90-129 WHITE - CITV CLERK
PINK - FINANGE COURCII
�ANARV - DEPARTMENT G I TY OF SA I NT PAZT L �
BLUE - MAVOR File NO. D _�� -
Council esolution ��
� �
Presented By
Referred To Committee: Date �����/��
Out of Committee By Date
RESOLVED: That application (ID #27898) for a State Class C Gambling
License by St. Casimir's Church at 934 E. Geranium, be and
the same is hereby approved/de�-ed,
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimo a Dimond
" Goswitz in Favor
�c� ,.
x t a� Long � B "
sc �be� Maccabeie A gai n s t Y
So en RettII►3n
n
Thune
4�lilSOn JAN � 3 199d Form Approved by City tt ey
Adopted b Council. Date � -
Certified Yasse uncil , etar BY � ` ��
� 1
gy, . .j t�
Appr ved by Mavor. Date � °�`?�`�� ���� � � ���� Approved by Mayor for Submission to Council
By — BY
PUBI.ISNED � r�' � � ��9�
_ . ��o/a�
DEPAR�MENT/OFFiCE/COUNqL DATE INITIATED
Fi nance/� cense GREEN SHEET No. 5 7 9 4
CONTACT PERSON 6 PNONE �NITIAU DATE IMITIAUDATE
DEPARTMElIT DIRECTOR CITY COUNCIL
Chri sti ne Rozek-298-5056 Nu�� �CITY ATTORNEY �CITY CLERK
MUST BE ON COUNpL AGENDA SY(DA ROUTNrO �BUDOET DIRECTOR FIN.i MOT.BERVICES DIR.
❑�►�oacop�s��wn � Council Researc
TOTAL N OF SIQNATURE PA (CLIP ALL LOCATIONS FOR SK�NATURE�
ACTION REOUE8TED:
Approval f an app1ication for a State Class C Gambling License.
Hearing D te: ( a3�4o Notification Date: ( R 9p
�coM�r�,onT,oHS:,,v�»cN a c� couNa� �PORr o�
_PLANNINQ COIiAMIS810N l 8ERVIC:COMMISSION �ALYST PMONE NO.
_CIB COAM�I'TTEE _
_STAFF _ COAAMENTB:
_o,s,�,��„� RECEIVED
SUPPORTS NIFIICH C�1NpL OSJECTNE
INITUTIN(i PFiOBLEM.ISSUE.OPPOR7U (Who.WMt.Whsn.Whsrs.�Nhy$
EITY CLERK
Jerry Hic ey on behalf of St. Casimir's Church requests City Council
approval f their application for a Class Class C Gambling License at
934 E. Ge anium. Proceeds from the bingo games will be used for the
operation of the church and school . All fees and applications have
been subm tted.
AOVANTAOES IF APPROVE7.
If Counci approval is given, St. Casimir's Church will operate a bingo
session a 934 E. Geranium.
as�ov�wr�s��o:
D18ADVANTAOEB IF NOT APPROVE7
l:ouncil Kesearch Center
JAN 1. 01990
TOTAL AMOUNT OF TRAMS�CTION : C08T/REIIENUE BIlOOETBD(f.yRCLE ONG� YES NO
FlJNDINd SOURCE ACTWITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN)
CC�V
• �
NOTE: COMPLETE DIREC'fiON8 ARE INCIUDED IN THE(iREEN$HEET IN8TRUCTIONAL
MANUAL AVAIUIBLE IN THE PURCHASINt3 OFFlC�(PHONE NO.298-4225).
ROUTINO ORDER:
Bslow an preferred routinps for ths Hve most frequent typss of documente:
COMTRACTS (aaumss audw�lz�d COUNCIL RESOLUTION (Amsnd, Bdpta./
b�pet oxl�a) /►xspt.arants)
1. Outside Agancy 1. DepartmeM Director
3. I�An�msM 3. �Att��tor
4. Mayor 4. MayoHAesistarlt
5. Flnence 8 Mpmt Svca. Direclor 5. qy Coundl
6. Flnar�e AccouMirp 6. Cfifef AccouMaM, Fln 8 M�mt Svcs.
ADMINISTRATIVE ORDER (BtKlpet OOUNdL RE30LUTION . (all othsra)
Revition) and ORDINANCE
1. Acttviry Managsr 1. Initiating DepartmsM Di►ector
2. DepartmeM AccountaM 3: �����
3. DepenrneM DtrecWr 4. City Ca1r�i1
4. 8udget Di�.
5. City qsric
6. Chief/woauihnt� Fln d�Mgmt Svcs.
ADMINISTRATIVE ORDER3 (all othsrs)
1. Initiating Dep�rtmsnt
2. Cfty Attomey
3. MayoNAsN�taM
4. (�ty pork
TOTAL NUMBER OF SICiNATURE PAOES
IndM,ate Ms#of p�p�s on which eignaturoa aro roqufrod and pepsrclip
oach of thsss� _
ACTION RE�UE8TED
Dssc►ib�what ths p►oj�ct/roquest a�sk�to ac�omplish in eRh�r chronolog�
cal ordsr or ordsr of impo�tance�whicFisver�most appropriate for the .
iswe. Do not vircite oomplete aeMsnc�s. 8sgin e�ch item in your list with
a verb.
RECOMMENDATIONS
Complets H ths iswe M quation has b�sn preseMed bsfore any body, public
or privads.
SUPPORTS WHICH COUNdI OBJECTIVE?
Indicate which Council objecHve(aI Y��pr'�r�1��PP�bY��n9
tt�key word(s)(HOUSINCi, RECREATION, NEtCiHBORHOODS, ECONOMIC DEVELOPMENT,
BUD(iET.SEWER SEPARATION).(SEE COMPLETE UST IN IN3TRUCTIONAL MANUAL.)
COUNqL GOMMAITTEFJRESEARCH REPORT-OPTIONAL AS REOUE8TED BY OOUNCIL -
INITIATIN(i PROBLEM, ISSUE.OPPORTUNITY
Expiain the situation or conditions that croated a need for ycwr project
or request.
ADVANTAQES IF APPROVED
Indicete whsthsr this is simply�n annual budyst procedure requfred by Iaw/
charter or Mrt�stl�er there an sp�ciflc wa in which the City of Saint Paul
arM its citfzerre will bsnslit irom thb pro��^t/u�lon.
DISADVANTA�ES IF APPROVED
What nepstive sflects or rtis�ch�n�es to existing or past proceaees migM
this project/roqt�t produce H it is�d(..g.�trafNc delays. nolsa,
tax i�creaess or aa�nb)T To Whom?When? For how bng?
DI8ADVANTAOES IF NOT APPRQVED
UVhat wfll bo the ne�divs conssquenc�s if the promissd action is not
approved�Inability to dsliver ssrvics7 Continued high traf�c, noise, , •
accident rate?Loss of rovsnus?
FlNANGAL IMPACT
ARlwugh you mt�st taflor the iMormetion you provide here to the issue you
us�ddreseing,in general you m�nt answor two questions: How much is it
�oiinp to oost4 Who is gan�to pay4
. _ . . . �i— qo�a9
DIVISION OF LICENSE ANI) PERMIT ADMINISTRATION DATE /��1 �� / �� ='�� �
INTERDF.PARTMENTAL REVIEW CHECKLIST App Pr cessed/Rece ved y
, Lic Enf Aud
/ /,' - - Je � �� �-�� cKP
Applicant �L., C�5�i-r�;��� CC��,�i,�� Home Address �� - '� p2�+P✓���
Rusiness Name '�;'� - �C�Slrh�fs C..����Ch Home Phone
r
�usiness Address �3 � � �ie✓�h�crh'i Type of License(s) C_�� �� C � ���i.�,��1�r+7
Business Phone �� ) ��` Q�(o5 � nJ��S�. I–��-'
—•—
Public Hearing D�te � ` �3 ��1 � License I.D. 4{ � �] �! �
at 9:00 a.m. in $he Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� ���
llate Nutice Sent; Dealer 4� �v�r'�
to Applicant � q�
rederal F3_rearms 4� /V��{'
Public Hc-aring
DATE INSPECTIUN
REVIEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
� � ,
Health Divn.
u�� �
�
Fire Dept. � �
� ��,�
i I
i
Police Dept. S� n� I j1��Y1 �`t
� 1���� �y � �
License Divn. �
,����� ; � �L
City Attorney �
� 3 �R� , o �c.
Date Received:
Site Plan �i�L� � �/,�
To Council Research � V
Lease or Letter ' ,� ate
from Landlord � � � ) �
CURRENT INFORMATION NEW INFOItMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
wbrkers Compensation:
New Officers:
Stockholders:
� • �,r . City of Saint Paul /� �j
. , Finance and Kanagement ServicesiLicense S� Permit Division � 7���07/
INFORMATION REQUIRED WITH P►PPLZC�TION FOR PER*tIT TO CONDUCT CHARITABLE G�,I�LL�G G?►.`�iE I:I
SAI,TT PAUL (To be used with the following: New a & C applicatioa, reneW � S C
Licenses, and new and renew 8 in Private Clubs.)
1. Full and complete name of orgaaization which is applying for license
�•
..S�T i'.��i�'li/ls .�cf�l�
2. Address where games will be held 9.�� ���s,dr�•� _S,-.��� ��i•��
Number Street City Zip
3. Name of manager signiag this application who will conduct, operate and sanage
Gambling Games .,�r,e�� ��i,c,�rZ/ Date of Birth �-Zv-.3.i
(a) Length of time manager has been member of applicant organization Z Z �/�1 ,
4. Address of Manager /d y� �F'q,J6c �S�• ���r� 5.�%d�
Number Street City Zip
5. Day, dates, and hours this application is for ,��r,�sa,¢�/ �lli«�f - 7'�r�,U,,� %/s.diP.��
i /
6. Is the applicant or organization organized under the laws of the State of MN? y�s
7. Date of incorporation j,G� y
8. Date when registered with the State of Minaesota j�''��%%
9. How Iong has orgaaization been in existence? . /00 /.Ps
� 10. How long has organization been in existence in St. Yaul? jp o y,C's .
LI. What is the purpose of the organization? ���/Gi��s
12. Officers of applicant organization:
Name F.Q. T.r! /��y�T1 Name G'c=,�/c� �7'"/fs.�K
Address _���/ �- �'��s.Ji�.�! Address /� �/� ,-,E'c=SiS/.�irl _
Title� = DOB � 4�-„� � Title�i,v'.o /�.f���� _ DOB 10-3o-y.�
.� Name L/� ���f,��/
Name c EiC/Z� ��i�.�[;l�
Address 10��G O.Q.�.dG� Address /loG•t G• ,3 'eD eSi•
Title�'A,o�i3�,tidc /���c DOB �'lv -3� _ Title�c Tr.�_ DOB �-Zi -/9io �
13. Give names af officers, or any other persons who are paid fior ServiCeS t0 the
organizatioa.
Name � Name '
.��
Address Address
Titl.e / Title ,
(Attach \separate sheet for additional aam�s.)
: � _. :�.� . . �i�e - ��9
14. Attached hereto is a Zist of names and addresses of all members of the organizat�en.
15. In whose custody will organizatioa's records be kept?
Name ��=,�Jr l"/�s c r,!!c Address 1�y� Cic�.��.��
16. List all persons with the authority to siga checks for dispersal of gaabling proceeds:
�Name E,D �ti_r.� / Nane �3 G�Js�G�,.��•v�k i
address /���i L. 3 =° ssr Address /��/ �- J'r,d,�s ,`�r
Member of Member of
DOB � -e1/-/9/ o Organization? , �s DOB 7 L�-.� 7 Organizatioa? �s
Name �s'�=,v� �R,��uK Name
Address /vZ'7�6 G2�3/f.�iy! Address
Member of Member of
DOB ,/p -,���- �3 Organization? � DOB Organization?
17. a) Does your organization pay or intend to pay accounting fees out of gambling funds?
yes no �
b) If you do pay accounting fees, to whom will such fees be paid?
Name Address
DOB Member of Organization?
c) How are the `accounting fees charged out? (flat fee, hourly, etc.)
18. Have you read and do you thoroughly understand the provisions of alI laws, ordinances,
and regulations governing the operation of Charitable Gambling games? ,yC S
19. Attached hereto on the form furnished by the city of Saiat Paul is a Financial Report
which it .emizes alI receipts, expenses, and disbarsemeats of the applicant organiza-
tion, as well as all organizations who have received funds for the preceding calendar
qear which has been signed, prepared, and verified by • .� a,�-�`-�v
�.� �s�-�%s_�rz-�.�-
Address
�rho is the �. �i��/Q-,z�_ ., of the applicant organization.
ame
20. Operator of premises where games will be held:
Name Sr ��.s�rr�ar ��s.ccrr - � , o.•� �lc=�'c7� G°c0�/°�ry.�
Business Address ��� � �cZ.t�/�� �c` +�% ��� �� �-�<v'�
Home Address �'1.�5/ � ��e�v.�� �v�' ��' ��c /yy! .s-��-G _
—� �
� � �� � � � yo -��y
21. Amount of rent paid by applicant organization for rent of the hall :
' . . .
. . ��A: �: : ,i�d:,�C . . . . . . - .
22. The proceeds of the games will be dls6ursed after deducting prize la�yout costs
and operating expenses for the followipg purposes and� uses: � �
' ����i¢-Tio� .�U� (��. . L�s/ii'l/�S ��i�l.cclf ��ir/./ S oo.c..
Any changes desired by the applicant association may be made only with the consent of
the City Council .
�.5��7• l_'.aSiil'li.Ps` C'i��/.t'C//
Organization Name
.
Date: //��i o �� � By: ,�,.�
Manag in Charge of�Gam
rganization Presiden o C
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r} � p1 i� 2 �' $ S O + �
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� ' City oE Saiat Paul Pa;� t
" Departaent of Finance and 'lanageseac Ser►ieea �j� �iq
,• , Division of Lie�aaa md Persit Adsiniscration (�/����°t/
UtRFORlI CIiARI?A3GE CA!lbLI�C TINANCIAL AEPOI?
� .
Oate
1. 1taM at ortaniuctoo �..Sy G�i�i�tli,�s /_'�«l/.�G�
• 2. Adds�s� vh�s� Q�aritabl� Ca�blinf is eosdaet�d �1.3� �. �r'�7:�.rJ1i.Cs� ��
9. Rapose tor p.ssod eov.ris� a1�. �o t9� cbsou�4 OcT. 3/ 19�
. �. rolal au�b�r ol da�s pL�ad `f Z.
3. Gro�a r�eaipcs fot abov� psziod s �6 �7 3. V �
6. Gsoas psisa p��outs fos abo�� yssiod (in�l� eaa6 �6ost) i �v O/� . p v
� 7. N�t rae�ipts - Iin� S ainus line 6 i Z-�a ZJ 3• '�G
8. lacp�n�e• iaeurred La eo�aatia; and op�ratias ;a�s
A. Gross vasas paid. Attaeh vorkee liat vieh
. namas� address�a, grosa vaaea. nu�b�r of honrs S —'" � —
vo�ked. and smount paid p�s hour.
� • S. Rent for veeks ; �" ° '
C. Lleense fee � ; ��' 3��'� J
D. Insurance = �
E. Bond ; "— '�
T. Dishoaored eheeks not reeovared i �[�ol . 00
: C. Accountin; Facpenaa = "-' — �
H. F.splor�rs F.I.C.A. ; � °
. I. Pulltab Ta�t Paid to Deparoaant ol Rrvsnus i — —
� J. Minn. U.C. Tax s — � �_
. [. P�d�sal Excis� Tu i Seup = '
� L. Seat. caebllat iau i Z G.�'f�• /G
. li. li3�esllsnaoua Exp�n�as. Ideneit� th� a�oane
. . and co vtas paid.
i.t3�tic� �p�srs s �o6a•�9
z. i��,��cr s /03��o
� 3��or�an,�c; i.�s;. I°.F%�eva�� O�O 7 7�
• •.l�wN�- �z�-��=�'�' s ��•8� � 4%s• ? 7
9. ioeal E�cpen.as . T�� t
10. N�e Zneoa� - lin� 7 dnn� lins 9 3 �O/7 1 2 �
11. Cnsckboolc balanca bsfiaoinf ot p�siod i h�7`��- /O
I2. total ot lin� 10 aad 11 = �`,g 7 Z- '3 g---
"'�" 13. total eontriDutioaa (tsoi aCtachad vorluh��t) ; 2'��G+�• 00
14. C��ekbook balanes eod of ssportin` period -
� . ��. �Z ��s. ��. �3 . s 3�a. � 9
....:;.;.
Unira�l c:�xtr�e�c G.�M6liiVG FiaVAIYGiRL REtaRT
� ' . ' , . L�1iFUL PURPOSE CONTRI3UTIONS - '�RKSNEET ��� _�a y
. .
li ne �I3 • Total Lar+fui Purpose Contri buti ons. S ,l��Go- o 0
• Li s t bel ow a11 checks wri tten from qambl i nq funds r+�i ch are
� charftabie lawful �rpose contributfons. The tatal dollar
� amouots of these checks must match the amount claimed in
1 ine �13. Use addttional sl�eets as necessary.
CNECK � OA7E ' PAYEE CHECK AMOU PURPOSE
!. 3.3.A�' ���%l�� .Fi-• c.�ins„P.s ��s..xi� oo�o, o 0
2� ..���/ /.�7/c�'�'~ ST. C�-.siirni.� t.,sw�.ac.v /.S�.�o� G/"�.GciY /��L�S"
3.2�. .3 9�6 ��3o�d^� ��. c.�s.,�,,�� �.s�r.ru�- ��-�v c',�x�� ,U':.-�r
,, -�
+�..�'.��,j�►' 2�17/6'��i �f. L'.�i��a�°� C•.�u.«� sao. o v
� i. �� h
�i�:,��'6 3 - �.�17�i�'�- .. • jooa-Ad
„ .,
,. „
.,
� �..�9�� y�.�/s> ' .�aop- ��
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��.�y 7�� ��jy�i� � ' � ' �avo , o0
/. ir �I .. ii .
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� ,8'. �y� 3 �/p,/�'/� �T L•�,..�.,�- �Nrs.�C.�i /(voC�- ocv (i;s�.c'c,s% .(��:s�73
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/OA�. '��/ '• . „ • ,ZOOd- 0 0 •
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I2. . �
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TOTAL CiiECK AJ�UNT S� •Qa
NOtE: These expenditures will be provided to Cauncfl Members at your Council hearing.
� Be sure that your financ�al report is complete and accurate.
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