90-973 O•R � ����� Council File � 0—�Z�3
a �
e Green Sheet � 7713
RESOLUTION ;�'
F SAINT PAUL, MINNESOTA �` -�� �` +�
� �
Presented By
Referred To Committee: Date
RESOLVED: That application (ID 4�'75292) for a State Class B Gambling License
by Neighborhood House Association at Mickey's Bar, 674 Dodd Road,
be and the same is hereby approved/�erri�:
ea Navs Absent Requeated by Department of:
mon
oswi z �e
� �— License & Permit Division
cca ee ��
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une
i son BY�
Adopted by Council: Date �UN '� 1990 Form Approved by City Attorney
Adoption ertified by Council Secretary By: � ���p�
By' Approved by Mayor for Submission to
��,tCe^ {� ��ncil
Approved by Mayor: Date !� 7 9(3 �. "
By: /L��.����.�� By.
PUBUSHED JUN 1 G i990
� • � �lo-��a�
�PARTM[NT/OFFICE/COUNqL DATE INITIATED +�
Finance/License GREEN SHEET NO. � 1 1 �
CONTACT PERSON 8 PNadE �NITIAU DATE II�TIAUDATE
OEPARTMENT DIRECTOH CITY COUNpL
Christine Rozek-298-5056 ��� cm a�rroaNev �]cm aeRK
MU8T BE ON COUNpL ApENDA BY(DATE) TO City Cler �� ❑BUDQET DIRECTOR �FIN.8 MOT.SERVICES DIR.
For Hearing/6-7-90 B 5-31-90 ❑MAVOR(OR ABSiSTANn � Council Research
TOTAL�OF 81QNATURE PAGES (CLIP ALL LOCATIONS FOR SIQNATUR�
ACiION REQUE8TED:
Approval of an application for a State Class B Gambling License.
Hearing Date: 6-7-90 Notification Date:
RECOMI�ENDnT10NS:Mw�e W c►Rel�(R) COIJNCIL COIpAITTEEJRESEARCH REPORT OPTIONAL
_PLANNINO OOMMISSION _qVIL 8ERVI�COMMISSION ANALYST PNONE NO.
_pB COMMITTEE _
—STAFF _ �MENTB:
_DISTRIC'i COURT _
SUPPORTS WHICM OOUNpL 08JECTIVE7
INITIATiNO PFiOBLEM.18SUE.OPPORTUNITY(Who.WMt,WMn,WMrs,Wh�:
Phil Ravitzky on behalf of Neighborhood House Association requests City
Council approval of their application for a State Class B Gambling License
at Mickey�s Bar, 674 Dodd Road. Proceeds from the pulltab sales will be
used to support youth activities. Investigative fee of $373.25 has been
submitted.
ADVMIT/UiEB IF APPRONED:
If Council approval is given, Neighborhood House Association will operate
a pulltab booth at Mickey`s Bar, 674 Dodd Road.
DISADVANTA(iE3 IF APPROVED:
DISADVANTA(�ES IF NOT APPROVED:
RECEIVED
�Y291�o �ounc�l Research �;�n�te�
C►T�' C�.ERK MAY 2 51990
TOTAL AMOUNT OF TRANSACTION = COST/REVENUE OUDOETED(CIRq.E ON� YE8 NO
PIJNDING SOURCE ACTIVITY NUM�R
FlNANCIAL INFORMA710N:(EXPLAIN)
dw
� - ��10 -973
DiVISION OF I.ICENSE AND PERMIT ADMINISTRATION DATE ��� 9CJ / �I � �1D
INTERDF.PARTMENTAL REVIEW CHECKLIST A.ppn Pro essed/Received by
Lic Enf Aud
Applicant ���1�t�r Y-}OUSf. r-tSSn Home Address �� -rj � �Ob�Q� _
Rusines5 lvame Q�. ��C.�j�„� S Home Phone
Bu:siness Address �p 1 � J�i(� � Type of License(s) l:�(�SS �" _
Business Phone �a� - L-''�L'J� � C1Arnbl+nc, ��U{�,. ��
Public Hearing Date '� Cll� License I.D. 4{ 1 J� r�� �
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4C � 5 �a y3 4
llate Notice Sent; Dealer �� � ��
to Applicant N`�
rederal Fi_rearms �6 �
Public Ne�.iring
DATE TTSPECTIUN
REVIEW VEKFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
u��- ;
Health Divn. �
��� �
�
Fire Dept. � �
; � � � I
! �� �t I a3l�c�
Yolice Dept.
� I �1g� o��
License Divn. �
� �� �jd O�.
City Attorney � � � �1�
���
Date Received:
Site Plan � �'T , I l
To Council Research � � `1 i��
Lease or Letter p Date
from Landlord ��H'
CURRENT INFORMATION NEW INFOItMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
[�`orkers Compensation:
New Officers:
Stockholders:
�" � �� City of Saint Paul � ,!�'� �9'j 3
� ' Department of Finance and Management Services
�, Division of �License and Permit Registration
INFORMATION REQUIRED S�IITH-APPLICATION FOx PERMIT TO CONDUCT PULLTAB/TIPBOARD SALES IN
SAINT PAUL (Class B Gambling License in Liquor Establishments - New Application)
:�
1. Full and camplete name of organization which is applying for license -
Neighborhood House Association
2. Does your organization�meet the definition of a "large" organization as outlined in
the November, I988 revision of Section 409.21 of the Legislative Code? No
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 S organi-
zations apply, qualified applicants will be selected randomly by the City Council.
3. Address where games will be held �74 Dodd Road St. Paul , MN 551�7
• Number Street City Zip
4. Name of manager signing this application who will conduct, operate and manage
Gambling Games p�,; � Ravircky Date of Birth g/15/32
(a) Length of time manager has been member of applicant organization 16 years
5. Address of Manager 1�q Fact Robie St. St. Paul , MN 55107
Number Street Cit Zip
7 days Monday t�irough Saterday
6. Daq, dates, and hours this application is for 4 to 12 midnigf�t upon authorization
7. Is the applicant or organization organized under the laws of the State of MN? Yes
8. Date of incorporation q/1�L�
9. Date when registered with the State of Minnesota �0/2/03
�::� --
10. How Iong has organization been in existence? 92 Years ==7 -
11. How long has organization been in existence in St. Paul? Same �� �
12. Wha[ is the purpose of the organization? To provide and fulfiil the human and _social
services needs of tF�e people of the West Side of St. Paul . (See attached� � �
13. Officers of applicant organization: ';
Name Dr. Marjorie Neihart Name ��� � ;s '�tfi��_ers�s�ieid�
Address 334 Cfierokee Ave. St. P3u1 , MN 55107 Address 613 Pondview Drive°Mendota Heights�
Title President DOB 3/17/20 Title Secretary DOB ]_2�2.7/3 4
Name .J�nald !_Lun� Name Linda Flynn
Address 599 Gorman Ave. St. Paul , MN 55107 Address 2324 Angel Road Sunfish Lake• Mr� 55� -
Title Vice ?resident DOB 6/30/4 9 Title Treasures DOB $/1s/5�
, . � �0 -�7 �
. , 14, uive names of officers, or any other persons who paid �or services to the
organization.
Name Name
Address Address
Title Title
(Attach separate sheet for additional names.)
15. Attached hereto is a list of names and addresses of all members of the organization.
16. In whose custody will organization's records be kept?
Name Eustolio Benavides Address 17g East Ro6ie St. St. Paul MN ��
55to7
17. List all persons with the authority to sign checks for dispersal of gambling proceec�s:
Name Eustolio Benavides Nam��.. �Sandra: Fuller
Address 179 East Robie St. St. Paul Address179 E. Robie St. St. PAuI _
Member of Member of
DOB Organization? DOB 5/18/45 Organization? 4 years
Name Name
Address Address
Member of Member of
DOB Organization? DOB Organization?
18. Have you read and do you thoroughly understand the provisions of all laws, ordinances,
and regulations governing the operatfon of Charitable Gambling games? y�s
19. Will your organization's pulltab operation be operated/managed solely by members of
your organization? yes X no
20. Has your organization signed, or does it intend to sign, a consulting agreement or a
managerial agreement with any pezson or company to assist your organization with the
pulltab sales and/or recording keeping? yes no x
If answer is yes, 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.
21. Operator of premises where games will be held: ,
Name Mic�v's Bar
Business Address ��4 Dodd Road St Paul , MN ,S,S1n]
Home Address St PAuI MN 55107 ``
. �, -�
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� 22, a) Does yc�ur 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 Neigfi6orfiood House Address �7g East Ro6ie St. St. Paul , MN 55107
DOB Member of Organization?
c) How are the accounting fees charged out? (flat fee, bourly, etc.)
Hourly rate of $9.20 at l0 tiours per montC�
d) What do you anticipate will be your average monthly deduction for accounting fees?
We anticipate $92.04 per mantfi with an annual deduction of $1 ,104.48.
,.:_> ,
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23. Amount of rent paid by applicant organization for rent of the hall: G-' �
NA -'
:.a -
24. The proceeds of the games will be disbursed after deducting prize Iayout cos,ts and
operating expenses for the following purposes and uses: � :
�� .. .
Youth Activities ' �� - -
25. Has the premises where the games are to be held been certified for occupancy by the
City of Saint Paul? Yes
26. Has your organization filed federal form 990-T? Yes If answer is yes, please attach
a copy with this application. If answer is no, explain why:
1988 Attached. 1g89 not yet available '
Any changes desired by the applicant association maq be made only with the consent of the
City Council.
.
NeigE�6ortwod House Association
... rga o Name
Date March �, �g9a By: P�.i 1 p Ra�►i ky
Mana er in harge of ga:ne
��� ,�/� .
.�J�*-c.. �� � Q..�o�. n't�
+��, Eustol i'o 6enav i des �
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Organization President or CEO
� �. ' , �ya -�,.�
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. .
TO BE COMPLETED BY
ORGANIZATION PRESIDENT AND GAM6LING MANAGER
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I understand and wi-11 uphold Saint Paul Ordinance 409, Sections 409.21
and 409.22 relating to pulltabs and tipboards in bars.
Further, I understand that my jarbar must meet city standards; that 10'
of the net profit from pulltab sales must be returned to the City-Wide
Youth Fund on a monthly basis; that monthly financial statements must be
filed with the City; and that 51% of net proceeds must remain in St. Paul
or be used to support St. Paul residents.
.
Si atur - Manage
a, � � ��,i
�'�. i gnature - Or ani zation ecut i've D i rector
Ne�.ighborhood House Association
rganization ame
� h1N 55_]0.7
Gamb ing Loca ion
March 4, ]qqQ
Date
Please retain the attached ordinance for your records.