HomeMy WebLinkAbout20150635.tiff• •
RESOLUTION
RE: APPROVE PERMIT APPLICATION AND REPORT OF CHANGES FOR A CHANGE OF
MANAGER AND AUTHORIZE CHAIR TO SIGN - RAYHEL ENTERPRISES, LLC, DBA
OLE HICKORY SMOKEHOUSE AND TAVERN
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 been presented with an Application and Report of Changes
from Rayhel Enterprises, dba Ole Hickory Smokehouse and Tavern, for a Change of Manager, in
connection with its Hotel and Restaurant Liquor License, for the sale of malt, vinous and
spirituous liquors for consumption by the drink on the premises only, located at 3815 Highway
119, Longmont, CO 80504, and
WHEREAS, after review, the Board deems it advisable to approve said application.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Application and Report of Changes from Rayhel Enterprises, LLC, dba
Ole Hickory Smokehouse and Tavern, for a Change of Manager, in connection with its Hotel and
Restaurant Liquor License, for the sale of malt, vinous and spirituous liquors for consumption by
the drink on the premises only, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 9th day of March, A.D., 2015.
BOARD OF COUNTY COMMISSIONERS
W , D COUNTY, CO RADO
ATTEST: ..(e40;(1
Weld Co my Clerk to the Board
BY:
Deputy r' erk to the
APPROVED AS TO FO
County Attorney
Date of signature:
U)solIt,; App
arbara Kirkmeye-, Chair
Mike Freeman, Pro-Tem
)
Sean _ P. Conway
Steve Moreno
2015-0635
LC00-15
De 8642 620,2 es
COLORADO D ARENT OF REVENUE
LIQUOR ENFO GA1 T BMSICN
DENVER. COL AS Cpl&r
3G3p2C5-23a
ACKKsatnl Z7.G4D
APR —6 2015
PERMIT APPLICATION
AND REPORT OF CHANGES
FOR aiD,RI MEN USL ONLY
RECEIVE'
RECEIVED APR 02 20)5
APR 115 2015 LIQOORENF. DIVISION
WELD oOUNTY
CURRENT LICENSE NUMBER
BOOK TO ORDER CALL (303) 370-2165
ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN
LOCAL LICENSE FEE $
APPLICANT SHOULD OBTAIN A COLORADO LIQUOR & BEER CODE
1 Applicant is a
__ C N atlon
.'. ,ed,duai
n f
L. n P rship .
.!C+� [- ability Co ^pang
6 V a-27
2. Name of Licensee
:3 Trade Name
Tft4lltel ENTERPRISES LL
-, CC i4lctcCi2y5iKetsef{oust=spfAVch'V
4 . Location Address r
3s'15 -.4b.0.- 1L`1
City �.County.
LIP
ONGt\-(6 j )
\./Q1-1-17
USO�{
SELECT THE APPROPRIATE SECTION BELOW AND PROCEED TO THE INSTRUCTIONS ON PAGE 2.
g. SectionA-Manage..
hertt .4v. ..- .,.,%s
x .�- S a _^ '.x- . - _,. _-
2210-100 (999) _ , Retail Warehouse Storage Permit (ea) 5100.00
^ License Account No.
2200-100 (999)
_. Wholesale Branch House Permit (ea).,._ 100.00
1983.750 (999) Manager's Registration (Hotel & Restr.)..575.00
2260-100 (999)
:.] Change Corp. or Trade Name Permit (ea).50.00
2012-750 (999) J Manager's Registration (Tavern) 575.00
t . Change of Manager (Other Licenses) NO FEE 2230-100 (999)
!_7 Change Location Permit (ea) 150.00
2280-100 (999)
._._! Change.. Alter or Modify Premises
-- . ^
.§eCtigrti_pt _tl
q , ..:y
$15O00xTotal Fee
2220.100 (999)
_. Addition of Optional Premises to Existing HIP
• Liquor License No.
5100.00 x _� Total Fee
2270-100 (999)`.1 Duplicate License
350.00 1988-100 (999) _I Addition of Related Facility to Resort Compiex
075.00 x Total Fee
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY
DATE LICENSE ISSUED
I. ICENSE ACCOUNT NUMBER
PERIOD
1.0.I?-13o/g- o
I rl
I
s�
-750 (999) . -100 (999) `
r
< ,.,
i.i4i TOTAL _
` ` AMOUNT DUE s 75 .00
2015-0635
( 9:24.C9, Page 2
INSTRUCTION SHEET
FOR ALL SECTIONS, COMPLETE QUESTIONS 1-4 LOCATED ON PAGE 1
'Section A
To Register or Change Managers, check the appropriate box in section A and complete question
8 on page 4. Proceed to the Oath of Applicant for signature (Please note: Hotel, Restaurant. and
Tavern licensees are required to register their managers).
Section B
For a Duplicate license, be sure to include the liquor license number in section B on page 1 and
proceed to page 4 for Oath of Applicant signature.
Section C
Check the appropriate box in section C and proceed below.
1) For a Retail Warehouse Storage Permit, go to page 3 complete question 5 (be sure to check the
appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant signature.
2) For a Wholesale Branch House Permit, go to page 3 and complete question 5 (be sure to check the
appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant signature.
3) To Change Trade Name or Corporation Name, go to page 3 and complete question 6 (be sure to check
the appropriate box). Submit the necessary information and proceed to page 4 for Oath of Applicant
signature.
4) To modify Premise, go to page 4 and complete question 9. Submit the necessary information and
proceed to page 4 for Oath of Applicant signature.
5) For Optional Premises or Related Facilities go to page 4 and complete question 9. Submit the necessary
information and proceed to page 4 for Oath of Applicant signature.
6) To Change Location, go to page 3 and complete question 7. Submit the necessary 'nformation and
proceed to page 4 for Oath of Applicant signature.
CIR 0442
S*'
4".: i.
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. ,1
f.
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5 Retail Warehouse Storage Permit or a Wholesalers Branch House Permit
Retail Warehouse Permit for:
: , On -Premises Licens.-, , (Taverns. Restaurants etc.)
!.. Off -Premises Licensee (Liquor stores)
;_- Wholesalers Branch House Permit
premise: Address of storage g
City . County . Zip
Attach a deed/ lease or rental agreement for the storage premises.
Attach a detailed diagram of the storage premises.
,
zx:
{„r":
6. Change of Trade Name or Corporation Name
Change of Trade name ! DBA only
: Corporate Name Change (Attach the following supporting documents)
1. Certificate of Amendment filed with the Secretary of State, or
2. Statement of Change filed with the Secretary of State. and
3. Minutes of Corporate meeting, Limited Liability Members meeting. Partnership agreement.
4.
•
OKI 1 rsrJe Name i Nevi Trade Name
i
' )lc, I Grp t ate; Name Ni:. Corporate N.rti:r:
f;tl
%•;,.}:
fir,
7. Change of Location
NOTE TO RETAIL LICENSEES: An application to change location has a local application fee of 5750 payable to your local licensing
authority. You may only change location within the same jurisdiction as the original license that was issued. Pursuant to 12-47-
311 t1) C.R.S. Your application must be on file with the local authority thirty (30j days before a public hearing can be held.
Date filed with Local Authority Date of Hearing
(a) Address of current premises
. -___
City Zip _.._.....-.
_..__ . ____ _.....- . ___County _..- ---.-._--_--
(b) Address of proposed New Premises (Attach copy of the deed or lease that establishes possession of the
premises by the licensee)
Address
... �_.
City - - County ..__..
(c) New mailing address if applicable
Address
City County State Zip
—...— .............. ...-.- _ -- - --
(d) Attach detailed diagram of the premises showing where the alcohol beverages will be stored. served,
possessed or consumed. Include kitchen area(s) for hotel and restaurants.
DR 8442 (09/24/09) Page 4
'' M
2 a
p
Ili
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I
8. Change of Manager or to Register
(a) Change of Manager (attach Individual
Former manager's name
the Manager of a Tavern or a Hotel and Restaurant liquor license.
History DR 8404-I H/R and Tavern only)
LR R t c'-(vcfc
New manager's name CO -FY RA y(-te L
(b) Date of Employment ( 0 — 2 q — 1 t{
Has manager ever
Does manager
If yes, give name
managed
have a
and
a liquor licensed establishment? Yes 11 No V
financial interest in any other liquor licensed establishment? Yes U No CV"-
location of establishment
a
a
z
o
p
o J
O C?
Z
E tit
0
9. Modification
NOTE:
(a)
of Premises, Addition of an Optional Premises, or Addition of Related Facility
Licensees may not modify or add to their licensed premises until approved by state and local authorities
Describe change proposed
_.
(b) If the modification is temporary, when will the proposed change:
Start (mo/day/year) End (mo/day/year)
NOTE:
(c) Will
private
college,
(If
(d) Is
(e) If
Facility,
(f) Attach
licensed
(g) Attach
THE
the
yes,
the
this
TOTAL
proposed
school
university
explain
proposed
modification
has
a diagram
premises.
any
STATE FEE FOR TEMPORARY
change result in
that meets compulsory
or seminary?
in detail and describe
change in compliance
is for an additional
the local authority authorized
of the current licensed
existing lease that is
MODIFICATION
the licensed
education
any
with
Hotel
premises
revised due
premises
requirements
exemptions
local building
and Restaurant
by resolution
and
to the
IS 5300.00
now being located within 500 feet of any public
of Colorado law, or the principal campus of
that apply) Yes [ii No
and zoning laws? Yes C] No
Optional Premises or Resort Complex Related
or ordinance the issuance of optional premises?
Yesi I No
a diagram of the proposed changes for the
modification.
or
any
Li
Li
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OATH OF
APPLICANT
I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments
thereto, and that all information therein is true, correct, and complete to the best of my knowledge.
Signature.,, ��,/''
Title
Date
REPORT AND APPROVAL
The foregoing application has been examined
satisfactory, and we do report that such pen -nit,
46 and 47, C.R.S., as amended.
OF LOCAL LICENSING
and the premises,
if granted, will
THEREFORE,
comply
THIS
business
AUTHORITY (CITY I COUNTY)
conducted and character
with the applicable provisions
APPLICATION IS APPROVED.
of the applicant is ',
of Title 12, Articles
Local Licensing
Board
Authority
of Weld
(City or County)
County Commissioners
MAR
Date filed with
0 9 2015
Local Authority
Sign. Lure
-
Title
Chair
Date
9 2015
, Barbara Kirkmeyer
MAR 0
REPORT OF STATE
LICENSING
AUTHORITY
The foregoing has been examined and complies with
the filintNyirements of Title 12, Article 47, C.R.S.,
as amended.
Signature
Title
Date
DR 8404-I (07125111 I
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET RM 1084
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
Ole Hickory Smokehouse and Tavern
2. Your Full Name (last, first, middle)
Rayhel, Coty, Nicole
3. List any other names you have used.
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 j FROM
TO
Current
1159 Arapahoe Ave.
Berthoud, Co 80513
8/2014
Present
Previous
1117 C.R. 607
Alvarado, TX 76009
7/2006
8/2014
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
Dairy Queen
1115 U.S. 67 Business Alvarado, TX 76009
Cook
;
11/13 11/13
Benny's Italian Restaurant and Bar
1014 U.s. 67 Alvarado, TX 76009
Waitress
10/13 110/13
Rayhel Dairy Queens Inc.
1014 E. Broad St. Mansfield, TX 76063
Training Manager
06/06 ! 04/13
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
8. Have you ever applied for, held, or had an interest in a Colorado Liquor or Beer License, or loaned money, furniture, fixtures, equipment or
inventory to any licensee? If yes, answer in detail. U Yes EZ 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�7 1 No
10. Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited ball for any offense in criminal or military court
or do you have any charges pending? (If yes, explain in detail.)
✓Yes INo
Possession of Marijuana under 2 ounces in February 2012. I received 1 year of deferred probation which I have combed.
11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (If yes, explain in detail.)
Yes I No
12. Have you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.)
Yes ' 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 c. Place of Birth d. U.S. Citizen?
Weatherford, TX ✓—Yes I INo
e. If Naturalized. State where ' f. When g. Name of District Court
h. Naturalization Certificate Number i. Date of Certification I j. If an Alen, Give Alien's Registration Card Number k. Permanent Residence Card Number
I. Height m. Weight n. Hair Color'. o. Eye Color p. Sex q. Race r. Do you have a current Driver's License? If so, give number and state
5'10" 190 Red Brown F White IYes I
Financial Information.
N
a. Total purchase pnce $ _ (if buying an existing business) or investment being made by the applying entity, corporation,
partnership: limited liability company, other S . _. N I A _...
b. List the total amount of your Investment in this business including any notes, loans, cash, services or equipment, operating capital,
stock purchases or fees paid $ N'A
._ _._.
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
N 1 Pt
d. Loan Information (attach copies of all notes or loans)
Amount
Name of Lender
Address
Term
Security
f`1�A \\
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 i Title ,I Date
Manager 08/ 08/28/2014
�,_uulw� „h,ApI,llcanl
?Lull
I ce_
Don.ai,, n_ I.uO
COLORADO I I. AII'OR:1 )) DO( t AI L\T
\ alit' for 30 t'aps from 3/IG/21115
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Ud,lrc,,: Birth ITnir
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I ndnnenia�ls. Res[ric,luus.
VIC Ir I Inli m,toti,rn:
\ii G:ur, Ioth r.itur. Surrruder L,c,r, Sialc. I N
\ dl Cran Indict or. License \umber. _
LRIF1 THE LOLL() \\ LAC QI LS I IONS H )'o L BEL'\
AASVAEKED CORRLC ILI
I, ,our ,lr1, Aux pr, ilaee undrr,u<hcmon_
1 ,0,111 ,1n or ,Ic, in ( olwada ur.w,
2 Duiinethe h�u„o,;1)r,_hlo r,, nu
�ncn tal ur,wo:ionaa cnmlillun that ,could interfere with
nn' ability to operate 0 motor tehicle nl felt in lu,lin!•
'1,111 prohlcntsdinhete>,
.ip,c, of CO11,1uusnc„- or diiiines.;7
I lid, xurcmiscJ II o, < r (,� i„uc ictnsv, in III,
fierce „ilhin Ihirl, 0 ,)) d;p; ,tlirr th, ,1)n.• I bcaunir a resident to
,.htcr .[in said, then I o„0 Lad aperuc in (t,l„rudu pw, 1,11 la
12-.]-10'1'4 1,31), 3,‘3M)
For male, I8 ,e.us ohaec ;wt' older.
Ii, . panting. chi pplivatlnn_ I am Jan, amt? lu heiu_ isle; e,l
I perch, eertils rhw thr nhu, e infurnuw„u ei,en i, Irud cud
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„ili he cau,c 10r c,meelial i,m nl in, ,IrI, lu 011, ileg.r.
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!.,.uniuer
September 11, 2014
To whom it may concern;
My name is Laura Cantell and I was previously employed by Rayhel Dairy Queens,
Inc. from April 2007 to April 2013. My title during this time was District
Manager. I worked close with Coty Rayhel daily, she was the company training
manager for emp►oyees and managers for the four Dairy Queen locations. Coty
Rayhel was liked and respected by all the Dairy Queen system and a close friend
of mine. Coty Rayhel is a great business person, and I'm proud to include her on
my resume as a personal reference.
If you have any need to reach me at any time please contact me either via cell at
817-291-3141 or by mail at 825 St. Moritz Dr. Crowley, Tx 76036.
Email : lauralcantell@yahoo.com
Sincerely,
Laura Cantell
9-10-14
BUSINESS REFERANCE FOR COTY RAYHEL
RAYHEL DAIRY QUEENS, INC
1109 C. R. 607
ALVARADO, TEXAS 76009
To whom it concerns,
My name is Carol Myers; I am Co -Owner of the Rayhel Dairy Queen Inc. where Coty
Rayhel was employed for eight years. She started as cashier and advanced to the
Company Training Manager.
Coty was a dependable hard working employee and was liked and respected by all. I
have known Coty her entire life and felt very proud to have her employed in my
Business and be a part of my life.
Sincerely,
Carol Myers
Cell Phone; 817-229-7316 Email: rayheldq{cr�aol.com
To whom it may concern,
My name is Samantha Robbins. I have known Coty Rayhel for eleven years. We went to high school
together in Texas and have been great friends ever since. Coty has always been a loving, and
dependable person, as well a great mother. I was blessed to have got to work with her for four years.
Coty was always an understanding, and kind hearted manager to all her employee's. She worked very
hard to be where she was and to have the life she does. If you have any other questions feel free to
contact me at any time.
Samantha Robbins
Phone number (817) 862-3764
Address 9252 Seaway Dr. Dallas TX 75217
Thank you and have a wonderful day!
20140910-08381
DATE 09/01/2014
SO WELD COUNTY RECORDS GREELEY
1950 "0" STREET
GREELEY, CO 80631
RE: RAYHEL,COTY NICOLE 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,
Ronald c. Sloan, Director
Colorado Bureau of Investigation
Page 1
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