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RES 2005-1234 - Appoint Karen Gunia manager of Little Polonia 7 F.�xE`ST'T'',11j14 4 y �' R,F j(VED STATE OF NEBRASKA J Dave Heineman v '""''�` Governor NEBRASKA LIQUOR CONTROL COMMISSION 05 SEP 15J Hi 8= 4.9 Hobert B. Rupe \",,, is' - Executive Director CITY CLERK 301 Centennial Mall South,5th Floor P.O.Box 95046 O M A +1• , N E B i AS ic A Lincoln,Nebraska 68509-5046 Phone(402)471-2571 September 14, 2005 • Fax(402)471-2814 TRS USER 800 833-7352(TTY) web address:http://www.nol.org/home/NLCC/ City Clerk of Omaha • 1819 Farnam LC1 Omaha, NE 68183 RE: Manager Application Submittal Dear Sir/Madam: The corporation Little Polonia, Inc has submitted the enclosed Application for Corporate Manager. The establishment has the following pending liquor license(s) Class C #01505. The applicant's name is Karen J Gunia: 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, fljjIbiA eibie Jackie B. Matulka 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 • ft77 1T:'4 w.�.s v du ° APPLICATION FOR LIQUOR LICENSE CORPORATION MANAGER-FORM 3b /AUG 2 6 2005 MUST BE A NEBRASKA RESIDENT* 301 CENTENNIAL MALL SOUTH iTi5SRASKA LIQUOR PO BOX 95046 LINCOLN,NE 68509-5046 CO ommastom PHONE:(402)471-2571 FAX:(402)471-2814 Website:http://www.lcc.ne.gov/ • I o UUOR MagaMINFORIVIATION S: 3` NAME OF LICENSED CORPORATION Little Polonia, Inc. • CLASS&LICENSE NUMBER C-01505 TRADE NAME Little Polonia STREET ADDRESS 3804 Q Street CITY Omaha rSiGNNTURE OFICO:RP,ORA NAPRESIDENTICEO • APPLICANT INFORMATION(MUST DI 21 MOVER AND NEBRASKA ' SIDENT NAME Karen J.Gunia ADDRESS 4819 Glasgow Ave. CITY Bellevue STATE NE ZIP CODE 68157 HOME PHONE NUMBER(402)733-3900 BUSINESS PHONE NUMBER(402)733-9000 SEX®MALE at FEMALE SOCIAL SECURITY NUMBER DATE OF BIRTH _ PLACE OF BIRTH Omaha, NE DRIVERS LICENSE NUMBER&STATE NE SR SESITNFORMA►TIA 1r{IFINOT MARRIED INDI__ E1 SPOUSE NAME Jerome F. Gunia(deceased) SOCIAL SECURITY NUMBER DATE OF BIRTH DRIVERS LICENSE NUMBER&STATE FORM 35-4013 REV.4/05 AUGR[Frkralci #r tr„ 3 262005 ilERRASitrA 1. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY.COg.?TRl 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. OYES ONO 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. Little Polonia, 3804 Q Street, Omaha, NE;•C-01505; approximately 1974. OYES ONO 3. Have you or your spouse ever made a compromise settlement for violation of such laws? f i YES 151 NO 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) L YES ®NO 5. Have you filed fingerprint cards and PROPER FEES(if check,make out to the NE State Patrol),with this application? OYES ONO RESIDENCES FOR THE PAST 10 YEARS,APPLICANT AND SPOUSE MUST COMPLETE APPLICANT:CITY&STATE YEAR SPOUSE:CITY&STATE YEAR FROM TO FROM TO Bellevue, NE 1995 2005 EMPLOYERS-LIST LAST TWO EMPLOYERS MONTH/YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER FROM TO 01/64 01/73 Northwestern Bell Maryann Johnson 01/73 08/05 Little Polonia, Inc. Leona Kurcz 402-733-9000 FORM 35-4013 REV.4/05 _ _ _ _ .. - rt s ,'Sad F3,7 F,+t, {F at,»'^: w,,, - AUG 2 6 2005 PERSONAL OATH AND CONSENT OF INVESTIGATION v�cO�l i6 r G x�yv�S:itZ fr ;; �,;1 MUST BE SIGNED BY APPLICANT& SPOUSE 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 tnie. 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,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. a /y? Signature of Applicant Signature of Spouse 1, - ;,,.Subscribed in-my presence and sworn to before me this 25th Subscribed in my presence and sworn to before me this -day of August,2005 " . day of . otary Signature&Seal Notary Signature&Seal GENERAL NOTARY•State of NEB Ili SHAWNA FOSTER . ... My Comm.Exp.Oct 19,2008 • FORM 35-49 3. REV;4/05 AHA, N O FB City of Omaha, SAle bras a A.,wire 1819 Farnam—Suite LC 1 2 fi��'� ii Omaha, Nebraska 68183-0112 0�� ',`•_ Buster Brown (402) 444-5550 City Clerk FAX (402) 444-5263 o.p v�4. 41'tb FEBR October 5, 2005 Little Polonia, Inc. Application to appoint Karen Gunia Dba"Little Polonia" manager of your present Class "C" Liquor 3804 "Q" Street License Omaha, NE 68107 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 18,2005. 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. Si erely yours, Buster Brown City Clerk BJB:clj oA ' � City ofOmafia, J'let5raskg M � , ,p- .5,goki‘ :,la ., 1819 Farnam— Suite LC 1 z er4W-r- 2, �� °« Omaha, Nebraska 68183-0112 ® 1 ��<, "$.,�' Buster Brown (402) 444-5550 A N City Clerk FAX (402) 444-5263 z ,QF v�4� 1 0 FEBR October 5, 2005 Karen Gunia Application to appoint Karen Gunia 4819 Glasgow Ave manager of your present Class "C" Bellevue NE 68157 Liquor License of Little Polonia, Inc., dba"Little Polonia", 3804 "Q" Street 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 18, 2005. 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. Sinc rely yours, 44' Buster Brown City Clerk BJB:clj OM HA' NF City o Omaha, Webras&a `A 1819 Farnam—Suite LC 1 W !4j . 1 Omaha, Nebraska 68183-0112 0® , � c' Buster Brown (402) 444-5550 .o No" City Clerk FAX (402) 444-5263 oR'TtD FEBR°*44 September 21, 2005 Little Polonia, Inc. Application to appoint Karen Gunia Dba"Little Polonia" manager of your present Class "C" Liquor 3804 "Q" Street License Omaha,NE 68107 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 4, 2005. 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. Sincer ly yours, ae() uster Brown City Clerk BJB:clj 0M�HA, NF City ofJ'febraskgOmaha i ,e4), + I 1819 Farnam—Suite LC 1 2 f�� Omaha, Nebraska 68183-0112 0® �• ' Buster Brown (402) 444-5550 A �� City Clerk FAX (402) 444-5263 oR'TED FBg��4`� September 21, 2005 Karen Gunia Application to be appointed manager 4819 Glasgow Avenue of the Class "C" Liquor License for Little Omaha,NE 68157 Polonia, Inc., dba"Little Polonia", 3804 "Q" 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 4, 2005. 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, Aec)‘,b Buster Brown City Clerk BJB:clj 9cA qq0 P J @ § ° • • 1 q % q ? o , E q /. \. k 0 0 g• 0 P § / \ ? o E_ P ® / - 1 7 9 �" ADo n • m /` ( k' o q m ) G • ? , \ ,, E. 2 ° « Ec 1 E4 _ 1