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RES 2023-0586 - Appoint Angela G Alexander manager of Harper Center 4NE s Tq�y�h F ,..p.... STATE OF NEBRASKA r Pillen NEBRASKA LIQUOR CONTROL COMMISSION / •- ;,y. Hobert B.Rupe Governor "iit �, i P,�if :,6� ' Executive Director . w�Rcrr rT;8,_ 301 Centennial Mall South c.... �' 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: May 12, 2023 • From: F. Christine Lowery (frances.lowery@nebraska.gov) To: carman.johnson@cityofomaha.org; elizabeth.butler@( 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: Sodexo America, LLC Trade Name (DBA): Harper Center License Number: 1 K - 079390 Manager Name: Alexander, Angela G Due Date: June 26, 2023 n APPROVED n NO LOCAL RECOMMENDATION DENIED COMMENTS: (YOU MAY ATTACH MINUTES AND/OR ADDITIONAL NOTES) • #31 RES #2023-0586 JUNE 6, 2023 jab gatem, 06-07-2023 Clerk's Name: Date. Kim Lowe Bruce Bailey Harry Hoch Commissioner Chairman Commissioner An Equal Opportunity Employer MANAGER APPLCATION FORM 103 RECEIVED 71 NEBRASKA LIQUOR CONTROL COMMISSION License 301 CENTENNIAL MALL SOUTH Class: 1K i M PO BOX 95046MAY 1 Y 2023 LINCOLN,NE 68509-5046 PHONE:(402)471-2571 License Number: NEBRASKA LJQUOR FAX: :Icc.4ontdes 4 79390 CONTROL COMMISSION EMAIL:1cc.frontdesk(a)nebraska.gov WEBSITE:www.lcc.nebraska.gov MANAGER MUST: Be at least 21-years of age Complete all sections of the application. Form must be signed by a member or corporate officer .r Include Form 147—Fingerprints are required Provide a copy of one of the following: US birth certificate,US Passport or naturalization papers ,e -Be a resident of the state of Nebraska and be a registered voter in the State of Nebraska, � Spouse who will participate in the business,the spouse must meet the same requirements as the manager applicant: Spouse who will not participate in the business Complete the Spousal Affidavit of Non Participation(Form 116). Be sure to complete both halves of this form. . .. ,;1,/ z s,.-t;y '�;3 ,+ y c y "A' Name of Corporation/LLC: Sodexo America, LLC i' ,�rt `�c'a m .._ ._ ..._.. .,..,,.._ ,�. A .. lx �'a�.. _, r ...i.: ri•F._J _ .G�S't;! _bs X i,r- � '� >. _.. .... k i.`�"-` Premises Trade Name/DBA: Harper Center Premises Street Address: 602 N. 20th St City: Omaha County: Douglas Zip Code: 68178 Premises Phone Number: 402-619-4982 Premise ) address: LiquorLicense.USA@Sodexo.com k f /.. SIGNATURE REQUIRED d*i ORATE OP I ER/MANAGING MEMBER The individual whose name is listed as a corporate officer or managing member as reported or listed with the Commission. 6(4 pU INERMIN 2300004838 FORM 103 REV 12/8/2022 PAGE 1 • � ' STATE OF NEBRASKA �$a - - if,1 Jim Pillen NEBRASKA LIQUOR CONTROL COMMISSION w'0A!f Hobert B.Rupe a,a:fs',/ Governorp 4 a Executive Director '1i iCH in%6_ 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: June 01, 2023 From: F. Christine Lowery (frances.lowery@nebraska.gov) To: Carman.Johnson@cityofomaha.org>; elizabeth.butlerc 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: Sodexo America LLC Trade Name (DBA): Kiewitt Fitness & Student Center License Number: IK - 046506 Manager Name: Alexander, Angela G Due Date: July 17, 2023 n APPROVED NO LOCAL RECOMMENDATION DENIED COMMENTS: (YOU MAY ATTACH MINUTES AND/OR ADDITIONAL NOTES) #31 RES #2023-0586 JUNE 6, 2023 Clerk's Name: C,Eal6e2 '' 4- Date:06-08-2023 Kim Lowe Bruce Bailey Harry Hoch Commissioner Chairman Commissioner An Equal Opportunity Employer MANAGER APPLCATION „L71 FORM 103 RECEIVED NEBRASKA LIQUOR CONTROL COMMISSION License I, 301 CENTENNIAL MALL SOUTH Class: C MAY 11 2023 PO BOX 95046 LINCOLN,NE 68509-5046 PHONE:(402)471-2571 License Number: NEBRASKA LIQUOR FAX:(402)471-2814 46506 CONTROL COMMISSION EMAIL:fcc.frontdesk(a)nebraska.eov WEBSITE: www.lcc.nebraska.gov MANAGER MUST: , ' Be at least 21-years of age 7' Complete all sections of the application. X Form must be signed by a member or corporate officer ,,.')nclude Form 147—Fingerprints are required �/Provide a copy of one of the following: US birth certificate,US Passport or naturalization papers Ar Be a resident of the state of Nebraska and be a registered voter in the State of Nebraska, att Spouse who will participate in the business,the spouse must meet the same requirements as the manager applicant: Spouse who will not participate in the business Complete the Spousal Affidavit of Non Participation(Form 116). Be sure to complete both halves of this form. CORPO1 VI0 ,. r;© -Iv. . ,- 7 Name of Corporation/LLC: Sodexo America, LLC PICE-MiSES t ^ice!• , ON ; ; :- r k fi,y s 1. , t , ;, Premises Trade Name/DBA: Kiewit Fitness & Student Center Premises Street Address: 2400 Cass Street City: Omaha County: Douglas Zip Code: 68178 Premises Phone Number: 402-619-4982 ti Premises Email address: LiquorLicense.USA@Sodexo.com SIGNATURE REQUIRED:BY CORPORATE`OFFICER/MANAGING MEMBER The individual whose name is listed as a corporate officer or managing member as reported or listed with the Commission. c110 0 2300004839 FORM 103 REV 12/8/2022 PAGE 1 _o4.�g6 Srq�r 4'i4 STATE OF NEBRASKA Jim Pillen NEBRASKA LIQUOR CONTROL COMMISSION 44 .�t,,. ,r ..►�.,, Governor Hobert B.Rupe 4yiV\ ,m _s Executive Director u 1icu K` _= 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: June 01, 2023 From: F. Christine Lowery (frances.lowery@nebraska.gov) To: carman.johnson@cityofomaha.org; elizabeth.butler@c 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: Sodexo America, LLC Trade Name (DBA): Ryan Center & Morrison Stadium • License Number: C - 098887 Manager Name: Alexander, Angela G Due Date: July 17, 2023 n APPROVED NO LOCAL RECOMMENDATION n DENIED • COMMENTS: (YOU MAY ATTACH MINUTES AND/OR ADDITIONAL NOTES) • #31 RES #2023-0586 JUNE 6, 2023 • Clerk's Name: gadm, Date:06-07-2023 Kim Lowe Bruce Bailey Harry Hoch Commissioner Chairman Commissioner An Equal Opportunity Employer MANAGER APPLCATION FORM 103 RECEIVED z � NEBRASKA LIQUOR CONTROL COMMISSION License F ' 301 CENTENNIAL MALL SOUTH Class: C MAY 11 2023 PO BOX 95046 LINCOLN,NE 68509-5046 PHONE:(402)471-2571 License Number: NEBRASKA LIQUOR FAX:(402)471-2814 CONTROL COMMISSION EMAIL:Icc.frontdeskL nebraska.Rov 98887 WEBSITE: www.lcc.nebraska.Rov MANAGER MUST: Be at least 21-years of age 1✓ Complete all sections of the application. Form must be signed by a member or corporate officer Include Form 147—Fingerprints are required A' Provide a copy of one of the following: US birth certificate, US Passport or naturalization papers ..r Be a resident of the state of Nebraska and be a registered voter in the State of Nebraska, <Si Spouse who will participate in the business,the spouse must meet the same requirements as the manager applicant: Spouse who will not participate in the business Complete the Spousal Affidavit of Non Participation(Form 116). Be sure to complete both halves of this form. CO[\POrt ti6 V,LIWThie'JaL/"r:l40/4, it_T t ;,% k z. .. $ �;`;�i x �d .t,��?$.e2` �, ��,v �rs+`tx F_�' �,.,. yw:r. V Name of Corporation/LLC: Sodexo America, LLC 1511E vligES ORTA' O • , A' Premises Trade Name/DBA: Ryan Center& Morrison Stadium Premises Street Address: 701 Florence Blvd. City: Omaha County: Douglas Zip Code: 68178 Premises Phone Number: 402-619-4982 Premises Email address: LiquorLicense.USA@Sodexo.com R.. )4-6e...., SIGNATURE REQUIRED BY CORPORATE OFFICER]MANAGING MEMBER The individual whose name is listed as a corporate officer or managing member as reported or listed with the Commission. 2300005293 FORM 103 REV 12/8/2022 PAGE 1 MAWERINFIMIMATION ... ' Last Name: /4 I e... 0 irlci er--- First Name: p nge b MI: Home Address: I oq L.. -,L():_k_..59/1 St . City: .-- Icci r County: (A.)1 /11f1571,-y) Zip Code: 6R,00 Home Phone Number: 3 i 7- 55 i Driver's License Number: Social Security Number: Date of Birth: Place of Birth: Email address: Ot nq el 6,... • a_lexAvIder- cp 4.3clexo.('oni • X1 YES LINO Spouses Last Name: (-1/7.)(a)1der First Name: 3Pe. MI: 6 Social Security Number: Driver's License Number: ps, Date of Birth: Place of Birth: . -ilci/a)40i4eyi(s --1-AI 111=11Mil— ‘• . — . ..-..- : -;,. - ' t-- - • ' ---- - - ; ----tfittit Ant, ,4.3.--e*,,,-0.x,,,,4,,,,,,,w-=, :, .., ' -z - , . Ix 0! fr„,qi , - : 4 i'eRA`, -.To's4:4',:*--`- -. , ,A'r.'7,4.,:'-'.t,,.',-, --,..--,:n--',11'',F.,4.3'--z.-- ,,,- .Y,.;.... ,,A.Nk,,4„.:,•_.5t-,J. _;., .,_ __ .-11-5x.qtlto,,,W'i,--Ti,,'>,.,.-' -'0'-", ,, :,-.‘4,-.-tg. ,.;:,..;,,*;‘,--.0.4?,,,,,,,;.,,,., YEAR YEAR YEAR CITY&STATE •CITY& STATE YEAR FROM TO FROM TO . Biour, tE doGd- 9t),93 6feti 0 g E (94,a01. ,10,13 eiLseer; N y goib gooll C,0_5pbc vi y pa& goez,i,. GIT.en tAbc.ri i 9o0 I et)1 6 b_reen tAlocri .rtJ fq961 (90/6 FORM 103 REV 12/8/2022 PAGE 2 . -. ., .-_..- .. :;, ....,. _ fir .�; iGf..�V,. `, i'1 '" ?'�snr FROM A TO NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE aO Ito Current s-� J ? r :z_ 4.50-7)6N —9835" gQ15 col 6 k1ro u" &IS 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 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. El 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& Charge State) 2. Have you or your spouse ever been approved or made application for a liquor license in Nebraska or any other state? ❑YESNO IF YES,list the name of the premise(s): 3. Do you, as a manager, qualify under Nebraska Liquor Control Act (§53-131.01) and do you intend to supervise, in person, the management of the business? *ES ONO FORM 103 REV 12/8/2022 PAGE 3 4. List the alcohol related training and/or experience(when and where)of the person making application. Applicant Name Date Name of program (attach copy of course completion (m yyyy) certificate) n Akti,Ytkr i g-/aoaa Sen/ e, (act *For list of NLCC Certified Training Programs see training Experience: Applicant Name/Job Title Date of Name&Location of Business: Employment: r PJ& -I eVAnJer C.(t-P,ri N ref )9 (.9D 3 %d,e4C C re.4h'7\- Uhl v 5. Have you enclosed Form 147 regarding fingerprints? YES ENO FORM 103 REV 12/8/2022 -PAGE 4 • , e `F L. �, :. .x,s.,.i .. .i• ,r .'`` • - �.s.Sw. e�. < ` .,_. ir"'S"7 rt`f ?�7 Tkui r�tih �,rz 'n'l i @f-'4,4i. tIi,.,, iG tvtl, x w. h. SIGNATURE PAGE—PLEASE READ CAREFULLY The undersigned applicant(s) hereby consent(s) to an investigation of his/her background and release present and future records of every kind and description including police records, tax records (State and Federal), and bank or lending institution records, and said applicant(s) and spouse(s) waive(s) any right or causes of action that said applicant(s) or spouse(s)may have against the Nebraska Liquor Control Commission,the Nebraska State Patrol,and any other individual disclosing or releasing said information. Any documents or records for the proposed business or for any partner or stockholder that are needed in furtherance of the application investigation of any other investigation shall be supplied immediately upon demand to the Nebraska Liquor Control Commission or the Nebraska State Patrol. 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 forth in Title 28, CFR, 16.34. Must be signed by applicant and spouse. Signature of AP ICANT Si azure of SP USE A l e/a �� 4èxmx �o e M-Qx c, -�,`-- rinted Name of APPLICANT Printed Name of SPOUSE FORM 103 REV 12/8/2022 PAGE 5 • SPOUSAL AFFIDAVIT OF Office Use RECEIVED NON PARTICIPATION INSERT NEBRASKA LIQUOR CONTROL COMMISSION MAY 11 2023 301 CENTENNIAL MALL SOUTH PO BOX 95046 NEBRASKA LIQUOR LINCOLN,NE 68509-5046 PHONE:(402)471-2571 CONTROL COMMISSION FAX:(402)471-2814 Website: www.lcc.nebraska.gov X I acknowledge that I am the spouse of a liquor license holder. My signature below confirms that I will not have any interest, directly or indirectly in the operation of the business (§53-125(13)) of the Liquor Control Act. I will not tend bar, make sales, serve patrons, stock shelves, write checks, sign invoices, represent myself as the owner or in any way participate in the day to day operations of this business in any capacity. The penalty guideline for violation of this affidavit is cancellation of the liquor license. >` I acknowledge that I am the applicant of the non-participating spouse of the individual signing below. I understand that my spouse and I are responsible for compliance with the conditions set out above. If, it is determined that my spouse has violated(§53-125(13))the commission may cancel or revoke the liquor license. gnature of N -PARTICIPATING SPOUSE Signa a of APPLICA T e -Qj ir4 —Pry /Q ebt. 6. Aexcoder Print Name Print Name State of Nebraska,County of Pa 4///y/D1 State of Nebraska,County of tdet.5h y ylq f DYE The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me this t\Ra.U\ 2()2. 3 v 3 (date) this ` \a L 31 1013 (date) by U ,KA Gl r1jl 7—by La.,(kVA_ Sarl C„n-C Name of person acknowledged Name of person acknowledged (Individual signing document) (Individual signing document) La.A/LK-A Notary Public Si Notary Publ. Signa e LAURA SANCHEZ General NotaryMita6ealf Nebraska General Nota My Commission Expires May 30,2023. My Commission ExpiresURVORS MaY N30 ask 2023 In compliance with the ADA,this spousal affidavit of non participation is available in other formats for persons with disabilities. A ten day advance period is requested in writing to produce the alternate format. FORM 116 REV NOV 2016 Page I 1 PRIVACY ACT STATEMENT/ !_i5r2 ' SUBMISSION OF FINGERPRINTS / PAYMENT OF FEES TO NSP-CID NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH 17:3?*.1 PO BOX 95046 LINCOLN,NE 68509-5046 r;r, , s;:.... • 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 LIQUOR 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/goinsp 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—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, 16.34. ****Please Submit this form with your completed application to the Liquor Control Commission**** Trade Name I-(Q_rfC.r ('P n-fie r Name of Person Being Fingerprinted: Anq e,ick Al ev_zt r1�1 Date of Birth: Last 4 SSN:Date fingerprints were taken: 5-3-- .20 3 Location where fingerprints were taken: (A)041,,i{-o 1 /',0u,,:t y4,t titer c' • - How was payment made to NSP? ❑NSP PAYPORT 141.c ASH ❑CHECK SENT TO NSP CK# My fingerprints are already on file with the commission— fingerprints completed for a previous application less an 2 years ago? YES ❑ I (ie SIGNATURE ' �, IRED OF PE SO EING FINGERPRINTED FORM 147 REV JUNE2021 5/15/23,2:43 PM Enterprise Mail-MANAGER'S APPLICATION FOR OMAHA CITY COUNCIL HRG-SODEXO-HARPER CENTER Ga 'I ,I[ Carman Johnson (CCIk) <carman.johnson@cityofomaha.org> MANAGER'S APPLICATION FOR OMAHA CITY COUNCIL HRG - SODEXO - HARPER CENTER 1 message Carman Johnson (CCIk) Mon, May 15, 2023 at 2:34 <Carman.Johnson@cityofomaha.org> PM To: angela.alexander@sodexo.com Bcc: "Elizabeth Butler (CCIk)" <elizabeth.butler@cityofomaha.org>, "Kimberly Hoesing (CCIk)" <Kimberly.Hoesing@cityofomaha.org> Good late day RE: SODEXO AMERICA, LLC - HARPER CENTER The Omaha City Clerk's Office has received the Manager's application from the Nebraska Liquor Control Commission. The Omaha City Council will hold a public hearing on this request on Tuesday, JUNE 6, 2023. 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 ANGELA G. ALEXANDER. 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:r5802713326962542764%7Cmsg-a:r32449295020866162... 1/2