90-637 O �, G � �A L Council File #� d " 3�j
Green Sheet # 5855
RESOLUTION ---�
� CITY SAINT PAUL, MINNESOTA
:j �'_' ' ��
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, �_
Presented By v�.
Referred To Committee: Date
RESOLVED: That application (ID �1�12474) for renewal of a State Class A
Gambling License by Blessed Sacrament Home & School at
1494 N. Dale Street, be and the same is hereby approved/
d�:
a Navs Absent Requested by Department of:
imon
oswi
on
acca ee �
e a
une —Z7`-
i son �,_ BY�
Adopted by Council: Date APR i 7 1990 Form Approved by City Attorney
Adoption Certified by Council Secretary By: • �. �-�.�j�
By' � � �� `� Approved by Mayor for Submission to
Approved by Mayor: Date APR i 8 1990 Council
By: /�h�a�..���/�t�,��� By s
�t163tlSNEO AP R 2 81990.
� . . � yo-�v3.� ���"�
DEPARTMENTbFFI�lO�NpL DATEINITIATED GREEN SHEET NO. 5855
Finance Lfcense iNmnva►� INITIAUDATE
CONTACT PERSON 3 PHONE O pEPARTMENT DIRECTOR �GTY COUNpL
Christine Rozek-298-5056 �� Q�AITORNEY Q CITY CLERK
MUST BE ON COUNCIL AGENDA BY(DAT'E) ROUTqip �BUDf3ET DIRECTOR �FIN.6 MOT.BERVICE8 Dlii.
4-12-90 ❑"AAYOR��^��$T^"n 0 Council R
TOTAL N OF SIQNATURE PAGE8 (CLIP AL�LOCATIONB FOR SIGNATUFiE)
ACTION REQUEBTED:
Approval of an application for renewal of a State Class A Gambling License.
Hearing Date: 4-12- 0 Notification Date: 3-27-90
RECOAAMENDATIONS:APP�(�I a►�(R) COUNGL COMMITTEEIR�EAACM REPORT OPTIONAL
_PLANNINO O�AMISSION _d1AL SERVI�COMMiS810N ��'Y8T PHONE N0.
_GB COMMITrEE _
_BTAFF _ COMMENT8:
_DISTRICT COURT _
BUPPORT3 WHICN OOUNqI OBJECTIVE4
IN171ATINO PROBLEM.188UE,OPPOR7tJNtTY(1Nho�What�Whsn� /� ��i �
��
Jacqueline Jansen on 1 chool requests
Council approval of t] �te Class A Gambling
License. Gambling se � he hours of
7:00 PM and 11:00 PM rom the bingo-
pulltab sales are use and Church
with expenses. Lice ;d.
ADNMITAOES IF/1PPROVED:
If Council approval j :hool will continue
to sponsor a gamblin�
--__-
as�r�wr�s��o:
a811DVANTA(�ES IF NOT APPF�VED:
����� �ou��cu Kesearct� (:enter
���� MAR 3 01990
�ITI� CLERK
TOTAL AMOUNT OF TRANSACTION a COST/I�VENUE BUD�ETED(CIi1CLE ONE) YE8 NO
FUNDINQ SOURCE ACTIVITY NUMBER
FlNANCIAI INFORMATION:(EXPLAIt�
�� .
�
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E.. •
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE(iREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHA31N0 OFFlCE(PF�NE NO.•28&422b).
ROUTIN(i ORDER:
. 8o1ow are preterred routings tor the tive moet trpueM typss of documsnts:
C�ONTRACTS (assumes auittwrizsd COUNCIL RE$d.UTION (Amend, Bdgts./
budget exists) Accept.(iroMs)
1. Outside AgsnCy 1. DepertmsM DireCtor
2. Inidatin�DspartmeM 2. Budg�t Diroctor
3. Gty Attomsy 3. qty Attornsy
4. Mayor �. MayoNAaietant
5. Finance d Mpmt 3vcs.Dir�c.�Eor 5. . CNy Cowncil
8. Fineir�cs/lccounting ` 8. Chisf Aocountant, Fln 8 Mgmt Svcs.
ADMINISTRATIVE ORDER (�' OOUNqL RESOF.UTION �and ORDINANCE
1. /►ctivity Mar�er 1. InRinfng Dspertmsnt Director
2. DepaRment Ac�ounteM 2. qty Attornsy
3. DspartmsM DI►�ctor 3. MayoNAaiefaM
4. Budyst Director 4. City COUnCiI
5. C�ty Cbrk
8. (�isf AccouMant.Fln 3 Mgmt S1►cs.
ADMINISTRATIVE ORDERS (all others)
1. IniWtinp DepaKmeM
, 2. CIIY/►tbrneY
3. MayoNAssistarn
4. qty Clerk
TOTAL NUMBER OF 31CiNATURE PAGES
Indkxds the M of pages on wMch aigneturss are required and N
esch of thess p�es.
ACTION REOUE3TED '
D�scribs what U�e proj�ctkpusot sseks to accomplish in eitfwr chrondopi- .
cal ordsr or order of importancs.whichsver is most approprlate tor the
iesue. Do not write complste ssMences. Begin each item in your list with
a verb.
RECOMMENDATIONS
Complste if ths i�s in questfon hats bssn presented before any body� pubib
or prh�ets.
SUPPORT8 WHICkI COUNdL OBJECTIVE4
Indicate whk�t Camcil obl�(s)I��Prol�reQ�a�PP�bY��
ths key waM(s)(HOUSINO, RECREATION, NEKiH80RHOOD8,ECONOMIC DEVELOPMENT,
BUDCiET,SEINER SEPARATIOf�.(SEE COMPLETE LIST IN INBTRUCTIONAL MAMUAL.)
OOUNqL COMMITTEE/RE3EARCH REPORT-OPTIONAL AS REOUESTED 8Y COUNGL
INITIATINCi PROBLEM, 133UE,OPPORTUNIIY
Explafn the situation w oondidora that created a need for Y��ProJ�
or reqwst.
ADVANTA(iES IF APPROVED
Indk�te whsther Mis is simply an annwl budpst p�oc�dure required by law/
charter or whether ttron an�fic wa in which ths CiRy of 3efnt Paul
and its cRizens will bsr�sfit irom this�actfa�. ; .
DI3ADVANTACaES IF APPROVED
What nspative sifects or mapr changes to existin�or pe��migM
this proJect/requsst produce ff�is paased(e.g.,traific delays, noise,
tax increa�ss or a�sesmsnta)4 To Whom?When?Foc hoMr long?
DISADVANTAOES IF NOT APPROVED
What will bs the negatiw conaequsnc�s ff the promised action ia not
approved?Inability W deliver ssrvice?CoMinued high traffic, noise,
axidsr�t rate? Loss of reVenue?
FlNANqAL IMPACT
ARhouph you must tailor the fnformation you provids here to ths iasue you
are addressirq, in psns�el you must answer two qusetions: How m�h is it
poiny to a�t?Who is going to pay4
. � � �,���G37
DiVISION OF LICENSE AND P�;RMIT ADMINISTRATION DATE � a2 yv � � o�I �v
INTERDF.PARTMENTAL REVIEW CHECKLIST Appn rocessed/Rece ved y
` Lic Enf Aud
�'l� ✓�l� JQh��
Applicant f�" ���SEd �C rC��n D✓ZT �Y�'1� Home Address �� y �I �,�-,p,.-}Z C� 55��J�
� Sc1�o01
Rus ine s s lvame Home Phone � 3 g 7�l�a
Business Address 1��j�} ti� l�c��2J Type of License(s) ��liS51 -
Business Phone (,1 C+rn���n� �-t c..�n-�SV �2Y1 �w`1�
Public Hearing Date "[ ►� License I.D. �i � �, y� �
at 9:OQ a.m. in the Council ha ers,
3rd floor City Hall and Courthouse State Tax I.D. �6 �-�' � �����7
llate Notice Sent; Dealer �� �� A"
to Applicant 3;�'�'�j1' N��
rederal Firearms ��
Public He��ring
DATE INSPECTIUN
REVIEW VEKFIED (C�MPUTER} CUMMENTS
A proved Not A roved
�
Bldg I & D �
N �-
Health Divn. �
��,� �
i
Fire Dept. � �
i
I �
� 5•2 tn'� �1Ic�11 �'(�
Yolice Dept. I
��
i
License Divn. �
� at�`�� i � �c�
City Attorney �
3�� � � 6,�
Date Received:
Site Plan �-���'�117 2
To Council Research J � ��
Lease or Letter ` Date
f rom Landlord �-''a l 1�1�
' .
CURRENT INFORMATION NEW INFOKMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
. • � • ' � �`"���v Z
City of Saint Paul
�� � Finance and Management Services/License & Permit Division
INFORMATION REQUIRID WITS APPLICATION FOR PERMIT TO CONDUCT CHARITABLE GAMBLING GAME IN
SAINT PAUL (To be used with the followiag: 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
�LESSED 5ACi2AMENT HQME � �CHO�L ASSOCiATION
2. Address where games will be held 1494 N_ DALF �T_ � ST_ PAl1L 55117
Nvmber Street City Zip
3. Name of manager signing this application who will conduct, operate and manage
Gambling Games GE�te1LD ll. JANSEN Date of Birth 5-14-42
(a) Length of time manager has been member of applicant organization 10 YEAdS
4. Address of Manager 1949 EnERTZ COU�tT, ST. PAUL 55119
Number Street City Zip .
MAY 1, 1990 - APRIL 30, 1991
5. Day, dates, and hours this application is for WEDNESDAY. 7 :00 P.M. - 11:OU P.M.
6. Is the applicant or organization orgaaized under the laws of���the State of MN? NU
7. Date of incorporation
8. Date when registered with the State of Minnesota
9. How Iong has organization been in existence? 35 YEAK5
10. How long has organization been in existence in St. Paul? 35 YEARS
11. What is the purpose of the organization? THI5 OIiGANIZATION ASSISTS :tLESSE� SACI2AMENT
SCHOOL WITH VA1tI0US PROJECTS ANll ACTIVITIES.
12. Officers of applicant organization:
Name CHitISTINE MOREHEAD Name �'�cA,v �7c �,e,�s�c� q�
- .
Address 2131 E. COTTAGE Address /y�.,� G/�.¢r_
Title PRE5IDENT DOB 5-11-50 Title�jc�-��y��rrtDOB �y-,�y_a�c�
Name Name . �'o Y.4.v.v E �i'ri=Ei�z
Address Address �Q y i �. /yj„y,v�J,,o h,9
Title DOB Title�E�SG,,,r�,� DOB 3-�8-.�a
13. Give names of officers, or any other persons who paid for services to the
organization.
Name Name
Address Address
Title Title
(Attach separate sheet for additional names.)
_ , , � • �yo_�37
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 r_�„�„pL0 .TANS�t�t Address 1949 EdERTZ COURT
16. List all persons with the authority to sign checks for dispersal of gambling proceeds:
Name GERALD JANSEN Name JACQUELINE JANSEN
Address 1949 EBERTZ COURT Address 1949 E:3ERTZ COURT
Member of Member of
DOB 5-14-42 Organization? Yes DOB 1-4-47 Organization? YES
Name Name
Address Address
Member of Member of
DOB Organization? DOB Organization?
17. a) Does your organization pay or intend to pay accounting fees out of gambling funds?
yes no X
b) If you do pay accounting fees, to whom will such fees be �aid?
Name Address
DOB Member of Organization?
c) How are the accounting fees charged out? (flat fee, hourly, etc.)
18. Have you read and do you thoroughly understand the provisions of all laws, ordinances,
and regulations goveming the operation of Charitable Gambling games? YES
19. Attached hereto on the form furnished by the citq 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 GERALD JANSEN
1949 E�iE�TZ COURT
Address
who is the GE�►1�'1:3LING MANAGEIt of the applicant organization.
Name
20. Operator of premises where games will be held:
Name JOSEPH PERKOVICH
Business Address 1494 N. DALE, ST. PAUL
Home Address 297 MARIA, ST. PAUL
. - . � � . /�_ yv _�37
(:r
, 21. Amount of rent paid by applicant organization for rent of the hall:
$175.00 PElt 4 HOUR SESSION
22. The proceeds of the games will be disbursed after deducting prize layout costs and
.operating expenses for the following purposes aad uses:
ALL PROCEEDS ARE GIVEN DIRECTLY TO THE BLESSED SACRAMENT HOME & SCHOOL
A5SOCIATION TO ASSIST BLESSED SAC1tAMENT SCHOOL AND CHURCH WiTH EXPENSES_
23. Has the premises where the games are to be held been certified for occupancy by the
City of Saint Paul? YES
24. Has your organization filed federal form 990-T? yES If answer fs yes, please attach
a copy with this application. If answer is no, explain whq:
Any changes desired by the applicant association may be made only`with the consent of the
City Council.
,�LESSED SACRAMENT HUME � sCHnnr. a��nr_
Organization Name
Date L''Z0 -�90 By: �-
Manage in charge of game
� ��,�-,�.����'�.h.�G.� ��-��,�
Orgaaization President or CEO
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City of Saint Paul Page 1
� � , Departmant of Fiaanc� and Management S�rvices
M�ision of Licrosa and Parsit Admiaistratioa
. UlRFORH (�1ARITAbLE CAl�LING YINANCIAI. REYORT
Dat� �-�D- /�
� . 1. Fase of Organiaatian ,Q�c sr�� `SyG,r.s�,��t 9c,�o�„t K SG/�rtie/�SSaG .
� 2. Addres• vhere Charitabl� Ga�bliag ia eondacted /�/9 y i(/ �A/r
3. R�port for period coveriag /- / 19�ehrou;h /.�?-3/ 19�
4. ?otal nuabsr of days pLyed ,i.�
� S. Cro�a r�eeipts ior abava p�riod = ..��'.2 �v7�
6. Gross priza payouts for abava psriod (inelud� eaa6 short) ¢ �/.�, li���
. 7. Ilat recaipts - Iin� S minus line 6 ; ��S �Gd
8. Expens�s incurrsd in eonduetiag aad oparating gaa:
A. Groas vages paid. Aetach vosker list rith
namss. addrs�s�s. gross vages. n�ber of honrs ; // /�_
vorked, and aaount paid pes honr.
B. Reat for �,�Z veelcs � _� /���
C. Licenee fea ; � �
D. Insurance = li �1�
E. Bond i .�/ .�
. !. Diahonored checks not recov�red = .��
G. Accovnting Expsnse = �
. B. E'mplor�r� P.I.C.A. ; �7,l
. I. Pulltab ?as Paid to Dtptrer�a� o�xsvenu} ; __� �.�7
: �•ID�tt� /D°�O /t/E t Gv.v .��b a ria.v : .�a�
J. . . . /
1C. Fsd�ral Exeiae Tax b Stasp ; .% �d ��_
L. Stata Gublin� Ta: i � ���
_ H. Hiacell�aaous Fspsnsss. Identify ths a�onat
and to rhoa paid.
�./�J.sc,.�SEF,9f�i�n��: �/�r
: . z.3�- D�.q.�vNd s �.�'9
3•�/r�i��dA Q.CEF.v i �'1.�T
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9. ?otal 6xpsaa�s 'lOTAL ; _�- .5�.��
10. Nst Zneo�a - line 7 aina� lias 9 = .7�. Cl��
11. Chsckbook balance be;imsia; of pariod i .� ���
• 12. 2otal of line 10 and 11 ; a Q �-��
: 13. Total contribution� (fros atLa¢hed vorka6�st) i �� _.��
. 14. Checkbook balance end of reporting pesiod - �� � �
' � line 12 less liae 13 . ; �
. .:�: a�� ¢.�.�.�, '�y
.-:,..
• CITY OF ST. PAUL PAGE 2
• . UNIFORM CHARITABLE GAMBLING FINANCIAL REPORT
, LAWFUL PURPOSE CONTRIBUTIONS - WORKSHEET C�1�0 1v3��
Line �13 - Total Lawful Purpose Contributions. E �� s�• "�
List beTow all cfiecks written from gambling funds which are
charitable lawful purpose contributions. The total dollar
� amounts of these checks must match the amount claimed in
line #I3. Use additional sheets as necessary.
CHECK # OATE ' PAYEE CHEC K AMOU PURPOSE
-
i. �� �� �-��z-�9 ,aj�ss� .��,�.,��t �, �-� �ii y,��-� .� u�
2. •�•7 S� .�-d>�- SY ,�,�o..� --5�l.�/ .�sv 4 . �, S-�a..� /Jy ,C/�.ssc� .S�c.�,a.+6.vt
3. .��L s �-,s-�y � � s�-
ary yysr�C ° `���SYIGiAfYOY
4. .�.7 7 k 5/-3L-�y �3, �.� i-a /�•st..e�J,�.rsr�.j .s.,�',r,.,.��t
5. ,�'�'�3 .�-.�r� �, � .�� ���i ,�.t� u�,r,�.� ,�.��
6. ..�38'� ?-.�7�-S5' � ��-r� --;� �..ti �..�i�rcts .
7. �.�9-5' /'..�o �y ,�e,•� •�.�' �•
8. ,�y�s 9-.7��y .7.,y-r . ;�
9. �y7L io,.r-b'f . .J,e�-`� .
io. �.s� 9 ,�-.�-�y �, �. ��
ii. .�.s�� , �-,�-�y � � ,, � �
12. �t s� /-�s- 9� . • � .���`�
13. �
TOTAL CNECK AMOUNT �a?.�s�
�
NOTE: These expenditures wi11 be provided to Council hlemben at your Council hearing.
Be sure that your financial report is complete and accurate.
'J�V�M1aA/��
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�LESSEll SACRAMENT H�fE & SCHOOL ASSOCIATION
1989 EXP�lSES
CHECK DATE PAYEE AMOUNT CHECK DATE AMOUNT
3132 1-5 Ideal Hall (Supplies) $ 42.00 3134 1-10 $636.36
3147 1-15 J. Jansen (Stationery) 20.00 3171 2-2 35ti.56
5-24 DeLuxe Check (Checks) 17.30 3224 3-19 619.08
aank Charges (Jan.-Apr.) 13.61 3231 3-22 473.56
" " (June) 37.52 3264 4-13 47y.40
3404 �3-13 Ideal Hall (Supplies) 23.00 3307 5-27 525.96
3568 12-21 3est �suy (TV for �nas 3360 7-3 655.1F3
Promotiony 212.00 3394 7-27 656.16
�3ank Charges (Nov.) 5.31 3444 9-7 712.1t3
Ideal Hall 520.00 3474 9-28 310.24
($10 Weekly Charge 3512 10-26 �3o.U4
for equipment maintenance) 3531 11-9 58t3.0U
3554 12-9 2�U.ti 1
TOTAL $890.74
TOTAL $6t331.�3��
PAID TO THt2EE llI�1MOIVU COitP.
FOR PULL-TA13S.
CHECK DATE IRS AMOUNT �'rGROS5 AMOUNT
3222 3-9 19t37 - 990T Penalty $ 54..46 STATE TAR $3437.47
3301 5-15 19t�8 - 990T "3143.00 TA;.,S 3394.06
3324 6-1 19t36 - 990T Interest 141.7b $6831.53
3145 9-10 19t38 - 990T Penalty 120.07
345t3 9-19 Est. 1990 - 990T 2500.00
$5959.29
NSF CHECKS
PARTY AMOUNT
Mary Wylie $300.00
Alona Carriger 50.00
dlanche tilaser 50.00
Elsa Fields 20.U0
TO.TAL $420.U0
.�5Q:Oa collected from 19t3i3
NSF checks
NET NSF CHECK��,370.00�