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90-459 o � i �i N a � - � � � Council File � �— Green Sheet # 5856 RESOLUTION ` ITY OF SAINT PAUL, MINNESOTA �7� Presented By LL��� `� � Referred To Committee: Date RESOLVED: That application (ID 9�75698) for a State Class B Gambling License by Epilepsy Foundation of Minnesota at the Turf Club, 1601 W. University Avenue, be and the same is hereby approved/ �. �o Yeas Nays Absent Requested by Department of: oswi z ' '�'— —ton �— acc ee Z— e ma —� un —�— z son -- �— By: T - Adopted by Council: Date MAR 2 2 1990 Form Approved by City Attorney Adoption Certified by Council Secretary ` � BY: -�y � By' �� � �� +� �����'���`" Approved by Mayor for Submission to `� '�''"" Council Approved b Mayor: I�,at ��� �+ 3 ��'�� B r?'� 1*�/ BY� Y� �U�l�SHED �7AR j 1199 _ . . ��� y�. OEPARTM[NTlOFFI(:E/COUNqL ' DATE INITIATED ���� F;.�an�eiLi�ense GREEN SHEET No. CONTACT PERSON 8 PHONE INITMU DATE INITIAL/DATE ��PARTMENT DIRECTOR �CITY COUNCIL Christine Rozek-298-5056 � �p �aTY ATTORNEY �CITY CLERK MU3T BE ON COUNCIL ACiENDA BY(OAT� pOUTMq �BUDOET DIRECTOR �FIN.i MOT.3ERVICEB DIR. �MAY01i(OR ASSISTANn Q (:rnmr i 1 TOTAL N OF 810NATURE PAQES (CLIP ALL LOCATIONS FOR SIONATUR� ACTION REOUESTED: Approval of an application for a State Class B Gambling License. Hearin Date: 3 �a, q� Notification Date: 3 g Iq� RECOI�AMENDATIONS:MWow(N a Ry�ct(R► COUNC�COM t�PORT OPTIONAL _PIANNINO COMMI8810N _CIVIL BERVi�COMMI8SION �Y� PMONE NO. _CIB COAAMITTEE _ _�� _ COMMENT3: _DISTRICT OOURT _ SUPPORTS WFNCH COUNdL OBJECTIVE4 IPN11AT1N(i PHOBLEM,IS$UE,OPPORTUNITY(Who.WMt,WMn.WINr�,Wh�: Marlin Possehl on behalf of Epilepsy Foundation of Minnesota requests City Council approval of their application for a State Class B Gambling License by the Turf Club, 1601 W. University Avenue. Proceeds from the pulltab sales will be used to provide programs and services on behalf of people with epilepsy. All fees and applications have been submitted. AOVMITAOES IF APPROVED: If Council approval is given, Epilepsy Foundation of Minnesota will operate � a pulltab booth at the Turf Club, 1601 W. University Avenue. DISADVANTA(iES IF APPqOVED: DISADVANTAGES IF NOT APPROVED: RECEIVED �141� �ouncii ttesearcn t;en�ter. CIT1l CIERK MAR 0 8199Q TOTAL AMOUNT OF TRANSACTION : COST/I�VENUE BUDOETED(qRC1.E ONE) YES NO FUNDINO SOURCE ACTIVITY NUMBER FlNANGAL INFORMATION:(EXPWI� �� , . - . . . . �,�-9�-�� DiVISION OF LICENSE AND PERMIT ADMINISTRATION DATE �.3/ L / �- � _/� INTERDF.PARTMENTAL REVIEW CHECKLIST A.ppn Processed/Recei ed by � Lic Enf Aud �p;���5 1'Dund.k'��1'1 Applicant � 5 �u �ion a'1"' Home Address ��� �a�rn �J�� D� -��n n Rusiness Name / �,t r� C�� �j Home Phone (o `��o-- ���IS Business Address ��0 0� �- L�►1�t�P✓S,-��y Type of License�s) C�45S � C�q fi b��n� 1 Business Phone �-i c,v.r,S �i Public Hearing Date � �� �Q License I.D. # � S��o at 9:00 a.m, in the Council Chambers, f/ 3rd floor City Hall and Courthouse State Tax I.D. �t � S ��1�a�S llate l�utice Sent; ^�, Dealer l� ���' to Applicant � � �`U rederal Firearms 4� ti�/-� Public He�.iring DATE II�SPECTION REVIEW VERFIED (COMPUTER) CUMMENTS A roved Not A roved � Bldg I & D � ��.� Health Divn. , N�A� � ; � Fire Dept. i u�� � I � ' ��.� � �- a�l�c� Police Dept. I � �� License Divn. � � � �i � �� City Attorney � � �- �qa, o « Date Received: Site Plan �I�� �� C`� To Council Research � � � -'�J(� Lease or Letter Date from Landlord � I31 I qU -T CURRENT INFORMATION NEW INFOI2MATION Current Corporation Name: New Corporation Name: Current DBA: New DBA: Currer.t Officers: Insurance: Bond: Workers Compensation: New Officers: Stockholders: ; � - . : � . �'yo-�s� � Citp of Saint Paul , ` ' Departmeat of Finance and Managenent Services ,;... i� Division of Licensa aad Persit Registration " L�tFORMATION REQIJIRED 1JITH-AYPLICATION FOR PERMIT TO COIiDQCT PITLLTAB/TIPBOARD S�1L,ES Iv �SAINT PAUL (Clasa B Gambliag Licease ia Liquor Establishments - New Application) I. Full and complete ame of orgaaization vhich is applyiag for liceaae �-f' t�-�`I '�ocw0/�-r�o�n{ �- I"1�^tH��o'r1;- 2. Does your orgaaization'mset the defiaition of a "larg�" orgsaization aa out ined in the November. 1988 revision of Section 409.21 of the L�gislstive Code? c Attach to this applicaticn pertiaant fiaaacial and/or orgsnizational iaformation to support• your aasw�r to thia question. NOTE: Only S large organizations vill be allow- ed to opea pulltab operations uader the• reviaed city ordiaaace. If more thaa S organi- zations apply, qualified applicants will ba selected rs�daaly by the City Council. t�. 3. Address where games will be held I (.4 t C.(ruv�.S�-J l�. �'T ��4�eL ��a� . Number - Street Citq Zip 4. Name of manager signing this application who will conduct, operate and manage Gambling Games ��,Lf/1) �.. �dSS��{� Date of Birth ��� - � (a) Length of time maaager has been member of applicant orgaaization � 5. Address of Managez y 6 � Q�LF�`E ��- �� ���-S• ��'�� Number Street City Zip �a 6. Day, dates, and hours this application is for ��,� 5'� �0 �'�'1 �' )�� '; 7. Is the applicant or organization organized under the lawa of the State of �?"��� --.� _ 8. Date of incorporation '.S ��} ��� __ - 9. Date whea registered with the State of Miaaesota iJ�y' �5� ,—, - � � `��S o . 10. How long has orgaaization been ia existence? � — 11. How long has orgaaization b�en in existeace in St. Pau12 3� `7t}�S 12. �ihat is the purpoee of the orgaaization? �o Qsslst �� <�-� � ` �..re_ , �.,Qnb� .,�e�.'�' 13. Officers of applicant organization: . Name �..t.l �'KN ���L��I Nase �u�`� �ffN�tJN . Addresa [JC7�C �� ��.LC.rf��t- «� S�31z Address �1� CJ. 53�'�; ��s. �`�'1`� Tsc�e ��R�.S��4JU.� n�� rscie��.�SuR.PR__ noa G � 1 Name V/'P�t�. �61M.S'!� � Na�ae /'''[fdle'� 7�'C.1C�. S��_ Addreaa l.$�0 �RlF9'/4i'�`� �D. �t/KA-55"�'Ss�d�tr�.ss It�.4 S�MPllfl9v.��fZDK�0�,5s�ls Title ��,�t,'r��j �DOB 5��3 �� Title (�, ` �.F.S_ �B , , . . ��o-�� , .. ly. �ive names of officets. or aaq other� psraons who paid for services to the organization. M Name /��,L�/� 1'bSS� Naae Address �{d'� �.c,p,,C�. 1gv�� Address Titl� ��ce,c.�s� �M�-e��'' Title � (Attach sepsrate sheet for additional names.) 15. Attached hereto is a list of names and addreaa�s of all membars of the organization. 16. In Wiiose custody will orgaaization's records bs k�pt? N� rt���n Poss� � �dr.ss n� R�,� ��. s�-��. 17. List all persons with the authority to siga cflecks for dispersal of gambliag proceeds: Name /'��f.��l�l �OS3�Ef�. Name J c,ll�1 .)ald-KS C'r� Address y0� (.;�cCL�N I�S. �. _ Address G(�.��'S'� 5"fi• � �, � Member of Member o DOB `j -��- �'� Organization? KCS DOB G �l Organization? �� Name T�.N�I`4lF A W L 1 I`�S Name �.c,1"(. �. . 4)f��� Address ��• �5��'a.Cf�C.�,c�c.`a�i �L Address �t30(7 J���'/� �.�(.� t��•.`{�`�4'd�' Member of Member of DOB .�-G-�3 Orgaaization? � � DOB 7 2 Orgaaization? ��.5 18. Have qou read and do qou thoroughly understand the provisions of all lavs, ordiaances, and regulations goveraing the operation of Charitable Gambliag games? �� 19. Will your orgaaization's pulltab operation be operated/maaagad solely by aembers of your organization? qes no Z0. Has your organization sigaed. or does it intend to siga, a consultiag agreement or a msaagerial agreement with any person or cospany to assist qour organizati�og with the � pnlltab sales and/or recordiag keepiag? yes no /� a If answer is qes. give tha name aad addr�sa of tha person and/or campaay contracted. N� Address N�e Address - - If aaawer is yes, haw will such a consnitaat be paid? (pescentage, flat fee, gaabling fuads, general..funda. etc.) Attach a copy of said contzact to thia applicacion. 2I. Operator of premisea where gam�a vill be held: N� �-�-t�c-1`� �`'1 . C�fl-�'�� i O� - Busiaesa Address TC�tP�� C.L�R^�_� Q� QNII'1E.1�5I'f'`'1 �L . 4� Home Addreaa 's ��� (,J Oee1a54e ��� 5 �afCV��c7' � 55���• . ' ' , . � . � . yo-�5� �.. �Z, a) Does your orgaaizatioa pay or iatsad to pay accoaating fees out of gambling funds'. � ye$ x ao b) If you d� paq accouatiag fees, to whom vill such fees be paid? Nama C4-��15 1�' l��! _ Address tr� C.��.✓�s.c5.. � /`'yP�-s � DOB t! �c z/G7 I�eaber of Orgaaization? �{�S c) Sov are the accountiag faes cliarged out? lat fse, hourly, etc.) ��/�-�� d) What do you anticipate will be your, avesage monthly dsduction for accounting fees? � ')� • 23. Amouat of rent paid bq applicaat organization for reat of the hall: � � �� 24. The proceeds of the games will be disbursed after deductiag prize layout costs and operating expenses for the following purposes and nses: � � � �� �� � � �� 25. Iias the premiaes where the games are to be held bs�a certified for occupancy bq the Citq of Saiat Paul? � � 26. flas your organization filed federal form 990—T? � If answer is yes, please attach a copy with this applicition. If aaswer is no, azplaia why: Sa � a� A- `19b —� -F�s�r 990 =r' wrcL. g� fi�LD �� I`j�b Fo'R I 9$`i Aay chang�s deaired by the applicsnt association aay be made onlq with eha conaent of the Citq Coaaci2. � Pt C.�.PSN f��'ia�c af iYN " � � Or zstion Name � Date � — �Q � / V B7� Maaager ia charge of ga�e `---��t.11�►�..` � Orgaaization President or CEO � � � . • �90^���i ` Council File # Green Sheet # 5856 RESOLUTION CITY OF SAINT PAUL, MINNESOTA Prasented By Referred To Committee: Date RESOLVED: That application (ID �75698) for a State Class B Gambling License by Epilepsy Foundation of Minnesota at the Turf Club, 1601 W. University Avenue, be and the same is hereby appraved/ denied. Yeas Navs Absent Requested by Department of: — o a ,z e �s By: Adopted by Council: Date Foraa Approved by City Attorney Ado tion Certified b Council Secretar ` , �n P Y Y By: -�r 7� By� Approved by Mayor for Submission to Approved by Mayor: Date Ccuncil B By� Y� . . , ,,c 90-�.�. . OEPARTMENT/OFFICE/COUNdI DATE INITIATED 5 8 5 6 Finance/License GREEN SHEET NO. INITIAU DATE IPIITIAUDATE CONTACT PERSON 8 PHONE �OEPARTIAENT DIRECTOR �CITY COUNpI Christine Rozek-298-5056 �� �CITY ATfORNEY 0 arr cx��uc ,. MUBT BE ON COUNq�AGENDA BY(OATE) ROUTINO �BUDOET DIRECTOR �FlN.8 MOT.SERVICES DIA. ,; �;' �MAVOR(OR A83ISTANTI Q C oLn c i], `� TOTAL N OF SIGNATURE PACiE8 (CL.IP ALL LOCATIONS FOR SIGNATUR� i:. .+�':�' ACTION REOUESTED: J�: Approval of an application for a State Class B Gambling License. I�q: ��� Hearin Date: Notification Date: RECOMMENDATIONS:Approw(A)a Rsj�et(R) COUNCIL COMMIT'TEE/RESEARCH REPORT OPTIONAL _PIANNINO COMMI3SION _CIVIL SERVI�COMMISSION ��YST PF10NE N0. _CIB OOMMITTEE _ COMMENT3: _3TAFF _ _DISTRICT COURT _ SUPPORTS NMICH WUNpI OBJECTIVE7 INITIATINCi PROBLEM,ISSUE.OPPOFiTUNITY(Who.4Vh�t.WMn.1NMn.NRry): Marlin Possehl on behalf of Epilepsy Foundation of Minnesota requests City Council approval of their application for a State Class B Gambling License by the Turf Club, 1601 W. University Avenue. Proceeds from the pulltab sales will be used to provide programs and services on behalf of people with epilepsy. All fees and applications have been submitted. AOVANTAOESIf APPROVED: ?�''� If Council approval is given, Epilepsy Foundation of Minnesota will operate ''` a pulltab booth at the Turf Club, 1601 W. University Avenue. �; � p13ADVANTAOEB IP APPROVEO: �': '��'. iF�,� ;i�+'���.. DISADVANTAOES If NOT APPROVED: �.ti.r`, ,k';?, '�� c. ..,.`�' ;.,�.';` {}.. :;.,h �,::; �i'. .:^�i;.. � . f�'�'� TOTAL AMOUNT OF TRANSACTION = COST/REVENUE BUDGETED(C�CLE ON� YES NO �:r s;� FUNDING SOURCE ACTIVITY NUMBER FlNANCIAI INFOIiMAT10N:(EXPLAIN) . _ - . . � ��o-��y . , � � TO BE COMPLETED BY ORGANIZATION PRESIDENT ANO GAMBIING MANAGER I understand and wi-11 uphold Saint Paul Ordinance 409, Sections 409.21 and 409.22 relating to pulitabs and tipboards in bars. • �urther, I understand that my �arbar must meet city standards; that lOq of the net profit from pulltab sales must be returned to the City-Wide Youth Fund on a monthly basis; that monthly financial statements must be filed with the City;' and that 51» of net proceeds must remain in St. Paul or be used to support St. Paul residents. igna re - anager Signature - Organization resi ent i S � `ar aQ �� rgan a i me c--I— G j Q_ �A mb ing ocation I �b ��6 ate . Please retain the attached ordinance for your records.