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RES 2016-0250 - Appoint Matthew J Weiner manager of Big Red Restaurant & Sports Bar ... f ., : 4 ,, , ,roes !:#'", , i. _ i.. �. 4. fry , , STATE OF NEBRASKA ` ,m 1u — fey.# {J' `' NEBRAsKA LIQUOR CONTROL COMMISSION F -. � ,,w �. : ��Ricketts �'` r Governor Hobert B. Rupe 'w it 61 _� Executive Director a,,erg ele C I I:� C L �`. i 301 Centennial Mall South,5th Root MANAGERAEC ATLON P.0,Sox 95046 � t Lincoln,Nebraska 68509-5046 Phone(402)471-2571 DATE: January 29th, 2016 Fax(402)471 2814 or(402)471-2374 TRS USER 800 833-7352(1TY) web address:http://www.lcc.rte.gov/ TO: Omaha City Clerk E-MAIL: carman.iohnsont citvofomaha.org MANAGER: Weiner, Matthew J LICENSEE: EHPV Operating Group LLC dba Big Red Restaurant&Sports Bar 8100 Cass Street LICENSE#: C-#78736 DUE DATE: March 14th,2016 Attached is a copy of a new manager application submitted to Nebraska Liquor Control Commission. Please complete the following to submit your recommendation. Send back to Shannon Nyhoff at Shannon.nvhoff7«nebraska.aov or fax to(402)471-2814,with questions call (402)471-2572. XAPPROVED j—/-/i ` C, ) ? J/ NO LOCAL RECOMMENDATION DENIED COMMENTS: (may attach minutes and/or additional notes) /4CLERKS SIGNATURE: ,0 �`-'�. DATE: `Q /C/`c-.1 6 Janice M.Wiebusch Robert Batt Bruce Bailey Commiss€otrer Cholrmon Commissioner An Equal Opportunity Employer JIM • • • MANAGER APPLICATION Office Use INSERT-FORM 3c NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTII PO BOX 95046 LINCOLN,NE 68509-5046 JAN t 9 201f PHONE:(402)471-2571 FAX:(402)471-2814 Website:www.lcc.nebraska.gov NEBASKA. la °M MUST BE: Citizen of the United States. Include copy of US birth certificate,certificate,natUraClizatiot:paperot4r current US passport 1 Nebraska resident. Include copy of voter registration in the State of Nebraska 1 Fingerprinted. See Form 147 for further information,this form MUST be included with your application. 1 21 years of age or older E Name of Corporation/LLC: HPV Operating Group LLC Liquor License Number: 78736 Class Type Of new application leave blank) Premise Trade Name/DBA: Big Red Restaurant & Sports Bar Premise Street Address:8100 Cass Street City:Omaha County: DouglasZip Code:68114 Premise Phone Number: 402-390-9495 Email address: The individual whose name is listed as a corporate officer or managing member as reported on insert form 3a or 3b or listed with the Commission. Click on this link to see authorized individuals. http://www.lec.ne.eov/license search/licsearc .egi SIGNATURE IZEQ ED BY CO '0 OFFICER MANAGING MEMBER (Faxed si attire - cceptable) Form 103 1600002020 REV JUNE 2015 Page 2 of 6 Last Name:Weiner Matthew First Name: MI: Home Address(include PO Box if applicable):4858 S. 121st Street City:Omaha County:Douglas Zip Code:68137 Home Phone Number:402-689-8361 Business Phone Number: NE Social Security Numbei. Drivers License Number& State: Fort Worth, TX _ _ Date Of Birth. Place Of Birth: Email address: mweiner@bigredlottery.com YES •NO — Spouses Last Name: First Name: MI: JAN 2 9 niF Social Security Number: Drivers License Number& State: ' Ez RASKA Lr.;:too Date Of Birth: Place Of Birth: CONTROL COMM-ISSiON YEAR YEAR YEAR YEAR CITY FROM TO CITY &STATE & STATE FROM TO Papillion, NE 1997 2012 Lincoln, NE 2005 2011 Millard, NE 2012 2016 Form 103 REV JUNE 2015 Page 3 of 6 YEAR NAME OF EMPLOYER NAME OF SUPERVISOR TELEPHONE FROM TO NUMBER 2003 2015 Ming's Ping Wang 402-578-6769 2011 2012 Millard Public Anne Gapinski. 402-715-8229 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. Also list any charges pending at the time of this application. If more than one party, please list charges by each individual's name. R E YES E] NO JAN 2 9 2.nlr If yes,please explain below or attach a separate page. NE. ASKA LIQUOR Date of Where Deg,' 'IOL COMMiSimoN Name of Applicant Conviction Convicted of Disposition (mmlyyyy) (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? OYES ONO 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? OYES ONO Form 103 REV JUNE 2015 Page 4 of 6 4. List the alcohol related training and/or experience(when and where)of the person making application. *NLCC Training Certificate Issued: 5/2912012 Name on Certificate: Matthew Weiner Date Applicant Name (11M/YYYY) Name of program(attach copy of course completion certificate) Matthew Weiner 05/29/2012 Responsible Beverage Service Training *For list of NLCC Certified Training Programs see www.lec.ne.gov/traininainfo.html Experience: Applicant Name/Job Title Date ofName&Location of Business: Employment: Matthew Weiner/Manager 05/29/2012 Big Red Restaurant and Sports Bar, Omaha NE ECdVE* JAN 2 9 '2,(I 5. Have you enclosed Form 147 regarding fingerprints? NEBRASKA 1.011()P [DYES ONO CONTROL COMMISSION Form 103 REV JUNE 2015 Page 5 of 6 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, a spousal 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 if the information contained herein is incomplete, inaccurate, or fraudulent. Signature of Manager Applicant Signature of S• cEt JAN 2 9 2016 ACKNOWLEDGEMENT EBRASKA LIQUOR CONTROL COMMISSION State of Nebraska.r, County of 1...)eabt.c.3 Jc5 The foregoing instrument was acknowledged before me this 9)e;2(A .c2-4>ao by 11/1- 61-*H-A04-4-1 - date name of person acknowledged e s'4--.1e-41.6—t-- Affix Seal Notary Public signature ilINERAL NOUN*SO Of**We fiLIZAEIETH D.LEADER RyDAR.lic.Ott Nit 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. Form 103 REV JUNE 2015 Page 6 of 6 SUBMISSSION OF FINGERPRINTS/ PAYMENT OF FEES TO NSP-CID DATE RECJA\SO 92016 NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH PO BOX 95046 SION ' Of„ iSSION LINCOLN,NE 68509-5046 PHONE: (402)471-2571 Office Use Only FAX: (402)471-2814 Website:www.lce.nebraska.gov Class: License#: Applicant Name: EHPV Operating Group LLC (Corporation,LLC,Partnership or Individual) Trade Name: Big Red Restaurant & Sports Bar (Doing Business As) (402) 339 - 1200 wharvey@erwinharvey.com Phone Number Contact E-mail Address DIRECTIONS FOR SUBMITTING FINGERPRINTS AND FEE PAYMENTS: • See New Application Requirement Guide for listing of Fingerprint Requirements, found on our website under"Licensing"tab in"Brochures". • Fingerprints taken at NSP locations will be forwarded to NSP—ClD; Applicant(s) will not have cards to include with license application. • Fingerprints taken at local law enforcement offices will be released to the applicants; Fingerprint cards should be submitted with the application. • Fee payment of$28.75 per person must be made directly to the NSP; You may submit the payment through the NSP PayPort online system at www.ne.gov/go/nsp or checks made payable to NSP should be mailed directly to the following address; The Nebraska State Patrol—CID Division 3800 NW 12th Street Lincoln,NE 68521 • DO NOT send fee payments to the NLCC—fees MUST be paid directly to NSP; Include a list of names covered by your payment to insure proper application of payment, • This completed form MUST be included with your Liquor License Application and/or Manager Application or Changes to: Corporate Officers or Stockholders, LLC Members, Partners or Addition of Spouse where new fingerprint cards are required(see New Application Requirement Guide). • Fingerprints are not required for spouses that have no involvement with business - Spousal Affidavit of Non Participation (Form l 16) is required in lieu of fingerprints. Please complete information on the following pages for EACH person fingerprinted. FORM 147 REV OCT 2015 PAGE 1 L Name: Matthew J. Weiner (Please print legibly) Date of Birth: Last 4 SSN: How was payment made to NSF? NSP PAYPORT Or OCHECK SENT TO NSP Ck# 2. Name: (Please print legibly) Date of Birth: Last 4 SSN: How was payment made to NSF? ONSP PAYPORT Or °CHECK SENT TO NSF Ck# 3. Name: (Please print legibly) Date of Birth: Last 4 SSN: How was payment made to NSF? ONSP PAYPORT Or OCHECK SENT TO JAN 2 9 2016 4, Name:, (Please print legibly) N BRASKA LIQUOR Date of Birth: Last 4 SSN: _CCIATROL CpMMISSION How was payment made to NSP? ONSP PAYPORT Or OCHECK SENITO Nbr t.,k 5. Name: (Please print legibly) Date of Birth: Last 4 SSN: How was payment made to NSP? ONSP PAYPORT Or CICHECK SENT TO NSP Ck# 6. Name: (Please print legibly) Date of Birth: Last 4 SSN: How was payment made to NSP? ONSP PAYPORT Or OCHECK SENT TO NSF Ck# I hereby certify that fees of$28.75 per person have been submitted directly to the Nebraska State Patrol—CID office. The undersigned certifies on behalf of the Corporation,LLC,Partnership or Licensee that it is understood that a misrepresentation of fact is cause for rejection of this application or suspension,cancellation or revocation of any license issued. Name(Print): William F. Nerve Title:General Counsel Signature: Date: 2-Zvi 2of C FORM 147 REV MAR 2015 PAGE 2 Certificate Page 1 of I C. V Crt/ 1Latt of C011 rc Corn Ltit 11 Matthew Weiner ha fific,cessfully completed "Responsible Beverage Service Training." May 29, 2012 Expires 6-15 78736 Certification by the Nebraska Liquor Control Commission Starting July 1, 2011, to be certified as a server and/or seller of alcoholic beverages by the state of Nebraska, you must send your RBST NE completion certificate with a payment of$10.00 to the Nebraska Liquor Control Commission 301 Centennial Mall South PO Box 95046 Lincoln NE 68509-5046 Make checks payable to the Nebraska Liquor Control Commission ;f you have questions. please contact the Nebraska Liquor Control Commission at Phone: (402) 471-2571 Fax (402) 471-2814 C * E-mail: info@lcc.ne.gov ,;AN 2 8 2016 NEBRASKA Li.LIOR CONTROL CO ISSIO City of Omalw Nebraska OMA_,,,,,,NHA, ,,,p__ A.,_.:44„,, _.--.Ttp 1819 Farnam — Suite LC 1 zi r, Omaha, Nebraska 68183-0112 nVv.:r'l "��'^ Buster Brown (402) 444-5550 .166 --;., __ ---��_- ti, City Clerk FAX (402) 444-5263 0�9 ''�''-=4� 4ED FEa03' February 17, 2016 EHPV Operating Group, LLC Application to appoint Matthew J. Weiner Dba"Big Red Restaurant & Sports Bar manager of your present Class "C" Liquor 8100 Cass Street License location Omaha,NE 68114 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 March 1, 2016 . 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 or his/her representative 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, ‘'-'11;1,-;.--,, ". �;'' Buster Brown City Clerk BJB:clj City of Nebraska 1819 Farnam — Suite LC 1 W � 1 i � � Omaha, Nebraska 68183-0112 , ,, _ , 1.4 FN9 E, Buster Brown (402) 444-5550 = t. City Clerk FAX (402) 444-5263 4 tb FE130' February 17, 2016 Matthew J. Weiner Application to be appointed manager of the 4858 South 121st Street present Class "C" Liquor License location for Omaha,NE 68137 EHPV Operating Group, LLC, dba"Big Red Restaurant& Sports Bar", 8100 Cass 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 March 1, 2016 . 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 or his/her representative 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, 41Lt #0,1"e;1)-0 Buster Brown City Clerk BJB:clj zoxr No. EHPV Operating Group, LLC, dba "Big Red Restaurant & Sports Bar", 8100 Cass Street, requests permission to appoint Matthew J. Weiner manager of their present Class "C" Liquor License location. 03-01-16;cj � % RECEIVED Presented to Councili March 1, 2016 - pproved 7-0 Buster Brown City Clerk