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RES 2012-0103 - Appoint Edward J Lube manager of Alumni Sports Cafe . 4.E S Tq•-•:1 L STATE OF NEBRASKA NEBRASKA LIQUOR CONTROL COMMISSION Dave Heineman • Governor `�" t Hobert B. Rupe ht't 4: Executive Director Ott v Rc �e6�:--/ 301 Centennial Mall South, 5th Floor P.O. Box 95046 r` Lincoln,Nebraska 68509-5046 i ." t Phone(402)471-2571 December-23, 2011 Fax(402)471-2814 or(402)471-2374 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: Kiewit Fitness Center and Alumni Sports Cafe LICENSE #IK-46506 anK--79390 Dear Clerk: Enclosed is a copy of a manager application for Edward J. Lube in connection with the Kiewit Fitness Center and the Alumni Sports Café both 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 402-471-2572 encl. • Janice M.Wiebusch Robert Batt William F.Austin Commissioner Chairman Commissioner An Equal Opportunity/Affirmative Action Employer Printed with soy ink on recycled paper ly yours, Buster Brown City Clerk BJB:clj ';':i'..--,•:'!:;. , s- • Cfrie_ (,/ Si f spouse asking for waiver Printed name of spouse asking for waiver (Spo of individual listed below) State of County of OA ; C.Z. The foregoing instrument was acknowledged before me this by date name of person acknowledged 1.(11Age.,fi5611aelg Affix r _.., GBIERAL NOTARY-State al Nebraska I",,,j EA V,ICANAIDAROVA Notary Public signature LEN " Exp.Fetsuaty 10,2014 ;. . - '..".. I 61+.' •..q.h ...;v.i.31ii i!..,,:d;i ril..,:,,,,c17 '4711 ', /i.'llipil4 7 ' •r ,..i - • ,-: .,,,,•-li 1;IN.!,1:.. -,,, mi,..#40i.,;j:i ;4',-."'., 1..., 7.:-4,4,:iN$3.,'' .i1\ i,a, ',,''•‘,% : : i'rC,Itkii,('' • iii. ''' '14 r"' • ' : ligiA(.1, •, 4).1 ,. !! the itiNkieflis :11144,1ih,Agilhiefro ,iliti, 1i,l );.4rialik NifiltV$ riv r Pi • '' lahMgikTill 1,-Aiiii:11;F,Wgilili 1,',,..:6•;i;:(;',. -1:1;i.,!iy,!....:i,, ,,Q4ev 11, ,4:S11":.3)"P!...").', , ' .' '''. ..:r •I„.4? .!iteherVAAI, 1.:q,N A .4 ] g t, . atillieogirilbeelrilog'iRigiN:vgiaqvu0;:=;t-..;== 1:',C / —4111411r ofl 5 re itt Co,A ,-i...4.,...___ , - Signature o' ,'• vidual involved with application Printed name of applying individual ._. (Spouse o I: ••ividual listed above) State of iliebraz Vsi County of The foregoing instrument was acknowledged before me this i 1 [0101 1date bY ' EI-ema V Kilo i clq rovoi name of person acknowledged Affix Seal cEezi NotaiyPublic signature . 1 GENERAL NOTARY-State ofNebtralta .. , I, ELENA U ICAHAIDAROVA _ ,_ ,- MY m.Gom MO.Yetaant 10.2014 • —• - • t-- II/ In compliance with the ADA;this spousal affidavit of n ' Ill ..:‘i 4 .L.i -formes for Persons with disabilities. A ten day advance period Is requested in writing to produce the alternate format. DEC 23 2011 FORM 35-4 1.713 Revised 1/2008 NEBRASKA LIQUOR . CONTROL COhAMISSPON CONTROL COMMISSION Page 3 of 5 MANAGER APPLICATION Office Use INSERT-FORM 3c EIMED NEBRASKA LIQUOR CONTROL COMMIS'SI61~1`� E I V E® 301 CENTENNIAL MALL SOUTH PO BOX 95046 DEC 14 2011 NOV 2 9 2011 LINCOLN,NE 68509-5046 ` PHONE:(402)471-2571 NEBRASKA LIQUORB A LIQUOR FAX: (402)471-2814 CONTROL Website: www.lcc:ne.gov 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 their fingerprints(2 cards per person)and fees 4e payable to the Nebraska State Patrol 474 5) Must be 21 years of age or older 6) Applicant may be required to take a training course DEC 23 2011 .�! $ur}},, ((� �,X /NEBRASKA L 1C� jT 'ts1 l0-ntrio O 'SAL- Ar'Y'4 ,11u6- Id'!4�# 6` 0.1Sab dF # +',s3+ .. .:: -; .CONTROL-0.COM srpjF�,t' 4 �^•.' ' "-ui +'t. t� r sTrN i,;•„ r,.:hG :��N rt dkt a.Rl`+ram _ NA a7;t s"t:. .-ti.•: J :-{: rs sl.;' a .a•�Vi4lmeaue3l':,.;:ltwLa,01:1,L Y .1:.,a,.....==-ur.:1, Name of Corporation/LLC: SOCA et.® el LL C' ' '� •.• - E e t PiamPeltilat ,rf'4` .: �{. n ^cF• 'T+ .gip.;.rY •' d'rr'ri"_ �P'@' qt''.,".. r.•"",. •�o, I cir •i.: rk 08 �� ", r ,•.,mow SMl4{•",3c-x+' '3' r y 59+0 SL:.tq�jy}YS" �r :•45 hi"`-$".r tc'r fr�XV, »zk n iJv: ^•r� ' F isl �S i;Y(?P,i;' ii t-G s4`1.,e. N t t tF."fggg rrayr �-/ 4 u7��r r + ^ r 4.s„.1-r t, ititip`"� s a v J tt ri n j11R*GS!I .t�..VJ,.�u. i a3- *w . :�..�.. . 1 ��q r .. t Premise License Number: �I\ ' 0 (Knew applicatio,A leave blank) Premise Trade Name/DBA: r 1 l i.m- I Jp?®r" Premise Street Address: G7Q /V 2() 5f i-+z-d- City: Om Ci h Ck. State: NE Zip Code: 6/3 1784 Premise Phone Number: The individual whose name is listed as a corporate officer or managing member as reported on insert form 3a or 3b must sign their name below kan/fr% CORPORATE OFFICER/MANAGING MEMBER SIGNATURE (Faxed signatures are acceptable) 103 .011 11111111111111111111 of 5 1100020966 ,4:S11":.3)"P!...").', , ' .' '''. ..:r •I„.4? .!iteherVAAI, 1.:q,N A .4 ] g t, . atillieogirilbeelrilog'iRigiN:vgiaqvu0;:=;t-..;== 1:',C / —4111411r ofl 5 re itt Co,A ,-i...4.,...___ , - Signature o' ,'• vidual involved with application Printed name of applying individual ._. (Spouse o I: ••ividual listed above) State of iliebraz Vsi County of The foregoing instrument was acknowledged before me this i 1 [0101 1date bY ' EI-ema V Kilo i clq rovoi name of person acknowledged Affix Seal cEezi NotaiyPublic signature . 1 GENERAL NOTARY-State ofNebtralta .. , I, ELENA U ICAHAIDAROVA _ ,_ ,- MY m.Gom MO.Yetaant 10.2014 • —• - • t-- II/ In compliance with the ADA;this spousal affidavit of n ' Ill ..:‘i 4 .L.i -formes for Persons with disabilities. A ten day advance period Is requested in writing to produce the alternate format. DEC 23 2011 FORM 35-4 1.713 Revised 1/2008 NEBRASKA LIQUOR . CONTROL COhAMISSPON CONTROL COMMISSION Page 3 of 5 < <w • Marta•ei'>S.'.ttfoimation must be.completed:below. :P LEASE P Iid'T CLEAlt. . ,. . Gender: E/MALE ❑ FEMALE • Last Name: 40 First Name: rd iJ 4,1 MI:___. Home Address(include PO Box if applicable): 5//7 '1 �r/' .1 7 City: /f�/lode County: 53/17 Zip Code: 4r/.02-S Home Phone Number: g03 3f--7r..2-'D Business Phone Number:,. ._ '1<0.Z— /77 / Social Security Number:o .d „ _ Drivers License Number& State _�Se— Date Of Birth: Place Of Birth: , c�'d 4Lt S?) <. .n i F � r } l a ,3� 33Y1 f K ,,, t � '^ :gr,' `' , done,' . 4 O it r AWg ' - �tp- %* V+ L gc ':. . [3'''F '"A" a:t' - : n1i�r-' ,�� i - 1-z,-5a i1-.:. Yt.., F3 0,11 ES . ❑NO tIpa - Spouses Last Name: Go h C First Name: ( 4N4/,-. MI: Social Security Number: fivers License Number&State: r .5.C„ /' 1L Date Of Birth: Place Of Birth: NaTT e 1/4 7r .way y 1 a a ! , ,. r{f• � r, r .. ;.� 'a. :•.rL�...n u' � � +' r IJi�`�"1rYF. 'rg _ ��r7 s r-VrF l}�� Y t'C•f rrb 1�dt +A 7n,`r r� ' ,.��.• ft�'`-A, is� i407 4,�` _?`ak N. �1i '' ; Jtr4 � r pp' l i.`i '. ',i. I4 a .t �c�j Y Y f 7:Q( .4..,�.y�•+,. 74 -1..4.` es'-"12re44.' Y� . :.:`,�'i', a 3.._�s{-£.�,7•.. t !4- P >`:ce" ,,,74, ,.w,,t�s :4 v `,, ::ii-?ir, .w;,..N r a ..`_ • Z., ,h,:a. • r CITY& STATE YEAR YEAR CITY&STATE YEAR YEAR FROM TO FROM TO j .ol 00( 171q 5C_ ado? �rc5ea` / RECEIVE) �cc,,,,i41d.a.,o /a 03 "-O@7 ifiti 9 2011 199NOV/ A005 N 2 Q�r�,�� r7---( NEBRASKA LIQUOR l _CONTROL C:(.,FM/Ea RECEIVED _ 103 . Rev 1/2011 DEC 2 9 2011 Page 3 of 5 DEC 14 2011 NEBRASKA LIQUOR NEBRASKA LIQUOR CONTROL. COMMISSION CONTROL COMMISSION 103 .011 11111111111111111111 of 5 1100020966 ,4:S11":.3)"P!...").', , ' .' '''. ..:r •I„.4? .!iteherVAAI, 1.:q,N A .4 ] g t, . atillieogirilbeelrilog'iRigiN:vgiaqvu0;:=;t-..;== 1:',C / —4111411r ofl 5 re itt Co,A ,-i...4.,...___ , - Signature o' ,'• vidual involved with application Printed name of applying individual ._. (Spouse o I: ••ividual listed above) State of iliebraz Vsi County of The foregoing instrument was acknowledged before me this i 1 [0101 1date bY ' EI-ema V Kilo i clq rovoi name of person acknowledged Affix Seal cEezi NotaiyPublic signature . 1 GENERAL NOTARY-State ofNebtralta .. , I, ELENA U ICAHAIDAROVA _ ,_ ,- MY m.Gom MO.Yetaant 10.2014 • —• - • t-- II/ In compliance with the ADA;this spousal affidavit of n ' Ill ..:‘i 4 .L.i -formes for Persons with disabilities. A ten day advance period Is requested in writing to produce the alternate format. DEC 23 2011 FORM 35-4 1.713 Revised 1/2008 NEBRASKA LIQUOR . CONTROL COhAMISSPON CONTROL COMMISSION Page 3 of 5 . • YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE FROM . - TO / / NUMBER ,/ l%3, .O t/ 5 o(e 1�-r Gee. ��7 g�3 SST c( a-s _ot sE wilsT RIB W: ANs i T o Please-pritt lea 9_ :. U . - 1. 'READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY. Has anyone who is&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 an barges pending at the time of this application. If more than one party,please list charges by each individual's e. ❑ YES NO If yes,please explain below or attach a separate page. Name of Applicant Date of Where Description of Charge Disposition Conviction Convicted (mrn/yyyy) _ (city&state) RE EIIVED NCV292011 LIQU iR CONTRo j COMMIMISSION 2. Have you or your spouse ever beep approved or made application for a liquor license in Nebraska or any other state?. ES ONO e IF ,list then w e t a yperrpse or 3. Do you, as a manager,qualify under Nebraska Liquor Control A (§53-131.01)and do you intend to supervise, in person,the management of the business? ES ONO 4. Have u enclosed the required fingerprint cards and PROPER FEES with this application? (C or money order made payable to the Nebraska State Patrol for$38.00 per person) ES ONO RECEIVED RECEIVED DEC 2 3 2011 Form 103 DEC 14 2011 Rev 1/2011 NEBRASKA LIQUOR NEBRASKA LIQUOR CONTROL COMMISSION CONTROL COMMISSION "-O@7 ifiti 9 2011 199NOV/ A005 N 2 Q�r�,�� r7---( NEBRASKA LIQUOR l _CONTROL C:(.,FM/Ea RECEIVED _ 103 . Rev 1/2011 DEC 2 9 2011 Page 3 of 5 DEC 14 2011 NEBRASKA LIQUOR NEBRASKA LIQUOR CONTROL. COMMISSION CONTROL COMMISSION 103 .011 11111111111111111111 of 5 1100020966 ,4:S11":.3)"P!...").', , ' .' '''. ..:r •I„.4? .!iteherVAAI, 1.:q,N A .4 ] g t, . atillieogirilbeelrilog'iRigiN:vgiaqvu0;:=;t-..;== 1:',C / —4111411r ofl 5 re itt Co,A ,-i...4.,...___ , - Signature o' ,'• vidual involved with application Printed name of applying individual ._. (Spouse o I: ••ividual listed above) State of iliebraz Vsi County of The foregoing instrument was acknowledged before me this i 1 [0101 1date bY ' EI-ema V Kilo i clq rovoi name of person acknowledged Affix Seal cEezi NotaiyPublic signature . 1 GENERAL NOTARY-State ofNebtralta .. , I, ELENA U ICAHAIDAROVA _ ,_ ,- MY m.Gom MO.Yetaant 10.2014 • —• - • t-- II/ In compliance with the ADA;this spousal affidavit of n ' Ill ..:‘i 4 .L.i -formes for Persons with disabilities. A ten day advance period Is requested in writing to produce the alternate format. DEC 23 2011 FORM 35-4 1.713 Revised 1/2008 NEBRASKA LIQUOR . CONTROL COhAMISSPON CONTROL COMMISSION Page 3 of 5 bJ,- t�v.td WW,A' ,` ` *�' '+ { z ° t Lfr#.A i(" it J 5 1 r Vol7 Pkof r , . ez4 0 gk ie t:'r r�rtN".!5�.:,2 ;.`1$'rlea� ;'�i{L� 'Sr�7 '1'� '�t �,a� 'n��t?v'a, t r. S j3 ?4, . � tSJ�, �i�Ilfis.�.,1 Ih?".e'1" G .'f..r._�G5�4k ,.4 f.. 4ws.11;.vfi i.0,... .ix.r 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. '44 s Signature of a r Applicant Signature of Spouse ACKNOWLEDGEMENT State of Nebrkska County of D Q The foregoing instrument was acknowledged before me this /1/00c/ai i-. ( 6/ 20// by g:.wR�.0 �• /1 Gt_A te name of person acknowledged 7/C-Alf Affix Seal Notary Public si :lure 094iAL NOTARY-Male ofNebm ROBERTA. IDT 'l " 20,2012 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. RECEIVED RECEIVED RECEIVED Forth 103 DEC 23 2011 Rev 1/2011 DEC 14 2011 NOV 2 9 2011 Page 5 of 5 NEBRASKA LIQUOR NEBRASKA LIQUOR NEBRASKA LIQUORCONTROL COMMISSION CONTROL COMMISSION CONTROL COMMISSION eherVAAI, 1.:q,N A .4 ] g t, . atillieogirilbeelrilog'iRigiN:vgiaqvu0;:=;t-..;== 1:',C / —4111411r ofl 5 re itt Co,A ,-i...4.,...___ , - Signature o' ,'• vidual involved with application Printed name of applying individual ._. (Spouse o I: ••ividual listed above) State of iliebraz Vsi County of The foregoing instrument was acknowledged before me this i 1 [0101 1date bY ' EI-ema V Kilo i clq rovoi name of person acknowledged Affix Seal cEezi NotaiyPublic signature . 1 GENERAL NOTARY-State ofNebtralta .. , I, ELENA U ICAHAIDAROVA _ ,_ ,- MY m.Gom MO.Yetaant 10.2014 • —• - • t-- II/ In compliance with the ADA;this spousal affidavit of n ' Ill ..:‘i 4 .L.i -formes for Persons with disabilities. A ten day advance period Is requested in writing to produce the alternate format. DEC 23 2011 FORM 35-4 1.713 Revised 1/2008 NEBRASKA LIQUOR . CONTROL COhAMISSPON CONTROL COMMISSION Page 3 of 5 SPOUSAL AFFIDAVIT OF RECEIVE k ,..me RECEIVED NON PARTICIPATION INN= .NEBRASKA LIQUOR COMM.COPAMISSION DEC 14 2011 CZ14112011A1.MALL SOUTH NOV 2 9 2011 01 BOX 95016 NEBRASKA LIQ OR 1iu0ou4,lmasnm E I RAS KA LIQUOR rxo 47l-ten CONTROL COMMI SIO PAX(402)471 2814 ONTROL COMMISSION Wake: :r ge that lam die i ,6use*fa IlMMtli.piase holder..*aig eibelo>aq oohs that I will have.noi bane any. :intonostR.dho*op.mdirectly*the operation or pa is of tie b (0142S(1 ))oft*',icier ciati.it Act. i will net. VIA tinionake salca servep a s Or w as r or in-any'. •' Way.parthap ih tiae:aa1g10 daf-offdo of is.aay may-AiAdeistand OY'EXIMPOtit rill not be . raq,med;•howeve l amm obligated tot9.8iftiallt lose + ia4 oft a aeaded to pis this . appllan. 11 'vAr S-864.14-- %AIM 5 - Lu\D .. Signature of spouse asking for waiver Printed name of spouse asking for waiver (Spouse of individual listed below) State of )Z) C' County of_ U5`\1'"iciV\ The foregoing instrument was acknowledged before me this f cQ (( by ill arf& S. L &-i0 i Leek, L,h( a `' Notary Public signature'. le-4114907'a(5t0 • R 1 aajmaidedge that lam the spousoofilie above listedinilivkinal.landerroand that my apprise and nue ramble for .compliance withthe co ions set out above. Hit is drreoni d•thatthe abovc,.indlvic l has violated(*S3-125(13))the 'won may cencei er•>evole site lkfuot. .• ' .. •• •. . . .• - :. •a_Z/77- •e--07 • eZtie- -;-'41, Zii _IZ___ Signature of wills s f o . -, name of applying inilividord (Spouse of individual listed above) State of , .--- County of..-Deu vox The-fob instrument was acknowledged before me this 146s ..�%0 -v- 10 20 E l by 544,9c 3' c . cname of pesionim �� at t1w B�AtiIOTARY-1�aI • Aiataly ' < 1{p Ili'L t3 in compliancewimnmeADA,mr:spousal alrelawitoffionpatidpathth ilISINdfable Mother Somme far mama Itl,}Fig rk Atm maenad to plane the alternate tbs� � �G•C Lp FORM 3514176 DEC 2 8 2011 1' NEBRASKA LIQUOR CONTROL COMMISSION Forth 103 DEC 23 2011 Rev 1/2011 DEC 14 2011 NOV 2 9 2011 Page 5 of 5 NEBRASKA LIQUOR NEBRASKA LIQUOR NEBRASKA LIQUORCONTROL COMMISSION CONTROL COMMISSION CONTROL COMMISSION eherVAAI, 1.:q,N A .4 ] g t, . atillieogirilbeelrilog'iRigiN:vgiaqvu0;:=;t-..;== 1:',C / —4111411r ofl 5 re itt Co,A ,-i...4.,...___ , - Signature o' ,'• vidual involved with application Printed name of applying individual ._. (Spouse o I: ••ividual listed above) State of iliebraz Vsi County of The foregoing instrument was acknowledged before me this i 1 [0101 1date bY ' EI-ema V Kilo i clq rovoi name of person acknowledged Affix Seal cEezi NotaiyPublic signature . 1 GENERAL NOTARY-State ofNebtralta .. , I, ELENA U ICAHAIDAROVA _ ,_ ,- MY m.Gom MO.Yetaant 10.2014 • —• - • t-- II/ In compliance with the ADA;this spousal affidavit of n ' Ill ..:‘i 4 .L.i -formes for Persons with disabilities. A ten day advance period Is requested in writing to produce the alternate format. DEC 23 2011 FORM 35-4 1.713 Revised 1/2008 NEBRASKA LIQUOR . CONTROL COhAMISSPON CONTROL COMMISSION Page 3 of 5 INSTRUMENT OF DELEGATION The undersigned,holding the office of Senior Vice President and General Counsel of SODEXO INC,appoints and delegates to the employee of the Company named below,holding the position described below,the authority to execute the documents specifically described below in connection to the below described transaction(s). This delegation is made pursuant to the authority contained in certain resolutions adopted by the Board of Directors of Sodexo,Inc., which resolutions remain in full force and effect. Transaction: Transactions related to liquor licensing and day-to-day on-site management. • Documents: 'Documents related to liquor licensing and on-site management. Term: This delegation shall commence on the Effective Date of Delegation indication below and shall automatically terminate at the election of the Company. Employee: Edward J. Lube General Manager Creighton University Cindy Adair, Catering Manager(catering authorizations only) Effective Date of Delegation: November 28, 2011 SODEXO, INC. By: 4'1'1-'4 Robert A. Stern Senior Vice President and General Counsel Attest: gi/(71--- Scott Robins, Vice President, Associate General Counsel RECEIVED ��®��99eE and Corporate Secretary Signature Date: November 28, 2011 NOV 2 9 2011 NEBRASKA LIQUOR RECEIVED RECEIVED CONTROL COMMISSION DEC 2 3 2011 DEC 14 2011 NEBRASKA LIQUOR NEBRASKA LIQUOR CONTROL COMMISSION CONTROL COMMISSION lkfuot. .• ' .. •• •. . . .• - :. •a_Z/77- •e--07 • eZtie- -;-'41, Zii _IZ___ Signature of wills s f o . -, name of applying inilividord (Spouse of individual listed above) State of , .--- County of..-Deu vox The-fob instrument was acknowledged before me this 146s ..�%0 -v- 10 20 E l by 544,9c 3' c . cname of pesionim �� at t1w B�AtiIOTARY-1�aI • Aiataly ' < 1{p Ili'L t3 in compliancewimnmeADA,mr:spousal alrelawitoffionpatidpathth ilISINdfable Mother Somme far mama Itl,}Fig rk Atm maenad to plane the alternate tbs� � �G•C Lp FORM 3514176 DEC 2 8 2011 1' NEBRASKA LIQUOR CONTROL COMMISSION Forth 103 DEC 23 2011 Rev 1/2011 DEC 14 2011 NOV 2 9 2011 Page 5 of 5 NEBRASKA LIQUOR NEBRASKA LIQUOR NEBRASKA LIQUORCONTROL COMMISSION CONTROL COMMISSION CONTROL COMMISSION eherVAAI, 1.:q,N A .4 ] g t, . atillieogirilbeelrilog'iRigiN:vgiaqvu0;:=;t-..;== 1:',C / —4111411r ofl 5 re itt Co,A ,-i...4.,...___ , - Signature o' ,'• vidual involved with application Printed name of applying individual ._. (Spouse o I: ••ividual listed above) State of iliebraz Vsi County of The foregoing instrument was acknowledged before me this i 1 [0101 1date bY ' EI-ema V Kilo i clq rovoi name of person acknowledged Affix Seal cEezi NotaiyPublic signature . 1 GENERAL NOTARY-State ofNebtralta .. , I, ELENA U ICAHAIDAROVA _ ,_ ,- MY m.Gom MO.Yetaant 10.2014 • —• - • t-- II/ In compliance with the ADA;this spousal affidavit of n ' Ill ..:‘i 4 .L.i -formes for Persons with disabilities. A ten day advance period Is requested in writing to produce the alternate format. DEC 23 2011 FORM 35-4 1.713 Revised 1/2008 NEBRASKA LIQUOR . CONTROL COhAMISSPON CONTROL COMMISSION Page 3 of 5 - -- � �n F Cityof Omaha Webraskg 01 • zeiral.,4/V1819 Farnam—Suite LC 1 viajTho 144. n Omaha, Nebraska 68183-0112 911,o, Buster Brown (402) 444-5550 City Clerk FAX (402) 444-5263 o�4rED FEBW*�4 January 10, 2012 Sodexo America, LLC Application to appoint Edward J. Lube Dba"Alumni Sports Cafe" manager of your present Class "I" and 302 North 20th Street Catering Liquor License location Omaha, NE 68178 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 January 24, 2012 . 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, ziozs Buster Brown City Clerk BJB:clj ECEIVED RECEIVED CONTROL COMMISSION DEC 2 3 2011 DEC 14 2011 NEBRASKA LIQUOR NEBRASKA LIQUOR CONTROL COMMISSION CONTROL COMMISSION lkfuot. .• ' .. •• •. . . .• - :. •a_Z/77- •e--07 • eZtie- -;-'41, Zii _IZ___ Signature of wills s f o . -, name of applying inilividord (Spouse of individual listed above) State of , .--- County of..-Deu vox The-fob instrument was acknowledged before me this 146s ..�%0 -v- 10 20 E l by 544,9c 3' c . cname of pesionim �� at t1w B�AtiIOTARY-1�aI • Aiataly ' < 1{p Ili'L t3 in compliancewimnmeADA,mr:spousal alrelawitoffionpatidpathth ilISINdfable Mother Somme far mama Itl,}Fig rk Atm maenad to plane the alternate tbs� � �G•C Lp FORM 3514176 DEC 2 8 2011 1' NEBRASKA LIQUOR CONTROL COMMISSION Forth 103 DEC 23 2011 Rev 1/2011 DEC 14 2011 NOV 2 9 2011 Page 5 of 5 NEBRASKA LIQUOR NEBRASKA LIQUOR NEBRASKA LIQUORCONTROL COMMISSION CONTROL COMMISSION CONTROL COMMISSION eherVAAI, 1.:q,N A .4 ] g t, . atillieogirilbeelrilog'iRigiN:vgiaqvu0;:=;t-..;== 1:',C / —4111411r ofl 5 re itt Co,A ,-i...4.,...___ , - Signature o' ,'• vidual involved with application Printed name of applying individual ._. (Spouse o I: ••ividual listed above) State of iliebraz Vsi County of The foregoing instrument was acknowledged before me this i 1 [0101 1date bY ' EI-ema V Kilo i clq rovoi name of person acknowledged Affix Seal cEezi NotaiyPublic signature . 1 GENERAL NOTARY-State ofNebtralta .. , I, ELENA U ICAHAIDAROVA _ ,_ ,- MY m.Gom MO.Yetaant 10.2014 • —• - • t-- II/ In compliance with the ADA;this spousal affidavit of n ' Ill ..:‘i 4 .L.i -formes for Persons with disabilities. A ten day advance period Is requested in writing to produce the alternate format. DEC 23 2011 FORM 35-4 1.713 Revised 1/2008 NEBRASKA LIQUOR . CONTROL COhAMISSPON CONTROL COMMISSION Page 3 of 5 — City of Omaha fl'lebraskg owed--ikrozio 1819 Farnam—Suite LC 1 n® �� d Omaha, Nebraska 68183-0112 0 Wr ` �° Buster Brown (402) 444-5550 ti• City Clerk FAX (402) 444-5263 0 'TED FE160 's�� January 10, 2012 Edward J. Lube Applications to be appoint manager of the Class "I" 3117 Comstock Avenue, Apt#7 and Catering Liquor License locations for Sodexo Belleuvue, NE 68123 Management, Inc., and Sodexo America, LLC (See Attached) 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 January 24, 2012 . 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, 4e5:LO/A10.24. Buster Brown City Clerk BJB:clj COMMISSION DEC 2 3 2011 DEC 14 2011 NEBRASKA LIQUOR NEBRASKA LIQUOR CONTROL COMMISSION CONTROL COMMISSION lkfuot. .• ' .. •• •. . . .• - :. •a_Z/77- •e--07 • eZtie- -;-'41, Zii _IZ___ Signature of wills s f o . -, name of applying inilividord (Spouse of individual listed above) State of , .--- County of..-Deu vox The-fob instrument was acknowledged before me this 146s ..�%0 -v- 10 20 E l by 544,9c 3' c . cname of pesionim �� at t1w B�AtiIOTARY-1�aI • Aiataly ' < 1{p Ili'L t3 in compliancewimnmeADA,mr:spousal alrelawitoffionpatidpathth ilISINdfable Mother Somme far mama Itl,}Fig rk Atm maenad to plane the alternate tbs� � �G•C Lp FORM 3514176 DEC 2 8 2011 1' NEBRASKA LIQUOR CONTROL COMMISSION Forth 103 DEC 23 2011 Rev 1/2011 DEC 14 2011 NOV 2 9 2011 Page 5 of 5 NEBRASKA LIQUOR NEBRASKA LIQUOR NEBRASKA LIQUORCONTROL COMMISSION CONTROL COMMISSION CONTROL COMMISSION eherVAAI, 1.:q,N A .4 ] g t, . atillieogirilbeelrilog'iRigiN:vgiaqvu0;:=;t-..;== 1:',C / —4111411r ofl 5 re itt Co,A ,-i...4.,...___ , - Signature o' ,'• vidual involved with application Printed name of applying individual ._. (Spouse o I: ••ividual listed above) State of iliebraz Vsi County of The foregoing instrument was acknowledged before me this i 1 [0101 1date bY ' EI-ema V Kilo i clq rovoi name of person acknowledged Affix Seal cEezi NotaiyPublic signature . 1 GENERAL NOTARY-State ofNebtralta .. , I, ELENA U ICAHAIDAROVA _ ,_ ,- MY m.Gom MO.Yetaant 10.2014 • —• - • t-- II/ In compliance with the ADA;this spousal affidavit of n ' Ill ..:‘i 4 .L.i -formes for Persons with disabilities. A ten day advance period Is requested in writing to produce the alternate format. DEC 23 2011 FORM 35-4 1.713 Revised 1/2008 NEBRASKA LIQUOR . CONTROL COhAMISSPON CONTROL COMMISSION Page 3 of 5 9 • h 1 ca. F4 _, , ' 4; ' o 'CiN CSp rri o. n0o oC7 . S N ru 1 N n't:$ oP �.. ^ rn n nrn n ' .. CD = CD 0 CD u ' n co \ O c7 � , ccnn k,,, n C-