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90-233 � 0 R I G r�tA L. Council File # �Q-a3,3 Green Sheet # ,'��Oo'� RESOLUTION CI OF AINT PAUL, MINNESOTA �7.J � Presented By Referred To Committee: Date RESOLVEDC That application (ID ��92720) for renewal of a State Class A Gambling License by Friends of St. Peter Claver at 1494 No. Dale Street, be and the same is hereby approved/denied. �II : �Y .� Navs Absent Requested by Department of: imon -�— osw on — ac a ee � e man �_ une i son � BY� Adopted by Council: Date FF R i � t� Form Approved by City Attorney Adoption Certified by Council Secretary By: I �, ��3e,�—�� By' �'� Approved by Mayor for Submission to Approved by Mayor: Date ��Q � � »g0 counc�� gy; ,�%I�z.�;/�����/-�`' By: I 1�1°�"��:��� .,,_ � ; 1990 " � ' • (.�/` !U�'i DEPARTMENT/OFFICE/COUNqL DATE INITIATED Finance icense GREEN SHEET NO. 5802 �33 CONTACT PER80N 8 PNONE / �NITIAU DATE INITIAUDATE �DEPMTMENT DIRECiOR �CITY COUNGL Christin Rozek 298-5056 ��p ��AITORNEY �CITV CLERK MUBT BE ON COUNCIL A(�ENDA BY A1'� ROUTINp �BUOpET DIRECTOR �FIN.8 MOT.SERVIf�8 OIR. 2-13-90 ❑�voR�oa�srnwn �]�,�„t R TOTAL N OF 8iGMATURE GES (CLIP ALL LOCATION8 FOR SIGNATURE) ACTION REOUE8TED: Approval of an application for renewal of a State Class A Gambling License. Notifica ion Date: � � � Hearin Date: RECOMMENDATIONB:MW�W a lRl COUNCIL MITTEE/RE8EARd1 t�PORT OPTIONAL _PLANNINO COMMI3810N CMl SERVICP OOMMISSION ��Y� ��. _pB OOMMrtTEE _STAFF �ME�: _DIBTNICT COURT SUPP�iT3 WNICFI WUNqL OBJE ? INITIATINf3 PROBLEM.18BU@. 11'Y(YVho�What�Whsn�VIfMro,Why): June Hus ek on behalf of Friends of St. Peter Claver requests Council approval of an application for renewal of a State Class A Gambling License at 1494 0. Dale Street. All fees and applications have been submitted. ADVIWTAOES IF APPI�VED: DISADVANTAQE8IF APPROHED: RECEIVED �EB0519A0 CITY CLERK D18ADVANTAOE3 IF NOT APPROVED: �ouncii Kesearcn (:en�ter. FE8 0 21990 TOTAL AMOUNT OF TqANSA : C06T/REVENUE WDOETED(qRCLE ON� YE8 NO FUNDINO SOURCE ACTIVIT1/NUMSER FlNANGAL INFORMATION:(EXPLAIN) dcv . � � �� � , (.F qo -�3 , G 1 UIVISION OF LI I ENSE AND P�RMIT ADMINISTRATION DATE �c� /5 0 / /01- o�U y(� INTERDF.PARTMFI�T�AL REVIEW CHECKLIST Appn roc ssed/Receiv d b � Lic Enf Aud (� Jun-e. �us�.�� ,� Applicant �I��Qh�S U-� o�'�� 'f'P���u�r- Home Address Jb'3 ft�. J�GKni�ht►21� �'�-/-1-- Rusiness Name I Home Phone `�� � — o� �-{�]t..� t Business Addre�s �yG1 � �v� (��� �� Type of License(s) C �G1SS � - Business Phone �Gm 1��1na L� p �E: l�-2i'�PUJti. � Public Hearing Date �- 13 �� License I.D. 4� q a� a� at 9:00 a.m, i the Counc 1 Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� Il} �/.}- i llate Notice Se t; q Dealer �l �'�� to Applicant � a`' l U I'ederal Fisearms �6 �l} P� Public Hearing DATE INSPECTIUN REVI�W VERFIED (COMPUTER) CUMMENTS A roved Not A roved Bldg I & D + � � � Health Divn. , � ; u�� : � Fire Dept. � � � �{� I � � se�I �-Ja� �� Police Dept. f � � License Div . � � � � �� I �� City Attorn y � � 1 �j �1� � �l�-- Date Received: Site Plan C�- � t) To Council Research „� � � � t�� Lease or Lett r ` _ �± Date from Landlord I a- �� � �� �� � CURRENT INFORMATION NEW INFOIZMATION Current Corporation Name: New Corporation Name: Current DBA: New DBA: Currer.t Officers: Insurance: Bond: Workers Compensation: New Officers: Stockholders: • • ' . . City of Sainc Paul /,�—,p� a33 Finance and �ianagement ServicesiLicense S� Permit Division ��' � � INFORMATION REQUT�RED WITH APPLIC?.TION FOR PER�iIT TO CONDUCT CHARITABLE G�,MBLIVG GA.`�iE IY SAI:iT PAUL (To be used with the following: ,Tew a � C application. renew � S C Licenses, aad new and renew B in Private Clubs.) 1. Full and co�plete name of orgaaiaation w6ich is applying for license 2. Address where games will be held o��}.cl �t�. ��L,�.,�. �,t. �Lu-� �S /i '7� Number Street ty p 3. Name of man$ger signiag this application who will conduct, operate and manage Gambling Gatnes Date of Birth ��- � - o"�� (a) Length af time manager has been member of applicant organization �a�. 4.. Address of �ianager /� I�. �� � •� • �-� 4�� �� 11 ' Number S eet City Zip I and hours this a lication is for '7"dv - :/.'oU S� �'� 5, 1ay, iztes, r! 6. Is the appl�icant or organization organized under the laws of the State of MN? �Q� 7. Date of inc�orporation i 9�t� 8. Date when registered with the State of Minnesota � � �� 9. How Iong h$s organization been in existence? � � .�-a� 10. How long hAs orgaaization been in existence in St. Paul? �� �-vYt�tJ. _ lI. What is the purpose of the organization? � � �"� �� � � � � -M�-��� I2. Officers of applicant organization: � , ' Name ��..-�- /�--��G � • Name �.,ir,_s� � Address �D�i ���J �� Address i S 3 � Title °(� �'�� D DOB -�- i� - 3 3 Title .�-�s-o . DOB a�- � - �v Name ( � �'� - Name �2c.c-.�a� � � y� Address �,�_ li�.�� � a�� Address Z •z a� J�-�-�-�-��*'y✓ Title �ch-�-✓�J. DOB o"'� - � -�� Title ��adf• �a� �B �-!9�- '�'7 13. Give names� of officers, or any other persons who are paid for SerV1C85 t0 the organizatibn. Name Name Addrass Address Tit1e Title (Attach separate sheet for additional names.) . . . � �yo a,�.� 14. attached hezeco is a Iist of names and addresses of all members oi the organizat�cn. 15. In whose custody will organizatioa's records be kept? Name � Address /'�� l(J . l o J _ � �a�� 16. List all pe�rsons with the authoritq to siga checks for dispersal of gambling proceeds: �Name ('.� G��"�-t�l�-a-�C-cJ Name ?,ddress � S� � � a Address /'8� �lJ. �� � )�� � . Member of �/ Member of DOB �- g • yf� Organization? � �B �-� ��`�- Organizatioa? ��� Name Name Address Address Member of Member of DOB Ozganization? DOB Organization? 17. a) Does your organization pay or intend to pay accounting fees out of gambling funds? yes s� Il0 b) If you do pay accounting fees, [o whom will such fees be paid? Name .w.�c� �,(�� Address �� / � � ' � � DOB � D - i �o - -t-L,� �Iember of Organization? _`,� �- c) How axte the ,accounting fees charged out? (�flat fee, hourly, etc.) �- Lg. Have you �ead aad do you thoroughZy understand the provisions of all laws, ordinances, and regul�tions governing the operation of Charitable Gambling games? -�-�� 19. Attached �ereto oa the form furnished by the city of Saint Paul is a Pinancial Report which it .emizes all receipts, expenses, and disbursements 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 �-�-� J / ?5 � !l� ��"1C'_ T"�' •^.� O�-dL � J �. Address who is th�e ��'� • of the applicaac organization. Name 20. Operator of premises where games will be held: Name . �-�-E�- ' Business IAddress � � �l � � �� � `'� . j� %'y� Home Add�tess a 9''y 5�v �� �"� _ . . � �90 _a,��: 21. Amount �f rent paid by applicant orga�ization for rent of the hall : � �? . . . : . . : : . . . . . . : . . : . . :. . . . . . : : . . . �_G�''"�. 22. The pro�eeds of the games will be dis6ursed after deducting prize la�yout costs and opefiating expenses for the following purposes aRd� uses: � � � • � ,,::�,� _-s�.��,L o7 r,�; . . . . . . . . . . . . . . . _ • J ^��1� -- � .� ...�� ✓n-�-�°�-t�✓• -- Any changes desired by the applicant association may be made only with the consent of the City Couhcil . �J �v�Lt.c. Organizati n Name Date: � ' / �`ll � 1� BY: Manager in Char of Game � � � . Organization President or CEO v e+ � . � .�. n ^ p- c� a� a �-co �o c s � or w � c e+r e-r m ; � N � � � � � � � � Qt fD O Z � �G e+ 'C A �G �• S ct � � C I O � �� tn G. c�D � � 3 � � 4 —h • 3 m 7 ��i.� �� �C flt � 3 e'* fD fA � 7 � a O+ . :* rh �'A t� � G. � � p t3n N +� J' 7 �"h 'S fD O 3' f0 N fA G. S O � � � e+ � � �� O e�► 7r N � C'1' � Uf � 'S 'S 3 fD A� vvv ? fD fD � 7 C O �' � N fD y.cC � fD f I � N � n O O� e't 7' I �• I� (D !A �• A • G � � � ''' � � p (3 O I e�r S � � N � �. fD � " fD e't �S fD e� r�D c� Q' 3 � � � � sv I '` � � �D 3 N a O r. � � � C O -5+- O � N � 1P � I d � ►�+ N � 'S �h � �p Q 0 O � J J� � (G �1 f0 —+• . Ul (p .• tG 1 r � �� � � , , • Cltq of Saint Paul Page i Deparement oI Finanel And Hanatement S�cvlee� �9U��,3 3 Divi!!on oE Lielnle !od Plroit Admini�ttation �i� ()t7iFORH C7tARITADLE CAMDLINC FLNANCLAL REPOR? � Dit! �� l. illsm� ol Or�enisition �f l 1n.O�S d� J� ��` � ���'� _ 2. IAddtis• vhe N Cfiaritabl� C��blin` !A eondnctld ^_ n1',Q CI � � �. Report for p�riod co��tin`� 1�� ' t�� lhtouah �OU � —�; � 1 b. '�Totil number oE days plapad �� � . , ��j '�7, ��3.�� S. 'Croii cieiipe's toc �bovi p�ciod d. CroN arili p�routl tor abo+� P�ried (ieelud� e�ih ihocf) � �� 11�-�G�. �V � 7. ,Ni! ticiiptl - lin� S iinu� lie� 6 f `� � ' d. �xpiese• incurred in eonductine and ep�ratin` tii�! A. Groe� va�e! paid. Attaeh vork�r li�t vith nam�s. iddriase�, �ross vases. nwb�t ot honr! � ��C C'L vorked. and soount paid p�c hont. • �. Rent for veek� �GZ-1Q �� ��� � C. LicBn�� E!e � ����� D. In�urance } E. 9ond # ��j�'��� T. Distionoted cheekA not reeot�[ed s � ��� C� C. Aeeountin� Expeasl � ���•� . tt. �P�o�.ti r.t.c.A. ; I. PullEab ia�c paid to Depart�ent ot Ri+�nu� � � �� ��v� � J. Ninn. V.C. ti: : ' ��•�� . t�. r�a���� ��ir+ Tu a s�..o ! .�/3 .S°I L. 3llt� Casblin# iVt 3 � S-1�•�v . N. Nlsc•ilaeioue E�cpans�s. IdMntil� tl�� iiouat !nd eo �ho� Peid. i. �1�.Tc�OS Znvt'�r.� : v�a�`�•�� z. '�1�iS�-- S�pi�,es s 5ao.�l�. 3 13a.�..k c��.c��� � cJ.v o a. �'�u.:;,(� �c°,v�- � 5��.s�t►' ��.,;�,Y �5�..� � l, 0.5�.9� 9., iot�l l�cp�e�i• tOTAL � 10. 11�! Ieco�� - lin� � ainn� lie� 4 � �� ���"`3� ll.i Ch�ckbook b�l�aei b�tianins et p�:led � �'(�v' "`--� (2.j ?otll oE lie� 10 ind 11 = ��' �5��� ••� 13.i Tot�l coatribution� (iro� atuehed vorki6�lt) , 3 �,� c�.� ► . . 14a C1+lekbook bilanca ead ot reportint p�riod — � � 4p��-�O� • lin! 12 lesA 1lnA 1] • . , . UNIFaRM i.�-i�Ri iA3�� �aMBLING �ii�ANl:ir�L i�E�UR+ #� ' LAWfUI PURPOSE CONTRIBUTIONS - WORKSHEET � Line #13 - Total Lawful Pur,pose Contributions. g 3 5��5,� • Li�t below all checics written fran gambling funds whichla�e �yp-o233 charitable lawful purpose contributions. The total dol � amounts of these checks nast match the amount claimed in line �13. Use additional sheets as necessary. CNECK� D�TE � PAYEE CHECK AMOUN PUR_ 1. ''1''7 a.. ��+�18� ��' .�� CI�.�wCh�►�, 1 ���:�-F`"1 S�pbr�-o�t�,I��eo.,s�S�ish ti�-d i. � � � i � . +i , � �-�-��er- C�a.�.�rCG,�.,- aia�.8'1 � • 2. 7Ss 1a��8� 3. . �aq ��.si�; ��."���� Ci�.�-ci�c. a�a.�.sa a. ��J`� ��-3189 ��.���- �i�.�c�. a3��.3 y- 5. g �� �J�� �-�.�e�er- C�.���� �i�.3�L. 6• �d.3 `���c�$°t �-�-�1 e�tP,�''C�A,�''Cl�urr (o�lu�•S S �. g3v �I��I fl�i ��_�c�,�er C-�-�"C1''.u.Y��, 3 iq'l• ��C s. ��w '�1��I� �4-. �� Ci�c�� �-��3, i o 9. g� gl�I�� 5-�-:���- C&�.�ch�Q. ►�si- a3 . � �.�C��,h '75�,oa. �o. 8s� �o� lg�c �.��-e,� ��. ��a� ql�sl� ��-. ��-�c-i�,�-c.��-. 33 �.c� r �2. gi�I �°�rR� ��.��� '`lc�C�.�ct. 31�Q.33 13. �'l0 �'�obl8q ��'�e�.�' C�CL��rCh�.D. (�3�►•'lS ��. $�8 ��r�l�s`1 �-��Gr- C:l�t'-C�.�, 1�D3.�?9 � TOTAL CHECK ANbUN7 3 3� ��� NOTE: These expenditures will be provided to Council Members at your Council hearing. Be sure that your financial report is complete and accurate. . � 3 , . �. = _ ' ♦ � .r � � • :� : � � • �: . � � � 3 � � , � .. � w `. �'.. � � � 4 ! �' , � �1 � � • 0 � 1 O> • � � �, �,� 3 � i = v � .� � s �s � =s ^v i ' _' • � � J A � s � i �; S (p�• � 1 � � � � � � � � r '.�7! 2� � t, M !�1 r � � + � �� J � , � � i 0 • � I � � � w w � �. • • � M � ! �7 • � ' � � s � � . s � s �� � e � � .��r� i � ! � � w . ; ; .�v.r • ..A � 1 � = � � :1 . z . , . .. � , � .� w r � � t �—' ' ° � ' �� i �' � _ '� � � �� A . � w is .� � �� ` / � w � 2 � !� � T \, � � e = . � � � • , .� 0 = � � i � � 1 , � i I � � I � � � �� 1 J' i . . UN[FORN �.-�aRti�B�� G�MBIING �ii�A�II;iAL RE�URi�-- � � ..� ' ! LA1rFUl PURPOSE CONTRIBUTIONS - WORKSHEET � ° . . . �g�,�5- Li ne �13 - Total Lawful Pur,pose Contri butions. �°� �� �� (G �•c�� � Lis� below �11 chpcks r+ritten ft�rnn gambl ing funds rrhich ar� J�' �j4 -a33 charitabl� lawf�l Purpos� contributions. The tot�l dollar Amounts of these checks must n�tch th� amount cl�imed in linp #13. Use additional sheets a5 n�c�SS�ry. CHECK � OA!TE � PAYEE CNECK AMOUN PURPaSE � 1. ��� �'���Ig� C;� �-� S�-.�i� �9'`? C►� `�(�,�•. -�.�.,,� � 2. �q o �1J-1 i� C�� o� S��a.r;.�[ 1��,r7"�-� �+� t�o��.�u.��� �3. -�Ict�`I ��-SI�( C.�� o� S.(..�� I b�l.`7 G� C,� �o�:�.. ��-�%' �4. �5 �1�3j�', C�� cr� S�-.t�-� I�'-�. �� C:; � �c�- ��� 5 . �31�;0 ��[al� �'•-�r�u.c�� �Hu�L�e1Cf�.c.� IR��-o y o,.�r-t•. ��� 6. �"�� 1 i I�I S'�i IYto.x�u.i�.c� T,�nerC�� �?,y�.(�1 �cw� �"�=cX-�.j 7 . 8. 9. . 10. 11. 12. . 13. � � �� � ,� � ` TL O�L CNECK AMbUNT $ 8�.� . � �J` �-✓► cn-, NOTE: These expenditures will be provided to Council Members at your Council hearing. Be sure that your financiai report is complete �nd accurate. � . � _ � „ � : � _ � _ � � ; � � + � � � � 3 +�: • + � � � : � '' 3 : i �• " `� '': . i a `� ` : � ± es � d 3 ; a � S . _ _ = is � � � � r � i: `� w � ! �a 3 � 71 i � S 3 s 1 � � �� � : � � : i � 3 = ' �� �y, ' J � i O � � � ~ � � � • • � � � > �/ �� w � � ' • > >A = t 5 � • � � � � '� , ` -1 A � �.rv � � w � �. � ! Z ` .r.►� � \ A�� _ � �. w ; � � 1 }r� . �� � � � � = � `+ � w�•�i � � Q + � � '` , • � �r a .� � . � . �� . r i , w �.� � < • � A � � �� � ' , � ` w . �?'e � : � W _ � +a i ' • s � • i � s a y ,) I V ,1 I