RES 2022-1219 - Appoint Jamel A Morris manager of Wyndham Omaha Hotel 4,yµE STq ��t?,y ,
O§h
;; �. ;' STATE OF NEBRASKA
Pete Ricketts NEBRASKA LIQUOR CONTROL COMMISSION
4 4m,4i 4,
Hobert B.Rupe
tio«It
I, ,.. � Governor
Executive Director
wa� r� 4 301 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.Icc.nebraska.gov
Today's Date: November 22, 2022
From:
Rebecca Roberts (rebecce.roberts@nebraska.gov)
R.
To: Omaha City Cler*k
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: NE Orxjahe LLC •
`''`
Trade Name (DBA): Wyndham Omaha Hotel
:License Number: C-124$77
,•7.4• a'•• .,•
Manager Name: Morris, Jariiel A
Due Date: January 06, 2023
❑✓ APPROVED
n NO LOCAL RECOMMENDATION
DENIED
COMMENTS: (YOU MAY ATTACH MINUTES AND/OR ADDITIONAL NOTES)
- I
Clerk's Name: a•e USG Date: 12-21-2d22
Kim Lowe Bruce Bailey Harry Hoch
Commissioner Chairman Commissioner
An Equal Opportunity Employer
Yr7 )z / zaivt2--/-2/ -ecr a ,20, z�Z- 2--
lad811
MANAGER APPLICATION Office Use RECEIVED
INSERT-FORM 3c
NEBRASKA LIQUOR CONTROL COMMISSION NOV 07 2022
301 CENTENNIAL MALL SOUTH
PO BOX 95046
LINCOLN,NE 68509-5046 NEBRASKA LIQUOR a.
PHONE:(402)471-2571 CONTROL COMMISSION
FAX:(402)471-2814
Website:www.lcc.ncbraska.gov
FORM MUST BE COMPLETELY FILLED OUT IN ORDER FOR APPLICATION TO BE •
PROCESSED S
MANAGER MUST:
• 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
Fingerprints are required. See form 147 for further informations 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 current 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,spouse must:
�• Complete the Spousal Affidavit of Non Participation Insert(must be notarized). The non-
participating spouse completes the top half;the manager completes the bottom half. Be sure to
complete both halves of this form.
• Need not answer question#1 of the application
Spouse who will participate in the business,the spouse 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.
• Provide a copy of one of the following:birth certificate;naturalization papers or current US passport
(even if you have provided this before)
• Bc a registered voter in the state of Nebraska,include a copy of voter card with application
• Spousal Affidavit of Non Participation Insert not required
2200013086 Form 103
O Rev July 2018
Page 1of6.
4
MANAGER APPLICATION --
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REQ1,11IFD CORPORA, E OFFICER NIANAGING MEMUER
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Manager's information must be comp-feted below PLEASE PRINT CLEARLY �✓ -
Last Name: Mot c I S First Name: JtarnE \ _ MI: k
Home Address: In0 3 IV fl15 ('Dr. P 1 z-
City:0(iti icy, County:_ L tql(,tC1_Zip Code: 6g/3i
Home Phone Number: 4/ -457- y53(,)
Driver's License Number& State:
Social Security Number:MINIMUM
Date Of Birth:11111111111 Place Of Birth: 110
Email address: MDre;S JCUYtk I ng ()VIA.(on'
'Are you married?If yes,complete spouse's information(Ev_en jf a spousal.affdavit has been submitted)�1
[]YES j:ZiNO
Spouse's information
_ �._ __ ___.____
Spouses Last Name: First Name: MI:
Social Security Number:
Driver's License Number&State:
Date Of Birth: Place Of Birth: •
(APPLICANT&SPOUSE MUST LIST RESIDENCE(S)FOR THE PAST TEN(10)YEARS
APPLICANT. , - - SPOUSE: __ _. _
CITY&STATE YEAR YEAR CITY& STATE YEAR YEAR
FROM TO FROM TO
LQ,o,wtoci , 1S ,gyp, L/ 2oi(,
Gcand le IA), t\m> :Alto 201'7 .
Md w , NE )017 Nt )
Form IU3
Re+Jul)2018
Page 3 arc
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1
MANAGER,S.WT.TWO EMPLOYERS __ __ _ _. .
YEAR TELEPHONE
NAME OF EMPLOYER NAME OF SUPERVISOR
FROM TO NUMBER
9og1 aUzz \-VAtc10.1 timl Cho Johnson y/2 .5'/346c
goy 20a2 1,01M c k- 1(1n 531-213-4a
I. READ CAREFULLY. ANSWER COMPLETELY AND ACCURATELY.
Must be completed by both applicant and spouse, unless spouse has filed an affidavit of non-
participation.
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.include traffic 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.
YES ® NO
If yes.please explain below or attach a separate page.
Date of • Where Description
Name of Applicant Conviction Convicted of Disposition
(mm/yyyy) (City&State) Charge
2. Have you or your spouse ever been approved or made application for a liquor license in Nebraska or
any other state?
EYES ONO
IF YES,list the name of the premise(s):
3. Do you,as a manager,qualify under Nebraska Liquor Control Act f$53-131.011 and do you intend to
supervise,in person,the management of the business?
RIVES ONO
•
Form 103
Rev July 2018
Page 4 of 6
I ■
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�� List the alcohol related training and/or experience(when and where)of the person making application.
*NLCC Training Certificate Issued: Name on Certificate:
JJ.e.e 0 lti(A ,1i 'rib
Date Name of program(attach copy of course completion
Applicant Name min/
}'y} CC111fICate)
AP- . ..
'For list ofNLCC Certified Training Programs see training
Experience: Date of
Applicant Name/Job Title Name&Location of Business:
PP Employment:
5. Have you enclosed form 147 regarding fingerprints?
YES ONO
Form 103
Rev July 20111
Page 5 of 6
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Il►e above individual(sl. 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 litrcgoing application that said application has
been read and that the contents thereof and all.statements contained therein are true. If any fake 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. c S 3-1?t.01)Nebraska Iayunr 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, lax records (State and Federal), and hank 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 he 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: )'our fingerprints will be used to check the criminal history
records qt 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 forth in Title 28, CFR. 16.34.
• 4 , 4i
Signature of Manager Applicant Signature of Spouse
ACKNOWLEDGEMENT
State of Nebraska
County of -Dot \AS The foregoing instrument was acknowledged before me this
NimitnNW 3, 2022 by JOttvIe.l More;')
dale NAME OF PERSON BEING ACKNOWLEDGED
g;i—V":3 L-QAjC1/71 Affix Seal - - -
NotaryPublicsign ure 4,GOSAI.NOTARY•StatealNebras►a
AUTUMN ORICKEY
. , itytblM @p.Decemotr 1,2025
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.
Rum 103
Rev July]OIS
Page 6 of 6
WS +14- - - 4s6 0..• / - ---
PRIVACY ACT STATEMENT/
SUBMISSION OF FINGERPRINTS/
PAYMENT OF FEES TO NSP-CID
NEBRASKA LIQUOR CONTROL COMMISSION NOV 0 7 2022
301 CENTENNIAL MALL SOUTH
PO BOX 95046 NEBRASKA LIQUOR
LINCOLN.NE 68509-5046 CONTROL COMMISSION il
PHONE:(402)471-2571
FAX:(402)471-2814
W ebsite:www.lcc.nebraska.gov
THIS FORM IS REOUIREI)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 LIQUOR LICENSE
• Fee payment of S45.25 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
3800 N\V 12th Street .
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 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.
Trade Name: Lij (1dhaw Omaha \-cy\-e �1& /)I' ailo, I.LC
Name of Person Bring Fingerprinted: 7,at'nt I Mort n g
Date of Birth:MOM Last 4 SSN:111111. Date fingerprints were taken: I i / 3 /2o. .2
• Location where fingerprints were taken: LiAII 15_ v306 5'1 Or ca o / NF 64;12 ?
How was payment made to NSP?
NSP PAYPORT OCASH OCHECK 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 O
SI . A,,s,ytAl /n7 6)U RE REQUIRED OF PERSON BEING FINGERPRINTED
`' FORM 147
REV MAY 2018
11/23/22, 10:59 AM Enterprise Mail-MANAGER'S APPLICATION FOR OMAHA CITY COUNCIL HEARING-NE OMAHA,LLC
G m it Carman Johnson (CCIk) <carman.johnson@cityofomaha.org>
MANAGER'S APPLICATION FOR OMAHA CITY COUNCIL
HEARING - NE OMAHA, LLC
1 message
Carman Johnson (CCIk) Wed, Nov 23, 2022 at 10:56
<Carman.Johnson@cityofomaha.org> AM
To: NANCYD@hkbhotelgroup.com, MORISJAMEL88@gmail.com
Bcc: "Elizabeth Butler (CCIk)" <elizabeth.butler@cityofomaha.org>, "Kimberly Hoesing
(CCIk)" <kimberly.pulliam@cityofomaha.org>
Good mid morning
RE: NE OMAHA, LLC
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, DECEMBER 20, 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 JAMEL A MORRIS. 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://mai l.google.com/mail/u/0/?ik=cd387c45eb&view=pt&search=all&permthid=thread-a%3Ar4620416681293046314%7Cmsg-a%3Ar46220691645... 1/2