RES 2004-1449 - Appoint William Falt manager of Joe Tess Place • STATE OF NEBRASKA
ECEI D
04—4KE`sTap @,,i OCTNEBRASKA LIQUOR CONTROL COMMISSION
Fo JRupe
Hobert B.COMMISSION
�?~.h fy� 59 Executive Director
301 Centennial Mall South, 5th Floor
c»E i_t r t, P.O.Box 95046
Lincoln,Nebraska 68509-5046
4l'1j1\\ ,�a I 6; C ti t.00' t; 1 Phone(402)471-2571
Fax(402)471-2814
TRS USER 800 833-7352(TTY)
Mike Johanns web address:http://www.nol.org/home/NLCC/
Governor
October 12,2004
City Clerk
1819 Farnam
Omaha,NE 68183
RE: Joe Tess Place,Inc/C-12242
Dear Clerk:
Enclosed is a copy of a manager application for the following:
William Falt filed in connection with the Class C license of the above-named corporation.
Please present this application for manager to your CityNillage Council or County Commissioners Board,and send
us the results of their action.
Sincerely,
NEBRASKA LIQUOR CONTROL COMMISSION
i Free an
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icensin Division
tf
encl.
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
1
- Application for Corporate Manager
*Must Be A Nebraska Resident P Er
Please submit in Tri licate �ECEIV
Return to: Nebraska Liquor Control Commission,PO Box 95046 Q 7 2QQ4
301 Centennial Mall So.,Lincoln NE 68509 OCT
Phone: (402)471-2571 Fax: (402)471-2814 Web address: http://www.nol.org/home/NLCC/
..............................
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NAME OF LICENSED CORPORATION &LI ENSE NUMBER
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TRADE NAME OF LICENSED PREMISE
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STREET ADDRESS OF LICENSED PREMISE CITY COUNTY ZIP CODE
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On behalf of the corporation,I designate this individual as corporate manager. (Ain i frit.1 J �Q'
Signature of Corporate President/CEO:
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WSTItagataftVEMEMOMMENNEEMME
NAME(LAST,FIRST,MIDDLE,MAIDEN) I SEX SOCIAL SECURITY NUMBER DATE OF BIRTH PLACE OF BIRTH
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HOME STREET ADDRESS CITY COUNTY STATE ZIP CODE
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HOME TELEPHONE NUMBER BUSINESS TELEPHONE NUMBER DRIVERS LICENSE NUMBER&STATE
( ` °.-)773— 0221-- (qoa..) 733--ct`7a NE
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FULL NAME(LAST,FIRST,MIDDLE,MAIDEN) SOCIAL SECURITY NUMBER DRIVERS LICENSE NUMBER
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&STATE
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DATE OF BIRTH: PLACE OF BIRTHS Cv?l e- ,c S JI i ti,r4 NE 1
1. READ CAREFULLY. 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 criminal charge. Criminal
charge means any charge alleging a felony or misdemeanor violation of a federal or state law;or 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.
ii.; Yes ❑No
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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. 4 h t)if c a(t A To Tern"'cc C/Qxs- J - G6 Yd
OYES ENO
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REV 2/01
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3. Have you or your spouse ever made a compromise settlement for violation of such laws? '
AYES gdi o
4. Do you,as a manager,have all the qualifications required by any person entitled to hold a Nebraska Liquor License?
ebraska 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?
p4YES NO
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APPLICANT:CITY&STATE YEAR SPOUSE:CITY&STATE YEAR
FROM n TO FROM TO
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YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE NUMBER
FROM nTO
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STATE OF NEBRASKA ) -,
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COUNTY OF )
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,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 ifthe information contained herein
is incomplete and inaccurate.
Signature of App cant Signature of Spouse
�a po (if applicable)
Subscribed in my presence and sworn to before me this 5 . Subscribedjit my presence and sworn to before me this
day of bet?pis r ?_zYy-(- day of i470.6Eg. ZOO`-f
4..E
Noture&sal tary Sia •&Seal
GENERAL NOTARY-State of Nebraska4 GENERAL NOTARY State of Nebraska
GREGORY B.COYLE GREGORY B.COYLE
• My Comm.Exp.MARCH 13,2007 My Comm.Exp.MARCH 13,2007
FORM 35.4013
REV.2/01
PAGE 2
1
4 OMAHA'
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City ofOmaha J'iebraskg44,
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1819 Farnam—Suite LC 1 2 ' , , ;
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Omaha, Nebraska 68183-0112 0V - ;.1_:,
Buster Brown (402) 444-5550
City Clerk FAX (402) 444-5263 0it) FEBR91
October 26, 2004
Joe Tess Place, Inc. Application to appoint William x alt
5424 South 24`h Street manager of your present Class "C"Liquor
Omaha, NE 68164 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 November 9, 2004.
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.
City Council Rule No. 14, requests each applicant to submit a signed statement
representing that a sign indicating the birth date for buyers of alcohol will be prominently
displayed on the licensed premises and that approved training in the proper procedures
for checking buyers' identification will be provided to employees. Attached is the
statement to be signed and returned (hand deliver, mail or fax) to the City Clerk's
Office before your public hearing.
Sincerely yours,
uster Brown
City Clerk
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CityofOmaha, Webraskg if,II
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1819 Farnam—SuiteLCz ' ti'��,'•► `i___1 ® ir. ma
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Omaha, Nebraska 68183-0112 0 �,,� ;..
Buster Brown (402) 444-5550
City Clerk FAX (402) 444-5263 0 'r�D FEs4vt•14
October 26, 2004
William Falt Application to be appointed manager of the
1326 Bellevue Blvd North Class "C" Liquor Licenses for Joe Tess
Bellevue NE 68005 Place, Inc., 5424 South 24th 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 November 9,
2004. 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,
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Buster Brown
City Clerk
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