90-1166 O R 1 G �N l�► L Council File #` `7���(��
. Green Sheet � 7742 `��
RESOLUTION � �
CITY OF SAINT PAUL, MINNESOTA �
Presented By
Referred To � Committee: Date
RESOLVED: That application (ID 4�72609) for a State Class B Gambling
License by Frost Lake Booster Club at Chuck's Bar;
901 Payne Avenue, be and the same is hereby approved/�enicd:
— =. Yeae Navs Absent Requested by Department of:
mon �—
�' ' License & Permit Division
on �
acca e� .i
e tma �
— une
i son — By:
JUL i 7 1990 Form Approved b City Attorney
Adopted by Council: Date .
Adoption Certified by Council Secretary gy; . y q�
By� Approved by Mayor for Submission to
Approved b Mayor: Date J U L i 8 1990 Council
g .l r���'f����/ By a
Y�
�11Bt1S�ED J U L 2 81990
__.�
. ��o����
DEPARTM[NT/OFFICEICOUNpI DATE INITIATED
Finance/License GREEN SHEET NO. �7�2
CONTACT PERSON d PFIOI�IE INI7IAU D/1TE INITIAUDATE
❑DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Rozek-298-5056 Nu�� �pn,�rro�r�, �CITY CLERK
MU8T BE ON OQUNGL AOENDA BY(DAT� City Clerk ��� ❑BUDOET DIRECfOR �FIN.S MaT.SERVICES DIR.
7-10-90 7-3-90 ❑""��oa toR�svwn
TOTAL N OF 81QNATURE PAQE8 (CLIP/U.L LOCATIONS FOR sIaNATUR�
�CnoN a�cuE87eo:
Approval of an application for a State Class B Gambling License.
Hearing Date: 7-10-90 Notification Date: 6-13-90
RE�Dn7�oN8:�PVro�+W a��(RI COUI�L RE'ORT OPTIONAL
_PUNNINQ COMIM18810N _pVIL SERVI�COMMI8SION ANALYBT PHONE NO.
_p8 OOMMITrEE _
_STAFF _ COMMENTS:
_aBTRICT COURT _
SU�TS WHlp�l OOUNpL OBJECTNE9
INITIATIN(i PROBLEM.ISSUE.OPPOR'TUI�N7'Y(IM1o.YV11et.Whsn.Whsro,Whf�:
John Pettis on behalf of Frost Lake Booster Club requests City Council
approval of their application for a State Class B Gambling License at
Chuck's Bar, 901 Payne Avenue. Proceeds from the pulltab sales will be
used to promote youth athletics and activities. Investigative fee of
$373.25 has been submitted.
AOVANTAOES IF APPROVED:
If Council approval is given, Frost Lake Booster Club will operate
a pulltab booth at Chuck's Bar, 901 Payne Avenue.
DIBADVANTA�iE81F APPROVED:
DISADVMITAOES IF NOT APPROVED:
RECEIVED �uur►�;�, rc�s�drer� ��ncer.
JUN 15��0 J UIU 15 w���
CI�'Y CLERK � �"'�',
TOTAL AMOUNT OF TRANSACTION = CAST/REVENUE St�OETLD(CIR�E ON� YES NO
FUNOMKi SOURCE ACTMTY NtlM9ER
FlNANCIAL INFORMATION:(EXPWI�
duV
� _ .
x s
.a ,
�. i,`.
�� .NOTE: COMPLETE DIRECTIONS ARE INCIUDED IN THE QREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
Bebw aro prefsned routinqs for ths flvs most frsqusnt typea of documertta:
CONTRAC'fS (atwrt�s autho�iz�d COI�NCIL RESOLUI'ION (Mnend.8d�ts./
budget exists) Accept.Grants)
1. Outside Agency 1. DspartmeM Director
2. Initiatin�D�pe�tment 2. Bud�t Director
3. City Attort�ey 3. Gty Attomsy
4. Mayor 4. MayoN/1sslsfsM ,
5. Flnerx;s 8 Mpmt S'vcs. arector 5. Gty Coundl
6. Flnencs Acoourninp 8. Chief Aa:ouMant� Fin d�Mgmt Svcs.
ADMINISTRATIVE ORDER (Budpet OOUNqL RE30LUTION (dl dhers)
RwiNon) u�d ORDINANCE
2. ��Depe�Rrns�Acoournent 1. ��msnt Director
2. '
3. Departmsnt Director 3. MaynHlltsistaM
4. Budget DireCtor 4. t�ty Ct�It1Ci1
5. Gty asrk
6. Chief AccountaM, Fln 8�AA�mt Svcs.
ADMINI3TRATIVE ORDERS (all others)
t. InftiaNng Dspartmsnt
2. Ciy Attorney
3. Mayor/Aseistent
4. City Clerk
TOTAL NUMBER OF SIOIH/►TURE PAt�E3
Indicate the#�of p�pss on whid�sipnatw�s u�requfrod and pep�IlP
sach�the» ap�.
ACTION RE�UESTED
Dsscribs what tM proJectlroqwN essks a accompliN�in Nth�r chroralopi-
cal ordsr or ordsr of importance.whichsvsr le tnost appropriate for the
issus. Do not w�e oompleM ssntences. Begin each itsm in your Iist with
a verb.
REOOMMENDATIONS
Complete ff the iasw in qusstion has been preseMed bsfore any body,public
a private.
SUPPORTS WHICH OOUNqL OBJECTIVE?
Indicats which Cour�l object�e(a)Your Pro�tirequ�t supPa'�8 bY���9
U�e key word(s)(HOUSING, RECREATIOM, NEIGHB�HOODS,ECOI�IOMIC DE1/ELOPMENT,
BUD(iET,SEVUER SEPARATION).(SEE COMPLETE LI3T IN IN3TRUCTIONAL MANUAL.)
OOUNCIL COMMITTEElRESEARqi REPORT-OPTIONAL A8 RE(iUESTED 8Y COUNqL
INITIATINQ PROBLEM,ISSUE,OPPORTUNITY
Explefn ths sftuation or oondida�s thed crsated a need for your project
or roquest.
ADVANTACiES IF APPROVED
Indicate whsthsr this fs simpy an annual budqst proceduro nquired by law/
charter or whMhsr ths►s aro epsciflc ways in wh�h tM City of 3aint Paul
and its citizens will bsnsflt irom this prohct/action.
DISADVANTAOES IF APPROVED
What nepathre sffscts or mejor chang�s to existing or p�st•processes mipM
this P►o1��4�P�N k is psated(e.g.�ti�aiflc deldya� noise�
tax incrse�es or a�amsrKs)�To Whom?Whsn?Fa how long?
DI3ADVANTAOE3 IF NOT MPROVED
What will bs ths nsguive conaeqwnCee if the promised action ia not
epproved?Inability b deliver esMw?CoMinued high traffic, noise,
eccidBM►ate?LOS!Of rovenue?
FINANCIAL IMPACT
ARfwugh you must taibr the infamation you provide here to the issue you
ars addreasinq,in gsneral you mwt anaMrer two questbns: How much is it
going to cost?Who is gan�to pay?
, . � . . r�--'y0-�/��
DiVISION OF LICENSE AND PERMIT A.DMINISTRATION DATE � �� �v / 5 �-�I—�a
INTERDF.PARTMF.NTAL REVIEW CHECKLIST A.ppn Pro essed/Received by
L�c Enf Aud
.�e h n �e+�t s y�C..
PP �f'�Sf ��e�_ � ��' �j Home Address IJ'�7� �e-On2� ���vlo
A licant G 5 _✓ U.
Rusiness Iv'ame (� � �LKS �G,� Home Phone ����3�5 0
Business Address '1 b � 14yr1,¢� �^� Type of Lic.ense(s) C�aSS� C�qm���nti
�-
Business Phone L�C1�►'�S-C/
Public Hearing Date '� tO q d License I.D. 41 0�5�' ��
at 9:00 a.m. in the Council hambers,
3rd floor City Hall and Courthouse State Tax I.D. �� N��
llate A'otice Sent; - Dealer 41 �'�
to Applicant �0 �3/9�
Pederal Firearms �� ►-J�/}
Public Nearing
DATE ITSPECTIUN
REVIEW VEKFIED (COMPUTER) COMMENTS
A roved Not A roved
�
Bldg I & D �
��� ,
Health Divn. '
� ►J I�
�
�
Fire Dept. �
'i
i u�,� �
Police Dept.
� 5�(� 3 � � o S�.-�
��
� � ��License Divn. '
� ��l ti u'
Ci,ty Attorney �
��� �v� D,�
Date Received:
Site Plan �I I���10 �_ � �y� �
To Council Research
Lease or Letter ��� Date
from Landlord 5 �v
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
W'orkers Compensation:
New Officers:
Stockholders:
. ,� � . � ��y�����
Citq of Saiat Paul
, DepartaRnt of Finaaca and Managea�nt Services
.. Division of Lic�ase aad Pssait RRgistracion
ZNFORMATION REQQZRED S�TS•APPLICATION FOR PERMIT TO ODflDQCT P'VLLTAS/ZIPBOARD Se1LES I�i
SAINT PAUL (Class B Gambling Licsasa ia Liquor Establishmeats - N�v Applicstion)
L. Fnll and complste na�s of or�anisation vhich is applyia` for liceass
�C`OS� �-•0.�� ��e.'r ��v�
2. Does qour orgsnization'e,eet th� definitioc of a °large" orgaaizatioa as outlin�d in
tha November. 1988 revision of Ssction 409.21 of tha Legislativa Code? V�l�
Attach to this applicatioa p�rtinant fi:uacisl snd/or oraaaisational iaformatioa to
support• qour aasaer to this qu:stion. NOTE: Ooly 5 las�e or=anisaticns vill be allow-
ed to open palltab operttions under ths. zevis�d city ordinaace. If more than 5 organi-
zationa apply, qualified applicants �rill b� s�l�cted raadaaly b� the City Council.
3. Address �here games will be held �d( �0. e, �v�� v
. Number . treet City Zip
4. Name of manager signiag this application who will conduct, operate and manage
Gambling Games ����V� ��15 Date of Birth Z �
(a) Length of time maaager has been member of applicant organization _�S[,��_
n T-
5. Addresa of Manager ��1�'( (,.,Qov�e, ttv2. � .�0.�5� �S/0�
Numbar Street City Zip
6. Day, dates, and hours thia application is for
7. Is the applicaat or orgaaization orgaaized uader tha lavs of the State of 1�1? ,��S
8. Date of iacorporation �
9. Dats whea registered with the State of Mianesou .� 2
10. How long has orgaaization been ia existeace? 2� U'r'S _
11. EIov long has organizacioa bsea ia existenca ia St. Paul? 5
1
12. tihat is the purposa o£ th� orgaaizatioa? t` U tC
�
Q11� QC- \lV t�l e.S
13. Officers of applicsat organizatioa: -
x� JA�\� p���s x�.� S�e �e,��e,Y- .
Addrsss �5�19 l.-GOv�2+ �l`�P L Address �lols C�rt S��e��..
Ticl� � � DOB O Titla mB
,
Name t1 \ l�a�s V �3'�
Addz�ss � �ddress 1�1�� �2?��R__
____.— '
Title (S��ic� �C'�S DOB Title z_�V lc.,..`�� �B _
. : � � � �y0-����
• ly. Give aames of officers, or aaq ocher•persocs who paid for services to ths
orgaaization.
N�� J aw.+�s= xffi. �
Address 1`��� �'zL\�o� Addrsss
Title � 1 1�QS i w. f'��4 r� 2itle
� tta separate sh�et for additional names.)
15. Attichsd I�srsto is a list of names and addresses of alI membars of ttie organization.
16. Ia �oss cnatody will orgsaization's records be kept?
Name ���� �C.�\5 dddreas ���"I L° �V �'�+� �'\av�
17:} List all persons with the authority to sign checka for dispersal of gasbling proceeds:
Name �O�v� ��� Name
Address �S^]Q �20U�� ttV 2 S�.�cl� \ Address
Member of Member of
DOB Z� 3' S Organization? VP�S . D�B OYganizatioa? `
T—
Name Nme
Address Addrass
Member of Meaber of
Dpg Organization? __,_, mB Orgaaizitioa?
ig. Savs you rsad and do qou thoroughly uaderstand the provisions of all lavs��tsdiaances,
aad regulationa goveraiag the opsration of Charitable Gambliag games? �
19. Will your organization`s pulltab operation be operated/managed solely bq nembers of
your organization? qes _ n� �..—
20. Hss your os�anisation sigaed, or does it intead to ai�a, a consulting agreement or a
managerial agrsement �ritt� aaq p�zson oY cvspany to assist qour organiaation With the
' pulltab sales aad/or recordiag ke�ping? y�s �X ao
I� snswr is y�s, give ths aame aad addr�ss of the person aad/or co�paay contrsctsd.
� Nas� ��?1� �\�2,v� Address _ _
N�� Address
I� aaswsr is qss, ha�+ will such a consaltsat be paid? (perceatag�, flat fee. gambling
faads, gsnaral,,.fuads. etc.) Attuh a cop� of said coatract to this application.
� t .�'
2I. Operstor of premis�s whare gsmas vill bs hsldt
Nma C.�lv'W S �h2C
Busineas Address C1'0( �A'1/VL2. ti��L
gome Addr�ss o P�c a�� L�l . S���
. . .�. � �q�—�/(o�
r , r.
. ?Z, a) Does your orgaaisatioa pay or inund to pay accountiag fe�s out o£ gambling fands'
� y�: ___,_,_ n° _
b) If you da pay accouating fssa, to whom will such fees be paid?
Name Address
Dpg t�lnber of Organizition?
c) Sow are the accounting fa�s charged outl (flst fat. hoarly, atc.)
d) t�hat do you anticipata will be your, average moathly deduction for acconnting fess?
23. Amount of rent paid by applicaat organization for r�at of the hall:
�y�o/M
24. The proceeds of the games will be disbursed after deducting prize layout costs and
operating expeases for t e following purposes and uses:
� 4 � � , ` � �
o�T� aa�4�, �c f, e.�na�r � G uS���S �� �
� -��, v l Q�� 2 �
O ��
� hv��..Scz�
25. Iias th� premiaes where the games are to be held bsen ceztified for occapancy bq the
Citq of Saint Paul? P�
26. Has your organization filad faderal form 990-T? `�gS If aasver is yes. plesse attach
a copy �rith this application. If ans�rer is no, plaia why:
Aay chaag�s desir�d by tha applicaat association aay bs made only vith the coosenr of the
City Couacil.
o �c �
.. . psgaaiz ion Nam�
Date � B'�
IYan�a�er ia cduge of ga�e
Or zstioa Presi c or CEO