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RES 2014-0706 - Appoint Anthony O Messineo Jr manager of Valentino's ,,,,STAA'' Asa 4,04Alik STATE OF NEBRASKA ,itr -', , Dave Heineman t f NEBRASKA LIQUOR CONTROL COMMISSION ''� , a , 4 °' Governor t Hobert B.Rupe "R41i iR teb° 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 May 14, 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 Anthony O. Messineo LICENSE#I-13357 Dear Clerk: Enclosed is a copy of a manager application in connection with the Valentino's, 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, Jacqueline Rodriguez Licensing Division NEBRASKA LIQUOR CONTROL COMMISSION 402-471-2571 encl. Janice M.Wiebusch Robert Batt William F.Austin Commissioner Chairman Commissioner An Equal Opportunity Employer Printed with soy Ink on recycled paper p.2 MANAGER APPLICATION ' office use R c INSERT-FORM 3c c CALVED NEBRASKA LIQUOR CONTROL COMMISSION APR 2014 A' 301 CENTENNIAL MALL SOUTH ? :; PO BOX 95046 'VEBRASKAL,e LINCOLN,NE 68509-5046 `:. • 3�MOP PHONE:(402)471-2571 � C -rn'�nrA'n1 J/�'�p FAX:(402)471-2814 C O i� I r,r o.. L ,_ ,.. •! 1 V 1 Website:www.lcc.ne.eov MUST BE: ✓ . Citizen of the United States. Include copy of US birth certificate.naturalization paper or current US passport ✓ Nebraska resident. Include cony 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 mall check only. 0n 4te and cu/1llznt ✓ 21 years of age or older Corporation/LLC information Name of Corporation/LLC: Vat Lcrnited V("A letl 7 1 v�1 3 / 7,/(-- Premise information Liquor License Number: 13357 Class Type (if new application have blank) Premise Trade Name/DBA: Uatent i.no'4 Premise Street Address: 5022-24 South 108th City: Omaha County: Paug Zip Code: 68137 Premise Phone Number: 402 331-0300 Email address: Ga Zeh i.:a@vaC6 con.p.cam 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. btta://www.icc.ne.gov/license searcWllcsearch.cgi SIGNA4.iet„,120,9,..Zace, REQUIRED BCORPORATE OFFICER/MANAGING MEMBER A. Micha.e,E' Ate6.t.o. VP/Sec/Mead. (Faxed signatures are acceptable) 111111111111 Form 103 Rev 9.2013 Page 2 of 6 1400008458 • RECEIVED • ,AP.R.L51014 „...t.:- tiSKA LIQUO Manager's information must be completed below PLEASE PRINT CL F.Jad trBOAOZb RUtOMMISSIO! Last Name: Meuineo First Name: AnthonY . ; (J/t) Home Address(include PO Box if applicable): 6730 Paitk Cice.6.t Cover City: 1-1-na°61 County: Lancazten zip code: 68506 402 489-0231 402 434-9370 Home Phone Number: Business Phone Number: Ne.b)ta.6 ka Social Security Number: Drivers License Number& State:_____ Date Of Birth: Place Of Birth: Lincoln, NE aomeimineo@vatocoxp.com Email address: Are you married?If yes,complete spouse's information(Even if a spousal affidavit has been submitted) g YES ONO Spouse's information Spouses Last Name: Itieszi..ner) First Name: Caittnert MI: J Alebirsaka Social Security Number: Drivers License Number&State: Date Of Birth: Place Of Birth; andha, WE APPLICANT&SPOUSE MUST LIST RESIDENCE(S)FOR THE PAST TEN(10)YEARS APPLICANT SPOUSE YEAR. YEAR 1- 'YEAR CITY&STATE CITY&STATE YEAR FROM TO FROM TO 6730 Pala C4e4t Cowl 6IJO FM& C4,06t Cocat ApA4t Laccten., NE 68506 2001 124t4ent Lincoin, NE 68506 2001 ,Paeoent Form 103 Rev 912013 Page 3 of 6 p.4 RECEIVED APR 1 5 2014 MANAGER'S LAST TWO EMPLOYERS NEBRASKA LIQUOR YEAR NAME OF EMPLOYER NAME OF SUPERVISq/2 N TRULEAtititISSIOr ,FROM TO NUMBER /972 Pne..6 ent Vat Limited P! 6dn.t 44.n.ce 1972 402 434-9370 Votentino' 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 Lily 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. 0 YES 41 NO If yes,please explain below or attach a separate page. Date of Where I Description Name of Applicant Conviction Convicted of Disposition (madyyyy) (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? EYES ONO IF YES,list the name of the premise(s): See attached Wit 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? I:NES ONO • Fonn 103 Rev 92013 MAR 10 2014 Pogo 4 of 6 • 1.` • p.6 RECEIVED 4. List the alcohol related training and/or experience(when and where)of the person il 1q LIQUOR lOt *NLCC Training Certificate Issued: Name on Certificate: i .. Q L` 1 S S i Date Applicant Name ( ) Name of program(attach copy of course completion certificate) Anthony,0.. .Pdea4Aneo, Jh Pa.4t thaiwinp utith many yenta o{ expehi.enee *For list of NLCC Certified Training Programs see www.lcc.ne.eov/trainineinfo.html Experience: Applicant Name/lob Title Date of Name&Location of Business: Employment 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) Apple ant'a 6.i,ng en. pn i:r+.ta ate on +S.i;ee and cute aunnewt OYES ®NO Form 103 Rev 9/2013 rare 5of6 P.5 • #2 Answer (re liquor licenses) MAR I 214 Current Liquor Licenses: • ' 7 Valentino's,3457 Holdrege,Lincoln,NE RECEIVED Valentino's, 2701 S.7014,Lincoln, NE Valentino's,7202 Giles Road, Bay 9, La Vista,NE APR 15 2014 Valentino's 10190 Maple,Omaha,NE Mesal Enterprises(On the Go)5250 S 48th Suite A,Lincoln,NE NEBRASKA LIQUOR Premier Catering,4200 S. 17th Suite 4, Lincoln,NE CONTROL COMMISSIO! Valentino's,130 Elton Hills Dr NW Ste 200,Rochester, MN 55901 . RECEIVED APR 152014 PERSONAL OATH AND CONSENT OF INVESTIGATION EBRAS KA LIQUOR CONTROL COMMISSIOI` 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. Signature f Manager an Si of Spouse Anthony 0. f.( to, A.. C en J. Mesb.uteo ACKNOWLEDGEMENT State of Nebraska County of Laneaa.telt The foregoing instrument was acknowledged before me this 1 2 D/ 0. by Anthony 0. Meaa.tnea, Jn., f Caviler?. J. bfea4.ineo d dale name oeperson acknowledged —-- J��F'G,l 8Z :a) Atrtxsco astawiL •SlosdNetnara Notary Pubic signature SHARON BOW *Comm.Exp.Jim t8.2015 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. t=lAR i 1 7.016: Roy v9?2013 Pie 6 of 6 • p.8 Print Form I SPOUSAL AFFIDAVIT OF Office use NON PARTICIPATION INSERT ;r:- , `' ED �� .. -�14E EIV NEBRASKA L LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH PO BOX 95046 :IAR I•u 2' ' L[NCOLN,NE68509-5046 A1R 15 2014 PHONE:(402)471-2571 , ,c., FAX:(402)471.2814 :t. ».•(`. : ::''L. webshe: www.lcc.ne Ym ... .._ RAS KA LIQUOR I acknowledge that I am the spouse of a liquor license holder. Mysignature below con pp Zr 'nav I n S 1 O g Po 14 8n m�dxt�1`S�i�Udv not nave any interest,directly or indirectly in the operation or profit of the business(§53-125(13))of the Liquor Control Act. I will not tend bar,make sales,serve patrons,stock shelves,write checks,sign invoices or represent myself as the owner or in any way participate in the day to day operations of this business in any capacity. I understand my fingerprint will not be required;however,I am obligated to sign and disclose any information on all applications needed to process this application. 1/ ./.4re �!/ 1 Cwfinen J. Meda.ineo tgnature of s use asking for waiver Printed name of spouse asking for waiver (Spouse of individual listed below) State of W2i)IWak L County of Lctneaa-ten The foregoing instrument was acknowledged before me this `9 OfC.G/U 7 2 o/4L- by Cannier J. Meaaineo date ' name apemen acknowledged 1-Cae--r LJ nrr�t seal tlt;itetAt.NOW-state at N weeke Notary Public signature SHARON BOWEN My Camin.Exp.drt.t8.2015 I acknowledge that I am the spouse of the above listed individual. I understand that my spouse and I are responsible for compliance with the conditions set out above. If it is determined that the above individual has violated(§53-125(13))the Commission may cancel or revoke the liquor license. d 1 Anthony 0. Meaa.cneo, J2. Signature o individual invo application Printed name of applying individual (Spouse of individual lis above) State of County of Lanuateit The foregoing instrument was acknowledged before me this r zprz- 7 (7Ji/ by Anthony 0. Meaa.(.nea, J.Y. V -dale name of petaon acknowledged Affix Seal _a/Z-Zit.,07VCalfi-at-e/721 NOTstate of Maids Notary Public signature ON BOWEN My Comm.Elie.dart.18,2015 in compliance wit/1 the ADA;this spousal affidavit of non participu:oc is available la other formats for persons with disabilities. A tea day advance period is requested in writing to produce the attemate format. FORM 35.4178 Revised 1/11108 F OM1'H,. NF8 City ofOmaha, Webras&a ,�\ 1 (?* C.1819 Farnam—Suite LC 1 �® ;rAti4 0,4� r Omaha, Nebraska 68183-0112 o - � � • Buster Brown (402) 444-5550 .o City Clerk FAX (402) 444-5263 o4''7WD FEBR14+ May 27, 2014 Valentino's, Inc. Application to appoint Anthony 0 Messineo, Jr. Dba"Valentino's" manager of your present Class "I" Liquor 5022-24 South 108th Street License location Omaha,NE 68137 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 June 10, 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 OMAHA, Ar City of Omafia, fAlebraska 4� 10. 1819 Farnam—Suite LC 1 ��writ ,A11 r:141ir Omaha, Nebraska 68183-0112 O' M., •"•� . ; ;f., •et)Buster Brown (402) 444-5550 A City Clerk FAX (402) 444-5263 oR,��, �t.4• Fp FEBR May 27, 2014 Anthony O. Messineo, Jr. Application to be appointed manager of the 6730 Park Crest Court present Class "I" Liquor License location Lincoln,NE 68506 for Valentino's, Inc., db a"Valentino's", 5022-24 South 108a' 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 June 10, 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. Valentino's, Inc., dba "Valentino's", 5022-24 South 108th Street, requests permission to appoint Anthony O. Messineo, Jr. manager of their present Class "I" Liquor License location. 06-10-14;cj / 0 RECEIVED Presented to Counr"• June 10, 2014 - n ' A C Ll>s"i,29 , /� JUN 2 4 2014 -Approved 7-0 Buster Brown City Clerk