HomeMy WebLinkAbout20143045.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TRANSFER OF OWNERSHIP OF A TAVERN LIQUOR
LICENSE FROM CLUB AUTENTIKO, LLC, DBA CLUB AUTENTIKO, TO SIPRES
LOUNGE, INC, DBA SIPRES LOUNGE, AND AUTHORIZE CHAIR TO SIGN -
EXPIRES FEBRUARY 11, 2016
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, Sipres Lounge, Inc, dba Sipres Lounge, presented to the Board of County
Commissioners of Weld County, Colorado, an application for a Transfer of Ownership of a Tavern
Liquor License for the sale of malt, vinous and spirituous liquors, said license previously held by
Club Autentiko, LLC, dba Club Autentiko, and
WHEREAS, pursuant to Exhibit 5-H of the Weld County Code, said applicant has paid the
required fees to the County of Weld for a Transfer of Ownership of the existing license, and
WHEREAS, said applicant has exhibited a State Liquor License for the sale of malt,
vinous and spirituous liquors for consumption by the drink on the premises only, outside the
corporate limits of any town or city in the County of Weld at the location described as follows:
1490 County Road 27
Brighton, CO 80603
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 first available
"responsible vendor" class after hiring. Evidence of such shall be included in the referral report
submitted by the Sheriffs Office at the time of annual renewal.
Cc.: So a11s
2014-3045
LC0028
TRANSFER OWNERSHIP OF LIQUOR LICENSE - SIPRES LOUNGE, INC, DBA SIPRES
LOUNGE
PAGE 2
NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of
Weld County, Colorado, having examined said application and the other qualifications of the
applicant, does hereby grant License Number 2015-03 to said applicant to sell malt, vinous and
spirituous liquors for consumption by the drink on the premises only at retail at said location and
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 February 11, 2016, providing that said place where the licensee is
authorized to sell malt, vinous, and spirituous liquors for consumption by the drink on the
premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado
and the rules and regulations relating thereto, 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.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 6th day of October, A.D., 2014.
ATTEST: d , ,,/ 4
Weld County Clerk to the Board
D: p Clerk to the Bo
APPROVED AS TO FOR
County Attorney
Date of signature: 47
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Doglas R emac e , hair
arbara Kirkmeyer Pro-Tem
can P. Conway
ke Freem
William r arcia
C'
2014-3045
LC0028
DR 8404 (05/07/09) Page 2
APPLICATION DOCUMENTS
CHECKLIST AND WORKSHEET
Instructions: This check list 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.
ITEMS SUBMITTED, PLEASE CHECK ALL APPROPRIATE BOXES COMPLETED OR DOCUMENTS SUBMITTED
I. APPLICANT INFORMATION
'-A. Applicant/Licensee identified.
• B. State sales tax license number listed or applied for at time of application.
E G. License type or other transaction identified.
' D. Return originals to local authority.
E. Additional information may be required by the local licensing authority.
II.fAM OF THE PREMISES
/96 No larger than 8 1/2" X 11".
-.N1'1B. Dimensions included (doesn't have to be to scale). Exterior areas should show control (fences, walls, etc.).
j C. Separate diagram for each floor (if multiple levels).
D. Kitchen - identified if Hotel and Restaurant.
III. PROOF OF PROPERTY POSSESSION
• A. Deed in name of the Applicant ONLY (or)
I B. Lease in the name of the Applicant ONLY.
f G. Lease Assignment in the name of the Applicant (ONLY) with proper consent from the Landlord and acceptance by the Applicant.
❑ D. Other Agreement if not deed or lease.
IV. BACKGROUND INFORMATION AND FINANCIAL DOCUMENTS
❑ A. Individual History Record(s) (Form DR 8404-I).
Npl❑ B. Fingerprints taken and submitted to local authority. (State authority for master file applicants.)
C. Purchase agreement, stock transfer agreement, and o authorization to transfer license
D. List of all notes and loans.
V. CORPORATE APPLICANT INFORMATION (If Applicable)
❑ A. Certificate of Incorporation (and/or)
�i-1 B. Certificate of Good Standing if incorporated more than 2 years ago.
C. Certificate of Authorization if foreign corporation.
11 D. List of officers, directors and stockholders of parent corporation (designate 1 person as "principal officer").
VI. PARTNERSHIP APPLICANT INFORMATION (If Applicable)
❑ A. Partnership Agreement (general or limited). Not needed if husband and wife.
VII. LIMITED LIABILITY COMPANY APPLICANT INFORMATION (If Applicable)
❑ A. Copy of articles of organization (date stamped by Colorado Secretary of State's Office).
❑ B. Copy of operating agreement.
❑ C. Certificate of Authority (if foreign company).
VIII. MANAGER REGISTRATION FOR HOTEL AND RESTAURANT, TAVERN LICENSES WHEN INCLUDED WITH THIS
APPLICATION
A. $75.00 fee.
B. Individual History Record (DR 8404-I).
DR 8404 (05/07/09) Page 1
COLORADO DEPARTMENT OF REVENUE
21
DEPARTMENT USE ONLY
DENVER "'" """" "'"'v„ COLORADO LIQUOR
COGO 80261
RETAIL LICENSE APPLICATION
❑
NEW LICENSE
I]
TRANSFER OF OWNERSHIP
❑
LICENSE RENEWAL
• ALL
• APPLICANT
• LOCAL
ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN
MUST CHECK THE APPROPRIATE BOX(ES)
LICENSE FEE $
• APPLICANT
SHOULD OBTAIN A COPY OF THE COLORADO LIQUOR AND BEER CODE (Call 303-370-2165)
1. Applicant
is applying as a
Individual
[Y�Corporation
Limited Liability Company
Partnership (includes Limited Liability and Husband and Wife Partnerships)
Association or Other
2. Applicant
S1�PAJLU1JIVMPMJL&LV
If an LLC, name of LLC; if partnership, at least 2 partner's names; if corporation, name of corporation
Fein Number c,
2a.Trade
'1'PRQ5
1,oUN‘e
State Sales Tax No.
o3-b,�X7
Business Telephone
30 7 -- q,_S—Sg--1
3. Address
CI
`/d
of Premises (specify exact location of premises)
to C- /Q, a ---/
City
in t
/County
9A- IA/
aft L .l)
State
�. c�
ZIP Code
yb‘ o .3
4. Mailir(g
tress (Number and Street)
--J'. f C__
City or Town
State
ZIP Code
5. It the
premises currently have a liquor or beer license, you MUST answer the following questions:
Present
Oki)
Trade
Acitvp
Name of
Establishment (DBA)
hO
Present State License No.
' %e'd J9O
Present Class of License
-TA-/c/L/Y
Present Expiration Date
/O -"JO "/,
LIAR
SECTION A NONREFUNDABLE APPUCAT1ON FEES
LIAR SECTION B (CONT.) LIQUOR LICENSE FEES
2300
2302
2310
❑
❑
W
Application Fee for New License $1 ,025.00
Application Fee for New License -
w&Concurrent Review $1,125 00
Application Fee for Transfer $1,025.00
1985
1986
1988
❑
■
■
Resort Complex License (City) $500.00
Resort Complex License (County) $500.00
Add Related Facility to Resort Complex... $ 75.00 X Total __
1990
1991
2010
2011
2012
2020
2021
2030
2031
2040
2041
2045
2046
2220
■
❑
❑
®
❑
❑
❑
■
❑
❑
❑
❑
❑
Club License (City) $308.75
Club License (County) $308.75
Tavern License (City) $500.00
Tavern License (County) $500.00
Manager Registration - Tavern $ 75.00
Arts License (City) $308.75
Arts License (County) $308.75
Racetrack License (City) $500.00
Racetrack License (County) $500.00
Optional Premises License (City) $500.00
Optional Premises License (County) $500.00
Vintners Restaurant License (City) $750.00
Vintners Restaurant License (County) $750.00
Add Optional Premises to H & R $100.00 X Total
LIAB
SECTION B UOUOR UCENSE FEES
1905
1906
1940
1941
1950
1951
1960
1961
1970
1971
1975
1976
1980
1981
1983
■
El
❑
❑
❑
❑
■
❑
❑
❑
■
11
❑
■
❑
Retail Gaming Tavern License (City) $500.00
Retail Gaming Tavern License (County) $500.00
Retail Liquor Store License (City) $227.50
Retail Liquor Store License (County) $312.50
Liquor Licensed Drugstore (City) $227.50
Liquor Licensed Drugstore (County) $312.50
Beer and Wine License (City) $351.25
Beer and Wine License (County) $436.25
Hotel and Restaurant License (City) $500.00
Hotel and Restaurant License (County) $500.00
Brew Pub License (City) $750.00
Brew Pub License (County) $750.00
Hotel and Restaurant License w/opt premises (City) $500.00
Hotel and Restaurant License w/opt premises (County) $500.00
Manager Registration - H & R $ 75.00
2370
■
Master File Location Fee $ 25.00 X Total
2375
1
Master File Background $250.00 X Total _
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY
LIABILITY INFORMATION
County
City
Industry Type
License Account Number
Liability Date
License Issued Through
(Expiration Date)
FROM
TO
-- -
State
-750 (999)
City
2180-100 (999)
2190-100
County
(999)
Managers Reg
-750 (999)
/
Cash
2300-100
(999)
se
�h
231-100
(999)
Transfer
0
Usenet
TOTAL
DR 8404 (05/07/09) Page 3
6. Is the applicant (including any of the partners, if a partnership; members or manager if a limited liability company; or officers, stock- Yes No
holders or directors if a corporation) or manager under the age of twenty-one years?
VI
7. Has the applicant (including any of the partners, if a partnership; members or manager if a limited liability company; or officers,
stockholders or directors if a corporation) or manager ever (in Colorado or any other state);
(a) been denied an alcohol beverage license?
IVJ
(b) had an alcohol beverage license suspended or revoked?
MI
x
(c) had interest in another entity that had an alcohol beverage license suspended or revoked?
-)CIf
you answered yes to 7a, b or c, explain in detail on a separate sheet.
8. Has a liquor license application (same license class), that was located within 500 feet of the proposed premises, been denied within the
preceding two years? If "yes," explain in detail.
I j
0
9. Are the premises to be licensed within 500 feet of any public or private school that meets compulsory education requirements of
Colorado law, or the principal campus of any college, university or seminary?
liki
10. Has a liquor or beer license ever been issued to the applicant (including any of the partners, if a partnership; members or manager it a
limited liability company; or officers, stockholders or directors if a corporation)? If yes, identify the name of the business and list any
current or former financial interest in said business including any loans to or from a licensee.
1
❑
11. Does the Applicant, as listed on line 2 of this application, have legal possession of the premises by virtue of ownership, lease or other
arrangement?
f. Ownership
Lease
Other (Explain in Detail)
1-
n
a. If teased, list name of landlord and tenant, and date of expiration, EXACTLY as they appear on the lease:
[Landlord I
Tenant (Expires
Attach a diagram and outline or designate the area to be licensed (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". (Doesn't have
to be to scale)
12. 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.
NAME
DATE OF BIRTH
FEIN OR SSN
INTEREST
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.
13. Optional Premises or Hotel and Restaurant Licenses with Optional Premises Yes
Has a local ordinance or resolution authorizing optional premises been adopted?
Number of separate Optional Premises areas requested. _ _ (See License Fee Chart)
No
14. Liquor Licensed Drug Store applicants, answer the following:
(a) Does the applicant for a Liquor Licensed Drug Store have a license issued by the Colorado Board of Yes
Pharmacy? COPY MUST BE ATTACHED.
No
15. Club Liquor License applicants answer the following and attach:
(a) Is the applicant organization operated solely for a national, social, fraternal, patriotic, political or athletic purpose and Yes
No
not for pecuniary gain?
(b) Is the applicant organization a regularly chartered branch, lodge or chapter of a national organization which is
operated solely for 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
LX
IX
(Three years required) that was operated solely for the reasons stated above?
■
16. Brew -Pub License or Vintner Restaurant Applicants answer the following: Yes
(a) Has the applicant received or applied for a Federal Permit?
(Copy of permit or application must be attached)
❑
No
1
17a. Name of Manager (for alt on -premises applicants) __i
Yuh i21/ S 1 M&S (If this is an
Date of Birth
application for a Hotel, Restaurant or Tavern License, the manager must also submit an Individual History Record (DR 8404-I).
17b. Does this manager act as the manager of, or have a financial interest in, any other liquor Yes
licensed establishment in the State of Colorado? If yes, provide name, type of license and account number.
❑
No
SI
18. Tax Distraint Information. Does the applicant or any other person listed on this application and including its partners, officers,
directors, stockholders, members (LLC) or managing members (LLC) and any other persons with a 10% or greater financial interest Yes No
in the applicant currently have an outstanding tax distraint issued to them by the Colorado Department of Revenue? ❑ Cite
If yes, provide an explanation and include copies of any payment agreements.
W i 9 / a-01r
Aafouvr, fie . 0- /9?
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t 7 P ,2Q0 9.
-72907
fi ,rai)@
303-3 f5- /
rPt#/0 sn 8got(
19h 8 en, c�i2 8Lioz{ -
DR 8404 (05/07/09) Page 4
19. 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 OWNER-
SHIP OF 10% OR MORE IN THE APPLICANT. ALL PERSONS LISTED BELOW must also attach form DR 8404 I (Individual History record),
and submit finger print cards to their local licensing authority.
NAME
HOME ADDRESS, CITY 8 STATE
DOB
POSITION
%OWNED'
!'+7)19q5,P/e4
/V90 wc,a ?, A/'.,,*,v,& �GIGt'3
if total ownership percentage disclosed here does not total 100% applicant must check this box
❑ Applicant affirms that no individual other than these disclosed herein, owns 10% or more of the applicant
Additional Documents to be submitted by type of entity
IJ CORPORATION IYJ Cert. of Incorp. ❑ Cert. of Good Standing (if more than 2 yrs. old) ❑ Cert. of Auth. (if a foreign corp.)
❑ PARTNERSHIP ❑ Partnership Agreement (General or Limited) ❑ Husband and Wife partnership (no written agreement)
❑ LIMITED LIABILITY COMPANY ❑ Articles of Organization ❑ Cert. of Authority (if foreign company) ❑ Operating Agrmt.
❑ ASSOCIATION OR OTHER Attach copy of agreements creating association or relationship between the parties
Registered Agent (8 applicable)
Address for Service
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.
uttwri nature
D�APPROVAL
Title , /
Date
R%EEPrO" RT AND OF LOCAL LICENSING AUTHORITY (CITY/COUNTY)
Date application filed with local authority
Date of local authority hearing (for new license applicants; cannot be less
than 30 days from date of application 12-47-311 (1)) C.R.S.
THE LOCAL LICENSING AUTHORITY HEREBY AFFIRMS:
Yes No
That each person required to file DR 8404-I (Individual History Record) has:
❑ Been fingerprinted ❑ •
❑ Been 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)
■ Date of Inspection or Anticipated Date
• Upon approval of state licensing authority.
The foregoing application has been examined; and the premises, business to be conducted, and character of the applicant are satisfactory.
We do report that such license, if granted, will meet the reasonable requirements of the neighborhood and the desires of the adult inhabitants,
and will comply with the provisions of Title 12, Article 46 or 47, C.R.S. THEREFORE, THIS APPLICATION IS APPROVED.
Local Licensing Authority for
Weld County, Colorado
Telephone Number
970-356-4000 x 4225
II
[I]
TOWN, CITY
COUNTY
Slure
6 a
Title
Chair, Board of County Commissioners
Date
OCT 0 6 2014
Signature �I��
�Gh: 11. d A, M
Title
ki Deputy Clerk to the Board
Date
OCT 0 6 2014
dOiy_ 3o95
THIS LICENSE MUST BE POSTED IN PUBLIC VIEW
DR 8402 (07/01/2012)
STATE OF COLORADO
DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 Pierce Street, Suite 108
Lakewood, Colorado 80214
SIPRES LOUNGE INCORPORATED
dba SIPRES LOUNGE
1490 WCR 27
BRIGHTON CO 80603
ALCOHOL BEVERAGE LICENSE
Liquor License Number
4703882
License Expires at Midnight
February 11, 2016
License Type
TAVERN (COUNTY)
Authorized Beverages
MALT, VINOUS, AND SPIRITUOUS
This license is issued subject to the laws of the State of Colorado and especially under the
provisions of Title 12, Articles 46 or 47, 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, 1881 Pierce Street, Suite 108, Lakewood,
CO 80214.
In testimony whereof, I have hereunto set my hand. 2/12/2015 sjc
7?cJii 'y aa_97)/tz.fuL_
Division Director Executive Director
NON -TRANSFERABLE.
TO BE POSTED IN A CONSPICUOUS PLACE.
J��-C_rf,a5:je,5L5Lj-Gl'J_C�_J'__r�t1'_C�_J'-J'-CJ'J_C�_J' CJCJ��C5A
Date: August 18, 2014
To: Club Autentiko, LLC located at 1490 W.C.R. 27, Brighton, CO 80603, responsible person
Savannah Cuentas
From: Mary Sipres, Property Owner of 1490 W.C.R. 27, Brighton, CO 80603
Re: Lease Agreement between Club Autentiko, LLC, Savannah Cuentas and Mary Sipres, Property
owner
Mary Sipres, property owner will discontinue court proceedings for loss of contract with Club Autentiko,
LLC and Savannah Cuentas if the following criteria are met:
1. If Savannah Cuentas of Club Autentiko, LLC signs "Transfer of Liquor License" to Mary Sipres.
2. If "Transfer of Liquor License" is acknowledged by Notary.
Once completed, this document will relinquish Club Autentiko, LLC and Savannah Cuentas for any debts
owed to Mary Sipres, Property Owner of 1490 W.C.R. 27, Brighton, CO 80603 per original lease.
By Signing below, both parties have agreed to this document.
Savannah Cuentas dba
Club Autentiko, LLC
I
1
ERENDIDA V. ROCHA-ROJAS
Notary Public
State of Colorado
Notary ID 20144016299
1 M Commission Expires Apr 16.2018
6t Q / cacOc&2xo
Mary Sipres; ner
1490 W.C. 27
Brighton, CO 80603
State of CoOorado
r---� County of Ad A.Nn.`7
The foregoing instrument was ackpocv!edged
by
before me this date:
COLORADO DEPARTMENT OF REVENUE
Liquor Enforcement Division
1375 Sherman St, Denver CO 80261
September, 2005
AFFIDAVIT OF TRANSFER AND STATEMENT OF COMPLIANCE
Pursuant to the requirements of 12-47-303(3)(b), Colorado Revised Statutes, Licensee hereby
states that all accounts for alcohol beverages sold to the Applicant are:
■
Paid in full. There are no outstanding accounts with any Colorado Wholesalers.
Licensee hereby certifies that the following is a complete list of accounts for alcohol
beverages that are unpaid:
Licensee and Applicant agree that all accounts will be paid for from the proceeds at
closing by the: El Licensee C Applicant
ii Licensee unavailable to certify disposition of accounts for alcohol beverages -
Inventory list attached. Transfer by operation of law - Regulation 47-304.
❑ Applicant will assume full responsibility for payment of the outstanding accounts as
listed above.
l4
No alcohol beverage inventory transferred or sold.
Licensee hereby authorizes the transfer of its Colorado Retail Liquor License to the
Applicant, its agent, or a company, corporation, partnership or other business entity to be
formed by the Applicant.
Dated this / s; day of �,_�.;� c� , 200 1 `(
Seller:
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Licensee & License Number
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COMMERCIAL LEASE
This Commercial Lease ("Lease") is executed and delivered this 1st day
of September , 2014 by and between, I,MARY SIPRES, Property Owner at
1490 WCR 27, Brighton, Colorado 80603, herein called Lessor; and Sipres
Lounge, Inc., dba Sipres Lounge at 1490 W.C.C. 27, Brighton, CO 80603,
herein collectively called Lessee.
Lessee hereby leases and accepts from Lessor certain premises located in the
City of Brighton, County of Weld, State of Colorado, described as the
downstairs/main-floor part of the building located at 1490 WCR 27, Brighton,
Colorado 80603, hereinafter referred to as the "Premises" or "demised
premises," as well as certain Assets including furniture, fixtures, equipment
and leasehold improvements related to the operation of a restaurant/nightclub
business in the Premises, all in their present condition, as -is, where -is,
and with all faults, upon the following TERMS and CONDITIONS:
1. Term and Rent. Lessor leases the demised premises
term of Fifteen Months (15) commencing on
on December 31, 2015 payable on the first day
September 1, 2014, Rent will be One Dollar ($1.00).
shall be made to Lessor at the address specified above.
to Lessee for a fixed
September 1, 2014 and terminating
of the month. As of
All rental payments
2. Use. This Lease Agreement is only for a properly licensed and lawfully
operated Restaurant and Night Club use. Living Quarters upstairs is not
included with this Lease Agreement. Lesser makes no representation or
warranty that the Premises are suitable or zoned for Lessee's intended uses.
Lessee's uses shall confirm all zoning, licensing and permitting
requirements, and Lessee shall only use and occupy the demised premises for
Lessee's lawful business purposes. The demised premises shall be used for no
other purpose without the prior written consent of Lessor. Lessee shall not
use the demised premises for storing, manufacturing or selling any
explosives, flammables, or any other illegal or dangerous substance,
chemical, hazardous material, thing or device. Lessee shall not use or allow
the Premises to be used for any immoral, unlawful, or objectionable purposes.
Lessee shall not commit, or suffer to be committed, any waste upon the
Premises, or cause, suffer or permit any nuisance (public or private) or
disturbance in the Premises.
3. Liquor License. This Lease Agreement is contingent upon Lessee obtaining
a Liquor License from Weld County and the State of Colorado, for alcohol
sales at the Premises. Lessee shall promptly apply for and use diligent
efforts to obtain such license(s). Lessee shall comply with all terms,
conditions and requirements of such license(s). At the end of the Term or
upon any other termination of this Lease, the Lessee shall not terminate its
Liquor License and if necessary shall extend such license(s), such that any
subsequent lessee or buyer can obtain a transfer of such licenses for the
operation of its business, including: Liquor License, Sales Tax License,
Cabaret/Dance License, Restaurant License, and any other license that is
required by the laws of the City of Brighton, Weld County, and the State of
Page 1 of 6
Colorado to operate Lessee's business in the Premises. If Lessee receives a
suspension or revocation of any license issued by the State, County or any
other governmental entity, and such suspension or revocation is not promptly
and properly cured and the license reinstated, then Lesser may terminate this
Lease Agreement and Lessee shall remain liable to pay all remaining amounts
due under this Lease Agreement.
4. Sales Taxes. Lessee shall pay in full when due all sales or other taxes
related to the operation of its business on the Premises, and shall provide
Lesser copies of all sales tax reports to the requisite State and Local
governmental authorities, and evidence of payment of the same, on a quarterly
basis, commencing December 2014, and continuing on March 2015, and June
2015, September 2015, and December 2015, while this Lease is in effect.
5. Care and Maintenance of Premises. Lessee acknowledges that it has
inspected the demised premises and that the same are in good order and repair
and acceptable to Lessee, and Lessee hereby accepts the Premises as is and
with all faults. Lessee shall, at its own expense and at all times during
the Term, maintain the demised premises in good and safe condition, including
plate glass, electrical wiring, plumbing and heating installations and any
other system or equipment upon the demised premises, and shall surrender the
same, at termination hereof, in as good or better condition as received,
normal wear and tear excepted. Lessee shall be responsible for all repairs
and maintenance, excepting major maintenance and repair of the demised
premises, not due to Lessee's misuse, waste or neglect or that of its
employees or visitors, which major repairs and maintenance (any one repair
exceeding ($2,500.00) shall be the responsibility of lessor. Particularly,
the roof, exterior walls and structural foundations shall be maintained and
repaired by lessor. Lessee shall also maintain in good condition all areas
adjacent and appurtenant to the demised premises, such as sidewalks,
driveways, lawns and shrubbery. If snow is not removed within 24 hours after
the last snow fall, lessor will hire a contractor for that day and lessee
will pay the charges for having the snow removed. Lessee shall be
responsible for any damage caused to the demised premises by Lessee's misuse
or negligence and that of Lessee's employees, customers, agents, guests and
visitors.
6. Alterations. Lessee shall not, without first obtaining the written
consent of lessor, make any alterations, additions, or improvements, in, to,
or about the demised premises. Any alterations that are completed by Lessee,
Lights, Carpet, any type of fixtures, shall remain on the premises of 1490
W.C.R. 27, Brighton, Co 80603.
7. Ordinances and Statutes. Lessee shall comply with all statutes,
ordinances and requirements of all municipal, state and federal authorities
now in effect and as the same may hereafter be amended, pertaining to the
demised premises, occasioned by or affecting the use thereof by Lessee.
8. Assignment and Subletting. Lessee shall not assign this Lease or sublet
any portion of the demised premises without prior written consent of Lessor,
which consent may be withheld in the Lessor's sole and absolute discretion.
Any such assignment or subletting without the prior written consistent of
Lessor shall be void and, at the option of Lessor, may terminate this Lease.
Lessee agrees to execute an assignment of rents owned to Lessor, in favor of
Lessor's lender, if required by Lessor's lender.
Page 2 of 6
9. Utilities. Unless otherwise separately agreed in writing signed by the
Parties, all applications and connections for necessary utility services on
the demised premises shall be contracted -for in the name of Lessee only, and
Lessee shall be solely liable for all utility charges as they become due,
including those for sewer, water, gas, electricity, television, and telephone
services. In the event that any utility or service provided to the demised
premises is not separately metered, Lessor shall pay the amount due and
separately invoice Lessee for Lessee's pro rata share of the charges. Lessee
shall pay such amounts within fifteen (15) days of invoice. Lessee
acknowledges that the demised premises are designed to provide standard
office use electrical facilities and standard office lighting. Lessee shall
not use any equipment or devices that utilize excessive electrical energy, or
that may, in Lessor's reasonable opinion, overload the wiring or interfere
with electrical services to other lessees or occupants. Lessor will continue
to live in the residence above the nightclub. If Lessor moves out of the
above residence, Lessor may, but shall not be obligated to, offer such
upstairs residence for lease to Lessee for an additional rent.
10. Entry and Inspection. Lessee shall permit Lessor or Lessor's agent(s)
to enter the demised premises at reasonable times and upon reasonable notice,
or the purpose of inspecting the same, and shall permit Lessor at any time
within fifteen (15) days prior to the expiration of this lease, to place upon
the demised premises any usual "To Let", "For Lease" or "For Sale" signs, and
shall permit Lessor and prospective lessees or purchasers desiring to lease
or purchase to inspect the demised premises.
11. Parking. During the term of this lease, Lessee shall have the
nonexclusive use in common with the Leaser, and other tenants or occupants
and their guests and invitees, of the non -reserved common area established
parking areas, driveways, and foot ways, subject to rules and regulations for
the use thereof as prescribed from time to time by Lessor. Lessor reserves
the right to designate specific parking areas for Lessee and Lessee's agents
and employees. Upon Lessor's request, Lessee shall provide Lessor with a
list of all license numbers for vehicles owned or used by Lessee, its agents
and employees.
12. Possession. If Lessor is unable to deliver possession of the demised
premises at the commencement hereof, Lessor shall not be liable for any
damage caused thereby, nor shall this lease be void or voidable, but rent
shall abate until possession is delivered. Lessee may terminate this lease
if possession is not delivered within thirty (30) days of the commencement of
the term thereof.
13. Indemnification of Lessor. Lessee acknowledges and agrees that Lessor
shall not be liable for any claim, demand, loss, damage or injury to Lessee,
or any other person, or to any property, occurring on the demised premises or
any part thereof, occurring during or in connection with lessee's term of
occupancy. Lessee shall indemnify, defend and hold Lessor harmless from any
and all claims or demands for damages which arise in connection with any such
occurrence. Said indemnification shall include indemnity from any costs or
reasonable attorneys fees which Lessor may incur in defending said claim or
demand.
14. Insurance; Exhibit A. Lessee, at its expense, shall obtain and maintain
at all times during the Term, adequate worker's compensation insurance as
required by Colorado Law, public commercial general liability and casualty
insurance, including bodily injury and property damage, and "dram shop"
Page 3 of 6
liquor liability insurance, insuring Lessee and Lessor (as an additional
insured), with minimum coverage amounts, and types of insurance coverage, as
set forth on the attached Exhibit A, incorporated by reference.
At or before the commencement date, Lessee shall provide Lessor with
Certificates of Insurance showing Lessor as an additional insured, and
demonstrating that all insurance required by Exhibit A is in place and the
premiums therefore are paid. The Certificate shall provide for a thirty -day
written notice to Lessor in the event of cancellation or material change of
coverage. To the maximum extent permitted by insurance policies which may be
owned by Lessor or Lessee, Lessee and Lessor, for the benefit of each other,
waive any and all rights or subrogation which might otherwise exist.
If the demised premises or any other part of the building is damaged by fire
or other casualty resulting from any act of negligence of Lessee or any of
Lessee's agents, employees or invitees, rent shall not be diminished or
abated while such damages are under repair, and Lessee shall be responsible
for the costs of repair not covered by insurance. Lessee shall also maintain
such liquor liability or "dram shop" insurance as is required by Exhibit A.
15. Eminent Domain. If the demised premises, or any part thereof or any
estate therein, or any other part of the building materially affecting
Lessee's use of the demised premises shall be taken by eminent domain, this
lease shall terminate on the date when title vests pursuant to such taking.
The rent, and any additional rent, shall be apportioned as of the termination
date, and any rent paid for any period beyond the date shall be repaid to
Lessee. Lessee shall not be entitled to any part of the award for such
taking or any payment in lieu thereof, but Lessee may at its expense pursue
its own separate claim again the condemning authority for any taking of
fixtures and improvements owned by Lessee, and for moving expenses.
16. Destruction of Premises. Lessee shall give Lessor immediate notice in
case of fire or other damage or casualty to the demised premises, or any part
thereof. In the event of partial destruction of the demised premises during
the term hereof, from any cause, Lessor shall forthwith repair the same,
provided that such repairs can be made within sixty (60) days under existing
governmental laws and regulations, but such partial destruction shall not
terminate this lease, except that Lessee shall be entitled to a proportionate
reduction of rent while such repairs are being made, based upon the extent to
which the making of such repairs shall interfere with the business of Lessee
on the demised premises. If such repairs cannot be made within the said
sixty (60) days, Lessor, at Lessor's options, may make the same within a
reasonable time, this lease continuing in effect with the rent
proportionately abated as aforesaid, and in the event that lessor shall elect
not to make such repairs which cannot be made within sixty (60) days, this
lease may be terminated at the option of either party. In the event that the
building in which the demised premises are situated is destroyed to an extent
of not less than one-third of the replacement costs, thereof, Lessor may
elect to terminate this lease whether the demised premises be injured or not.
A total destruction of the building in which the demised premises may be
situated shall terminate this lease.
17. Lessor's Remedies on Default. If Lessee fails to make payment of any
installment of Rent for more than three (3)days, after the due date, Lessee
agrees to pay an additional $200.00 per day late fee. If not paid, within
Three (3) days, Lessor will have the right to terminate the Lease Agreement,
effective immediately. If any default is made in payment of rent, or any
Page 4 of 6
part thereof, at the times hereinbefore specified, or if any default is made
in the performance of or compliance with any of the other terms or conditions
hereof, this lease, at the option of Lessor and to the extent permitted by
law, shall terminate and be forfeited, and Lessor may re-enter the demised
premises and remove all persons there from to the extent permitted by law.
Lessor may accelerate the rent and recover damages, reasonable attorney's
fees and costs of enforcing this Lease and collecting unpaid rent, and may
retain the security deposit in whole or in part.
18. Common Area Expenses. In the event the demised premises is situated in a
commercial building in which there are common areas, Lessee agrees to pay its
pro rata share of maintenance, taxes and insurance for the common area,
including parking areas, plus any pro rata share of insurance premium
increase.
19. Attorney's Fees. In case Lessor shall retain the services of an attorney
to enforce this Lease, whether for recovery of the demised premises or for
any sum due hereunder, or because of any act which may arise out of Lessee's
possession of the demised premises, the Lessor shall be entitled to
recover from Lessee all costs incurred in connection with such action,
including a reasonable attorney's fee. In the event that Lessee is the
prevailing party in any such proceeding, then this attorney fee shifting
provision shall be reciprocal.
20. Waiver. No failure of Lessor to enforce any term hereof shall be deemed
to be a waiver.
21. Notices. All notices pursuant to this agreement shall be in writing.
22. Heirs, Assigns, Successors.
the benefit of the heirs, assigns
23. Subordination. This lease is
and future liens and encumbrances
This lease is binding upon and inures to
and successors in interest to the parties.
and shall be subordinated to all existing
against the property.
24. Radon Gas Disclosure. As required by law, Lessor makes the following
disclosure: "Radon Gas" is a naturally occurring radioactive gas that, when
it has accumulated in a building in sufficient quantities, may present health
risks to persons who are exposed to it over time. Levels of radon gas that
exceed federal and state guidelines have been found in buildings in Colorado.
Additional information regarding radon gas and radon testing may be obtained
from your county public health unit. Lessor has no knowledge of radon gas
levels in the premises and Lessee is advised to conduct regular inspections.
25. Entire Agreement. The foregoing constitutes the entire agreement between
the parties and may be modified only by a writing signed by both parties.
26. Liability. Lessor shall not be liable for any loss, expense or damage to
any person or property, unless it is due to Lessor's gross negligence.
Lessee is responsible for all acts, omissions, conduct or negligence of
Lessee, its employees, customers, agents, visitors or invites.
27. Paragraph Headings. The paragraph headings are for convenience only.
28. Choice of Law. This lease shall be governed by the laws of the State of
Colorado, and all disputes shall be subject to the jurisdiction of the Courts
of Weld County, Colorado.
Page 5of6
29. Renewal of Lease. If current Lessee would like to extend Lease for
another year, Lessor may or may not grant a renewal. If Lessor agrees,
rental of demise premises will raise %10 of current rental agreement.
30. Driver's License and Social Security Number. On a Separate document
Lessee will furnish his/her Driver's License number and Social Security
Number.
31. Continuance of Commercial Lease Agreement. If anything shall happen to
Mary Sipres, Property Owner of 1490 W.C.R. 27, Brighton, CO 80603; Daughter,
Martha Griego, will continue with Lessee to complete Commercial Lease
Agreement.
32. Sale of Premises. I currently have the premises on the market. If
there is a buyer your Commercial Lease Agreement will continue. The buyer
will continue with all stipulations on the Lease Agreement. When Commercial
Lease Agreement expires, it will be the decision of the new buyer to continue
lease or terminate lease.
33. Septic Tank Usage. Per Weld County Health and Environment, Usage on
water is 298 gallons per day and permanent seating is 40. The capacity per
building code is 296.
IN WITNESS WEHREOF, the parties have executed this lease the day, month and
year first above written.
LESSOR:
Mary Sipres, Property Owner
1490 W.C.R. 27,
Brighton, Co 80603
Mar id/7,-422
Date: pi
LESSEE(S):
Sipres Lounge,
1490 W.C.R. 27
Brighton, CO 80603
'431 lIZZio--1
Date:
Inc. dba Sipres
Lounge
&L -Q /M-.
Subscribed and affirmed before me in the County of Weld,
12th day of February, 2015.
644 D4 , (2L.te,(&) d)1411
Public
RAFAELA ALICIA MARTINEZ
NOTARY P%S$
STATE Off COLORADO
NOTARY ID 20144002878
IMCOMISSIONEWIRES!ANUAR`22,2018
state
of Colorado this
aa,obi y
VW UJ,QJV{/�,
My Cgmm,ission.Frxpires:
Page 6 of 6
OFFICE OF THE SECRETARY OF STATE
OF THE STATE OF COLORADO
CERTIFICATE
I, Scott Gessler, as the Secretary of State of the State of Colorado, hereby certify that, according to the
records of this office,
SIPRES LOUNGE, INC.
is a Corporation formed or registered on 07/28/1995 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 19951095657.
This certificate reflects facts established or disclosed by documents delivered to this office on paper
through 12/17/2014 that have been posted, and by documents delivered to this office electronically
through 12/18/2014 @ 14:25:14.
I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated,
issued, delivered and communicated this official certificate at Denver, Colorado on 12/18/2014 @
14:25:14 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation
Number 9041085.
Secretary of State of the State of Colorado
**********************♦**********************End of Certificate********************************************
Notice: A certificate issued electronically from the Colorado Secretary ojState 's Web site is /uliy and immediately valid and effective. However,
as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Certificate Confirmation Page of
the Secretary of State's Web site, http:','www.sos.state.co.us'b¢:"CertificateSearchCrrteria.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 ofa certificate. For more information, visit our Web site, blip: iru'sr _so.s.stute cn. us • click Business
Center and select "Frequently Asked Questions."
CLR/ G5 i.) Revisal (Pt 20 200
8/19/2014 Colorado Secretary of State - Business Search Results
Business Home
Business Information
Business Search
FAQs, Glossary and
Information
Business Search Results
Click on the ID Number to select your record.
Found 1 matching record(s). Viewing page 1 of 1.
#JD Number Document Number Name (f) Event Statue EQnu Formation Date
1 19951095657 19951095657 SIPRES LOUNGE, INC. Articles of Incorporation Good Standing DPC 07/28/1995
Back
Tcrrs _,: Cnntiliims
http://www.sos.state.co.us/biz/BusinessEntityCriterisENI.do 1/1
FEE $50.00
CORP OCR
001
SUBMIT ORIGINAL OCR AND ONE COPY
PROFIT CORPORATION NAME AND PRINCIPAL
ADDRESS
NAME Sipres Lounge, Inc.
STREET 1490 WCR 27
THIS DOCUMENT MUST
BE TYPED IN BLACK
ARTICLES OF INCORPORATION
SECRETARY OF STATE • 1560 BROADWAY #200, DENVER, CO80202
(303) 894-2251
CITY
Brighten_
STATE
CO ZIP 80601
CUMULATIVE VOTING SHARES OF STOCK IS AUTHORIZED. YES NO A IF DURATION IS LESS THAN PERPETUAL ENTER NUMBER OF YEARS
THERE ARE PROVISIONS LIMITING OR DENYING TO SHAREHOLDERS THE PREEMPTIVE IF YES! state provisions on a separate
RIGHT TO ACQUIRE ADDITIONAL OR TREASURY SHARES OF THE CORPORATION. YES NO ❑X 8r x 11 sheet of paper.
STOCK INFORMATION: (if additional space is needed, continue and separate 8'h x 11 sheet of paper).
STOCK CLASS
STOCK CLASS
Common
AUTHORIZED SHARES
1,000
PAR VALUE No Par
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
STREET
Sipres
1490 WCR 27
FIRST & MIDDLE NAME Mary D.
CITY Brighton
STATE CO ZIP 80601
DIRECTORS: HOW MANY DIRECTORS CONSTITUTE THE INITIAL BOARD OF DIRECTORS OF THE CORPORATION? One
THE NAMES AND ADDRESSES OF THE PERSONS WHO ARE TO SERVE AS DIRECTORS UNTIL THE 1ST ANNUAL MEETING OF SHAREHOLDERS OR UNTIL THEIR
SUCCESSORS ARE ELECTED AND QUALIFIED ARE: (if more than three, continue on a Bah x 11 sheet of paper)
LAST NAME Sipres
STREET 1490 WCR 27
LAST NAME
STREET
LAST NAME
STREET
FIRST &MIDDLE NAME Mary D.
CITY Brighton STATE CO ZIP 80601
FIRST & MIDDLE NAME
CITY - - -. STATE ZIP
FIRST & MIDDLE NAME
CITY STATE ZIP
INCORPORATORS: NAMES AND ADDRESSES: (if more than two, continue on a separate 81 x 11 sheet of paper)
NAME
x Mary D. Sipres
x
ADDRESS
1490 WCR 27 Brighton CO 80601
I/WE THE UNDERSIGNED PERSON(S) OF THE AGE OF 18 YEARS OR MORE, ACTING AS INCORPORATOR(S) OF A CORPORATION UNDER THE COLORADO COR-
PORATION CODE, ADOPT THE ABOVE ARTICLES OF INCORPORATION. THE CORPORATION IS ORGANIZED FOR ANY LAWFUL PURPOSE. A MORE SPECIFIC PUR-
POSE MAY BE STATED ON A SEPARATE 81/2 x 11 _SHEET OF PAPER.
/f
x
/ !L
k
u x
SIGNATURE / SIGNATURE
PLEASE READ REVERSE SIDE BEFORE COMPLETING
FILED COPY
ARTICLES OF INCORRORATION
OF
SIPRES LOUNGE, Inc.
JIWIJOar
hot . !f
The undersigned, who, if a natural person, is eighteen years
of age or older, hereby establishes a corporation pursuant to the
Colorado Business Corporation Act as amended and adopts the
following Articles of Incorporation:
FIRST: The name of the corporation is Sipres Louncie, Inc.
SECOND: The corporation shall have and may exercise all of
the rights, powers and privileges now or hereafter conferred upon
corporations organized under the laws of Colorado. In addition,
the corporation may do everything necessary, suitable or proper for
the accomplishment of any of its corporate purposes. The corpora-
tion may conduct part or all of its business in any part of
Colorado, the United States or the world and my hold, purchase,
mortgage, lease and convey real and personal property in any of
such places.
THIRD: (a) The aggregate
corporation shall have authority to
stock, no par value.
(b) Each shareholder of
each share of stock standing in
corporation and entitled to vote.
permitted.
number of shares which the
issue is 1 000 shares of common
record shall have one vote for
his name on the books of the
Cumulative voting shall not be
FOURTH: The number of directors of the corporation shall be
fixed by the bylaws, or if the bylaws fail to fix such a number,
then by resolution adopted from time to time by the board of
directors, provided that the number of directors shall not be more
than five nor less than one. one director shall constitute the
initial board of directors. The following person are elected to
serve as the corporation's initial director until the first annual
meeting of shareholders or until her successor is duly elected and
qualified:
- 2 -
Name Address
Mary D. Sipres
1490 WCR 27
Brighton, Co 80601
FIFTH: The street address of the initial registered office of
the corporation is 1490 WCR 27 Brighton, CO 80601. The name of
the initial registered agent of the corporation at such address is
Mary D. Sipres.
SIXTH: The address of the initial principal office of the
corporation is 1490 WCR 27 Brighton Co 80601.
SEVENTH: The following
management of the business and
the corporation, and the same
limitation or exclusion of the
provisions are inserted for the
for the conduct of the affairs of
are in furtherance of and not in
powers conferred by law.
(a) Indemnification. The corporation shall indemnify, to the
maximum extent permitted by law, any person who is or was a
director, officer, agent, fiduciary or employee of the corporation
against any claim, liability or expense arising against or incurred
by such person made party to a proceeding because he is or was a
director, officer, agent, fiduciary or employee of the corporation
or because he is or was serving another entity or employee benefit
plan as a director, officer, partner, trustee, employee, fiduciary
or agent at the corporation's request. The corporation shall
further have the authority to the maximum extent permitted by law
to purchase and maintain insurance providing such indemnification.
(b) Limitation on Director's Liability. No director of this
corporation shall have any personal liability for monetary damages
to the corporation or its shareholders for breach of his fiduciary
duty as a director, except that this provision shall not eliminate
or limit the personal liability of a director to the corporation or
its shareholders for monetary damages for: (i) any breach of the
director's duty of loyalty to the corporation or its shareholders;
(ii) acts or omissions not in good faith or which involve inten-
tional misconduct or a knowing violation of law; (iii) voting for
or assenting to a distribution in violation of Colorado Revised
Statutes § 7-106-401 or the articles of incorporation if it is
established that the director did not perform his duties in
- 3 -
compliance with Colorado Revised Statutes § 7-108-401, provided
that the personal liability of a director in this circumstance
shall be limited to the amount of the distribution which exceeds
what could have been distributed without violation of Colorado
Revised Statutes § 7-106-401 or the articles of incorporation; or
(iv) any transaction from which the director directly or indirectly
derives an improper personal benefit. Nothing contained herein
will be construed to deprive any director of his right to all
defenses ordinarily available to a director nor will anything
herein be construed to deprive any director of any right he may
have for contribution from any other director or other person.
EIGHTH:
Tr.o nam= =:.a
Mary D. Sipres
1490 WCR 27
Brighton, CO 80601
`n
DATED the }( day of ' ck
addracz of t _ incorporator is:
Incorporate
Mary D. Sipres hereby consents to the appointment as the
initial registered agent for Sipres Lounge Inc.
, 1995.
IC
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Initial Roistered Agent
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Weld County Co Clerk & Recorder
Recorded at
Reception No
o'clock ----
_----.--... _. —__ Recorder
QUITCLAIM DEED
THIS DEED, Made this 1'1 day of A "A,
Toll "I • c. i per ; /4 rot
IYJHa y D. 5,'pkes
ofthe Pr /O.4 reyv 'County of ..tl a 1,D
Colorado, grantor(s), and
whose legal address is / y y o (,(l c /2 - r
, :9 44
and State of
171/Pey D.
of the er, 1-tyDLA1 County of WeJW and State of Colorado, grantee(s),
WITNESSETH, That the grantor(s), for and in consideration oldie sum of .A"
Dollars
the receipt and sufficiency of which is hereby acknowledged, ha remised, released, sold and QUITCIAIMED, and by
these presents do remise, release, sell and QUITCLAIM unto the grantee(s), mgg' ... heir, successors and assigns,
, j.G1
forever, all the right, title, interest, claim and demand which the grantor(s) ha in and to the real property, together with
improvements, if any, situate, lying and being in the County of `(4ref , and State of
Colorado. described as follows:
4 -7-12.4 c -t a + L /3 Nis 1- y e t eta r ii z /i LA) r/y A'6 Tile-. 5 (,t%
pt .)ecicoN ? AT if ) /20/4 e5-1 c -f 1/G
dl t . fh • WA Id Cc u n -t y/ C. i o ifA d o i ) y r l,, l Sf o F -f H e /2- y /l7 -
Of LAy G-- `t hr l/iV.piv f i}Cf/i'C e'24'I-4A/4y Co, /}ft.
64- 5 4 e 11 ;y4li'49y e r`:4d c.e' - n.(-7 C.4NCI
CoNuyc.n Ay Dees 62 cti' n2b /,U /4r'ci< 1190 A-' ' c.33&.
2486470 B-1543 P-267 04/18/96 12:03P PG 1 OF 1 REC DOC
6.00
also.known by street and number as: / *90 W " 1 d Ct ON 77 (20 cid 97
.assessors schedule or parcel number.
TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in
anywise thereunto appertaining. and all the estate, right, title, interest and claim whatsoever, of the grantor(s), either in law or equity,
to the only proper use, benefit and bcltcof ofthe grantee(s) heirs and assigns forever.
IN WITNESS ' OE The grantor(s) ha executed this deed on the date set forth above.
r
STATE OF COLORADO,
County of Vr+wm S
The foregoing instrument was acknowledged before me this 1rt} , day of
bY oLtrt N-Sipces carers A• Sipes
My commission spires 1O17A 17A 1 A
9f in Denver, insert "City and".
33.
M
Witness my hand and official seal.
Nude and Aggress lafPereoa Cretin{ Nerdy C,eaud Legal Dsrtriptinn t9ta-73.106.3. CRS)
No.933. fess. 494. QUITCLAIM DCED
android NAM 1743 wane St.. Derma CO 00202-1303) 2923300 — 2.96
•
fit
AR1982534
B 1044 REC 01982534 09/21/84 15:54 $3.00 1/001
F 0536 MARY ANN FEUERSTEIN CLERK S RECORDER WELD CO, CO
D.F.
12.50
THIS DEED is a conveyance of the real property described below, including any improvements and other appurtenances (the
"property") from the individual (s), corporation(s), partnership (s), or other entlty(les)•named below as GRANTOR to the indlyid uai(s)
or entity(ies) named below as GRANTEE.
The GRANTOR hereby sails and conveys the property to the GRANTEE and the GRANTOR warrants the tithe to the property.
except for (1) the lien of the general property taxes for the year of this deed, which the GRANTEE will pay (2) any statements and
rights -of -way shown of record (3) any patent reservations and exceptions (4) any outstanding mineral Interests shown of record (5)
any protective covenants and restrictions shown of record, and (6) any additional matters shown below under "Additional Warranty
Exceptions". -
The Specific Terms of This Deed Are:
Grantor. (Give name(s) and place(s) of residence; it the spouse of the owner -grantor is (Dining in this Deed to release homestead rights. Identify
grantors es husband and wife.)
UNITED SPANISH AMERICAN ASSOCIATION, a dissolved corporation,
acting by and through a majority of the surviving members of its last known
Board of Directors
Grantee: (Give names) and addressies); statement of address. Including available road or street number,
JOHN N. SIPRES AND MARY D. SIPRES
2630 West Yale Avenue
Denver, Colorado 80219
Form of Co -Ownership: (If there are two or more grantees named, they will be considered to Mimes ten
joint tenancy" or words of the same meaning are added in the space below.)
in joint tenancy
State Documentory Fee
Date SEP 21 1984.
Property Description: (include county and state.)
A tract of land lying in the NW's of the SW1 of Section 29, Township 1 North, Range 66
West of the 6th P.M., Weld County, Colorado, lying West of the right of way of the
Union Pacific Railway Co. and East of State Highway No. 2, except a parcel of land
conveyed by Deed recorded in Book 1190 at Page 330.
Property Address: 1490 Weld County Road 27
Consideration: (The statement of a dollar amount is optional: adequate consideration for this deed will be presumed unless this conveyance is
identified as a gift; in any case this conveyance is absolute. final and unoondhional.)
ONE HUNDRED TWENTY FIVE THOUSAND AND NO/100 DOLLARS ($125,000.00)
Reservatlona-Restrictions: (if the GRANTOR intends to reserve any Interest In the property or to convey Imagism Mowna,'0( if the GRANTOR'
Is restricting the GRANTEE'S right in the property, make appropriate indication.
Additional Warranty Exceptions: (Include deeds of trust being assumed and other matters not covered above.)
Executed by Inc Grantor on September 19 , is 84
Signature Clause for Corporation, Partnership or Association: signature passe for endMduat(■):
UNITED SPANISH AMERICAN ASSOCIATION, A DISSOLVED CORPORATION
By
By
Abel Martin&r
Attest
Na n)e of Grantor Corporation. Partnership or Association Grantor
STATE OF COLQRAOO ) as
COUNTY OF '' Weld . )
The totsOing!lint71.was acknowledged before me this 19th
BY $8
WITNa$5isrk
Wyc in
Grantor
Grantor
dar of September .10 84
a d Abel P(arti ez, survivih members f last Board of Directors of
apish American nAssociation, $a seblved- corporation
seet.
sober 20, 1985
tT r'- `•^ / Notary Public
Ofe'-+ '; . ) SS. ` 1221 8th Avenue
COUNT/D \Cl rl O 1
S t4� Greeley, Colorado.
The�(sr iiii n se�agknowledged before me this day of , to
By.., f.'•• ,`� `
0p'GO.
('name indlvlQvpi;Giaiitor(s)or)f Grantor Is Corporation, Partnership or Association. then identify signors espy sidentorvloe president and secretary or
assistant secretary of corpii ttiion: or as partner(s) of partnership; or Cs authorized member(s) 01 association.)
WITNESS my heed and official seal.
My commission expires:
• 1111 UPDATE LEGAL FORMS
P.O. Boa 1515 - Greeley, Colorado 80632
(303) 356-5350
NO.201
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RECEIPT DATE
RECnLVED FROM p
1lSJ
ADDRES
�iLc1
RECEIPT DATE
RECEIVED FROM Ay2can
ADDRESS
FOR
9-9- aiy
; 1/-0206/
CASH
CHECK
MONEY
ORDER
HOW PAID
NO 87733
NO 87734
$ 1� 075:
BY S&L
DR 8404-I (01/06/05)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET RM 108A
DENVER CO 80261
INDIVIDUAL HISTORY RECORD
To be completed by each individual applicant, all general partners of a partnership, and limited partners owning 10% (or more) of
a partnership; all officers and directors of a corporation, and stockholders of a corporation owning 10% (or more) of the stock of
such corporation; all limited liability company MANAGING members, and officers or other limited liability company members
with a 10% (or more) ownership interest in such company and all managers of a Hotel and Restaurant or a Tavern License.
NOTICE:
All
will
within
questions
be checked
itself
This
individual
must be answered
for its truthfulness.
constitutes
history record
in their
A deliberate
evidence regarding
provides
entirety
basic information
or your application
falsehood
the character
which
may
or omission
of the
applicant.
is necessary
be delayed
will jeopardize
or
for the
not
the
licensing
processed.
application
authority
EVERY
investigation.
answer you
as such falsehood
give
1. Name of Business
5' r es 1.0. LA, v\ 1 e- n/c
2. Your Full Name (last,
first, middle)
3. List any other names you have e
ar
4. Mailing address (if different from residence)
IA
YCr O uc..> c fZ �.-7
/) � i
��) % 1 CJ l'! ?`O W I ' �� C1 JO:3
Slvme Telephone C.Q__t!(
._
3ci — . 7 f — S C-2/
5. List all residence addresses below. Include curronf and previous addresses for the past five years.
STREET AND NUMBER _
CITY, STATE, ZIP
FROM
TO
Current
/L190
LUCA j--7
INV
a eo c23
i pY
Abt-dade-
Previous
6. List all current and former employers or businesses engaged in within the last five years (Attach separate sheet if necessary)
NAME OF EMPLOYER
ADDRESS (STREET, NUMBER, CITY, STATE, ZIP)
POSITION HELD
FROM
TO
9t, fire
Cil if 1 a 7-/ /-Ame,
WI oeftO/iti
6, V a o (f_e-e e Ma
---
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 State of Colorado Liquor or Beer License, or loaned money, furniture or fixtures, equipment or
inventory, to any liquor or beer licensee? If yes, answer in detail. WI Yes
No
`'
1 �` -
.,
a OD
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 U.S.? If yes, explain in detail.
Yes
xi No
10. 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
or do you have any charges pending? Include arrests for DUI and DWAI. (If yes, explain in detail.)
LJYes No
11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (if yes, explain in detail.)
[JYes No
12. Have you ever had any STATE issued licenses suspended, revoked, or denied including a drivers license? (If yes, explain in detail.)
(l Yeslo
PERSONAL AND FINANCIAL INFORMATION
Unless otherwise provided by law in 24-72-204 C.R.S., information provided below will be treated as CONFIDENTIAL.
Colorado liquor licensing authorities require the following personal information in order to determine your suitability for licensure pursuant to 12-47-307 C.R.S.
-I
13aa. Date of Birth
J �� �
b. Security Number SSN
�C 6� -
of Birth a /y /
�Sut/vC'c. oclJ �, . j k
d. U.S. Citizen?
X Yes ❑ No
e. If Naturalized, State where
f. When g. Name of District Court
I
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
.JC'
n. Hair Color /
f� G
o. Eye Color
J6.
p. Sex
F
q. Race
:r aE-vu2?
r. Do you have a cure nt Driver's 'sLicense? If
Financial Information. g 005- OD F-PSA 9
a. Total purchase price $ � � (H buying an existi business) or investment being made by the applying entity, corporation,
partnership, limited liability company, other $_ i
b. List the total amount of your investment in 1this business including any notes, loans, cash, services or equipment, operating capital,
stock purchases and fees paid $ N 1 t t
c. Provide details of Investment. You must account for the sources of ALL cash (how acquired). Attach a separate sheet if needed.
Type: Cash, Services or Equipment
Source:Name of Bank; Account Type and Number
Amount
•/
P
0.&9 4,¢�- O+�t
_ C �� .. o A4 -, r a chn j
1 Lo5 a �`°
�� f 1j .� Q ,
-
�3, 6_5_, °°
,
_1_,_--
d. Loan Information (attach copies of all notes or loans)
Name of Lender and Account Number
Address
Term
Security
Amount
15. Give name of bank where business account will be maintained; Account Name and Account Number; and the name or names of persons
authorized to draw thereon.
may ‘,1 p frii
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.
uthori I nature I
Title
1 Date
20140910-09561
DATE 09/09/2014
SO WELD COUNTY RECORDS GREELEY
1950 "OT" STREET
GREELEY, CO 80631
RE: SIPRES,MARY DEL 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
August 18th, 2014
To whom it may concern:
I Rosita Diaz have known Maria Sipres for a little over 30 years. I have known
her to be very responsible and hard working. She has always been very
respectful and kind. She has been a very law abiding citizen. I knew Maria before
she owned the Sipres lounge. If there are any questions or concern please feel
free to contact me at 303-903-1802.
Rosita Diaz
A
; (A5
i,ebto ado
Ara-rn '
1S2t
&Lg.' ‘)4a.
Mv 11^ak. .25)40,s2.e,.
kcv frnu V&frcrp4%4'1 � 3
tersiam.41,./. A-r-ukteb;An- 144 ar ither`et-
2\ AA) 014S 4,1te isl-tai 41 to -co ten -L. MA -4-4 itD42-14
17, as iy
ga-d-u.4,A.
RECEIVED
A ? 1 2014
WELD COUNTY
COMMISSIONERS
4-€) 9--eticuL4L.
a,e-cmk:11 e>t er% 6,44_
14' 4-r►.e‘ ae sro
-A , tit n►pok-4..a. t o.ate., r , Are 64---$1,09 1140-a
4.miA.T Tern MA:bri ttl 1._ ... - What E u Y
ke„._ /„.„--t-b to a at -A.0) A -O9 ett---)A-D-d-
g `�-1��
IJIt\) e� Imo-- .� .. � 14/l_47 -,44j ,
.6) "4-411- i-Qa 0.1".QA.4,(4ctit_c_a___ frtscsa_.
lAse-to Anne. ac -es` 3e3 - 922- Ff`I b7
a datii4,442
FARM
BUREAU
INSURANCE
Auto • Home • Life
Helping You
is what we do best.
August 15, 2014
To whom it may concern;
RECEIVED
AUG 2 1 2014
vvtLU COUNTY
COMMISSIONERS
I have known Mary Sipres since February 2002. She has always paid her insurance
premium on time with no lapses. Mary has always taken care of her business in a timely
manner with a smile. If you need further information do not hesitate to call.
Regards
r
Genny Jones„ Agent
Colorado Farm Bureau Mutual Insurance Company
COLORADO FARM BUREAU MUTUAL INSURANCE COMPANY
Genny Jones
Agent
992 S. 4th Avenue, Suite 200 I Brighton, CO 80601
www.cfbinsurance.com ) www.coloradowayoflife.com
303-659-3082 1 303-659-9245 fax f genny.jones@cfbmic.com Life Insurance offered through Farm Bureau Life Insurance Company, West Des Moines, Iowa
DR 8404-I (01/06/05)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1881 PIERCE STREET RM 108A
DENVER CO 80261
INDIVIDUAL HISTORY RECORD
To be completed by each individual applicant, all general partners of a partnership, and limited partners owning 10% (or more) of
a partnership; all officers and directors of a corporation, and stockholders of a corporation owning 10% (or more) of the stock of
such corporation; all limited liability company MANAGING members, and officers or other limited liability company members
with a 10% (or more) ownership interest in such company and all managers of a Hotel and Restaurant or a Tavern License.
NOTICE: This
All questions
will be checked
within itself
individual history record provides basic
must be answered in their entirety or your
for its truthfulness. A deliberate falsehood
constitutes evidence regarding the
information which is
application may be delayed
or omission will
character of the applicant.
necessary for the licensing authority investigation.
or not processed. EVERY answer you give
jeopardize the application as such falsehood
1. Name of Business
5;/tes Ao&ne
)Z)\/c___
2. Your Full
C 1
-1 f'
Name (last, first, middle)
Le cc o pnet.r\-W1 J_ -accsn
3. List any other names you have used.
4. Mailing ddress�i} d erent from resid
PO, 1 , Aaele/ /
En - Lo too. d e 3'O//D
n e)�1
� F �I t/e
Home Telephone
303-174/-75J
5. List an residence addresses below. Include current and previous addresses for the past five years.
STREET AND NUMBER
CITY, STATE, ZIP
FROM
TO
Current
50247u2-
A-3 Pr lro
v ce—
Previous
6. List all current and former employers or businesses engaged in within the last five years (Attach separate sheet if necessary)
NAME OF EMPLOYER
ADDRESS (STREET, NUMBER, CITY, STATE, ZIP)
POSITION HELD
FROM
TO
St. -ke
Cc.
6.010Pd6
-1_9Q h. Gtz,r/
3c,
?(VR. ASSP5.6 •
R Q 51.
amq
LC P5O 2-,
_ L- / red
,
21,E / r
Pn&4
C..+
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
-L7 e
8. Have you ever applied for, held, or had an interest in a State of Colorado
inventory, to any liquor or beer licensee? If yes, answer in detail.
Liquor or
Yes
Be1er
License, or loaned money, furniture or fixtures, equipment or
1\10
9. Have you ever received a violation notice suspension or revocation,
license anywhere in the U.S.? If yes, explain in detail.
for a liquor
law
Yes
violation,
or have you applied for or been denied a liquor or beer
No
[I
'
10. 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
or do yo ha any charges pending? Include arrests for DUE and DWAI. (If yes, explain in detail.)
Yes
No
11. Are you cu ently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (if yes, explain in detail.)
Yes
[;^`"
o
12. Have
%Yes
you ver had any STATE issued licenses suspended, revoked, or denied including a drivers license? (If yes, explain in detail.)
i
gre /929 // / U -.at VMS` S Q- aid- 4/ el
4-Axic ti ZeiSz-,";
3Vpvc_ LAI eg, o-ti\-ff. _Le3/4_7;4, gib& tgq
PERS NAL AND FINANCIAL INFORMATION
Unless otherwise provided by law in 24-72-204 C.R.S., information provided below will be treated as CONFIDENTIAL.
Colorado liquor licensing authorities require the following personal information in order to determine your suitability for licensure pursuant
to 12-47-307 C.R.S.
13a. Date of Birth
/
b. Social Security Number SSN
c, lace of Birth
d. U.S. Citizen?
r , 1, �l�,l a -0
'Yes
No
/
e. If Naturalized, State where
f. When J
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
j'
m. Weight
17 0
n. HairColoro,
1—! �
Eye Color
Be 1�)
p. Sex
- st
q. Race
s-`�`�"
r. Do ou have a current Driver's License? If so, give number and state
Yes
I
No /6/
Financial Information.
a. Total purchase price $
fr (if buying an existing business) or investment being made by the applying entity, corporation,
____�r� 7
partnership, limited liability company, other $ _ _
b. List the total amount of your investmen in
stock purchases and fees paid $ 1�1
his business including any notes, loans, cash, services or equipment, operating capital,
c. Provide details of Investment. ou must account for the sources of ALL cash (how acquired). Attach a separate sheet if needed.
Type: Cash, Services or Equipment
Source:Name of Bank; Account Type and Number
Amount
tviiikt
/
d. Loan Information (attach copies of all notes or loans)
Name of Lender and Account Number
Address
Term
Security
Amount
/UM
15. Give name of bank where business
authorized to draw thereon.
account will be maintained; Account Name and Account Number; and the name or names of persons
Oath of Applicant
I declare under penalty of perjury in the second degree that this application
my knowledge.
and
all attachments
are true, correct, and complete to the best of
Aut 77Sturhi
igna
Title
�. p
Da `//
-, / 4
20140923-01031
DATE 09/20/2014
SO WELD COUNTY RECORDS GREELEY
1950 "0" STREET
GREELEY, CO 80631
RE: GRIEGO,MARTHA JEAN
SOC: XXX-XX-
DATE OF BIRTH:
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
Colorado Bureau of Investigation
690 Kipling Street, Suite 3000 Denver, CO 80215
(303) 239-4208
Identification Unit
cbi.state.co.0 /id
The enclosed documents are being returned to you because of the following reason(s):
We have not attempted to process your fingerprints due to the poor quality of the prints. Please submit a new set of
fingerprints. Include this form and the enclosed rejected card with your new submission. Since your card is being returned
to you and we have not made an attempt to process the card, this does not qualify as one of the two required attempts
before a name -based background check is authorized.
To obtain a new fingerprint card, call the State Forms Center at 303-370-2165.
Full name, date of birth, and physical information are mandatory.
The Colorado Revised Statute number that applies to the profession or reason fingerprinted must be included in the
reason fingerprinted box.
The employer address box must have a complete mailing address. The employer's address is where the background
results will be mailed.
-1 The request was not accompanied with the proper fee. Either a payment was not included or the wrong amount was paid.
For requests that require payment, we need to receive a money order, cashier's check, pre-printed business check, or
credit card form. The credit card form is enclosed if you choose to pay by credit card.
Please send $ for your request.
X
Personal checks and temporary checks are not accepted. Please resubmit with an acceptable form of payment (see
above).
The account number is missing or incorrect. Please include this in the OCA box.
The daycare license number or provider number is missing or incorrect. Please include this in the MNU box. If this is for
Fostercare please include the daycare license number in Miscellaneous MNU box.
Your account has been sent to collections. Until the account is paid in full, we can not process your request. Contact
Financial Services at 303-239-4450.
We require both a fingerprint card and a name check form only if two separate responses are needed. A name check form
is not required for a fingerprint card submission. If both are requested, the combined fee is $29.50.
Other: The money order was made payable to the Fe.deral.. Bureau of Investigation. Money order should be mute payable
LC) L_Li1.
Please Note:
X
All checks or money orders must be made payable to the Colorado Bureau of Investigation or CBI. Personal checks are not
accepted.
Your check or money order # 7-048121900 in the amount of $ enclosed.
Please complete changes and/or additions and submit to the CBI with all attachments. Your cooperation is
appreciated. You may contact CBI staff at (303) 239-4208 for clarification or questions.
Chris Schaefer
Agent in Charge
9/10/2014 Rip
September 2, 2014
To Whom It May Concern:
I am writing to tell you of the many fine qualities Martha Griego has. I have known Martha for
over 34 years. Within those years I have grown to know Martha; she constantly strives to go
above and beyond of any goals set. I can certainly say, without a doubt, you are dealing with a
person of very good moral character and honesty.
One particular event I will always remember about Martha was for my daughter's wedding.
After the wedding was over, I started to clean up the venue and she started helping me without
asking her to help. Martha assisted me with throwing trash, gathering linens, breaking down
tables and chairs, etc. There are not many people you can count on, but Martha is a person one
can definitely trust and depend on. I am glad to have the privilege to know Martha.
If you have any further questions for me, please feel free to contact me at 720-427-0028.
Thank you,
7, -in
Angie Sipres
•
From:
Errol Cordova
/ 2_ /7 '7
I have known Martha Griego for about 12 years. We have worked in
different departments but I have had to work with her on several projects.
I have also had to tap into her knowledge with Microsoft Office on many
occasions. She is very easy to work with and always is available for many
employees. She is dependable, hard working and dedicated to whatever she
is involved in. I have a great respect for Martha. If needed you may contact
me at 303-866-7888.
Thank you!
: 303-866-7888
3520 West Oxford Avenue, Denver, CO 80236
: errol.cordova@state.co.us I www.colorado.gov/cdhs
N4
ri„?.."(e6/6
Linda Caudillo
5516 S. Fenton St.
Denver, CO 80123
September 2, 2014
RE: Letter of Reference for Martha Griego
To Whom It May Concern:
It is my pleasure to write this letter of reference for Martha Griego.
I have known Martha for over 24 years (1990 to Present).
Martha is an honest, reliable person. She treats others with respect and always does the right thing.
She always follows through with,whatever she says she will do. She is kind and helps those in need.
Martha is a great role model for others and has a very good reputation. I am happy to say that she is a
very dear and close friend of mine.
If I can be of further assistance, or provide you with any further information, please do not hesitate to
contact me.
Sincerely,
6(11
A L
Linda Caudillo
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
Sipres Lounge
2. Your Full Name (last, first, middle)
Serenil, Evangeline
3. List any other names you have used.
Eva Serenil
4. Mailing address (if different from residence)
2691 S. Newton Street, Denver, CO 80219
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
2691 S. Newton Street
Denver, CO. 80219
5/21/2008
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
U.S. Senator Michael Bennet
1127 Sherman St.,Ste. 150, Denver,CO 80203
Constituent Advocab
01/20/09
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
N/A
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 ❑ No
Sipres LLC - 1490 WCR 27, Brighton, CO 80603 for Sipres Lounge
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 ✓ No
10. 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
or do you have any charges pending? (If yes, explain in detail.)
Li
Yes «I
No
11. Are you currently under probation (supervised or unsupervised), parole, or completing the requirements of a deferred sentence? (if yes, explain in detail.)
I_I
Yes
✓
No
12. Have
i
i Yes
you ever had any professional license suspended, revoked, or denied? (If yes, explain in detail.)
I 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
Greeley, CO
d.
U.S. Citizen?
171 Yes
H
No
e. If Naturalized, State where
N/A
f. When
N/A
g. Name of District Court
N/A
h. Naturalization Certificate Number
N/A
i. Date of Certification
N/A
J. If an Alien, Give Alien's Registration Card Number
N/A
k. Permanent Residence Card Number
N/A
I. Height
5' 1"
m.
145
Weight
n. Hair Color
BROWN
o. Eye Color
BROWN
p. Sex
F
White
q. Race
r.
Do
Z
you
Yes
have
U
a current Driver's License'? If so, give number and state
No £
14. Financial Information.
a. Total purchase price $. N/A . _ -_ __ ._ ___________ _ __ _ (if buying an existing business) or investment being made by the applying entity, corporation,
limited liability company, other $ N/A
partnership,
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/A
d. Loan Information (attach copies of all notes or loans)
Name of Lender
Address
Term
Security
Amount
N/A
Oath
I declare under penalty of perjuryjba.L.this application and all attachments
of Applicant
are
true, correct, and complete to the best of my knowledge.
f
Authoze, ignature
ZV. CL-RSLf.
al'
7 g
CA_ AA., 1
Title
r ...JO.) '
DW1-41//
V/6
20140923-01531 (2)
DATE 09/20/2014
SO WELD COUNTY RECORDS GREELEY
1950 "0" STREET
GREELEY, CO 80631
RE: SERENIL,EVANGELINE 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
Colorado Bureau of Investigation
Identification Unit
690 Kipling Street, Suite 3000
Denver, CO 80215
(303) 239-4208
The enclosed documents are being returned to you because of reason(s) indicated below:
We have not attempted to process your fingerprints due to the poor quality of the prints. Please submit a new set of fingerprints.
Include this form and the enclosed rejected card with your new submission. Since your card is being returned to you and we have
not made an attempt to process the card, this does not qualify as one of the two required attempts before a name -based background
check is authorized.
To obtain a new fingerprint card, call the State Forms Center at 303-370-2165.
Full name, date of birth, and physical information are mandatory.
The Colorado Revised Statute number that applies to the profession or reason fingerprinted must be included in the reason fingerprinted
box.
The employer address box must have a complete mailing address. The employer's address is where the background results will be sent.
The request was not accompanied with the proper fee. Either a payment was not included or the wrong amount was paid. For requests
that require payment, we need to receive a money order, cashier's check, pre-printed business check, or credit card form. The credit
card form is available on our website at
rn
III ieTh . 1 51
Please send $ for your request.
Personal checks and temporary checks are not accepted. Please resubmit with an acceptable form of payment (see above).
The account number is missing or incorrect. Please include this in the OCA box.
The daycare license number or provider number is missing or incorrect. Please include this in the Miscellaneous MNU box if applicable.
Your account has been sent to collections. Until the account is paid in full, we can not process your request. Contact Financial Services at
303-239-4450.
We require both a fingerprint card and a name check form only if two separate responses are needed. A name check form is not
required for a fingerprint card submission. If both are requested, the combined fee is $29.50.
Other:
Please Note:
x
X
All checks or money orders must be made payable to the Colorado Bureau of Investigation or CBI. Personal checks are not accepted.
Your check or money order # I U4,11.)z .
in the amount of $ is enclosed.
Please complete changes and/or additions and submit to the CBI with all attachments. Your cooperation is appreciated. You may contact CBI
staff at (303) 239-4208 for clarification or questions.
Sincerely,
y Chris SchacTcr
Agent in Charge
Identification Unit
/Ps
9/8/2014
Priscilla Resendiz
181914`` Street Road
Greeley, CO 80631
September 3, 2014
To Whom It May Concern:
In the two years I have known Evangeline Serenil, I have been impressed with her dedication to
any endeavor she has been involved with. Currently, Evangeline and I work together as
Constituent Advocates for United States Senator Michael Bennet. The high standard at which she
holds herself accountable to is a true reflection of her pristine character.
At all times I have found Evangeline to be dependable, hard-working, conscientious and honest.
I'm happy to provide further information if required.
If you have any questions about this letter, please feel free to contact me directly at (310) 936-
6038.
Sincerely,
IT
Priscilla Resendiz
Sebastian Dawiskiba
132 West Bayaud Avenue
Denver, Colorado, 80223
(303) 886-4639
dawiskiba@gmail.com
September 3, 2014
To Whom It May Concern:
I have worked closely with my colleague Eva Serenil for over three years at the Office of U.S. Senator
Michael F. Bennet in Denver, Colorado.
At all times I have found her to be reliable, hard-working and honest. Eva holds herself and her work
ethic to a high standard, which is one of the things I truly admire and appreciate about her. Eva is
extremely resourceful and talented at helping Coloradan's in her role as a Constituent Advocate.
I am happy to provide further information if required.
Sincerely
Sebastian Dawiskiba
September 3, 2014
To Whom It May Concern:
It is my pleasure to write a reference letter for Evangeline
Serenil. I have known Evangeline for the past 15 years. We
have worked together in organizing, building and collaborating
partnerships among local communities and worked with state
and federal organizations on programs to raise awareness of
public health among minorities.
Evangeline is an achiever to the highest level and is very reliable
and dependable as a friend and former co-worker. She always
reaches her goals that she sets and is very driven by these goals.
I am available to provide any further information if needed. l:
can be reached at 402-730-1509 or by email:
natrod5 6@out1ook. core..
Sincerely,
Natalie Rodriquez
i
e4
To: Weld County Board of Commissioners
From: Deputy Lisa Carpenter
Date: September 16, 2014
RE: Sipres Lounge Incorporated
Dear Commissioners,
I have researched and found no reported calls for service at the Sipres Lounge Inc.,
located at 1490 WCR 27, Brighton, CO 80603, for the Calendar year of 2013 to present day.
There is no inventory of liquor at the establishment.
I find no grounds for disapproval for the transfer of ownership of the liquor license.
Respectfully Submitted,
Deputy Lisa Carpenter
Community Resource Officer
Weld County Sheriff's Office
1950 "O" Street
Greeley, CO 80631
MEMORANDUM
To: Rafaela Martinez, Deputy Clerk to the Board September 16, 2014
From: Bethany Pascoe, Zoning Compliance Officer, Dept. of Planning Services
Subject: LC0028
Review of the following liquor license renewal by the Department of Planning Services shows the following:
Owner:
Mary D. Sipres
1490CR27
Brighton, Co 80603-9332
Applicant:
Sipres Lounge Incorporated
Dba: Sipres Lounge
1490 County Road 27
Brighton, Co 80603
Zone District: A (Agricultural)
This use has existed prior to zoning and a Nonconforming Use File (NCU-80), has been set up by the
Planning Department. Any expansion, construction or change in use would need to be submitted to the
Department of Planning Services prior to completion.
No Zoning Violations are occurring on the property at this time.
SERVICE, TEAMWORK, INTEGRITY, QUALITY
Rafaela Martinez
From:
Sent:
To:
Subject:
Janet Lundquist
Friday, September 05, 2014 2:09 PM
Rafaela Martinez
Re: Transfer of Ownership - Sipres Lounge
This is an existing location. Public Works doesn't have comments at this time.
Janet Lundquist
Sent from my iPhone
> On Sep 4, 2014, at 3:39 PM, "Rafaela Martinez" <ramartinez(aco.weld.co.us> wrote:
> In accordance with the procedure for Liquor Licenses, please review all records on the
following document for any associated reports/incidents during the last year and return your
report to the Weld County Clerk to the Board's Office within two weeks. Your report will be
used by the Board of County Commissioners in considering Approval and/or renewal of the
Applicant's Liquor License.
> PLEASE RESPOND NO LATER THAN: September 19, 2014
> Applicant: Sipres Lounge, Inc dba Sipres Lounge c/o Mary Sipres
> File Location: LC 0028
> Rafaela A. Martinez
> Deputy Clerk to the Board
> 1150 0 StreetIP.O. Box 758IGreeley, CO 80632
> tel: (970) 336-7215 X5226
> [cid:image001.jpg(a101CFC856.59635B20]
> 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.
> <Sipres Lounge - Transfer of License.pdf>
> <image001.jpg>
1
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'PULL AND RETAIN THIS COPY BEFORE AFFIXING TO THE PACKAGE. NO POUCH NEEDED.
Li -
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Rafaela Martinez
From: Rafaela Martinez
Sent: Tuesday, January 06, 2015 12:38 PM
To: 'Clark - DOR, Adam'
Cc: Bob Choate
Subject: Sipres Lounge Liquor License and Transfer
Attachments: Sipres Lounge - Transfer of License - Additional Required Information.pdf
Good Afternoon Adam,
Susan has been in contact with me in regards to this Renewal and had requested additional information. However, I do
not know Susan's contact information to E -Mail this to her. Would you be able to pass this message and attachment
along to her?
I would very much appreciate the help.
Thank you,
Rafaela
Rafaela .1 Martinez
Deputy Clerk to the Board
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.
1
Rafaela Martinez
From:
Sent:
To:
Cc:
Subject:
Good Morning Martha,
Rafaela Martinez
Thursday, December 18, 2014 8:34 AM
Martha Griego
Bob Choate; Rafaela Martinez; Esther Gesick
Sipres Lounge Liquor License and Transfer
I hope that this E-mail finds you and your mom well.
II.'5O metfinq
IA)
b.. as
I know that it has been quite some time since the Board approved your Moms License. The State has contacted me in
regards to some items that they require in order to process the license on their end.
Since Sipres Lounge is a Corporation, they are asking for the Articles of Incorporation as well as the Certificate of Good
Standing. The Assistant County Attorney Bob Choate, who is copied on this message, and myself can help you obtain
those two documents.
The State also advised me that the Sales Tax Number that was provided is inaccurate. Keep in mind that we at the
County do not certify the Sales Tax Number at any point during the Application/Renewal process.
The Affidavit of Transfer form will need to be corrected as well. That is also something that Bob and I can help you with.
Since the information being requested has to be submitted to the State in a timely manner, it is in your Mother's best
interests to gather the requested information and schedule a time to meet with Bob and myself to compile and finalize
prior to submitting it.
I do want to remind you that, although rare, there are instances where the State has denied a license if Approval has
been gained from another Jurisdiction. Bob and I will do our best to help with the submission of this information but
unfortunately cannot promise approval from the State. However, we will always hope for the best!
I will be giving your mom a call as well and I imagine we will be scheduling a time to meet very soon. If I don't hear from
you or Mary before the Holidays, I hope that you and your family have a Safe and Happy Holiday Season!
Regards,
Rafa
Rafaela 4. Martinez
Deputy Clerk to the Board
1150 O Street P.O. Box 758 Greeley, CO 80632
tel: (970) 336-7215 X5226
C u,rr1- S ,T. 4
dggcoygghte-
I
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
2890 0003 5709 0055
C
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U.S. Postal ServiceTM
CERTIFIED MAIL RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
Postage
Certified Fee
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
Sent To
Postmark
Here
Stree( APf a,' (f�� r/ ut - - ---
OrPOaoxNa )L490 1"/11lYli'I l
City, State, ZIP44 l '+'''`R'`"'''^^JJ'�1t 7 �
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SENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• 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.
. Article Addressed to:
nibh,
149O 0-R. a7
ebi,t9,1-t-tipn, Co 801,03
COMPLETE THIS SECTION ON DELIVERY
A. Sigre
. Received
❑ Agent
0 Addressee
C. Date of Delivery
ICHC
D. Is dLe1_ry a.,• : differs' •m it, ? ❑ Yes
If YES, en r delivery address -I p p -No
r f3 19 2015
3. Se 'ce Ty.
[tl Ce ' ied Ma lorlty M press"
❑ Regis d (JS• etur eipt for Merchandise
O Insured Mal • ect on Delivery
4. Restricted Delivery? (Extra Fee)
O Yes
2. Article Number
(Transfer from service label)
7004 2890 0003 5709 0055
PS Form 3811, July 2013
Domestic Retum Receipt
Hello