RES 2002-1154 - Appoint Anthony J Christenham manager of Albertson's #2202 STATE OF NEBRASKA
za$ez�T. NEBRASKA LIQUOR CONTROL COMMISSION
v°• 1 S`'� o�.. Forrest D. Chapman
"oe • Executive Director
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41 �r '' '!,mfl 301 Centennial Mall South,5th Floor
i �° �"~''I 34YP.O.Box 95046
tii�, r', `►° Lincoln,Nebraska 68509-5046
ar •::.'.::. Phone(402)471-2571
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Fax(402)471-2814
TRS USER 800 833-7352('iTY)
Mike Johanns web address:http://www.nol.org/home/NLCC/
Governor
April 22, 2002
City Clerk
Omaha/Douglas Civic Center
1819 Farnam LC-1
Omaha NE 68183
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RE: Manager Application Submittal
Dear Sir/Madam:
The enclosed Applications for Manager are being submitted by Albertson's Inc for the
following locations:
-4( Albertson's Store #2202, 3003 N 108 Street, Omaha, 68164 (Douglas County) D#08960
• 'Albertson's Store #2210, 820 N Saddle Creek, Omaha, 68137 (Douglas County) D#22649
Albertson's Store #2201, 5110 S 108 Street, Omaha, 68137 (Douglas County) D#22337
Albertson's Store #2209, 7646 Dodge Street, Omaha, 68114 (Douglas County) D#13296
the applicant's name is AnthonyJ. Christenham.
Please present these applications to your City/County Council and return to us the results
of the action taken. If you have any questions or comments, please give me a call.
Sincerely,
P•Ote/tiad(
• elle Petersen
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
APR-03-02 WED 03:47 PM REMBOLT LUDTKE BERGER FAX NO. 14024755103 i �� ' P. 02/07
1
. c) L3
Application for Corporate Manager
*Must Be A Nebraska Residents APR 2 2 2002
Please submit in Triplicate
Return to: Nebraska Liquor Control Commission,PO Box 95046 NEBRASKA LIUUUR
301 Centennial Mall So.,Lincoln NE 68509 CONTROL COMMISSION
Phone:(402)471-2571 Fax:(402)471-2814 Web address:http://www.nol.org)home/NLCC/
__ LIQUOR LICENSE L'VFORMATION
NAME OF LICENSED CORPORATION CLASS&LICENSE NUMBER .
Albertson's, Inc. eV--- - • . 08960
TRADE NAME OF LICENSED PREMISE •
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Albertson's Store #2202 tr— -
STREET ADDRESS OF LICENSED PREMISE • CITY COUNTY ZIP CODE
tri
BOOB N. 108 Street OP Omaha,. '' Do as O� 68164 o 1L
On behalf of the corporation..i designate this individual as corpora'c manager.
Signature of Corporate President/CEO:
APPLICANT INTO I f,Mt E �l;R)
NAME(LAST.FIRST.MIDDLE,MAIDEN) SEX SO SITY BER DATE OF BIRTH PLACE OP BIRTH
F
. A Christenham, Anthony Joseph 6/16/67 Omaha, NE
b CITY COUNTTYY STATE 7:IP CODE Y1-9-
,to HOME STREET ADDRESS I
3611 N. 101st Street Omaha Doulas NE 68)37
I HOME TELEPHONE NUMBER BUSINESS TELEPHONE']UMBER DRIVERS LICENSE NUMBER.ti STATE •
( 402 572-8399 1'402) 493-9616 GO .1354724 NE
p p SPOUSE'S INFORMATION(IF NOT MARRIED INDICATE NONE)
Inq
FULL NAME(LAST.FIRST.MIDDLE.MAIDEN) SOC'.tl.SECURITY NUMBER DRIVERS LiCENSE NUMBER
&STATE
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1�3 �� Christenham, Rachel Norma Chamberlain _. __ ..... -. ' CO 11 . J74 .NF
DATE OF BIRTH: 10/13/60 PLACE OF BIRTH: f.arpdc TX
1.READ CAREFULLY—Answer completely and accurately.
Has anyone who is a party to this application or their spouse,aver 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.
2YES '3tNO
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2. Have you or your Spouse ever made application for any liquor license or manager for any liquor iicense?IF YES,for what preinise
give license number and date.
s YES I.: NO Albertson's 42203, 14444 W. Center Road, Omaha, NE 68144
,/IR.I,<.4„I'
CIA',.."
r.WL
APR 03 '02 14:58 1402475510 PAr7, GO
APK-U4-U2 THU n:40 PM REMBOLT LUDTKE BERGER FAX NC. 14024755103 P. 03107
0 EIVED
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APR 222002
3. Have you or your spouse ever made a compromise settlement for violation of such laws?
_. YES .. NO NEBRASKA LIQUOR
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(f53-131.01)
49 YES O. NO
5. Have you filed fingerprint cards and PROPER TEES(if chock,made out to the NE State Patrol).with this application?
X YES Ct NO Fingerprints are •current and on file
LIST PRINCIPAL RESIDENCE FOR PAST 10 YEARS,APPLICANT AND SPOUSE MUST COMPLETE
APPLICANT:CiTY&STATE • YEAR SPOUSES CITY&STATE YEAR
FROM TO FROM TO
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41414464-, 3iE -L94 44,86, _ Omaha.. NW 1986 1 cres—
Omaha,_ NE i ORA,.prya ` y�
_ J ._.,•
C
EMPLOYERS-LIST LAST TWO EiV1PLOYERS
YEAR NAME OF EMPLOYER •
NA 1I OF SUPERVISOR TE.LE?HONE NUM MIR
PlIOM TO
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• 1986 present t,312,ar.tsclin'c. Tnr• — ba�r�oi: ,918-439-6562
1981 1 .1986 • Gr:eenwood Public Schools • Craig Reese
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•PERSONAL OATH AND CONSENT OF INVESTIGATION-MUST BE SIGNED BY APPLICANT&SPOUSE
STATE OF NEBRASKA ) •
COUNTY OF DOUGLAS)
The ubvve individ,mt(s),owing first duly sworn upon oath.deposes and sena that the vndersirocd is the appttcanaand/or spoils:of applicant who uwk,'the at><we
application.that said appiieation hail been read and that the contents thereof and all statements.Vn;ained therein am true.If any NNtse statenx^at is to th it an)pin of this
attAcntiva the eppticantlnt shall be de coed guilty nr perjury and subject to penalties provided by law.iSec.$53-t 3 t.ni)Nebraska Uqunr Conrad An.
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The undersigned applicant hereby consents to an inveetI$ation of his/her background including all records of every kind and dcseripxion including pore.-twts4,in.records
(Star and Federal).and hank Or lending institution=or%and said)applicant and abuse Naive any rights or Causes of action that said applicant or span::.:Fluty Sat a vuirt,t
she Ncbn.ks t.i nioc Control Commission and any other individual disclosing or rctessing said information to the Netxa.kn Liquor Control t:tnnntivivn.ti spew:Nis NO
in! dirotl us indirectly,an atitdavft rosy be a however.G r rant cards ate still wired to bt filed.
eiest y y. tmodred nR rP Teo
The.undersigned understand and acknowledge dirt any license issued.bared on the information,ubiiitted in this application.is subject to eievettinn if tN;i,dnnn:itina
et itsineti herrin ix irscOin Coe and inaccurate.
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nature et Applicant Signature of Spouse(itsppltcaWe)
5ebsctilwd in eon pre circa end swam to befurc me this /1 Stibscrihed in my piesenca and sworn to haw.:arc this /�_
ci:K•nr 1 .1'< '!�_ .._,._. day of..Ni:f1 a- "i.C3..€0.-..„z,..
Notary Signature Kt Seal Notary Signature ic Scat
asap:cool
� rat;,:
NEPA NOTAWSide of Nebraska of
PETER VALLS
tyska
PETER VALL4
MY Comm.Exp.May 22,2003 My Comm.Bp.May 2a 2003
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City ofOmaha Webraska ` �1I' =°T,
tiJ -Jo
1819 Farnam—Suite LC 1 '�
Omaha, Nebraska 68183-0112 0 . :4.
Buster Brown (402) 444-5550 ?A �''
City Clerk FAX (402) 444-5263 oR�rFn FEBR�[►4-
April 29, 2002
Albertson's Inc. Application to appoint Anthony Christenham
Dba"Albertson's #2202" manager of your present Package Liquor License
3003 North 108th Street
Omaha,NE 68124
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 May 7, 2002. 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. FOR YOUR FILE.
ATTACHED SENT TO THE MANAGER.
. Sincerely yours,
/4-1
Buster Brown
City Clerk
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CityOmaha,o �� 1 7
ENT-1\7%
1819 Farnam—Suite LC 1 2 F
Omaha, Nebraska 68183-0112 \2 : . �� •-•• "•
Buster Brown (402) 444-5550 A
City Clerk FAX (402) 444-5263 O"?'1.Ep FE8S°*4�
April29,2002
Anthony Christenham Application to be appointed manager of the
3611 North 101st Street Package Liquor Licenses for Albertson's,
Omaha,NE 68137 Inc.,dba"Albertson's#2201",5110 So 1086 Str.,
"Albertson's#3003 No 108`h Sir.,"Albertson's
#2209",7646 Dodge Str.,&"Albertson's#2210",
820 No Saddle Creek Rd
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 May 7, 2002.
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 yours,
ZiCier
Buster Brown
City Clerk
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