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90-972 0 R I G 1 N A L. Council File � B '!7'� Green Sheet � ��21 RESO TION " �� C OF SAINT P UL, MINNESOTA ����� � Presented By Referred To Committee: Date RESOLVED: That application (ID ��17239) for renewal of a State Class B Gambling License by Twin Star VFW Post 4F8854 at 820 Concordia Avenue, be and the same is hereby approved/i�. � a s Absent Requeated by Department of: 0 ti'' � License & Permit Division � cca ee � e a u e �_ By: i son --z_- �- Adopted by Council: Date JU N 7 1990 Form Approved by City Attorney Adoption Certified by Council Secretary gy; • .;'1J- BY� � Approved by Mayor for Submission to r�p��cil Approved by Mayor: Date � ` ) �(�N rj I�yU By: By� PUBUSHED JUN 16 1990. . . C��-yo-���- j% DEPARTMENTlOFFK�IOOUNqI DATE INtTIATED Finance Licen e GREEN SHEET No. 7721' CONTACT PERSON R PHONE INITWU DATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY OOUNq� Christine Rozek-298-5056 �p� �qT�'AITORNEY QCITY G.ERK MUST BE ON OOUNCIL A(iENDA BV(DAT� City Clerk � ❑BUD(iET DIRECTOR �FIN.d MOT.SERVICES DIR. For Hearin 6- -90 B - 0 �"1AYOq�OR��""n Q�c31 R TOTAL#�OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR 81GNATURE) �c�noH Rc-�uESrec: ( Approval of an applic tion for renewal of a State Class B Gambling License. ���fi�� . Hearin Date: � Notification Date: RECOMMENDATIONB:MP�(N o►�1�(� COUNCIL COMMITTEElRL8EARCM REPORT OPTIQNAL _PUINNINO COMM18810N _GVIL SERVIC�COMMISSION ��� �E�. _C18 f�MMiTTEE _ _BTAFF _ COMAAENT8: _DISTRICT OOURT _ SUPPORTS WNICN OOUNqI OBJECTIVE4 INITUTINO PROBLEM,ISSl1E,OPPORTUNITY(Who,Wlut,Whsn,Vifisro,Wh�: Aaron J. Dooley on behalf of Twin Star VFW Post #8854 requests Council approval of their application for renewal of a,S��st� Class B Gambling License at 820 Concordia Avenue. Investigative�fee of $373.25 has been submitted. �ov�wr�oES��raoveo: If Council approval is given, Twin Star VFW Post 4{'8854 wi11 continue to operate a pulltab booth at 820 Concordia Avenue. asnov�rir�ES iF��o: DISADVANT/U3E3 IF NOT APPROVED: RECEIVED ���F,�j� ��s�arcn �enr.e� �1Y30i�� MqY 2 51990 CITY CLERK '� TOTAL AMOUNT OF TRANSACTION = COST/F�VENUE BUDOETED(C�E ONE) YES NO FUNDINO SOUi�E ACTIVITY NUMSEA FINANCIAL INFOHAAAl10N:(EXPWN) �� . (�yo-y72 IiiVISION OF I,ICENSE AND P�RMIT ADMINISTRATION DATE tl 9C� / � �� c/U INTERDF.PARTMENTAL REVIEW CHECKLIST Appn Processed/Received by Lic Enf Aud t� , U Applicant t �i v� �S-�r- U r� �OS� Home Address �f � (o �. !" 1�Y� I Q n � 5��d� Rusiness hame ��� ` Home Phone � � y � ��1 �] Business Address �an �-p►�1(�v✓ck C� Type of License(s) � �G15S � — Business Phone ��mb�� n� �iCQnS-e• �-i'�r.J�-t _ Public Hearing Date � � �d License I.D. �{ i7a 3 9 at 9:00 a.m. in the CouncilCCha bers, 3rd floor City Hall and Courthouse State Tax I.D. �� q y y a Si5" llate Notice Sent; Dealer �� J11��' to Applicant rederal Firearms �� N�{�- Public He��ring DATE INSPECTIUN REVIEW VEKFIED (COMPUTER) CUMMENTS A roved Not A roved � Bldg I & D � I��A- � Health Divn. �(�. ' � Fire Dept. � � ' N I�- I � � , Yolice Dept. ' �Ia3I�`� C��. � License Divn. ' � ! City Attorney � � ��3 5� � �-- Date Received: Site Plan 1.7I L� To Council Research Lease or Letter Date from Landlord U I� 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: < <' City of Saiat Paul C��`Cf�•Z , • � Department of Finance aad Management Services , .. � Division of License and Permit Registration INFORMATIc7N REQUIRED WITE APPLICATION FOR PERMIT TO SELL PULLTABS b TIPBOARDS IN SAINT PAUL (C1&ss B Gambling License in Liquor Establishments — Renew) I. Full and complete name of organization which is applying for license TWIN STAR VFW POST #8854 2. Address where games will be held 820 Concordia .Ave. St. Paul _ 55104 Number Street City Zip 3. Name of manager signing this application who will conduct, operate and manage Gambling Games Aaron J. Dool ey Date of Birth 10/O1/12 (a) Length of time manager has been member of applicant organization 1962/28 yrs . 4. Address of Manager 1116 E. Marylanci Avenue S�c. Yaul 55106 Number Street City Zip 5. Is the applicant or organization organized under the laws of the State of MN? Ye s 6. Date of incorporation 1 9 62 7. How long has organization been ia existence? 2$ year s 8. How long has organization beea in existence in St. Paul? 28 years 9. What is the purpose of the organization? Veterans organization 10. Officers of applicant organization: Name Otto T. Burroughs Name Walter Archer Address 1013 W. Central Avenue Address 1025 W. Central Avenue Title Commander poB O1/03/18 Title Sr. Vice Comm. DoB 03/17/30 Name George Allen N�e James G. Kirk, Jr. �,ddress 4705 - 4th Avenue S. Address 1005 St. Anthony Avenue Title Jr. Vice Comm�pB 00/00/00 Title QuartermasterDOB 06/19/20 11. Give names of officers, or any other persons who paid for services to the organization. Name Alexander Jordan N�e Harry Thomas, Sr. Address 175 Charles - #129 Address 1641 Virginia Street Title Chaplain Title Surgeon (Attach separate sheet for additional names.) � � � � � ��o-�7z 1�2. Attached hereto is a list of names aad addresses of all members of the organization. % �I 13. In whose custody will organization's pulltab records be kept? ��Name• Aaron J. Dooley Address 820 Concordia Avenue 14. List aIl persons with the authoritq to sign checka for dispersal of gambliag proceeds: � Name Aaron J. Dooley N�e Otto T. Burroughs Address 1116 E. Maryland Avenue Address 1013 W. Central Avenue Member of Member of Dpg 10/O1/12 Organization? YeS Dpg O 1/13/18 Organization? Ye s Name Name Address Address Member of Member of DOB Organization? 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? 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 Address who is the of the applicant organization. Name 17. Will your organization's pulltab operation be operated/managed solely by members of your organization? yes X no 18. Has your organization sfgned, or does it intend to sign, a consulting agreement or a managerial agreement with any person or company to assist your organization with the pulltab sales and/or recordiag keepiag? yes no X If answer is yea, give the name and address of the person and/or company contracted. Name Address Name Address � If answer is yes, how will such a coasultant be paid? (percentage, flat fee, gambling funds, general funds, etc.) Attach a copy of said contract to this application. 19. Operator of premises where games will be held: Name Aaron J. Dooley Business Address 820 Concordia Avenue Home Address 1116 E. Maryland Avenue . . (:/`"�o`�7�- � r 20. a) Does qour organization pay or intend to pay accounting fees out of gambling funds? � � yes X no ••b) If qou do pay accouating fees, to whom will such fees be paid? Name EDSTROM ACCOUNTING Address 104 N. Dale Street DOB Unknown Member of Organization? No c) How are the accounting fees charged out? (flat fee, hourly, etc.) Flat fee d) What do you anticipate will be your average monthly deduction for accounting fees? $300 21. Amount of rent paid by applicant organization for rent of the pulltab sales area: None 22. The proceeds of the games will be disbursed after deducting prize layout costs and operating expenses for the following purposes and uses: Scholarships , food shelves , churches , Annual Senior Citizens banquet, help w/medical expenses for poor individuals with no other resources , family emergencies , Thanksgiving/Chri.stmas baskets 8� social agencies . 23. Has your organization filed federal form 990-T? X 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. TWIN STAR VFW POST #8854 � Organization Name ' Date 04/OS/90 gy; Aaron J. Dooley ger in harge of game �_�������� �Ott T. Burrou hs o g Organization President or CEO • � Cltq of Saint Psu2 P�B• ! Deparcmene o! Fiaanee and �anage,m�nc Secvieea �/ Division of Licenee acd Permic Adminiac:acion � //,C CJO�-�7� l%� [ ' UNIFOR?[ CNARISABLE GAltDLINC F29ANCIAl. REPOR2 Dac� 04/10/90 1. Nam� oL Oe6antsacion TwIN STAR VFW POST #8854 2. Addr�s� vh�re Charitabl• Cublin� is ea+duecsd 820 Concordia Avenue Februar 89 January 19 90 3. lteporr fos p�riod eoverin� y 19_ ehrou=h _ 4. Total number of days playsd 365 S. Cro�• r�eeipu for abov� p�riod t 522,163 6. Croes priza payouts fot abw� p�riod (includ• es�h short) `f 407,724 7. N�[ reeeip�s - lia� S miaua lin� 6 �1 4y 439 9� , �.�---� 8. Eapense� incusred in eonductias aad operscing �o�: A. Ctosa vage� paid. Ateaeh votker liat vith nsmes, sddre:ses, gro�s va;ea. nusbsr of Qours i 22.254 vorked, and amounc paid p�r hour. B. Renc Eo� ve�ks f C. Licena• tee = 52� D. lneuranee = E. Bond = P. Dishonorad ch�elca noc rseovered � C. Aceovncia� Eapenss ; 200 H. Employ�rs P.I.C.A. = 1,058 I. Pulltab ia�t Ya1d to D�parta�nc ot R�venus f 10,�52 J. xinn. U.C. Tax : 147 R. Pedaral Exeiaa Tax 6 Sta'p f 1,919 L. Stat� Cubling Tu f 477 !S. liiscellaa�ous Exp�nses. ld�ntif� tAa �sount and to vhoa paid. 1. Distributors f 6,464 Z. Advertising = 408 �, Repa i rs ; 450 4.KW Construction = 4,925 Not approved by State Board. 9. 'fotaZ l�tpaa,.r , TOTAL t 49,581 to. x.e IneoN - lsa. 7 dan. lsa. 9 = 64,858 11. Chsekbook balaae� b�;iania� oi p�riod ; 3 3,1 03 � 12. Toca2 ot lsn. lo aad 11 = 97,961 ' 13. Total eoncribueions (fro� accaeh�d voricsh��t) = 53,153 16. Ch�ekbook balaaea end ot raporting psriod - 44,808 • line 11 less line 13 f NOTE: Expenses for KW Constructions not approved by State. Amount returned to � Gambling Checking Account — 04/09/90. Check= #510 dated 08/07/89 payable to Angela Robertson — $500 — not cashed. Check #582 dated 11/18/89 payable to PATRICE JOHNSON SCHOLARSHIP FUND has not been cashed. ' � �.� � vr �� , r��� Page 1 of 8 UNI�ORM CHARi�ABIc G��MBI:NG �i�VANC;�L RE?GRT L�kFUL PURPOSc CONTRIBUT:ONS - WORKSHE:T �yQl�l�� •� Line #13 - Total Lawful Purpose Contributians. S 4500.00 List below ail checks written from qambiinq fvnds 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. ' CHEC< # OATE PAYEE CHECK AMOUN PURPOSE j, 415 02/04/89 COMO AREA HOCKEY $ 500.00 equipment 2. 416 02/18/89 SALVATION ARMY $ 25.00 needy families 3, 418 02/18/89 CEREBRAL PALSY $ 25.00 donation 4, 419 02/18/89 JIMMIE LEE BOOSTER CLUB $1000.00 youth athletics 5, 420 02/18/89 MODEL CITIES HEALTH $ 500.00 senior citizens 6, 422 02/18/89 LIMITED 30 $ 120.00 Mother of the Year Award �, 424 02/28/89 City of St. Paul $ 660.00 youth athletics g, 427 03/16/89 Dept . of MN VFW $ 100.00 Marine battle color ceremony 9, 428 03/17/89 City of St. Paul $ 220.00 municipal athletics I0. 431 03/24/89 AMERICAN CANCER SOCIETY $ 100.00 Daffodil Days 11. 433 03/18/89 MN PET GROOMERS ASSN. $ 200.00 donation 12. 437 � 04/04/89 MAXFIELD SCHOOL $1000.00 IField trip 13. 438 04/08/89 MEMORIAL DAY ASSN $ 50.00 Memorial Day supplies TOTAL CHECK AI�UNT 54500.00 NOTE: These expenditures wi11 be provided to Council Memben at your Council hearing. Be sure that your financial report is complete and accurate. �1 . '� _ ' �,y � • r A w � r i T O � � � � � • C ! � � r � � C � • � O � • �i � - � � • .� l� ` . � + + • � ' ` �_ . f - - • : e : , . a . a � I ) • • � \ O � � • • _ � r 2 � � � .� f �s 3 � � � S ! = i a � � i Z Z � i � � �� � � ' • r A � � � N 1� � � r - �� � Y � � � 1 � � � . ar ,� � � � .�. i • i � � > � 3 i.1 � : � I � ' � O r � I s � � � »i i 1 .� • / �� 7 � w .r�v � ° I ' � • i ; ; .���r �� ; i� s w s •� � ; � � w • � = •� r � � y � �� C . � ��1 � s � � _� i � � � - • • 0+ � •► • � � � � � � + I • �� I � • �� � w � r � � »� J� � I � s ; � � � � .. � �� : - , �, � . I • ,� . � ` a� � s � � � � }, � � I J • � i i . '� i I I � I • , . �. � ; vr �� . rn�� Pa e 2 of 8 uNIiGRM CHAA;iAdL"c Cu�MBL:NG �i�VANC:�� RE�OR� 9 LaWFUI PURPOSc CONTRIBUTI�NS - WORKSHEcT �p0 �'�l 7� , L�ne #13 - Tata1 Lawful Purpose Contributions. . , , , , , S, 1o:645.9� , . . . . , . . . . , List below ail checks written from gambling funds which are t charitable lawful purpose contributians. The totaZ dollar amounts of these chetks must match the amount claimed fn line �I3. Use additional sheets as necessary. ' CHEC< # DATE PAYEE CHECK AMOUN PURPOSc - I• 441 04/22/89 VA MEDICAL CENTER $ 300.00 TV fund 2• 442 04/22/89 DOROTHY DAY CENTER $ 500.00 donation 3• .443 04/22/89 UNITED BLIND of MN $ 100.00 donation 4• 444 04/22/89 MUSCULAR DYSTROPHY ASSN $ 500.00 equipment 5 • 445 04/22/89 MN LEADERSHIP SEMINAR $ 150.00 sponsoring of student 6- 446 04/22/89 DUNN(NG BOOSTER CLUB $ 950.00 youth athletics �• 447 04/22/89 ST. JAMES A.M.E. CHURCH $2000.00 poor & needy families 8• 448 04/22/89 MOOEL CITIES HEALTH $ 500.00 health care 4• 449 04/25/89 J . THOMAS ATHLETICS $ 342.97 softball supplies 10. 451 04/29/89 ST. PETER CLAVER SCHOOL $1500.00 tuitions lI. 452 04/29/89 METRO GOLF CLUB $1000.00 Jr. golf 12• 453 04/29/89 CONTACT TWIN CITIES $ 500.00 family support I3• 454 04/29/89 JIMMIE LEE RECREATION $2303.00 athletic equipment I - i ' TOTAL CHECK A1�UNT S1o,645.97 NOic: These expenditures wi11 be provided to Counci? Members at your Council hearinq. Be sure that your financial report is complete and accurate. _ ' ,� y � . _� _ � � � � _ _ 3 = : . . : o » '� : : e s • '' - .. � �. . e > . . � ° � � .. s • : .. � w � . � + � +• a r� �- � • : � a � , e . � . � ; : : : � � e � ' � � z o s � � .. � • ..� � � s a 2 s e : � s t � '� � � � � � - M A � Z � � � ;� Y 1 � 'y�j ! = � i � � • 1 ( � � � � � • • �► �� � i '� � � � �w � � Z A � � • � i O r � S � � R s i i� � • 1 • = A � w .�.r.r s ,• � � '� ,,,� ♦ � .r.r.o • w 7 i 7 � i : �� � 3 � = :i v w � s .1i .� w • • sSSS t i �1 � � � � � � � � ► . . • 7� • �r � � � w � ` • ��� I A - �� / I � �� I � � I ' .\� , � � , 1 � e I�� � � � , ` • ` � �1 �1 i � ; }� ( � •1 � � � I v i l ;� i ( j i � � � , , , . �. � � ur �� . rMVV uNI�CRM CNARiTABI� C��MBL:'NG �i�va�yC,�� RE�ORT Page 3 of 8 I�uFUI PURPOSc CONTRi6UTI�ONS - I�IORKSHE�i �p�_�7„2/ , ,. . I.ine #13 .- Total Lawful Purpose Contributions. S6,565.00 List below all checks written from gambling funds which are � char�table iawful purpose contributions. The total dollar amounts of these checks must match the amourtt claimed in line �I3. Use additfonal sheets as necessary. ' CHEC< # DATE I PAYEE CHECK AMOUN PURPOSc 1. 455 04/29/89 Frances True $ 200.00 medical expenses 2, 459 05/10/89 Offices Training School $ 100.00 newly elected officers 3, 460 05/10/89 RAINBO CHILDREN's $ 500.00 rent 4, 461 05/16/89 TAPEMARK GOLF TOURNEY $ 100.00 MACLD children w/ learning disab. 5, 462 05/16/89 YMCA $1000.00 outdoor recreation area 6. 463 05/16/89 ALZHEIMERS ASSOC. $ 100.00 educational materials 7. 464 05/16/89 GUADALUPE AREA PROJECT $1000.00 exercise equipment $, 465 I 05/16/89 CATHOLIC CHARITIES $ 500.00 jobs, food, shelters 9. 466 05/16/89 GUADALUPE AREA PROJECT $2710.00 exercise equipment I0. 470 06/02/89 INSTITUTE of LEARNING $ 50.00 fund raiser for children lI. 471 06/03/89 VFW SOFTBALL TOURNEY $" 50.00 entry fee 12. 477 06/19/89 TEDAL GOLF TOURNEY $ 75.00 Lupus Foundation 13. 479 06/20/89 ST. PHILLIPS CHURCH $ 150.d0 Youth training transportation TOTAL CHECK AhnUNT S 6,565.00 �OTE: These expenditures v+ill be provided to Council Memben at your Council hearing. . Be sure that your financial report is complete and accurate. _ . . . _ ' � 3 y _ ._ _ A�{ _ . • � � • � � ~ � � � 1 � • � . + � • � • � �• � ' • r l• � � I • i ~ � ',` �_ ( J I + , .. j � • � r � � • • = r• � � ! � � S ! Z i a i r � 2 � � � r � � � � w 1� f� 1 � � 1 r ' � � A M � � s ] � 'J � y � � '� � i � • � w > • 3 v► �1 � j I + ! : � � I • � ..� A . . •1 !� � • a r � _ � •Z •� • � � j �� J A � s �r��r i .. ! � 7 i w � � � � : ` � w ��� A � �i r • • s �� + � s}( � a �1 � � � • St � � � a1 � �� � wj � � • � . . = ;, I w w� I � - �� I } A� � .�� � � � � { � � �� � � � . � r �� � tl • �1 V i :s � � � I y ( s� • I i � i I I � I � i � , , �.� c ur �� . r�VV �NI�ORM CHAR;�ABL� y1MBL:YG �i���NCi�L RE?uR� Page 4 of 8 L,aWFUL PuRPOSc CONTRIBUTIANS - wORKSHE�i �y p—y7� , � � Line .#I3 - Total Lawful Purpase Contributions. S 6,475.00 list below a11 checks written from qambling fvnds which are � charitabTe lawful purpose contributions. The total dollar amounts of these checks must match the amount claimed in line �I3. Use additional sheets as necessary. ' C�E�;< # OaTE PaYEE CHECx AMOUN PuRPOSc — I. 487 07/07/89 ST. JAMES CHURCH $ 225.00 Children's picnic 2. 488 07/08/89 Frances True $ 200.00 medical expenses 3. 492 07/18/89 Harris Wade $ 300.00 IL Athletic Meet 4, 494 07/24/89 K & L TENTS $ 600.00 Pilgrim Baptist Revival services 5 , 501 08/05189 RONDO, Inc. $ 150.00 Children's picnic 6, 503 08/07/89 Deanna Adams $ 500.00 scholarship 7, 504 08/07/89 Deondra Buckhalton $ 500.00 scholarship $, 505 08/07/89 Alan Clyde $1000.00 scholarship 9. 506 08/07/89 Michelle Gorden $ 500.00 scholarship 10. 507 08/07/89 Tammi Hawkins $ 500.00 scholarship 11. 508 , 8/07/89 Eric Pearson $ 500.00 scholarship I 12• 509 8/07/89 T. Scott Pegues $1000.00 scholarship I3. 510 IS%07/89 I Angela Robertson _ $ 500.00 scholarship TOTAL CHECK AhqUNT S6,475.00 NOTE: These expenditures wi11 be provided to Council Members at your Council hearing. Be sure that your financ�al report is complete and accurate. . _ • - g : _ • � " = = ' _? + r n y � w � � � � : e � . � + °. � � � .: s � .. � • : .. � w ` � + .• a � � �- . " � : o : � : : : � o � I � � • � � \ O � • z � • A � ! � � + � � �' w s r � 2 a=i = 2 = a + � � � � � 1� A � � • � � Y 1 ! A � � � � a r O � > i� • � � i i � t � � s y 8 V � O � I � ' : O r � s � � '7 r i i� �. • l • � � � w v..� a � ! . '� I r ♦ • .r•.r�r � w '� f w s • • : � � � � �1 s 1 � � w • � �� `� • � y .� •1 • '� : • t .�. �' • � •a� • s� • � � � � � � l ( � � � . . I I • � I • wl w 7 • ^ �.i � •� i � ; ! w s �� � � I �� � � ( j •� t! G � . w1 � � � � ,J' ♦� � •1 � �` � � � J � �1 a I r i I ,1 i I I � , � I � I , , . �.� c �r �� . r�VV uNI�flRM C��4A:iA3lc G�MBIiNG =iN�YCi�I RE�ORT Page 5 ot s LAWFUL PURPaSt CONTRIBUiIONS - WORKSHE�T ���.y�y�Z.. � . Line �13 - Total Lawful Purpose Contributions. 5 9,450.00 List below a11 checks written from gambling funds which are � charftable iawful purpose contributions. The total do1lar amounts of these chetks must match the amount claimed �n line �tI3. Use additional sheets as necessary. ' CHEC< # OATE PAYEE CHECK AMOUN PURPOSc I• 511 08/07/89 Nicole Stewart $1000.00 scholarship Z• 512 08/07/89 Samuel Bakion $ 500.00 scholarship 3• . 513 08/09/89 Aaron Blanks $ 500.00 scholarship 4• 514 08/09/89 Phillipe Gagnon $ 500.00 scholarship 5 . 515 08/09/89 HALLIE Q. BROWN HOUSE $1000.00 TV and food shelf 6. 517 08/10/89 Mark Robinson $ 500.00 scholarship 7• 518 ; 8/12/89 Lee Hawkins � $ 500.00 scholarship 8. 519 8/16/89 BIG BROTHERS/SISTERS $ 750.00 donation 9. 521 8/26/89 Anna Engele $ 500.00 handball tourney I0. 522 8/29/89 ST. PAUL REFORMATION $2000.00 summer food program lI. 524 08/30/89 JIMMIE LEE BOOSTER $ 500.00 football uniforms 12• 525 OS/31/89 Frances True $ 200.00 medical expenses 13. 529 09/02/89 ST. PHILLIPS CHURCH $1000.00 food shelf TOTAL CHECK A1�UNT S 9.450.o0 NOTE: These expenditures will be provided to Council Members at your Council hear;ng. Be sure that your financial report is complete and accurate. A � r .. -.� � � r A w • ,�j i T � r � � 2 ? � � i � s . i e � = : a e � � � � .� ] � � .i w '• �� � • r l� � . � • .�i �' e � ` I � � .�i � O � • O f '� � s � • � � � e � � • _ � • .. .. s w � � •�• s n s T � Z a=i = � s a Z i s „ � s � � : � - . � � 1 � � � � Y 1 f � .. 1� � � �� � f 7 • O • � � w y � � � � • � • � w > �a � s � � • s � !'t1t1 � � � ' �1 O � � S � �7 �1 �) A • 1 •1 7 A � ��..�r 7�1 � 7 r I r ; 3 �r�r�r •� ,� � ; w s � • ; : •1 � w • � = .� v � • w ♦ • a i �i 7 t a : _ � s � � � s � � � • �r • • 1 • ' : , y ; I ^ -' I � : �_ � r w ! .�� �� � ' ) � 7) I � �i � _ I � � �r • ; i� �i * �1 � � ( � •,! a I !1 i � I �1 i 1 � . � � 1 • . . . �. � � ur �� . rn�� uNI�oRM CHAr�iTABLc. GAMBLiNG �i�VANCir�l RE�ORT Page 6 of 8 ' L�IWFUL PURPOSE CONTRIBUT�IONS - WORKSHE�� � ����� . . , line #13 • Total Lawfui Purpose Contributions. S 5,520.93 List below all checks rvritten from qamblinq funds which are � charitabie lawful purpose contributions. The totai dollar amounts of these checks must match the amount claimed in line �I3. Use additional sheets as necessary. ' CHECK # DATE PAYEE CHECK AMQUNTI PURPOSc _ 1. 530 09/02/89 CAMP FRIENOSHIP $ 495.00 Youth campership 2, 531 09/02/89 PILGRIM BAPTIST CHURCH $ 500.00 food shelf 3, 532 09/02/89 AURORA/ST. ANTHONY CLUB $2000.00 Youth work program 4, 533 09/02/89 Cynthia Carter $ 500.00 scholarship 5, 535 09/05/89 Derek Schockley $ 500.00 scholarship 6, 537 09/16/89 ST. PAUL REFORMATION $ 500.00 Edward Woods family 7, 538 09/16/89 Duane Goodwin $ 500.00 scholarship $, 551 10/07/89 AA Rental Service $ 130.00 Sr. Citizens banquet 9, 552 10/07/89 Roger Stigman $ 35.00 PA rental /Sr. Citizens banquet I0. 553 10/07/89 Knowians Supermarket $191.48 Sr. Citizens banquet 11. 554 10/09/89 Lorenze Bus Co. $ 80.00 Sr. Citizens banquet transp. 12, 555 10/10/89 Rapit Print $ 30.65 Sr. Citizens programs 13. 556 10/10/89 Steve's Warehouse $ 58.80 Sr. Citizens banquet supplies T07AL CHECK AhaUNT 55,520.93 NOTE: These expenditures r+i11 be provided to Council Members at your Council hearzng. Be sure that your financial report is complete and accurate. �1 _ . . 3 � _ � - • ? i i T a � � w � � � � '� � i a > • C � r' � r � . ( � � 1� � s � � i .� r {� ` ' � : y' e '` �� � � � � s i • • , � • `� � • � _ .. • .� �. s � w � T ! � w s T f = � � � = � � t = s � � � r A � • s �i A � � � � � � s � �1 � � � � s 7 + � r y � � + i i � � � A > � a � i ;�` ; : I � ' : ; � • ` s ; :� s� •{ j �� 7 A �} � w v...�r s� � a . '� i '� y • � ��r�r •� �l r i ! � � 7 � a J � •1 s w s � • 1 • `� w : � = ;� � � � � • � �1 = �� � j � ± � � � ^J • � � � . 3 � . � � I •r • � 1 w � • � �� I �t ! �= ' ' I s �� ] �� � a a � `�' � � wi C� � � � r �f ^� � �� � I � � i�` �i f I 7�' i II �► i i � I i I � 1 • ' ' ' ' �. � t vr �� . rn�� Page 7 of 8 UNIraRN CHARI�ABL'c GaMBLING ;i�VANCi�L REr�ORT l.?�NFUL PURPOSc CONTRIBUTIONS • WORKSHE:T � �Q--97�' �� � Line #13 - Total lawfui Purpose Contributions. S 3,106.2a. � List below all checks written from qamblinq funds which are charitabie lawful purpose contributians. The total dollar amounts of these checks must match the amount claimed in line �I3. Use additional sheets as necessary. ' CNEC< � OATE PAYEE CHECK AMOUN PI;RPOSc I. 557 10/11/89 NY TEA Company $ 190.19 Sr. Citizens banquet supplies 2. 558 10/10/89 Carrie Thomas $ 300.00 Sr. Citizens catering 3. 559 10/11/89 Country Club Market $ 58.90 Sr. Citizens supplies 4. 560 10/11/89 Rapit Print $ 17.38 Sr. Citizens banquet placecards 5 . 561 10/11%89 NORTHWESTERN FRUIT $ 61.90 Sr. Citizens banquet supplies 6. 562 10/12/89 Kolby Bakery $ 36.40 Sr. Citizens banquet cupplies 7• 563 10/12/89 Kowalski 's Market $ 20.04 Sr. Citizens banquet supplies 8• 564 10/14/89 A. J. Dooley $ 108.32 Sr. Citizens banquet supplies 9• 579 11/il/89 St. Agnes High School $ 300.00 youth athletics 10. 580 11/18/89 Frances True $ 250.00 medical expenses 11. 582 11/18/89 Patrice Johnson Memorial $ 200.00 scholarship fund I2• 583 11/21/89 Knowlens Supermarket $ 563.11 Thanksgiving baskets 13• 590 12/09/89 St. Phillips Church $1000.00 food shelf TOTAL CHECK AhpUNT S 3,106.24 NOTE: These expenditures will be provided to Council Members at your Council hearing. Be sure that your financiai report is complete and accurate. . � • • � � •� � �� � r r A • r r � � i O � w � � i C � A C i : � � � � ' . 1 : � � w �• s r • : � a � �! � • i o � f • o ♦ � . � O > � � � 1 � _ \ • � ' _ � r _ � i i f ` � T ] � - � •• = A , � � Z � r . t � e + � � � Y A � � � � � r '� � y f � � i � � t ! A • j • v Z) o � � � � • • • s a •i lI � • I � i s � • '1 � � 'nJ •� •+ ,� • ) • � � w .��.v i = . � '� I • .��r�r •� � J � � � ♦ A '� 'y A • � + � 7 > > � �1 i 1 � �� � .� + � = •� �f � � f� r f 1, � ) � ± � • � � � • • �� I � �► � • � � ' s � • � � � � i � s� � � i , ..� . , � : , : .. � = � , �, - � . :� i ii J s � a :: ( i � I . '� i I � I � I � � - . �.� t vr �� . rn�� Pa e 8 of 8 uNirGRM CNARITASL: Gr1M8L;NG �iNANC;�I RE�ORT 9 L?�(FUL PURPOSE CONTRIBUTIONS - WORKSi�E:T ��Q _C�7dZ , � . � � �' Line �I3 - Total Lawfui Purpose Contributions. S 6,s$9.61 List below a11 checfcs written from qambling funds which are '' charftable lawful purpose contributions. The total dollar amounts of these checks must match the amount claimed in line �ii3. Use additional sheets as necessary. ' CHECK # DATE PAYEE CkECK AMOUN PURPOSc - 1. 591 12/09/89 St. Paul Urban League $ 50.00 Two turkeys Z• 592 12/09/89 St. James Church $1000.00 food shelf 3• .593 12/09/89 BOY SCOUTS of AMERICA $ 500.00 donation 4• 594 12/09/89 Pilgrim Baptist Church $1000.00 food shelf 5 • 595 12/09/89 Frances True $ 250.00 medical expenses 6• 596 12/12/89 American Heart ASSN $ 500.00 research �• 597 12/12/89 United Hospitals $ 500.00 Family Resource Center 8• 598 12/12/89 LITTLE BROS/Friends of $ 500.00 elderly poor 4• 599 12/12/89 City of St. Paul $ 88.70 Youth athletics 10. 601 12/22/89 Knowlan's Supermarket $ 604.93 Xmas baskets ji• 602 12/22/89 Knowlan's Supermarket $ 49.98 Xmas baskets 12. 611 O1/18/90 City of St . Paul $1596.00 City youth athletics fund I3. 620 I01/27/89 Frances True _ $ 250.00 medical expenses I TOTAL CHECK AhDUNT S 6,se9.51 yOTE: These expenditures ►+i11 be provided to Cauncil hlembers at your Council hearing. Be sure that your financial report is complete and accurate. . '�. : �� i : s e � � '� � : a i • „ ? .. � � s . w e — • a C .� � � . a � . � : w .r s i w r 1� ` • + �� e �� �y � � • i e � = r : i i � o s � i • � � e � • 2 .. • ,. .. s � w � = a 2 = a : � � t � '� � : � � � � � y A 1 � � � 1 r ,1 T � � I� r � � f � '� � � y�j f � � i j � t � A � � � Y � � i I � ! � , � � � � j ! �3 : • • O M • �1 � � � � •1 7 � w �I�� il � J � +1( � L A ' � � � � � � s � � �1 ? •1 r � • 1� � � � � "t � s t s +� • � �� ♦ s � � _ s � •r + • � • • _ , , ` ; ^ ;� ' � ' �— j = ; I ' � !1 � I ' � CI � - - j ' I i . �� v � :� s �� „ � � � � " � � V i I 1 }� i I I , � 1 •