90-169 0 R i G I�N A L Council File # �–� 7
Green Sheet � �G,sa
RESOLUTION �
� CIT�II OF SAINT PAUL, MINNESOTA 3(���
..
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Preaented By .. ;���L-�-�-�=;?, r ��'-.� _ �_=�
Referred To � Committee: Date
RESOLVED: That application (ID 4�73201) for renewal of a State Class A
Gambling License by St. Mary's Romanian Orthodox Ladies'
Auxiliary at 1494 No. Dale Street, be and the same is hereby
approved/��.
as Navs Absent Requested by Department of:
im n _ �_
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on �—
acca e �—
e man �—
un �—
i son �— BY�
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Adopted by Council: Date �A N 3 0 1990 Form Approved by City Attorney
Adoption Certified by Council Secretary By: _�G��b
B 6-�-�.
y° Approved by Mayor for Submission to
Approved b Mayor: Date ,��� '�` �- i��� Council
,
,
By: �a.�✓��rs��% By:
PUBIISNED r E� 1 i� ��y 90
� • � ��o//��
DEPARTM[NT/OFFI�/COUNCII DATE INITIATEO
Finance/L ense �REEN SHEET NO. ��5�
CONTACT PERSON 6 PHONE INITIAU DATE INITIAUDATE
DEPAqTMENT DIRECTOR GTY OOUNqL
Christine ozek/298-5056 �F� �crrv��ev g OITY(XEfiK
MU8T 8E ON COUNGYL AOENDA BY(DA ROUTINO �BUDOET DIRECTOR �FiN.Q MOT.BERVICES DIR.
1-30-90 ❑�u►va+cop�ssisvwn � Council Research
TOTAL M OF SIGNATURE PA (CL.IP ALL LOCATIONS FOR SIGNATURE)
ACTION RE�flUESTED:
Approval o an application for renewal of a State Class A Gambling License.
Notificati n Date: 1-16-90 Hearing Date: 1-3Q-90
�ooM�NOnnoN6:�pprov.tN o► (R) COUNCIL REPdR'T OPTIONAL
_PI.ANNII�Ki QOMMISSION _ VIL SERVIGE COMIMISSION ��� PM�ONE NO.
_qB COAMiAITTEE
— - --•...�.�.
_STAFF _ _ _ - _
—asrflicr couar
su�oRrs w►nc�+couNa�oerE
iNmnnru3 P�M.�.o�oalv �wrw,wnn,vud
Eileen Val nto on b x Ladie�' A�iliary
requests C uncil aF � :wal of a. State Class A
Gambling L cense ai L applications have
been submi ted. P' ised to support the
parish. _ -
ADVANTADE8 IF APPROVED:
If Council approv,` zodox Ladies� Auxiliary
will conti ue to . Dale Street.
OISADVANTAOES IF APPROVEO:
�CCJ��Q'
�AN2�1990 �
��� ��
DIBADVANTAOES IF NOT APPROVED:
�ouncil Ftesearch Center
JAN 171990
TOTAL AMOUNT OF TRAI�CTION = COST/REVENUE SUDOETED(CIRCLE ON� YES NO
FUNDM�IG SOURCE ACTNITY NW�ER
���,NF��,�:«�N, d
w
,,._
. ,
��NOTE: COMPI.ETE OIRECT10N8 ARE INCLUDED IN THE GREEN 3HEET INSTRUCTIONAL
MANUAL AVAILABIE IN ThtE PURCHASINti OFFlCE(PHONE NO.296-4225).
ROUTING ORDER:.
Bsbw are preferred routinps for the five most froqueM tyqes of documeMa: `
CONTRACTS (aswrtws authorized COUNqL RESOLUTION (Amend, BdgtaJ
budqet exists) Accept.Granta)
1. Outside Aysncy 1. DepeRmeM Director
2. Inniadng DspertmsM 2. Budpet Director
3. dly Attomsy a. ary�aomey
4. Mayor 4. MayoN/lssistant -
5. Finance d�Mpmt 3vCS. Director 5. Gty CounCil
6. Fnance AccouMing 8. Chief AxouMant, Fln 8 Mgmt SYcs.
ADMINISTRATIVE ORDER (�' OOUNqI RE30LUTION (��)��
1. qct�Wry Mana�e� 1. Inftiatf�Department Directa
2. DeputmeM AxouMaM 2. Gty Anomey
3. Dopenment Diroctor 3. MayodAasistant
4. Budpet Director 4. City Council
5. City Clsrk
6. Chlsf Aa;ouMeM, Fln d�Nlpmt S1�s.
ADMINISTRATIVE ORDERS (all ott�srs)
1. Inkfating Departme�t
2. qly Attomey
3. Mayor/Aesfstant
4. Gty Clsrk
TOTAL NUMBER OF 31C3NATURE PA(iE3
Indicate the#of pspss on which signatur�are required and peperclip
eaclt of the�se a�.
ACTION REOUE3TED
Deecribe what ths projectJrequest assks to accompliah in either chronologi-
cal order or order of imporfance,whichsver is m�t appropriate for the ,
issue. Do not write compl�te seMsnces. Begin each item in your Iist with
a verb.
RECOMMENDATIONS
' Compk�fl the iseue in qus�tion hes been preseMed bsfore any body� Publ�
or private. ,
' 8UPPORTS WHICN OQUNGL OBJECTIVE?
�ndicace wnlcN coun�il abjsctive(s)your prolectlrequeat aupports by�i�inp
the key word(s)(FIOl131N(3, RECREATION,NEKiHBORHOOD3,ECOPIOMIC DEVELOPMENT,
BUDtiET, SEWER 3EPARATION).(3EE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
COUNCiL COMMITTEE/RE3EARCH REPORT-OPTIONAL AS REQUE3TED BY COUNCIL
INITIATINO PROBLEM, ISSUE,OPPORTUNITY
Explain ths situation or o�dldons that created a nead for your project
or request.
ADVANTAOES IF APPROVED
Indfcate whether this is simply an annual budpst procedure required by law/
charter or whetMr thsre an spsciAc wa in whbh the Gty of Sefnt Paul
and its citizsns will bsnsflt hom this pro�sctlaction.
DISADVANTACiES IF APPROVED
What negative stf�cb or major chang�to sxistinp or past procssees might
this projecUrequsn produce If it is pesesd(s.g.,treMic deleys, noi�,
tex increaaea or asassrt�eMS)?To Whom?Whsn?For how long4
DI3ADVANTAOE3 IF NOT APPROVED
What will bs ths n�pative conesquencss if the promised action fs not
approved?Inabflky to dNivar servios?Continued hiyh traffic, noiae,
aocidsnt nt�?Loa of revenus?
FINANCIAL IMPACT
l�Ithou�h you muet tdbr the information you provids here to the issue you
are�drssai�y, fn gsneral you must snswer two qusstfons: How much ia it
go1n�to co�?Who ia going to pay?
� � . � (,r�a-���
UiVISION OF I.ICEIVSE AND PERMIT E�MINISTRATION DATE �2 � / �o�- O �
INTERDF.PARTMFNTAL REVIEW CHECKLIST A.ppn P c ssed/Recei d b
ic Enf Aud
, , c, I een I/a,�en�
Applicant �`E,. /�C�,�y S �omr�nian Home Address �l I I S,b�Q�.,� �.�yy�oyr�l ���li/�y
��2�}.6,,od,�x (.r•d�� �X
Rusiness lvame Home Phone �5 y 7�� �
Business Address � �C1� � • j�u.�e S�• Type of License(s) ��QS� ,4 - �1Cirn�f�h y
Business Phone �UPSI;• ���
–r—
Public Hearing Date � C� �0 License I.D. 4i 73a o�
at 9:04 a.m, in the Coun il C ambers,
3rd floor City Hall and Courthouse State Tax I.D. �t �J�'
llate Notice Sent; Dealer �� N��"'
to Applicant 1 �(p �
Pederal Fi_rearms �� �J��
Public Hearing
DATE II�SPECTIUN
REVIEW VEKFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
� � ,
Health Divn. '
�1� �
Fire Dept. � �
I � I� I
I
Police Dept. Sen`� I ��"��-D I g �
I �- c� � O /L
License Divn. ' '
I l3 �� o/�--
City �ttorney , �
� �a c�D + blC
Date Received:
Site Plan ���} � )� �
To Council Research
Lease or Letter d ate
f rom Landlord ( �'' p �
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: �ew Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
' . � . . City of Saint Paul �r9�,�(0 9
. , Finance and :Sanagement ServicesiLicense S� Permit Division ��r
INFORMATION REQUIRED WITH P.PPLICaTION FOR PER�tIT TO CONDUCT CHARITABLE G�,►�LI�G Gk`!E IY
SAI:iT PAUL (To be used with the following: vew A b C application. renew � S C
Licenses, and aew and renev B in Private Clubs.)
1. Full and complete name of organization w8ich is applqing for license
� /�1ARYS /�0/►�AN/,gtV D R TI�/o D o X L/9�9/�E'S f��X/�/ARY
N
2. Address where games will be held /�9 SL /VaRTy ��c.E ST srr��, MN SS//8
Number Street City Zip
3. Name of manager signing this application who will conduct. operate and manage
Gambling Games f/L,r.6n/ vAcE�/ro Date of Birth /2�2G/2/
(a) Length of time manager has been member of applicant organization � V y�.
-�---
4. Address of Manager //// SiBt,Ey /�fMoRinc f/wY ST PJ�'v� /Y!N SS//8
Number Street City Zip
S. Day, dates, and hours this application is for Trso.4vs 7=00 — //:oe p�+i.
6. Is the applicant or organization organized under the laws of the State of MN? yes
7. Date of incorporation 8�/3f/9�3
8. Date when registered with the State of Minnesota 8�/3f/9/3
9. How Iong has organizatfon been in existence? �6 ���s
L0. How long has arganization been in existence in St. Paul? 7G >'f_�,►s
11. What is the purpose of the organization? T i9ssisr ,V�,E�y ��"o�cF �virn'/�/
�fIF P/hP/si/ 7'D /'Ro v/.O.c �o o,o, �Tlli,✓G $ Ass/tTJI^�C,E.
12. Officers of applicant organization:
Name /}"Ni✓ �o�G�'D Name FLo Ri9 �P. z/ �/
ss/i3
Address Z s/S 9�'ST, .#/07 !�i/�c.s�r1i✓ SSS�oo Address 29�8 1�������cf s��°'n'� �"��
Title �,t��s��.f.�i- DOB � Z 3 Title jlZ,c`�3,f uR�E/L DOB /
Name Lo v T��/+}S,r� Name
� ssir7
Address gs�f l,�ooaoirio�f srp�c. r�.� Address
Tit1e S�-`��'f_fA,t y DOB 8/27�5/ Title �B
13. Give names of officers, or any other persons who are paid for SerV1Ce5 t0 the
organization.
Name /�o OGircf/ts P/¢'io Name - -
Addrzss �NLY E�l�LOY/�ES �wo Address
Title G�i�+du�✓4 �NcR. �s`�'�'�n'.s� Title ___ __
(Attach separate sheet for additional aames.)
. . . ��o-�6�
14. attached hereto is a Iist of names and addresses of all members or che organizat:cn.
sce /y1TAto//+r6+✓r �/
15. In whose custody will organization's records be kept?
sr,o,y"c �iv. SS/�8
Name ��lP�v l//f`��•�Ta Address 1/// S/Bc.�Y !HE��i� hw y
16. List all persons with the authority to siga checks for dispersal of gambling proceeds:
'Name �j/PtN Y,9�c.,��✓ro Name ,£L/ZrjdE�?/ .s�/E�sX��
rr,�if-vc. n��✓ rs//S
address //// S/l3c.Ey r�6�vais�� hwy. Address z2 F C�sf�t�,E sr�ity� /�N
Member of Member of
DOB /Z 26 2/ Organization? yz�s DOB G/3131 Orgaaizatioa? v�-`s
Name Name
Address Address
Member of Member of
DOB 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?
SSo��
Name ��� �EcKr•r`r�, Address Zo8s6 /1�c'� �� W. . L�ic._<v.�cc.� �.✓
DOB ��ZZ �S3 Member of Organization? _ 1/0
c) How are the �accounting fees charged out? (flat fee, hourly, etc.)
f�T FEE��oNr�s Tv P•���-�*F �� ��RNS
18. Have you read and do you thoroughlq undetstaad the pronisions of all laws, ordinaaces,
aad regulations goveming the operation of Charitable Gambling games? Y�S
19. Attached hereto on the form furnished bq the city of Saint Paul is a Financial Report
which it .emizes a11 receipts, expenses, and disbarsements of the applicant organiza-
tion, as well as all organizatioas who have received funds for the preceding calendar
year which has been signed, prepared, and verified bq �,� B���CH�!�'+'►
Zo�3 S 6 /TAt � f��E W. !�4/�Evi�E �� �S��}�
Address
who is the /�jCco�,v�*r�T of the applicant organiaation.
Name
20. Opezator of premises where games will be held:
Name .�or- ���P.ro v/��,/
Business Address ;;�9� /�/. �flt.cr ST ST PAvc �� SS//7 _
Home Address Z 97 /L1/hP/�4 f��c Sr �i�v� /'hN.
� . . �;� 90-/��
21. Amount of rent paid by applicant organization for rent of the hall :
,� . . . : . :. . . . . .
. .� . . : . : ' : : �
/98y — �7s/s,Es��:� . .�990 -n�rw Le�s.� 2oo/s��s��,� .
22. The proceeds of the games will be dis6ursed after deductictg prize lalyout costs
and operating expenses for the followiqg purposes aRd� uses: � �
'' � U/�C�6� aF �°�fR%sfi� �, � ��.00 .,. ' .�L.��71i.vG : � ./��tiS7�cf' To
/f/�,6'9Y r�,Fa,d,E?S OF T�'l.E Gi1�,CCy .��9,��Sf1
Any changes desired by the applicant association may be made only with the consent of
the City Council .
sr ..��1 or�lAN A�✓ o�io�ox �oi,�s �x��i•�,�
���Or ani zatio � ame,�
�� � �/Q �
Date: �� — /'7`� �� BY• .i'/�r� � /��_�L, •
Manager in Charge of Game
r
� /�
� �-✓t� bC.._,
Organization resident orc; EO
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UNIFORM CHARITABLE G�M8lIN6 FINANC;AL R£�aR7
- ' ' L�1S�lFUL PURPdSE. CONTR�BUTIONS - '�IORKSiiEET �gp-/(p 9
Li ne #13 - Total Lawfui Purpose Contri butions. S /87 5�9.87
• List below all checks written from ga�biinq funds which are
� charitable lawfui purpose contributions. The total dollar
� � amounts of these checks must match the amount claimed in
line �13. Use additional sheets as necessary.
CN�CK � DATE ' ' PAYEE CNECK PURPOSE
-
1. /S97 /2/zi�BS s�.�A�QYs�?o�� �y��rcn �•x z37s o0
T S✓Pioo�(r �fL/6/ovS�
2. /!0/9 �/7/�39 137S.00 F_o�c�TJo�/Ac, it�� Y��n�
3. . !G �9 z/LS/Sy � C�1�a�y ��to��� s.
/ oo. o0
4. /6 5� 3�z q�g 9 /2 0 0,o0
5 . /�. g� `f/3oJs9 /oz s,vo
6 . /7o S� s/3//S � // 7 5. o 0
7• /727 6/3o/S9 / 5�oo,vo
s. 1?`��` 7/zs/39 � �7s,38
9. /74`9 7/3/�89 . � /Zoa.v� •
� /�77S.ov
10. /77Z 8/�3//e�?, " �
11. /Soo 9�3v/g � � /Soo,o0
12. /`�Z a /0/3��g 9 . . /87,5 oa
13. /838 ///3o�8g . /7co,ov
l'f'. ! 80( - 27Sf.fL j Yo�n'/ BASEB9tG ,�'y�iPror.'�•-�T �
/�/23/�9 f�/FHGRniD LIT1Z/� GG,¢L�F �� -
TOTAL CNECK A1�qUNT S /S 7 t�9• °0 7 F/�'� � 3�+�►�t/�- ,e��1'i/i-
NOTE: These expendttures will be provided to Cou�cil Nembers at your Council hearing.
� Be sure that your financial report is canplete and accurate.
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