RES 2022-0089 - Appoint John G Sgourakis manager of Greek Islands . E-MAILED TO NLCC Ja-aoa
':'''. °,:4 STATE OF NEBRASKA
rq� °- - ,,"4;1 Pete Ricketts NEBRASKA LIQUOR CONTROL COMMISSION
'q,I4)tc •� . tI Governor Hobert B.Rupe
'ail ,y. 1 t - Executive Director
,k'°yw cis a. . 301 Centennial Mall South
P.O.Box 95046
Lincoln,Nebraska,68509-5046
'Phone(402)471-2571
• Fax(402)471-2814 or(402)471-2374
. TRS USER 800-833-7352(TTY)
Web Address https://www.lcc.nebraska.gov
Today's Date: January 05, 2022
From: Lisa Steward (Lisa.Steward@nebraska.gov)
• To: City Clerk of Omaha
I have attached a copy of a new corporate manager application submitted to the Nebraska
Liquor Control Commission. Please complete the following information below to indicate
your recommendation.
•
Licensee Name: Greek Islands Inc
Trade Name (DBA): Greek Islands
License Number: C-061131
Manager Name: Sgourakis, John G
Due Date: February 22, 2022
APPROVED
Ai
NO LOCAL RECOMMENDATION •
n DENIED
•
COMMENTS: (YOU MAY ATTACH MINUTES AND/OR ADDITIONAL NOTES)
ii- 32 , ._ 2r)22—o ogf rci,t (4. i
2G
•
Clerk's Name: Date: 7 r 767:-/___ _
Kim Lowe Bruce Bag!), Harry Hoch
Commissioner Chairman Commissioner
An Equal Opportunit Employer
12/30/2021 15:441st National Bank (FAX)4023921678 P.002/013
Atli
MANAGER APPLICATION ofsoe th°
INSERT-FORM 3c RECEIVED
NEBRASKA LIQUOR CONTROL COMMISSION
301 CENTENNIAL MALL SOUTH • D E l ? 0 221
21
PO BOX 95046
LThTCOIN,NE 68509-5046 ct
PHONE:(402)471-2.571 N sr_ 52,• •. ►. �_.
PAX(402)4712814 COP1'i'n.111'- C rh,..Cr+r•al IN
Website:www.lcc.nebrasks.gov
•
FORM MUST BE COMPLETELY FILLED OUT IN ORDER FOR APPLICATION TO BE
PROCESSED
MANAGER MUST: ✓
�, •j Complete all sections of the application. Be sure it is signed by a member or corporate officer{ .
corporate officer or member must be an individual on file with the Liquor Control Commission
•
'ingerpnints are required. See form 147 for further information,read form carefully to avoid delays
in processing,this form MUST be included with your application.
�► Provide a copy of one of the following:US birth certificate,naturalization papers or currant US
passport(even if you have provided this before—
. +/ Be a registered voter in the State of Nebraska,include a copy of voter card or print document from
Secretary of State website with application
Spouse who will not participate In the business,snouse_must.,
•/Complete the Spousal Affidavit of Non Participation Insert(must be notarized). The non-
V ., ✓ participating spouse completes the top half,the manager completes the bottom half. Be sure to
,)' Rv Z_ complete both halves of this form.
7 • Need not answer question#1 of the application
Spouse who�viiiY participate in the business,the snopse must:
•/Sign the application
•�Fingerprints are required. See form 147 for further information,read form carefully to avoid delays
in processing,this form MUST be included with your application.
•, rovide a copy of one of the following:birth certificate,naturalization papers or current US passport
(even if you have provided this before)
• he a registered voter in the state of Nebraska,include a copy of voter card with application
• Spousal Affidavit of Non Participation Insert not required Wiz,
0\c\
2200000130 RovF1uly2o g
Page 1 of6
12/30/2021 15:441st National Bank (FAX)4023921678 P,003/013
MANAGER APPLICATION Office u
INSERT-FORM 3c `-
NEBRASKA LIQUOR CONTROL COMMISSION 3 ��
301 CENTENNIAL MALL SOUTH • `
PO BOX 95046 • .
LINCOLN,NE 68509-5046 1.171, • .
PHONE:(402)471-2571
FAX:(402)471-2814
Website;www.icc.nebraska.gov - -
•
MUST BE:
✓ Include copy of 1 birth certificate,naturalization paper or current US passport
I Nebraska resident. Include copy of voter registration card or print out document from Secretary of
Statp web$Ite •
✓ Fingerprinted. See form 147 fbr further information,read ibrm carefully to avoid delays in
processing,this form MUST be included with your application
1' 21 years of age or older
CorporationLLC'information
Name of Corporation/LLC: 1cLiNA s y•
''remise information 'µ // •
•
Liquor License Number: O� 1 5 1 Class Type t__. new application lcavc blank)
?remb a Trade NameIDBA: d`1040 Vs12Ack S -
Premise Street Address: ? \-_ C-c -pry+ -
City: County: 'be u 8Aa s Zip Code:(o R1 v
Premise Phone Number: 40 — 1 5
Premise Email address: -
The individual whose name is listed as a corporate officer or managing member as reported on insert
form 3a or 3b or listed with the Commission. To see authorized officers or members search your license
informationm,
tc A
SIGNATURE REQ ARED BY.CEU7 'O .�•D0F' It i MANAGING taMBER
(Faxed signatures are acceptable)
Pow 103
Rev NV 2018
Page 2of6
12/30/2021 15145 lst National Bank (FAX)4023921678 P.004/013
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Flame Address: ca-7 SS. Woo\u0 tr(44" Av., .
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Home none Number: 1A0 53 60- G50
Driver's License Number&State:
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Social Security Number_jIIIIIIIIIIIIII
Date Of Birth: Place Of Birth: a/A4 IA_A i NE
Email address:
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Spouses Last Name: Sytufe4..1S,, First Name: 0..,v\ee,t& MI:
Social Security Number:
Driver's License Number&State:
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Page 3 of 6
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.. ;.�,a. ::t 1.1 MAN OER'S:BAST,TWO EMPLOYERS:11-4,:,,“,:•
YEAR •
NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE
FROM TO NUMBER
11Ct°l P« � -rc,c�LY�S1u.�5 p,dc W A\,irc�ro„ yo) ` 3u G . l 3
1. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY. •
Must be completed by both applicant and spouse, unless spouse has filed an affidavit of non-
participation.
Has pzyone who is a party to this application,or their spouse,EVER been convicted of or plead guilty to any charge.
Charge means gay 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,include.traffib violations. Also list any charges pending at the time of this application. If more than one party,
please list charges by each individual's name. Commission must be notified of any arrests and/or convictions that may
occur after the date of signing this application.
A YES ❑ NO
If yes,please explain below or attach a separate page.
Date of Where Description
Name of Applicant Conviction Convicted of Disposition
• (mmlyyyy) (City&State) Charge
ao.....04.irda. re rltcrrtvarz.
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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?
• DYES tANO
•
IF YES,list the name of the premise(s):
•
3. Do you,as a manager,qualify under Nebraska Liquor Control Act(¢53-131.011 and do you intend to
supervise,in person,the management of the business?
OYES ONO RECEIVED
JAN Q 3 1:ZZ ✓�
k� Form 103
tVL :?1•�Oi•". LfQtiOR RevJuly2oi8
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12/30/2021 15:451st National Bank (FAX)4023921678 P.006/013
4. List the alcohol related training and/or experience(when and where)of the person making application.
*NLCC Training Certificate Issued: 124 i/U Name on Certificate: ,�f)�h ( , c Jc_x" t _
Applicant Name (mm,+Y3'YY) Name of program(attach copy of course completion
- certificate)
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'*`For list of NLCC Certified Training Programs see training _
. Experience:
Applicant Name-/kb Title ^pate of - Name&Location of Business:
Employment:
l'IVIvI STAA-zt..k:flimktvir 1 9:','; 0-1r-tt_0,11... (eLt4M -_DeytaiNA f JJ 5
5. Have you enclosed form 147 regarding fingerprints?
DYES ONO ~' C. i-tA \i v..e. US ck{- k
•
Fora►103
Rev1142018
Page of
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12/30/2021 151451st National Bank (FAX)4023921678 P.007/013
.;:: •_s`.;' ;11•••.'•-r QI ' TI .=o,';CONSEN`I',OT ESTI?Cz1 ,TI'ON�'el:: ..', .{
The above individual(s), being fast 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. (See§53-t31LOi)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
Applicant Notification and Record Challenge: Your fingerprints will be used to check the criminal history
records of the FBI. You have the.opportunity to complete or challenge the accuracy of the information
contained in FBI identification record. The procedures for obtaining a change, correction, or updating an
FBI identification record are set f4rth in Title 28, C,FT, la 34.
Agri _Aii, _ ..1.A: 11
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ACKNOWLEDGEMENT
State of Nebraska ..
County of p4ue....4 The foregoing immanent was acknowledged before me this
Dg ' 30 2157A by AncrA t and L C W\ 5._A`)r1,is
��/� date NAME OFP]E1L50lYBEII�iG OWIED6ID
p-Otit.,
� li ��� A5 Seal
,/?. SEIRAL NOTARY-Shia of Nebraska
Mary Pab• signature b KATIE L SHELLY
.....-, • My CommExp.Nub 20,2022
In compliance with the ADA,this application is available in other formats for persons with disabilities.
A ten day advance period is required in writing to produce the alternate format
• Form 103
Rev July 2018
Page 6 of 6
12/30/2021 15:451st National Bank • (FAX)4023921678 P.008/013
PRIVACY ACT STATEMENT! �O„ -' Use org
y
SUBMISSION OF FINGERPRINTS/ ...c 9 E t
PAYMENT OF FEES TO NSP-CID
€r
NEBRASKA LIQUOR
(MALL
CO1v1ivfSSION _
301 CENTENNIALMAILL SOUTH rli4 i@3.`. i Y:r` ;r 1��
POBOX95046 CO." - ' "?'
LINCOLN,NE 68509-5046 .,'. r•," . `v'`` •:•
-,',
PHONE:(402)471-2571
FAX:(402)'471-2814
Website:www,lce.nebraska.gov
THIS FORM IS REOUIRED7O BE SIGNED BY EACH PERSON BEING FINGERPRINTED:
DIRECTIONS FOR 5pBMITTING FINGERPRINU AND FEE PA YMENTS1
• FAILURE TO FILE FINGERPRINT CARDS,AND FA'1 TREE REQUIRED FEE TO'i'flJ
NEBRASKASTAIE$4TTOL WILL DELAY TJE I NANCE OF YOUR LIQUOR LICENSE
• Fee payment of S45.25 per personU'ST be made DIRECTLY to the Nebraska State Patrol;
It is recommended to make payment through the NSP PayPort online system at www.ne.gov/go/nsn
Or a check made payable to TgSP can be mailed directly to the following address:
***Please indicate on your payment who the payment is for(the name of the person being
Fingerprinted)and the payment is for a Liquor License***
The Nebraska State Patrol—CID Division
4600 Innovation Drive
Lincoln,NE 68521
• Fingerprints taken at NSP LIVESCAN locations will be forwarded to NSP—CID
Applicant(s) will not have cards to include with license application.
• Fingerprints taken at local law enforcement offices may be released to the applicants;
Fingerprint cards should be submitted with the application. .
Applicant Notification and Record Challenge: Your fingerprints will be used to check the criminal history
records of the FBI. You have the opportunity to complete or challenge the accuracy of the information ,
contained in the FBI identification record The procedures for obtaining a change, correction, or updating
a FBI identification record are set forth in Title 28, CFR, 1 6.34.
***'Please Submit this form with your completed application to the Liquor Control Commission****
Trade Name G-,r.,.E 1L ��1a , `fir
Name of Person Bein Fin a arinted: p1-.1n S -
Date of Birth: Last 4 SSN:
Date fingerprints were taken: 1 t/2A/2t
Location where fingerprints were taken: L1 1 t S. ttj S-..NAzazt, c))E (4.i -
How was payment made to NSP6,- .a-
C]NSP PAYPORT 0 CASH ❑CHECK SENT TO NSP CK#
My fingerprints are already on file with the commission—fingerprints completed for a previous
application less than 2 years ago?YES 0
w tz_z
SIGNA QIJ1RED O' ' ' • 4%RING FINGERPRINTED
FORM 147
REV JUNE 2021•
PRIVACY ACT STATEMENT! Office Use only
SUBMISSION OF FINGERPRINTS/ RECEIVED
PAYMENT OF FEES TO NSP-CID
JAN05
NEBRASKA LIQUOR CONTROL COMMISSION
301 CENTENNIAL MALL SOUTH N ,
PO BOX 95046 f�'>pc��5t�mp�ii:R�ti��
��LINCOLN,NE 68509-504CON'' - !.'`;;�lsrltSSIUN
6 Do not stamp any of the following pages
PHONE:(402)471-2571
FAX: (402)471-2814
Website:www.lcc.nebraska.gov
THIS FORM IS REQUIRED TO BE SIGNED BY EACH PERSON BEING FINGERPRINTED:
DIRECTIONS FOR SUBMITTING FINGERPRINTS AND FEE PAYMENTS:
• FAILURE TO FILE FINGERPRINT CARDS AND PAY THE REQUIRED FEE TO THE
NEBRASKA STATE PATROL WILL DELAY THE ISSUANCE OF YOUR LIOUOR LICENSE
• Fee payment of$45.25 per person MUST be made DIRECTLY to the Nebraska State Patrol;
It is recommended to make payment through the NSP PayPort online system at www.ne,gov/go/nsp
Or a check made payable to NSP can be mailed directly to the following address:
***Please indicate on your payment who the payment is for(the name of the person being
fingerprinted)and the payment is for a Liquor License***
The Nebraska State Patrol—CID Division
4600 Innovation Drive
Lincoln,NE 68521
• Fingerprints taken at NSP LIVESCAN locations will be forwarded to NSP CD)
Applicants)will not have cards to include with license application.
• Fingerprints taken at local law enforcement offices may be released to the applicants;
Fingerprint cards should be submitted with the application.
Applicant Notification and Record Challenge: Your fingerprints will be used to check the criminal history
records of the FBI. You have the opportunity to complete or challenge the accuracy of the information
contained in the FBI identification record. The procedures for obtaining a change, correction, or updating
a FBI identification record are set forth in Title 28, CFR, 16.34.
****Please Submit this form with your completed application to the Liquor Control Commission****
Trade Name
Name of Person Being Fingerprinted: VA -k;5 -
Date of Birth: Last 4 SN:
Date fingerprints were taken: , jig/ 9.-1
Location where fingerprints were taken:
How was payment made to NSP?
CgINSP PAYPORT ❑CASH ❑CHECK SENT TO NSP CK#
My fingerprints are already on file with the commission—fingerprints completed for a previous
application less than 2 years ago?YES Cl
.. .•g
SIGNATURE QUIRED O. PERSON BEING FINGERPRINTED
FORM 147
REVJUNE 2021
1/5/22,4:08 PM Enterprise Mail-MANAGERS APPLICATION FOR OMAHA CITY COUNCIL HEARING
Gmail Carman Johnson (CCIk) <carman.johnson@cityofomaha.org>
MANAGERS APPLICATION FOR OMAHA CITY COUNCIL
HEARING
1 message
Carman Johnson (CCIk) Wed, Jan 5, 2022 at 4:08
<Carman.Johnson@cityofomaha.org> PM
To: YIANN_1999@yahoo.com, YIANNI@greekislandomaha.com
Bcc: "Elizabeth Butler (CCIk)" <elizabeth.butler@cityofomaha.org>, "Kimberly Hoesing
(CCIk)" <kmberly.pulliam@cityofomaha.org>
Good late day.
RE; GREEK ISLAND, INC
The Omaha City Clerk's Office has received your application from the Nebraska Liquor
Control Commission. The Omaha City Council will hold a public hearing on this request
on Tuesday, FEBRUARY 1, 2022. City Council meetings start at 2:00 PM and are
located in the Legislative Chambers in the Omaha/Douglas County Building located at
1819 Farnam Street, Omaha, NE 68183. You or a representative is required to attend
the meeting.
I ALSO NEED THE DATE OF BIRTH FOR JOHN G. & ANGELA P. SGOURAKIS
PLEASE SEND ME THIS INFORMATION AS SOON AS POSSIBLE.
Please notify me if you have any questions.
Thanks
Carman Johnson
Liquor Clerk
City of Omaha/City Clerk
1819 Farnam Street
Suite LC-1
Omaha, NE 68183
402-444-5324
402-444-5263 fax
Carman.johnson@cityofomaha.org
https://mail.google.com/mai I/u/0/?ik=cd387c45eb&view=pt&search=all&permthid=thread-a%3Ar2844439780280049169%7Cmsg-a%3Ar-5188009035... 1/2