90-502 � � , �, •� � '
0 R � � � � ti �-1 � Council File # 0– O�
Green Sheet #` 8 .�.
RESOLUTION �..�
CITY OF SAINT PAUL, MINNESOTA 3 ) ,,
�� -__..��
Presented By .
Referred To Committee: Date �Q
RESOLVED: That application (ID 4�43825) for the renewal of a State Class A
Gambling License by Midway Training Services, Inc. at
1324 E. Rose, be and the same is hereby approved.
mon Yeas Navs �nt Requested by Department of:
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e man �'`—
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� Yf7, Form Approved by City Attorney
Adopted by Council: Date �jf�� � ;� ;�y�
Adoption Certified by Council Secretary By: ��,-�
By' ! '� �r'�� Approved by Mayor for Submission to
Approved by Mayor: Date MAR 3 0 1990 Council
By:
-a;...-���J�r.t��� BY�
�9..(SNED APP 71990
. �. � � � .� � � . . � . ,,�ya_.���
UIVISION OF I.ICENSE AND PERMIT ADMINISTRATION DATE l 3� 7� / � � 7�
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Receiv d by
Lic Enf Aud
._1` ' �t li v0 I d 'rf v h.�r' � �/ O L
Applicant ,� i �(,�/Q 1.� �YG'In�n y �rVl uS Home Address � L]al �rKCn
Rusiness Iv'ame Home Phone
business Address � a � ��o�� Type of License(s) �-Q 1/\p(,v �— e,�llSS
Business Phone (,P� �-O�by �7 R" ��g� 1"'T G I�YI �'�►'�ti �l�°nS-e.�
Public Hearing Date ----3� D License I.D. 4� �3g a 5�
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� �� �� � ��l �
llate Nutice Sent; Dealer If l'v ��
to Applicant
I�'ederal Fi.rearms �� l��/4
Public Hearing
DATE INSPECTIUN
REVIEW VER�IED, (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
N ��4 ;
Health Divn. N�� '
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Fire Dept. � �'� �
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Yolice Dept.
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License Divn. �
3f�3�yc, i a�c�
City Attorney �
�I�'�V � � ��
Date Received:
Site Plan ul'�'
To Council Research � /S 9�
Lease or Letter Dat
from Landlord � � q(�
. . , . •
CURRENT INFORMATION NEW INFOItMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
�. � ' . . � . . . , . . �o -�-��.
Citq of Saint Paul
Finance and Management Services/License & Permit Division
� INFORMATION REQUIRED WITH APPLICATION FOR PERMIT TO CONDUCT CHARITABLE GAMBLING GAME IN
`� SAINT PAUL (To be used with the following: New A & C application, renew A � C
�
Licenses, and new and renew B in Private Clubs.)
�
1. Full and complete name of organization which is applying for license �
MIDW� Y TRAINING SERVICES , INC.
2. Address where games will be held 1324 E. Rose St. Paul 55102
Number Street City Zip
3. Name of manager signing this application who will conduct, operate and manage
Gambling Games Harold Kerner Date of Birth 12/15/25
(a) Length of time manager has been member of applicant organization 14
4. Address of Manager 542 Portland Ave. St. Paul 55102
Number Street City Zip
5. Day, dates, and hours [his application is for Stul. evenings 7 � 11:30 P.M.
6. Is the applicant or organization organized under the laws of the State of MN? Yes
7. Date of incorporation April 26, 1985
� 8. Date when registered with the State of Minnesota Same
2a years as erriam ar y c ivi y ente-
� 9. How Iong has organization been in existence? Slyears as Midway Training Services
j 10. How long has organization been in existence in St. Paul? Same
i
11. What is the purpose of the organization? Provide vocational � functional skills
�
� trainin�? to mentally retarded adult men and wamen
i 12. Officers of applicant organization:
; Name Geor�ine Busch Name Pearl Hipp
Address 750 Hague, St. Paul Address 113� 30th Ave. N.W. New Brighton
i
' Title president DOB 10-13�49 Title Secretary Dos 6-25 25
�
,
i Name patrick Flvnn Name Gene Mason
� .
' Address 678 Josephine P1. St. Paul Address 1494 Osceola, St. Paul
�
� Title Vice President Dos fr/•17/48 Ticle Treasurer nos 3/30/30
� 13. Give names of officers, or any other persons who paid for services to the
( organization.
�
� Name N/`A Name
I Address Address
�
�
� Title Title
j (Attach separate sheet for additional names.)
. ' • � . ' , � . � �p.-,go�
14. Attached hereto is a Iist of names and addresses of all members of the organization.
15. In whose custody will organization's records be kept?
Name Midway Training Services Address1549 University Ave. , St. Paul
16. List all persons with the authority to sign checks for dispersal of gambling proceeds:
Name Harold Kerner Name Ba.rbara Kale
Address 542 Portland Avenue, St. Paul Address 1549 Universit� �Avenue St. Paul
Member of Member of
DOB 12/15/25 Organization? Yes DOB 9/22/39 Organization? No
Name Mickev Michlitson Name
Address �g�0 Effres Rd.. White Bear Lake Address
Member of Member of
DOB ��gf�_ Organization? Yes DOB Organization?
' 17. a) Does your organization pay or intend to pay accounting fees out of gambling funds?
Ye3 no X
b) If you do pay accounting fees, to whom will such fees be paid?
I
, Name _ N/A Address
�B Member of Organization?
�
� c) How are the accounting fees charged out? (flat fee, hourly, etc.)
�
N/A
� 18. Have you read and do you thoroughly understand the provisione of all lawa, ordinances,
� and regulations governing the operation of Charitable Gambling games? yes
: 19. Attached hereto on the form furnished by the city of Saint Paul is a Financial Report
which it .emizes all receipts, expenses, and disbursements of the applicant organiza-
tion, as well as all organizations who have received funds for the preceding calendar
year which has been signed, prepared, and verified by Lvligan � Kolb
277 Coon Ranids Blvd. N.W. Suite 111, Coon Rapids, MIV 55433
Address
; who is the Bookkeeper of the applicant organization.
' - Name �
'
20. Operator of premises where games will be held:
Name Richard Mangini
Business Address 1324 E. Rose St. , St. Paul, NW 55106
Home Address
� - • � � � � . � � � �c�o-�z
21. Amount of rent paid by applicant organization for rent of the hall:
$760 per mont�i, $190 per session
22. The proceeds of the games will be disbursed after deducting prize layout costs and
operating expenses for the following purposes and uses: .
_For those lawful purposes as defined in rules, laws and ordinances and to enhance
�hose functional and vocational skills essential for mentally retarded persons to
_live and work in the coirnnunity.
23. Has the premises where the games are to be held been certified for occupancy by the
City of Saint Paul? Yes
24. Aas your organization filed federal form 990-T? , ��S If answer is yes, please attach
a copy with thi� ?nplication. If answer is no, explain why:
; Any changes desired by the applicant association may be made only with the consent of the
! City Council.
i
I
� Midwa.y Training Services, Inc.
I �'� Organization N
i
�
Date
By:
Manager in ch ge of game
' �z� 2�-C�
Organization President r CEO
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City of Saint Paul Yage 1
Dspartment of Financs and lianagem�nt Services
Diviaion of Licensa and Perait Adsinistratioa
. , 11NIFORH CfIARITABLE CA!laLING FINANCIAL REPORT
� Date 1�25�90
i. �,v. of Orgaaization M;�iway� Trainin� Services Inc
� 2. Addreas vh�re Charitabl� Ca�bling ia conduee�d 1324 E, Rose. St. Paul. �
3. R�port for period eoverin; 1-1 1989 ehrough 12�31 19 $�
4. 2otal nu�ber of dty* playad 48
•::t:. .
S. Cros� r�ceipts fos abovs pariod i Zll,230,85�
6. Gsosa priz� parouts for abare pasiod (ineluda cuh si�re) i 15�.�2g.�Q
. 7. p�t raceipts - lia� 5 mimzs line 6 � S4�202_1 S
8. Facpsn�ss incurr�d ia conduetiag and opasating gau:
A. Grosa vagss paid. Attuh vorker list vith g 762 1 S
names, addrssses. gross vages. nusber of honrs i � �
worked, and amount paid per hour.
48 8�800�00
B. Rent for weeks �
C. License fee � 600•��
D. Insurancs = �
� E. Bond i 1�U.�0
t. Dishonossd edecks not recovsred ; �
G. Aecwinting Ezpensa = �
. e. Eaplopsrs P.z.c.s. ; 67 2,1 1
I. Pulltab Ta�c Paid to Departs�nt of Rs��aus ; 1,16�,43
� J. Minn. U.C. Tan ;
1C. Ped�ral Exciss Taa i Staup s
. L. Stats �b13ag Ta: t ��999_48
!I. liiscellansoua Facpeasss. Identif� tha a�a�nt
and to vhoa paid.
1. i 1,271.8�
� . t. i 475.38
3. � 96.80
i. ;
9. ?oeal F�cpens�s ��, s 26,938.65
°lo. P.e Inao.. - lsn. 7 .ina, lsn. 9 � = 27.263.50
1 i. Ch�ckbook balane• be;inain` ot pariod ; 6,$6 S.0 0
. lz. ?oeal of lsn. lo .aa 11 i 34.128.50
"�": 13. Total contributioas (froa attuhed wstuh�et) i 2��496.��
- 14. Ch�ckbook balanes and oi raporting period - 6,632.5�
• � �. i2 i.s, i�. is . ;
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� CITY OF ST. PAUL PAGE 2
• . UNIFORM CNARITABLE GAMBIING FINANCIAL REPORT �-��..�p�
LAWFUL PURPOSE CONTRIBUTIONS - l�ORKSNEET
. Line #13 - Total Lawful Purpose Contributions.. a 27 4 9 6. 00
-. List beTow a11 checks written from gambling funds which are
charitable lawful purpose contributions. The total dollar
� amounts of these checks must match the amount claimed in
line #13. Use additional sheets as necessary.
CHECK # DATE ' PAYEE CNECK AMOU PURPOSE
I, 27 3 3 1/31/89 _b�.idway Training Service $4500 Charitable Contribution
2. 2769 3/1/89 " " " $5000 ►' "
g, 27 93 3/31/89 City of St. Paul � 83.89 City Youth �nd
4, 2301 4/4/89 ��tidway Training Service $2500 Charitable Contribution
5. 2837 5/2/89 " " „ $2500 „ "
6. 2871 6/S/89 " " " $2500 " "
�. 2937 8/1/89 " " " �3500 " " �
8. 2961 8/24/89 " " " $2500 � „ "
9. 2986 9/15/89 " " " �2300 „ ►'
10. 3020 10/10/89 " " . " $2000 �� ��
11. 3060 11/8/89 City of St. Pau1 � � 112.12 City Youth Fund
12. .
13. �
TOTAL CHECK ANpUNT � 27496.00
NOTE: These expenditures will be provided to Council Members at your Council hearing.
- Be sure that your financial report is comptete and accurate.
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