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RES 2008-0334 - Appoint Hemalatha Niramlraj manager of Jets All Sports Bar & Grill ti�NE STq 1\`4 0 STATE OF NEBRASKA RECEIVFD Dave Heineman NEBRASKA LIQUOR CONTROL COMMISSION ,•4( Via/ Governor 08'FEB I 5 �� g' # Hobert B. Rupe y y9R !.,,...-$6__ 1 8 Executive Director � 301 Centennial Mall South,5th Floor CITY(�(�i; CLERK P.O.Box 95046 O M A H A> NEBRASKA Lincoln,Nebraska 68509-5046 Phone(402)471-2571 February 13, 2008 Fax(402)471-2814 TRS USER 800 833-7352(TfY) web address:http://www.lcc.ne.gov/ City Clerk of Omaha 1819 Farnam LC1 Omaha, NE 68183 RE: Manager Application Submittal Dear Sir/Madam: The corporation Jets Inc submitted the enclosed Application for Corporate Manager. The establishment has the liquor license(s) Class C 78761 . The applicant's name is Hemalatha C Nirmalraj. Please present this application to your City/County Council and return the results of the action taken to our office. If you have any questions or comments, please give me a call at (402) 471 -4881 . Sincerely, ECG Jackie B. Matulka Licensing Division Enclosure • Rhonda R.Flower Bob Logsdon Pat Thomas Commissioner Chairman Cornmissoner An Equal Opportunity/Affirmative Action Employer Printed with soy ink on recycled paper l MANAGER APPLICATION Office Use INSERT- FORM 3c RECEIV Et) NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH • `��fig PO BOX 95046 ! LINCOLN,NE 68509-5046 FEr7gg�� 08 PHONE:(402)471-2571 ' • FAX:(402)471-2814 e. • CNTRQ c"LlQUOp Website:w�:w,lcc.ne.gov M1SSInN 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) m 5) Must be 21 years of age or older - 6) Applicant may be required to take a training course • rnu�a..r q., L. u,.�,,• .. ,.lj, q,T +'cttv,l .;/' x -tw:c +„�^ '.FI '�� ,1Y�H' - j f40 y Y }'i..> W,}.. , :,LY' Alritt; Corporation_/LLC information : ?:f Fi f;44,�4 V �' '�r? �: .,:t.4 , `s ,yt Y w•;It s,' 7 `T J C+P,�N,, ', °'tom' n3 +�" �l n +v. "-: "� 3t•,'` ^,. t,4{ ,j'k'�r fir.' 7(: S f 7sF:, a � r*°24,W . t1 $ wd w r� .ypwa" 'dicta x.:.. �. .; ��rb,I.,,:zn v ,,,=:, - •., i s',,,Ar c' ...•0 i- ,' ? /{,it'd. 3r 0, . ♦"utih1 d.. �4G;.i vn 'Y�Mi�S1 \, ?� �f + {�F �iUa�'77�t'.l.'�i 4�.t• fe-"//..J 4h. J � ...Ya�i 14''# -�."M_.rA V Name of Corporation/LLC: JETS, INC. • I"reinikinformation t� `r r- Sa x 4:s . Y : '_ Y �,; "i r r , ro' ey 1 4. Y ry 1, -• ':'1":- f r'r �r a�, `Y -e )w4F27�`,B s f A",,rr = is ^F; i'tiJW. it '!:F Yx^r $may}' rs S , " )t� ,fiy ,�t'• Yy _*e. J-',k 1 _{} 7.;�.: ,1- .,,,'#. ,! - �''- ..xx,,.. 9,4 .- d t f. > ` t f' . ,✓s ,�Y `t ' I'/ • 15S j.,r, f,,.. �?�� f�!' Yr�:b ti.!'^+ }'.l T" ,J'l l • Premise License Number:78761 •Premise Trade Name/DBA: JETS ALL SPORTS BAR & GRILL Premise Street Address: 3231 HARNEY STREET • • City:OMAHA State: NE Zip Code:68131 Premise Phone Number:402-932-5387 Tlie`individual:whose'name►'slhsted'm tlie,pre§idenf or contact,member categoryAon eitheOnsert form,3aior 3b, �.. e r,,.,� w. d,':c. ict? a .144 A at4 T.:ix" 'lri ' NE>{ i ,a z;ot '"^i .4 a yi' R,....a='ie„i:a`.'r'u1e�, :ig4-',i:i.l:f, ".x` 4w, Vy 'fit 4Y i..5, i s ;fax A ;?.rK• ,9 46:44b :� ' ,f✓; `€" .'at" •,4'.3'Q' , I::—i ii; iVi4sf`'"' must sign their,name below � � ,, C .. ';,,.4.,,,,, • n �, � � u a r t r�� , k� ".� �t a .{1��i'l. <�, ,t" `4 {�' y�"�ri-k 'i � ;!�w-i 'e�:L s`� .-,,,'1' .04,,0iry ' ``3;��s. ...: A kii•',� ,j., hl' ':t �44.•--,1 , 4 `' x P,�r'I M '� i��`• ••bi,.y.ygi,,s.,"5�.%.`?6,h,G,�r ii:Aia ,Ikt ,., ";r:r.,.., afarf aars34 • /tr;2 M A L �A . 4-4- CORPORATE OFFICER S GNA RE . (Faxed signatures are acceptabl ) , • • ' . 0800000784 iMa n g s information mustw be completed belo 'PLEASE PRINT,CLEARLY a' '� Gender: n MALE ✓❑ FEMALE Last Name: NIRMALRAJ First Name: HEMALATHA MI: C PO Box if applicable): 10620 WASHINGTON DRIVE `k" \ Home Address (include v City: OMAHA State:NE Zip Code: 681'27 Home Phone Number:402-339-1685 Business Phone Number: SAME fifr Social Security Number:1, I Drivers License Number& State: NE 1 ni Date Of Birth: Place Of Birth: k/+I2Ai KA L J N 1)r 71 4. Are you married?If yes, complete spouse's information,(Even if a-spousalsaffidavrt has•beenfsubmitted) f ,, ,.i �. f YES ❑NO •y t ; ar ee ' 'ez• T.i`) , 1 j t >i .�1 i,, :� �7 r �(;.4 .i-. 1 '1 Spouse s information' 3 ' . LX } r< Spouses Last Name: RAJ First Name: NIRMAL ( , MI: Q' I 'Ip Social Security Number:, Drivers License Number& State: Date Of Birth 1 Place Of Birth: A C C-A- C y ( , / /V i I A APPLICANT AND SPOUSE MUST LIST RESIDENCE(S)FOR'THE PAST'10 YEARS_, `APPLICANT ••� .f •*• SPOUSE CITY&STATE YEAR CITY&STATE YEAR FROM TO FROM TO /O C Z 6 •A)A-S At/^/6 70 N AZ VW Y..)A 7e /o s z.p Z-,Aw-/-7 w 4 7,A, 0 rz SA, A--7C g p q A-1-z r+ Arch Z S-/2 a- 6 44�'! 'V�� d ` - .: ' - MANAGER'S LAST TWO:EMPLOY•ERS_ ,f` �' ' YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER NFROM TO 4/aura 0A-2E .4 /may Att50 i c,iAte 4_‘Ct4 4.4 627 .rc-�.= ewiP e-o K2,. si /6 c,i 'b/SI -4ase C,e4'6//7o."/ 0"IV V, 5C1/411)c. o;G,4 Eir3lcdA,e Dti f 2_,7 ., 0J2- Zb-o 4''/ is ^F; i'tiJW. it '!:F Yx^r $may}' rs S , " )t� ,fiy ,�t'• Yy _*e. J-',k 1 _{} 7.;�.: ,1- .,,,'#. ,! - �''- ..xx,,.. 9,4 .- d t f. > ` t f' . ,✓s ,�Y `t ' I'/ • 15S j.,r, f,,.. �?�� f�!' Yr�:b ti.!'^+ }'.l T" ,J'l l • Premise License Number:78761 •Premise Trade Name/DBA: JETS ALL SPORTS BAR & GRILL Premise Street Address: 3231 HARNEY STREET • • City:OMAHA State: NE Zip Code:68131 Premise Phone Number:402-932-5387 Tlie`individual:whose'name►'slhsted'm tlie,pre§idenf or contact,member categoryAon eitheOnsert form,3aior 3b, �.. e r,,.,� w. d,':c. ict? a .144 A at4 T.:ix" 'lri ' NE>{ i ,a z;ot '"^i .4 a yi' R,....a='ie„i:a`.'r'u1e�, :ig4-',i:i.l:f, ".x` 4w, Vy 'fit 4Y i..5, i s ;fax A ;?.rK• ,9 46:44b :� ' ,f✓; `€" .'at" •,4'.3'Q' , I::—i ii; iVi4sf`'"' must sign their,name below � � ,, C .. ';,,.4.,,,,, • n �, � � u a r t r�� , k� ".� �t a .{1��i'l. <�, ,t" `4 {�' y�"�ri-k 'i � ;!�w-i 'e�:L s`� .-,,,'1' .04,,0iry ' ``3;��s. ...: A kii•',� ,j., hl' ':t �44.•--,1 , 4 `' x P,�r'I M '� i��`• ••bi,.y.ygi,,s.,"5�.%.`?6,h,G,�r ii:Aia ,Ikt ,., ";r:r.,.., afarf aars34 • /tr;2 M A L �A . 4-4- CORPORATE OFFICER S GNA RE . (Faxed signatures are acceptabl ) , • • ' . 0800000784 • FManager and spouse.must review and answer'the questions below PLEASE PRINT CLEARLY • 1. READ PARAGRAPH CAREFULLY AND ANSWER COMPLETELY AND ACCURATELY. 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 N 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. DYES ONO If yes, please explain below or attach a separate page. 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. EYES ONO -P1 S preAT)1 S e- 3. Do you, as a manager, have all the qualifications required to hold a Nebraska Liquor License? Nebraska \ Liquor Control Act(§53-131.01) �l ©YES ONO 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) EYES nN0 prinf5 6 •A)A-S At/^/6 70 N AZ VW Y..)A 7e /o s z.p Z-,Aw-/-7 w 4 7,A, 0 rz SA, A--7C g p q A-1-z r+ Arch Z S-/2 a- 6 44�'! 'V�� d ` - .: ' - MANAGER'S LAST TWO:EMPLOY•ERS_ ,f` �' ' YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER NFROM TO 4/aura 0A-2E .4 /may Att50 i c,iAte 4_‘Ct4 4.4 627 .rc-�.= ewiP e-o K2,. si /6 c,i 'b/SI -4ase C,e4'6//7o."/ 0"IV V, 5C1/411)c. o;G,4 Eir3lcdA,e Dti f 2_,7 ., 0J2- Zb-o 4''/ is ^F; i'tiJW. it '!:F Yx^r $may}' rs S , " )t� ,fiy ,�t'• Yy _*e. J-',k 1 _{} 7.;�.: ,1- .,,,'#. ,! - �''- ..xx,,.. 9,4 .- d t f. > ` t f' . ,✓s ,�Y `t ' I'/ • 15S j.,r, f,,.. �?�� f�!' Yr�:b ti.!'^+ }'.l T" ,J'l l • Premise License Number:78761 •Premise Trade Name/DBA: JETS ALL SPORTS BAR & GRILL Premise Street Address: 3231 HARNEY STREET • • City:OMAHA State: NE Zip Code:68131 Premise Phone Number:402-932-5387 Tlie`individual:whose'name►'slhsted'm tlie,pre§idenf or contact,member categoryAon eitheOnsert form,3aior 3b, �.. e r,,.,� w. d,':c. ict? a .144 A at4 T.:ix" 'lri ' NE>{ i ,a z;ot '"^i .4 a yi' R,....a='ie„i:a`.'r'u1e�, :ig4-',i:i.l:f, ".x` 4w, Vy 'fit 4Y i..5, i s ;fax A ;?.rK• ,9 46:44b :� ' ,f✓; `€" .'at" •,4'.3'Q' , I::—i ii; iVi4sf`'"' must sign their,name below � � ,, C .. ';,,.4.,,,,, • n �, � � u a r t r�� , k� ".� �t a .{1��i'l. <�, ,t" `4 {�' y�"�ri-k 'i � ;!�w-i 'e�:L s`� .-,,,'1' .04,,0iry ' ``3;��s. ...: A kii•',� ,j., hl' ':t �44.•--,1 , 4 `' x P,�r'I M '� i��`• ••bi,.y.ygi,,s.,"5�.%.`?6,h,G,�r ii:Aia ,Ikt ,., ";r:r.,.., afarf aars34 • /tr;2 M A L �A . 4-4- CORPORATE OFFICER S GNA RE . (Faxed signatures are acceptabl ) , • • ' . 0800000784 Y _ 3' 3 1'E�S ti ,LOATH r��5 1vS N ffiUF IN ES ,. AfiI s " � i d� d x 4,� t `. 41 F �4' .yi 4.00., .- 'T'ti ,N.J S$pi S«4: `�"x},4 °'1" ,.. &,`- v h, `, #;t r,. ::::�� .- �da, w r �� x( �r:� .: d_d�a 3 'n-a,4 �3? Y�:,..W?H ��i$ g -.-•.ra ,:�' 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. N , \ . Si ure of Manager Applicant Signature of Sp use State of Nebraska County of 1w,m1as County of �okL51ks The foregoing 'nstrument was acknowledged before The foregoing instrument was acknowledged before me this �gJ'p • ',o t by me this z8"" /' uo.y mob by Notary Public signature v Notary Public signature N Affix Seal H e Affix Se I like 600Z'9T AM i iutuo3/4% r GENERAL NOTARY-State o4 Nebraska MARK OSTRONWC OQNOtl1 •K Ni Comm.E .May 16,2009 �MaN N*MSS AllVXON 10N 11Itl3N3J i 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 altemate format. Revised 5/2007 t �.. e r,,.,� w. d,':c. ict? a .144 A at4 T.:ix" 'lri ' NE>{ i ,a z;ot '"^i .4 a yi' R,....a='ie„i:a`.'r'u1e�, :ig4-',i:i.l:f, ".x` 4w, Vy 'fit 4Y i..5, i s ;fax A ;?.rK• ,9 46:44b :� ' ,f✓; `€" .'at" •,4'.3'Q' , I::—i ii; iVi4sf`'"' must sign their,name below � � ,, C .. ';,,.4.,,,,, • n �, � � u a r t r�� , k� ".� �t a .{1��i'l. <�, ,t" `4 {�' y�"�ri-k 'i � ;!�w-i 'e�:L s`� .-,,,'1' .04,,0iry ' ``3;��s. ...: A kii•',� ,j., hl' ':t �44.•--,1 , 4 `' x P,�r'I M '� i��`• ••bi,.y.ygi,,s.,"5�.%.`?6,h,G,�r ii:Aia ,Ikt ,., ";r:r.,.., afarf aars34 • /tr;2 M A L �A . 4-4- CORPORATE OFFICER S GNA RE . (Faxed signatures are acceptabl ) , • • ' . 0800000784 • ��AHA, N�, City of Omaha, Webras&aWoK,s 411 1819 Farnam —Suite LC 1 2frzio •t� Omaha, Nebraska 68183-0112 0':w � ,• J Buster Brown (402) 444-5550 �A City Clerk FAX (402) 444-5263 0 '1.tD F E 13°51.*'' February 20, 2008 Jets, Inc. Application to appoint Hemalatha Nirmalraj Dba"Jets All Sports Bar & Grill" manager of your present Class "C" Liquor 3231 Harney Street License Omaha, NE 68131 Dear Liquor License Applicant: This letter is notification that a hearing before the Omaha City Council on your application to appoint a manager to the liquor license has been set for March 4, 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, Buster Brown City Cleric BJB:clj 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. N , \ . Si ure of Manager Applicant Signature of Sp use State of Nebraska County of 1w,m1as County of �okL51ks The foregoing 'nstrument was acknowledged before The foregoing instrument was acknowledged before me this �gJ'p • ',o t by me this z8"" /' uo.y mob by Notary Public signature v Notary Public signature N Affix Seal H e Affix Se I like 600Z'9T AM i iutuo3/4% r GENERAL NOTARY-State o4 Nebraska MARK OSTRONWC OQNOtl1 •K Ni Comm.E .May 16,2009 �MaN N*MSS AllVXON 10N 11Itl3N3J i 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 altemate format. Revised 5/2007 t �.. e r,,.,� w. d,':c. ict? a .144 A at4 T.:ix" 'lri ' NE>{ i ,a z;ot '"^i .4 a yi' R,....a='ie„i:a`.'r'u1e�, :ig4-',i:i.l:f, ".x` 4w, Vy 'fit 4Y i..5, i s ;fax A ;?.rK• ,9 46:44b :� ' ,f✓; `€" .'at" •,4'.3'Q' , I::—i ii; iVi4sf`'"' must sign their,name below � � ,, C .. ';,,.4.,,,,, • n �, � � u a r t r�� , k� ".� �t a .{1��i'l. <�, ,t" `4 {�' y�"�ri-k 'i � ;!�w-i 'e�:L s`� .-,,,'1' .04,,0iry ' ``3;��s. ...: A kii•',� ,j., hl' ':t �44.•--,1 , 4 `' x P,�r'I M '� i��`• ••bi,.y.ygi,,s.,"5�.%.`?6,h,G,�r ii:Aia ,Ikt ,., ";r:r.,.., afarf aars34 • /tr;2 M A L �A . 4-4- CORPORATE OFFICER S GNA RE . (Faxed signatures are acceptabl ) , • • ' . 0800000784 City of Omaha, SA1e6rasg 0, 1I °MrlaWrilla �� 1819 Farnam—Suite LC 1 2 1f1�� -fit __ r® r- ��' Omaha, Nebraska 68183-0112 0 ':- ;.. Buster Brown (402) 444-5550 #o City Clerk FAX (402) 444-5263 1 D FEaR9 February 20, 2008 Hemalatha Nirmalraj Application to be appointed manager of the present 10620 Washington Drive Class "C" Liquor License for Jets, Inc., dba"Jets All Omaha,NE 68127 Sports Bar & Grill", 3231 Harney 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 March 4, 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, Buster Brown City Clerk BJB:clj license issued, based on the information submitted in this application, is subject to cancellation if the information contained herein is incomplete,inaccurate,or fraudulent. N , \ . Si ure of Manager Applicant Signature of Sp use State of Nebraska County of 1w,m1as County of �okL51ks The foregoing 'nstrument was acknowledged before The foregoing instrument was acknowledged before me this �gJ'p • ',o t by me this z8"" /' uo.y mob by Notary Public signature v Notary Public signature N Affix Seal H e Affix Se I like 600Z'9T AM i iutuo3/4% r GENERAL NOTARY-State o4 Nebraska MARK OSTRONWC OQNOtl1 •K Ni Comm.E .May 16,2009 �MaN N*MSS AllVXON 10N 11Itl3N3J i 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 altemate format. Revised 5/2007 t �.. e r,,.,� w. d,':c. ict? a .144 A at4 T.:ix" 'lri ' NE>{ i ,a z;ot '"^i .4 a yi' R,....a='ie„i:a`.'r'u1e�, :ig4-',i:i.l:f, ".x` 4w, Vy 'fit 4Y i..5, i s ;fax A ;?.rK• ,9 46:44b :� ' ,f✓; `€" .'at" •,4'.3'Q' , I::—i ii; iVi4sf`'"' must sign their,name below � � ,, C .. ';,,.4.,,,,, • n �, � � u a r t r�� , k� ".� �t a .{1��i'l. <�, ,t" `4 {�' y�"�ri-k 'i � ;!�w-i 'e�:L s`� .-,,,'1' .04,,0iry ' ``3;��s. ...: A kii•',� ,j., hl' ':t �44.•--,1 , 4 `' x P,�r'I M '� i��`• ••bi,.y.ygi,,s.,"5�.%.`?6,h,G,�r ii:Aia ,Ikt ,., ";r:r.,.., afarf aars34 • /tr;2 M A L �A . 4-4- CORPORATE OFFICER S GNA RE . (Faxed signatures are acceptabl ) , • • ' . 0800000784 • :/ q cA / Q o m o / ® e q n § m R � « — / 2 q Po CD $ k< c ° �� # C\ '�� ° § \ ? . . ri P X) § G. q 2 ¢ § § 2 } p 9 ¢ n \ 7 ) 5 F ¢ - 2 o ? 2 § c J -• 7. 2