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RES 2014-0879 - Appoint Ryan J Tewell manager of The Apollon ttE ti�•`�h�rts4r vc..t'' yam' r r- i 1. STATE OF NEBRASKA 40 NEBRASKA LIQUOR CONTROL COMMISSION �u��,� *�'�� Dave Heineman �� ' • 1 • r- .. �,.r i t r � Got ernor ( Hobert B.Rape �'$ s bz Executive Director 301 Centennial Mall South.5th Floor P.O.Box 95046 $ ?; Lincoln.Nebraska 68509-5046 Phone(402)471-2571 Fax(402)471-2814 or(402)471-2374 June 18, 2014 TRS USER 800 833-7352(TTY) web address:http;//www.lcc.ne.gov/ OMAHA CITY CLERK 1819 FARNAM STREET LC-1 OMAHA NE 68183 RE: Manager Application Ryan Tewell LICENSE#I-102765 Dear Clerk: Enclosed is a copy of a manager application for Ryan Tewell in connection with The Apollon, located in Omaha. Please present this application for manager to your City/Village Councilor County Commissioners and send us the results of their action. Sincerely, Jacqueline Rodriguez Licensing Division NEBRASKA LIQUOR CONTROL COMMISSION 402-471-2571 end. Janice M.Wiebusch Robert Batt William F.Austin Commissioner Chairman Commissioner An Equal Opportunity Employer Printed with soy ink on recycled paper MANAGER APPLICATION Office Use INSERT-FORM 3c NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH PO BOX 95046 JUN 1 6 2014 LINCOLN,NE 68509-5046 PHONE:(402)471-2571 NEBRASKA LIQUOR FAX:(402)471-2814 CONTROL COMMISSION Website:www.lec.ne.gov MUST BE: 1 Citizen of the United States. Include copy of US birth certificate,naturalization paper or current US passport 1 Nebraska resident. Include copy of voter renistration 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. 1 21 years of age or older Corps it oil LLT information Name of Corporation/LLC:Apollon Premise information Liquor License Number: 0276 Class Type l (if new application leave blank) Premise Trade Name/DBA:The 1 1p41lt?i1 Premise Street Address: 1801 Vinton Street City:Omaha c u ty:Douglas zip Code: Premise Phone Number: (402) 884-0135 Email info.cz apollonomaha.com address: 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. httn://www.lce.ne.govilicense search/Iicsearch.cei 7 --'r SIGNAT RE CORPORATE OFFICER/MANAGING MEMBER (Faxed signatures are acceptable) Form 103 evg 912013 age 2 of 5 I I 1400013639 Manager's information mast be completed below PLEASE PRI 4T CLEARLY Last Name:TOWe`I First Name:Ryan 1 Home Address(include PO Box if applicable):29 6 ih treet'Apt city:Omaha , ,ty:Douglas Zip Code:68108 Home Phone Number: Business�J70- 6 Business Phone Number:(402) 884-0 135 Social Security Number. Drivers License Number&State NE IA Date Of Birth: - - " Place Of Birth:FortMadison, Email address:'ryan.teweII apoilonomaha.com Are you married?If yes,.complete spouse's information(Even if a spousal affidavit has been submitted) [3 YES RN() Spouses information Spouses Last Name: First Name: MI: Social Security Number: Drivers License Number& State: Date Of Birth: Place Of Birth: APPLICANT APPLICANT&SPOUSE. ?US'1 . ST I1.ES ICE( )ItI)R ThE PAST TEN(10)YEARS < , AAI'PLI+ A SPOUSE .. , CITY&STATE YEAR YEAR CITY&STATE YEAR YEAR ' . FROM TO FROM' TO Lincoln, NE 1997 2013 Omaha, NE 2013 Present ECEIVED JiiN 16 2014 Rev 9/2013 Page 3 of 6 NEBRASKA LIQUOR CONTROL COMMISSION MANAGER'S LAST TWO EMPLOYERS YEAR ME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NA FROM TO NUMBER 2006 2012 Crete Carrier Corporation Jeff Dady (402) 475-9521 2009 Present The Apolion Board of Directors (402) 884-0135 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 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 Q 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) Charge 2. Have you or your spouse ever been approved or made application for a liquor license in Nebraska or any other state? DYES ONO IF YES,list the name of the premise(s): it � 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? DYES ENO Jo 1 2014 Farm 103 Rev 9/2013 NEBRASKA LIQUOR Page 4 of CONTROL COMMISSION 4. List the alcohol related training and/or experience(when and where)of the person making application. 05/13/2013 Ryan Tewell *NLCC Training Certificate Issued: Name on Certificate: Applicant Name (mini ty ) Name of program(attach copy of course completion certificate) *For list of NLCC Certified Training Programs see www.Ecc.ne.gavitrainin ini'o.html Experience: Applicant Name I Job Title Date of Name&Location of Business: Employment: Ryan,Tewef/Managing Director 2009-Present The Apollon, 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) DYES ONO tt° Ci EC IVE * JUN 6 2014 Form 103 Rev 9/2013 Page 5 of 6 NEBRASKA LIQUOR CONTROL COMMISSION PERSONAL AND CONSENT Off`INl STI AT O 3. 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. • .t igna re of Manage pplicant Signature of Spouse ACKNOWLEDGEMENT State of Nebraska i County r ' (�, } The foregoing instrument was acknowledged before me this Tit` 4 date t name of person acknowledged } pp i1EltTFiER i1 JEii4�li �� '� ti _ � ��seal � /� '.. o tic . tu1'e Star if Nebraska - .— My Comission Expires Oct 22.2017 l 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 912013 JUN 1 6 2014 Page6of6 NEBRASKA LIQUOR CONTROL COMMISSION F 0MAHA, NF8 City ofOmaha, fAlebras&a ° I, 1819 Farnam—Suite LC 1 2 p�r�1 �.' _ _ Omaha, Nebraska 68183-0112 0, -,Trz M°"•' '�: :�- Buster Brown (402) 444-5550 �� 1 ro• City Clerk FAX (402) 444-5263 O�4TED F � July 1, 2014 Apollon Application to appoint Ryan J. Tewell manager Dba"The Apollon" of your present Class "I" Liquor License location 1801 Vinton Street of Apollon, dba"The Apollon", 1801 Vinton Street Omaha,NE 68108 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 15, 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, e‘ei Buster Brown City Clerk BJB:clj 1A \ , �� Cityof Omaha, fAlebras&a 01,Pti'v1111.411MER 47aki 1819 Farnam—Suite LC 1 n® � r , dl � Omaha, Nebraska 68183-0112 0 �_ y:�'=_ Buster Brown (402) 444-5550 .o of City Clerk FAX (402) 444-5263 O4, FEBR�Isi� July 1, 2014 Ryan J. Tewell Application to be appointed manager of the 2906 South 18th Street,Apt 1 present Class "I" Liquor License location Omaha, NE 68108 of Apollon, dba"The Apollon", 1801 Vinton Street 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 15, 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, Buster Brown City Clerk BJB:clj No. Apollon, dba "The Apollon", 1801 Vinton Street, requests permission to appoint Ryan J. Tewell manager of their present Class "I" Liquor License location. 07-15-14;cj RECEIVED Presented to Council: July 15, 2014 - Approved 7 Gry Buster Brown City Clerk 1 a