RES 2004-1176 - Appoint Ryan T Slane manager of Orpheum Theatre STATE OF NEBRASKA
__-�fiE`STgTh,1 `C? F C I y E,D NEBRASKA LIQUOR CONTROL COMMISSION
t .; - Fq.q, L\
v, Hobert B. Rupe
w,':' Y�-;T -t i!{� 8� 55 Executive Director
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y d, /_ .1 �UU LS �� 301 Centennial Mall South,5th Floor
6 w'yq," Y y; C P.O.Box 95046
4 a' }p� ! 1 i�> Lincoln,Nebraska Phone(02)4709 5046
III V l•l Y P [`t
�� Fax(402)471-2814
`�/1 �u$tl 23, 2004 TRS USER 800 833-7352(TTY)
Mike Johanns web address:http://www.nol.org/home/NLCC/
Governor
City Clerk of Omaha
1819 Farnam LC1
Omaha, NE 68183 '
RE: Manager Application Submittal
Dear Sir/Madam:
The corporation Volume Services, Inc DBA Opheum Theatre has
submitted the enclosed Application for Corporate Manager. The Opheum
Theatre has the following liquor license(s) Class I #36727 and is located at
409 S 16 Street, Omaha, NE 68102 (Douglas County). The applicant's
name is Ryan T Slane.
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
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
35-4013 ' ; Page 1 of 4
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Application for Corporate Manager
*Must Be A Nebraska Resident*
Please submit in Triplicate
• Return to: Nebraska Liquor Control Commission,PO Box 95046
301 Centennial Mall So.,Lincoln NE 68509 ,'
Phone: (402)471-2571 Fax: (402)471-2814 Web address: http://www.nol.org/ho /1 G . y VE;b "''' I VE im
i.,.,
Required areas marked by a red asterisk(* )
AUS232OO
LIQUOR LICENSE INFORMATION
NEBRASKA LIQUOR
Name of Licensed Corporation Class&License numb
eLr�0 oL COMMISSION
{Volume Services, Inc. ' * 'Class 1, 36727 i:�
Trade Name of Licensed Premise
lOpheum Theatre *
v
Street Address of Licensed Premise City VinCounty[{409 South 16th St. ; * Omaha * Douglas *
On behalf of the corporation,I designate this individual as corporate manager.
i
Signature of Corporate President/CEO: C• XiLhli .
APPLICANT INFORMATION (MUST BE 21 OR OVER)
*
Full Name(Last,First,Middle,Maiden) Sex Social Security Number
(Ryan, Slane T. •* F M ; * ,
Date of Birth Place of Birth
----------
('
✓ynaNA —
Home Street Address City County
12008 North 68th St. 1 * [Omaha * ;Douglas *
State Zip Code Home Telephone Number
I N E 1 * 68104 ' * 816-931-0507 i *
Business Telephone Number Drivers License Number ! State
402-345-5216 * r * NEi
�_ l ► i *
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http://www.ims.state.ne.us/LCCtemp/35-4013.html 4/21/2004
35-4013 Page 2 of 4
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Are You Married? * Yes 0 No 0 If Yes,You must complete the following:
SPOUSE'S INFORMATION (IF NOT MARRIED INDICATE)
Full Name(Last,First,Middl ,Maiden) Social Security Number
i.
Drivers License Number State DateI E V E o�:#tCh '
AUG 2 3 2004
Place of Birth NEBRASKA LIQUOR
CONTROL COMMISSION
* 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.
Yes No
Q tl
* 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.
es No
0
* 3.Have you or your spouse ever made a compromise settlement for violation of such laws?
Yes No
0 X
* 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)
es No
O
* 5.Have you filed fingerprint cards and PROPER FEES(if check,make out to the NE State Patrol),with this application?
Yes No
O
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35-4013 Page 3 of 4
RESIDENCES SINCE AGE 18,APPLICANT AND SPOUSE MUST COMPLETE
Year
From To
Applicant: City&State
:amkvo, 2..001
Spouse: City&State AUG 2 3 2004
NEBRASKA 1.1LitUut1
Year
CONTROL COMMISSION
From To
Applicant:City&State
zoD6
Spouse:City&State
Year
From To
Applicant: City&State
0.054‘,.S CT21-1 N\0 I 9 IS Zocoz.
Spouse: City&State
Year
From To
Applicant: City&State
CAN•NAPt E 19/3 1995
Spouse: City&State
EMPLOYERS -LIST LAST TWO EMPLOYERS
Year
Name of Employer From Ao
TEMEybite ALott/761eLii.ce) C inZ lia29-+
Name of SApervis5 Telephone Number
SZY) tiv.10,fc
Year
Name of Employer From To
Name of Supervisor Telephone Number
http://www.ims.state.ne.us/LCCtemp/35-4013.html 4/21/2004
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35-4013 • Page 4 of 4
PERSONAL OATH AND CONSENT OF INVESTIGATION -MUST BE SIGH Otisiu �:
V '-
SPOUSE
STATE OF NEBRASKA ) AUG 2 2004
) SS NEBRASKA LIQUOR
COUNTY OF ) CONTROL COMMISSION
`mac.-.was
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 may be attached,however,fingerprint cards are still required to be filed.
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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 and inaccurate.
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atu a of App scant Signature of Spouse(if applicable)
Subscribed in my presence and sworn to before me this 2.0 day Subscribed in my presence and sworn to before me this day
of QV��v.-ST ?—a t-} of
J Notary Signature&Seal Notary Signature&Seal
GENERAL NOTARY-State of Nebraska
LIB CATHERINE H.BESTA
�`._ My Canm.Exp.Aug.19,2008
Verifyand Print -
FORM 35-4013
REV. 2/01
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http://www.ims.state.ne.us/LCCtemp/3 5-4013.html 4/21/2004
• (1311:164.
HA, NFCt o O aha Nebras a , 7s
1819 Farnam —Suite LC 1 z r�Ik� ���"l"' 1
n® r ra t"
Omaha, Nebraska 68183-0112 0 , ice „-
Buster Brown (402) 444-5550 941
City Clerk FAX (402) 444-5263 0 '7.FpF01 U�4.
September 7, 2004
Volume Services, Inc. Application to appoint Ryan ---Slane
Dba"Opheum Theatre" manager of your present Class "I" Liquor
409 South 16`h Street License
Omaha, NE 68102
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 September 21,
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.
Sincer ly yours,
6 /‘e>
Buster Brown
City Clerk
BJB:clj
k opHA, kF6
4.0
City of Omafia, We raska
c.,
adrAts.
1819 Farnam —Suite LC 1
Omaha, Nebraska 68183-0112 0�
Buster Brown (402) 444-5550
City Clerk FAX (402) 444-5263 off' D FEiaR-t,�y
September 7, 2004
Ryan T. Slane Application to be appointed manager of the
2008 North 68th Street Class "I" Liquor Licenses for Volume
Omaha, NE 68104 Services, Inc., dba"Opheum Theatre", 409
So; 161h Street and "Omaha Civic
Auditorium", 1804 Capitol Avenue
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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 IigUor Iicense has been set for September 21,
2004. The City Council Meeting begins at 2100 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,
•
„e‘ifid/10.4
Buster Brown
City Clerk •
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