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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20140168.tiff
RESOLUTION RE: APPROVE APPLICATION AND REPORT OF CHANGES FOR EATON COUNTRY CLUB, DBA EATON COUNTRY CLUB, 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, Eaton County Club, dba Eaton Country Club, holder of a Hotel and Restaurant with Option Premises License in Weld County, Colorado, has presented the Board with an Application and Report of Changes, and WHEREAS, said change is as follows: Kory Atkinson replaces Richard Smith as Manager, and WHEREAS, after study and review, the Board deems it advisable to approve said Application and Report of Changes. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Application and Report of Changes submitted by Eaton Country Club, dba Eaton Country Club, 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 20th day of January, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: U.dthK/ St ; Weld County Clerk to the Bo ounty Attorney Date of signature: 3'5'14 can P. Conway RECUSED Mike Freeman illiam F. Garcia U., 50 , PsWP t_ 3. 5.iJ 2014-0168 LC0037 RECEIVED DR 8442(09/24/09) Page 1 �� 2014 COLORADO DEPARTMENT OF REVEN E LIQUOR ENFORCEMENT DMSION '4CKrtiIp (Fr,J DENVER, COLORADO 80261 WELD COUNTY Etc (303)-2054300 +^,OMMISSIONERSPEP PERMIT APPLICATION 2014 AND REPORT OF CHANGESSi^ n FOR DEPARTMENT USE ONLY CURRENT LICENSE NUMBER 14088390000 ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN LOCAL LICENSE FEE $ APPLICANT SHOULD OBTAIN A COLORADO LIQUOR & BEER CODE BOOK TO ORDER CALL (303) 370-2165 PRESENT LICENSE NUMBER 1. Applicant is a RI. Corporation ❑ Individual ❑ Partnership ❑ Limited Liability Company 2. Name of Licensee Eaton Country Club 3. Trade Name Same 4.Location Address 37661 WCR 39 City Eaton County Weld 80615 ISO 4088390000 ZIP SELECT THE APPROPRIATE SECTION BELOW AND PROCEED TO THE INSTRUCTIONS ON PAGE 2. Section A — Manager reg/change Section C • License Account No. 14088390000 1983-750 (999) d Manager's Registration (Hotel & Restr.)$75.00 2012-750 (999) ❑ Manager's Registration (Tavern) $75.00 ❑ Change of Manager (Other Licenses) NO FEE Section B — Duplicate License • Liquor License No. 2270-100 (999) ❑ Duplicate License $50.00 2210-100 (999) ❑ Retail Warehouse Storage Permit (ea) $100.00 2200-100 (999) ❑ Wholesale Branch House Permit (ea) 100.00 2260-100 (999) ❑ Change Corp. or Trade Name Permit (ea) . 50.00 2230-100 (999) ❑ Change Location Permit (ea) 150.00 2280-100 (999) ❑ Change, After or Modify Premises $150.00 x Total Fee 2220-100 (999) ❑ Addition of Optional Premises to Existing H!R $100.00 x Total Fee 1988-100 (999) ❑ Addition of Related Facility to Resort Complex $75.00 x Total Fee DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY PERIOD DATE LICENSE ISSUED -750 (999) -100 (999) LICENSE ACCOUNT NUMBER The State may convert your check to a one lime electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected TOTAL due to insuffident or-uncollecedfunds, the Department of Revenue may collect AMOUNT DUE the payment amount directly from your bank account electronically. 2014-0168 cA- $ 7S00 Ck. Si l l 2•S-Zat'f LCa03-7 OR 8442 (09/24/09) Page 3 x u I' x,r h- '= 0 k =w 5. Retail Warehouse Storage Permit or a Wholesalers Branch House Permit 11 Retail Warehouse Permit for: ❑ On —Premises Licensee Taverns. Restaurants etc.) ❑ Off —Premises Licensee (Liquor stores) L ; Wholesalers Branch House Permit Address of storage premise: City County , Zip Attach a deed/ lease or rental agreement for the storage premises. Attach a detailed diagram of the storage premises. Y �l � -f , ," RC v: p S, 6. Change of Trade Name or Corporation Name ❑ Change of Trade name / DBA only ❑ Corporate Name Change (Attach the following 1. Certificate of Amendment filed with the Secretary 2. Statement of Change filed with the Secretary 3. Minutes of Corporate meeting, Limited Liability supporting documents) of State, or of State. and Members meeting, Partnership agreement. Old Trade Name New Trade Name Old Corporate Name New Corporate Name zz g'as. ' ? f ,,, '' �y 7. Change of Location NOTE TO RETAIL LICENSEES: An application to change location has a local application fee of $750 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 (1) C.R.S. Your application must be on file with the local authority thirty (30) days before a public hearing can be held. Date filed with Local Authority Date of Hearing (a) Address of current premises City County Zip (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 Zip (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 fe 34xr_w �;,: ; ig ,. ' .• °' �rrt `^ -`� ` ' -.., :Vii.'. 8. Change of Manager or (a) Change of Manager Former manager's New manager's name (b) Date of Employment Has manager ever Does manager have If yes, give name and to (attach name Register the Manager Individual History Richard Smith of a Tavern or a Hotel and Restaurant liquor license. DR 8404-I H/R and Tavern only) Kory Atkinson 08/19/2013 establishment? other liquor licensed establishment? managed a liquor licensed a financial interest in any location of establishment Yes Hr No ■ Yes ■ No Er _,' �<:.•;; Lai `' :_)).u,;v `6r --4,., '' I(, ,` ® . k ` , �F-- `r =: 9. Modification of Premises, NOTE: Licensees may not modify (a) Describe change proposed Addition of an Optional or add to their licensed Premises, or Addition of Related Facility premises until approved by state and local authorities. (b) If the modification is temporary, when will Start (mo/day/year) the proposed change: End (mo/day/year) within 500 feet or the principal or Resort of optional changes of any public or campus of any NOTE: THE TOTAL STATE FEE FOR TEMPORARY MODIFICATION (c) Will the proposed change result in the licensed private school that meets compulsory education college, university or seminary? (If yes, explain in detail and describe any exemptions (d) Is the proposed change in compliance with (e) If this modification is for an additional Hotel Facility, has the local authority authorized by (f) Attach a diagram of the current licensed premises licensed premises. (g) Attach any existing lease that is revised due IS $300.00 premises now being located requirements of Colorado law, that apply) local building and zoning laws? and Restaurant Optional Premises resolution or ordinance the issuance and a diagram of the proposed to the modification. Yes ■ No O Yes ■ No O Complex Related premises? Yes O No❑ for the n%',l ]• vl" ';Y. ;it, `f�ii Y: ,�J , N;� -1. Jai `}�+ 5� s.t a7.,i, i�'F'l i -� ��„.s., lr . ,„ �© o '';1� 3 °,,.�j•�}. r ..t f' f, '�.�P� U °� '1',...x ,. � a. CS �:ft4L f ;;`h' ® R ..�.. aair f'���.c�`� o o i° e{ ° �I - tl ® •{ 'vJ^ f F a ykp:... •u rdJ 1x . J o. J r ,,,i 1+in" f zt , r ' qj o'° °° s® o" oho ova p<i,., 4'�4 -,0,--e;0-(,,,,air?1 { ( 1 ....£-. ,r.�Y:t t} q Al�•j✓• _ 5� ��j�N � r S"{�f 00 0 n 6 0 o rot 00 fix,*��re,t,4 , Signal �.- Title General Manager Date 11/8/2013 ^k -ax 'i�w S ✓ '.t�: Yv'.3..' ra Maki } 1 S 1 Fs �fN�P . ®a B /1 ® 3�{ fP , -. r* +�,, , may, , l J r } s t�' r Yeti,.• i as - 0.9^10 o tpr e°u 4H �?a ��N � � � • - pry, rt F i s i�. ? r .y.}.. ,gSf (y on Ro Joey eo `u,,.q o 1+YY Y vy yy� 3' `.x + f *; S_ 'c. i nl`i. .yS it- A n0 0 } ,leis +. �`,' , w'.x.,. ! it .. fil.�. r CSak h -3 r"C � y0 tl rt y,t oal at u �i ® iA irT r � ..4, k + �4 .. f •a}•: a i7 0 w y,�iy�{y �"7fo '7 ` n, ,,rte ° 4,0 C 6�1 rit° .�i M' .-1,. ? wa ririri��• ooil o 0 od a o'��a. vi 4a5..,y �b- y �7�� 4� r^w f5},a 'l �Jy1 . 4+ Aa]i �,.�- 9;ai ≥ r� s 4?' h t G .• r4 ® , ® r. 0 ;IA': I Local Licensing Authority (City or County) Weld County, Colorado Date filed with Local Authority Sig Lure d.?tt Q, �1� Dougl4s Rademacher Title Chair, Board of Weld County Commissioners Date JAN 2 0 2014 t +p ry,: � l t,- , Na..;F a e ,�:e; © rn �T�r !' %�,� 2b�pl r rt h —,0 0, „ (1 „, u 0. or i - _ © 3, ,� . .2 oy�.£,{v dvL{'3's-�r 'y :JG Ir p "f d� p t� +P- Std '{$ I i i-s" a S'l ff �b ,. ° is ° t F � 1f . ,.:a: 9. Signature Title Date DR 8404-I (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 Eaton Country Club 2. Your Full Name (last, first, middle) Atkinson, Kory Dean 3. List any other names you have used. N/A 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 1430-D Front Nine Drive Fort Collins, CO 80525 2010 Present Previous 540 Lone Eagle Drive Granby, CO 80446 2006 2010 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 Eaton Country Club PO Box 240 37661 WCR 39 Eaton, CO 80615 General Manager 08/2013 Present de Anza Country Club 509 Catarina Drive Borrego Springs, CA 92004 General Manager 09/2012 08/2013 Granby Ranch 1000 Village Drive Granby, CO 80446 General Manager 12/2006 08/2009 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. ❑ Yes Z 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 II No 10. or •Yes Have you ever been convicted of a crime or received a suspended sentence, deferred sentence, or forfeited bail for any offense in criminal or military court do you have any charges pending? (If yes, explain in detail.) IVANo 11. Are you Yes r4 currently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (if yes, explain in detail.) No 12. ill Have Yes you YANo ever had any professional license suspended, revoked, or denied? (if yes, explain in detail.) 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 Broomfield, CO d. U.S. ✓ Citizen? Yes El 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 5'9" m. Weight 210 n. Hair Color Lt Brown o. Eye Color Blue p. Sex M q. Race W r. Do you have a current Driver's License? If so, give number and state ® Yes ❑ No ' 14. Financial Information. a. Total purchase price $ N/A (if buying an existing business) or investment being made by the applying entity, corporation, partnership, limited liability company, other $ N/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 d. Loan Information (attach copies of all notes or loans) Name of Lender Address Term Security Amount 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. Authypird, Signature '/Z-07.------ Title General Manager Date 10/29/2013 // Nov 06 13 11:44a Josh Lockey Josh Lackey Insurance 520 8th Street Dacona, CO 80514 303-833-1501 To Whom It May Concern: Re: Kory Atkinson As the Eaton Country Club President of the Board of Directors, I was on the c:on-!mittc to h: -t c. new General Manager. Kory immediately set himself apart from the others interviewing for this position by his energy, honesty and overall presentation. Since this time, he has proven himself over and over again by managing all facets at once. Kory continues to show his original motivation, drive and enthusiasm for the improvement and betterment of the Eaton Country Club. His leadership is proven and eagerly followed by the employees of the Club. Kory has brought a new vision to the inner workings of the Club which is displayed in how he has handled various tasks with integrity, dedication and energy that have been put before him. We look forward to a long relationship with Kory being able to take the Eaton Country Club past its current capabilities. Respectfully, ockey President, Board of Directors Eaton Country Club FEDERAL BUREAU OF INVESTIGATION - CJIS DIVISION CIVIL APPLICANT RESPONSE A SEARCH OF THE FINGERPRINTS ON THE INDIVIDUAL HAS REVEALED NO PRIOR ARREST. ICN: OCA: Name: Date of Birth: Sex: Race: Height: Weight: SSN: Misc ID: Captured Date: Submitted Date: E2013318000000131237 CO0620000 ATKINSON,KORY DEAN M W 5'09" 210 11/13/2013 11/14/2013 Jeff Lesh Lesh Electric 1115 Osprey Road Eaton, CO 80615 970-454-2766 To Whom It May Concern: Re: Kory Atkinson f have known Kory for only a couple of months, since he was hired as the General Manager at the Eaton Country Club in August 2013. In the amount of time that he has been at ECC, the changes he has made, though small, have made a big impact on the improvement of the overall atmosphere at the Club. He has been able to handle some interesting situations that have arisen with honesty, fairness and total professionalism. He has been able to handle meetings with employees, vendors, members and the Board of Directors effortlessly. I believe in his ability to continue to provide the Eaton Country Club with a positive future and growth. Respectfully, c-\\;%4 Jeff Lesh November 5, 2013 To Whom It May Concern: Kory Atkinson currently serves as the general manager of the Eaton Country Club where I serve on the operations committee of the board of directors, Since Kory's hiring it has been my privilege to see the increased level of professionalism he both possesses and demands from his staff. Kory is team oriented, a good communicator, and conducts himself with the utmost character. I hold Kory in high esteem and would not hesitate to recommend him for any leadership position. Sincerely, Greg Achziger 510 Black Hawk Drive Eaton, CO 80615 970-454-5688 • o 2 • o t, o>L U co C'r. -E 1,Cv, - dip f': �J $ /,)- . o ti U •, Uax o FOR �1Fa��r. `' 1 n�.lam, LCOO37 _hemp, O RECEIPT '`o Co t- 0 0 ADDRESS t c (1) O E N. O U O o Cl) D O a) U tl 0 DATE RECEIVED FROM -r,- (1:924-ft-tr.. fl / FOR I • 6'f)/ / u . y_ ` X. f HOW �AJD ( : ) CASH , I 1 CHECK V ...— MONEY ORDER (: L4 E 7 $ 7 NO. B7233 t f /'1' BY •1+v a�oeidm'Cxaeco.�rauc.'5'b&'o'e ib d'i!'ti Zaa cndr�re�6eo.4''a aee' 6. vaea o�. e'e' aee•ne nvneetim.... r.., RECEIPT DATE 1r -P_„ Z0/3 (-'{' ry it RECEIVED F OM i:: i ��, , % Lauri co ADDRESS _ co0 ti U - o o FOR 0 T-402 umnisun 3W f. , 3% 1 1 H0W`1?AID CASH i I N.„..__. CHECK k . 3g So MONEY ORDER BY c1>�, NO. 8723 ,L 5-J NO. 4:j2a�? RECEIPT DATE '- 2-?vr.3 RECEIVED FROMA coy - 2 ADDRESS PAID::: rip 17``5.,'7/() BY Esther Gesick From: Sent: To: Cc: Subject: Attachments: Hi Shelly, Esther Gesick Friday, November 08, 2013 9:57 AM shelly.bowden@sIbbi.com Esther Gesick FW: Report of Changes Report of Changes and Permit Application.pdf I'm sorry I missed you the other day when the Change of Manager paperwork was dropped off. I have done a review of the packet and have a few items that need corrected/finalized. Unfortunately, Tammy attached the wrong Report of Changes form and requested the wrong fee, so I'm providing the correct form to be completed. I think you'll see this one has a section that is more specific to a Manager Change. Page 2 provides instructions on completing the form and I will need a new check for the local fee is $75, payable to: Weld County Clerk to the Board (I already have one $75 check that will go to the "Colorado Department of Revenue". I will return the $100 check). Once you have completed the form, please be sure it is signed and dated. There are two sets of fingerprint cards and we only require one, so one of those will be returned. Lastly, on the Individual History Record - question #4 requires the Manager's personal mailing address, if different from #5, so that can be changed to N/A, rather that listing the business address. #13.r asks for the current Driver's License No. and State. Also, I need to have Kory sign and date before I can process the request. Thanks for addressing these items and please call if you have any questions. Since I am the only one here to process liquor applications, please let me know if you are coming by and I can be sure to be present. Thank you, Esther E. Gesick Deputy Clerk to the Board/Office Manager 1150 O Street, P.O. Box 7581 Greeley, CO 80632 tel: (970) 336-7215 X4226 Kory Atkinson General Manager PGA, CMAA EATON COUNTRY CLUB Phone: 970-454-2106 PO Box 240 Fax: 970-454-3095 37661 WCR 39 Email: katkinson@slbbi.com Eaton, CO 80615 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: Tammy Waters Sent: Wednesday, October 30, 2013 12:18 PM To: Esther Gesick Subject: FW: Report of Changes This will be outstanding when I leave so I wanted to keep you in the loop. Tammy Waters Deputy Clerk to the Board 1 1150 O Street' P.O. Box 758/Greeley, CO 80632 tel: (970) 336-7215 X5226 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: Tammy Waters Sent: Monday, October 14, 2013 11:42 AM To: 'shelly.bowden@slbbi.com' Subject: Report of Changes Hi Shelly, As per our phone conversation, I have attached the required documents. Kory is welcome to bring all the documents when he comes to get his fingerprints done. Here is what you need for fees: Weld County Sheriff - $10.00 (fingerprinting fee) Colorado Bureau of Investigations $38.50 (background check) CO Dept of Revenue —$75.00 (manager registration) Weld County - $100.00 (process manager change) Kory will have to have 3 letters of reference as well, please make sure the reference letters have contact information on them. Please let me know if you have any questions and have a great day. Tammy Waters Deputy Clerk to the Board 1150 O Street/P.O. Box 758/Greeley, CO 80632 tel: (970) 336-7215 X5226 Grit_=_ 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
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