RES 2008-1385 - Appoint Matthew Stamp manager of V Mertz •
aE'S TA TF p rry
4 �t STATE OF NEBRASKA
T7 41X rw t Dave Heineman NEBRASKA LIQUOR CONTROL COMMISSION
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GovernorHobert B. Rupe
M.c p
. .96 08 SEA 15 AM 9: 28 Executive Director
301 Centennial Mall South,5th Floor
P.O.Box 95046
t"`� ``l Lincoln,Nebraska 68509-5046
OMAHA,
NEBRASKA Phone(402)471-2571
September 12, 2008 Fax(402)471-2814
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: Manager Application
Dear Clerk: •
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Enclosed is a copy of a manager application for Matthew Stamp in connection with V Mertz Inc dba
V Mertz, located at 1022 Howard, Omaha NE.
Please present this application for manager to your Council and send us the results of their action.
Sincerely,
NEBRASKA LIQUOR CONTROL COMMISSION
Jerilyn C sh
Licensing Division
jc
encl.
cc: File
Rhonda R.Flower Bob Logsdon Robert Batt
Commissioner Chairman Commissoner
An Equal Opportunity/Affirmative Action Employer
Printed with soy ink on recycled paper
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MANAGER APPLICATION Office Use
• INSERT-FORM 3c '
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NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH R EIVED
PO BOX 95046
PHONE:(, 2)E 68509-50461-2571 • SEP 1 A 2U�
PHONE:{402)471-257! �+
FAX(402)471-2814 ���
Website:www,lcc.ne.gov ASge g Q JO11 pp
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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)
3) Must provide a copy of their certified birth certificate or INS papers
4) Must submit their 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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Premise License Number: 0 S CS 5
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Premise Trade Name/DBA: U. ifY1
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Premise Street Address: / Q 2 2 H b W
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CORPORATE OFFICER IGNATtJRE
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Gender: A MALE El FEMALE
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Home Address(include PO Box if applicable): 41 q .4 ? ? i rt C STi-ce..-r. _
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YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER.
FROM TO . . .
1996 /999 Ea4c.og (bikes itiebr6skA 64-rvoipce .4 fcc-i-4.47- 4) .
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Has anyone 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 Pile 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'onepartytplease list charges by each individnaps name,
SNG If yes,please explain below or attach a separate page.
uriher 1996-.(,L" bike. JvIy 1996J Mic eriiey+or '',Posse w/i' . i l ,J 64401 ` ` ' ..•
. Less 44)&n ! 02, I Pilo : ..1.1 I+,; pw d i,� ram;8 Inge nal-' .!eert ..
it ed wik °Ai cr'siMe st�ce,. 0.6... .'The cJia✓ oe,ct,ir c ,n .OM ;•N ...
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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.
OYES to .
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 checkor
, Money order must be made out to the Nebraska State Patrol for$38.00 per person) ,
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YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER.
FROM TO . . .
1996 /999 Ea4c.og (bikes itiebr6skA 64-rvoipce .4 fcc-i-4.47- 4) .
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RECEIVED '•
, ,...„4 P, ,,i , t UM ,. �*,, yi,i., s r§py' �p L; p o sp >y ii (�''■ •'� viii.v.}.;-;,;:l.,
,v�"t ` t v ,' '�'.x 4 ."itY �yPqy' "'Vf ' g 1[ 'Y� ��Vtl A'Q d� '1 t�{. e'+qF� vY {� ,._ ! n' w'::44: f: ,'F Mf .�.. ✓Jkn4::�L .,,i.ji.d,. ,'yyy.'lh. .,7'ik' . .4.� wL" f, ,. :), Jr .r.i=iv.stl•'+.. ,?,:5t:. y‘" 5•i ,.. a.
The above individual(s),being first duly sworn upon oath,deposes and states that.the undersigned ti \r., ,. �,S`,»a- c- `
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Of applicant who makes the above and;foregoing.application that said application has been read and thatthe con r ,a- ?�?tlf'ti; (C),.;‘
all.statements;contained therein are"true. If any.false statement is made in any part of this"°application,the;applicants)shall be
deemed guilty of perjury and subject to penalties provided by law..(Sec§53-13.1:01)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 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.
/!004.
,,; . . S.ignatu • of Manager Applicant .Signature of Spouse.
State of Nebraska
County o : (AS County of`•r. .
The
efO me this
going,# , ►# -. was ckppwledged before foregoing instrument was acknowledged before
M Al'' AY ,/:'/ .•., . :-.; S:Y4.,41,4./;$
RO-a ry nblic gi nature:•:• Notar Public s' ature :..
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Notary'
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Affix Seal Here r.: Mix Seal Hale.: ,
: FERAL NO1ARV-bite if:t
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In compliance With the AIM,this n lnsertform 30 is available in other formals for peraoffi with disabilities.
h:ten day advance period is required in 4tmttngto ptoducb_the alternate format,,..
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YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER.
FROM TO . . .
1996 /999 Ea4c.og (bikes itiebr6skA 64-rvoipce .4 fcc-i-4.47- 4) .
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OM�HA, i'F
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City ofOmaha, Webraskg `� �1 I' �°4fi
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1819 Farnam—Suite LC 1 i. ►t I.
Omaha, Nebraska 68183-0112 0•:� ;� ; *
Buster Brown (402) 444-5550 �A ti"
City Clerk FAX (402) 444-5263 04'1. 0 FEBRvt*I-
September 23, 2008
V Mertz, Inc. Application to appoint Matthew Stamp
Dba"V Mertz" manager of your present Class "C"
1022 Howard Street Liquor License
Omaha,NE 68102
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 7,
2008 . 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,;;,,b),
Buster Brown
City Clerk
BJB:clj
ation to the Nebraska Liquor'Control Commission. If •
Spouse has NO;interest directly or indirectly,a'spousal affidavit of non participation may 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.
/!004.
,,; . . S.ignatu • of Manager Applicant .Signature of Spouse.
State of Nebraska
County o : (AS County of`•r. .
The
efO me this
going,# , ►# -. was ckppwledged before foregoing instrument was acknowledged before
M Al'' AY ,/:'/ .•., . :-.; S:Y4.,41,4./;$
RO-a ry nblic gi nature:•:• Notar Public s' ature :..
I , ,,its, Z,.4.-f-i ' . „ , : ,
Notary'
.. .. . ilk .. .
rY signature
Affix Seal Here r.: Mix Seal Hale.: ,
: FERAL NO1ARV-bite if:t
-. •
ERa0.
In compliance With the AIM,this n lnsertform 30 is available in other formals for peraoffi with disabilities.
h:ten day advance period is required in 4tmttngto ptoducb_the alternate format,,..
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YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER.
FROM TO . . .
1996 /999 Ea4c.og (bikes itiebr6skA 64-rvoipce .4 fcc-i-4.47- 4) .
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CityofOmaha, Webras&a :� �1I'
DIP4ff %-el,a
1819 Farnam—Suite LC 1 2 A rA_ f: t
(lira r
:104r- co
Omaha, Nebraska 68183-0112 0
Buster Brown (402) 444-5550 # 1".City Clerk FAX (402) 444-5263 o'4TFD FEBRu ��
September 23, 2008
Matthew Stamp Application to be appointed manager of the present
4948 Pine Street Class "C" Liquor Licenses for V Mertz, Inc., dba
Omaha,NE 68106 "V Mertz", 1022 Howard 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 7,
2008 . 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,
":"zo
44.3 ",
Buster Brown
City Clerk
BJB:clj
City Clerk
BJB:clj
ation to the Nebraska Liquor'Control Commission. If •
Spouse has NO;interest directly or indirectly,a'spousal affidavit of non participation may 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.
/!004.
,,; . . S.ignatu • of Manager Applicant .Signature of Spouse.
State of Nebraska
County o : (AS County of`•r. .
The
efO me this
going,# , ►# -. was ckppwledged before foregoing instrument was acknowledged before
M Al'' AY ,/:'/ .•., . :-.; S:Y4.,41,4./;$
RO-a ry nblic gi nature:•:• Notar Public s' ature :..
I , ,,its, Z,.4.-f-i ' . „ , : ,
Notary'
.. .. . ilk .. .
rY signature
Affix Seal Here r.: Mix Seal Hale.: ,
: FERAL NO1ARV-bite if:t
-. •
ERa0.
In compliance With the AIM,this n lnsertform 30 is available in other formals for peraoffi with disabilities.
h:ten day advance period is required in 4tmttngto ptoducb_the alternate format,,..
:
f
i
suit „r„.,,.,,,,.., ,,,,,i 44,r•,,,,:,Z..-01,41',t1a,., ,V,, 4,":'",,I''',...,,,,.',e-1.0:g„1 4,,,ItiOFW? ''.;'.:
.,.,„, AVO 4 0:i,.,:l's*,4. t. '1.-ri...'':'. .-'...:.,V.i'l'i*:4:::nK',i;',:::Ail;Wig,::: ::,''',t::•',.::: -1•:".,i,....;'.et,:,:.:;..,:.:,:, ''''.:,'.. '•'''''','' 's':4^'''''''4,,''‘,•' ''''''.' ''''','-'4''''' ' :"'"'" ''
. •
Spouses Last Name: . . First Name:
MI:
• .•
. .
Social Security Number: ,Drivers License Number&State:
•
• •
Date Of Birth: . . . Place Of Birth: . .
. . . . • • .
• . - • •
• - .......... ,. , . :
- ...--vifmnykr, ,-;, ....:J:•,:.,:'.••,.1•6021:- ,''''''trri*,,-,!'....:r
ii.i.,,:,..A:: 1,4,,,,,,,:..]..:;:•::.1:1,,,?4!!.';f:.:rYr,"0:1,AD'ilpl:p61:51apaarlittarilibiti;:it' ..dt, ,,. , . , .0 yR , ., .w.,....,..
ItAligrir ',,zig14.:',v-igE'Kii'•:',,,,aik6:.',,,,,:•,,,•'..'• '. ..:1.7",lt', 1•14'177576,0PF.t9,'•'.:6.: :.:' ,: :::!'"'.'7"•')H-,4kili. ''''''''"i7-ki4i.....::..'.3:krirt•
Of• "„".1 ,.• 1,,,. ,..i. .,..7,"•;.*,Al14,.,',.,),f. :4471.;..,)•:•H...,...,.,:,... ,.. .,:„•:::;71,44,Egioalgi,'*;::,W.. .A,,-,, i3cligt,, ,.,:i.::...,„.: ,:;,,,„•;;Aggi
igir, .1 nr: , ,, In,..'.i,4..,:;,,f.,;j?,;:,,,,,,j,,,, ..H:. :....',...• '::. ••,...q;:ii,:,:::ikor,:.:•rfANNOttaiticiFsigrie ,' . . •••!•MilY:A. ,-4, iil.'61'i. ..•.'!:,,i;i0461.K. a
. .
CITY&STATE YEAR .CnrY&STATE YEAR
FROM TO . .FROM TO .
. •
O
. •il/441Ati Ai i W Z •OO?.
. . • . .
• •
• . •
. '
• .
, . .
.• - .
• - , .
. • .
.
iNDAWIROM.KtRAgo.",.".':. .lidik) ii041,1",04,04i • id.,,,,.,..,..''''A7.;,„.1,1 - •'''''.^ ..k''s,4,4."t,,1717.rtrinTirsgt; .,,,,,m.:••
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ho.'lititi5ogiceagivimp.m-4,4
YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER.
FROM TO . . .
1996 /999 Ea4c.og (bikes itiebr6skA 64-rvoipce .4 fcc-i-4.47- 4) .
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1925 • 1996 Tiic An't1/4411444 Pa vo 5:4K. bilsil4eis_clo-eJ
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