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RES 2013-1055 - SDL at Centurylinke Center Omaha August 19-24 2013
APPLICATION FOR SPECIAL DESIGNATED LICENSE 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.lcc.ne.gov/ DO YOU NEED POSTERS? YES NO Q RETAIL LICENSE HOLDERS C NON PROFIT APPLICANTS 0 Non Profit Status (check one that best applies) MunicipalC Political° Fine Arts° Fraternal° Religious Q Charitable 0 Public Service COMPLETE ALL QUESTIONS 1. Type of alcohol to be served and/or consumed: Beer C Wine © Distilled Spirits El 2. Liquor license number and class (i.e.C-55441) (If you're a nonprofit organization leave blank) 3. Licensee name(last,first,),corporate name or limited liability company(LLC) name (As it reads on your liquor license) NAME: Credit Advisors Foundation ADDRESS: 1818 S 72nd Street CITY Omaha zip 68124 4. Location where event will be held;name,address,city,county,zip code BUILDING NAME ADDRESS: 455 N 10th Street CITY Omaha ZIP 68102 COUNTY and COUNTY Douglas a. Is this location within the city/village limits? © O❑ b. Is this location within the 150' of church,school,hospital or home for aged/indigent or for veterans and/or wives? YES[TO� c. Is this location within 300' of any university or college campus? YESONO[ FORM 108 REV 5/12 Page 2 of 5 5 Date(s)and Time(s)of event(no more than six(6)consecutive days on one application) Date 8/19/13 Date 8/20/13 Date 821 Date 8/22 Date 823 Date 8/24 Hours Hours Hours Hours Hours Hours From 6PM From 6PM From 6PM From 6PM From 6PM From 6PM To 11.30PM To 12AM To lAM To 1AM To 2AM To 2AM a. Alternate date: b. Alternate location: (Alternate date or location must be spedfled in local approval) 6. Indicate type of activity to be carried on during event: °Dance deception dund Raiser deer Garden OSampling(Tasting ()Other 7. Description of area to be licensed RECEPTION INSIDE TENT&WITH FENCED IN COURTYARD SCE Inside building,dimensions of area to be covered IN FEET 170 FT x 80 FT (not square feet or acres) *Outdoor area dimensions of area to be covered IN FEET 100 FT x 40 FT *SKETCH OF OUTDOOR AREA(or attach copy of sketch) EVENT PLAN ATTACHED If outdoor area, how will remises be enclosed? PREMIUM WIRE FENCE ®Fence; snow fence chain link cattle panel other Tent 4,000 OVER WEEK 8. How many attendees do you expect at event? 9. If over 1.50 attendees. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. (Attach separate sheet if needed) Secure venue with just one entrance.trained&experienced staff attending the entrance&ticket areas. ID needed for ability to drink with trained staff doing wrist bands,in addition to trained&experienced bar staff 10. Will premises to be covered by license comply with all Nebraska sanitation laws?YES X}O[ a. Are there separate toilets for both men and women?YESCNO❑ FORM 108 REV 5/12 Page 3 of 5 I OgxSl 6empeH do-aul� (Apo FePPdI ?nud V00 W 06x0Z � f s< I I „,.,....„ 1.1 EN .44.-al a�edS,,,,,.;,:hs.„„1.1 ,,,� I i _ ,, ,,,,,,,,: OExOZNil I I11111 it' ; . I I 111, 1111 MIN MIN a6unol dIA Obx04 [ IIIIIi ( y al90M,, O ki I I I I Oki,.suilaysaog., O a a�ed5 peiay/A+ed0 -ad 04x08 OO algel/m — lual O.x0I. I II O I I _ -. I 1.1 ' i P m .` i to R 1/ OLxOL I I I I I I I I I I I I I I I I I I I I I amel/m I I I I I I I I I I I luaj I I I 11 ji.L ..... 1 I 0I.x01 i$m I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I L a6e15 I I — _ 04xZL luala, , e0 Sbx06 L ._( OBxSL 6empeH do-aul� _ / 9',.. _ 0 4t. ,,.. altiForcep,,,,),r - *Ztett- it -'7' • ,'! ° 441, leP ( , , ...., Af' v ftitrato , ,. 1 • , k a , . -----.,,,,,,,,,..,,_...,. i , 11 II 1 il IT, i -7. 3 1 f tt, , ,-; i ,,' - r - - -4 - ,.• ,,,,, ,, - ,, , , ... , "0",.„1 , ...., . ---, ,, -t--0„ ,-,,-',- f.1 lr 7 .:-414.• ii i • '• I,, IR 'W44,-1.4.,•--"•1----z _.. ' ........-1---,- ',-- , joallawalMftl--:, 1,:,*.:111...,,1: ,,,,,,...i„,:i:.'li ' '''' fFts:''.l:' 1:1'7,4*.\„4.0::.,,,,,,,,,,,,,,i,..,,,,..‘.,,.',:',:: Slosraagn Da'elo°"'st ..k) 1 .,, 4 , , 1 4.0 1, %I , 1 44, * + , op 4, OFW TENT ir 4r ..., orib 10 ._ , .., 141110, ,--Z-/ k, . . „ ' Fw ATTEND PARKING ..f , , I 1 # , st MECA Lot G Side ' + es ry cc icot 4 i, a , , Re Aess t . t r ITS ' I i.) ' from Da port • , e ; I e Pi Z 41 8 ,I . I 1,1 1 ...._et' (Finale° -Access t t A „.4. fk , 1 6 from Dave rt St ,.,,,,,c4 , I i, ,.,. .45, trrhA4 .:#44,0"'i.— 'A•.„... ,01*, a * ',(30q ' v • , 1# 110. . 1111. 10. 11116 . .,.,:. . • . : 1 — , • . ,_a ,.... Asp , at,,-.0 V 1,1 Cap Ls,..,,e 1 , - t -1`::: , ,.,', ,,,. "I". , I, isi. 5 ' /' ' ' )." ;77,11" 4 alk t .,, * illi'-'' Nail , I ow • di II r riri , ‘. '`' .10,• , . :::: , r ,,. ,.ls 7*T:11, , o iiiital li . , .., -, li - t....•... : - ....„, i $• f ,' X '@ I Line-up Hallway 15x80 LEI f , 40x45 .: .:.__. Backstage Tent `yf 'CY 12x40' f Stage — I , / — \ — 1 \ I 1 / / \ — / I I — 1 / — / \ I / \ _ l I 1 / / \ — / I 1 / — I 1� / / ' \ 1 ` / 1 1 / — • % \ a 1oxio I I a .-_ Tent I — w/table I / \ I I 1 _ / I I / — \ I I 1_ / • I I I I / \ I I s,t 1, / loxto I I Tent w/table I I : : • f I ■ ■ i I I 11 (1.7 I I • I I IN ■ ■ — I I • / \ IN • c i Ox10 I I m " 1 Tent I / ■ ■i te II • w/table — I •^ — • • IP I •I / \ 1 / I a -�y ;a ■ ■ !fitlovivii • - 64 hI / v •rt. f� � ■• ■ N 6:4A,...,„..o.,-. .rlyn, • / — ‘ ■ ■ C' l 1 / 40x60 • VIP Lounge , — ■ ■ C l 0 0 • : 1 " 0 . • • _410 10 • • 0- 0 0 0 • • • 0 • En im um 0 =I Mil ... • • • • NM IIIIIII NM • /— 1 1 / 11. Retailer: Will you be purchasing your alcohol from a wholesaler? YES 1j NO 1__J Non-Profit: Where will you be purchasing your alcohol? Wholesaler Retailer 0 Both 0 BYOQ (includes wineries) 12. Will there be any games of chance operating during the event? YESDTO X] If so,describe activity NOTE:Only games of chance approved by the Department of Revenue.Charitable Gaming Division are permitted. All other forms of gambling arc prohibited by State Law: There are no exceptions for Non Profit Organizations or any events raising funds for a charity. This is only an application for a Special Designated License under the Liquor Control Act and is not a gambling permit application. quest for exception to the 6 days per calendar year rule 13. Any other information or requests for exemptions: Re 14. Name and telephone number/cell phone number of immediate supervisor. This person will be at the location of the event when it occurs, able to answer any questions from Commission and/or law enforcement before and during the event, and who will be responsible for ensuring that any applicable laws,ordinances,rules and regulations are adhered to. PLEASE PRINT LEGIBLY Print name of Event Supervisor Nick Barthole mew Signature of Event Supervisor Phone of Event Supervisor: Before 2 415 5554 During 402 415 5554 Consent of Authorized Representative/Applicant 15. I declare that I am the authorized representative of the above named license applicant and that the statements made on this application are true to the best of my knowledge and belief. I also consent to an investigation of my background including all records of every kind including police records. I agree to waive any rights or causes of action against the Nebraska Liquor Control Commission, the Nebraska State Patrol or any other individual releasing said information to the Liquor Control Commission or the Nebraska State Patrol. I further declare that the license applied for will not be used by any other person, group, organization or corporation for profit or not for profit and that the event will be supervised by persons directly responsible to the holder of this Special Designated License. here -- /aJi Authorized Re sentative/Applicant Title Date cl eam w f 4/21i ,1 Print Name This individual must be listed on the application as an officer or stockholder unless a letter has been filed appointing an individual as the catering manager allowing them to sign all SDL applications. The law requires that no special designated license provided for by this section shall be issued by the Commission without the approval of the local governing body. For the purposes of this section,the local governing body shall be the city or village within which the particular place for which the special designated license is requested is located,or if such place Is not within the corporate limits of a city or village,then the local governing body shall be the county within which the place for which the special designated license is requested is located. FORM 105 REV 5/12 Page 4of5 This page is required to be completed by Non Profit applicants only. Application for Special Designated License Under Nebraska Liquor Control Act Affidavit of Non-Profit Status I HEREBY DECLARE THAT THE CORPORATION MAKING APPLICATION FOR A SPECIAL DESIGNATED LICENSE UNDER THE NEBRASKA LIQUOR CONTROL ACT IS EITHER A MUNICIPAL CORPORATION, A FINE ARTS MUSEUM INCORPORATED AS A NONPROFIT CORPORATION,A RELIGIOUS NONPROFIT CORPORATION WHICH HAS BEEN EXEMPTED FROM THE PAYMENT OF FEDERAL INCOME TAXES, A POLITICAL ORGANIZATION WHICH HAS BEEN EXEMPTED FROM THE PAYMENT OF FEDERAL INCOME TAXES,OR ANY OTHER NONPROFIT CORPORATION,THE PURPOSE OF WHICH IS FRATERNAL,CHARITABLE,OR PUBLIC SERVICE AND WHICH HAS BEEN EXEMPTED FROM THE PAYMENT OF FEDERAL INCOME TAXES AS PER§53-124.11(1). AS SIGNATORY I CONSENT TO THE RELEASE OF ANY DOCUMENTS SUPPORTING THIS DECLARATION AND ANY DOCUMENTS SUPPORTING THIS DECLARATION WILL BE PROVIDED TO THE NEBRASKA LIQUOR CONTROL COMMISSION, THE NEBRASKA STATE PATROL OR ANY AGENT OF THE LIQUOR CONTROL COMMISSION IMMEDIATELY UPON DEMAND. I ALSO CONSENT TO THE INVESTIGATION OF THIS CORPORATE ENTITY TO DETERMINE IT'S NONPROFIT STATUS. I AGREE TO WAIVE ANY RIGHTS OR CAUSES OF ACTION AGAINST THE NEBRASKA LIQUOR CONTROL COMMISSION, THE NEBRASKA STATE PATROL OR ANY PARTY RELEASING INFORMATION TO THE AFOREMENTIONED PARTIES. Credit Advisors Foundation NAME OF CORPORATION 47-0751100 FEDERAL ID NUMBER �j SI/ RA:iTE OFFICERS THE ABOVE INDIVIDUAL STATES THAT THE STATEMENT ABOVE IS TRUE AND CORRECT:IF ANY FALSE STATEMENT IS MADE ON THIS APPLICATION,THE APPLICANT SHALL BE DEEMED GUILTY OF PERJURY AND SUBJECT TO PENALTIES PROVIDED BY LAW. (SEC. ¢53- 131.01)NEBRASKA LIQUOR CONTROL ACT SUB RIBED IN MY PRESENCE AND SWORN TO BEFORE ME THIS 62' DAY OF 144 /I44;( . NOTARY PU0‘..e42/144,14./1- 1/2,40"*".• BLIC SIGNATURE&SEAL jei6B B Al NOTARY-State of Nebraska LAWRENCE S.KLEIN My Comma EIS,Oct 22,2015 FORM 108 REV 5/12 Page 5 of 5 !` IRS Department of the Treasury r, Internal Revenue Service • In reply refer to : 0438061293 0GDEN UT 84201-0038 Oct . 18, 2012 LTR 4168C E0 47-0751100 000000 00 00028436 BODC: TE CREDIT ADVISORS FOUNDATION MICHAELA HARPER 1818 S 72ND ST OMAHA NE 68124-1704 023099 Employer Identification Number : 47-0751100 Person to Contact : Erin Johnson Toll Free Telephone Number : 1-877-829-5500 Dear Taxpayer : This is in response to your Oct . 09 , 2012, request for information regarding your tax-exempt status . Our records indicate that you were recognized as exempt under section 501 (c) (3) of the Internal Revenue Code in a determination letter issued in September 1992 . Our records also indicate that you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section 509(a) (2) . Donors may deduct contributions to you as provided in section 170 of the Code . Bequests, legacies, devises, transfers , or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055 , 2106, and 2522 of the Code . Please refer to our website www. irs .gov/eo for information regarding filing requirements . Specifically, section 6033(j ) of the Code provides that failure to file an annual information return for three consecutive years results in revocation of tax-exempt status as of the filing due date of the third return for organizations required to. file . We will publish a list of organizations whose tax-exempt status was revoked under section 6033(j ) of the Code on our website beginning in early 2011 . 0438061293 Oct . 18, 2012 LTR 4168C EO 47-0751100 000000 00 00028437 CREDIT ADVISORS FOUNDATION MICHAELA HARPER 1818 S 72ND ST OMAHA NE 68124-1704 If you have any questions, please call us at the telephone number shown in the heading of this letter . Sincerely yours, Sharon Davies Accounts Management I OMAH�' 4'F City ofOmaha, fAlebraskg ;k 1/ e 41(P - Mgift `t om";!I, 1819 Farnam—Suite LC 1 ® � rl � Omaha, Nebraska 68183-0112 0 �- ;•_ , Buster Brown (402) 444-5550 A City Clerk FAX (402) 444-5263 0 41:Ep FEBRO'1. NEBRASKA LIQUOR CONTROL COMMISSION P.O. BOX 95046, LINCOLN,NE 68509-5046 APPLICANT REQUESTING SPECIAL DESIGNATED LIQUOR LICENSE: CREDIT ADVISORS FOUNDATION, 1818 SOUTH 72ND STREET OMAHA,NE DATE(S) AND TIME(S) OF THE EVENT(S): MONDAY,AUGUST 19,2013 FROM 6:00 P.M. TO 11:30 P.M TUESDAY,AUGUST 20,2013 FROM 6:00 P.M.TO 12:00 MIDNIGHT WEDNESDAY-THURSDAY,AUGUST 21-22,2013 FROM 6:00 P.M.TO 1:00 A.M. WITH MUSIC UNTIL 1:00 A.M. FRIDAY-SATURDAY,AUGUST 23-24,2013 FROM 6:00 P.M.TO 2:00 A.M. WITH MUSIC UNTIL 1:00 A.M. LOCATION: CENTURYLINK CENTER OMAHA, PARKING LOT G, 455 NORTH 10TH STR APPLICANT'S STATUS: X CURRENT LICENSE HOLDER NON PROFIT ORGANIZATION (STATEMENT ATTACHED) ADDITIONAL INFORMATION APPROVED CONTIGENT UPON THE OMAHA CITY COUNCIL APPROVING THE APPLICATION ON AUGUST 13, 2013 REQUESTING: MUSIC UNTIL 1:00 A.M. ON AUGUST 21-24,2013 APPROVED: X DENIED: REASON FOR DENIAL: APPROVED BY: al/Ile/4 /1141 08-02-2013 Sandra L. Moses, DeputClerk, City of Omaha Date No. Credit Advisors Foundation, 1818 South 72nd Street, requests permission for a Special Designated License for a reception at CenturyLink Center Omaha, Parking Lot G, 455 North 10th Street on August 19, 2013 from 6:00 p.m. to 11:30 p.m. with music until 11:30 p.m.; August 20, 2013 from 6:00 p.m. to 12:00 midnight with music until 12:00 midnight; August 21-22, 2013 from 6:00 p.m. to 1:00 a.m. with music until 1:00 a.m. and August 23-24, 2013 from 6:00 p.m. to 2:00 a.m. with music until 1:00 a.m. 08-13-13;cj RECEIVED Presented to Council: August 13, 2013 -ipproved / Buster Brown City Clerk