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RES 2014-1516 - Appoint Shayla R Canterbury manager of Saints Pub Roanoke STATE OF NEBRASKA °� sr Dave Heineman p NEBRASKA' LIQUOR CONTROL, COMMISSION a n y s� 2014 NOV 11 f M 4: 4`2' Hobert B. Rope 'Si / Governor .+,�kr •,1.!�e! Executive Director 301 Centennial Mall South,5th Floor CITY CLERK P.O.Box 95046 Lincoln,Nebraska 68500 5046 OMAHA, NEBRASK Phone(402)4712571 November 17,2014 Fax(402)471.2814 or(4021471 2374 TRS USER 800 833-7352('ITY) web address:http://www.kc.nc.gov/ City Clerk 1819 Farnam Street LC-1 Omaha NE 68183 RE: Saints Pub Roanoke - License#1-110037 Dear Clerk: Enclosed is a copy of a manager application for Riley Drive Entertainment XVII LLC in connection with Saints Pub Roanoke, located at 4915 N 120th Street,Suite 1, Omaha NE 68164. The applicant that filed with the pending retail application is no longer the manager. Please present this application for manager to your City/Village Council or County Commissioners and send us the results of their action. Sincerely, Michelle Porter Licensing Division Enclosure cc: file Janice M.Wiebusch Robert Batt William F.Austin Cornmrssionr•r Chairman Commissioner An Equal Opportunity Employer Printed with soy ink on recycled paper NOU-13-2014 14:31 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P.1/16 "° �-� E C E IV E LJ BAIRDHOLM Anthony D.Todero ATTORN 'T. AT LAW 2014 NOV 17 AM (j, 34 1700 Farnam Stet Suite 1500 Omaha,NE m510Z-ZO Tel:402.344.050{) CITY CLERK Fax:402,344.o5118 Direct:44)1636.13355 O M A H A. N E B R A S K 1 aradcro@bairdholm.com www.baucthnim.com AI'o admitacd in Caljfornit 4c Minnontst November 13, 2014 VIA FACSIMILE (402-471-2814) Michelle Porter Nebraska Liquor Control Commission 301 Centennial Mall South PO Box 95046 Lincoln, NE 68509-5046 Re: Riley Drive Entertainment XVII, LLC d/b/a Saints Pub Roanoke ("Saints Pub"); Application for Liquor License—New Manager Application Dear Michelle: In connection with Saints Pub's application for a liquor license, Saints Pub is withdrawing Shawn Robinson's Manager Application and submitting Shayla Canterbury's Manager Application. Please find enclosed: - Application for Liquor License Retail (with Ms. Canterbury's information); - Manager Application Insert— Form 3c; - A copy of Ms. Canterbury's Certificate of Live Birth; - A copy of Ms. Canterbury's Voter Registration; and Payport Receipt (confirmation Ms. Canterbury was fingerprinted via LiveScan). If you have any questions or need additional information, please call me at 402- 636-8355. Thank you. Res ct� A hony . Todero FOR T E FIRM Enclosures cc: Scott Anderson DOCS/13351 32.1 Providing Exceptional Legal Service Since 1873 NOU-13-2014 14:32 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 F, • . P.9/16 MANAGER APPLICATION ` Office use INSERT-FORM 3c NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH PO BOX 95046 LINCOLN,NE 68509-5046 PHONE:(402)471-2571 FAX:(402)471-2814 Website:www.Icc.ne.eoy MUST BE; ✓ Citizen of the United States. Include cony of US bijh extifcate3 naturalization paper or current US Passport 1 Nebraska resident. Include cow of voter registration in the Mate ofiklehraska 1 Fingerprinted.Two cards per person,fees of$38 per person, made payable to Nebraska State Patrol.If printed at NSP mail check only. ✓ 21 years of age or older CorporationILLC information Name of Corporation/LLC;Riley Drive Entertainment XVII, LLC Premise information Liquor License Number: Class Type I (if new application leave blank) Premise Trade Namelb$A:Saints Pub Roanoke Premise Street Address;4915 N. 120th Street, Suite 1 city.Omaha County: Douglas Zip Code:68164 Premise Phone Number:913-538.7556 Email address:sanderson a©rileydrive.com The individual whose name is listed as a corporate officer or managing member as reported on insert form 3a or 3b or listed with the Commission. Click on this link to see authorized individuals. http:l w.kec,_oe.aov/l tense search/liescarcll.cgi 5--- SIGNATUR REQUIRED BY CORPORATE OFFICER/ MANAGING MEMBER (Faxed signatures are acceptable) Form 103 Rev 9/2013 Page 2 or6 NOU-13-2014 14:33 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P.10.16 WAVITTIO•1- '1A'iy i317t-t itrl' � �-. Al:ti'' L� � im�yrliSvi.�A1 ri-r.o n-7y_-' »i^;77 '"� Last Name:Canterbury First Name:Shayla Home Address(include PO Box if applicable):4154 Chicago Street, 2nd Floor City:Omaha county:Douglas Zip Code:68131 Home Phone Number:402"612-1279 Business Phone Number: 402-932-1911 Social Security Number:,„ -Drivers License Number&State:,,,, Date Of Birth:_ Place of Birth: Omaha, NE Email address: shaylacanterbury@gmall.com - -- .. .,,. .w t x, .: .' `.n.,LLi r 1 r�::::-77�.•�� t ;1�,":,l1."`cry-*a q, i}�,{o�}_. �A�'';:l'`7� ►„':��prolri�riS?!��Ci.. �- 11�kpf�ele�7`Z ' w�� E;eSI,}�;PI'1��!�'�+.` e�?�(Ili,ifkz.C�'i . c...l ,1........ ❑YES (1 NO m F37� .. {s 551:r,,���i `{,��� 4..;'[hy v.r,,/ �. i n s� y( ,S�(3 °tN.� cr�7+.i u-���` '4ry`��b;.,�,�:i1t7_���»..,.r..,�.;,✓-nvT+�+ + tl�a�u.:� :�.,�.:Ae°C ,i, •':v..4,�5�� %•L. ".�...;f.�.--['.ice.7......r`,S._eE�.�1..>t..- -3. . .i_....7:...} Spouses Last Name: First Name: _ Mi Social Security Number:- Drivers License Number&State: Date Of Birth: Place Of Birth: r r P � '1 �' •'1 r f r�55;.1 , 4.Y �y�� l�}}�.�(`l� ry,ilf ,, i}a r-rt�� A' c. :.� •� r� 4 RR'' �` - -,. t q - Svc�� t r v S r i,r•. � � V cp 1 H�E Cl E I��r �.!i"f T -F 'I:...., YEAR YEAR CITY& STATE YEAR YEAR CITY&STATE FROM TO FROM TO Omaha, Nebraska 2013 Present Orangeburg, South Carolina Oct 2012 Feb 2013 _Chula Vista, California May 2012 Oct 2012 Omaha, Nebraska 2004 may2012 - rpm 103 Rev NOI3 Pagel of6 NOU-13-2014 14:33 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P.11/16 MA1 AGtR{s LAST TWO EMPLOYEilta. YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE FROM TO NUMBER 2014 Present Saint's Pub & Patio Shawn Robinson 402-932-1911 2013 2014 Wheattield's Eatery and Bakery Ron Popp 402-955-1485 1. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY. Must be completed by both applicant and spouse, unless spouse has filed an affidavit of non- participation. Has anyone who is a party to this application, or their spouse, EVER been convicted of or plead guilty to any charge_ Charge means Ey charge alb a felony,misdemeanor,violation of a federal or state law;a violation of a local law, ordinance or resolution. List the nature of the charge, where the charge occurred and the year and month of the conviction or plea. Also list any charges pending at the time of this application. If more than one party, please list charges by each individual's name. p YES NO if yes,please explain below or attach a separate page. Date of Where Description Name of Applicant Conviction Convicted of Disposition _ ( yyyy)_ t City&State) Charge Shayla Canterbury 08/2014 Omaha, Ne Parking Ticket _ Paid Shayla Canterbury 09/2014 Omaha, NE Parking Ticket Paid Shayla Canterbury 09/2004 5arpy County, NE Minor In Possession/Fine Paid Shayla Canterbury 07/2001 Naples, FL No Seatbelt Ticket Paid 2. Have you or your spouse ever been approved or made application for a liquor license in Nebraska or any other state? DYES ®NO IF YES,list the name of the premise(s): 3. Do you, as a manager, qualify under Nebraska Liquor Control Act(§53-131.01) and do you intend to supervise, in person,the management of the business? LiYES ONO Form 103 Ito,9/2013 rage 4 of 6 NOU-13-2014 14:33 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P. 12/16 4. List the alcohol related training and/or experience(when and where)of the person making application. •NLCcc Training Certificate Issued: Name on Certificate: . Applicant Name Date Name of program(attach copy of course completion certificate) [ YYYY) Shayla Canterbury 11/2014 Responsible Beverage Service Trainingt 'For list of NLCC Certified Training Programs see www,lcc.rfg.gov/ttidniaainfo.hmg Experience: _ Applicant Name/Job Title Date ofName&Location of Business: Employment: Shayla Canterbury/Manager/server Present Saint's Pub & Patio, Omaha, NE Shayla Canterbury/Lead Trainer 2013-20104 Wheatfield's Eatery, Omaha, NE Shayla Canterbury/Shot Supervisor 2008-2008 Macaroni Grill, Omaha, NE 5. Have you enclosed the required fingerprint cards and PROPER FEES with this application? (Check or money order made payable to the Nebraska State Patrol for$38,00 per person) WYES LINO Form 103 Rev 4/3fl13 Page 5 of 6 NOU-13-2014 14:33 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P.13'16 PERSONAL OATH,AND CONSENT OF INVESTIGATION; The above individual(s), being first duly sworn upon oath, deposes and states that the undersigned is the applicant and/or spouse of applicant who makes the above and foregoing application that said application has been read and that the contents thereof and all statements contained therein are true. If any false statement is made in any part of this application, the applicant(s) shall be deemed guilty of perjury and subject to penalties provided by law. (Sec§53-131.01)Nebraska Liquor Control Act. The undersigned applicant hereby consents to an investigation of his/her background including all records of every kind and description including police records, tax records (State and Federal), and bank or lending institution records, and said applicant and spouse waive any rights or causes of action that said applicant or spouse may have against the Nebraska Liquor Control Commission and any other individual disclosing or releasing said information to the Nebraska Liquor Control Commission. If spouse has NO interest directly or indirectly, a spousal affidavit of non participation may be attached. The undersigned understand and acknowledge that any license issued,based on the information submitted in this application, is subject to cancellation if the information contained herein is incomplete, inaccurate, or fraudulent. f i 1/ 1 V i4 i of ger A a Signature of Spouse A+v><crrow EDGEMENT State of Nebraska County of Douotee - The foregoing instrument was acknowledged before me this / / Li b, Shayla R. Canterbury mime of pawn acknowledged Afgx Seal Notary Public sig�n�ature ream 14011E e SHIRLEYOM DAHMS IN CM.OILbeCe 2016 In compliance with the A.DA,this application is available in other formats for persons with disabilities. A ten day advance period is required in writing to produce the alternate format. Force 103 Rev 9/2013 Page 4 en NOU-13-2014 14:31 From:BRIRD HOLM LLP 4023440588 To:402 471 2814 P.2/16 APPLICATION FOR LIQUOR LICENSE RETAIL NEBRASKA LIQUOR CONTROL COMMISSION 301 CEta7'E►*flAL MALL SOUTH PO BOX 95046 LINCOLN,NE 66509-5046 PHONE;(402)471-2571 FAX:(402)471-2814 - Webs.t e;vwvw,1ce,ne.gov/ CLASS OE':LIC S "vt ,►0 ;..,.E h EN E.FOR�WHICH'APPLY�ATI01!�F��� ,�A`� ;�; ��'," � ,. .-�:r;• ,.. '< „1lrl ;e{� ;xr+ �tr' CI1E K DES1REI .:CUASs. i�Sry.h,;! o`f. c,..:; 3I . r.!wLito RETAIL LICENSE(S) Submit$400 Non Refundable AuniirAtignAt 0 A BEER,ON SALE ONLY B BEER,OFF SALE ONLY C BEER,WINE,DISTILLED SPIRTS,ON AND OFF SALE O D BEER,WINE,DISTILLED SPIRITS,OFF SALE ONLY I BEER,WINE,DISTILLED SPIRITS,ON SALE ONLY ❑ AB BEER.,ON AND OFF SALE ❑ AD BEER ON SALE ONLY,BEER,WINE,DISTILLED SPIRITS OFF SALE IB BEER,WINE,DISTILLED SPIRITS ON SALE,BEER OFF SALE ONLY ID BEER,WINE,DISTILLED SPIRITS ON AND OFF SALE O Class K Catering license(requires catering application form 106) $100.00 Additional fees will be assessed at city/village or county level when license is issued ..� .,.., ... .,.,.,;,,.:,,.,,,,.�,.,:,o,,,n,�r.��,:.,,,,.,is,:,:.�:..,. !"�l:r r iGii;`%^K':rr>a' :�sy':7`li`"��`: ',n!?i;17(:iiE'ilir•hii?S;1�a° ,i'71 LICEN6 rN ; f = E , ,11 ,'vg �k}I�, fi , t ,1 Ni,r 4 ,�,{f'w, r IE>iS� .>wulyr?fkidinr3+rs ‘{f "rl'tl'.' �,.4 r'1,�. r '!'>..._._._.. ,, Class C license term runs from November 1—October 31 All other licenses run from May 1 —April 30 • Catering license(K)expires same as underlying retail license CI'IECK TYPE OP LICENSE FOR W CH YOU ARE APPii.fYtN0!, .. "' (CHECK ONLY ONE) ❑ Individual License(requires insert form 1-form number 104) 0 Partnership License(requires insert form 2-form number 105) O Corporate License(requires insert form 3a&3c-form number 101 and 103) [) Limited Liability Company(LLC)(requires form 3b&3c-form number 102 and 103) F ATTOf E".,> �, �.. ..„-..1i.,,,,. �, fire` iicable a NAM>�'O _Olt:F1R11'�=A�S�S�:,� „i?V3TI �AP'PLY '��ON�(.. QP .���•- �, � 1if ,i ;s;is ; ik1F," nisax�334 � ,.,.., . .,,.....ics oo NameJacqueline A. Pueppke Phone number:402 636-8270 Firm NameBaird Holm LLP FORM 100 REV 12/2013 PAGE 3 NOV-13-2014 14:31 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P.3/16 ,;,1:..:1.. f:r..fv, ;'%' ,.�, {!r`I'!'Wr ,I'�"..I! jyyv."! ') E11 lsE IN +O1fiNIATION ,„ , ),j ; ,k, " .s'sv.l1 i .:, • : ::::,... , l ' :., , „«si�3�I,� Trade Name(doing business es)Safnre Pu4 Roanoke street Address#1 4915 N.120th Street _ . . Street Address#2 suits 1 City Omaha County Douglas Zip Code BB184 Premise Telephone number 91 a-53s-7s3e Business e-mail address Sandersanerileydrlve.com Is this location inside the city/village corporate limits: Q YES 0 NO Mailing address(where you want to receive mail from the Commission) Name Scott w.Anderson ---- street Address#1 8901 Renner Blvd. _ Street Address#2 Suite 403 _ City Lenexa State Kansas Zip Code 66219 -_ ,.f ,» r w'• `,>r„ @r 5, ;(�'�„'.�,'^' S�;f,,•k; f��"S:7',;5�; f 'r Q� rPt.C`IEN6ED''; DESCRIP'LION':AND��Dt�A�lR�1VI�dF.TAE�;�3'€R�3 �' �t�.� ,;:,.,1»;�� ' �;s:; ���'�',r;� �, ,f, ,:,}...`;p:,.i 0 rl,w' J; 1.�`r:y�r °°t 1"1 °;;;Ifanw;"Ji�^'�'Y�t�''o*f..' is :` I f., nir�3� 7,. ., ,;�• ��� ,,,,,a°' ,� '}: . ,a .S: .ail. ,i 5...1, . .. .1 �L 3„' i �, •. RYA��y� ;;.,,` ,,,,,l lr� kk;+e i:r,�w•.1 1, .:.g'�' +'. �:ti.i,I:Y� ,V glinlif C"i,..1. '"�F-':i!L_;•,:il: ::, li AD CARE 'yrlruv' I u�n till �� q y �y F. LLY 1:.., . "`, r:.,' 1fi;..to},�� d t.��v. ,c',!::Ai:,,�..il.,.i.'�1..�,:11i..a,uJ.,,�r�4�,�a,tr�i.Stn�._3�Af�.l,lbl�A l v' chmentL'draw the area to be licensed.In the space provided on an atta � "�ensed. This should include storage areas,basement, outdoor area, sales areas and areas where consumption or sales of alcohol will take place. If only a portion of the building is to be covered by the license,you must still include dimensions(length x width)of the licensed area as well as the dimensions of the entire building. No blue prints please, Be sure to indicate the direction north and number of floors of the building. "For an premise consumption liquor licenses minimum standards must be met by providing et least two restreams Building: length 79 x width S' in feet Is there a basement to be licensed? Yes No x If yes,length x width in feet Is there an outdoor area?Yes x No If yes,length 92 x width 42 in feet PROVIDE DIAGRAM OP AREA TO BE LICENSED BELOW OR ATTACH SEPARATE SHEET The premises Is located in a single-story building that is approximately 79 feet.by 87 feet. There is an adjacent patio area approximately 32 feet by 42 feet. Please see the attached diagram of the area to be licensed. FORM 100 R.EV 12r2013 PAGE 4 NOV-13-2014 14:32 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P.4/16 T D�I APPLICANFOAMATION.. 1. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY 3 53-i25(5) Has anyone who is a party to this application,or their spouse,EVER been convicted of or plead guilty to any charge. Charge means any charge alleging a felony,misdemeanor,violation of a federal or state law; a violation of a local law,ordinance or resolution. Include traffic violations. List the nature of the charge,where the charge occurred and the year and month of the conviction or plea. Also list any charges pending at the time of this application. If more than one party,please list charges by each individual's name. The commission must be notified of any arrests and/or convictions that may occur after the date of signing this application. 0 y13S ❑ NO If yes,please explain below or attach a separate page Name of Applicant Date of Whore Description of Charge Disposition Conviction Convicted (mm/yyyy) (city&state) Marc A. Mundt 02/2000 Des Moines,Iowa OW( Dismissed Scott W. Anderson 11/2011 Lenexa, Kansas Refuse Breath Diversion 2. Are you buying the business of a current retail liquor license? (] YES ❑ NO If yes,give name of business and liquor license number a)Submit a copy of the sales agreement b)Include a list of alcohol being purchased,list the name brand,container size and how many c)Submit a list of the furniture,fixtures and equipment 3. Was this premise licensed as liquor licensed business within the last two(2)yours? YES El NO The Loose Moose Bar & Grill; 088378 If yes,give name and license number 4. Aro you filing a temporary operating permit to operate during the application process? ❑ YES 0 NO If yes; a) Attach temporary operating permit(TOP)(form 125) b) TOP will only be accepted at a location that currently holds a valid liquor license. FORM 100 REV 11J2013 PAGES NOU-13-2014 14:32 From:BPIRD HOLM LLP 4023440588 To:402 471 2814 P.5/16 5, Are you borrowing any money from any source,including family or friends,to establish and/or operate the business? ❑ YES 0 NO If yes,list the lender(s) 6. Will any person or entity,other than applicant,be entitled to a share of the profits of this business? ❑ YES 0 NO If yes,explain. (All involved persons must be disclosed on application) No silent partners 7. Will any of the furniture,fixtures and equipment to be used in this business be owned by others? ❑ YES NO If yes, list such item(s)and the owner. _ 8. Is premise to be licensed within 150 feet of a church,school,hospital,home for the aged or indigent persons or for veterans,their wives,and children,or within 300 feet of a college or university campus? ❑ YES [] NO If yes,provide name and address of such institution and where it is located in relation to the premises(Nab,Rev.Stat. §53-177)(1) 9. Is anyone listed on this application a law enforcement officer? ❑ YES (] NO If yes,list the person,the law enforcement agency involved and the parson's exact duties 10, List the primary bank and/or financial institution(branch if applicable)to be utilized by the business a)List the individual(s)who will be authorized to write checks and/or withdrawals on accounts at this institution. Great Western Bank (Scott Anderson, Marc Mundt, David Sloan, CFO) 11. List all past and present liquor licenses held in Nebraska or any other state by any person named in this application. Include license holder name,location of license and license number. Also list reason for termination of any license(s) previously held, Riley Drive Entertainment Xl, LLC; 120 5 31 Avenue, Suite 5103, Omaha, NE 68131; 100687 FORM 100 REV 1212013 PAGE 6 NOU-13-2014 14:32 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P.6/16 12, List the alcohol related training and/or experience(when and where)of the person(s)making application. Those persons required are listed as followed: a)Individual,applicant only(no spouse) b)Partnership,all partners(no spouses) c)Corporation,manager only(no spouse)as listed on form 3c d)Limited Liability Company,manager only(no spouse)as listed on form 3c NLCC certified training program completed: Applicant Name Date Name of program(attach copy of course coetpletioa certificate) (icmiYYYy) Shayla Canterbury 11/2014 Responsible Alcohol Sales Training Class -For list of NLCC ccrtiftcd txautiag programis see: www.lcc.nc.gov/trainitig-info.htin- Experience: Applicant Name/Job Title Date of Name&Location of Business Employment: Shayla Canterbury/Manager/Server 2014-Present Saint's Pub & Patio, Omaha, NE Shayla Canterbury/Lead Trainer 2013-2014 Wheatfleld's Eatery, Omaha, NE Shayla Canterbury/Shift Supervisor 2008-2008 Macaroni Grill, Omaha, NE 13. If the property for which this license is sought is owned,submit a copy of the deed,or proof of ownership. If leased, submit a copy of the lease covering the entire license year. Documents must show title or lease held in name of applicant as owner or lessee in the individnal(s)or corporate name for which the application is being filed. El Lease:expiration date J my 31 , 2019 ❑ Deed [] Purchase Agreement 14. When do you intend to open for business? October 15, 2014 15. What will be the main nature of business? Sports Bar & Grill 16. What are the anticipated hours of operation? 1 a.l'Tl. to 2 a.m. daily 17_ List the principal residence(s)for the past 10 years for all persons required to sign on page 8,including spouses. RESIDENCES FOR TDE PAST 10 YEARS,APPLICANT AND SPOUSE MUST COMPLETE APPLICANT,CITY&STATE YEAR SPOUSE.CITY&STATE YEAR FROM TO FROM TO Marc Mundt-West Des Moines, IA 1998 2014 _ Stott Anaerson.west Dee Moines,Mews&Shawnee,Kassa 1997 2014 Korn a tzi .writ as'tnm,Iowa s ewwnaa,Kamm 1997 2014 If necessary attach a separate sheet. FARM 100 REV 12/2013 PAGE 7 NOU-13-2014 14:32 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P.7/16 The undersigned applicant(s) hereby consent(s) to an investigation of hislber background and release present and future records of every kind and description including police records,tax records(State and Federal),and bank or lending institution records,and said applicant(s)food spouse(a)wpive(s) any right or causes of action that said applieaat(s)or spouse(s)may have against the Nebraska Liquor Control Commission,the Nebraska State Patrol,and any other individual disclosing or releasing said information, Any documents or records for the proposed business or far any partner or stockholder that are needed in furtherance of the application investigation of any other investigation shall be supplied b amcdiatcly upon demand to the Nebraska Liquor Control Commission ar the Nebraska State Patrol. tote tttffiersigrrcd t_mderstand n� aelmowledrr�e teal fury l�cgp i ttcli 6_asttlrn,Oleinfoe Submitted in this ry,}yli ig is subicct to cancellation ifkhe(�fornretiola pl�jned hereinjawomorpkparlzbilca, Individual applicants agree to supervise in person the management end operation of the business and that they will operate the business authorized by the license for themselves and not as an agent for any otter person or entity. Corporate applicants agree the approved manager will superintend in person the management and operation of the business. Pitmen:hip applicants agee one partner shall superintend the management and operation of the business. All applicants agree to operate die licensed business within all applicable laws,rules,regulations,and ordinances and to cooperate folly with any authorized agent of the Nebraska Liquor Control Commission, Must be signed in the presence of a notary public by applicant(s) and apouse(s). See guideline for required signatures Signature SIgneturt- Scott Anderson Marc Mundt Prot Name I'tint Name ___ - -artAlarglr .-'-% Signature of Spouse Signature of Spouse Kemberlyn Anderson Print Name Print Name ACKNOWLEDGEMENT State of Kansas er County of �311 4r The foregoing instrument was acknowledged before me this August$ ,2014 by Scott Anderson name of persons)acknowledged(individual(g)signing) avtL f!/ — Notary Public Signature �a 4 Notary y�DAViD A.SL OAN �Publi4 stab 4 I ?AI In campleenee with the ADA,this apptlearion Is available in other formats for persons with disabilities A ten day advance period is required in writing to produce the alternate tbrmat. PORM IGOt REV 12/Z013 PAGE 8 NOV-13-2014 14:32 From:BAIRD HOLM LLP 4023440588 To:402 471 2814 P.8/16 Acknowledgement State of Kansas County of ,t„8 The foregoing instrument was acknowledged before me this August0 2014,by Marc Mundt. Notary Public Signature _ .. atilo tuipc lState enter $r.d,/toe Acknowledgement State of Kansas County of 4.101 The foregoing instrument was acknowledged before me this August L 2014,by Kernberlyn Notary Public Signature DAVID A.SLOAN Notary Public State of Kansas Ail.ito►g F oMAHA, NFe o Omaha Nebras a ` City ,pf. ...,..7 llail 1819 Farnam—Suite LC 1 ... '' tt Omaha, Nebraska 68183-0112 0� , 1-;- • Buster Brown (402) 444-5550 �O 4ti" City Clerk FAX (402) 444-5263 4, FEBR)P4 November 25, 2014 Riley Drive Entertainment XVII, LLC Application to appoint Shayla R. Canterbury Dba"Saints Pub Roanoke" manager of your pending Class "I" Liquor 4915 North 120th Street License location Omaha,NE 68164 Dear Liquor License Applicant: This letter is notification that a hearing before the Omaha City Council on your application to appoint a manager to the liquor license has been set for December 9, 2014 . The City Council Meeting begins at 2:00 P.M. in the Legislative Chamber, (LC-4), Omaha/Douglas Civic Center, 1819 Farnam Street, Omaha, Nebraska. City Council Liquor Rule No. 6 states, "Each applicant or his/her representative for any type of license shall be personally present in the Council Chambers, in order that the Council may make inquiries, on the date of public hearing of the application for said license". Failure to be present at this Council Meeting is grounds to recommend denial of your application to the Nebraska Liquor Control Commission. Sincer ly yours, ele5 . d'/6;e1) Buster Brown City Clerk BJB:clj F NF8 City o Omaha, Webras&a ,�° 1 I °�� PAI 1819 Farnam—Suite LC 1 2 `.4wilereti 1 /42 i r Omaha, Nebraska 68183-0112 �o® �� � �' Buster Brown (402) 444-5550 City Clerk FAX (402) 444-5263 o*4��D FEBRvt►4- November 25, 2014 Shayla R. Canterbury Application to be appointed manager of the 4154 Chicago Street pending Class "I" Liquor License location 2"d Floor for Riley Drive Entertainment XVII, LLC, dba Omaha, NE 68131 "Saints Pub Roanoke", 4915 North 120th Street, Suite 1 Dear Liquor License Manager Applicant: This letter is notification that a hearing before the Omaha City Council on your application to be appointed manager of the liquor license has been set for December 9, 2014 . The City Council Meeting begins at 2:00 P.M. in the Legislative Chamber, (LC-4), Omaha/Douglas Civic Center, 1819 Farnam Street, Omaha, Nebraska. City Council Liquor Rule No. 6 states, "Each applicant or his/her representative for any type of license shall be personally present in the Council Chambers, in order that the Council may make inquiries, on the date of public hearing of the application for said license". Failure to be present at this Council Meeting is grounds to recommend denial of your application to the Nebraska Liquor Control Commission. Sincerely yours, 9404., c x Buster Brown City Clerk BJB:clj O�01AHA, Ar4,4 City ofOmaha, SAle bras a �� 1 °�� 1819 Farnam—Suite LC 1 2 it -+�8 ® dlj, ac Omaha, Nebraska 68183-0112 00 ; "„ ;f• Buster Brown (402) 444-5550 .o City Clerk FAX (402) 444-5263 O �TED FEBRt►4� November 25, 2014 Anthony D. Todero, Attorney Application to appoint Shayla E. Canterbury manager BairdHolm, Attorney at Law of the pending Class "I" Liquor License location 1700 Farnam Street for Riley Drive Entertainment XVII, LLC, dba Suite 1500 "Saints Pub Roanoke", 4915 North 120th Street, Omaha,NE 68102-2068 Suite 1 Dear Liquor License Applicant's Attorney: This letter is notification that a hearing before the Omaha City Council on your application to be appointed manager of the liquor license has been set for Decembe 9, 2014 . The City Council Meeting begins at 2:00 P.M. in the Legislative Chamber, (LC-4), Omaha/Douglas Civic Center, 1819 Farnam Street, Omaha, Nebraska. City Council Liquor Rule No. 6 states, "Each applicant or his/her representative for any type of license shall be personally present in the Council Chambers, in order that the Council may make inquiries, on the date of public hearing of the application for said license". Failure to be present at this Council Meeting is grounds to recommend denial of your application to the Nebraska Liquor Control Commission. Sincerely yours, _:4e4 Buster Brown City Clerk BJB:clj No. 5//y Riley Drive Entertainment XVII, LLC, dba "Saints Pub Roanoke", 4915 North 120th Street, Suite 1, requests permission to appoint Shayla R. Canterbury manager of their pending Class "P" Liquor License location. (NOTE: City Council approved the Class "I" Liquor License application on October 21, 2014). 12-09-14;cj /V RECEIVED Presented to Council: APprOUeC� —�; December 9, 2014 - Buster Brown City Clerk