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Home My WebLink About20173023.tiffRESOLUTION RE: APPROVE CORPORATE REPORT OF CHANGES FOR CROW VALLEY LIQUORS, LLC, DBA CROW VALLEY LIQUORS, AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, Crow Valley Liquors, LLC, dba Crow Valley Liquors, holder of a Retail Liquor Store License in Weld County, Colorado, has presented the Board with a Corporate Report of Changes, and WHEREAS, said corporate change is as follows: redefining the corporate structure to reflect Chris A. Schultz as the sole managing member of Crow Valley Liquors, LLC, and WHEREAS, after study and review, the Board deems it advisable to approve said corporate report of changes. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Corporate Report of Changes submitted by Crow Valley Liquors, LLC, dba Crow Valley Liquors, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said report. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 30th day of August, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COL ADO ATTEST: di:at& .� Weld County Clerk to the Board ou yA'rney Julie Steve Moreno, Pro-Tem rbara Kirkmeyer, Gc= GG.CN), G..P( L O% 3111 Date of signature:' /Co I ( 7 2017-3023 LC0004 DO NOT WRITE IN THIS SPACE DR 8177 (05/09/08) PAGE 1 COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 (303) 205-2300 REPORT OF CHANGES 21 CORPORATION, LIMITED LIABILITY COMPANY AND PARTNERSHIP Liquor and 3.2 Beer Licenses (2355) l LLC/PARTNERSHIP SEE INSTRUCTIONS AND (2350) ❑ CORPORATION FEE SCHEDULE ON PAGE 2 1. Corporate/L.L.C./Partnership Name Crow Valley Liquors LLC 2. State Tax Account Number 27835069-0000 3. State Liquor License Number 4701331 4. Trade Name Crow Valley Liquors 5. Telephone Number 970/656-3434 6. Address of Licensed Premises 37937 Hwy 14 City Briggsdale State CO ZIP Code 80611 7. Mailing Address if different than above P O Box 101 City Briggsdale State CO ZIP Code 80611 8. LIST ALL officers, directors (corporation) or Managing Members (L.L.C.) or General Partner(s). Each Officer, Director, Managing Member or Partner MUST FILL OUT a DR 8404-I (Individual History Record). Position Held Names Home Address DOB Replaces Re p Chris A Schultz 34978 WCR 83, Briggsdale CO 80611 9. LIST ALL 10% (or more) Stockholders or 10% (or more) Members or 10% (or more) Limited Partners. Each person listed Must Fill out a DR 8404-I (Individual History Record) Stockholders/Members/Partners owning 10% (or more) of business Owned Home Address DOB Replaces Chris A Schultz 95 34978 WCR 83 Briggsdale CO 80611 10. Registered Agent Address For Service Chris A. Schultz 34978 WCR 83 Briggsdale CO 80611 OATH OF APPLICANT l declare under penalty of penury in the second degree that this application and all attachments are true, correctI and complete to ' the best of my knowledge. A, 11. Authorized Signature J� C� eitc4 ' �u Title Owner Date 7/13/2017 REPORT OF LOCAL LICENSING AUTHORITY The foregoing changes have been recei bed by the Local Licensing Authority. 12. Local Licensing Authority For f Weld Countyi',61-'�` '` X County Town/City Signature ��,��,,,,��,Date f ,'t Y,Qe€i�.mmissioners 8/30/2017 Atte / �f.K ' (k, w,� �i1 (J v • N.' Date 8/30/2017 DO NOT WRITE IN THIS SPACE ��•� - �NT OF REVENUE USE ONLY LIA 3lILIT ' ION Llcl�nss ccount Number Period Cash Fund -"I00 ( ) TOTAL 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, Crow Valley Liquors LLC is a Limited Liability Company formed or registered on 10/31/2012 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 20121608610 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 07/13/2017 that have been posted, and by documents delivered to this office electronically through 07/16/2017 @ 14:48:50 . 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 07/16/2017 @ 14:48:50 in accordance with applicable law. This certificate is assigned Confirmation Number 10343766 . 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 Secretly), of State's Web site, http://www.sos.slate.caus/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, hap:// www.sos.state.co.us/click "Businesses, trademarks, trade names" and select "Frequently Asked Questions." !'kT'P* OF Vt.±i1cOW- j---_ - A"A ' '-N„ ; -Tyr ,n. t► fl r r n r• v. ry VI,t ►,t[, .. .Kr, try tv.n.rwyryv.rr yv*i. : irrn ItnY tP:17 '7 Trr. . t?71 rrrirl TTY .i7 ►rA,..TYYT YY ITr7- ►TTYY. ►. TT Vi•nnTinit R ►T Tr "re 1.‘-; ••• wv tit:. ,, ea T.• Apr g.b - - - - - - - ... - - .. i , _. f- t' • Pe { r CERTIFICATE OF DEATH STATE FILE NUMBER 1052017018934 DECEDENT'S LEGAL NAME (Include AKA's if any) (Fit Mode Last) DATE OF STEVEN RALPH SCHULTZ SEX MALE SOCIAL SECURITY NUMBER t AGE -Las Brtaay (Years) 65 UNDER 1 YEAR UNDER 1 DAY DATE OF BIRTH (Mo/Day/Yr) BIRTHPLACE (State or Foreign Country) COLORADO Months Days - Hours Minutes - RESIDENCE STATE COLORADO COUNTY WELD CITY OR TOWN BRIGGSDALE STREET AND NUMBER 34978 WCR 83 APT. NO. ZIP CODE 80611 INSIDE CITY UMITS NO DECEDENT'S USUAL OCCUPATION (Give kind of wart rane Seng most of working life. Do not use retired) RANCHER KIND OF BUSINESS/INDUSTRY AGRICULTURE DECEDENT'S EDUCATION HIGH SCHOOL GRADUATE OR GED COMPLETED DECEDENT OF HISPANIC ORIGIN - - DECEDENTS RACE ite EVER IN US ARMED FORCES NO MARITAL STATUS At 7-01E OF ' -,:., MARRIED S . , . "F- C','ISA. ,..? t wife give name prior to first marriage) 4, '',e T ts zle- c es FATHER'S NAME i : _ ,�` • ,. T: �'}, ,� a 'MARRIAGE � S -4616. RALPH JOHN SCHULTZ '. „ Y /J J Y !1 INFORMANTS NAME ,..�� -"' .�,. �- ¢ �- -, CHRIS A. SCHULTZ / # " "`''• �.°•''"�c r► _r ' cr; i it i l ' ' f T,' DEATH OCCURRED IN HOSPITAL INPATIENT '1/4IF N.. if - *IF l'It'-.71 SOMEWHERE 0• + i I '* . ;'''; {{,k.,. F *`cif '+�W:h�•. ' " ' i 1 ; AL �, Y t ,-' FACILITY NAME (IF NOT INSTITUTION, G #= :17frE14 Osg; MEDICAL CENTER OF THE ROCKIES � y , lit.. !TY OCA y EA r b, ... le Ij 4U s_ �7F DEATH LOCATION - CITY, COUNTY, STATE EVANS WELD COLORADO METHOD OF DISPOSITION af ` , - ._ 'R� 3 Iii BURIAL - CEMETERY �'` z • �� ...- Ntivi!e `^ tj" dadACEoF; OSITION 4 :. M Y _ E NNAME OF FUNERAL HOME ` ALLNUTT FUNERAL SERVICE - MACY CHAPEL TE OF FUNER � E yy C E. - - • so WAS CORONER NOTIFIED YES DATE FILED BY REGISTRAR `` JUNE 28, 2017 n JULY 11-, 2111T DATE ISSUED THIS IS A TRUE Ca NAME AND FACTS AS RECORDED IN THIS �.., De wit accept unless prepared on security paper with hid ressinistbrater flaying the Colorado state seal and signature of the Rain:lektALTYBYLAW, Section 25-2-118, Colorado Revised Ss 'NC f a alters, uses, attempts to use or furnishes to an'e ace any vital statistics 'record. NOT VALID IF PHOTO _ R76 REV 04/18 11 A. ALEX QUINTANA STATE REGISTRAR N u *OO8OO337O* 87 Articles of Amendment filed pursuant to §7-90-301, et. Seq. and §7-80-209 of the Colorado Revised Statutes (C.R.S.) ID Number: 20121608610 1. Entity Name: Crow Valley Liquors, L.L.C. 2. New Entity Name: (not applicable) 3. Use of Restricted Words: (not applicable) 4. Other amendments are attached. 5. If the limited liability company's period of duration as amended is perpetual, mark this box: X 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 for filing, 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. 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.. Name and address of the individual causing the document to be delivered for filing: _Schultz Chris Ann (Last) (First) (Middle) 37967 Hwy 14, P.O. Box 101 Post Office Box information) (Suffix) (Street name and number or Briggsdale (City) (State) (Postal/Zip Code) CO 80611 (Province — if applicable) (Country — if not US) (The document need not state the true name and address of more than one individual. However, if you wish to state the name and address of any additional individuals causing the document to be delivered for filing, mark this box Eland include an attachment stating the name and address of such individuals.) Page 1 of 1 LIMITED LIABILITY COMPANY AMENDMENT TO AGREEMENT OF CROW VALLEY LIQUORS L.L.C. The Limited Liability Company Agreement, entered into on the 1St day of November 2012, is amended, in accordance with the provisions of that agreement, as follows: One of the initial members of the Company having passed away, the remaining members desiring to continue operation of the Company, having determined by consent of the majority in interest, do hereby add members to the Company which are set forth on the Schedule of Members attached hereto. This amendment is entered into as of this 15th day of August , 2017, by the remaining initial members, Chris Schultz, and new members, Stephanie Denton and Kelly Johnston. The Company shall be governed by the provisions of the Colorado Articles of Organization of the Company as filed with the Secretary of State of Colorado (the "Articles"), pursuant to Section 7-80-204 of the Colorado Revised Statutes (CRS), the original LLC Agreement, and this Amendment to the Agreement. Entire Agreement. This Amendment to the Agreement, in conjunction with the Limited Liability Company Agreement, dated November 1, 2012, embodies the entire understanding and agreement between the parties concerning the subject matter hereof and supersedes any and all prior negotiations, understandings or agreements in regard thereto. In Witness Whereof, this Agreement is executed as of the date first above written. Chris A. Schultz Stephanie C. Denton ,1?Q \A C4 Kelly Aj J nston SCHEDULE 1 SCHEDULE OF MEMBERS TO THE LIMITED LIABILITY COMPANY AGREEMENT OF CROW VALLEY LIQUORS, L.L.C. Name Chris A. Schultz Stephanie C. Denton Kelly A. Johnston Initial Amount Invested Initial Number of Units 94 3 2 Chloe Rempel From: Sent: To: Subject: Chloe Rempel Monday, July 10, 2017 9:23 AM 'Chris Schultz'; Esther Gesick RE: Crow Valley Liquors Good Morning Chris, The State of Colorado directs the licensee to submit the form to the local licensing authority within thirty (30) days of the change. Because you are dependent upon the Coroner's schedule, you could submit the Report of Changes form within the thirty (30) days to meet that requirement, and I will hold it for processing until the death certificate is issued. Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel.: 970-400-4225 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: Chris Schultz[mailto:chrisschultz1956@gmail.com] Sent: Monday, July 10, 2017 7:22 AM To: Chloe Rempel <crempel@weldgov.com>; Esther Gesick <egesick@weldgov.com> Subject: Re: Crow Valley Liquors Good Morning Chole - What is the last day the form can be filed? The coroner has still not issued a death certificate. Chris 970/656-3632 home On Fri, Jun 30, 2017 at 2:07 PM, Chloe Rempel <crempel@weldgov.com> wrote: Chris, 1 Attached is the form we discussed over the phone. Please attach the requested documents (page 2 of the form), and a copy of the death certificate in lieu of paying the fee. Let me know if you have any questions or concerns. Thank you! Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel.: 970-400-4225 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: Esther Gesick Sent: Friday, June 30, 2017 8:39 AM To: Chloe Rempel <crempel@weldgov.com> Subject: FW: Crow Valley Liquors Use land line — the cell is patchy. 2 Esther E. Gesick Clerk to the Board 1150 O Street/P.O. Box 758/Greeley, CO 80632 tel: (970) 400-4226 Confidentiality Notice: This electronic transmission and any and may contain information that is privileged, confidential immediately notify sender by return e-mail and destroy the of this communication or any attachments by anyone other attached documents or other writings are intended only for the person or entity to which it is addressed or otherwise protected from disclosure. If you have received this communication in error, please communication. Any disclosure, copying, distribution or the taking of any action concerning the contents than the named recipient is strictly prohibited. From: Chris Schultz(mailto:chrisschultz1956@gmail.com] Sent: Friday, June 30, 2017 7:37 AM To: Esther Gesick <egesick@weldgov.com> Subject: Crow Valley Liquors Hi Esther - Would you please give me a call when you get this message? Thank you. Chris Schultz 970/656-3632 home 970/381-6521 cell 3 Chloe Rempel From: Sent: To: Subject: Attachments: Chloe Rempel Wednesday, September 13, 2017 3:34 PM 'Chris Schultz'; Frank Haug FINAL SIGNED RESOLUTION - Corporate Report of Changes for Crow Valley Liquors 20173023.pdf Hello, Attached is the final resolution signed by the Board of County Commissioners. Please forward as necessary. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Gree/ey, CO 80631 tel: 970-400-4225 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 Hello