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RES 2013-0296 - Appoint Landon Armstrong manager of Carraba's Italian Grill == TKs s r4 T`i,, o n, \Y - L. I LJ F , iiG �- STATE OF NEBRASKA Dave Heineman 13 FEB -6 Fr €.i: 17 NEBRASKA LIQUOR CONTROL COMMISSION v� 'a�' � I r arY = Governor Hobert B.Rupe Executive Director j86^== 301 Centennial Malt South,5th Floor CITY CLE1,,K P.O.Box 95046 l�H t;H t [ : Lincoln,Nebraska 68509-5046 Phone(402)471-2571 February 6, 2013 Fax(402)471-2814 or(402)471-2374 TRS USER 800 833-7352(T!Y) web address:http://www.lcc.ne.gov/ OMAHA CITY CLERK 1819 FARNAM STREET LC-1 OMAHA NE 68183 RE: Carrabba's Italian Grill LICENSE #I-86838 Dear Clerk: • Enclosed is a copy of a manager application for Landon Armstrong in connection with Carrabba's Italian Grill located in Omaha. Please present this application for manager to your CityNillage Council or County Commissioners and send us the results of their action. Sincerely, qa.,44.42,6;44xos.,,„1„),?.. Jacqueline Rodriguez Licensing Division NEBRASKA LIQUOR CONTROL COMMISSION 402-471-2572 encl. Janice M.Wiebusch Robert Batt William F.Austin Commissioner Chairman Commissioner An Equal OpportunitiAffirmatiue Action Employer Printed with soy Ink on recycled paper MANAGER APPLICATION Office Use INSERT-FORM 3c NEBRASKA LIQUOR CONTROL COMMISSION f 301 CENTENNIAL MALL SOUTH PO BOX 95046 rER ifY13 LINCOLN,NE 68509-5046 PHONE: (402)471-2571 NEB iAm3 r, FAX: (402)471-2814 COMPOL CNIM SS O Website: www.lcc.ne.gov aM Corporate manager,including their spouse,are required to adhere to the following requirements 1) Must be a citizen of the United States 2) Must be a Nebraska resident(Chapter 2—006) and must provide proof of voter registration in the State of Nebraska 3) Must provide a copy of one of the following: state issued US birth certificate,naturalization paper or US passport 4) Must submit fingerprints (unless a non-participating spouse) (2 cards per person) and fees of$38 per person, made payable to Nebraska State Patrol 5) Must be 21 years of age or older 6) May be required to take a training course , Name of Corporation/LLC:_CIGI Nebraska,Inc. 91.1''aifi* 4011 Premise License Number:_86838 (if new application leave blank) Premise Trade Name/DBA:_Carrabba's Italian Grill Premise Street Address:_14520 West Maple Road City: Omaha State: NE Zip Code:_68116 Premise Phone Number:^(402) 492-9500 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.lcc.ne.gov/license search/licsearch.c BY: Joseph J. Kadow, Exec. V.P. CO RATE OFFICER/MANAGING MEMBER SIGNATURE (Faxed signatures are acceptable) Form 103 Rev 11/2012 Page 2 of 5 1300002327 r Gender: XMALE FEMALE Last Name: R(7(Yl (\ First Name: Loo(‘AO(1 MI: D Home Address(include PO Box if applicable): 3123 k, t 20-11" C, 1"', 107 City: 0yY\40,hp, County: 00( l0\5 Zip Code: I)gt6, 1-1 Home Phone Number: -t02- 830 `5(50 Business Phone Number: 10z.- Li 92 - 9500 Social Security Number: _ __ _ _ Drivers License Number& State: z 'NE Date Of Birth:__ Place Of Birth: Met(` 01 k , N E.1 OYES ►�1 NO Spouses Last Name: ///f-1 First Name: MI: Social Security Number: Drivers License Number& State: Date Of Birth: Place Of Birth: CITY& STATE YEAR YEAR CITY& STATE YEAR YEAR FROM TO FROM TO C�IrnONNO,, N E. 2004 C.us '1-- Noccolk r NE Ig15 2cn1-1 REC1V r r' Form 103 Rev 11/2012 Page 3 of 5 • CONTROLCO9 M1 S Qp 1 YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE FROM TO NUMBER 2-004 20R5 hies\- -Vti .Communica1;ott N f'k $00-Z37._-O90 0 .7_00 3 zoo 14 zzn B-04- N Pt. Li 02- 379 - L t 7a 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,EVEN 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 individ 's name. 9YES NO I yes,please explain a ow or attach a separate page. Name of Applicant Date of Where Description of Charge Disposition Conviction Convicted (mm/yyyy) (city&state) RECEiVPD A!! aaFEB r %013 NEE3hrto!v 4.1,..,At!OR CONTROL :,'"O iSSiON 2. Have you or your spouse ever been approve• • ade application for a liquor license in Nebraska or any other state? ©OYES i, 0 IF YES,list the name of the premise. 3. Do you,as a manager, qualify under Nebraska Liquor Contr.1 ct(§53-131 01)and do you intend to supervise, in person,the management of the business? tle0 S C>TO 4. Have you enclosed the required fingerprint cards and PROPER FEES with this application? C 1 -ck or move order made payable to the Nebraska State Patrol for$38.00 per person) ►.4 S 30 5. List any alcohol related training and/or experience(when and where). SOrL SCr lc,- �c..stoonsible_ MCIha1 \Ienai I r -ten I , Cossa.bWs, Form 103 Rev 11/2012 Page 4of5 • 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. • 4��• Signature of Manager Applicant Signature of Spouse ACKNOWLEDGEMENT State of Nebraska County of N `(t_ The foregoing instrument was acknowledged before me this 4/1\U(M 2� (0�1') by \;O�Xlo:b�(1 V e m�r�Ciro person ,� dged Affix Seal lagAL masa Notary Public signatureMEN HICKS 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. D FEn .sal NE8pc> , Form 103 pry ry Rev 11/2012 Page 5 of 5 fv�l yh ofUmha Weo2oy 1, 1!9 / k+47. d,%.\ 1819 Farnarn—Suite LC `'� _ 14,1 Omaha, Nebraska 68183-011 r r 00/ ster crowurt, (402) 444-5550 ® _ /1; City Clerk FAX (402) 444-5263 ; February 20, 2013 CIGI Nebraska, Inc. Application to appoint Landon.D. Armstrong Dba "Carrabba's Italian Grill" manager of your present Class "I" Liquor 14520 West Maple Road License location Omaha,NE 68116 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 March 5, 2013 . 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 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, 4964.17 Buster Brown City Clerk BJB:clj i'J - r i lip- �� � 11 � J � � i i �ti i //� � f/ • 1 1 644 /l, ,(���/J ! j ° rto itt Omaha, Nebraska 68133-0 i 12 o,,z R 4, Buster row (402) 444-5550 � w __ ` 4,14, City Clerk FAX (402) 444-5263 ` 21:'e February 20, 2013 Landon D. Armstrong Application to be appointed manager of the 3123 North 120th Court#107 present Class "I" Liquor License location Omaha, NE 68164 for CIGI Nebraska, Inc., dba"Carrabba's Italian Grill", 14520 West Maple Road 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 March 5, 2013 . 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 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, (4. "/"b'/14 Buster Brown City Clerk BJB:clj No. ,? (f.. CIGI Nebraska, Inc., dba "Carrabba's Italian Grill", 14520 West Maple Road, requests permission to appoint Landon D. Armstrong manager of their present Class "I" Liquor License location. 03-05-13;cj RECEIVED Presented to Council: March 5, 2013 - Approved Buster Brown City Clerk