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RES 2007-0819 - Appoint Joann Evon manager of Joslyn Art Museum Orr • % ` ciVED t r L.- STATE OF NEBRASKA 01Ee Dave Heineman 'i wr NEBRASKA LIQUOR CONTROL COMMISSION NEBRASKA V �'�'= Governor J �: Hobert B. Rupe %z„,t! ,n.e6,_= C� Executive Director 301 Centennial Mall South,5th Floor CITY CLERK P.O.Box 95046 ��I I l� IZ Lincoln,Nebraska 68509-5046 Phone(402)471-2571 Fax(402)471-2814 TRS USER 800 833-7352(TTY) web address:http://www.lcc.ne.gov/ June 18, 2007 Omaha City Clerk 1819 Farnam Street LC1 Omaha, NE 68183 Dear Clerk: Enclosed is a copy of a manager application for Joann Evon in connection with Joslyn Art Museum dba Joslyn Art Museum, located at 2200 Dodge Street, Omaha NE. Please present this application for manager to your Council and send us the results of their action. Sincerely, NEBRASKA LIQUOR CONTROL COMMISSION N)f — Je I A Cash Licensing Division jc encl. cc: file Rhonda R. Flower Bob Logsdon R.L. (Dick)Coyne Commissioner Chairman Commissioner An Equal Opportunity/Affirmative Action Employer Printed with soy ink on recycled paper on,is subject to cancellation if the information contained herein is incomplete,inaccurate,or fraudulent c>,/ "d.:‘; ' Signature of Applicant L Signature of Spouse • Subscribed in my presence and sworn to before me this "T Subscribed in my presence and sworn to before me this day of 1.- (/A(/� (7->f . day of . \ /6 e‘ Notary Signature&Seal Notary Signature&Seal GENERAL NOTARY-State of Nebraska CRAIG S.CLAWSON My Camm.Ezp.Aug 31,2008 / FORM 35-4013 REV.4/05 S id____COLLEGE OR UNIVERSITY c)'L--- (Authorized Signature) (Date) shall constitute but one and the same instrument. Further, the signature pages from executed originals of this Lease may be detached and assembled together to form complete executed originals of this Lease. Additionally, signatures appearing on copies of this Lease transmitted by facsimile transmission shall he deemed to be original signatures and shall be binding on the parties as if originally signed by any such party. In the event facsimile signatures arc utilized, the parties thereafter and as soon as is reasonably practicable, shall deliver to the other parties, original executed copies of this Lease. [Remainder of Page intentionally Blank] Page dof8 u115736 330302 4 I ccessors and Assigns. Except as herein otherwise expressly provided, it is further covenanted and agreed by and between the parties hereto that the covenants and agreements herein contained shall bind and inure to the benefit of Landlord, his heirs, successors and assigns and shall bind and inure to the benefit of Tenant, its successors and assigns, provided any required consent to any assignment hereof shall be had and obtained as hcreinbeforc set forth in this Lease and provided that no assignment or subletting by Tenant in violation of the Page 5 of 8 „I,s75b'%l 330301 notice the term of this Lease and all right, title and interest of Tenant hereunder shall expire fully and completely and Tenant will then quit and surrender the Premises to Landlord. Landlord or Landlord's agents and servants may immediately after expiration of this �� O S r� Page 3 of 8 Q•� 011573n0 ti 1 HA—CENTRAL M p0 II,1 , • q9 I U MDAW ROAD WAIN KOMI.O M eta\ 'd 4 I wecsa uaaaMr eAwsawo+°maa GRADING AND EROSION CONTROL PUN WPH OAWA w , , oo i�"^� 8 I r.,eorrhowv.mc=.eo1 tP>W51157-CR2 p Ei'l itil��Rx Nat)T=S7 M...•' ECEIVED APPLICATION FOR LIQUOR LICENSE R RECEIVED �� ,' CORPORATION MANAGER-FORM 3b *MUST BE A NEBRASKA RESIDENT* ��N 1 g 20�� • cj 301 CENTENNIAL MALL SOUTH N�gRASKA UODOR MAY `3 0 i: PO BOX 95046 ,��(�t\1 LINCOLN,NE 68509-5046 c-NiROI c1 ' ' NEERASKA Uuuo- PHONE:(402)471-2571 FAX:(402)471-2814 CONT'r ('�i_(.4 l/IM XII)P•,• ..p. I Websitc:http://www.lcc.nc.gov/ � ^'m � r� x... .o-�a,.,... � � � a TJ fk''FN+5,�.�.;h ��ai I I�'fsp. °�y ^` "''-� 1'� r 'i`"7"4'T41w�' "'- 7",'S �.: �� ;�, ry t� "'' ��. ,, a�' III � s ,*'� tl td t Mit' -. ef:: �n�. Z i y RW }} . d[,i�try 4�lths�. �z. '"a"o-,s. �YJ)d - uy.' ' x...., `'��o-�i `, NAME OF LICENSED CORPORATION � n ►C -� rnL6 .4 CLASS&LICENSE NUMBER \ a Y.t 44 I i e TRADE NAME � 111,Y1 A+ M ' I 1,1 sat v STREET ADDRESS 2206 3\ CITY AMICAQA \\1 CD$ 02, W _ , { F 5t4Tx `tiN' JS Z d'IY E±R A ,`sTE RAwK N amiagF I lt; NAME ll'�n L=v D� ADDRESS r(a 1C kkikOJT CITY CO' 0"."` STATE 1)x-- ZIP CODE LliSa 4-1 HOME PHONE NUMBER 102+ - 01- tin BUSINESS PHONE NUMBER LY L°I 3 V"4 SEX 0 MALE Eg FEM ALE SOCIAL SECURITY NUMBER DATE OF BIRTH PLACE OF BIRTH (N.e..04.Q), DRIVERS LICENSE NUMBER&STATE _ �__ _ _. <5, K IaTffg RVL N"N�S n w VA l"i!! '' � C'p`ea 3. t{ g+ h�rt�Ili" +a Es..�W irc'K^�Rp'�erraf-ti.z f [� �I �jV1�. I .. .�.w-�, � .. r w.h_... „�'+s.;�'Sa♦�Clt�� a ... L�..4,c'a"ga�+l.. ..r I �Crh!. .-,i ;z�. .�i�x .M.4�t� SPOUSE NAME kph`ZeLT g: FL/O.i SOCIAL SECURITY NUMBER _ _ _. DATE OF BIRTH g DRIVERS LICENSE NUMBER&STATE_ _ , , Nk� 11111111111 Ill I 1111111111 0700010913 FORM 35•4013 REV.4/05 re pages from executed originals of this Lease may be detached and assembled together to form complete executed originals of this Lease. Additionally, signatures appearing on copies of this Lease transmitted by facsimile transmission shall he deemed to be original signatures and shall be binding on the parties as if originally signed by any such party. In the event facsimile signatures arc utilized, the parties thereafter and as soon as is reasonably practicable, shall deliver to the other parties, original executed copies of this Lease. [Remainder of Page intentionally Blank] Page dof8 u115736 330302 4 I ccessors and Assigns. Except as herein otherwise expressly provided, it is further covenanted and agreed by and between the parties hereto that the covenants and agreements herein contained shall bind and inure to the benefit of Landlord, his heirs, successors and assigns and shall bind and inure to the benefit of Tenant, its successors and assigns, provided any required consent to any assignment hereof shall be had and obtained as hcreinbeforc set forth in this Lease and provided that no assignment or subletting by Tenant in violation of the Page 5 of 8 „I,s75b'%l 330301 notice the term of this Lease and all right, title and interest of Tenant hereunder shall expire fully and completely and Tenant will then quit and surrender the Premises to Landlord. Landlord or Landlord's agents and servants may immediately after expiration of this �� O S r� Page 3 of 8 Q•� 011573n0 ti 1 HA—CENTRAL M p0 II,1 , • q9 I U MDAW ROAD WAIN KOMI.O M eta\ 'd 4 I wecsa uaaaMr eAwsawo+°maa GRADING AND EROSION CONTROL PUN WPH OAWA w , , oo i�"^� 8 I r.,eorrhowv.mc=.eo1 tP>W51157-CR2 p Ei'l itil��Rx Nat)T=S7 M...•' RECEIVED 1 IJUN l Q zn;'_ NEBRASKA LIQUOR 1. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY. CCNTRC I COMMISSInN 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 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 han one party,please list charges by each individual's name. DYES ENO If yes, please explain below or attach a separate page. 2. Have you or your spouse ever made application for any liquor license or manager for any liquor license? IF YES,for what premise give license number and d te. YES NO 3. Have you or your spouse ever made a compromise settlement for violation of such laws? DYES [ENO 4. Do you,as a manager,have all the qualifications required by any person entitled to hold a Nebraska Liquor License? Nebraska Liquor Control Act(§53-131.01) OYES ONO 5. ave you filed fingerprint cards and PROPER FEES(if check,make out to the NE State Patrol),with this application? YES ENO •Pc \i‘)7S eNcLUSE� , ,°,"i4c )FQSIDENLS tlii`TAE")E'AST 10 YEA) S,Ap'-iil ANT At5SP®USE MIIS `t;OMRLii'l 7 x - s: v; APPLICANT:CITY&STATE ..... YEAR SPOUSE:CITY&STATE YEAR wth FROM TO t) FROM TO : .. 44ri i.ux r. ili'1F.: W�� 'kfil!A-4i' t"S'S,1 , } .�a M '"t.i. „I «:n , :31�,�1,.uw� i I- �I,''_ 15y�,,,u Ia.(+g:r..i'FvwkW V MONTH/YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM -19°11(7)1P111 ZTO friY\ CC5 tavi) i4)-4i€50A glili-469 9 FORM 35-4013 REV.4/05 1111111111 Ill I 1111111111 0700010913 FORM 35•4013 REV.4/05 re pages from executed originals of this Lease may be detached and assembled together to form complete executed originals of this Lease. Additionally, signatures appearing on copies of this Lease transmitted by facsimile transmission shall he deemed to be original signatures and shall be binding on the parties as if originally signed by any such party. In the event facsimile signatures arc utilized, the parties thereafter and as soon as is reasonably practicable, shall deliver to the other parties, original executed copies of this Lease. [Remainder of Page intentionally Blank] Page dof8 u115736 330302 4 I ccessors and Assigns. Except as herein otherwise expressly provided, it is further covenanted and agreed by and between the parties hereto that the covenants and agreements herein contained shall bind and inure to the benefit of Landlord, his heirs, successors and assigns and shall bind and inure to the benefit of Tenant, its successors and assigns, provided any required consent to any assignment hereof shall be had and obtained as hcreinbeforc set forth in this Lease and provided that no assignment or subletting by Tenant in violation of the Page 5 of 8 „I,s75b'%l 330301 notice the term of this Lease and all right, title and interest of Tenant hereunder shall expire fully and completely and Tenant will then quit and surrender the Premises to Landlord. Landlord or Landlord's agents and servants may immediately after expiration of this �� O S r� Page 3 of 8 Q•� 011573n0 ti 1 HA—CENTRAL M p0 II,1 , • q9 I U MDAW ROAD WAIN KOMI.O M eta\ 'd 4 I wecsa uaaaMr eAwsawo+°maa GRADING AND EROSION CONTROL PUN WPH OAWA w , , oo i�"^� 8 I r.,eorrhowv.mc=.eo1 tP>W51157-CR2 p Ei'l itil��Rx Nat)T=S7 M...•' s RECEIVEr. •PERSONAL OATH AND CONSENT OF INVESTIGATION A14)' 3 0 7,. MUST BE SIGNED BY APPLICANT & SPOUSE IUEgRASY,, r, The above individual(s),being first duly sworn upon oath,deposes and states that the undersigned is the applicant and/ spouse�i{a tftitAAU'} liiaces 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 falsefls st3tEflliiin) uade in any part of this application,the applicant(s)shall be deemed guilty of perjury and subject to penalties provided by law. (Sec.§53-I31.01)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,an affidavit of non participation may be attached. E V ` The undersigned understand and acknowledge that any license issued,based on the information submitted in this application,is subje t t e f ,E) E contained herein is incomplete,inaccurate,or fraudulent. JUN 1 }1 2[)n7 NEBRASKA LIQUOR C1)NTRfL. COMMISSION 4111111461 illy 1 ..".. \k/Z.:--- Signature of Applicant7:341?Ct 40 Signature of Spouse 22 -- ZZ Subscribed i7�`�y resencc and sworn to before me this Subscribed in my presence and sworn to before me this day of Iry al. "7-AO7 day of "fry or, 2 Alma.'7 /k%'LZH.e, ----7---Low! �� Notary gnature&Seal Notary Signature IMP i—s �t�pfr•, TERENCE J.KUEHLt"ff:p -- _..._.._ * °f' a MY COMMISSION EXPIRES :,r oe.ren� TERENCE J.KUEHL wo::� �b;:w,}',1MYCMJISSION EXPIRES FA Q; May 3,2011 ',Ivehg;3: May 3,2011 FORM 35-4013 REV.4/05 nd shall be binding on the parties as if originally signed by any such party. In the event facsimile signatures arc utilized, the parties thereafter and as soon as is reasonably practicable, shall deliver to the other parties, original executed copies of this Lease. [Remainder of Page intentionally Blank] Page dof8 u115736 330302 4 I ccessors and Assigns. Except as herein otherwise expressly provided, it is further covenanted and agreed by and between the parties hereto that the covenants and agreements herein contained shall bind and inure to the benefit of Landlord, his heirs, successors and assigns and shall bind and inure to the benefit of Tenant, its successors and assigns, provided any required consent to any assignment hereof shall be had and obtained as hcreinbeforc set forth in this Lease and provided that no assignment or subletting by Tenant in violation of the Page 5 of 8 „I,s75b'%l 330301 notice the term of this Lease and all right, title and interest of Tenant hereunder shall expire fully and completely and Tenant will then quit and surrender the Premises to Landlord. Landlord or Landlord's agents and servants may immediately after expiration of this �� O S r� Page 3 of 8 Q•� 011573n0 ti 1 HA—CENTRAL M p0 II,1 , • q9 I U MDAW ROAD WAIN KOMI.O M eta\ 'd 4 I wecsa uaaaMr eAwsawo+°maa GRADING AND EROSION CONTROL PUN WPH OAWA w , , oo i�"^� 8 I r.,eorrhowv.mc=.eo1 tP>W51157-CR2 p Ei'l itil��Rx Nat)T=S7 M...•' NEBRASKA LIQUOR CONTROL COMMISSION REC y AFFIDAVIT OF NON PARTICIPATION c-= MAY 3 0 ,, The undersigned individual acknowledges that he/she will have no Nit indirectly, in the operation or profit of the business, as prescribed in Section � t' Ir)r,. of the Liquor Control Act. Such individual shall not tend bar, make sales, serve patrons, • stock shelves, write checks, sign invoices, represent themselves as owner or ia,any wa participate in the day to day operations in any capacity. The undersigned indti itG) 'i;.,) also be waived of filing fingerprint cards, however, will be required to disclose any • violation(s) on all ap. ' - ions and sign all necessary documents. JUN 1 H 4 NEBRASKA LIOU011% ��/ rfr CONTROL Ci1MMIfiSI('N... • Sig ,tu'• of Spouse Asking to be Waived SUBSCRIBED in my presence and sworn to before me this 2L. day of ,Heo.1 � - Zee" ? 6'4"3.•; TEREN SE J.O KUXPI ` / �J �0E::"`� = MY COMMISSION EXPIRES /�f� '{n0. . May3,2011 1 `� '•••.fdHA6' Signature of Nota Public The applying individual, whose spouse is requesting to be waived, understands that he/she is responsible for compliance with the conditions set out above, and that if such terms are violated, the Commission may cancel or revoke the license. �� :, n A Vt-,-- , •l o AN W M. E.Jonl *Sig. ature of applying individual Print name of applying individual (spouse of individual listed above) SUBSCRIBED in my presence and sworn to before me this Z2- day of , Zoo 7 v{ €;a:.,; TERENCE J.KUEHL 411 MY COMMISSION EXPIRES ____________ \\ I "°,"�'' May 3,2011 `�' (� """ rj Signature of Notar Public *spouse of individual listed above is the individual required to sign bottom portion of affidavit FORM 35-4178 REV 9/05 nature IMP i—s �t�pfr•, TERENCE J.KUEHLt"ff:p -- _..._.._ * °f' a MY COMMISSION EXPIRES :,r oe.ren� TERENCE J.KUEHL wo::� �b;:w,}',1MYCMJISSION EXPIRES FA Q; May 3,2011 ',Ivehg;3: May 3,2011 FORM 35-4013 REV.4/05 nd shall be binding on the parties as if originally signed by any such party. In the event facsimile signatures arc utilized, the parties thereafter and as soon as is reasonably practicable, shall deliver to the other parties, original executed copies of this Lease. [Remainder of Page intentionally Blank] Page dof8 u115736 330302 4 I ccessors and Assigns. Except as herein otherwise expressly provided, it is further covenanted and agreed by and between the parties hereto that the covenants and agreements herein contained shall bind and inure to the benefit of Landlord, his heirs, successors and assigns and shall bind and inure to the benefit of Tenant, its successors and assigns, provided any required consent to any assignment hereof shall be had and obtained as hcreinbeforc set forth in this Lease and provided that no assignment or subletting by Tenant in violation of the Page 5 of 8 „I,s75b'%l 330301 notice the term of this Lease and all right, title and interest of Tenant hereunder shall expire fully and completely and Tenant will then quit and surrender the Premises to Landlord. Landlord or Landlord's agents and servants may immediately after expiration of this �� O S r� Page 3 of 8 Q•� 011573n0 ti 1 HA—CENTRAL M p0 II,1 , • q9 I U MDAW ROAD WAIN KOMI.O M eta\ 'd 4 I wecsa uaaaMr eAwsawo+°maa GRADING AND EROSION CONTROL PUN WPH OAWA w , , oo i�"^� 8 I r.,eorrhowv.mc=.eo1 tP>W51157-CR2 p Ei'l itil��Rx Nat)T=S7 M...•' �OMAHA NF6 CityofOmaha, [Ale bras a `A � rC 1819 Farnam—Suite LC 1 ® �� irali 1,1 Omaha, Nebraska 68183-0112 0� � _ Buster Brown (402) 444-5550 o q�'' City Clerk FAX (402) 444-5263 ��TFD FEBR�� June 26, 2007 Joslyn Art Museum Application to appoint JoAnn Evon 2200 Dodge Street manager of your present Class "I" Omaha, NE 68102 Liquor License 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 July 10, 2007. 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, 44,d' ,,,,b,<O" Buster Brown City Clerk BJB:clj tions set out above, and that if such terms are violated, the Commission may cancel or revoke the license. �� :, n A Vt-,-- , •l o AN W M. E.Jonl *Sig. ature of applying individual Print name of applying individual (spouse of individual listed above) SUBSCRIBED in my presence and sworn to before me this Z2- day of , Zoo 7 v{ €;a:.,; TERENCE J.KUEHL 411 MY COMMISSION EXPIRES ____________ \\ I "°,"�'' May 3,2011 `�' (� """ rj Signature of Notar Public *spouse of individual listed above is the individual required to sign bottom portion of affidavit FORM 35-4178 REV 9/05 nature IMP i—s �t�pfr•, TERENCE J.KUEHLt"ff:p -- _..._.._ * °f' a MY COMMISSION EXPIRES :,r oe.ren� TERENCE J.KUEHL wo::� �b;:w,}',1MYCMJISSION EXPIRES FA Q; May 3,2011 ',Ivehg;3: May 3,2011 FORM 35-4013 REV.4/05 nd shall be binding on the parties as if originally signed by any such party. In the event facsimile signatures arc utilized, the parties thereafter and as soon as is reasonably practicable, shall deliver to the other parties, original executed copies of this Lease. [Remainder of Page intentionally Blank] Page dof8 u115736 330302 4 I ccessors and Assigns. Except as herein otherwise expressly provided, it is further covenanted and agreed by and between the parties hereto that the covenants and agreements herein contained shall bind and inure to the benefit of Landlord, his heirs, successors and assigns and shall bind and inure to the benefit of Tenant, its successors and assigns, provided any required consent to any assignment hereof shall be had and obtained as hcreinbeforc set forth in this Lease and provided that no assignment or subletting by Tenant in violation of the Page 5 of 8 „I,s75b'%l 330301 notice the term of this Lease and all right, title and interest of Tenant hereunder shall expire fully and completely and Tenant will then quit and surrender the Premises to Landlord. Landlord or Landlord's agents and servants may immediately after expiration of this �� O S r� Page 3 of 8 Q•� 011573n0 ti 1 HA—CENTRAL M p0 II,1 , • q9 I U MDAW ROAD WAIN KOMI.O M eta\ 'd 4 I wecsa uaaaMr eAwsawo+°maa GRADING AND EROSION CONTROL PUN WPH OAWA w , , oo i�"^� 8 I r.,eorrhowv.mc=.eo1 tP>W51157-CR2 p Ei'l itil��Rx Nat)T=S7 M...•' / / A n 2 9 g ® \ k � \ o \ q co q C) m o D \ LN o0S � R 0 ? /. \ �% .' = . � \ /_ .. n O • ° C 2 " » p q \ .rD _ o � � a. �m 2 § n 2 Z. m - \ \ � 7 k ƒ ƒ EA ¢ § 0 3 1 7 o E R Z 2 7 D A 0 / � q = o E� I the water resort. If there is any other questions that you have please let me know. Mike Kosalka Assistant General Manager Holiday Inn Omaha Convention Center 402-403-2397 5