90-854 0� I r� n� � � Council File # —�J'��
V 1 Y�l
Green Sheet �` 7708
RESOLUTION ,— ,�,
CI�1( OF SAINT PAUL, MINNESOTA ; �j�s �E
, ` i
�.___
Presented By
Referred To Committee: Date
RESOLVED: That application (��70043) for renewal of a State Class B
Gambling License by Minnesota Wildlife Heritage Foundation
at Mounds Park Lounge, 1067 Hudson Road, be and the same is
hereby approved/��
�, 3� Navs Absent Requested by Department of:
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on � License & Permit Division
acca ee —�
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Adopted by Council: Date MAY i 7 199Q Form Approved by City Attorney
Adoptio Certified by Council Secretary gy: • � j .9�
�.
By= Approved by Mayor for Submission to
Approved by yor: Date , MAY i g 1990 Council
By:
�.�/,1��..�'/� By=
RUB�ISNED "rl�Y 2 � 19 9 Q
. , , C�-'�-�.�� t/ i',,
DEPARTMENT/OFFICE/COUNdL DATE INITIATED �(i��
Finance License GREEN SHEET No. 7 7����
CONTACT PERSON 6 PNONE �pEPARTMENT DIRECTOR �CITY COUNCII
Christine Rozek-298-5056 �y�Fpp Q�ATT�� �GTY CLERK
MUST BE ON COUNpL AOENDA BY(D/1T� Uy�. ROU7ING �BUDOET OIRECTOR �FIN.�MOT.BERVICEB DIR.
For He rin - 5-17-90 `�O C�'`/ ❑"""`'OR��"�ST""n Q Council
TOTAL M OF SIQNATURE PAQES t� (CLIP ALL LOCATIONS FOR SIONATUR�
ACTION REGUESTEO:
Approval of an application for renewal of a State Class B Gambling License.
Hearing Date: 5-17-90 Notification Date:
i�OOMMENW►TION :MD�(N a►�(� COUI�IL COMMITTEE/RE8EANd1 i�PORT OPTIONAL
_PLANNIN(i COMMISSION _dVIL BERVI�COMMIBSION ��YST PMOt�IE NO.
_p8 COMMITTEE _
_STAFF _ COMMENTB:
_DISTRIC'T COURT _
SUPPORTS WHICH COUNpI�JECTIVE7
IWITIATiN(i PR09LEM.ISSUE�OPPORTUNRY(WAO�Whet�NIMn.WhKe�Wh»:
Hugh C. Price on behalf of the Minnesota Wildlife Heritage Foundation
requests Council approval of their application for renewal of a State
Class B Gambling License at Mounds Park Lounge, 1067 Hudson Road. Proceeds
from the pulltab sales are used for conservation education. Znvestigative
fee of 4�373.25 has been submitted. All applications have been submitted.
ADVANTA�E8 IF APPROVED:
If Council approval is given, Minnesota Wildlife Heritage Foundation will
continue to operate a pulltab booth at Mounds Park Lounge, 1067 Hudson Road.
DISADVANTAQES IF APPROVED:
DI8ADVMITAGE8 IF NOT APPROVED:
I�CEIYED
���� c��ti��cd� ►�te�ea�c� ��Y��er,
��AY O 1 iyyU
ClTY CLERK --
TOTAL AMOUNT OF TRANSACTION = COST/REVENUE StlDOETED(CMICI.E�' YE8 NO
FUNDINd SOURCE ACTMTY NUMBER
FlNANCIAL INFORMATION:(EXPWI�
�W
� � �-�a-�.��
DiVISION OF I.ICENSE AND PERMIT ADMINISTRATION DATE I�-- / �l 13
INTERDF.PARTMF.NTAL KEVIEW CHECKLIST Appn rocessed/Received by
Lic Enf Aud
,
Applicant ('� _ Home Address 5 7 �� �Di2h'►Cindlc.�� L{�,
Rusiness Name �, n �L �,(�,(�,��_ {.� y. �-�..�y,�Home Phone '�Jv�� ' jCJ�3 ���
� �o u.ndw�-��-1-T e of License(s) C�(�SS �-�
Business Address I�Ot,�r��� ��. Lau nc,� YP ,
I
Business Phone ��(n7 f.f.ud,sd,� le�J Clumbl�n� L1GEn5:e� �ev�,��✓�. �
Public Hearing Date � �'1 cJ0 License I.D. 4� �Q U �{�j
at 9:00 a.m. in the Council C ambers,
3rd floor City Hall and Courthouse State Tax Z.D. 4t C 5��'��
llate Notice Sent; Dealer 41 ��4
to Applicant
Pederal Firearms �6 ���'
Public Hearing
DATE II�'SPECTIUN
REVtEW VEKFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
��,q- ,
Health Divn. !
ti�� �
�
Fire Dept. �
' � ��' �
I
I �'�'"''�- I�'��'�') c/�
Yolice Dept. I
���3 ��u ��
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License Divn. '
� r �16i �/�
City Attorney i ' �
`� l� �p, ��
Date Received:
Site Plan � I la... ICj p � ��
To Council Research I
Lease or Letter ate
from Landlord
CURRENT INFORMATION NEW INFOKMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
_ .
w`orkers Compensation:
New Officers:
Stockholders:
� ., ' ' _ �ity of Saint Paul � �� -�,f�
�� Department of Finance and Management Services
. Division of License and Permit Registration
h
INFORMATION REQUIRED WITH APPLICATION FOR PERMIT TO CONDUCT PULLTAB/TIPBOARD SALES IN
SAINT PAUL (Class B Gambliag License in Liquor Establishments - New Application)
1. Full and complete name of organization which is applying for license
�;� �sdfG w,�l� l�'�'L ,��°I`�� ������
2. Does your organization meet the definition of a "large" organization as outlined in
the November, 1988 revision of Section 409.21 of the Legislative Code? /�/'t�
Attach to this application pertinent financial and/or organizational information to
support your answer to this question. NOTE: Only 5 large organizations will be allow-
ed to open pulltab operations under the revised city ordinance. If more than 5 organi-
zations apply, qualified applicants will be selected randomly by the City Council.
3. Address where games will be held /bG� ����7y � Sf/�d•�1,�1N ���
Number Street City Zip
4. Name of manager signing this application who will conduct, operate and manage
Gambling Games �(�q� �, �/�-� Date of Birth ?5� 36
(a) Length of time manager has been member of applicant organization �tf L�'-�
S. Address of Ma.nager �.�� �vvGif�c�C�, �, C'�i�� � ��IU SS� 3�
Number Street City Zip
6. Day, dates, and hours this application is for �j v� — �d-� �/� ��
7. Is the applicant or organization organized under the Iaws of the State of MN? �
8. Date of incorporation �� 3 . �al' ? �
9. Date when registered with the State of Minnesota ��*.•�r2 �-��J���
10. How long has organization been in eaistence? /� ���
11. How long has organization been in existence in St. Paul? (/v��, � `� 7�
12. What is the purpose of the organization? L'-G�?S e/��%�/ ��'2, ec�vca�,tr�
13. Officers of applicant organization:
Name �Op�-�f �. c�7/�S��t 5'�+4 ! Name h�' O�
/ �/ "'�! 2�-`� N• �4�l L. /��r
Address ?j g� N� ��d-Sf7cL �/�'L Address � f�aty� /?��U �/O/
Title �'�S_ DOB `'j-Z7- �� Title �j�-c, DOB �Z -2 -'��
Name /7�4(9 C ����-� Name � 2 � i'�! �
/ �3 3 S F'�-�,t�'� �'�
Address [�c,c yc,L ,f�vsyrfzd�is� it;- ��,�, Address ���/5��� .ey
Title ��% DOB �-�'�� Title � �s� DOB �1-�'77-'7�3
� � �-- � - � �yo-�s�
- 14. Give names of officers, or any other persons who paid for services to the
s organization. �
Name �C��f7 �'� �YG � Name
�j�'?0 7 �'�2ox a-u-c S
Address �-yi,�3 �iN S�5'`� Address
Title �/: ��v���L Title
(Attach separate sheet for additional names.)
� �
15. Attached hereto is a list of names and addresses of aII members of the organization.
16. In whose custody will organization's records be kept?
/ / �o? /�'*�o jc ��-�- S
Name �?�9�'! � ��c..-�- Address s T,yfs�.l2i IU `�s y/'9
17. List all persons with the authority to sign checks for dispersal of gambling proceeds:
Name vq h � �j�c._� Name
S7° 7 �nO k � 5'
Address �YL�?�y i/L�c�r �5�-/9 Address
Member of Member of
DOB 7 -� �� Organization? �?r DOB Organization? '
�—
Name �c� �i�/ .� (���s 7`'cz>S�s Name �
3 g 6 N; �v� �s f � , s��f-� /3�
Address Sr` /�a-�P d�l N �S/� Z Address
Member of Member of
DOB Zj 1-�— 3 g Organization? _�� DOB Organization?
18. Have you read and do you thoroughly understand the provisions of all laws, ordinances,
and regulations governing the operation of Charitable Gambling games? ��
19. Will your organization's pulltab operation be operated/managed solely by members of
your organization? yes � no
20. 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 ci
If answer is yes, give the name and address of the person and/or company contracted.
Name Address
Name Address
If answez is yes, how will such a consultant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attach a copy of said contract to this application.
21. Operator of premises where games will be held:
Name /�// d �Ir7'�`� ��� `� �//c+C
Business Address i�Ov�idS l��1 �-ov-kc�-e 10�7 f��Q S�h �.
Home Address �02. -��'� � �� � � �D /�lv S��5�
.� . �yo-���
_ 22. a) Does your organization pay or intend to pay accounting fees out of gambling funds?
yes !/� no '
b) If you do pay accounting fees, to whom will such fees be paid?
Name ���j�-i G-�6� Fr1.a( ��?r, �i�Address �7�z � �`ts�g�r lf��e� /�e`'���
DOB � "�.� -��S Member of Organization? �f0
c) How are the accounting fees charged out? (flat fee, hourly, etc.)
d) What do you anticipate will be your average monthly deduction for accounting fees?
�'��-� � �e � �' .-"�
23. Amount of rent paid by applicant organization for rent of the hall:
�/� i�L�
24. The proceeds of the games will be disbursed after deducting prize layout costs and
operating expenses for the following purposes and uses:
' � .
`��� _-.-��
25. Has the premises where the games are to be held been certified for occupancy by the
City of Saint Paul? �� .
�
26. Has your organization filed �federal form 990-T? � If answer is yes, please attach
a copy with this application. If answer is no, explain why:
�►ny changes desired by the applicant association may be made only with the consent of the
City Council.
� �����
_ .
Org iz ion Name ,, �
/.. ,% ` �
; '
Date /%�2��,c"Z'� L Z. ��� BY� C
..�M g in ar of a:ae --
.� /
/
�
Organizat on P esident or CEO
City oE Saint Paul • �� z,_r Page t _ /��G����'�
"D'spsrtt�nt oi Tinsnea snd Manatament Sstvie�s
��, l
Di�islou ot Lieans� and Per�it ndsiaiscracion
UNIfpR!! C1{ARi'fAbLE CAMELItiC PINANCIAL ltEY0R1 � � `'' ��
Dat�
����.PSC9�c�. G���c���� �Q�'",�I�d('� �"2����c,-?�
�, N� ot Oc�anisacion ,
�,/ Cy
2. Addrass vh�t� Chasicsbl• Cublin= i� eeeduetad ���� ,!v�/S��—�f ����
�r� l9 89 ehrou{h F��ary u 9�
3. R�potL tee p�riod eov�sin� 304
4. Tocsl nusb�r ot day pla7�d
: 449,152.75 (includes interest)
S. Cro�• reeaipcs tos abov� P�siod 354�273.00
6. Gross pris• parouts fos abov� p�siod (inelud� ea�h �hott) i
� 94,879.75
7, N�c c�esipei - liaa S dnu� lin� 6
8. A�p•Gt ss1vsp�spaid.caAteseh �►artc liatcvith�s•: s 19,553.83 �� dttdC�12C� S�'lE�t)
nam��. addsassas. �co�• va��s. au�b�r of hours
vorked. aad aaount Paid p�s Aouc.
O = 4,333.30
D. Rant for � vesks
s 480.25
C. Liesns• f�s
= I�J�.O�
D. Insuranee �
s 100.00
L. Bond
i. Disho�sad ehselu not Tseo��r�d
= 90.00
s 2,872.00
C. Aeeouatiu� lacpaa��
s 1,540 55
H. �plor.c. r.I.c.A.
i. Pullcab ta�c Paid to D�pastune oi l��sau�
S II.S��J 7d
s 40 83
J. Mian. U.C. ta�c
s — 0 —
1C, t�daral Lxeia� ta� i Sea�p
3 — 0 —
L. Stat• C�blia� ta:
M. lti�e�llawou� ExP�a
.,. Id�otii� ca. ..wac S�b total ... $40,686.50
aad to vho� Paid.
t. see attached sheet :
2. _
3. �
Sub total ... 25,479.99
�. ;
66,166.49
� mr�, s
9. iocal Espsaw • 28,713.26
s
l0. N�t IaeaN ' lia� 7 �lao• lia 9 1��.00
oi p�siod S
11. Chsekbook balaae• b�iim�in� 2$,$13.26
_
12. tocal of lso� lo a� 1 t 27�550.37
. � 13. tocsl eoncributiosu (fso� attuh�d vorbA�ac)
3
1 262.89
16. Cheekbook balaae• snd ot r�Partia� p�si°d ; i
lin� 12 l�ss lia� 13