The URL can be used to link to this page

Browse Search

Home My WebLink About20163099.tiffRESOLUTION RE: APPROVE CORPORATE REPORT OF CHANGES FOR RLF, INC., DBA CJ'S LIQUOR, 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, RLF, Inc, dba CJ's Liquor, 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: Jackie Merrill, current director with five percent (5%) financial interest in the corporation, now has fifteen percent (15%) financial interest in the corporation with the financial interest of Brenda Phillips, President, reduced to eighty-five percent (85%), 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 RLF, Inc., dba CJ's Liquor, 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 3rd day of October, A.D., 2016. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ditelyt) rKLal:ok, Weld County Clerk to the Board BY: puty Clerk to the Board APPR• AS T my A orney Date of signature: II / I / l Co Mike Freeman, Chair C - Sean P. Conway, Pro-Tem arbara Kirkmeyer Steve Moreno GG aPPL . SOCRS) ccx c (= H ) Ilr'7/1Cv 2016-3099 LC0020 September 23, 2016 CLERK TO THE BOARD PHONE: (970) 336-7215, Ext. 5226 FAX: (970) 336-7233 1150 O STREET P. O. BOX 758 GREELEY, COLORADO 80632 Colorado Department of Revenue Division of Liquor Enforcement 1881 Pierce Street Division 108-A Lakewood, CO 80226 RE: RLF, Inc., DBA CJ's Liquor — Corporate Report of Changes — Change in Existing Registered Director's Financial Interest in the Corporation To Whom It May Concern: RLF, Inc., DBA CJ's Liquor filed a Report of Changes form in 2014 to list Jackie Merrill as a Director with the corporation. At the time, she held five percent financial interest in the corporation. Jackie Merrill completed an Individual History Record, fingerprints for a background check, and submitted three letters of recommendation. Jackie Merrill has since been awarded fifteen percent financial interest in the corporation. The Board of Weld County Commissioners and the Weld County Attorney have reviewed Jackie Merrill's Individual History Record, fingerprints, and letters. Because the corporation is not reporting a new director, but is only reporting a change in stock amount to existing directors, we are not requiring the fee or the applicant to submit new documents. I confirmed with Kelly Haralson, Colorado Department of Revenue — Liquor Enforcement Division, on September 22, 2016 that the State of Colorado likewise would not require the fee or new documents to be filed. Please see the attached Corporate Report of Changes form for RLF, Inc., DBA CJ's Liquor, an Individual History Report for Jackie Merrill, the results of a past criminal background check, and three letters of recommendation. If you have questions or need additional information, please do not hesitate to contact me at (970) 400-4225. Very truly yours, Chloe A. Rempel Deputy Clerk to the Board Weld County crempelco.weld.co.us 2016-3099 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) ❑ LLC/PARTNERSHIP SEE INSTRUCTIONS AND FEE SCHEDULE ON PAGE 2 2350) ❑ CORPORATION DO NOT WRITE IN THIS SPACE 1. Corporate/L.L.C./Partnership Name -t.F,Joc. — 4. Trade Name e\ s Licktof 2. State Tax Account Number © Lt3cg'33--0001 3. State Liquor License Number X016-1-3 5. Telephone Number 303- 77(0- 3359 6. Address of Licensed Prefnises 3901 tea--t-e..1-Awy_1l9 City UN -t State CO ZIP Code 805©L4 7. Mailing Address if different than above City State ZIP Code 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 f(PS. Betylda, •'i-;,I 1:e5 IIoS{F Glair mAld Co KVA_ trim* 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 1 O"io (or more) of business % Owned Home Address DOB Replaces 14) r irAc kel Lia Y'/O. 1� Yvl1 10. Registered Agent Address For Service e.Vid0 Ph, I I ;es 690-7 I -Ito) WI LO • -rta..k co 9050'-k 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. 11. Authorized Sjgnature— / ///C/ /J_J'L.G_4, Title e3, 4elztrr /'ors -,1 r -A Date 9:77/G REPORT OF LOCAL The foregoing changes have been received LICE SING AUTHORITY and examined by the Local Licensing A .1E1 1L/i 12. Local Licensing Authority For Weld County _ 4 � County Town/C s% ,_ K-2 signature _ �`��•' .ate -, ell% Title Chair, Board of Weld �n "'� Count Co issioners 180 ' k';;` ):, \ 4i11►v Attest "�f'�+•� � Dat• ? t/�� Cler to the Board u t t oar r DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT 0 EVENUE USE 0 LIABILITY INFORMATION License Account Number Period Cash Fund -100 (U) TOTAL c20/69 .9d91 FIRESTONE POLICE DEPARTMENT 151 Grant Avenue • PO Box 100 Firestone, CO 80520 303.833.0811 •303.531.6271 (f) David L. Montgomery Chief of Police September 26, 2016 RE: CJ's Liquors (Jackie Merrill) To Whom It May Concern: I have known Ms. Jackie Merrill for nearly 18 years and I take great pleasure in providing her with a character reference. In the years that I have known "Jackie", she has shown admirable qualities and I have not experienced any negative behaviors on her part nor have I heard anything about her character that would cast her in a negative manner. If you may wish to contact me, you may do so by calling my cell phone (303) 901-1054. Thank you, Chief David L. Montgomery September 23, 2016 Barbara Noeller 16858 Weber Way Mead, CO 80542 (601) 466-2441 To whom it may concern: I have had the pleasure of knowing Jackie Merrill for many years. I value her friendship and admire her many talents and qualities. Jackie works hard and has great work ethics. She has learned the liquor business over the years and has worked her way to manager and part owner of CJ's Liquor. Her employees respect her for her honesty and fairness. Jackie's dedication to her family is the quality I admire most. She manages to juggle all aspects of her life but family has always been, and remains, her top priority. Her son Kaden has been raised with a balance of love, patience and compassion while instilling a sense of responsibility in him. She keeps close connections to her entire family no matter the distance. Jackie will remain forever a close friend to me and an asset to many for years to come. Very sincerely, Barbara Noeller Jackie Merrill CJ liquors 3907 Hwy 119 Longmont, CO 80504 September 23, 2016 To whom it may concern, I've known Jackie Merrill with CJ Liquors for approximately five years. As an employee I have had the great opportunity to work with her over the years. Jackie has always displayed a high degree of responsibility, honesty and integrity in everything she does. Jackie demonstrates strong leadership with training, punctuality and stressful situations. She is a friendly business minded professional and an outstanding asset at CJ liquors. Sincerely Rick Glassman 303-903-4825 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) ❑ LLC/PARTNERSHIP SEE INSTRUCTIONS AND (2350) 0 CORPORATION FEE SCHEDULE ON PAGE 2 1. Corporate/L.L.C/Partnership Name RLF, INC. 2. State Tax Account Number 14398830000 3. State Liquor License Number 14398830000 4. Trade Name CJ's Liquors 5. Telephone Number 303-776-8359 6. Address of Licensed Premises 3907 Highway 119 City Longmont State CO ZIP Code 80504 7. Mailing Address if different than above City State ZIP Code 8. LIST ALL officers, directors (corporation) or Managing Members (L.L.C.) or General Officer, Director, Managing Member or Partner MUST ALL OUT a DR 8404-I (Individual Partner(s). Each History Record). Position Held Names Home Address DO8 Replaces Director Brenda Phillips 16858 Weber Way, Mead, CO 80542 new 9. LIST ALL 10% (or more) Stockholders or 10% (or more) Members or 10% (or more) Each person listed Must Fill out a DR 8404-I (Individual History Record) Limited Partners. Stockholders/Members/Partners owning 10% (or more) of business % Owned Home Address DOB Replaces Brenda Phillips 95 16858 Weber Way, Mead, CO 80542 -- 10. Registered Agent Address For Service Brenda Phillips 3907 Highway 119, Longmont, CO 80504 OATH OF APPLICANT I declare under penalty of perjury in the second degree that this application and are true, correct, and complete to the best of my knowledge. all attachments 11. Authorized Sign re 7406 ��£ j%- Title Owner Date i!/yam REPORT OF LOCAL LICENSING AUTHORITY The foregoing changes have been received and examined by the Local Licensing Authority. 12. Local Licensing Authority For County MI Town/City Signature Title Date Attest Date DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION License Account Number Period Cash Fund -100 (999) TOTAL A °lease Include a typed elf -addressed envelope MUST BE TYPED FILING FEE: $50.00 MUST SUBMIT TWO COPIES Name RLF, Inc. Mall to: Secretary of State Corporations Section 1560 Broadway, Suite 200 Denver, CO 80202 (303) 894-2251 Fax (303) 894-2242 I For office use only ARTICLES OF INCORPORATION $ 50.1X! SECRETARY OF STATE 01-04-1992 14:41:28 Principal Street Address 3907 Highway 119, Lorx)nont, Colorado 80504 Cumulative voting shares of stock Is authorized. Yes O No 151 If duration Is less than perpetual enter number of years N A Preemtive rights are granted to shareholders Yes X No _ shares of the corporation. Stock Information: (If additional space is needed, continue on a separate sheet of paper.) Stock Class Carom Authorized Shares 50,000 Par Value No/Par Stock Class Authorized Shares Par Value The name of the initial registered agent and the address of the registered office is:(Corporations use last name space) Last Name Pahrehholtz First & Middle Name Ronald L. Street Address 3907 Highway 119, Larxpxnt, Colorado 80504 Signature of Registered AgentiL�C��`, The articles are to have a delayed effective date of 01-01-99 Incorporators: Names and addresses: (If more than two, continue on a separate sheet of paper. NAME ADDRESS Ronald L. Pahrenholtz 3907 Highway 119. Larxmnnt. Co 80504 Incorporator(s) who are natural person(s) must be 18 years of ago or more. The undersigned, acting as incorporator(s) of a corporation under the Colorado Business Corporation Act, adopt the above Articles of ",corporation. Signature,, !2/44 v atdre CA�� RESOLUTION The following informal action is taken by unanimous written consent of the Board of Directors of RLF, INC., a Colorado Corporation in lieu of a meeting in accordance with 7- 108-202, C.R.S. , 2014 The undersigned, being all the directors of RLF, INC., a Colorado corporation (the "Corporation") and acting pursuant to 7-108-202, C.R.S and the Bylaws of the Corporation, hereby adopt the following resolution by unanimous written consent, which shall have the same force and effect as if unanimously adopted at a duly convened meeting of the Board of Directors of the Corporation, and a copy of which shall be filed with the minutes of the Corporation. WHEREAS, the Corporation has before it a proposal to transfer five percent (5%) of the issued and outstanding shares of stock of the Corporation from Brenda L. Phillips to Jackie Merrill. NOW, THEREFORE, BE IT RESOLVED, that the Corporation hereby waives its right to purchase five percent (5%) of the issued and outstanding shares of stock from Brenda L. Phillips and the Board hereby authorizes and consents to the transfer of those five percent (5%) of the issued and outstanding shares of stock of the Corporation by Brenda L. Phillips to Jackie Merrill. RESOLVED: That the transfer of shares of the Corporation on substantially the terms and conditions as set forth in the form of the Gift and Transfer of Shares, attached hereto and incorporated by reference herein, be and the same is hereby approved. RESOLVED: That Brenda L. Phillips is hereby authorized and directed to execute and deliver the Gift and Transfer of Shares in the form attached hereto and incorporated by reference herein, and the proper officers of the Corporation be and they are hereby authorized to take any and all action to execute, acknowledge, seal and file any and all instruments and documents deemed necessary or proper in connection therewith. RESOLVED: That Jackie Merrill shall be hereby appointed to the Board of Directors of the Corporation. This Informal Action of the Board of Directors may be executed in counterparts. WITNESS our signatures the day and year first above written. By: Brenda L. Phillips GIFT AND TRANSFER OF SHARES AGREEMENT made %-3-/y , among Brenda L. Phillips (hereinafter "Phillips"), and Jackie Merrill (hereinafter "Merrill"). Whereas RLF, INC. is a corporation having authorized ancj issued common shares of stock, and Whereas Phillips is the sole shareholder of the Corporation, and Whereas Merrill desires to acquire an interest in the ownership of the Corporation, and Whereas the Corporation and its shareholders desire to transfer certain shares to Merrill. It is therefore agreed: 1. Gift and Transfer of shares. Phillips hereby agrees to transfer to Merrill five percent (5%) of the issued and outstanding common shares of the Corporation now held by her. 2. Title to shares. The title to five percent (5%) of the common shares shall remain vested in Merrill, and she shall enjoy all the privileges of ownership, including the right to vote such shares and to collect dividends thereon. 3. Transfer of title to shares. The Corporation shall cancel the necessary certificate(s) and issue a new certificate for a number of shares equal to five percent (5%) of the total issued and outstanding common shares of the Corporation in the name of Merrill. The Corporation shall then deliver to Merrill said certificate and a copy of the express terms of such shares, without charge. In witness whereof the parties have signed and sealed this Agreement. RLF, INC. By I%ee?' Xe.- Brenda L. Phillips DR 8404-1 (07/25/11) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE STREET RM 108A DENVER CO 80261 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 or Tavern 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. 1. Name of Business CJ's Liquors 2. Your Full Name (last, first, middle) Merrill, Jackie Lea 3. List any other names you have used. Jackie Lea Edlund 4. Mailing address (if different from residence) 5. List current residence address. Include any previous addresses within the last five years (attach separate sheet if necessary). STREET AND NUMBER CITY, STATE, ZIP FROM TO Current 210 Eagle Avenue Mead, CO 80542 2007 present Previous 6. List all employment within the last five years. Include any se f employment. (Attach separate sheet if necessary) NAME OF EMPLOYER OR BUSINESS ADDRESS (STREET, NUMBER, CITY, STATE, ZIP) POSITION HELD FROM TO CJ's Liquors 3907 Highway 119, Longmont, CO 80504 Clerk/Manager 2000 present 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 Craig Werner Spouse Sales Manager American Eagle Distributing 8. Have you ever applied for, held, or had an interest in a Colorado Liquor or Beer inventory to any licensee? If yes, answer in detail. ❑ Yes License, or loaned money, furniture, fixtures, equipment or ✓ No 9. Have you ever received a violation notice, suspension, or revocation for a liquor law violation, or have you applied for or been denied a liquor or beer license anywhere in the United States? If yes, explain in detail. ❑ Yes I No 10. Have you ever been convicted or do you have any charges of a crime or received a suspended sentence, deferred sentence, or forfeited bail for any offense in criminal or military court pending? (If yes, explain in detail.) CYes No 11. Are you _ currently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (if yes, explain in detail.) ❑ Yes Vi No 12. Have you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.) •Yes -74 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 SSN 1� c. Place of Birth j d. U.S. Deadwood, South Dakota I I Yes Citizen? ill No e. If Naturalized, State where f. When 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 m. Weight 5'4" 1185 n. Hair Color'o. Eye Color brown brown p. Sex F q. Race I r. Do you have a current Driver's License? If so, give number and state C ' 0 Yes No 14. Financial Information. a. Total purchase price $ 0 (If buying an existing business) or investment being made by the applying entity, corporation, partnership, limited liability __ company, other 55% 9 from mother b. List the total amount of stock purchases or fees paid your investment in this business including $1 any notes, loans, cash, services or equipment, operating capital, c. Provide details of the Investment described In 14.b. You must account for all of the sources of this investment. Attach a separate sheet if needed. Type: Cash, Services or Equipment Source Amount NA d. Loan Information (attach copies of all notes or loans) Name of Lender Address Term Security Amount NA 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 knowledge. Authorized Signature Title,, 6 _ r Manage4h� Dat Viiii`L 20140805-11571 DATE 07/27/2014 SO WELD COUNTY RECORDS GREELEY 1950 "0" STREET GREELEY, CO 80631 RE: MERRILL,JACKIE LEA 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, Ronald C. Sloan, Director Colorado Bureau of Investigation DATE OF BIRTH: Page 1 8715 2810 7101 PULL AND RETAIN THIS COPY BEFORE AFFIXING TO THE PACKAGE. NO POUCH NEEDED. m zlI�= LL2 r.. U Packages over 150 lbs. E N= Om = jd u C Co C%Y1 62 i V F- a •a- a) d 7 C L71 y a) o C C as 12 LA • = Zy -a ?a C a) >_ __ > Oa O. co) et', co n N ILn V a N 0�H LL 0E-4 L J Address l s -g I 1 ;e rc .. S -Free t' O, -v % Cog"— a, We cannot deliver to P D. boxes or P.O. ZIP codes. I- O c] 0 Total Declared Valuer Q w O H 42.1 CI _ a 0 C c O- C3 43 'M roan tJr o G 0 a =a E U— Hello