90-971 0 R I G i NA L � • Council File # 6Q `�/7�
Green Sheet # 7710
SOLUTION
ITY OF SAI PAU , INNESOTA ,-� > I :
� �
Presented By
Referred To Committee: Date
RESOLVED: That application (ID ��31200) for renewal of a State Class B
Gambling License by Rice Street VFW Post 4�3877 at 1134 Rice Street,
be and the same is hereby approved/�.
Y� Navs Absent Requested by Department of:
mon
onw �— License & Permit Division
acca ee �
�e '�'ma —�
une —�
z son �— BY�
Adopted by Council: Date JUN 7 1990 Fo� Approved by City Attorney
Adoption Certified by Council Secretary ' '
� By: �-/
By' ��`'� roved by Mayor for Submission to
/` � C) E��� ��' ��ncil
Approved by Mayor: Date (�/ J,, �
By: �/C(-lrC�/���C C��_ By:
PUBUSIIED JUN 16 1990
� , �o,C g�-.�a� �/�
DEPARTMENT/OFFICEJCOUNCIL . ` � DATE INITIATED �7
Finance License GREEN SHEET No. i �� Q
OONTACT PER80N 6 PNONE INRIAIJ OATE INITI UDATE
�DEPARTMENT DIRECTOA �CITY COUNCIL
Christine Rozek-298-5Q56 �� 0 crrr�rra+N�r 0 ciTr cx�►c
MUST BE ON OOUNCIL ROENDA BY(OATE) City Clerk � ❑��T��� �flN.8 M3T.SERVI(;ES DIR.
Hesr$ii ,:6-7-9.0 -,-.-"" B ❑M'�`����T� Q (:rnmril R
TOTAL#►OF SIGNATURE PA�S (CL.IP ALL LOCATION$FOR SKiNATUR�
ACTION RECUEBTED:
Approval of an application for renewal of a State Class B Gambling License.
Hearin �te: 6-7-90 Notification D.ate:
REC�MAENW► :MP��+(�4 a►�(� COUNC� REPOHT OPTIONAL
_PLANNINO COMMISBION _pVIL�RVIC�COMMI8810N ANALYST PHONE NO.
_pB OOMMMTIEE _
_STAFF _ ��:
_DIBTRICT COURT _
SUPPORTB WHICH OOUNpL 08JECTIVE?
iNITIATINO PROBLEM.ISBUE.OPPOFlTUNI'1Y(Who, �l
�
B�' 3877 requests Council
� • � Class B Gambling License
l i has been submitted.
'� TO CITY COUNCIL COMMITTEE: khorized charitable
❑ FINANCE,MANAGEMENT&PERSONNEL �
"°�""T"°�s iF"' � HOUSING&ECONOM�C DEVELOPMENT
❑ HOUSING&REDEVELOPMENTAUTHORITY � ��3877 will continue
❑ HUMAN SERVICE�S,�RLECYI.ATED INDUSTRIES,
AND RULES AN
❑ �NTERGOVERNMENTALRELATIONS
°'8"°�""T"°ES�1 ❑ NEIGHBORHOOD SERVICES
I
I ❑ PUBUC WORKS,UTILITIES&TRANSPORTATION �
,I
ACTION
,
❑ OTHER '
DISADVMtTAGES IF
O .
DATE
FROM C�OUC1Ctl R@S@aCCtl Ver1Y��
--
- -- _--"� MAY 2 51990
- — CITY CLERK - -
TOTAL AMOUNT OF TRANSACTION = COaT/liEVENUE BtlDGETED(qRCLE ON� YES NO
FUNDINO SOURCE ACTIVITY NUM■ER
FlNANqAL INWRAAA710N:(IXPLAIN)
��
� ` i
� , ,
� i `� '
NOTE: COMPLETE DIRECTIONS ARE INq.UDED IN THE(iREEN SHEET INSTRUCTIONAL �"
MANUAL AVAILABLE IN THE PURCHASIN�3 OFFICE(PHONE NO.298-4225).
ROUTINCi ORDER:
Below are preferted routinpa fw ths rive mo�t Irequent typea of documsnts:
CONTRACT8 (assunws autNtxizsd COUNCIL RESOIUTION (Amsnd,BdgtsJ
budpet exista) Ac�.(3rants)
1. Outsids AgenCy 1. Depsrbnent DireCtor
2. InftiaNn�DepartmeM 2. Budgst Dinctor
S. City Attomey 3. City Attorney
4. Mayor 4. AAsyorUs�taM
5. Flneux�s 8�M�mt Svca. Df►ect� 5. Cily Council
8. Financs Accourning 8. ChiM/lxountaM, Fin&Mgmt Svca.
ADMINISTRATIVE ORDER (RB�udg�st, OOUNqL RESOLUTION �ORDINANf:E _
1. ActivFty Maneper 1. initiating Department Dirsctor
2. DepeRmsnt AotAUMant 2. City Attornsy
3. D�rtm•M Director 3. Ma�►oNAstistent
4. Budpet Diroc:tor 4. City CoUnCil
. 5, {�ty qerk
8. Chlsf Axountant� Fln d�Mpmt Svcs.
ADMINISTRATIVE ORDERS (aU othas)
1. Initiatiny Departmsnt
2. qty Attorney
3. MayoNAssister►t
4. (:ity qerk
TOTAL NUMBER OF SI(iNATURE PA(iES
Indicate the�of p�pss on which signatures are required and papsrclip
�►ch of tftsss p�ss. j
ACTION RE�UESTED
Describs wlud the projecf/requsst ssrks Lo a000mpllah in Nther chronologi-
c�l ordsr or ordsr ot importan�,wMcMver ia rtwst a�ropriate For the
. issue. Do�t writs complate ssnterw�s. �n�ch item in your Ilet with
a verb.
REOOMMENDATIONS
Complete if the issue fn question has b�sn prsesnted bsfore any body, public
o►private. .
3UPPORTS WHICH COUNdI OBJECIIVE?
�ndfcace wr�cn cound�ablecl+w(a)your p�actlroq+�+est auppons br usnng
ths key word(a)(HOU8INO, RECREATION, NEK3HBORHOODS, ECOIdOMIC DEVELOPMENT,
BUDGET,3EWER SEPARATION). (SEE OOMPLETE U3T IN INSTRU(:TIONAL MANUAL.)
COUNqL COMMiTTEElREBEARCH REPORT-OPTIONAL AS REDUESTED BY COUNCIL
INITIATINCi PROBLEM,ISSUE,OPPORTUNITY
Explain ths sRuedon or conditlorn that cnated a need for your projsct
or roquest.
ADVANTAOES IF APPROVED
Indicate whsthst this is simply an annwl budpet procedure required by law/
chaRK or wlNtl�thsre ars sp�cFHc wa in whfch tha City oi SaiM Paul
and ita citiz�ns wNl bsnsflt trom Mis pro�t/action. . .
DISADVANTA(iE8 IF APPROYED
What nsgatiw sffscts or major chanpss to existlrq or past processes might
this projecNrsqusN produce if it is peseed(a.p..trafflc deleys, noise,
tax increa�s or�)�To Whom?Whsn4 For h�r lonp?
DISADVANTAOE8IF NOT APPROVED -
What will be the nsgaNvs c�ra�qusr�as if ths promised actfon is not
approved?InabiNry to dsliver as�vice?Continwd hf�h treffic, noise,
accident ratsT Loss of rswnw?
FlNANGAL IMPACT
ARhouph you mwt tailor ths infonnation you provid�here to the issus you
are addn�ing, in g�nsral y�ou mwt answsr two queNbna: How much ia it
�oin�to cost�Who is poinp to p�yt .
, . � �o -���
UlVISION OF I.ICENSE AND PERMIT ADMINISTRATION DATE ( ��- 9� / /�- D
INTERDF.PARTMENTAL KEVIEW CHECKLIST A.pp Pr cessed/Receive by
Lic Enf Aud
Applicant ��� o�[� (J�L� _ Home Address ���)I�fm ��D�S�.�
�—
Rusiness Name �ICR� � �r w Home Phone
Business Address [�3�} IL�I.Q��' � Type of Lic.ense(s) �/t.Ql.J '" �llSS
Business Phone � �in ` IIL'-PinS-�- °
Public Hearing Date � � � License I.D. 4F 3 ��Cj�
at 9:0� a.m. in the Council hambers,
3rd floor City Hall and Courthouse State Tax I.D. 4� 3 3 0�"3l�'
Uate Notice Sent; Dealer 4� �1,¢
to Applicant
rederal F�_rearms �� � ,L�
Public He<.�ring
DATE TNSPECTIUN
REVt�:W VERFIED (GOMPUTER) CUMMENTS
A roved Not A roved
Bldg I & D �
1��L�- , .
Health Divn.
�
� 1../ A`
�
Fire Dept. � � �
i � � I
Yolice Dept.
� �t,r� � '�}�il ��IC)
Orc� y a3 ��� a�
License Divn.
�
i
City Attorney �
� ����� , ��
Date Received:
Site Plan IJ�A'S �_� �� (, �
To Council P.esearch �
Lease or Letter i � Date
f rom Landlord �(�✓� �l,Li `�"►'`!�,_
CURRENT, INFORMATION NEW INFOItMATION
Current Corporation Name: New Corporation Name:
Current D.BA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
�
Stockholders:
'• -- � ��+; � ' � Citq of Saint Paul �"I 0'q 7�
� Department of Finance and Maaagement Services
� Division of License and Permit Registration
INFORMATION REQIIIRID WITH APPLICATION FOR PERMIT TO SELL POLLTABS b TIPBOARDS IA SAINT PAUL
(Class B Gambling License in� Liquor Establishments — Renew)
` �� 1. Full and complete name of orgaaization which is applyiag for license
�-
��Cc 5ri R�E'r V FW �o ST '� �R 7 7
2. Address where games will be held 1 �3� �SCF, ST• ST. �UL SS/('7
Number Street City Zip
3. Name of manager signing this application who will conduct, opezate and manage
Gambling Games L1}S.C.L3fIM. l7• (,�, �o t7G�?'f Date of Bizth �UC.� i(, l q�{Z
(a) Length of time manager has been member of applicaat organization 7 �R S�
4. Address of Manager �S"10 l.0 i-!E€'LU�t< L/�nic; � 1C22 �C', � c�� . �S!(1
Number Street City Zip
5. Is the applicant or organization organized under the laws of the State of MN? �1�$
6. Date of incorporation mARcr� Z[, ( �{ �,�(
7. flow long has organization been in existence? S� y 2 S .
8. How long has organization been in existence in St. Paul? s� �RS.
9. What is the purpose of the organization? �ETE�?Ai.lS OIP6RN=ZRT.zon1
10. Officers of applicant organization:
Name (.�E' S�c�Ff'E L Name �A C►< MA RTEN S
Address Z�7V �3�RLiZ S�p,�Ut SSK;�( Address �Or57 ?RCt�Sc,,�1 S�'�q�L; $$i�-j
PbS� 52• Ytc.c
Title (�oST Coavn,+Fl�c�7�ER DOB (aUb. 3i� (QZI Title Can.nenN� DOB AU6 /3, IQZy
Name �'ER2`( MS.CKC�S Name
Address � I b$ WE57�'2N 5�.PRUL S�cIT Address
,
, TitlePcS: Q�qttJ�Q/NRS��OBj�T, i(, IqZS Title DOB
11. Give names of officers, or any ot&er persons who paid for sernices to the
organizatioa. .
Name Name
Address Address
Title Title
(Attach separate sheet for additional names.)
' . .., . � - �y� -�7�
12. Attached hereto is a list of names and addresses of all members of the organization.
13. In whose custodq will orgaaization's pulltab records be kept?
Rame WSLC-�A M '�!��6ETT Address [STa W�tEECo�K ��.(��1aZ �'R1UC
14. List alI persons with the authority to sign checks for dispersal of gambling proceeds:
� Name �sGltA� t'3' C�O�Ei€TT' Name 5�2.� MsCKvS
Address �3'� �c}�{�EGat,�t ���fa2 �PquL Address i(�2� W�ST'€R� ST,PAUL
Member of Member of
�$ �uG� ��,l 4�2 Organization? �S DOB(�CT t(+ (QLS Organization? `�SS
Name �EE �lo Ft'�C. Name
Address ��(� (;�Arp_ ST PRUC as roy Address
Member of Member of
DOB�Ub';f. t�i.Zl Organization? �S DOB Organization?
15. Have you read and do you thoroughly understand the provisions of all laws, ordinances,
and regulations governing the operation of Charitable Gambling games? ��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 �Jyt.G2Art� t3(.c�t�f-s�r?�
I S?D LU NE.�L[�CtC �nt 6 'd t U Z- ST��!�L �,n1�. $S/17
Address
who is the GRnri3t:Z�b �+'��/►r�4L�.� of the applicant organization.
Name
17. Will your organizatioa`s pulltab operation be operated/managed solely by members of
your organizatioa? yes k no
18. Has your organization signed, or does it intend to sign, a consultfng agreement or a
managerial agreement with any person or compaay to assist your organization with the
pulltab sales and/or recording keeping? yes no X
If aaswer is qes, give the name and address of the person and/or company contracted.
Name Address
,
ftame Address '
If answer is yes, how will suc8 a consultaat be paid? (percentage, flat fee, gambling
fuads, geae=al funds, etc.) Attach a copy of said contract to this application.
19. Operator of premises where games will be held:
Name �C� s i� I,��W
Business Address j�3� �IC� s? S: PAUL� . Mn/- �"5��7
Some Address
. .N . . �ys-y��
20. a) Does qour organization paq or intend to paq accounting� fees out of gambling funds?
yes X no '
b) If qou do pay accounting fees, to whom will such Ue�sAbKeEPPR�S��"►�Y��R��Wt"��
;�
Name Address irUE HRVc n/o'r'HsREO Rnt Rocowii�tT Yo Or�rC
�-
DOB Member of Orgaaization?
c) How are the accouatiag fees charged out? (flat fee, hourly, etc.)
d) What do you anticipate will be your average monthlq deduction for accounting fees?
21. Amount of rent paid by applicant organization for rent of the pulltab sales area:
/Y f f} i.J6 Ot�2n� t�C /Suzc.vs,�fs
22. The proceeds of the games will be disbursed after deducting prize layout costs and
operating expenses for the following purposes and uses:
/O °/o ST� P/�fea[. CsT�i `ID(TfN (.EEi4GdE Anlv OT/�if.�4 A(!T/abRZZGiJ CNR.t.oi4TR.E3�
,�eFs�,�N75
23. flas your organization filed federal form 990—T? � ES If answer is yes, please attach
a copy with this application. If answer is no, explain why:
Any changes desired by the applicant association may be made only with the consent of the
City Council.
�� sT �Fw P� �` ����
" � Or aniza ion Name�
� G�I�t�d►�t�t.��-
Date � ��v By: ���t�✓` � �
Manager in char e of game
�D .O /p
Orgaai President or CEO
.• • �• ' + City of Saiat Ysul Page 1 / /GO�7�
• Dapastmaae of Fiaanee and liana�e'eac Services �� �
Division ot Liean�a aad Pessit Adaiaiserst ion
UtRFORli CHARILIELE CAlOLIttC FI2IANCIAL ItLPOR?
Dste
t. na.. os orpai:.eson R.CC6 Sr JFGJ posT `' 38 77
2. 1lddsess vb.r� Cbasiubl� Ca�blie� ia eeadaoted t t 3� 3QZCtr ST Sf pAl.�L �'S7l7
3. R�poss for pesiod ewrerini Mf�� _19� ebsau�h �fg 1!�
4. Total nwber ot da�s pLyed ���
S. Cso�• receiata fos abov� p�riod = �%5� Z(r'7 �
6. Gross prise Dayouts fos sbov� pariod (iseluda euh shott) ; �07 '`'/ _ 7$3 -
7. Nec raeeipts - Iia� S oinua line 6 = � - ��6 y0� �
8. Expsn��• laeusrsd 1a eonduetia6 and op�ratia� =s�:
A. Gross va�aa paid. Attaeh vorket list vith
aam�s. addrsssas. ;ro�a va;as. n�mber of honrs f /'. L1l�f� '-
vorksd. aad asount paid pas hour.
H. Renc Eor �� veeka i �7��D`�
C. Lieenae fee. i �Ob'�
D. Insurance s .
L. Bond 3 �00-
�
!. Dishonosad eheeka not retov�rsd ;
1 C. Accouacini Facpen�a
i '�
N. Emplo�sra F.I.C.A. ; 7`��
I. Pulltab Ta�t Paid to Depasta�nc ot Rreaue i ��: �Q�'�
J. Minn. U.C. iu =
R. ledaral Exeiss Tu 8 Sea�p t Zsl Q �
L. Stat� Ga�blin` ta�c =
X. ltiscsllaa�oua E:psases. Idaatit� ths �aint
aad to vlwa paid. �R
iMAr6RsAc. Fca�rzcK�r �=''�27$—
� z.0 ++Ec�c 2r-cE s 300�—
. 3:7'zC�ce'sT PttRc.K1RCES i r�$• �Z�'�
. �� :
9. ?otal E�sns�� ?0?AL i 6 7. T�'� _
, L0. N�t IneaN - lina 7 dts�• lin� 9 = �u' �3 g-,
11. Checkbook balanes beiinaia� ot p�s3od s fr�i Z �b
12. total of lina 10 and 11 = l 2q' QS��
�' 13. total eootzibutioas (fsos attuh�d vosksMst) _ �S��g31��,- �
16. Checkbook balsnes sad of rsportia� pesiod - ; G Z�� 3�
lins 12 less Iias 13 D �