HomeMy WebLinkAboutItem 06 The Pump Cafe Liquor License AGENDA ITEM SUMMARY Meeting Date: 3/2/2020
Meeting Type: Regular Meeting
Staff Contact/Dept.: Robin Holman - DPW
Staff Phone No: 541-726-3662
Estimated Time: Consent Calendar
S P R I N G F I E L D
C I T Y C O U N C I L
Council Goals: Mandate
ITEM TITLE: LIQUOR LICENSE APPLICATION FOR A CHANGE OF OWNERSHIP FOR
HM PUMP CAFE CORPORATION, DBA: THE PUMP CAFE.
ACTION
REQUESTED:
Endorsement of OLCC Liquor License Application for The Pump Cafe, located at
710 Main Street Springfield, OR 97477.
ISSUE
STATEMENT:
The owner of HM Pump Cafe Corporation has requested the City Council to
endorse its OLCC Liquor License Application.
ATTACHMENTS: Attachment 1: OLCC Liquor License Application.
DISCUSSION/
FINANCIAL
IMPACT:
The license endorsement for HM Pump Cafe Corporation, DBA: The Pump Cafe is
for a Change of Ownership with Limited On-Premises Sales. The license
application has been reviewed and approved by the appropriate City Departments.
ffi OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
1. Application. Do not include any OLCC fees with your application packet (the license fee will be collected at a later
time). Application is being madefor:
Z. ldentifythe applicant(s) applyingforthe license(s). ENTITY (example: corporation or LLC)or INDIVIDUAL(S) applying
for the license(s):
Hi t\A iAwt Cr^&- &>v o vr>+iOr'\
(Applicant #1)(Applicant#2)
License Applied For:ClW AND COUNTY USE ONLY
Date application received andlor date stamp:
Name of City or County:
Recommends this license be:
E Granted E Denied
Date
tr Brewery 1st Location
! Brewery 2nd Location
tr B 3rd Location
Brewery-Public House 1st Location
tr Brewery-Public House 2nd Location
n Brewery-Public House 3rd Location
tr Distillery
tr Full on-Premises, Commercial
tr FullOn-Premises, Caterer
tr Full On-Premises, Passenger Carrier
n Full On-Premises, Other Public Location
n Full On-Premises, For Profit Private Club
n FullOn-Premises, Nonprofit Private Club
n Grower Sales Privilege 1st Location
n Grower Sales Privilege 2nd Location
tr Grower Sales Privilege 3rd Location OLCC USE ONLY
Date application rece
€
By
Li ce Action(s)
clo 4 cln{
\Z/Limiteo on-Premises
! off-Premises
n Off-Premises with Fuel Pumps
f] Warehouse
E Wholesale Malt Beverage & Wine
fl Winery Lst Location
E Winery 2nd Location
Wine 3rd Location
Wine 4th Location
Winery 5th Location
(Applicant #3)(Applicant#4)
3. Trade Name of the Business (Name Customers Will See)
Ttna Pw*Cc.{ e-
4. Business Address (Number and Street Address of the Location that
\tO trft>in Sf
will have the liquor license)
rt\rtZip Code
Lcrnre-
CountyCity
v\d\.€-t\
OLCC Liquor License Application (Rev. 1/20)Attachment 1, Page 1 of 4
ffi OREGON LIQUOR CONTROL COMMISSION
LIOUOR LICENSE APPLI TION
5. Trade Name of the Business (Name Customers Will See)
-Txe- ?,^r'^Q C-&E-
5. Does the business add r"F.,"r.rtly t^r" in ofcc liquor license?$rs
7. Does the business address currently have an OLCC marijuana license?YESM{o
8. Mailing Address/Po Box, Number, Street, Rural Route (where the OLCC will send your mail)
?\O OAc"rrn tk
City
\. \'n tri*.-\.)
9. Phor
@u
n N u mbe r th Business Location
^ OtaZZ)+tu
State
O-e
Zip Code
q
10.E mar ct fo r t his Ap pl icat to n
11. Contact Person for this Application
/4oi { eAunt
Phone Number
fot f88 &il8
Contact Person's Mailing Address (if different)
4 ?lt- Ro4a-0- AVE
City
€ufert-P
State
OR
Zip Code
q) tluz
Please note that liquor license applications are public records. A copy of the application will be posted on the OLCC
website for a period of several weeks.
I understand that marijuana (such as use, consumption, ingestion, inhalation, samples, give-away, sale, etc.) is prohibited on
the licensed premises.
I attest that all answers on all forms, documents, and information provided to the OLCC are true and complete.
Applicant Signature(s)
o Each individual person listed as an applicant must sign the application.
o lf an applicant is an entity, such as a corporation or LLC, at least one person who is authorized to sign for the entity
must sign the application.
o A person with the authority to sign on behalf of the applicant (such as the applicant's attorney or a person with
power of attorney) may sign the application. lf a person other than an applicant signs the application, please
provide p
!
of signature au
t rn( q s '"
(Applicant#1)
D ilr /te
(Applicant#3)(Applicant#4)
OLCC Liquor [icense Application (Rev. 1/20)Attachment 1, Page 2 of 4
OREGON LIQUOR CONTROL COMMISSION
CORPORATION QUESTIONNAI RE
Please Print or Type
Corporation Name
Trade Name (dba)
Business Location Address
.r,1cl'ffo\6ar !nnnrnnrafar{7r
:-f-tt) &rD (\a on <*
City , A n-r- r nrFr e- \ cJ ZrP Code: 4+t++\f
(name)
List Corporate Officers:
nrw s/fr
(title)P
Lftr M fRpa,sar
List Board of Directors:
l-br -r C-[rud€a("*") rwr.r-- s Leer--J
List Stockholders: (Note: lf any stockholder is another legal entity, that entity may also need to complete another
Corporation Questionnaire. See Liquor License Application Guide for more information.)
Stockholders:
Number of
Shares Held:
/ /38
.4rr-
4Ab
5
Total Shares Authorized
lssued:
Unissued
to lssue: t
Number of Stock Shares:
r/Server Education Desi
t understand that if my
Officer's Signature:
\, AJ DOB
(See Liquor License Application Guide for more information)
answe are not true and complete, the OLCC may deny my license application.
(title)
1.800-452-OLCC (65221
w$il.oregon,gov/olcc
(name)
Date
(rev. 08/1 1)
J
()h r Lep
,
Attachment 1, Page 3 of 4
OREGON LIQUOR CONTROL COMMISSION
BUSINESS INFORIVATION
Please Print or Type
Applicant Name ft;t t PWvrtp CsfPCyc"t ro vr .Phone r /;o /;*t
Trade Name (dba):
Business Location Address: ?f O fl1a o rn 4U
City 4e tnaFre \ C__:___r J-
DAYS AND HOURS OF OPERATION
Business Hours:
Sunday B'-Cfla- to L'-d) ot*
Monday {-gg2g,'^toZ,:rooTu*
Tuesday n1-eeG$A to @:^^r-
Wednesday11)Q4,aatoZ'.,xr--r,,,,,'-
Thursday Ll2esgto L oop
Friday :t!OX."-_toL'.@la5*
saturday Bj,oog*",o -q^^
Outdoor Area Hours:
Sunday 6 . , bA'.@g,$-
Monday ?llqcr^- t" Z'..X'-e*-
Tuesday l-ipqa*to Z'.CtlQw-,
Wed nesday ft6pcr^. to L'. CD.dvt -Thursday tsla<toffiuFriday'tAeU=-toL'.,@b,r*
Saturday ?/. grS--to7.'. &iv'*
The outdoor area is used for:
H rooo service Hours: f: oC-t'*to L'.cx-tl.t*-
ffi Rtcofr ot service Hours : 9' CC.t, alo ?-' . ac -at,,.-
y. Encrosed, no* Lr' milil fer@
The exterior area is adequately viewed andior
supervised by Service Permittees.
(lnvestigator's lnitials)
tr
tr
tr
tr
tr
Seasonal Variations: $ Yes tr No lf yes, explain
D(*
Live Music
Recorded Music
DJ Music
Dancing
Nude Entertainers
Check all that apply:
E Karaot<e
E coin-operated Games
E vio"o Lottery Machines
E sociatGaming
E PootTables
E otn".
Restaurant
Lounge:
Banquet:
Outdoor: L?:
Other (explain):
Total Seating: _
I understand if my answers are not true and plete,
1-800
OLCC USE ONLY
lnvestigator Verified Seating: (Y) _(N)
lnvestigator lnitials:_
Date'
ay deny my license
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
to
to
to
to
to
to
to
n
h)
c
ENTERTAINMENT DAYS & HOURS OF LIVE OR DJ MUSIC
Applicant Signature
wntw.oregon.gov/olcc
2',1
Date
(rev. 12/07)
ZtP Code: ot+r|++
SEATING COUNT
Attachment 1, Page 4 of 4