HomeMy WebLinkAbout[04f] Liquor License
Council Agenda Item 4f
MEETING DATE: August 21, 2017
AGENDA ITEM: Liquor License – Requested Action: Authorize the issuance of a
wine and on sale 3.2 malt liquor and strong beer, 303 College Ave N.
SUBMITTED BY: Administration/Police Chief
BOARD/COMMISSION/COMMITTEE RECOMMENDATION:
PREVIOUS COUNCIL ACTION:
BACKGROUND INFORMATION: The City received a request from Tanya Finken d.b.a Kays
Kitchen by Tanya Inc to sell alcohol at Kays Kitchen, 303 College Ave N. She is requesting to sell wine,
on sale 3.2 malt liquor and strong beer. The Police Chief has completed the background check and there
is nothing that would prohibit Tanya Finken from securing a liquor license.
BUDGET/FISCAL IMPACT:
ATTACHMENTS: License Application
Police Chief Recommendation
REQUESTED COUNCIL ACTION: Authorize the Mayor and Administrator to execute the wine, on
sale 3.2 malt liquor and strong beer license to Kays Kitchen by Tanya Inc.
ST. JO►S�PH
.
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Memo
To: City Administrator Weyrens& St. Joseph City Council
From: Chief Klein �� .
Date: 08/16/2017
RE: Liquor License Application
In conducting a background check of TANYA CAROL FINKEN, , DBA:
KAYS KITCHEN BY TANYA INC.,no information was found to prohibit him from obtaining a
liquor license as per Minnesota state statute § 340A.402.
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Alcohol & Gambling Enforcement Division
�i����� 445 Minnesota Street,Suite 222
St.Paul,M1�1 55101-5133
(651)201-7507
Background Investigation Inquiry
�
1.)Name of Business: � •
2.)Business Address:
� Street
� 'Y �-
City State 7ap
3.)Telephone Number: �-� ���4.}Federal I.D.# �--�.1 •�g����
5.)IS BUSINESS A:
_�COCpOiatioA(mark appropriate box)
i ���-� a�
Check type of Corporation: Date of Incorporation: .
�Subchapter S Corpor$tion
Publicly Traded Corporation
Closely held Corporation
State of Incorporation:_ � � f
Partnership(attach partnership agreement)
_�Sole proprietorship
6.)HAS THIS COMPANY EVER BEEN LICENSED BY ANY GOVERNMENT AGENCY
FOR THE PURPO5E OF THE MANUFACT PORT OR SALES OF
ALCOHOLIC BEVERAGES?(CIRCLE) Yes No�
If yes provide the following information for all licenses issued: date licensed; type of license .
held; agency issuing license; and state or jurisdicrion where license was issued.
(use additional paper if necessary)
MAN/DIS/349/5-97
(2)
7.)HAS THE COMPANY EVER HAD ANY ACTION TAKEN ACAINST�
ALCOHOLIC BEVERAGE LICENSE BY ANY AGENCY?(CIRCLE) Yes No f
answered yes,explain and provide current status.
Fined
Suspended
Revoked
Other Action
(use additional paper if necessary)
8.)HAS THE COMPANY FILED OR BEEN INVOLVED IN BANKRUPTCY(OTHER
THAN as a CREnITOR)OR BEEN CHARGED WITH A CRIMINAL VIOLATION
RELATED TO THE MANUFACTURE,IMPORT OR SALE OF ALCOHOLIC
BEVERAVGES? •
If yes-explain and provide current status.
yes Bankruptcy
yes no- Criminal �
(use additional paper if necessary)
9.)OTHER LICENSING
Have you ever had a sales and use tax permit revoked or canceled? YES
Have you ever had any other license or permit revoked,denied or canceled?YES
Have you ever failed to pay any liquor tax to any regulatory agency? YES 1vo
If'°yes"to any of the above,provide complete details below.
(attach additional sheets it necessary)
10.)RECORD KEEPING
A.) Where are the financial books and records for this business kept?
� �� �
Who maintains th�records? _
��� � a���
Who prepares the tax returns,government forms and reports'
C� ��/ t� ' ✓� _ � (�L 1 s',�/.�
(3)
B.) Does the applica mtain an office within Minnesota?
(Circle) Yes � No
If yes,answer the following questions• � , ��% _
—Mailing address of ofGce: � �� S i- t��t tis �Zt� ���r
—Street address of off ce: °3 �� �� +' �t s�
—Name of manager: �p�,�w �-�i-i- �
—Telephone Number of of ce: (�L.� )-�_— CX��� ~
—Email address�tkjtE���,��1�Y'V�,. . (�i�1
11.) LIST ALL FINANCIAL INSTITUTIONS IN WHICH THE BUSINESS
MAINTAINS OPERATING AND 1NVESTMENT ACCOUNTS.
v
(use additional sheets in necessary)
12.) LIST THE SOURCE(S)AND AMOUNTS OF ALL OUTSTANDTNG BUSINESS
LOANS. PROVIDE THE FOLLOWING:
CREDITOR CREDITOR LOAN LOAN
NAME ADDRESS AMOUNT NUMBER
(use additional sheets if necessary)
(4)
13.) PLEASE CHECK THE APPROPRIATE BOX AND PROVIDE THE
I�IFORMATION REQUESTED BELOW CONCERNING: (use additional sheets if necessary)
� Sole proprietorship*
Limited and general partners*
All shareholders in Sub-Chapter S and Closely Held Corporations*
All shareholders owning 5%or more of the stock either directly or indirectly*
All corporate officers and directors*
Any person(s)halding an option to purchase the business*
Legal Date of Social
Name Addres Title Rirth cecnrirv# %Owned
, �.
� (
(use additional sheets if necessary)
*EACH UF THESE INDIVIDUALS WITH MORE THAN 5% INTERST IN
COMPANY MUST SUBMIT A PERSONAL HISTORY STATEMENT WITH
THIS FORM.
14.)IDENTIFY ANY PERSON LISTED ABOVE THAT HAS ANY FINANCIAL
INTEREST IN ANY OTHER ALCOHOLIC BEVERAGE LICENSE OR BUSINESS
ACTIVITY.
Name Business Address
(use additional sheets if necessary)
(5)
15.)PROVIDE THE NAMES OF ALL EMPLOYEES HOLDING MANAGEMENT
POSITIONS:* •
Legal Address Title Date of Social
Name Birth Securi #
(use additional sheets if necessary)
*EACH OF THESE INDIVIDUALS WITH MORE THAN 5% INTERST IN
COMPANY MUST SUBMIT A PERSONAL HISTORY STATEMENT WITH
THI5 FORM.
ATTACH THE FOLLOWING DOCUMENTS TO THIS FORM:
1.)Personal history and financial statements history for anyone listed in Section 15.
2.)FEDERAL AND STATE TAX RETURNS.FINANCIAL HISTORY OF BUSINESS;
(TO INCLUDE BANK STATEMENTS TO SHOW FINANCIAL ORIGINS OF
BUSINE5S1
3.)If involved with a parfiership or corporation;
a.)Artictes of incorporation
b.)List of officers and board of directors or partners
c.)List of stockholders
d.)Partnership agreement
I certify that all statements made by the applicant in this document are true,complete and correct to
the best of knowledge and belief and are made by me in good faith.I also understand that an
investigation will be conducted to insure the applicant meets the criteria for a license as established
by the Minnesota state law and department regulations.By signing this appHcation I am also
agr ing to pay for all sts incurred by the department in the conducting of an investigation of this
a pti aHon for ue
� �
a i
Signatu / Date
(If a corporation,signer must be a corporate officer)
State of Minnesota
Department of Public Safetv
Alcohol & Gambling Enforcement Division
AUTHORITY TO RELEASE INFORMATION
�
I, l �.j- � .(f , authorize and grant my consent to permit
Business
any law enforcement agency, and any other person,business or agency deemed necessary,to
release any information requested by any identified law enforcement officer of the Minnesota
Department of Public Safety,Alcohol and Gambling Enforcement Division.
This information is for the express purpose of determining my eligibility for a liquor license
issued under the authoriry of Minnesota State Statutes.
Any statements determined to be false on this document are grounds for
disqualification of the licensing process.
,
NAME:
�S ! �/'�
(NAME OF BUSINESS)
.
Signatur : Title: ��
(If a corporation signer 'ust be a corporate officer)
Date: � �
Sworn and subscribe before me this
;' Day of ,2017
..
.+sase.a....�e.� Notary
MARY REBER�ENEROUS
_ MOTARY PUBLIC-MiNNESOTA
�,_� My commissipri E�ires Jan.81,202i
-�-�.-;.-..