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RES 2012-1018 - SDL for beer garden at Septemberfest-Salute to Labor • AP PLACATION FOR SPECIAL DESIGNATED LICENSE NEBRASKA LIQUOR CONTROL COMMISSION 30I 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 O NO C) RETAIL LICENSE HOLDERS Q NON PROFIT APPLICANTS Non Profit Status (check one that best applies) Municipal° Political° Fine Arts° Fraternal° Religious° Charitable® Public Service° COMPLETE ALL QUESTIONS 1. Type of alcohol to be served and/or consumed: BeerWl Wine n Distilled Spirits P1 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: Septemberefst-Salute to Labor ADDRESS: 6910 Pacific Street, Suite 450 CITY Omaha, NE. ZIP 68106 4. Location where event will be held; name, address, city, county, zip code BUILDING NAME Century Link, Lot D ADDRESS: 455 N. 10 Street CITY Omaha, NE ZIP 68102 COUNTY and COUNTY # Douglas a: Is this location within the city/village limits? YESQI On b. Is this location within the 150' of church, school, hospital or home for aged/indigent or for veterans and/or wives? YESF1NO n c. Is this location within 300' of any university or college campus? YESnNO FORM 108 REV 5/12 Page 2 of 5 47-0730264 FEDERAL ID NUMBER jows- it SIGNATURE OF TITLE O' •'/•ORATE 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 SUBSCRIBED IN MY PRESENCE AND SWORN TO BEFORE ME THIS / 9 DAY OF fig ( .2 %;�, ALliONW•State dMob 81EVE QFiSi NOTARY P SIGNATURE&SEAL .__. Cow • Not 17.1'�1S FORM 108 REV 5/12 Page 5 of 5 by persons directly responsible to the holder of this Special Designated License. Sign da4117A Pastor 7/19/2012 here Authorized Representativekyoplicant Title Date Fr. James R.Tiegs 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 108 REV 5/12 Page 4 of 5 \ , - 410 . ; \ ,, ---- IIATM/ i.e..... z!F,,,,,t .10 (7:40400.--•- \ ,. q; dif" ,, (.,4 ' w."1. ii.....).% Al 0 1 Ow-0 rillifity 2iViellii > S 40 WM' \ a 4001110 I Wili "OW* 11111:4- .;.4 , .:.:.„......... ..: r . 0 lop' E25 itivid: f•y••••le , viiii,41,,, 00404. .44,111 r .•-.1 of. , cv rgq. • 49.„0.' . IT • ...,_. . 11 ,..itts• 0.-- • c- To Tr-U \ , y.5.,:. 0 AO -.•44, fr-- kgs011104 i 8 \ V; 416, - C..I. Vki-_",'*:'C'‘'''' • , JPAN.1* • ••• .111 I—c'.„.._ • _____----\ 411j1P.P•it\ \.' ... ***,, 10.1°`' . 09117 ,---• A ------ \-:-E \ ),,; . ..... weir. 10**‘*W ....., _q . ........00001. fl 7' \ . 0 ' .•.„,.. ' N ygt .Ami .'f,''• r-N . VI ' : _ _ \ <„.. .................. 4\ ,,ii (n' .,--:::,:, 71... ,D• \ • 1,- \ 6 p.7:);rn (.1...01:0 •11,c•A*. . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION , 5. Date(s) and Time(s) of event(no more than six (6) consecutive days on one application) Date Date Date Date Date Date 8/31/12 9/1/12 9/2/12 9/3/12 * Hours . Hours Hours Hours Hours Hours From From From From From From 4 p.m. Noon Noon 10 a.m. To To To To To To Midnight Midnight Midnight Midnight a. Alternate date: NSA b. Alternate location: NSA (Alternate date or location must be specified in local approval) 6. Indicate type of activity to be carried on during event: QDance QReception Fund Raiser ®:eer Garden QSampling/Tasting ()Other • 7. Description of area to be licensed Inside building, dimensions of area to be covered IN FEET x (not square feet or acres) *Outdoor area dimensions of area to be covered IN FEET 600' x 900' *SKETCH OF OUTDOOR AREA (or attach copy of sketch) . • If outdoor area, how will remises be enclosed? QFence; snow fence chain links cattle panel other 0 ent 8. How many attendees do you expect at event? 1,200 9. If over 150 attendees. Indicate the steps that will be taken to prevent underage persons from obtaining alcohol beverages. (Attach separate sheet if needed) see attached 10. Will premises to be covered by license comply with all Nebraska sanitation laws?YES NI 0 a. Are there separate toilets for both men and women? YESTINO vi ill‘LK.S i C— (A.i f I ) E n1 0 2, em , pal vt f C� k F • FORM 108 REV 5/12 Page 3 of 5 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 SUBSCRIBED IN MY PRESENCE AND SWORN TO BEFORE ME THIS / 9 DAY OF fig ( .2 %;�, ALliONW•State dMob 81EVE QFiSi NOTARY P SIGNATURE&SEAL .__. Cow • Not 17.1'�1S FORM 108 REV 5/12 Page 5 of 5 by persons directly responsible to the holder of this Special Designated License. Sign da4117A Pastor 7/19/2012 here Authorized Representativekyoplicant Title Date Fr. James R.Tiegs 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 108 REV 5/12 Page 4 of 5 \ , - 410 . ; \ ,, ---- IIATM/ i.e..... z!F,,,,,t .10 (7:40400.--•- \ ,. q; dif" ,, (.,4 ' w."1. ii.....).% Al 0 1 Ow-0 rillifity 2iViellii > S 40 WM' \ a 4001110 I Wili "OW* 11111:4- .;.4 , .:.:.„......... ..: r . 0 lop' E25 itivid: f•y••••le , viiii,41,,, 00404. .44,111 r .•-.1 of. , cv rgq. • 49.„0.' . IT • ...,_. . 11 ,..itts• 0.-- • c- To Tr-U \ , y.5.,:. 0 AO -.•44, fr-- kgs011104 i 8 \ V; 416, - C..I. Vki-_",'*:'C'‘'''' • , JPAN.1* • ••• .111 I—c'.„.._ • _____----\ 411j1P.P•it\ \.' ... ***,, 10.1°`' . 09117 ,---• A ------ \-:-E \ ),,; . ..... weir. 10**‘*W ....., _q . ........00001. fl 7' \ . 0 ' .•.„,.. ' N ygt .Ami .'f,''• r-N . VI ' : _ _ \ <„.. .................. 4\ ,,ii (n' .,--:::,:, 71... ,D• \ • 1,- \ 6 p.7:);rn (.1...01:0 •11,c•A*. . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION .. . . , . . .. . , LID Al 1 . r. / . A./ . . . , r7i, . .j c:;::3, '•s, , . ..,.-r -----__L--__ .----L___ --I__ --/__ ---L--- --L._ —1---- — ---i..._ ---- --.- :::=L___,_ ____L___ . It 4,1 s . . , 4 4„. kb ,. 4/ - . "A. •--i____ . • e• % • ----- ..- r IPV 1 \ \ \ \ 'N lk V lk \ \ \ 4 • \ . After • • SW \ •"' ,.. . ' \ s\ \ \ . .. N , \• • . . N \\ \\\\\ \ • N \ CA:,... ‘,.. N. • • \ • , \ • \\\\ \A\ . .Q '"••• --.. ..."2'--,.. •••• N ' ,\\ \\ A \' , 1 '.. , •i . s: N \ \ \\ i •t ' tab C---- - 1 4.0_ , ' Li" _ er •;\ 11.,. - ' i 1 1 , ::) \rj:3 c.32V P---et be covered by license comply with all Nebraska sanitation laws?YES NI 0 a. Are there separate toilets for both men and women? YESTINO vi ill‘LK.S i C— (A.i f I ) E n1 0 2, em , pal vt f C� k F • FORM 108 REV 5/12 Page 3 of 5 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 SUBSCRIBED IN MY PRESENCE AND SWORN TO BEFORE ME THIS / 9 DAY OF fig ( .2 %;�, ALliONW•State dMob 81EVE QFiSi NOTARY P SIGNATURE&SEAL .__. Cow • Not 17.1'�1S FORM 108 REV 5/12 Page 5 of 5 by persons directly responsible to the holder of this Special Designated License. Sign da4117A Pastor 7/19/2012 here Authorized Representativekyoplicant Title Date Fr. James R.Tiegs 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 108 REV 5/12 Page 4 of 5 \ , - 410 . ; \ ,, ---- IIATM/ i.e..... z!F,,,,,t .10 (7:40400.--•- \ ,. q; dif" ,, (.,4 ' w."1. ii.....).% Al 0 1 Ow-0 rillifity 2iViellii > S 40 WM' \ a 4001110 I Wili "OW* 11111:4- .;.4 , .:.:.„......... ..: r . 0 lop' E25 itivid: f•y••••le , viiii,41,,, 00404. .44,111 r .•-.1 of. , cv rgq. • 49.„0.' . IT • ...,_. . 11 ,..itts• 0.-- • c- To Tr-U \ , y.5.,:. 0 AO -.•44, fr-- kgs011104 i 8 \ V; 416, - C..I. Vki-_",'*:'C'‘'''' • , JPAN.1* • ••• .111 I—c'.„.._ • _____----\ 411j1P.P•it\ \.' ... ***,, 10.1°`' . 09117 ,---• A ------ \-:-E \ ),,; . ..... weir. 10**‘*W ....., _q . ........00001. fl 7' \ . 0 ' .•.„,.. ' N ygt .Ami .'f,''• r-N . VI ' : _ _ \ <„.. .................. 4\ ,,ii (n' .,--:::,:, 71... ,D• \ • 1,- \ 6 p.7:);rn (.1...01:0 •11,c•A*. . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION Steps to be taken to prevent underage drinking *At entrance ID is checked and if their ID is checked the person has to fill out the black book. *Everyone that is of age to drink must have a wrist band put on. *It is posted must be 21 years old to consume alcoholic beverages. *When the person goes up to purchase beer,the wrist band is checked. *Security patrols the beer garden area and off duty state patrol officers are also in the area. o purchasing any acoholic drink. Only persons with Wristbands will be permitted to purchase alcohol. Non-acoholic drinking adults will be patrolling the Festival grounds for individuals drinking without wristbands / underage. Omaha Police Officers will be on premises to supervise as well. $ § & ccr . . . \ • \ 6 (H) 203-5411 1 r. Retailer: Will you be purchasing your alcohol from a wholesaler? YES I NO. Non-Profit: Where will you be purchasing your alcohol? • Wholesaler -J Retailer a Both ', BYO (includes wineries) 12. Will there be any games of chance operating during the event? YESnNO1 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 are 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. 13. Any other information or requests for exemptions: 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 Linda Morin r Signature of Event Supervisor \ v C`e, , 14'`61 Phone of Event Supervisor: Before 402-346-4800 During402-981 -7115 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. • sign° - ter Chairman 6/18/12 here 'oriz Re resentati e Applicant Title Date Terry L. oore 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 108 REV 5/12 Page 4 of 5 REV 5/12 Page 4 of 5 \ , - 410 . ; \ ,, ---- IIATM/ i.e..... z!F,,,,,t .10 (7:40400.--•- \ ,. q; dif" ,, (.,4 ' w."1. ii.....).% Al 0 1 Ow-0 rillifity 2iViellii > S 40 WM' \ a 4001110 I Wili "OW* 11111:4- .;.4 , .:.:.„......... ..: r . 0 lop' E25 itivid: f•y••••le , viiii,41,,, 00404. .44,111 r .•-.1 of. , cv rgq. • 49.„0.' . IT • ...,_. . 11 ,..itts• 0.-- • c- To Tr-U \ , y.5.,:. 0 AO -.•44, fr-- kgs011104 i 8 \ V; 416, - C..I. Vki-_",'*:'C'‘'''' • , JPAN.1* • ••• .111 I—c'.„.._ • _____----\ 411j1P.P•it\ \.' ... ***,, 10.1°`' . 09117 ,---• A ------ \-:-E \ ),,; . ..... weir. 10**‘*W ....., _q . ........00001. fl 7' \ . 0 ' .•.„,.. ' N ygt .Ami .'f,''• r-N . VI ' : _ _ \ <„.. .................. 4\ ,,ii (n' .,--:::,:, 71... ,D• \ • 1,- \ 6 p.7:);rn (.1...01:0 •11,c•A*. . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION • 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. Septemberfest-Salute to Labor NAME OF CORPORATION 47-0437880 FEDERAL ID NUMBER S NA O TITLE OF CORPORATE OFFICERS • THE ABOVE INDIVIDUAL STATES THAT THE STATEME T 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 SUBSCRIBED IN MY PRESENCE AND SWORN TO BEFORE ME THIS A.O DAY OF Ju. n 0102, • XBEIVA.notNnr-8we of Nebraska MARIE A SMT I �j Q/ut� �`i- k MyConnn.Exa.An.19,2016 NOTARY PUBLIC SIGNATURE&SEAL FORM 108 REV 5/12 Page 5 of 5 ter Chairman 6/18/12 here 'oriz Re resentati e Applicant Title Date Terry L. oore 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 108 REV 5/12 Page 4 of 5 REV 5/12 Page 4 of 5 \ , - 410 . ; \ ,, ---- IIATM/ i.e..... z!F,,,,,t .10 (7:40400.--•- \ ,. q; dif" ,, (.,4 ' w."1. ii.....).% Al 0 1 Ow-0 rillifity 2iViellii > S 40 WM' \ a 4001110 I Wili "OW* 11111:4- .;.4 , .:.:.„......... ..: r . 0 lop' E25 itivid: f•y••••le , viiii,41,,, 00404. .44,111 r .•-.1 of. , cv rgq. • 49.„0.' . IT • ...,_. . 11 ,..itts• 0.-- • c- To Tr-U \ , y.5.,:. 0 AO -.•44, fr-- kgs011104 i 8 \ V; 416, - C..I. Vki-_",'*:'C'‘'''' • , JPAN.1* • ••• .111 I—c'.„.._ • _____----\ 411j1P.P•it\ \.' ... ***,, 10.1°`' . 09117 ,---• A ------ \-:-E \ ),,; . ..... weir. 10**‘*W ....., _q . ........00001. fl 7' \ . 0 ' .•.„,.. ' N ygt .Ami .'f,''• r-N . VI ' : _ _ \ <„.. .................. 4\ ,,ii (n' .,--:::,:, 71... ,D• \ • 1,- \ 6 p.7:);rn (.1...01:0 •11,c•A*. . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION V�`r C�2 ;4b 6669 P.09 ' i OFL • .:; `Tar -2005 5:-9 Treasury :-=a<;_.;�;-;� � 1 Depzrlrnenl of the `.' -'; �7ernal Revenue Sere'ice p 0 Bo,: ]123, �;,.�,;:.. Central Stati��r ''n '-'ik';'sl strict Direci�r 0 63]BB• {,a y S t . L�,u i s 4y= tmih p�r�on 10 Contact. el;_! '' ' 9 G. `turd tact j;;��, Dale: JUL D g 198O � 7 oe ConUcl leleohone Number: 314-425-5651 C -r L r t c. 5ep tetnbet(eat EXHIBIT D Salute to Labor , lnc . • 220 U.S. National Banff. — Rov.ncy 10010 Regency Circle t7mnha , hE 68116 ' nl recently submitted , we have cl,lsslfica your y of section Based on thr: tn�ort�lior. I vithi;'; tha riC:�ning �s onr_ that is: 1::,• a private foundation hod ii 509 t i iza f t heca,lso you are an or�,a!: '•:\t ion d,iscr i 50y( ��1 of n the 1ntPrnul Rn',e:�ur Code sect icn 509(a) (1) and 170(h,! (1) (A) (vi.) . Your exeoliI status under section 501 ( c) (3) of th+- Codo is still in effect . operations will This classific;ttion io based on toe assumpt of ion thatort , youror your purposes,continue as you have staled. If your sovrCe;e,se let us know' so we cn consider character , or method of operation chats",,status and foundation status. of the char, e or. your exempt tr,a effectg- Because this letter could help resolve any questions about your foundation status . you should keep it in your permanent records. uestions• please contact the person whose name .end telephone i 1 , you have any 4 � r.umbe r are shown above . • I Sincerely yours, "I /4;4‘-lv • R. C. Voskuil / . District Uirectcr . '' �' \ c.) ti Lcllcr 1072(Da) (6-77 1114 ;-larl;et Street , St. Louis , MO 63101 TOTAL P.09 i s 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 108 REV 5/12 Page 4 of 5 REV 5/12 Page 4 of 5 \ , - 410 . ; \ ,, ---- IIATM/ i.e..... z!F,,,,,t .10 (7:40400.--•- \ ,. q; dif" ,, (.,4 ' w."1. ii.....).% Al 0 1 Ow-0 rillifity 2iViellii > S 40 WM' \ a 4001110 I Wili "OW* 11111:4- .;.4 , .:.:.„......... ..: r . 0 lop' E25 itivid: f•y••••le , viiii,41,,, 00404. .44,111 r .•-.1 of. , cv rgq. • 49.„0.' . IT • ...,_. . 11 ,..itts• 0.-- • c- To Tr-U \ , y.5.,:. 0 AO -.•44, fr-- kgs011104 i 8 \ V; 416, - C..I. Vki-_",'*:'C'‘'''' • , JPAN.1* • ••• .111 I—c'.„.._ • _____----\ 411j1P.P•it\ \.' ... ***,, 10.1°`' . 09117 ,---• A ------ \-:-E \ ),,; . ..... weir. 10**‘*W ....., _q . ........00001. fl 7' \ . 0 ' .•.„,.. ' N ygt .Ami .'f,''• r-N . VI ' : _ _ \ <„.. .................. 4\ ,,ii (n' .,--:::,:, 71... ,D• \ • 1,- \ 6 p.7:);rn (.1...01:0 •11,c•A*. . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION 402 35S 6669 P.179 2005 15:43 OFL ;1',`�'�•%J'iyl 1��c111 1 �uvt O.11V11 V 1 1_,CLUL l Cti�U. .011 jrYSS O I ln10115tn131 Organizations EXECUTIVE COUNCIL `tOF r tTroy 815 Sixteenth Slf?el, N.t'd. LANE 1:1RKLAND PRESIDENT THO1-,1AS R. DC HAHUE SECRETARY" TREASUREA \ashington,0.C. 20006 Jahn H. Lyons Ti,amas 'N.c ysson Frederick O'Neal "t.°�•`C' YYrt K t202) 637.5000 S. Fronk Revery Murray H. i-inleY Albert Shenker • Glenn E. Wella Sol C. Chaikin Edward T. Hanley n �C)O Angelo foeco Charles H. Pittard J. C. Turner AR - Lloyd McBride Kenneth T, eiayloe:c Alvin E, Nene ? vim. W, WInoislnc;er William H.Wynn - John OaConclnl ',r r Wayne E Glenn Robert F. G72.3 Joyce 0, Miller John J. S,vnenoy Frank Oresak • !wee E. Hettleld • a, r.'r ;,r Borges Hutchinson Richard I. Kilroy VIncent R. Sombtollo l,V. p* Gerald W. McEntee William hi. Bywater Marvin J. Bootle OUST AL" Patrick J. Cam0o01 Kenneth J. Brown Owen Bieber September 24, 1984 Internal Revenue Service, Center Philadelphia, Pennsylvania 19255 EIN 53-0228172 Group E;emotion No. 133E; I.R. Code Section 501(c; (5) • Gentlemen: In a latter received on Hay 10, 1956, signed by H_ T. Schwartz, Director, Tam Divison, exemption from federal income tam, under Sectioo. 501(c)(5) of the Code of 1954, covering labor organizations, ":as granted to the American Federation of Labor and Congress of Industrial Organizations, its directly ar 1 'atad state bodies, local central bodies, directly affiliated local unions, trade and . industrial da ar dents and committ_ees-. This 1or•`ot- eze Dted the ?American Federation of Labor and Congress of Industrial Organizations and its subordinate units , :Jno are affiliated with the American Federation of Labor and Congress of Industrial Organizations as of December 31, 1955. Since then, anemDtion under the same section -;as e4tended to those directly affiliated state central bodies, local central bodies, directly affiliated local unions , cammittees asd trade and industrial deparrnents, and their subordinate units :bartered during the preceding c;elve months and notation made on the Bureau s records of those otiose charters have been cancelled during the Tear. Ia respect to subordinates, we set forth the following information: a) The organi,cations listed are affiliated with the AFL-CIO as subordinate bodies. They are subject to the control and to the laws and procedures of the AFL-CIO. They Eully quality as exempt organizations under paragraph 501(c) of the Re'ren.ne Code_ The listed state and local central bodies are subordinate units of the A.F7-CIO and are designated as such in the Can=ttitution of the Federation. Central bodies are established by the Federation upon city, state or other regional basis as giay be determined by • the ?':.ecutive Council of the 1?L-CI0. :.„......... ..: r . 0 lop' E25 itivid: f•y••••le , viiii,41,,, 00404. .44,111 r .•-.1 of. , cv rgq. • 49.„0.' . IT • ...,_. . 11 ,..itts• 0.-- • c- To Tr-U \ , y.5.,:. 0 AO -.•44, fr-- kgs011104 i 8 \ V; 416, - C..I. Vki-_",'*:'C'‘'''' • , JPAN.1* • ••• .111 I—c'.„.._ • _____----\ 411j1P.P•it\ \.' ... ***,, 10.1°`' . 09117 ,---• A ------ \-:-E \ ),,; . ..... weir. 10**‘*W ....., _q . ........00001. fl 7' \ . 0 ' .•.„,.. ' N ygt .Ami .'f,''• r-N . VI ' : _ _ \ <„.. .................. 4\ ,,ii (n' .,--:::,:, 71... ,D• \ • 1,- \ 6 p.7:);rn (.1...01:0 •11,c•A*. . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION 4(P 346 6669 P.10 0-2005 15:43 OFL �nCernal Revenue Service Center ire.,.-, / 2�;�x= Page a,:� : ,, :t ::,:.; September 24, 1984 `;Y They are composed of locals of national and interna_ion.al unions affiliated with the Federation, of directly affiliated An-CIO local unions, of local central bodies established by the An-CIO within the jurisdictional limits of state and regional bodie.s and of such subordinate bcdies as the Executive Council of the Aim-CIO may determine are eligible for affiliation. These subordinate • units • operate under rules issued by the AFL-CIO Executive Council governing their conduct, activities, affairs, finances and propr:rcc7. The listed Trade and Industrial Departments, and their subordinate units have an identification number, as *subordinate units of the FL-CIO and are expressly described as such _a the Federation' s Constitution. Zach department is considered an of '_cial method of the Federation for transacting the portion of its bw::-.sess indicated by the name of the department and the fundamental lays and procedures of each department must conform to and be adminis;te-ed in the same manner as laws and procedures governing the Peder::t_on. Quarterly, reports must be submitted by their officers to the All-CIO Executive Council detailing the departments and their g moral condition. Directly ai 1 i =t=^ local unions exist only as _a resuL= of charters or certificates issued to them by the Federation. -.ley are actually local unions or the Federation. and are strictly governed by rules issued by the AFL-CIO Emecuti'7e Council in roste : to their conduct, activities, affairs, fiances and property. b) The or Latina! rur70SeS and activities of State and Local Central bodies are to assist in furthering the objects and policies of the AFL-CIO within their jurisdictional areas: to serve as a means of exchanging __formation among affiliated bodies on natters of c.,- on interest: and to provide aid and cooperation and assistance to affiliated local unions and otheraffiliated business in their c-ilurcp. and individual endeavors and, in general, to engage " all activities that are consistent with and carte out the ob ecrs, principals and policies of the AFL-CIO. Trade and Indust=ial Departments constitute an official :.ethnd Ear transacting AFL-CIO business indicated by the name ol1 the department. the principal our-oases and activities of each department are co carry out in its es.ecti,re area of jurisdiction, the objects and principles of the AFL-CIO and to further AFL-CIO activities in that arcs of jurisdiction. • Directly Affiliated Local Unions carry on the same. Inc^ions with resrect to the AF?-CIO as do local unions ' ith respect= to their ova parent international union_ tion of the Federation. Central bodies are established by the Federation upon city, state or other regional basis as giay be determined by • the ?':.ecutive Council of the 1?L-CI0. :.„......... ..: r . 0 lop' E25 itivid: f•y••••le , viiii,41,,, 00404. .44,111 r .•-.1 of. , cv rgq. • 49.„0.' . IT • ...,_. . 11 ,..itts• 0.-- • c- To Tr-U \ , y.5.,:. 0 AO -.•44, fr-- kgs011104 i 8 \ V; 416, - C..I. Vki-_",'*:'C'‘'''' • , JPAN.1* • ••• .111 I—c'.„.._ • _____----\ 411j1P.P•it\ \.' ... ***,, 10.1°`' . 09117 ,---• A ------ \-:-E \ ),,; . ..... weir. 10**‘*W ....., _q . ........00001. fl 7' \ . 0 ' .•.„,.. ' N ygt .Ami .'f,''• r-N . VI ' : _ _ \ <„.. .................. 4\ ,,ii (n' .,--:::,:, 71... ,D• \ • 1,- \ 6 p.7:);rn (.1...01:0 •11,c•A*. . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION 1'=�'1705 15:44 OFL 407 34E 6E69 P. 11 Internal Revenue Service Center - 4"-; Page 3 7 September 24, 1984 • , H'i ' c) Enclosed are two copies of the Constitution of the AFL-CIO and two copies of AFh-CIO Rules governing State and Local Central J Bodies and Directly Affiliated Local Unions . / d) To the best of my knowledge, the subordinate organzations listed are operating in accordance with the purposes stated above and each subordinate organization having a listed identiiacation number has furnished the Ar-'L-CIO written authorization as described in Section 4.03 of the Revenue Procedure. All ocher units of the -CIO identification numbers have been solicited. toedsubvply the bearing Frith the required written authorization but sane not received. have pet been We request ea:emption on the Directly Affiliated Local anions, State and Local y Central 3odies, Trade and Indusc.ial Departments, and Committees, as listed has o , as well as the subordinate units. Thereeen no change in t1:1les or any constitutional change in and way, the �; na_ amendments that Federationof relationship that e4;sted between the �ier;can Labor - _ - - � and Confess of • _ndust,_al Organizations units r o _a[=ins or its subordinate e a_ the time the original e-enntio7 -n .vas -•-,oIlLeQ_ We would appreciate a prompt reply. Si ncaro1-r � . • Thomas R. Donahue, Secretary-Treasurer i • 1 • . j AA ,, , ' / , ;` lllam T. Collins !•„ Controller Sworn and subscribed before me this day oz Seocanber, .1984 Henry J .' Evans, •rotary . ,S• G:_-T TOTAL P. 11 dictional areas: to serve as a means of exchanging __formation among affiliated bodies on natters of c.,- on interest: and to provide aid and cooperation and assistance to affiliated local unions and otheraffiliated business in their c-ilurcp. and individual endeavors and, in general, to engage " all activities that are consistent with and carte out the ob ecrs, principals and policies of the AFL-CIO. Trade and Indust=ial Departments constitute an official :.ethnd Ear transacting AFL-CIO business indicated by the name ol1 the department. the principal our-oases and activities of each department are co carry out in its es.ecti,re area of jurisdiction, the objects and principles of the AFL-CIO and to further AFL-CIO activities in that arcs of jurisdiction. • Directly Affiliated Local Unions carry on the same. Inc^ions with resrect to the AF?-CIO as do local unions ' ith respect= to their ova parent international union_ tion of the Federation. Central bodies are established by the Federation upon city, state or other regional basis as giay be determined by • the ?':.ecutive Council of the 1?L-CI0. :.„......... ..: r . 0 lop' E25 itivid: f•y••••le , viiii,41,,, 00404. .44,111 r .•-.1 of. , cv rgq. • 49.„0.' . IT • ...,_. . 11 ,..itts• 0.-- • c- To Tr-U \ , y.5.,:. 0 AO -.•44, fr-- kgs011104 i 8 \ V; 416, - C..I. Vki-_",'*:'C'‘'''' • , JPAN.1* • ••• .111 I—c'.„.._ • _____----\ 411j1P.P•it\ \.' ... ***,, 10.1°`' . 09117 ,---• A ------ \-:-E \ ),,; . ..... weir. 10**‘*W ....., _q . ........00001. fl 7' \ . 0 ' .•.„,.. ' N ygt .Ami .'f,''• r-N . VI ' : _ _ \ <„.. .................. 4\ ,,ii (n' .,--:::,:, 71... ,D• \ • 1,- \ 6 p.7:);rn (.1...01:0 •11,c•A*. . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION 7 ®A � DATE(MM/DD/YYYY) R CERTIFICATE OF LIABILITY INSURANCE 6/19/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Allied Specialty Insurance NAME: 85 N.E. Loop 410 PHONE FAX Suite 600 (A/C,E-MAILo Extl. (A/C,No): San Antonio, TX 78216 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: T.H.E. Insurance Company 12866 INSURED Todd Armstrong Shows INSURERB: TAS, Inc. P.O. Box 70 INSURER C: Staples TX 78670 INSURERD: • INSURER E: • INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTR INSR VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPP0100758 02 04/01/12 04/01/13 DAMAGE PREMISES(Ea occurrence) $ 100,000 • CLAIMS-MADE X OCCUR MED EXP(Any one person) $ PERSONAL R ADV INJURY $ 1,0 0 0,0 0 0 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,0 0 0, 0 0 0 7 POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000, 000 A X EXCESS LIAB CLAIMS-MADE ELP0010177-02 04/01/12 04/01/13 AGGREGATE $ 9, 000, 000 DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE / N/A E.L.EACH ACCIDENT $ �, OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) ADDITIONAL INSURED AS RESPECTS TO THE OPERATIONS OF THE NAMED INSURED ONLY: SEPTEMBERFEST,INC. ;CITY OF OMAHA,COUNTY OF DOUGLAS,STATE OF NEBRASKA,CENTURY LINK CENTER & ALL THEIR RESPECTIVE OFFICERS,DIRECTORS,EMPLOYEES,AGENTS & ASSIGNS,BANG TANGO, ENUFF Z ENUFF,LYNCH MOB4OMAHA ROLLER GIRLS,OMAHA'S RING WARS, NE STATE ARMWRESTLING. DATES: 8/29/12 THRU 9/5/12 CERTIFICATE HOLDER CANCELLATION SEPTEMBERFE ST, INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 6910 PACIFIC STREET, SUITE 450 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN OMAHA, NE 68106 ACCORDANCE WITH THE POLICY PROVISIONS. • AUTHOR! REPRESENT TIVEE, ' W 1 ©1988-2010 AC RD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD . c7:-- ,----- • . ,,., \ 0 , = 10 iii WO ji*I tikl lir a *0 1 I -.i r- -Fp ,..c. , m • _ , '''-'" (C,) '---1, T-,-,, \ ,'' 4. ,,-, ,,,‹ ...., .. -,-.) cs \ ow \,.„--, ,,.,.1, . --- .. 0013sw • ND \ ,&,.,„,,Li70.7 ' - ' -,. \ , -'' ) -'..- r. .7...-.. .. . 4i"i • - \ ':...l . \ 114,---- -,....., (1) 04%* 4,.:, -,-",a• (1-' \ twi 401110 1 I \ 4 7c. (7. ..... •Al - -1-... -r-,. fi ii0 1 410 t -.. \ la 0100 \),\224- :)414;4X. - e.',". 'e-1 -A 'ie., \ ..\ V, • ,-* N ,0--). t-, ,..).\ - .--i,,: (''' - ..,,, , I ...A- 0 rr, -lc/. - rn _ A\ -p "Se 1, m ' ‘4",\1/41,....4... 0 I , _.... —I ...es. . . • ,.. .., ,.. ,•J ,...,-- • . .±,-\-,' "..--'4,,(2. - zsz..X.,-'--- ;--- \ \ , 0 • '-7-v--)r-Ir.:A.:4‘; " 7-?C:!'15-7 c.-4., . , ..--- , • ns Premises to LaMlorb. it Tenant remains In ooaaaaslol after the termination of this Lease,without a written lease duly executed by the parties,Tenant shall be deemed a uespeccor. If Torrent pays,Ond Lendteed seeepb,rant for a period after tennitatton of this Leese,Tenant shall be deemed to be occupying the Premises only as it tenant from month to month,*object to all the terms,wndi'one,and aymmonte of This Lease,exoepl that the rent shall be two time;the monthly rent specified In the lease Immediately before termination, 20, SUBORDINATION AND AITORNMENT. Laridtord reserves the right to place Rena end enciumbrenoes on the Premises superior in den and effect to this Lease,Title Lease, end all r ehw or Tenant hereunder, snag, et the epdon or Landlord, be subject and subordinate 10 any Irons atyt.a�.r { ttL.�\t C JUN 15 Z012 NEBRASKA LIQUOR CONTROL COMMISSION • o` CD N W ¢- i.1'1 7 N �3 CAD O t.) r O O C7 �. O N N H, 0 . W O O d -. N CD O n• N I d o o p o licrEaII Q, n O p 0 N CD O O p. N 0 Po n ate patrol officers are also in the area. o purchasing any acoholic drink. Only persons with Wristbands will be permitted to purchase alcohol. Non-acoholic drinking adults will be patrolling the Festival grounds for individuals drinking without wristbands / underage. Omaha Police Officers will be on premises to supervise as well. $ § & ccr . . . \ • \ 6 (H) 203-5411