90-852 0 R I G I N� L . Council File # �'O �
Green Sheet # 7695
RESOLUTION '^'�
y. , �\
F SAINT PAUL, MINNESOTA ��;'
�.._r�.
� 1 �
Presented B
Referred To Committee: Date
RESOLVED: That application (ID ��38711) for renewal of a State Class B
Gambling License by Children's Heart Fund at Steve's Bar,
258 W. 7th Street, be and the same is hereby approved/1°^�°a
Yeas Navs Absent Requested by Department of:
\
o�osw
`, License & Permit Division
8 8 @@ T
e m n �
une �
z son �'— By�
J
Adopted by Council: Date
MAY ,� rv 19� Form Approved by City Attorney
Adoption r ified by Council Secretary gy: ,s—3 ��j
�
By� Approved by Mayor for Submission to
Approved by yor: Date MA �. 8 rQ9Q Council
By. �''�1�''�'�" By:
PUB1iSHED P,��,Y � � 1990
, . (;�'- f�--��'�-
DEPARTM[NT/OFFICE/COUNCIL • DATE INITIATED 7
Finance/License GREEN SHEET NO. ! �95
INfTIALI DATE INITUWDATE
CONTACT PERSON 3 PHONE �DEPARTMENT DIRECTOR �CITY OOUNCIL
Christine Rozek-298-5056 �� �CITY AITORNEV �CITY CLERK
MUST BE ON COUNCIL AQENDA BY(DAT� . 1,( IIOUTINO �BUDCiET DIFiECTOR �FlN.3 MOT.SERVICES DIR.
For Hearing/5-17-90 �` �d �MAVOR(OR AS8ISTMITI � Council R
TOTAL#�OF 81QNATURE PAOES (CLIP ALL LOCATIONS FOR 81QNATUR�
ACT10N REGUES'TED:
Approval of an application for renewal of a State Class B Gambling License.
Hearing Date: 5-17-90 Notifica�fon Date:
RECOMMENDATIONB:MDr�W a Fwpct IR1 COUNCIL COM I�PORT OPTIONAL
_PLANNIN(i COMMISSION _pVIL SERVI�COMM18810N ��'Y8T PFWNE NO.
_CIB COMMITTEE _
COMMENTB:
_STAFF _
_DIBT'RIC'i COURT _
SUPPORTS WHK;FI COUNqL OBJECTIVE9
INITIATIN(i PR09LEM,ISBUE,OPPORTUNITV pNAo,Wh�t,Whsn,WMro,Why):
James A. Dittmer on behalf of Children�s Heart Fund requeats. Council
approval of their application for renewal of a State Class B Gambling
License at Steve's Bar, 258 W. 7th Street. Investigative Fee of $373.25
has been submitted. Proceeds from the pulltab sales are used to� pay for
children�s heart surgeries.
ADVANTAOES IF APPROVED:
If Council approval is given, Children's Heart Fund will continue pulltab
sales at Steve's Bar, 258 W. 7th Street.
D18ADVAMTI�((iiF8 IF APPROVED:
DISADVMITIIQE3 IF NOT APPiiOVEO:
RECEIVED
l.Uu�.;:�� �t��,:�a�Crl l:��il�f,
��i� MAY 0 31yyu
CITY CLERK "''"�
TOTAL AMOUNT OF TRANSACTION = C08T/REVENIlE SUDaETED(CIRCLE ONE) YES NO
FUNDIN�i SOURCE ACTIVITY NUMeER
FlNANCIAL INFORMATION:(EXPWI�
a�
. (;��-'90-�,�'�
UIVISION OF LICENSE AND PERMIT A.DMINISTRATION DATE (7 / 7 � (�
INTERDF.PARTMENTAL REVIEW CHECKLIST A.ppn r cessed/Received by
Lic En�Aud
Jk m�e S ��ftn'Ler— y•�'
Applicant �� ��� � � �_�un� Home Address S (�in U�ri:E St��-j�ls
Rusiness Name J�P�1Q5 ��lr" Home Phone �J y��Q�� /
Business Address �� � � 7��� Type of License(s) ,��jSs � —
Business Phone _��U m b��n!, Li C?�nSP� l�-Pn�Qt.��-�
Public Hearing Date �l� � ?� License I.D. �i �� �] � �
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �� � 5 f 3,��/
llate Nutice Sent; Dealer �� ���"'
to Applicant
I'edera2 Fi.rearms 4t ���
Public Hearing
DATE INSPECTIUN
REVLEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
NI� �
Health Divn.
, �,,�(q,.
�
Fire Dept. � �
� �1� �
' sr,��. � 41 � ���
Yolice Dept. I � I �� � � Q ��
I
License Divn.
,
i
City Attorney �
��� �� � � �--
Date Received:
Site Plan �'j G
� � �� �
To Council Research 3 [v
Lease or Letter Date
from Landlord �I� '�''j(�
CURRENT INFORMATION NEW INFOKMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
� City of Saiat Paul �7���'��
, � Department of Finance and Maaagement Services
� Division of License and Permi.t Registration
INFORMATION REQUIRID WITH APPLICATION FOR PERMIT TO SELL PULLTABS � TIPBOARDS IN SAINT PAUL
(Class B Gambling License in Liquor Establishments — Renew)
1. Full and complete name of organization which is applying for license
C I�., I rit r�.�.�S 1-�-2a�+ �u✓��
2. Address where games will be held �-58 1,Ale.S�' 1� .5+�Pe�' ST, Pc��,l SSIO L
Number Street City Zip
3. Name of manager signing this application who will conduct, operate and manage
Gambling Games �1 n-. � s /-1 . � . ttr�►e � Date of Birth �-�-� � Sq
(a) Length of time manager has been member of applicant organization 1�14 5
4. Address of Manager oG 35 ���h� e.�1" +'�r<- Sc��t� P"1;�n��,4��>>:s �S�-I ! <:%
Number Street City Zip
5. Is the applicant or organization organized under the laws of the State of MN? ��5
6. Date of incorporation M c�.� � , I �1 � 7
-T�
7. How long has organization been in existence? I 3 �i�c. � c
8. How long has organization been in existence in St. Paul? 1�3 y�c<<s
9. W[iat is the purpose of the organization? �7'"p J p r �. r M h ea� {- S������F S
-� r ��d ���.1-Y C�.,`1c,t �en
10. Officers of applicant organization:
Name 1\O It�Q�� , Y/AIA. 1�1,5�1 . 111.� . Name ,� , � � C�
Address � G ►P,� ae � �p�( Address �( � '
�s�l 3�136
Title Q�es�den,� DoB 1a a9 3� Title �, pr�s;�lt�t DOB �9�33
Name �DI�,�� V . �/�1A.S�Z Name 'I�.�Q1I�V� 1��•��SC�
Address �/jg� �N�, I���qe.�A.. � I�i,C�� Address j�,(�S.�'Y�LSS'.'�,[UP./"�D�Ud O�
Title '('r tasw«� DOB 5�7'�� ���GTitle Sec���C.�y DOB ���"��
11. Give names of officers, or any other persons vho paid for services to the
orgaaization.
Name Name
Address Address
Title Title
(Attach separate sheet for additional names.)
. . �r�-���
12. Attached �ereto is a list of names and addresses of all members of the organization.
13. In whose custodq vill organization's pulltab records be kept?
Name ,SG�r-Le S �• I� ;-t'fi�+�er' Address �U 3� V�h(pn-I' �. . -So�,�.�.
14. List all persons with the authority to sign checks for dispersal of gambling proceeds:
Name Sc.��s A . D,�I�tw�e� Name 1'�Gtf k S ��rtc��-.
�o U 3.i �/��•c e.-�t Ati'e.S.
Address �pls r�� SS�+io Address �, p, �X 148g5 t'"��Is MI�SS�K
Member of - Member of
DOB �--�-s� Ozganization? ,�Pi - DOB Organization? �es_
Name �E f k-� � ��«.� Name
Address 31 O� ��1�' �. S, p/►��S M+`�SS4o bAddress
Member of Member of
DOB �1 Organization? �,r DOB Organization?
15. Have you read and do you thoroughly understand the provisions of all laws, ordinances,
aad regulations governing the operation of Charitable Gambling games? ye S
16. Attached hereto on the form furnished by the city of Saint Paul is a Financial Report
which itiemizes 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 Sc�v,.�e : ,�. 1� .i'{w,2 r
Sv c:;3 S �'��c e.�.i' f}v�•�� S c w t�
, Address
who is the ��.� ��� 1Mcc v��.e,�/ of the applicant organization.
Name
17. Will your organization's pulltab operation be operated/managed solely by members of
your organization? yes no )(
18. Has your organization signed, or does it intend to sign, a consulting agreement or a
maaagerial agreement with any person or company to assist your organization with the
pulltab sales and/or recording keeping? yes no x
If answer ia yes, give the name and address of the person and/or co�pany contracted.
Name Address
Name Address
If answer is yes, how will such a consultant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attach a copy of said contzact to this application.
19. Operator of premises where games will be held:
Name S-�e v P �e� -1-5�.h
Business Address ,� S 4 L.v 2 i f' 1 �-h S +'r�eP f' ST . (�c��.l M� SS/U Z.
Home Address 3 5�i ���1 l K e r Sr. Pcti,,ti 1 f�n%
�qo-��'�
20. a) Does your organization pay or intend to pay accounting fees out of gambling funds? �
yes ao x
b) If you do pay accounting fees, to whom will such feea be paid?
Name Address �
DOB Member of Organization?
c) How are the accounting fees charged out? (flat fee, hourly, etc.)
d) What do you anticipate will be qour average monthly deduction for accounting fees?
21. Amount of rent paid bq applicant organization for rent of the pulltab sales area:
� 1��G �oG p� r' wze�c
22. The proceeds of the games will be disbursed after deducting prize layout costs and
operating expenses for the following purposes and uses:
;o �c�u `!L� L�� I�� �P.�� s 1���� i- Sc.cr ��e�;��'
23. Has your organization filed federal form 990-T? y PS If snswer is yes, please attach
a copy with this application. If answer is no, explain why:
�1 't''C�l�,'�S.2;n ^Gc S 0 P P.., 't:�!c'ril �•-� �'�4. �'1 t 0 - I c2�
p�" f4�i.�1 1 /5�7 �. � /'u�o a �u ti � 5�7iwa-r-�4� ��c�f-.
t
Aay changes desired by the applicant association �ay be made only with the consent of the
City Council.
ch�'IGQ�e.��S 1-lea�-} �'uv��
• Organization Name
Date L-) ' �! • !(� BY� '
g r a charge of game
• �a
rganiz ion President or 0
, City of Saint Paul Pags 1 N�����+ ��'
, , Departs�nt of Tinance aad Manag�menc Ser►iees
.. Divisioo of I.icens� and Pacsit Adalaistratioee
UNIFORM CHARI?ABLE GA!lSLINC MNANCIAL RLYOR?
Data 3 �-3 �►v
i. hm. ot ori,�.eson ' �� Id r e�.�5 l-�-e u��+ �..ol-
2, Addt�s• vh�r� Charicabl� Caablia� is eonduet�d �5$ Vl1CS� �� S��'r�ei' ST• Pa.•�•..�
3. R�post tor p�riod eov�rin� �-� 19� throu�h "Z- '�� 19�
4. Total numbsr oE days plared Zg.s
S. Cro�• r�eeipu tor abov� p�riod = ���� ��i 3
6. Gross priza pqouts for abov� p�riod (laelud� ea�h sdort) : �`1 l 3°� `�
7. N�t rseaipts - lia� S elau• lin� 6 s - y-5 3 `� �!
8. E:pans�� incurted ia eonductia� and op�rstin� �s�:
A. Geoss vs�ss paid. Attaeb vorker liat vieh
aam�s� addr�st�s. �ro�� va�as, nusb�r of 6ouss : 3 3 L'`1
vorked. and asount paid p�s dour.
9. Reat for �_ weeks = "2 s i%C
C. Licensa fse =
D. Insuranee = .
E. Bond �
T. Dishoaorsd eh�clu oot raeoo�rad =
C. Ateouati� Facp�a�s f
H. Eoploreci l.Z.C.A. _
I. Pullcab T�s Paid to Dapaswnt oL Ra�am�� �
J. ![ian. U.C. tu ;
R. isdssal Lxeis� Ta: i Sea�p �
L. Stae• Coblins Ta: _ �y� �
M. Mi�e�ll�oua Exp�a�aa. 2d�ntit� tAs soane
and to vboa paid.
1. ��ccluC-� - f 6�SG
O�sr�.,N��s
2• c�N,��+ s �153 S
3. S�ppl:as i /"1 (�
�. i �3560
9. 'fotal Expaa�a '�'tu' _
10. N�t IaeaN - lia� 7 alas� lin� 9 � a 1 4 '3 �I
11. Ch�ekbook balaaea ba=imtin� oi p�siod : r°-
12. tocai of lin� lo and 11 = � � 4 3 `�
�' ' 13. Total eoncriDations (fzos aetuhed vorbh��t) = 1�S p 5
16. Ch�ekbook balane• snd oi raportiaf p�riod - S ��3 �
liae 12 le�� lia� 13
v�� � yi �� . rnv�
UMIFORM CHARI7ABlE GAMBIING �IvANCIAL RE�ORT �-����l,2
� LAMFUL PURPOSE CONTRIBUTIONS - I�RKSHErT
Line �13 - Tctal Lawful Purpose Contributions. S
List below all checfcs written from gambling funds which are
charitable lawful purpose contributions. ?he total dollar
amounts of these checks must match the an�ount claimed in
line �i13. Use additio�al sheets as necessary.
� CHEC�C � OATE � PAYEE C1iECK AMOUN PURPQSE
-
1. I O I 3 ��3��s� C�+F �Sov , uo G►,e�.l� w G-s -�,.-a.,s ��( w
.�u-�-cici r-. 1�I-os ��l� �
2. !0 �`1 t�I�o I�5 sr. Pk�.l cr+,-� ��+-� a-81.vo �a�rF c�l�.. �
� � � sk•-�a ��'�s
p 1 l0 9� <<�'� �J:..��„ +��a..
3• � u� �1 �Z.( �� ' O�� S T. �(a.w� �.w 1an N C'-t�"�+- �"�� 7. V l:
1 a
o C.e:� �{o�.�.� �I���, o u l U`2o T����:,�.,e�,( Du� f�L.�
4. l a�o 1� �1�IQ� S1-• � <«,.►
tv.�I 1z �z�� 8�� ,4Qa�Tr No�wesler✓� �v, Gut . PO �� cr.: Ic.�re..�s 1,'�.�sf S�-y�'�ie=
5. (V c?` fp�v„rCc� k�c:.�q'�t�'ii
p c.�u�,,,1-�n. M l�-I• U G �
6. �(�'A l,I � I l\ '°I C.:. S 1'. T �t w� �.� �+-�
i o 3 :r a-(�� � �� s r. P�t.,,I L�
�}.,� ���.h-. H �9 •v� �� �� r��u.��9 Q�•.��f���.
7.
8.
9.
10.
11.
12. '
13. '
T07A1 CHECK ANDUNT E I H 595, o
NOTE: These expenditures will be provided to Councfl Manbers at your Cauncil hearing.
Be sure that your financial repo�t is complete and accurate.
� ' r � •
� �� _ . y � = + � r �. � w •'=
r � � i i ! , • � • _ � � a �
� � • ! I � � • ^�
L . • w � � � � �
- • : : : - . ; : � �
' � 3 : . , --�'
_ • i ° s � � " � � s � i�
� w ! � � � i � � s � � i
� � r A
� � � A r • � ' � j = �!�j
�y � � � � • � t � A � I a
Y � � ; I � � S � � • Q A
A� ! • • O � � f • �
�1 • � • ! A ��r i � !
r � • � � �r.�►�r • w � L ! � �
7 w � �
i 3 � •� a
. � � w r � = �� r � • w �
�.�j i i � � • i i � � � �
s 1 • � i{ '�
� •i • • 1 • �J i
I w •
� � � �t ' 'il � ; �
= � � I a
� � ' �• , '
. : -. J .
` • �! �. �
� i �
��L � I � i
t
, i (L
I �