.co.us <lenore.smutka-susman@state.co.us> On Behalf Of LIQLICENSING - DOR, DOR Sent: Wednesday, May 1, 2019 2:37 PM To: Chloe Rempel <crempel@weldgov.com> Subject: Re: Check Received by Weld County from DOR for Crow Valley Liquors Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Hi Chloe, I've looked into this, and it looks like this was a refund due to the applicant for overpayment of the liquor license application fee. The application fee decreased from $1100 to $550 in January, resulting in a $550 overpayment due to the applicant. It should have been sent to the mailing address we have on file for Crow Valley Liquors (PO BOX 101 Briggsdale CO 80611) please let us know if the mailing address needs to be corrected. Thank you, Licensing Department Colorado Liquor Enforcement Division * coos CO Alf COLORADO ..� ' Chilean -ttiwsxilbeftwo 1697 Cole Blvd, Suite 200, Lakewood, CO 80401 office: 303-205-2300 I fax: 303-866-2428 email: DOR LIQLicensine@state.co.us www.colorado.gov/enforcement/liquor On Wed, May 1, 2019 at 2:06 PM Chloe Rempel <crempel@weldgov.com>wrote: Good afternoon, 3 I received the attached check (#14150379) in the mail today from the Colorado Department of Revenue. There was a sticky note (also attached) stating "Refund — somehow this was sent to the wrong address. I'm hoping you can get this to the correct person. The sticky note did not have any further information about whether the check was in relation to a liquor license or another matter, and there was not any contact information either. I called the licensee, Danielle Dempsey with LD Crow Valley Liquors, LLC, and she was not expecting a refund of any kind. She asked me to call Chris Schultz with Crow Valley Liquors, LLC, who was the previous licensee at this location. Chris said that she had received this check before, but didn't know what it was for. Chris called DOR and they told her that the check was meant for LD Crow Valley Liquors, LLC, and not for her. Chris then returned the check to DOR so it could be re -issued to LD Crow Valley Liquors, LLC, instead. Chris was confused as to why she was now being sent the same check again. Because the check is made out to Crow Valley Liquors, I couldn't hold it and needed to forward it to Chris Schultz, but she would like someone to contact her to resolve this issue. She doesn't want to cash a check that is meant for Danielle Dempsey with LD Crow Valley Liquors, LLC. Chris Schultz Home: (970) 656-3632 Cell: (970) 381-6521 34978 CR 83 Briggsdale, CO 80611 If this email was not sent to the right division, can you please either forward the email to the appropriate person or advise me of who to send it to? Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street 4 PAY TO THE ORDER OF COLORADO Office of the State Controller Warrant on the Treasurer of the State of Colorado Department of Revenue (303) 238-7378 Five Hundred Fifty Dollars and Zero Cents Wells Fargo Bank, N.A. IImiiIIiiiIIIIiIIIIIIIIII��IIII��II��III CROW VALLEY LIQUORS PO BOX 101 BRIGGSDALE CO 80611-0101 VOID AFTER 6 MONTHS FROM ISSUE DATE 66-156/531 DATE 02/19/2019 DOLLARS CENTS $550.00 feepegeAt- STATE CONTROLLER STATE TR URE Colorado Department of Revenue Warrant No. 14150379 CROW VALLEY LIQUORS TAX TYPE Rev Adjustment AMT CLAIMED $550.00 Detach this stub and retain for your records. O N O i M U 0 0 T m CO C 2 O o o r� U O o 0 Y m d UO RECEIPT ADJUSTMENTS INTEREST $0.00 $0.00 PERIOD Feb 2019 NET REFUND $550.00 TOTAL: $550.00 DATE 05/o►/Id1 NO. 90455 RECEIVED FROM CO yep+. ADDRESS AFF';Ce✓ o f 4 - Five, I-tv) FOR F� PAID'';''! CASH of Re,verlve .J3or Crow Valle VitoorS CHECK MONEY ORDER SAO OO (F1otrd; r11 -}f ) Crow O -t Ic.cd) BY ci\e„-Ci\-or,d 41-C S `-4o yf.v. \mron� c�cic�rESS. k‘i-y\ \\GDI(\O� Can Dr 1- Rcr5on. br seem ISOM OSSomo Sopa SIONOS ..00.. leeen of esiola Mena Minas Mem Mites gen nem snooks Men Mein genie MaH nes 7.n nano. S. neon Milne lam Wiefesee Saes y w —St WOO —S —S —a 1. O.r.w ASS .r •wines•. ••.•.win ww• sea {n efir O O O O O O 5 a) -13 ro 0 a' so 0 mOrnm r MOOM rn X n� rt� O8 n 00 Z -� O = 00 -C rn v CO w O N n C 13 CD CD CD n O Co 0 co 7 O v0 O rn 73 Co D '�'� o m o wn o coozn&2 O O en 73 w D < m z c m C Co au O CA O m • con O 1D r-9 r- to In'l I' - r D 1 one Cs- U.S. Postal Service' CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com®. 3 14O. y Certified Mail Fee Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ Return Receipt (electronic) ❑ Certified Mail Restricted Delivery Adult Signature Required $ • Adult Signature Restricted Delivery $ Postage Total Postage and Fees Postmark Here 5/I /t9 Sent To hrie Scholn Street and Apt. No., or PO Box No. 9_4tate, ZI.,CAS P+4 • •! CA. - • SOC.o PS Form aaUo, April 2015 PSN 7530-02-000.9047 See Reverse for Instructions SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: kris Schotta 3L1cv1ca CR 8' 3 RriTC\cxle, Go SOCott i i i Ell uu m m i i 9590 9402 1714 6053 4724 06 i �,. COMPLETE THIS SECTION ON DELIVERY A. Signature El Agent ❑ Addressee B. Recgivedtiy (Printed Name) a-1 h i)1_\\AJC w D. Is delive C. . Date of Delivery J T .1 (ir address different from item 1? 0 Yes If YES, enter delivery address below: ❑ No 2. Article Number (Transfer from service label) 7016.: Q.7=5Q. 0000 79.38 1169 PS Form 3811, July 2015 PSN 7530-02-000-9053 3. Service Type Li Adult Signature C Adult Signature Restricted Delivery $'Certified Mail® C Certified Mail Restricted Delivery C Collect on Delivery C Collect on Delivery Restricted Delivery "Rail /Jail Restricted Delivery .0) ❑ Priority Mail Express® ❑ Registered MaiITM ❑ Registered Mail Restricted Delivery ❑ Return Receipt for Merchandise ❑ Signature ConfirmationT"' ❑ Signature Confirmation Restricted Delivery Domestic Return Receipt Hello