90-390 ,
0 R I�G 1�N A L Council File # �;� l�
Green Sheet � 5859
RESOLUTION
OF SAINT PAUL, MINNESOTA �q�
� _,
Presented �B
Referred To � Committee: Date
RESOLVED: That application (ID 4�30163) for renewal of a State Class C
Gambling License by Our Lady of Guadalupe Church at 408 Main Street,
be and the same is hereby approved/t�e�e�.
Y� Navs Absent Requeated by Department of:
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�R 1 � '��� Form Approved by City Attorney
Adopted by Council: Date
Adoption Certified by Council Secretary By: 2��-�d
By' Approved by Mayor for Submission to
Approved by Mayor: Date
MAR Council
glr; ��i�a�°�c' By'
�.��i�E� � ; . ;� � i . Q
. .. . ��a-�g�
DEPART�A[NTlOFFI�EICOUNCII DATE INITIATED GREEN SHEET No. 5 8 5 9
Finance License iNm�v a►re INITIAUDATE
OONTACT PER�N 8 PMONE �DEPARTMENT DIRECTOR �CITV OOUNpI
Christine Rozek-298-5056 N�� �ciTV ATro�N�' �CITY Ct.ERK
MUST BE ON CWNCIL AQENDA BY(DATE) ROUTINO �BUDGET DIHECTOR �FIN.8 MOT.BERVICEB OIFi.
3-13-90 ❑�Y�����TA� � Cetmr i 1 R
TOTA�#�OF SIQNATURE PAQES (CLIP ALL LOCATION8 FOR SK4NATURE)
ACTION REOUESTEO:
Approval of an application for renewal of a State Class C Gambling License.
Notification Date: 2-23-90 Hearing Date: 3-13-90
RECO�AMENDA7�ONS:Mparo W a R�a(i� COUNCIL COMMITTEE/RESEARCFI AEPORT OPTIONAL
_PLANPqNO OOMMISSION _pVll 8ERVICB COMMI8810N ANALY8T PFIONE PIO.
_dB OOMMfiTEE _
_BTAFF _ COMMENT8:
_D18TRICT COURT _
SUPPORT8 WHICH OOUNCIL OBJECTIVE7
INIM7IW(i PROBLEM�188UE�OPPORTUNITY(Who�Nfhtl.When�WMes.Why):
Marie Snyder on behalf of Our Lady of Guadalupe Church requests City Council
approval of their application for renewal of a State Class C Gambling License
at 4f�8 Main Street. All fees and applications have been submitted. Gambling
sessions are held Thursday afternoons between the hours of 1:30 - 5:30 PM.
Proceeds from the bingo session are used to support Guadalupe Church & School.
�wvnHrnoesiF�w�o:
If Council approval is given, Our Lady of Guadalupe Church will continue to
sponsor a gambling session at 408 Main Street.
as�wv�rrr�s��o:
DISADVANTIU�ES IF NOT APPROVED:
RECEIVED
1�AR01��� t;uunc�► Kesearcn �;en�ter,
c��r c1.�K FEB 2 719�0
TOTAL AMOUNT OF TRANSACTION = COST/pEYENtlE SNDOETED(CIRq.E ON� YE8 NO
FUNDtNG SOURCE ACTIVITY NUMeER
FlNANpAL INFORMATION:(EXPLAIN)
��
� . . _ . .
NOTE: COMPLETE DIRECTIONS AIaE INCLUDED IN THE(iREEN SHEE�IN3TRVCTIONAL
MANUAL AVAILABLE IN THE PURCHASINCii OF�ICE(PHONE NO.29�-4225).
FiOUTINCi ORDER:
Bebw are pref�rred rouNnps for ths fhre m�t frequent types of dxumeMs:
CONTRACTS (aswrtiss auttwrized COUNGL R�SOLUTION (Amend, Bd�ts./
budqst exiqs) Accept.GraMS)
1. Outside A�enCy 1. DepsRmsM Director
2. Initiating Department 2. Budgat Diroctor
3. City Attomey 3. City Attomsy
4. Mayor 4. MayodA�ant
5. Finarx:e&M�mt 3vca. Director S. qty Coundl
6. Flnance Accpunting 6. Chief AcrAUntaM, Fln�Mgmt Svcs.
ADMINISTRATIVE�iDER (�t, OOUNC�L RESOt.UTION (�O�)N��
1. kctivity Mane� 1. Initiatir��partment�recta�
2. D�peRment/►ccouMant 2• �Y An��Y
3. Deputmont Dinctor 3. MayoNAabtau�t
4. Budqst DireCtOr 4. City COItnCit
5. qry Clerk
8. Chi�f AccouMant.Fi�d�Nlgmt 3vcs.
ADMINISTRATIVE ORDERS (eH ott�srs)
1. Initiating Dspartmertt .
2. City Attomsy
3. May�oNA�Nent
4. Gty Gerk
TOTAI.NUMBER OF SI(iNATURE PAQES
Indicds ths#of pagse on whkh�natures are required and�a�CN
e�ch of these ee.
ACTION REQUE3TED
paecribe what th�project/roquNt s�eks to axomplbh in sithsr chrorwlopi-
cal order w order of imporhncs�wh�hswr is most appropriate�ths
iasue. Do n�wr1M oomplets ssnte�. 8sgfn each itsm in y�wr Ilat with
a verb.
RECONAMENDATIONS
Complete if ths isws in qusstbn ha besn preMnt�d b�foro ury body, public
a private.
8URPORTS WHICH COUNqL OBJECTIVE?
Indk:aM which Council ob)sctivs(a)Y�P�nQ��PP�bY���
ths key word(s)(HOUSINO, RECFiEATION. NEIOHBORHOODS.EOONOMIC DEVELOPMENT,
BUDQET, SEWER 3EPARATION).(3EE COMPLETE U3T IN IN3TRUCTIONAL MANUAL.)
COUNqL COMMITTEFJRESEARCH REPORT-OPTIOIdAL A3 RECfUE3TED BY COUNqL
INITIATING PROBLEM, 18SUE,OPPORTUNiTY
Exptafn the situation or caMitions that created a need for your project
or requ�t.
ADVANTAQES IF APPROVED �
Indicate wrhethsr thfe fe Nmply an annwl budp�t procedure roquirad by law/
chaRer or wh�ther tMre aro spsciHc in which the qry of Saint Paul
and its citizens will beneflt from thb pr�t/action.
DISADVANTA(iE3 IF APPROVED
What negative effects or major chenpea to•xtstirip or past pra�sses might •
this project/requsst produce if it is pe�sed(s.g.,traiflc delays, noiee,
tax increasss or eassstme�ts)�To Whom?When4 For hoMr bng?
DISADVANTA(3ES IF NOT APPROVED
11Yhat will be ths neyetive cans�qwnces if the prornised action is not
approved?Inability to dsliver asrvice4 CoMinued hi�hh traHic, noise,
axident rats?loss of rovenue4
FINANGAL IMPACT
Although you must teilor the iMorm�tfon you proride here to the issue you
aro add�ng,in�sneral you must answer taro qusstions: How much ie it
9��9 to coat?Who ia qoin�to P�yI
. . . . - .��o ;��
DIVISION OF I.ICENSE AND PERMIT ADMINISTRATION DATE ` � (�/ � �7
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn roce sed/Rece'ved y
�U.►�' �ad-� D� l.1Ua�k �k}� (_�uC� w Lic Enf Aud
Applicant Address /�Q rl Fi Jy��q� ,•-
Rusiness Iv`ame Home Phone `�l..�t.�3 �• c.L ,�pQn-�-e[,c►�-
Business Address �� �Q�i� o� � Type of License(s) C�Q SS C �,Utny��
7
Business Phone 6n I Q m � ��
Public Hearing Date � (� License I.D. �l � [� /co3
at 9:OQ a.m. in the Council Cha bers,
3rd floor City Hall and Courthouse State Tax I.D. �l �'.J ,L�
llate Notice Sent; Dealer �� ���
to Applicant � -�-�'n
rederal Firearms 46 �f A'
Pub.lic Hearing
DATE INSPECTIUN
REVI�,W VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
N�r4
Health Divn. '
; ��� �
�
Fire DepC. � ��� �
i
I �
Police Dept.
' s�.,�- i c j ���v
� f fy��� o ��
License Divn. �
��� � ' ��
�
City Attorney �
-���jt�; ��
Date Received:
Site Plan NI�- a�-� -�1V
To Council Research �-
Lease or Letter Date
from Landlord � (p �J(�
CURRENT INFORMATION NEW INFOFtMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
- %% • • • � City of Saiac Paul �
� . Finance and :ianagement Servicesi License & Permit Division L���-3�0
2NFORMATZON REQUiRID WZTH aPPLiCaTZON FOR PER.�iiT TO CONDUCT C�ARiTABLE GaMBLZ�G GaME iY
SAI:JT PAUL (To be used with the following: ;Tew a � C application, renew � S C
Licenses, and new and reaew B ia Private Clubs.)
1. Full and complete name of organization which is applyiag for license
i
� �t,l�/' �.�t� �� d.r lc �- ✓C f-�
2. Address vhere games will be held ����,�{/ � �'��,l�/� �l�f�/Q e'�
Number Street City Zip
3. Name of manager signing this application wEto will coaduct� operate and manage
Gambling Games �� � � Date of Birth /Z ,?�. �
(a) Length of time manager has been member of applicant organization � g �l�a��
4. Address of Manager o���3 �o G�L+��l//I��J dh�G[i..��/�/l�/ c��� O q
Number St eet City Zip
S. Day, dates, and hours [his application is for J�. 4�Q.aai►cr�� l:;3lJ— s% '' d �/�
6. Zs the applicant or organization organized under the laws of the State of MN? �
7. Date of incorporation / 9 'r�
8. Date when registered with the State of Minnesota � f 'J r
9. How Iong has organitatioa been in existence? �-� �/ftq�1�
10. How long has orgaaization been in existence in St. Paul? � � �' R�i�
11. What is the purpose of the organization?
r �
12. Officers of applicant organization:
Name Naae -Pin�
Address �3Q �- _ Address �,(, Q� l�G��ix-�
Title DOB 7 Titlel��1 /1/ DOB • 3
Name ��,�i Name ,A ��✓�-Q/1�
Address �'���? � ��lm,c.2"c.c.c�� Address i��+�,Q' ,�s,yc� �i}ei � �i�,..�
�? �---- -
Title �'l,Q//i,/ DOB t t� z Title DOB 4
�
13. Give names of officers, or any other persons who are paid for services to the
organization.
Name �/ Name ,�
Addrzss � Address
Title Title
(Attach separate sheet for additional names.)
._ � • • •
. ��o�9�
14. attached hereto is a Iist of names and addresses of all members of the organization.
15. Ia whose custody wi11 organization's records be kept?
Name ��t.v2_ e�- ����/ Adaress �C��3 Co
_ o
16. List all persons with the auchority to siga cheaks for dispersal of gambling proceeds:
'Name �I�.A.t.c.¢.� `i� i�� Name ,�-�.�w JI- � -
address ��5/ 3 � � Address ��O �/J��
Member oE Member of
DOB t z Organization? �� DOB 7 '� Organization? �
Name �pw,a�x,ci" �.eM.P�e/ Name
Address �2r�r�5� Address
ber of Member of
DOB / Organization? � DOB Organization?
I7. a) Does your organization pay or intend to pay accounting fees out of gambling funds?
yes no �,U
b) Zf you do pay accounting fees, to whom will such fees be paid?
Name � Address L�
�pg ✓ Member of Organization? �/
c) How are the `accoanting fees charged out? (flat fce, hourly, etc.)
l�
18. Have you read and do you thoroughly understand the pronisions of all laws, ordi aaces,
aad regulations governing the operation of Charitable Gambling games?
19. Attached hereto oa the fosm furnished by the city of Saint Paul is a Financial Report
which it .emizes alI receipts, expenses, and disbnrsemeats of the applicant organiza—
tion. as well as aIl organizations who have received funds for the preceding calendar
year which has been signed, prepared, and verified by
y��s, e � ,�-;-=�—�..c� �'�f�� � .l�'.r.•e� �
Address
who is the � /� of the applicant organization.
Name
20. Operator of premises where games will be held:
Name � /1�--.� �� /.��Li1i�tJ
Busiaess Address c-�/� � ,
Home Address � ,���":.��"-J
. r ' ' ' '
q�p _3?p
21. Amount of rent paid by applicant organization for rent of the hall :
. : . . . . . . . . . �
,/ m�.c�� . �. . . : .
. . . . . . . . . .
, . . . . . . . . . .
22. The proceeds of the games will be dis6ursed after deductirtg prize lalyout costs
and operating expenses for the followiqg purposes artd�_uses: � � �
Any changes desired by the applicant association may be made only with the consent of
the City Council . �
.
r nizat on ame
i�'�� `�
Date: / � a gy; �
Manager in Charge of G me
�,�".Gt> �h �I:Q�Bv�sLJYY1�.Z2«J
Organi�tion President or CEO
�
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„ '• . , . . City ot Saint Paul Pa�s 1 /��_
Deparcaene ot Finaaee and I�anagam�nc Serviees / �QQ�3 9�
• Dirisioo ot Licaasa md Yessie Adsiaistration �v�
tJNIF�D6li CIiARITAELE G�Il�LI�C TINAtiCW. REYOR?
Dat�
� t. Ra�a o! Orpni:acion �w���t.��[/ �� •
• 2. Addr�ss vhers Qusit�bl� Ca�blin� is eosdaet�d y�� `��c� �.� �(1��
3. R�pose fo� pesiod eov�rins U 19,� ehsou�it /(�v � � 1��
• . �. rotal nwbat ot ds�s pla�sd ��
•.� .
S. Cso�s neeipts fos abov� p�ziod = _�����°�' �O
6. Csoss pris� parouta for abo+� pariod (laelud� eaah sbose) i ,T"/. o�'f� - d�
� 7. N�c c�esipes - Iine S aimu� li� 6 i � � �
8. L�cpsa�e• ineurs�d ia eonduetiaf aod operatiat ;a�ss
A. Ccoss va`�s paid. Attach �rorkas liae vith
names. adds�sa�s. 6ro�s vsses. nu�r oE honss i
vocked, and amount Qaid pes hour.
� • B. Rent for � veeks ; ��
C. Licenee fee ; ..., �' � `''
D. Insuraoce S � �
E. Bond f / Q � • � O
T. Dishonoced ehecks �t rseovared i ��• � 0
. C. Accounting Facpeaaa = �
. N. Faplor�rs F.I.C.A. _
. I. Pulltab Ta�c Yaid to D�put��nt ot Rr��aus = _ �
' J. lYlaa. O.C. Taz :
. R. Ted�sal F�ceis� ta: i Sea�p S �
• L. Stat� Cmblin` rax : �. � 9 �• Q �
li. Kiscsllansou� Exp�n��s. Id�neil� Ws asouot
. . and to vha� psid.
�. s �6� 0 �
2.�ivH i�w�� i CS'� D O
� 3,c�� �P�.� : z3 �.��
� t,C�.� : 10 � o 0
9. ioeal E�cpsn,as - ToTAL i �r � /�• � O
10. N�L 1�eoa� - lin� 7 �Sou� lins 9 : ���'��' 0�
11. Ch�ckboot balanes ba=imtlu� ot p�riod i �: �f'��• O U
12. Total oE lin� 10 aud il = � �”��� � �
"'•"`. 13. Total conssibutions (lsoi atucded vorksh��t) _ ����• 0 �
. •• 14. C6�ekbook balanes end of repostiaf ptsiod - �� �.d�
• • Iins 12 las lin� 13 . ;
..,,�
UNIFORM CHARITABIc G�1M6LING FINANCiAL REt�ORT
.. . . � Lr1ylFUl PURPaSE CONTRIBUTIONS - '+IORKSHE�T' /�,�-�,p_��d
c,,-
Line #I3 - Total Lawful Purpose Contributions. S
• List below all checks wrftten fraa qa�linq funds which are
� charitable lawful purpose contributions. The total dollar
� amounts of theu checks a�st match the aaaunt claimed in
line �13. Use addttional sheets as necessary.
CHEC K � DATE ' PAYEE CHECK PURPOSE
-
1• � Gf.� c��0 Z� �
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2. ��� ��''-� �z� �� �
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3. qt�fl ''�'_°.J-� � �'� �-d '�' ,, I_
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6. l ���
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13. �
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AL CHECK AI�UNT S s Ir �.�
NOTE: These expenditures will be provided to Councfl Members at your Council hearing.
• Be sure that your financial report is coaiplete and accurate.
.
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