90-284 I
• � I . .
0 R I G I N A L Council File � � o� 7
Green sheet #� ��
RESOLUTION ��
I SAINT P UL, MINNESOTA �
�� ''
�
Presented By
Referred To Committee: Date
,I
I
RESOLVEDI: That application (ID 4�30820) for the renewal of a State
, Class A Gambling License by Friends of St. Joseph's House
I at 1494 No. Dale Street, be and the same is hereby approved/
I denied.
I
�
�
,
I
Y s Navs Absent Requested by Department of:
i ron
oswi z
on
acca ee
e ma
une
i son BY�
Adopted by Counci : Date
FE B 2 2 1990 Form App oved by City Attorney
Adoption Certifie by Council Secretary gy; , . �� /- �j� U
�
�
By' Approved by Mayor for Submission to
Approved by Mayor: Date �'��, � �
199Q council
By:
., �✓ .���� sy:
PU�1.fSHED �;'`�;',�:� �- � 1990.
� � . (��o-a�y �r
DEPARTMENT/OFFICEJCOUNCIL °"�'"'T'"�° GREEN SHEET No. 5810
Finance/ icense �Nmnv o�re INITUWDATE
CONTACT PER30N 3 PMONE �pEpARTMENT.dIRECTOR �CITV COUNqL
Christi Rozek/298-5056 �� �CITY AITORNEY �CITY CLERK
MUST BE ON COUNGL AOENDA BY DATE) pOUTINO �BUDQET DIRECTOR FlN.R MOT.SERVICES DIR.
2-22-90 �MAYOR(OR A8818TANn g Council Research
TOTAL#►OF SIGNATURE GE� (CLIP ALL LOCATIONS FOR SIQNATURL�
ACTION REWJESTED:
Approval of an application for renewal of a State Class A Gambling License.
Notifica ion Date: 1-29-90 Hearing Date: 2-22-9U
RECOMMENDATION3:Approvs W a (RI COUNCIL COMMITTEE/RE8EARCN REPORT OPTIONAL
_PUWNINO OOMMISSION dVIL 8ERVIC�COMMIS810N ANALYST PHONE NO.
_q8 COMMITTEE
_STAFF COMMENTS:
_DISTRICT COURT
BUPPORTS WHICH COUNqL OBJE 9
INiTIATINO PROBLEM,ISSUE, NITY(1Nho,Whet,WMn,Whsn,Why):
Richard . Falvey on behalf of Friends of St. Joseph's House requests
City Cou cil approval of their application for the renewal of a State
Class A mbling License at 1494 No. Dale Street. Proceeds from the _
gambling essi ; re used for shelter, clothing and care and guidance
for batte ed wo ren. All fees and applications have been
submitted.
ADVANTAOES IF APPROVED:
If Counci ap TO C�TY CO(/N(,`/ �perate
a gamblin sE ❑ F�NAN�E MqNA � C�MM��EE:
GE
❑ H�US�NG&ECpN MENT$ PERSpNNE�
❑ �EGIS�,qT101y �MIC DEVELOPMENT
DISADVANTA(iES IF APPROVED: ❑
� PVBLIC VypRKS, (/TIIITI
❑ C�MMUNl7y�HVMAN SES$ �AN3ppRTqTbN � '
R��ES$p0� ERVicES EIVED
ICy ���
� H�uSING$REDE
a8l1DVANTA4ES IF NOT APPRO� �roN V EL�PMENT AU7�oR�� �7Y CLERK
O pTHER
Kesearcn �er��ter,
ATE
� :E g p 21990
F pM
TOTAL AMOUNT OF tIRCLE ON� YES NO
FUNDING SOURCE
FlNANGAI INFORMATION:(EXPWN) -
- _ �//�
--- �V
-_�
,
. . (�F yo -���
UIVISION OF LICENSE AND P�:RMIT t1.DMINISTRATION DATE � a��9� � 5 / v
INTERDF.PARTMF TAL KEVIEW CHECKLIST Appn oce sed/Received by
Lic Enf Aud
��C hG.rd Fa..I vPy
Applicant c� 4- �. pSQ�hs�OtIS� Home Address J,3(�(y �tltiwoad S f
Rusiness 14ame Home Phone ��{ �' 3 5 L�`�
Business Address ��7�"l� Il)• !,�'.'p�. Type of License(s) �,�� q� �7�+'� b�'h�
Business Phone � Cp„-,S� �enQl.J�1
Public Hearing Date �. �'� License I.D. �{ 3ng ac�
at 9:00 a.m. i the Counc' Chaihers,
3rd floor Cit Hall and Courthouse State Tax I.D. 4t � i�4
llate Notice Se t; Dealer �� ���
to Applicant � ��1�CJ[�
rederal Firearms 4� ��'
Public Hc_..iring
DATE I1�SPECTIUN
REVtEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
u�4 ,
Health Divn.
I ��'4 �
i
Fire Dept. � �
� r�14 �
Police Dept. Sen� � I ����
� il0l � �� ���-
License Divn �
�I�� `1(� ' ��.
I
City Attorne �
� �.� p l,� � ��
Date Received:
Site Plan
To Council Research �" � - ��
Lease or Lette Date
from Landlord
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
I
' ' � ' • � City of Saiac Paul � GQ _��iL�/
Finance and Kanagement ServicesiLicense S Permit Division �
INFORMATION REQ IRID WITH APPLIC�TION FOR PER,'�IIT TO CONDUCT CHARITABLE Ga►`tBLIVG Ga►'IE I:J
SAI:1T PAUL (To be used with the following: Yew A � C application� renew � & C
Liceases, and n w aad renew B in Private Clubs.}
1. Full and c�mplete name of organization which is applyfng for license
�
2i�wpS �,o � S't �os�pN � !-� �vs� _-
2. Address wh�re games will be held ��9'=� �tlo, ��}�ts�' �i � �i��-- SS//'7
Number Street City Zip
3. Name of ma�ager signiag this application vEeo will conduct, operate and manage
Gambling G�mes I`'C FF C� �Q��� Date of Birth 1 - 3 -�
(a) Lengthlof time manager has been member of applicant organization �Z ��$
4. Address of Manager l� �v ��((1'a'B,� S� --r/��3-- b�-r���
' Number Street City Zip
S. Day, dates� and hours this application is for ��SQy¢�f �S f fC90 !t"� �^�U�
6. Is the app�icant or organization organized under the laws of the State of MN? _�� _
-T—
7. Date of in�orporation �{�-Zir}- �Q77
8. Date when �egistered with the State of Minnesota /�1��f-�- ��t 7�
9. How Iong h�s organization been in existence? � Z. t.�L��-S
10. How Iong h�s organization been in existence in St. Paul? 1 Z � e4`)'@'i'�-$
lI. GThat is th� purpose of the organization? �_��ut0� �P�ie� (�'ro2 �j�1�tTe�,
��-b 7H 1,� r�n�� � � �u �n �-iv[,g � i..xt T7�'x�a �a►2�a� �f<.c.t7,�cs�
T r,S�»rl S v S .�r 'Z/G I �C.?LJ'C�'� /�C'3 ,l.f pf-�r .vw.
12. Officers o applicant organization:
Name
t - �i�'/.�—�-! S- Name f-� �V •`.1 S►tit I�!J
Address ��� f 1�A� � �• si�' Address 1���' �,�. 1�2i3OG��
Title ` 2� l fa�N"7, DOB ..5'/2'S 7 Title .�ea Ti�xv� DOB `7�7— �'�
Name �j �?� �/ ti Name �i�/�'1'.-r�t �.�Il��
Address (o � �.a'ro� S'" Address �.5�' �� ��*-�(,c�OU �7
Title lC� rQ�iOc.�s DOB S'3�'�S Title ��b�S::,�a'�Z,. DOB -�' 3
13. Give name of officers, or any other persons who are paid fior Set^V1Ce5 t0 the
organizat on.
Name ,� Ss� I�t?`�l,�!-e�F a'0- Nsme - -
Addzess ' � Address - -
Title I Title _
; (ACtach separate sheet for additional names.)
. . ' . � yo -a��
14. dttached h�reto is a Iist of names and addresses of all members ot the organizat�cn.
15. Ia whose c�stody will organization's records be kept?
Name �� t��2-0 � � Address ��6(�0 {�Ati���D S�
16. List all p�rsons with the authoritq to siga checks for dispersal oE gambling proceeds:
`Name �,(�.�2..t�+ �6`'(�I Name
�
address '� S7' Address
� ember oF Member of
DOB –2S��� Organization? ��. DOB Organizatioa?
Name + Name
Address I� Address
, Member of Member of
DOB ' Organization? DOB Organization?
17. a) Does yop�r organization pay or intend to pay accounting fees out of gambling funds?
yes � na
b) If you !do pay accounting fees, to whom will such fees be paid?
Name Address
DOB Member of Organiaation?
c) How a�}e the ,accounting fees charged out? (flat fee, hourlq, etc.)
18. Have you ead and do you thoroughly understaad the provisions of all laws, ordinances,
and regul�tioas governing the operation of Chazitable Gambling games? �/ t`V'S .
19. Attached E�ereto on the form furnished bq the citq of Saiat Paul is a Financial Report
which it . mizes all receipts, expenses, and disbnrsements of the applicant organiza–
tion, as ell as all organizations who have received fuad for the preceding calendar
year whic has been signed, prepared, and verified bq /�/��f.�. �
f 3�0���1 W�-o o �r .S� Q�+-u,� //�l�t/ r �57/�
� Address
I
who is th �t�T� of the applicanc organization.
Name
20. Operator �f premises where games will be held:
Name J N?��D ��2,�0 �1!G�"
Business �ddress /��� /f,D �J�-� �T �� v�
Home Addr�ss v��7 �"L �'�'�%� �T V a' ��"��"� —
�I
�
. . ; , �yo�?��
Z1. Amount pf rent pa�d by applicant organization for rent of the hall :
. . . . . . . . . . :. . . . . .
��� °�' /`:`� �,_ . . . . . . .
22. The pro eeds of the games will be dis6ursed after deducting prize layout costs
and ope ating expenses for the following purposes and� uses: � �
. � . �. � � .
S .1os��'s �d�s�;. . . �o. . .�T,� .���. .�. . {-��� r-a.�.
g A-r�-�., w��,4-,� �C�r�.o�.�
Q_ C�;z� p� �� Q�� N�v�N ' �,�.n —
Any changes �esired by the applicant association may be made only with the consent of
the Ci ty Cou�hci 1 .
�i,r�l(.T1� ra fl� � �S�ff-� }�Y�S i..�
�, Organization Name
, � G�Date: la- Z� � By:
Manager in Charge of Ga
Gi�t,2 /_ ~�/Gt�'�1��/
Org nizat on President or CEO
v e+ g 3 '���MMO Q t/� e+ —+• A � Q' C�
fD � Z A Ar � �~ `� N e+ � � fD �• \ �
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. • . • I , Citr of Saiat Paul Pa;e 1 �
' Departasac of Finaaes aad Msnags�enc Serrice� ��O .��iL�
Division of Lleenss and Permit Ad�inisttation
UNIFORli CNAALTAaLE CAMIILIIiG FIlUlICIAL ttEPOR2
Data �•x'�-�
� , r
� i. . lfao� oi OYaanizatios �"2;�7 s O c s"t'�pSe3A���i �tv V S � _
� Z. i Addresa vher� Chasitsbl� Ca�bliaf is eos�etad /�/4'� l�cy• �/F�B �
3. I Rapost tos pssiod eo+�sins ./+�-� / 19� ebsousk J/- 31 19,�
. 4. I� ?oul nwbet ot d:�s pLpad �7
S. II Csou reeeipcs fos abov� pasiod = 23q` ,OS -
6. ' Cross pris� ps7outs fos abo�r� pasiod (inelad� eaah sbose) ; /��°' �gd'
�
' �3 �� 5� �3 ���'��
7. 1 N�e racaipea - Iin� S ainua lin� 6 = b 1
c �
8. I Expans�i laeussed ia eondveeia; and op�ratiaf i��
A. Crosa va;es paid. Ateaeh vork�s liit vith /�,/
' nam�s� addrsasss. `ro�s vases. nusb�s oE honrs S !F`t.SS- dy'
Ivorked. and amount paid per hout.
' • B. Rent foc veeks = ��' d�
' C. Lieense fee ; �� � ��
�
', D. Insu[ance s
E. Bond ; l�G . dU
i T. Diahonorsd ehecks not reeovsred = �
' C. Aecouncing Expsn�e : �
H. Fsplorers F.I.C.A. ; �4��- D 2
. ' I. Pnlltab Ta�c Paid co Depastaane ot Re+snua = 3� �' `�`t
. � ' J. Hiaa. O.C. Tu s 3�0• p2►
. �. tad�tal Exeis� Tas i Semp = 2�0�` ��
• L. Seau Cablia; Ta�c = ���00� bU
, H. Hi�cellanaous Fspen��s• Zdeneil� tha aa�ae
. . and co vhaa paid.
1.L�O�ZICN��Nt7 ��, II�+S� _ ��C?.007 �
Z.�P,�� Y«;T� �N��- : ���. 3 0 4 z � �. �
�' 3. PvF�i k+s t Q�a��..sc � ���G.o 0
a. ;
9�. Total Expen�sa ��' ; �� �/QJ^ Z�'
10' N�e Ineoe� - lin� 1 �lous Iic� 9 i ` � �^7�� �r
lI C1�eckbook balanee bs�imia� of p�riod ; � ,'� 3� ��O
. . t2� ro«i ot iso. io �a ii s � 3ic1u- //
. J(� oG
'"M°'' 13 Total coattibutioas (froi attuhed vorksh��t) _ ` "��D
•• 14 Cb�ekbook balanes eod ot sapocLin; pesiod - 5"�l�(�' r`
• . liaa 12 less liaa 13 • ;
• . � I
.. �
� UNIFORM C��ARI7A$Lc G�M8lIN6^►=INANCi�L REe�OR7 (�
, , . '' `L�11�FUL PURPaSE CONTRIBUTIONS - '�RKSiIER' �C� �� I
ora
Li ne #I',3 - Total Lar+ful Purpose Contri buti ons. S l�QG�
• Li�,st beZcw all checks written from qamblinq funds which are
� chlar�table lawful purpose contributions. The total dollar
� a�unts of these checks must match the amount claimed in
line �13. Use addittonal sheets as necessary.
CHE_ IATE ' PAYEE CHECK Al�U PURPOSE
1 �o�3 �/�g�sq S� 1osa�►'� ��� q�o-`" � Pizov�v�T �iap�a� �a.- e�n�
• ��o i. Fb,�7��.o �c.�� oF /3��rre�u.� �d.�+�� �C�Nl��
A�t a1-s . lu��+• 3r�-�cc�
2. l�R � 3/��/�g s�.lds�ti 5 Fbvs� �'�Xao �
3. 4ljCj S�tt��S�� S� �o5d��� /�v�a�
Ll000 �`' s r�c�
� �-�C�
4. �}i��� �$�V�lf� s� JvSd��r s �v�s�= /c�c�v s
5 . �Z� I �91�/y���7 S� Jos�r��5 �OVs� ��
� S�c e�
6. � �
7.
8.
9. . -
10. � �
I1.
12. . '
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13. �
TOTAL CHECK AJ�UNT S I b �0 �
NOTE: Thes expenditures will be provided to Council Members at your Council hearing.
� Be s re that your financial report is complete and accurate.
. _ . . 3 � .
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. ��':�e � i � • O � � j • • : 1 = �
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