RES 2014-0930 - Appoint Mary C Marsh manager of Tailgaters Sports Bar L-
STATE OF NEBRASKA
ftz fA:1 t ,
Ej3 KA S KA LIQUOR CONTROL COMMISSION
TA'? Dave Heineman
NI It Govern., Hobert R.Rope
Executice Director
' 2 ' 301 Centennial Mall South,5th Floor
P.O. Box 95046
'4 4,
Lincoln:Nebraska 68509-5046
Phone(402)471-2571
Fax(402)471 2814 or(402)471 2374
TRS USER 800 833-7352(TTY)
July 8, 2014 web address:http://wwwlec.ne.gov/
OMAHA CITY CLERK
1819 FARNAM STREET LC-1
OMAHA NE 68183
RE: Manager Application Mary Marsh
LICENSE #I-106355
Dear Clerk:
Enclosed is a copy of a manager application for Mary Marsh in connection with Tailgaters Sports Bar,
located in Omaha.
Please present this application for manager to your City/Village Council or County Commissioners and
send us the results of their action,
Sincerely,
/,,&22
Jacqueline Rodriguez
Licensing Division
NEBRASKA LIQUOR CONTROL COMMISSION
402-471-2571
end.
Janke M.Wiebusch Robert Batt William F.Austin
Commissioner Chairman Commissioner
An Equal Opportunity Employer
Prunnzi wrth sor ink or a or-orInd paper
MANAGER APPLICATION Office Use
INSERT -FORM 3c
JUL;a
NEBRASKA LIQUOR CONTROL COMMISSION
301 CENTENNIAL MALL SOUTH NEBRASKA LIQUOR
BOX
CONTROL CO ON
LINCOLN,NE NE 68509-5046
PHONE:(402)471-2571
FAX:(402)471-2814
Website:rwvw.Icc.ne.gov
MUST BE:
✓ Citizen of the United States. Include copy of US birth certificate, naturalization paper or
current US passport
✓ Nebraska resident. Include copy of voter registration in the State of Nebraska
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
Name of Corporation/LLC: MOCIO i'l �'��� C
sx
Pow �� '_ 4 ° ,1P PN't, "',. ' ' ,;: ( �,`: i ,v a • _ a� �a( t .,'";" ,
Liquor License Number: I 0 � .5 S S Class Type __j_
(if new application leave blank)
Premise Trade Name/DBA: 1 ( I I[ 0fe KS its _ t(
Premise Street Address: 2_(oo 3 So. I -
0 City: County: IticAligs Zip Code: c7 Z i -44
Premise Phone Number:4 U w -5 0 7- 3
Email address: J &( Ytá r..514 Cv c 0 g , V e+
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://www.icc.ne.gov/license search/Iicsearch.cgi
SIGN4,.'
T u
E " mQUIRED BY C RPORATE OFFICER/MANAGING MEMBER
V (Faxed signatures are acceptable)
Form 103
Rev 9/2013
Page 2 of 6
Last Name: 0.v'S h First Name: M MI:
Home Address (include PO Box if applicable): 0 {-- tc) V\
City: I e V iA County: Sedpil Zip Code: C sr .
Home Phone Number: Business Phone Number: -lid.) 7O — C} 5 s
Social Security Number: _ _ _rivers License Number&State:_
Date Of Birth:_ Place Of Birth: V A hA I
Email address: CA L ( I ' - CO)+ ne T
)"ilti
YES ❑NO
°a c�i� '" �` ui��.,ra:,��sn�i� �r i -
�`,�'��,�.,�a'.A3��, �'W'�€ ..%3`��,.�`"."Y�r°' +?r`'k'i . ��i<1 �q„, a .7��. 3�a�` a• ;'�. v .r ., ..
Spouses Last Name: .. k First Name: M€.I Vi lY MI:
Social Security Number:_ Drivers License Number& State:
Date Of Birth: ,{ _ , _ Place Of Birth:tale 44-carki I t
z
CITY & STATE YEAR YEAR CITY& STATE YEAR YEAR
FROM TO FROM TO
5 c fre4r ` era /-pen/ 1,/ ;') µ_
,7RECEIVE °9 Q°3
Page 3of6
JUL - 214
NEBRASKA LIQUOR
CONTROL COMMISSION
,GEtes ift;„ 404UIIP
" 4 '4. 7 a ra
YEAR NAME OF EMPLOYER NAME OF SUPERVISOR
TELEPHONE
FROM TO NUMBER
f Q.Ar-pi 'led
. 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 any charge alleging 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.
YES E] NO
If yes,please explain below or attach a separate page.
Date of Where Description
Name of Applicant Conviction Convicted of Disposition
(mm/yyyy) (City&State) Char Ye
o h Ie- or itAcx c )p)ic&f;cry, st4-i t..4,- ce,4 2/
0 c kAktei e s O( e4
2. Ilave you or your spouse ever been approved or made application for a liquor license in Nebraska or
any other state?
›ryES LINO 1\il, 164/411f
IF...yrs, list the name of the premise(s):
t 61-
A" kr exoct- k e°4-- „,,LS at)kA
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?
ECEIVED
YES FIND
U1 7 - 2114 Form 103
Rev 9t2013
Page 4 of 6
NEBRASKA LIQUOR
CONTROL COMMISSION
I
6 t'D 14
APPLICANT INFORMATION NEBRASKA LIQUOR
CONTROL COMMISSION
i. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY 453-125(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-me pady;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 YES 0 NO
If yes,please explain below or attach a separate page
4 44-4
Name of Applicant Date of Where Description of Cllarge Disposition
Conviction Convicted
(mm/yyyy) (city&state)
_ _ _ , . 3
Mary Clare Marsh 04/2004 Bellevue, NE internee purchase cigs fine
Mary Clare Marsh 08/2008 Bellevue, NE DUI dismissed-diversion
Mary Clare Marsh unknown Bellevue, NE traffic violation dismissed-class
Melvin Marsh(see attached) unknown Bellevue, NE traffic violation dismissed-class
. Are you buying the business of a current retail liquor license?
111 YES E NO
If yes, name of business and liquor license number
a)Submit a c.. of the sales agreement
b)Include a list o cohol being purchased,list the name brand,container si and how many
c)Submit a list of the rniture,fixtures and equipment
3. Was this premise licensed as liqu icensed business within the last t (2)years?
El YES Ej NO
0 • - 75 1 merican Dream
If yes,give name and license number
4. Are you filing a temporary operating permit to o••rate during .- application process?
YES El NO
If yes:
a) Attach temporary ope . ing permit(TOP)(form 125)
b) TOP will only be cepted at a location that currently holds a valid liquor license.
FeederSee.
1101t1041W4-3
AgitiW
1YU.2f'}
r
IN THE DI3 RICT COURT OF DOUGLAS COUNTY, NEBRASKA
THE STATE OF NEBRASKA ' DOC. 117 NO.: 782
Plaintiff 1.74 141,
"tea
VS, Melvin A. Norsk ORDER -'
Defendant ,^,.14t S,
This matter came on to be heard upon the Petition of the above-captioned
defendant pursuant to 2Bw2264, R.R.S. 1943, requesting the Court to set aside
this conviction. and terminate the probation. Said defendant hat been listed
by the Adult Probation Officer as one of those who has successfully copleted
probation.
WHEREUPON, the Court further considers the behavior of the defendant while
on probation, the likelihood that the defendant will not engage in further
criminal activity and other relevant factors.
it IS THE FINDING OF THIS COURT that the defendant has; in fact, satis-
factorily completed probation end that it is In the best interest of the
defendant and consistent with the public welfare to set aside said defendant's
conviction.
IT IS THEREFORE ORDERED that the defendant's probation is hereby terminatedi
.that the conviction of the above-captioned defendant is set aside and nullified;
and that alI civil disabilities and disqualifications imposed as a result of •
the conviction are hereby removed the same•as though a pardon had been issued.
O
SIGNED this 47 day of
REC
BY THE COURT:
•
Theodore
L. Ca>:iaca
4. List the alcohol related training and/or experience(when and where)of the person making application.
*NLCC Training Certificate Issued: Name on Certificate:
Date
Applicant Name (mm/YYYY) Name of program(attach copy of course completion certificate)
er
*For list of NLCC Certified Training Programs see www,lcc.ne.gov/traininginfo.html
Experience:
Date of
Applicant Name/Job Title Name& Location of Business:
Employment:
PMAreilAO •4 elime,frf t4A ( W)LA ice( ,-94'
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)
OYES NO l) l I
RECEIVE* Form I 03
Rev 9/201 3
Page 5 of 6
NEBR'AUSLK7 -AL:UOR
CONTROL COMMISSION
The above 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.
)11144
Sig ure of Manager Applicant Signature of pouse
ACKNOW L E DGE MFN
State of Nebraska is.
County of /4- The foregoing instrument was acknowledged before me this
by ti) CI r e /Pal- 11
hate name of person acknowledged
6 Affix Seal smw.imismimis
Notary Public signature 1"..."'ROONEVe.KRUSS
*Caw bp.Min*ins
In compliance with the ADA, 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.
Form 103
Rev 9/2013
Page 6 of 6
RECEIVE*
JUL 7 2.04
NEBRASKA LIQUOR
CONTROL COMMISSION
°Imam,
4,
City ofOmaha Webras&a �A '8�s
n
1819 Farnam—Suite LC 1 z ��� �
n,r44,r dlh
Omaha, Nebraska 68183-0112 o :, 0'
Buster Brown (402) 444-5550 0 Ati"
City Clerk FAX (402) 444-5263 '�7rFo FEaR��i
July 15, 2014
Maclan, Inc. Application to appoint Mary C. Marsh manager
Dba"Tailgaters Sports Bar" of your present Class "I" Liquor License location
2603 South 120th Street
Omaha, NE 6814
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 July 29, 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,
:465(4414221
Buster Brown
City Clerk
BJB:clj
OMAHA,
City o Omaha, Webras&a ,_
0
1819 Farnam—Suite LC 1 z �t 8 �,
Omaha, Nebraska 68183-0112 0®' 13 � �'
Buster Brown (402) 444-5550 A
City Clerk FAX (402) 444-5263 0'� t.+
W0 FEBR
July 15, 2014
Mary C. Marsh Application to be appointed manager of the
308 Fawn Court present Class "I" Liquor License location
Bellevue, NE 68005 for Madan, Inc., dba"Tailgaters Sports
Bar", 2603 South 120th Street, Omaha,NE
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 July 29, 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,
d. /‘)e,
Buster Brown
City Clerk
BJB:clj
No. 9-5r
Maclan, Inc., dba "Tailgaters Sports Bar", 2603
South 120th Street, requests permission to
appoint Mary C. Marsh manager of their
present Class "I" Liquor License location.
07-29-14;cj
//
RECEIVED
Presented to Council:
July 29, 2014 - Apprn d 6-0
Buster Brown
City Clerk