CITY OF SPARTA

PUBTIC SAFEry AGENDA

July 2, 2018

CITY HALI 5:30 p.m.

1. Call Meeting to Order

2. Consent Agenda: Consisting of Minutes from the June 4, 2018 meeting, and Special PublicSafety meeting on June 20, 2018 and Police Department's monthly report for May, 2018 andbills

3, Consideration of New/Renewal Bartenders Licenses

Kaylie Polhamus

Troy Killoran

Rebecca Humphrey

Gail Raddatz

Kristen Eobo

Summer Harrison

Thomas Fleming

Susan Lamb

Kenneth Lemke

Monica Bowle

Jessica Olbrantz

Thomas Schauer

Terry Kinserdahl

Lisa Carlson

Joel Geier

5

6

7

8

4, Consideration of Recommendation of Denial of Bartender License for Francisco Lugo-Valencia

Consideration of Recommendation of Denial of Bartender License for Jorge Esparza

Consideration of "Class B"/Class "B" Liquor License for Harris Crossing, LLC located at 801

Walrath Street

Items for Future Consideration

Adjourn

A possible quorum of the Common Council may be in attendance at this meeting but no action willbe taken by the Council.

Posted: 6-29-18

CITY OF SPARTA

PUBTIC SAFEW MINUTES

June 4, 2018

PRESENT: Jim Church, Josh Lydon, Ed Lukasek, Kevin Brueggeman, Alli KarrelsABSENT:

AISO PRESENT: Todd Fahning, Mark Sund, Kevin Riley, Dave Kuderer

Jim Church called the meeting to order at 5:30 p.m.

A motion was made by Josh Lydon and seconded by Kevin Brueggeman to approve the consentagenda consisting of the minutes of the May 7, 2018 meeting and the Police Department's monthlyreport for April and bills. Motion carried 5-0.

Upon proper payment of any fees, the following temporary, new or renewal bartenders licenses wereapproved on a motion by Josh Lydon and seconded by AIli Karrels. Motion carried 5-0.

New/Renewal for a 2 vear term:

AnnetraMuehlenkamp ElizabethMartenHolly Schamens Warren TimmChristina Maack Sunshine SiekertKenneth Thesing Brea nna KerssenConrad Miller Timothy ArnoldPeBgy Hagen-Hart Karen KastZill Patel Jeanne Reavis

Mya Speelman Jessica Ta pia

MicheleTromanhauser Kristin MicheelRebecca Zanon Christina MulderLindsey Schwa rz-Nichols Lisa JohnsonKimberly Von Ruden Lisa LaBarre-ZebellTerry Stoddard Susa n KrauseShirley Kremmer Dewitt WoodworthDesiree'Manke Sama ntha MulloolyBethany Schanenberger Penni SmithGabrielle Nemec Gail NelsonSarah Zielsdorf Stephanie SherwoodKody Lucas Laura KnollVanesa Martinez Ruvalcaba Francis MccoyBrian Kreider Debora h LambDavid Preston Cynthia NobleLon Wittmershaus Jennifer Lee

Wendy Swenson, Temp. Kristen WinkerKristina Oesterle Jennifer FinchJazmine Brueggen-Scafe

Rebekah Olson Christine VianJuliana Schuster Jaclyn SchubertDa nielle Peterson Carol PhillipsKathy Schubert Sha nnon SpragueCassand ra Dekelver Jeffrey FunkhouserAmy Luegge Jessica OddenEric Schmidt Amanda SchwarzNichole Wright Sha nole LaSalle

Miranda Larson Trisha NordvallTracy Scholze Shannon Scholze

Chet Roberts Janelle LutherHayley Kuehl Mischell SchurChristina WaeBe Kirsten Kast

Michelle Jones Dean Rhoda backMelissa Shawley Paige OrtegaChris Kerska Ba rbara SchmitzTonya Sagler Cody KnutsonErin Schultz Cassa nd ra ZieglerAmanda Leis Sierra NewmanHeather Steward Kristine PowelsonKelly Kovac Adam Sa ndsSara Stahl Tina WrightKelley Becker, Temp.Harold Oesterle Lori OesterleKathleen Olson

Page 2 - Public Safety - June 4, 2018

A motion was made by Josh Lydon and seconded by Ed Lukasek to approve the Temporary "ClassB"/Class "B" Iicense for St, Patrick's Church located at 118 South K Street in church parking lot forSummerfest on August 1lth and August LZ, ZOL8, Motion carried 5-0,

A motion was made by Josh Lydon and seconded by AIli Karrels to approve the Appointment of peggy

Hagen-Hart as Agent for Kwik Trip f317, Motion carried 5-0.

Items mentioned for future consideration or update were:A Public Safety meeting has been scheduled for June 20, 2018 at 5:30 to go over bartender licenses anda "Class B" liquor license that were recommended by Chief Kuderer for denial.

A motion was made byJosh Lydon and seconded by Kevin Brueggeman to adjourn at 5:38 p.m.Motion carried 5-0.

Respectfully Submitted,

Julie Hanson

City Clerk

CITY OF SPARTA

SPECIAT PUBLIC SAFETY MINUTES

June 20, 2018

PRESENT: Josh tydon, Ed Lukasek, Alli KarrelsABSENT: Jim Church, Kevin ErueggemanALSO PRESENT: Todd Fahning, Mark Sund, Dave Kuderer, Phil Green, Francisco Lugo, Leticia Lugo, AmyKiernam, Steve Scholze, Mary Von Ruden, PattiJunk, Jose Tovar, Katina Krause, Pat Mulvaney

Josh Lydon called the meeting to order at 5:30 p.m.

This meeting is being held to approve or deny bartender applications that have been recommended byChief Kuderer for denial. They were inadvertently left of the agenda for the regular meeting on I une 4,

2018.

A motion was made by Alli Karrels and seconded by Josh Lydon to deny the bartender application forKimberly Yahnke. Motion carried 3-0,

A motion was made by Alli Karrels and seconded by Ed Lukasek that upon proper payment of any feesor fines, the bartender application for Paul Hoffman was approved. Motion carried 3-0,

A motion was made by Ed Lukasek and seconded by Alli Karrels that upon proper payment of any feesor fines, the bartender application for Barbara Olson was approved. Motion carried 3-0.

A motion was made by Ed Lukasek and seconded by Alli Karrels that upon proper payment of any feesor fines, the bartender application for Katina Krause was approved, Motion carried 3-0.

A motion was made by Alli Karrels and seconded by Josh Lydon to deny the bartender application forSydney Anderson. Motion carried 3-0.

A motion was made by Ed Lukasek and seconded by Alli Karrels to deny the bartender application forJessica Jobs. Motion carried 3-0.

Amy Kiernan's bartender license has been recommended for denial for serving to an underage person

on 5/5/18 which later resulted in a fatal accident. Amyspokeforherselfandstatedthatshehashadalicense for at least 25 years and has not had a citation. The bar was very busy and when she came on

duty, this person had already been drinking and she assumed that he had been checked. Steve Scholze

and Justin Phillips both spoke in her behalf.

Trent Loper was also cited for serving for an underage person on 5/5/78 as he was working at the same

bar as Amy Kierna n.

A motion was made by Alli Karrels and seconded by losh Lydon to deny the bartender license for AmyKiernan. Motion carried 3-0.

A motion was made by Alli Karrels and seconded by Ed Lukasek to deny the bartender license forTrent Loper. Motion carried 3-0,

Page 2 - Public Safety - June 20,2OL8

The court date is set for July 11th for both Amy Kiernan and Trent Loper, Mr, Lukasek would like to bemade aware of what the verdict is as they may be able to reapply again for their license.

The renewalofthe "Class B"/Class "B" liquor license for El Vallarta Mexican Restaurant and agent,Leticia Lugo is being recommended for denial as sales taxes have not been paid to the State ofWisconsin and payments have not been made to the Department of Workforce resulting in an amountdue the State of about 527,000.00. Their bookkeeper, Pattiiunk, stated that payments have been sentto the State but she has been unable to get into their account to verify where the funds have beenapplied to. She has tried to contact members of the State of Wisconsin to get answers regarding this butis still waiting to hear from them. When ATF stopped at the restaurant, there was no licensed bartenderon premise. The State has warned them before ofthis. Jennifer Lugo also spoke and asked if the licensecould be put in her name. Mr. Lukasek asked to have more information from the bookkeeper regardingthe accounting issue and also would like to see if they have a plan for the future of the restaurant so

these issues don't come up again. A motion was made by Alli Karrels and seconded by Ed Lukasek todeny the renewal "Class B"/Class "B" liquor license for El Vallarta Mexican Restaurant, Motion carried3-0.

A motion was made by Alli Karrels and seconded by Ed Lukasek to adiourn at 6:30 p.m. Motioncarried 3-0.

Respectf ully Submitted,

Julie Hanson

city clerk

JUN, 26, 2t)1B 11:49AII4 SPARTA POLICI DIPT N0,8374 P 13

Sparta Police Department121 E. Oak Street Sparta, WI 54656

www.snartawisconsin.org

David KudererChief of Police

Fax (608) 269-2156

Phone (608) 269-s122

June 26, 2018

Public Safety Committee MembersCity of Sparta201 W, Oak St.Sparta, Wl 54656

RE: Denial of operator (Bartender) License for Francisco Lugo-Valencia

Committee Members,

I have reviewed the Operator (Bartender) License application submitted by Francisco

Lugo-Valencia and recommend denial based on the following:

. Arrested for Possession of Cocaine on 2111118 (Gourt Proceedings Pending)

The recommendation is supported by:

Sparta City Ordinance Article ll Sec. 12-27(b)(2).c,3(3) Any non-felony drug related convictions or pending chages within the last 12

months.

The above reconrmendatiotr is made in accoTdance with current guidelines.

Respectfully submitted,

O,Aae----------David KudererChief of Police

Page I of 1

CITY OF SPAI].TAOPERATOR (BARTENDER) LICENSE APPLICATION

{" \ ,1.

Please Notc:. You nust bc 18 ycars of agc or older to apply,o Alswer all questions truthfully and completely. A records check will be conducted.c A Beverage Server Certificate (www.leam2serve.com), proof of registration in the Class, or proof of having an

Operator License withil the last two years must accompany New, Renowal, or Provisional License Applications.. The fee must accompany applical.ion and is non-refundable and non-transferable.

Application Date 06 *11 - 0.otgLiccnsc Applying For; Chcck thc appropriate box that applies to you

I New $60 (2 year)

M Rencwat $60 (2 year)

I Provisionat $15 (lst time applicants only)

I have an Operator's Liccnse in effect at thistime. (Attach proof if not hold dcity ofSparta)I have held an Operator's License withiu past2 years (Attach proof;I have completed the Beverage ServerTraining Course within past 2 years (AltachCompletion Certifi cate)I am enrolled in the Beverage Sewer TrainingCourse

Class Date and Incation

+

! Tcmporary $15Temp. Period Needed (l-14 dayr)(No Beverage Certificate needed for the Temporarylicense and license is issued only to operatorsemployed by, or donating their servic€s to, nonprofitcorporations. No person may hold more tlan onelicense of this kind per year.

(After completing the course, bring in your certificateto receive license)

! I am applying for a Temporary Operator'sLicense

To City Clerk, City of Sparta, Wisconsin

I herby apply for a license to serve ftom the date hereof to Juue 30, 20of9, inclusive, fennented malt beveragcs andintoxical.ing liquors, subject to limitations imposed by Secs . 125.04, 125.12,125.32,125.68 of the Wisconsin Stahrtes and allacts amendatory thereof and supplementary thereto, and hereby agree to comply with all laws, resolutions, ordinances andregulations, federal, state, or loaal, affecting the sale ofsuch beverages and liquors ifa license is granted to me.

PLEASE PRINT

tr

tr

tr

dNamc t)Last

IIome Address oStreet

Mail Liccnsc to (ddiffercntfton Ho eAddress)

First Middle

State ZrpTh a( u Sklase

City

Street City

State Issued

State Ztp

Driverslicense# /,0 ltl. - 34 I r rwr - oYPhone Nunrbcr 6 Ot HlO 3 I I loate or nirtr, DT 'Ot' 87 Nt",narcprrone: 6 O t'Jgq - O5'l ?

lLiccnse to be uscd at (Name ofBusiness) a Lbt {q 45{a1,yaat

OPERATOR (BARTENDER) LTCENSE APPLICATION (Continued)

1. Ilave you been convicted of any felony or nisdeneanor?

2. Have you b€en convicted of any license law or ordinance regulating the sale and/or consumptionof fennented malt beverages or intoxicating liquors?

3, Are there presently any charges, fcderal, state, or local pending against you?

4. Do you presently have any outstanding forfeiture, fees, or hnes owed to the City ofSparta?

Yes_No(

Yes-No)(

Yes _ No y!

tLYes No

o

Ifyou answered yes to any of the above questions, list the offense convicted of, pending conviction, date ofconviction, and

state and county ofconviction.

Datc: Naturc of Offensc: County: State:

The signing below the applicant states that he/she is the person named in the foregoing application; that the applicant has read

and made a complete answer to each question, and that the answers in each instance are true and correct- The undersigned

further understands that any license issued contrary to Chapter 125 of Wisconsin Statutes shall be void, and under penalty ofstate law, the applicant may be prosecuted for submitting false statements and affidavits in coffrection with this application.

Signaturc of Applicant l)ate: 06-tq-t&

Signatur€ of person receiving application Date

FOR OFFICE USE ONLY

Receipt{ffffi-- ,aororrt Poia, bA"60 cd/*License Expiratio Ddte: Provisianal:

Opetatots:Tetnporary Period:

(Not ,flore thdh 60 daJ's)(Annual)(Nol nrcrc thdrl 14 days)

Dale Granted

License 4:R]ecblnur'bnd,a$on:

No:Dste Issued

June 30,

Jun,26,2018 11:49Alt4 SPARIA P0tlCE DEPT No,8374 P, 10

Sparta Police Department121 tr. Oah Street Sparta, WI 54656

www.sna rtawisconsin, ors

David KudererChief of Police

Fax (608) 269-21s6Phone (608) 269-3122

June 26, 2018

Public Safety Conrmittee MembersCity of Spafia201 W. Oak St,Sparta, Wl 54656

RE' Denlal of Operator (Bartender) License for Jorge Esparza

Committee Menrbers,

I have reviewed the Operator (Bartender) License application submitted by JorgeEsparza and recommend denial based on the following:

. Arrested for Operating While lntoxicated 2nd time on 5/15/2018 (Court proceedingspending)

The recommendation is supported by

Spada City Ordinance Article ll Sec. 12-27(bX2).c.1(1) Any non-felony aloohol related conviction or pending charges within the last 12rrronths.

The above recommendation is made in accordance wjth current guidelines.

Respectfully subrnitted,t) ,.) ./ ---/U4 /z'z----"/David KudererChief of Police

PaBe 1 of 1

l

, . I \ t. /.)

PIease Note:. You must bc 18 years ofagc or older to apply,. Answer all questions truthfully and completely. A records check will be conducted

A Beverage Server Cartificate www.learn2 serve.com , proof of registration in the Class, or proofofhaving an

"]]:

Operator License within the last two years must accompany New, Renewal, or Provisional License Applications. The fee must accompany application and is non-refundable and non-transferable.

Applica(ion Date L (.

License Applyiug For:

D NerY $60 (2 year)

$-Renewat $60 (2 year)

n Provisional $15 (lst time applicants only)

E Tcrnporary $15Temp. Period Nceded (l-14 dals)Qllo Beverage Certificatc nceded for the Temporarylicense and license is issued only to op€ratorsemployed by, or donating their services to, nonprofitcorporations. No person may hold more than onelicense of this kind per ycar.

(After completing the course, bring in your certificateto receive license)

D I am applyiag for a Temporary Operator'sLicense

To City Clerk, Cif of Sparta, Wisconsin

1,bI herby apply for a license to serve from the date lrereof to June30,2Q1{, inclusive, fermented malt beverages andintoxicatirrg liquors, subjcct to limital.ions imposed by Secs. 125.04, 125.12, 125.32,125.68 of the Wisconsin Statutes and allacts amendatory thereof and supplementary thereto, and hereby agree to comply with all laws, resolutions, ordirnnces andregulations, federal, state, or local, affecting the sale ofsuch beverages ard liquors ifa license is granted to me.

PI,EASE PRIN'T

Name 0atza (

Chcck the appropriate box that applics to you:

#I huu" ".r

Op"rator's License in effect at thistime. (Attach proof if not held Wcity ofSpaaa)

B I have held an Operator's License withiu past2 years (Attach proo|

E I have completed the Bcverage SewerTraining Course within past 2 years (AttachCompletion Certifi cate)

E I am eruolled in the Beverage Sewer TrainingCourse

Class Date and Location:

I-ast

IIome Address

Firs Middle

CITY OF SPARTAOPERATOR (BARTENDER) LICENSE APPLICATION

Street

Mail Liccnse to (ifddferenr lron Hone Address)

s}.c-{- ^r\"- JLcity

(sState Zip

Street City

l.iu"..li""or" + State Issucd fg J ,"lrutk-> f,4L^*n""" *"*o*lpx- & ?-f,/fi out"orni,tn /c.,f &Lr lY I Artcrnarc Prrore: ( *f - &Gt -OS tl 7

State Zip

tLicense to be used at (Name ofBusiness) o.t-lc

OPERATOR (BARTENDER) LICENSE APPLICATION (Continued)

1- I{ave you b€en convicted ofany felony or misdemeanor?

2. Have you been convicted ofany license law or ordinance regulating the sale and/or consumptionof fennented malt beverages o! intoxicating liquors?

3. Are there presently any charges, federal, state, or local pendirg against you?

4. Do you presently have any outstanding forfeiture, fees, or fines owed to th€ City ofSparta?

Yes No

Yes _ No

Yes _ No

Yes No

If you answered yes to any of the above questions, list the offense convicted of, pending conviction, date ofconviction, and

state and county ofconYiction-

f)ate: Nature of Offense: Couuty: State:

Signaturc ofApplicant c (- al Date o(-Signature of person receiving application Date

FOR OFFICE ASE ONLY

Recei 4 ]{xnai Aftounl Paid:00

The signing bclow the applicant states that he/she is the person named in the foregoing application; that the applicant has read

and made a complete answer to each question, and that the answers in each instanc€ are true and correct- The undersigned

further understands that any license issued contrary to Chapter 125 of Wisconsin Statutes shall be void, and under penalty ofstate law, the applicant may be prosecuted for submitting false statements and affrdaviis ir connection with this application.

n- ty

e&&,._

Lice se Expiralion D,rte: Provisional:OPeralors:Temporary Period:

(Nol ,aorc thon 60 dats)(Afi udl)(Not ,rrore thon 14 doys)

Ddte Gra r ed

License #:

Date Issued

June 30,

J t,l')

ORIGINAL ALCOHOL BEVERAGE RETAIL LICENSE APPLICATION

Submil lo muticipal clork.

For the license period beginningonding

2020

To THE GoVERNING BoDY of the: E IilH:'EL city of

\ n**r-r --7--counly ot f!\-tM)\-,$t -./ Aldermanic Dist. No.

-(if

requked by ordinance)

,Fur,ltreo itnatltrY coMPANY1. The named f] INDIVIDUAL f] PARTNERSHIP

f] CORPOMTION/NONPROFIT ORGANIZAT

hereby makes applicallon for the alcohol beverage license(s) checked above

FEIN NUwt Sorl€.3 Porm No

LICENSE REQUESTEDTYPE

n class A beerFEE

$

E class B boer

tr Class C wine $

$n Class A liquor$ tletr Class A li uor (cider only)

E class B I uor $

E Res€rve classBli uor $

u Class B (winB onl winery $Publication fee $

TOTAL FEE $

2.N (individual/pa ners give last e, lirst, midd ;co ationslimited liability

lla'rt'5'companies give regislered name): ><rd5ss LL

An "Auxiliary Questionnaire," Form 03, mu$t be completed and attached to thls 8PP by each indlvidual qpplicanL by each memb€r of a

pa(nershlp, and by each offlcer, dkector nd agsnt of a corporation or nonproflt organlla tion, and by each momberlmanager and agent ol a limiteda

liabllity corilpany. List the nams, title, and plac€ of residonc€ of each Person.

PresidenUMember

Tltle

^l*.-1Name Ho Ad ress

c)Post Offlce & Zl p Code

n S e'.! oS, i:

Vice PresidenUMember

Secretary/Member

Treasurer/M6

Agent )Directors/Managers a3. Trade Name > < f €>ss LL C:

4. Address o[ Premises ) .-j s.l4; K6

9. Premises descripli n: Describe bu lding or buildings where almhol beverages are to be sold and slored, The applicant must lnclude

and/or of alcohol bever

S. ls individual, pa(ners or aggnt of corporationnimited liabjlity company subiect 10 aomdetion of the responsible beveftlge server-' i"inirg.il" r"r lhis n."iriJp.rioo'r . . . . " 'E ves

6. ls the applicsnl an employe of agentof, or acting on behalf ot anyone except the named applicant? .... .......[ Yes

7. Does any olher alcotrot beverago retait llcense€ or (holosale permittee have any inlerest in or mnltol of this business?. . . . ' . . . . . . . . . . E Yes

8.(a)cofporstsllimttedtiqbllwgompqnyapp|lcantgonly:lnsertstale-anddate-oflegistration.ibj ts appticant corporation/limited liabiliiy ompany a subsldiary of any olher corporation or limited liability mmpany?. . . . . . . . . . ' . . . . . E Yes

icj Ooes the corporation, or any officer, dkector, stockholder or agent or limited liability company, or any member/manager or

agonl hold any inierest ln any othsr alcohol beverage license or permit in Wismnsin? ' ' ' fl Yes

rNoTg Al eppticanl$ exp!)in tuw on rcve.f'e sido of this fort, every YES answer in sections 5, 6, f and I above )

?tr;)Business Phone Nurnber

Post Oflice & Ap Code )

EltloZI rolf No

Zno

Euo

all rooms including living quarters, lf ussd, tor the sales,may be sold and slored only on lhB pr€mlsss dsscribsd

10, L8gal description (omil il streel address is glven abovs)

d cohS c4ns

(b) lf yes, undor what name was llconse issued?'12. Does the applicant understand they must fl16 a Special occupationalTax relurn (TTB {orm

before beginning buslness? lphone 1-800-937-88641 ., ...,5)

13. Does lhe applicanl undorstand lhey must hold a Wisconsin Soller's Permit?

lphone (608) 266-27701, .

14. Does ths applicanl understand that they must purchase alcohol beverages only trom Wsconsin wholesalers, breweries and brewpubs?

SUBSCRIBED ANO SWORN TO BE RE ME

1'1 . (a) \4as this premises licensed fqr th6 sale of liquor or er during the past license year?

thLs Jf y'a* day oi

Zl Yes [] H<

Z] Yes [] ttc

,20 /3

ZI Yes E tlo

ZYes !No

ol CotporcllonlMefibe MeBgat ol Linllad LiEbilily

( l.>

R€AD CAREFULLY egFO RE QICI lHg i Unde, "cn! lrv

^r^vr.r.d hv ravr !h. Anolica n! slatos thal eaah of the abovo questions has beon trulhlully answeled to lhe besl of lhe knov

AT-106 (R. ?"15)

c

ary

natu(e lo(k/D€puty

in Oopa(h€nr oI R€ve

i0 riE C0MPLETEDDatg provisianal l'Elnse lssi.ledDale reponod b clunciuboard

licrlnse riunrbet lss!sdDale llc4nt6lssugd

th cl€rk

lic€nse granted

,=/ t

AUXILIARY QUESTIONNAIREALCOHOL BEVERAGE LICENSE APPLICATION

Subnit to municipal clerk.

The above named individuai provides the following information as a person who is (check ono)

&ADn

pplying for an alcohol beverage license as an individual

rhber of a pa rshlp which is making appllcation for n alcohol beverage license

6- of

which is making application for an alcohol beverage Iicense

The above named individual p rovides the following information to the licensing authority

1 . How long have you continuously resided in Wisconsin prior to this date? /y2. Have you ever been convicted o{ ny offenses (other than traftic unrelated to alcohol erages) fora

or municipality?

y Conpanyot Nonprc l aqanizalan)

violation of any federal laws, any Wisconsin laws, any laws of any other states or ordinances of any county

Eves ntolf yes, give law or ordinance violated, trial court, tdal date and ponalty imposed, and/or date, description and

lndivldual's Full Name (please p nl) (lasl name) (firct nan6)

..5< oState

ilZip Cod6

n-a 6 6*tClty

9J*I A'Posl Oflice

S'-a.,,1*Home Address fsfoollroulo)

*ol d/.,r/ </ -go*-r---l-

oPlalo or glrth.

( o lax' "1

Oate of Birth

3i/3 / /q6 LAgs

{L6c>a - .lA"-t - 3'7 /'3Hom€ Phone Number n {

status g, (lf more room is neaded, continue

3, Are charges for any offenses present ly pending against you (other than traflic unrelated to alcohol beverages)

for violation of any federal l6ws, any Wisconsin laws, any laws of other states or ordinances of any county or

municipality?ll yes, describe status of charges pending.

4, Do you hold, are you making application for or are you an officer, director or agent of a corporationi nonProfit

organization or meirberi manager/agent of a limited liabitity company holding or applying for any other alcohol

charges pendin'5

".-f e-le of this

JtfornLft

I ves Z tto

beverage license or permit? I ves Z tto

lf yes, identify.

5

(Nam6, Localion and Type al Llcense/Petnit)

Do you hold and/or are you an officer, director, stockholder, agent or employe of any person or corporation or

member/manager/agent of a limited liabitity company holding or applying for a wholesale beer permit,

brewery/winery permit or wholesale liquor, manufacturer or rectifier permit in the State of Wisconsin? . . . .

lf yes, identity.! v"s /ruo

(Nana ol Wholesale Licansea ot Patnillaa) (Addte6s By Cily and Caunly)

6. Named individual must llst in chronological order last two employers,

The undersigned, being tirst duly sworn on oath, deposes and says that he/she is the person named in the foregoing applicationi thatthe applicant has read and made a complete answer to each question, and that the answers in each instance are true and correct. Theundersigned further undsrstands that any licgnse issued contrary to Chapter 125 of the Wisconsin Statutes shall be void, and underpenalty of state law, the applicant may be prosecuted for submitting false statements and affidavits in connection with this application.

Subscribed and sworn to before me

,zo ktnirJfy'Lo"y of A/"*-l>'Lj*< I t/*,-".r*--U 4y9ldNotdtt'frtbrc)

NIy commission expires

/,) /--- -'" 'L, ,z,f'

'JrDl..

/6/ 6 / auoz io / )oa?G-8..r 9 . oit/T 6 r) $;.--Enrploy€d F16n

3oe:V y')oso" -.-{.c ,,t cs t -l .r.<tril,t o.'s XO/ n/-lt.-{r^"s/ .\b*A* d,

AT.103 {R.8.11)

. PrinledonR€cycled P6psr

Wsconsin Depadmonr ol R6v€nu6

Scc. 183,0202

Wis. Stats.

Executed by the uudersigned for the puryose offomrilg a Wiscorrsill Linlited Liability Conpany under Chapter 183 ofthe wisconshr Statutes

State of Wisconsin

Dcpallnlent of Firancial Instihrtions

ARTICLES OF ORGANIZATION. LIMITED LIABILITY COMPAN!'

Namc of the lirnited liability compary;

Hanis Crossing LLC

The limitcd liability company is organizcd under Ch. 183 of thc Wisconsin Stfltutes.

Narnc of thc initi^l lcgistered agcnt:

Bryau Haffis

Strcet addrcss of thc initial rcgistclcd officc

801 Mill srSpada, WI 54656

United States of Alnerica

Managemcrt ofthc lirnited liability compary shall bc vcsted in:

A nrernber or nrenrbels

Namc and complcte addrcss of each orgatrizer:

Bryan Hanis801 Mill stSpafla, Wl 54656

UDited States of Arnerica

Afticle L

nrticle 2

Article 3,

Afticle 4

Article 5

Article 6

Other hformatiou. This document rvas draftcd by

Joseph Tokalz

Organizer Signature:

I}yal llanis

joe@irnstaxprep.com

Date & Tiruc of Rcccipt:

6/19/2018 3:13:15 PM