90-128 WHITE - CITV CLERK
PINK - FINANC-E G I TY OF SA I NT PAUL Council
CANARV - DEPARTMENT
BLUE - MAVOR File �O• D /�
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Council R ution �� ��
_ �., (�
Presented
Referred To Committee: Date
Out of Committe� By Date
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RESOLVED: That application (TD #15276) for a State Class B Gambling
License by Minnesota State Band at Narducci 'S Lounge,
1045 Hudson Road, be and the same is hereby approved/
c�e�ed.
l�XD4DQ�N( COUNCIL MEMBERS Requested by Department of:
Yeas '�p d Nays
� Dimorid �
Gos tz �switz [n Favor
Ret man L°ng a
SCh i bel �'���� Against BY
So n Rettman,
Thune ,�pN 2 3 1994 Form A
W1�� n �ilsOn pproved by City Attorne
Adopted b unc . Date - _
Certified Pa �'b C unci . c y BY /� ���
g3, �.-�
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A►ppro ed b Mavor: Date i °�7 �d ��� � ` E�� Approved by Mayor for Submission to Council
gy � By
lI�L1SNED `E S - 31990
� . , . . ��G-��Y
DEPARTM[NTIOFFICEICOUNCIL DATE INITIATED � .
Finance/� cense GREEN SHEET No. 7s4��;
CONTACT PERSON d PHOME INITIAU DATE INITIAUDATE
DEPARTMENT DIRECTOR CITY O�1NGL
Chri sti ne Rozek-298-5056 �� [�]c�v�rroRr�r �CITY d.ERK
MUST BE ON COUNqL A(iENDA BY(DA ROUTIN(i �BUDOET DIRECTOR �FIN.8 MOT.SERViCEB DIR.
�MAYOR(OR AS&STAN7) � (:n i i n r.��
TOTAL#�OF SIQNATURE PA (CLIP ALL LOCATIONS FOR SIGINATURE)
ACTION REGUESTED:
Applicati n of an application for a State Class B Gambling License.
Hearin D te: Notification Date: O
�c�o��w►no�s:�vv►�•t�u� c�► oou� r�vonr a+��
_PtANN11�3 OOMMI8810N _qVil SERVI�COMMISSION ��Y8T PFIONE NO.
_qB COMMI7TEE _
_STAFF _ COMAAENT8:
—o����«,� _
RECEIVEO
��,��,����� �1�,11�94
iNrru►nNO�oe�.issue.o�o�u Mrno.vv►�t.wn.�,w�e,wny�:
�ISY CLER
Helmut Ka lert on behalf of Minnesota State Band requests City Council
approval f their application for a State Class B Gambling License at
Narducci ' Lounge, 1045 Hudson Road. Proceeds from the pulltab sales
will be u ed to purchase uniforms, instruments & travel expenses for
band memb rs. All fees and applications have been submitted.
ADVANTA(iE8 IF APPROVED:
If Counci approval is given, Minnesota State Band will operate a
pulltab b oth at Narducci 's Lounge, 1045 Hudson Road.
DISADVANTAOE3IF APPROVEO:
DISADVAN'fAf3ES IF PIOT APPROYED:
�ouncd Research Center.
JAN z 01990
TOTAL AMOUNT OF TRANS� = C08T/REVENUE SIlDOlTED(CIRCLE ONE) YE8 NO
FUNDING SOURCE ACTIVITY NUMOER
FINANGAL INFORMATION:(EXPWN)
��
_ ' •� ' � i
f� �
J. '_; .
NOTE: COMPLETE DIRECT10N3 ARE INGLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASINCi OFFICE(PHONE NO.298-4225).
ROUTIN(3 ORDER:
Bslow ue prefsrred routin�s for the five mat iroquent types of documenta:
COMTRACTS (assurtws authorixsd COUNCIL RESOLUTION (Amend,8dgtsJ
budpst exists) Accept. Oranta)
t. Outside AQsnCy 1. DepartmeM Director
2. Initiatinq DspartmeM 2. Budget Diroctor
3. City Attomey s. ary Aaomsr
4. Maya 4. MayoNAssistent
b. Financs d�Mgmt Svca. Di►ector 5. Cfty GbunCil ..
6. Finance/lccouMing 6. Chief AccountaM, Fin&Mgmt Svcs.
ADMINISTRATIVE ORDER (Budpet COUNCIL RESOLUTION (all others)
Rsvi�on) and ORDINANCE
1. Activlty Mana�er 1. Inidadng DepartmsM Director
2. DepaRment AcoOUMant 2• �Y Ana�Y
3. Ma /Aqistant
4. . �DI►eCtor 4. qty�C.W�t1CU
5: Gty Clerfc
6. Chi�f Acxountant, Fin&Mpmt 9vcs.
ADMINISTRATIVE ORDER3 (ell others)
1. InlNating Department
2. Gly Attorney
3. Mayor/Aesie�nt
4. dty dsrk
TOTAL NUMBER OF SIGNATURE PAGES
Indfcate the#of pa�ss on which signaturos are requlred and paperclip
each of these pa�ss.
ACTION RE�UE3TED
Dsscribe what the proJ�ct/requ�t sesks to acoompiish in efthsr Chronologi-
cal ordsr or oMsr of importanoe,whichs�ror is rtw�appropriate for the
issue. Do not write complete sentsnoss. Bepin each kem in your Ifst with
a verb.
- RECOMMENDATIONS
Complete if the isa�s in queatlon h�s basn preaented before any body, publfc
or privats.
SUPPORTS WHiqi COUNdL OBJECTIVE?
Indicace wnich ca,r�il obleC+ve(sI r����9��+Pp�s br���o
the key word(s)(HOU31N�3, RECREATION, NEICiH80RHOOD8, ECONOMIC DEVELOPMENT,
BUD(iET, SEWER 3EPARATION).(SEE OOMPLETE LI3T IN INSTRUCTIONAL MANUAL.)
COUNCIL COMMITTEE/RE3EARqi REPORT-OPTIONAL AS REGIUE3TED BY COUNqL
INITIATIN(3 PROBLEM, 183UE,OPPORTUNITY
Explain tha situatlon a oondiNare that cr�ted a nesd for your project
or request.
ADVANTACiES IF APPROVED
Indicate whsthsr this is simphr an annual budpst procedure roquired by law/
charter or whether th�re are spsciflc ways in which the City of Saint Paul
and its citizens will bsnMft hom this prqect/e�ction.
DISADVANTACaES IF APPROVED
. What n�gative�ifecta or majw chengss to sxisting or past proceaaes might
thfs projecUnqus�t producs N it is paa�ed(e.g.,treffic delaya� nolae,
tax increasss or aqasmsMs)?To Whom?Whsn7 For hoMr long?
DISADVANTAf3E8 IF NOT APPROVED
What will bs the nepatiw c�naequeno�s if the promiaed action is not
epproved?Inability to deliver servk�4 CoMinued high traffic, nolae,
axident rets?Loss of rovenue?
FlNANqAI IMPACT
Although you must UUlor ths information you provide hero to the iasue you
aro addreesiny, in�al you muat answer riro questions: How much is it
gdng to c�st?Who is�an�to pay7
. . �,- ��-,� �
DiVISION OF LICENSE AND PERMIT A.DMINISTRATION DATE � 0`� l /�' � 8
INTERDFPARThiFNTAL KEVIEW CHECKLZST Appn ro essed/Recei ed y
Lic Enf Aud
c�(� Q l ` �� Yrl 1.�'� /�Q �C�✓�
Applicant � �y�Y��56�4 J-fu� /vli�4�Home Address � ��ip �.�h,e� IZ.17
Rusiness Name �-� �Q✓a(,(,CLIS Home Phone aGj � " �`7 7� LdQ��
,
Business Address�� ���fJf � p,v � Type of License(s) CIG55 �j
Business Phone l,�G�,m b�`n� � � �-�"'`��
--:--
�l � License I.D. �{ l�P �J ��
Public Hearing D�te �.3 �
at 9:00 a.m. in ithe Council hambers,
3rd floor City Hall and Courthouse State Tax I.D. �� _��}.
llate Nutice Sent; Dealer 4� N �/�..
to Applicant � � ��
Pederal F3.rearms �� N �
Pub.lic He�iring --�
DATE II�SPECTIUN
REVIEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
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Bldg I & D �
I.J /} �
Health Divn.
�J Ia '
�
Fire Dept. �
i u �a I
i �
Police Dept. ,SQ�� I 1Z�� I g'�
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I a. I g�, 0 I�.
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License Divn. '
l� ��S�j
City Attorney �
I�� � `��1
Date Received:
site Plan �a� g /� p /�
To Council Research � ( 7 V
Lease or Letter Date
from Landlord �a � ��
CURRENT INFORMATION NEW INFOKMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
-Currer.t Officers: Insurance:
Bond:
- Workers Compensation: _
New Officers:
Stockholders:
:�, . : . . ��o i.��
;�;:.,;:.r�. . . ' •. , ' . City of Saint Paul
�,f• �.�Sr'.'. ,, , • ' •
,,.; . Department of Finance and Management Services
�'" Divieion of License and Permit Registration
INFORMATION REQUIRED WITH APPLICATION FOR PERMIT TO CONDUCT PULLTAB/TiPBOARD SALES tN
SAINT PAUL (Class B Gambling Licenee in Liquor Establiahments - New Application)
• � .
1. Full and complete name oE organization which is applying for license
M IN�I�� STAr'� �AnlL�
2. Does your organization meet the definition of a "large" organization ae o lined in
the November� 1988 revieion of Section 409.21 of the Legislative Code?
Attach to ;this application pertinent financial and/o[ organizational information to
support yaur anewer to thie queation. NOTE: Only S large organizations vill be allow-
ed to open pulltab operationa under the revised citq ordinance. If more than 5 organi-
zations apply, qualified applicants will be selected randomly by the City Council.
55t0ls
3. Addreas where gamea will be held J d45 ���r-�pIJ � �14U1. �
Number Street City Zip
4. Name of manager eigning this application who will conduct, operate and manage
� Ka�le�-i-
Gambling Games �E�.MVT � Date of Birth �����- 33
(a) Length of time manager hae been member of applicant organization Z.3�E�1Q5.
5. Addrese of Manager ���Q ��Q,�N�riCQ• � M 1����'�"w� ���
Number Street City Zip
. � 6. Day, datea, and houre thie application ia for �j"'�""'"7' l�t�E� � � � �A�"►v '���
7. Ia the applicant or organization organized under �he laws of the State of MN? ��_
� \
8. Date of incorporation ��
9. Date when regiatered with the State of Minnesota �/�r
10. How long has organization been in existence? SINC,E ��9�
11. How long has organization been in existence in St. Paul? ,�i�►�G� �qTZ. .
12. What is the purpose of the organizationT $�E T'�T�'A�-+�� �-�'�E6T �By�W�
�
13. Officera of applicant organizatio�: s�E' f'fTI�G".k� MEMB� y�T•
��aW us��
Name ' � Name
Addrees Address
Title DOB Title �B
Name � Name
Addrese Address �
Title . DOB Title �B
: . : �yo-���
, . 14.� Give names oE ofEicers, or any other persons who paid for services to t1�e
organization.
Name �Q/J� . Name �
Addresa Address �
Title Title
� (Attach seParate sheet for additional �ames.)
15. Attached hereto ia a list of names and addresses af all members of the organization.
�, _ ';�►Z'f'A��1r!E�D.
16. ��whoae cuetody will organiaation's records be kept?
N.ame �OS�� �►�M�Q Address QQ �. PLJ9T'!7 ! 5r PA VL
17. Liet all persons wittt the authority to sign checks for d spersal of gambling proceeds:
, Name �";'Ej,,�1/�IT�' h(.�'i�..r Name ��
Addresa ��"��Q �7 fG.�N�� �IM Address
Member of 55�dj Member oE.
DOB Organizationl S. DOB Organization?
Name � Name �
Address Address
Member of Member oE
DOB OrganizationZ DOB Organization?
18. Have, you read and do qou thoroughly understand the provisions of all laWS� ordinances,
and regulations governing the operation of Charitable Gambling games� y�5
19. Will your organization's pulltab operation be opetated/managed solely by members oF
your organization? yea no X
20. llas your organization signed, or does it intend to sign, a consulting agreement or a
managerial agreement with any person or company to asaist your organization aith the
pulltab sales and/or recording keeping� yes no �
i
Lf answer is yes, give the name and addresa of the person and/or company contracted.
Name Address
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Name Address
If anawer. is yes. how will such a consultant be paid? (percentage, f1aC fee. gambling
funds, general funds. etc.) Attach a copy of said contract to this aQplication.
21. Operator of premises where games will be held:
Name �EQ.R� A21,VC�,C.1
' Business Address '��Si � V���� S� �A V�+� �N•• -�p � v�
� Home Address 3 �dQ��;��_��� 5C' ��1L.. NI �51� 9
r , . . � � • � ' � J
� • ����O�/R
-� 22. a) Does your organization pay or intend to pay accounting fees out of gambling Eunds?
yea. no
b) If you do pay accounting fees, to whom will such fees be paid?
Name 1' l.�Q� �,C.'r� 5r�. Address �pdQ> ��STM������ �
DOB Q"���Q.3 Member of Organization? �
c) How are the accounting fees charged out� (flat fee� hourly. etc.)
{-lovQ.l...y.
d) What do you anticipate will be your average monthly deduction for accounting fees?
� �
23. Amount of rent paid by applicant organization for rent of the hall:
��I,��o,�,,.,�
24. The proceeds of the games will be disbursed after deducting prize layout costs and
operating. expenaea for the following purpoaes and uses: '.
Ti�E t���S W l tr[. .8L �)SLD 'R7 �V Q.CHASE VIV 1 FoQ-MC�
51��.f1�R�M��i3 �'T�A�E�L �YP�1� FO� T�I� �
M.E�iI�E.Q.S. SE� b[C['1►sG41 E� '�lE-�'f'•
,
25. Nae the premises where the games are to be held been certified for occupancy by tl�e
City of Saint Pau1T ��s.
26. Nas your organization filed federal form 990-T? ,�_ If answer is yes, please attach
a copy with this application. If answer is no, explain why:
J�IV �As �rr ��EDED '�ZS� �ba/j��AQ•
■-V �/ �I�E�T� �U��rvY7i �/Y�l7M •
Any changes desired by the applicant associat:ion may be made vnly with the consent oE the
City Council.
�w1►lre e�'A �',47'E ���•
Organization Name
Date �Z.�� � C7� By: �!>,rc�: � ����`�'� �
, �1 Manager in charge oE game
, ' ���
• Organization President or CEO
- � � ` � �- 90 -,��
. ;
- . �
TO BE COM�IETED 6Y ; ' ; .
.ORGANIZATION PRESIOENT AND GAMBLING MANAGER i �
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;
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I understand and w111 uphold Saint Paul Ordinance 409, Sections 409.21
and 409.22 relating to pulltabs and tipboards in bars. i
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Further, i understand that my 3arbar must meet city standards; that i0o
of the net profit from pulltab sales must be returned to the City-Wide
Youth Fund on a monthly basis; that monthly financial statements must be
f11ed with the City; and that 51b of net proceeds must remain in St. :Paul
or be used to support St. Paul residents. �
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�gna re - a�ager�✓
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S gnature - rgan tat on res ent
T
rgan za ion ame
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am ing ocat on ' ,
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I Z-l- a9 �
Date
Please retain the attached ordinance for your records.
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