RES 2010-1256 - Appoint Chiufong Yeh manager of House of Hunan ,(STATE OF NEBRASKAR FL: I ,J J
Dave Heineman NEBRASKA LIQUOR CONTROL COMMISSION
Governor Hobert B. Rupe Executive Director
10 SEP 24 FT 8: 55 301 Centennial Mall South, 5th Floor
P.O. Box 95046
Lincoln, Nebraska 68509-5046
CITY CLERK Phone (402)471-2571
OMAHA, NFRRAcfc}t Fax (402) 471-2814
TRS USER 800 833-7252 (TTY)
September 22, 2010
OMAHA CITY CLERK
1819 FARNAM STREET
OMAHA NE 68183
RE: MANAGER APPLICATION
License: #C-10996
Dear Clerk:
Enclosed is a copy of a manager application for Chiufong Yeh in connection with House of
Hunan, 2405 South 132 Street.
Please present this application for manager to your City Council and send us the results of their
action.
Sincerely,
NEBRASKA LIQ OR C NTROL COMMISSION
Randy Seybert
Licensing Division
rs
encl.
cc: file
Janic Wiebusch Bob Logsdon Bob Batt
Commissioner Chairman Commissioner
An Equal Opportunity/Affirmative Action Employer
t at this Council Meeting is grounds to recommend denial of your application to the
Nebraska Liquor Control Commission.
Sincerely yours,
air410
,ter r
Ate,:
Buster Brown
City Clerk
BJB:clj
er Brown
City Clerk
BJB:clj
SEP 2 8 2010
State of Nebraska
NEBRASKA LIQUOR
County of Doe...,G 10 County of CONTROL COMMIISSION
The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before
me this � �� ,n 6 p,, by me this by
iiti
Notary ub lc signature • Notary Public signature
Affix Seal Here Affix Seal Here
6'C ALp011VIT•SBsof Kebob
JANET L
KUM
In compliance with the ADA,this manager inset form 3c is available in other formats for persons with disabilities.
A ten day advance period is required in writing to produce the alternate format.
Revised 9/2008
Form 3c Page 4
.
(Authorized Signature) (Date)
coholic liquors,and which is contained by a fence or wall preventing the uncontrolled entrance or exit of
persons from the premises,and preventing the passing of alcoholic liquorsto persons outside the premises. (examples may
include, but are not restricted to sand volleyball,horseshoe pits...) • -
Cilf (1c -r7 • N','''.'"N fr_VATAit: ,
•
1000019127
parcel of land? 17 Was transfer through a real estate agent? (If yes,name of agent)
❑ YES ED NO D YES ❑ NO Tim Muldoon-CB Richard Ellis MEGA
18 Address of Property 19 Name and Address of Person to Whom Tax Statement Should be Sent
6607 Sunshine Drive,Omaha,NE 68107 Fraternal Order of Eagles 4154,
20 Legal Description
Lots 100,101,102,103,104 and 105,Sunshine Farms,an Addition to the City of Omaha,Douglas County,Nebraska.
21 If agricultural,list total number of aces
1
22 Total purchase price,Including any liabilities assumed 22 $330,000.00 1
23 Was nonreal property Included In purchase? ElYES ElNO(If Yes,enter amount and attach itemized list) 23 $ 1
24 Adlusted purchase price paid for real estate(line 22 minus line 23) 2?{: $330,000.00 i
Under penalties of law,I declare that I have examined this statement and that It Is,to the best of my knowledge and belief,true,complete and
correct,and that I am duly authorized to sign this statemejnt. /lam - �
25 10. eaw�-6estex°ffet et AO�C c l � t�e -- L`°Z.-19j1- i--
Print or Type Name of Grantee or Authorized Representative ,( ,
I ,J• J . ( `,U Telephone Numbe-
Sign
G��f y��
Signature of Grantee or • Representative Purchaser ut (rt 1 t _ 3 "�t�r /C7
here Date
I REGISTER OF DEEDS'USE ONLY FOR NOR USE ONLY
26 Date Deed Recorded 27 value of Stamp or Exempt Number 28 Deed Book ' 29 Deed Page 30
Mo. Day Yr. $
Nebraska Department of Revenue '
Form No.96-269-2008 Supersedes 2.14647 Rev.1240 authorized by Neb.Rev.Stat.§76 214,77-1327,R.RS.1943
Reproduced by PATCO
GRANTEE—Please make a copy of this document for your records.
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MANAGER APPLICATION• office
INSERT-FORM 3c •
30 LIQUOR CONTROL COMMISSION
1 MALL Sot ' RECEIVE®
PO BOX 95046 '
LtNCOLN,NB 68509-5046 .
FAX:PRONE:c 402)i zeds" AUG 16 2010
Websftel www.loo.no.soov
l 1EBRASKA LIQUOR
Corporate manager,including spouse,are required to adhere to the following requirements 0%ThOL COMMUNION
If spouse filed affidavit of non-particlpatian fingerprints and proof of dtlzenship not required
1) Must be a can of the United States
2) Must be a Nebraska resident(Chapter 2—006)
3) Must provide a copy of birth certificate,naturalizathm paper or US passport
4) Must submit fingerprints(2 cards per person) •
5) Must be 21.years of age or older
•
6) Applicant may be required to take a training course
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Name of Corporation/LLC• JHouseofHunanof0maha1nc.
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Premise License Number: 10996
(if new application leave blank)
Premise Trade Name/DBA:!House of Hunan
premise street Address: 405 South 132 Street
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Premise Phone Number: ,�27334-532
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Gender: L MALE !,4 :4 • •
Last Name: I le 4-! I First Name: I CHI V-1+°"9.. i NG: I . I
Home Address(include PO Box if applicable): 470 IV 4 0 411 5-rye:
city:J. l>rn.ai h# . . . I State:1 HP 1 zip code:I_ ;1
Home Phone Number: 402. 59 0'•• 6 z i t, j Business phone Number: - -
Social Security Number: 1 _ _ A Driven License Number&State: r
Date Of Birth: , ..II......I.L Place Of Birth:J ?A:I P4i 7 /LJ4 1ti-- I
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Social Security Number:l---=--- - --.- - 7 Drivers License Number&State:L(.
Date Of Birth:1 .Y —r 1 Place Of Birth:,, SZ /4424C L_
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CITY&STATE YEAR CITY&STATE YEAR
- FROM TO FROM TO
1 00/X of , ZA FZIE EM MeriMiMqiiMMOIMBI2av 2! zor 1
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Form 3c Page 2
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DBA:!House of Hunan
premise street Address: 405 South 132 Street
premise
street
LiYW WO: -- - ,1 v�
C , Omaha Zip Code: 168144
k
40
Premise Phone Number: ,�27334-532
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1. READ PARAGRAPH CAREFULLY AND ANSWER COMPLETELY AND ACCURATELY.
Has ado ee who is a 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 any charges pending at the time of
this.application. If more than one party,please list charges by each individual's name.
EYES 0 If yes,please explain below or attach a separate page.
I _ LligAtiOLEW t�
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2. Have you or your spouse ever been approved or made application for a liquor license in Nebraska or any other
state? IF YES,list the name of the premise. L.
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3. Do you,as a manager,have all the qualifications required to hold a Nebraska Liquor License? Nebraska
Liquor Control Act(§53-131.01)
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4. Have you filed the required fingerprint cards and PROPER FEES with this application?(The check or money
order must be made out to the Nebraska State Patrol for$38.00 per person)
OfIcgS ®NO
5. Do you have any experience in selling alcohol in the State of Nebraska? Yes.
If so list training and/or experience(when and where)
Date: Where: I
Form 3c Page 3
SUPERVISOR TELEPHONE NUMBER
FROM TO
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Form 3c Page 2
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DBA:!House of Hunan
premise street Address: 405 South 132 Street
premise
street
LiYW WO: -- - ,1 v�
C , Omaha Zip Code: 168144
k
40
Premise Phone Number: ,�27334-532
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,_. _ __ _ 1000018081
PERSONAL OATH AND CONSENT OF, NVESTIGAT ON
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.
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.
\ 1 \it
• cJA\ OT1
Signature of anager Appli nt cthreofSpouse
State of Nebraska
County of Do as1a) County of Dehaip)
The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before
me this 13b, d. oi. lrtd"174,0 by me this IJ t.• 014) c) 4ta4 )zole by
r �. $cEfin 0, Cim..
Notary u i n e N, ! ' 'lie signature
Affix Seal Here Affix Seal Here
GENERAL NOTARY•Sate of Nebraska NOTARY-State of Nebraska
JEFFREY A.SILVER JEFFREY A.SILVER
Comm Oct 16 2012 �, �, MY Comm.Gip.Oct 16,2012
My 4.
In compliance with the ADA,this manager insert form 3c is available in other formats for persons with disabilities.
A ten day advance period is required in writing to produce the alternate format.
Revised 9/2008
Form 3c Page 4
Page 3
SUPERVISOR TELEPHONE NUMBER
FROM TO
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Form 3c Page 2
i
I
DBA:!House of Hunan
premise street Address: 405 South 132 Street
premise
street
LiYW WO: -- - ,1 v�
C , Omaha Zip Code: 168144
k
40
Premise Phone Number: ,�27334-532
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CORPORATE OFFICER SIdNATURE
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,_. _ __ _ 1000018081
c MAHA, NF
�CityofOmaha, Webraskg `� 1 ' -4i
1819 Farnam Suite LC 1 �® rDrifirka
:�� __ ,n
Omaha, Nebraska 68183-0112 0� .� j
Buster Brown (402) 444-5550 .o ti'
City Clerk FAX (402) 444-5263 O4) FEI 9-
October 13, 2010
House of Hunan of Omaha, Inc Application to appoint Chiufong Yeh
Dba "House of Hunan manager of your present Class "C"
2405.South 132"d Street Liquor License location
Omaha,NE 68144
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 October 26,
2010 . 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,
,e:‘ ,=.0 -...,
Buster Brown
City Clerk
BJB:clj
of Do as1a) County of Dehaip)
The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before
me this 13b, d. oi. lrtd"174,0 by me this IJ t.• 014) c) 4ta4 )zole by
r �. $cEfin 0, Cim..
Notary u i n e N, ! ' 'lie signature
Affix Seal Here Affix Seal Here
GENERAL NOTARY•Sate of Nebraska NOTARY-State of Nebraska
JEFFREY A.SILVER JEFFREY A.SILVER
Comm Oct 16 2012 �, �, MY Comm.Gip.Oct 16,2012
My 4.
In compliance with the ADA,this manager insert form 3c is available in other formats for persons with disabilities.
A ten day advance period is required in writing to produce the alternate format.
Revised 9/2008
Form 3c Page 4
Page 3
SUPERVISOR TELEPHONE NUMBER
FROM TO
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Form 3c Page 2
i
I
DBA:!House of Hunan
premise street Address: 405 South 132 Street
premise
street
LiYW WO: -- - ,1 v�
C , Omaha Zip Code: 168144
k
40
Premise Phone Number: ,�27334-532
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CORPORATE OFFICER SIdNATURE
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,_. _ __ _ 1000018081
it o Omaha Webras a (1,-,Ap.„A, ,,-„...
1'' ' 'e °��y r011:4”. . .
1819 Farnam —Suite LC 1 2 � �f
Omaha, Nebraska 68183-0112 o aa,� . ;.__
Buster Brown (402) 444-5550 ieA ~ 1,"City Clerk FAX (402) 444-5263 oR.�TFo FEewI,*
October 13, 2010
Chiufong Yeh Application to be appointed manager of the present
4701 North 148t" Street Class "C"Liquor License for House of Hunan of
Omaha, NE 68116 Omaha, Inc., dba "House of Hunan", 2405 South
132' Street
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 October 26,
2010 . 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,
5r
'auk'"'`,,.,...:
Buster Brown
City Clerk
BJB:clj
efore The foregoing instrument was acknowledged before
me this 13b, d. oi. lrtd"174,0 by me this IJ t.• 014) c) 4ta4 )zole by
r �. $cEfin 0, Cim..
Notary u i n e N, ! ' 'lie signature
Affix Seal Here Affix Seal Here
GENERAL NOTARY•Sate of Nebraska NOTARY-State of Nebraska
JEFFREY A.SILVER JEFFREY A.SILVER
Comm Oct 16 2012 �, �, MY Comm.Gip.Oct 16,2012
My 4.
In compliance with the ADA,this manager insert form 3c is available in other formats for persons with disabilities.
A ten day advance period is required in writing to produce the alternate format.
Revised 9/2008
Form 3c Page 4
Page 3
SUPERVISOR TELEPHONE NUMBER
FROM TO
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Form 3c Page 2
i
I
DBA:!House of Hunan
premise street Address: 405 South 132 Street
premise
street
LiYW WO: -- - ,1 v�
C , Omaha Zip Code: 168144
k
40
Premise Phone Number: ,�27334-532
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,_. _ __ _ 1000018081
pMAH�° ,vF
City
ofOmaha, Nebras a ♦ 7
1819 Farnam —Suite LC 1 �'
Omaha, Nebraska 68183-0112 0
Buster Brown (402) 444-5550
City Clerk FAX (402) 444-5263 oR�r�D FEBwt►��
October 13, 2010
Jeff Silver, Attorney Application to appoint Chiufong Yeh manger
7134 Pacific Street of the present Class "C" Liquor License
Omaha, NE 68106 location for Hunan of Omaha, Inc., dba "House
of Hunan", 2405 South 132nd Street
Dear Liquor License Applicant's.Attorney:
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 October 26,
2010. 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,
,07
Buster Brown
City Clerk •
BJB:clj
sion.
Sincerely yours,
5r
'auk'"'`,,.,...:
Buster Brown
City Clerk
BJB:clj
efore The foregoing instrument was acknowledged before
me this 13b, d. oi. lrtd"174,0 by me this IJ t.• 014) c) 4ta4 )zole by
r �. $cEfin 0, Cim..
Notary u i n e N, ! ' 'lie signature
Affix Seal Here Affix Seal Here
GENERAL NOTARY•Sate of Nebraska NOTARY-State of Nebraska
JEFFREY A.SILVER JEFFREY A.SILVER
Comm Oct 16 2012 �, �, MY Comm.Gip.Oct 16,2012
My 4.
In compliance with the ADA,this manager insert form 3c is available in other formats for persons with disabilities.
A ten day advance period is required in writing to produce the alternate format.
Revised 9/2008
Form 3c Page 4
Page 3
SUPERVISOR TELEPHONE NUMBER
FROM TO
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Form 3c Page 2
i
I
DBA:!House of Hunan
premise street Address: 405 South 132 Street
premise
street
LiYW WO: -- - ,1 v�
C , Omaha Zip Code: 168144
k
40
Premise Phone Number: ,�27334-532
•{,1„ •-•i. , .:`r .,S,Y, .a'Pr'.P'+ .4 ,.F.Y ~.�� ' ..F1 .�',.'� ��•.
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OVED *
OTHER ACTIVITIES
04-28-09 -TRANSFER FROM B S & S, INC * RES#395-GRANT*09-22-09 KENO APP RES
#1096 ADOPTED * 10-14-09-KENO OPENED* 10-26-10-REQ ADD OF A BEER GARDEN
APPROX22'X 16' TO THE SOUTH *
LICENSED PREMISES
•
1 STY L-SHAPED BLDG APPROX 55'X 59'
OFFICERS:
PRES/MGR-ARNOLD JONES, II, 3518 NORTH 48TH AVE, 68104 (C) 612-4882 *ATTY MIKE
KELLEY-397-1898
bra Saxton
Title Officer
DS/ds
cc: