RES 2006-1499 - Appoint William Simons IV manager of Manhattans o4,�Ng sT9j. �1,14
STATE OF NEBRASKA
' u, •.�;rn l Dave Heineman U L t ,! C....LiLiy/
,t r,a NEBRASKA LIQUOR CONTROL COMMISSION
Governor Hobert B. Rupe
06 NOV ( 6 A4i 8' 52 Executive Director
301 Centennial Mall South,5th Floor
e' P.O.Box 95046
(j1 ( t L. riat,
1 E: Lincoln,Nebraska 68509-5046
O�i A H A, i' - `�� Phone(402)471-2571
November 15, 2006 Fax(402)471-2814
TRS USER 800 833-7352(TTY)
web address:http://www.lcc.ne.gov/
Omaha City Clerk
1819 Farnam Street LC1
Omaha, NE 68183
RE: Manager Application Submittal
Dear Sir/Madam:
The corporation Manhattans LLC submitted the enclosed
Application for Corporate Manager. The establishment has the
following liquor license(s) Class D #63749. The applicant's name is
William Simons.
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) 471-2572.
Sincerely,
Brianne Crooks
Licensing Division
Enclosure
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
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APPLICATION FOR LIQUOR LICENSE , i,, 14,
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CORPORATION MANAGER- FORM 3b
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*MUST BE A NEBRASKA RESIDENT* NOV V;
301 CENTENNIAL MALL SOUTH
PO BOX 95046LINCOL IVE'8Ril le & �g PHONE:N,NE 68509-5046 ryry R5� �P 1s
PHONE:(402)471-2571 �t+r PA,y`®�ppP�� i��
FAX.(402)471-2814 IVII
Website:http://www,lcc.ne.gov/
LIQUOR LICENSE INFORMATION , .
NAME OF LICENSED CORPORATION MA N NATTANS i,.LC
CLASS&LICENSE NUMBER
Ca 37�9
TRADE NAME MA�(+1ATTA t.Is -
STREET ADDRESS 2629 4o • t 20 5 T ° CITY O M A 1-I a
ki)/44
IGNATURE oe ORATION PRESIDENT/CEO
APPLICANT INFORMATIOON (MUST BE 21.OR OVER AND.NEBRASKA RESIDENT)
NAME ',J.) \\\:c1/4..iv‘ Ji MCA S .�I
ADDRESS 1 2 4 CAP r e a
lk CITY CD rinet C STATE M E ZIP CODE to I3$
HOME PHONE NUMBER( !02- 9 I _053 -( BUSINESS PHONE NUMBER(f-10 2-.)9Lp(--I- iCD 3 S-
SEX[MALE[FEMALE SOCIAL SECURITY NUMBER ,'
1
DATE OF BIRTH PLACE OF BIRTH 0111C-_hC1 f Ai
DRIVERS LICENSE NUMBER&STATE _ - ) A) -e-
SPOUSES INFORMATION (IF NOT NTARRIED INDICATE) . .
SPOUSE NAME Li SG, Si +n10Y1- "S
•
SOCIAL SECURITY NUMBER DATE OF BIRTH_
DRIVERS LICENSE NUMBER&STATE_ A) C
FORM 35-4013
REV.4/05
L
1. READ CAREFULLY. ANSWER COMPLETELY AND ACCUR
ATELY.
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 than one party,please list charges by each individual's name.
DYES IgNO
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 date. _
EYES MNO
3. Have you or your spouse ever made a compromise settlement for violation of such laws?
DYES ®NO
4 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)
®YES ONO
5. Have you filed fingerprint cards and PROPER FEES(if check,make out to the NE State Patrol),with this application?
EgYES ONO
/6,-// P7/2A el)(2/4- d
RESIDENCES FOR THE PAST 10 YEARS,APPLICANT AND SPOUSE MUST COMPLETE
APPLICANT:CITY&STATE YEAR SPOUSE:CITY&STATE YEAR
FROM TO FROM TO
137-3 4-h j CIr CB,a A ,9'A a(xz3 13 Lr1 EiQrf rc d P Sf aci,`im, J003 cia reef
i3-i24 C erfruele1- nma,h7,A)t Qocz3 correni 3o s 93rci PI z Onia ot,a &col a003
144-1 s Spr 0 y St Omaram,UE P 7 t /9 1 1UQ.1 AI 2-zs+h PI zFlkha io1/4E 1997 aoo i
EMPLOYERS-LIST LAST TWO EMPLOYERS
MONTH/YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER
FROM TO
VVV�coo ceasel�� a SAS rns CV\Cf\ Mxnele a0. -ILS8'IaR-i <z o4e (s To 00 Wetsifr 4c13 - 78-00
FORM 35-4013
REV.4/05
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PERSONAL OATH AND CONSENT OF INVESTIGATION
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MUST BE SIGNED BY APPLICANT& SPOUSE �� ��d1� '�ie
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-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.
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.
yrn v �
Signature o pplicant Signature of Spouse
th
Subscribed' my presegce and sworn to before me this -i Subscribe .ins qm"y pre ence and sworn to before me this I'�
day of Ati-'U .V OOC�. day of �8 rn QA
Notary Signature&Seal Notary Signature&Seal
GENEf<Rl Eli ,?'r St ;NCH
Nebraska CEN AL NFfilf-S.uta cf Nebraska
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Cemn P. Exp.5 A
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FORM 35-4013
REV.4/05
�r11AHA, N
0 Omafia,City Ne bras a 1
1819 Farnam —Suite LC 1 .;‘1/1411,
Omaha, Nebraska 68183-0112 0
Buster Brown (402) 444-5550 .o ti�
City Clerk FAX (402) 444-5263 o4.47
FEBRvt►4`-
November 27, 2006
Manhattans, LLC Application to appoint William Simons, IV
dba "Manhattans" manager of the Package Liquor Licenses
2529 South 120th Street
Omaha, NE 68114
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 December 12,
2006 . 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
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