90-1175 ��.' �� Council File # ��/���7
�lAt.
Green Sheet � 10492
RESOLUTION
_ CITY O AINT PAUL, MINNESOTA ��
, ,
„
Presented By
Referred To Committee: Date
RESOLVED: That application (ID 4654162) for renewal of a State Class B
Gambling License by St. Bernard's Child Care Center at Ron's Bar,
879 Rice Street, be and the same is hereby approved with the
following stipulations:
1) In addition to all other requirements of Section 409
of the legislative code, the Church of St. Bernard's
must submit the following to the License Division on
a monthly basis for the term of this license:
a) a financial statement on a form provided by the
license inspector,
b) a check register with cancelied checks,
c) a bank statement reconciled to the financial
statement.
.r-° .
�
� s Navs Absent Requested by Department of:
an
��o w �.,
o —� License & Permit Division
ac.a e �
e an �
une �
i son � By�
�— �
Adopted by Council: Date JU L � 2 1990 Form Ap ved by City Attorney
Adoption Certified by Council Secretary gy:
�
By� � �`'"`" '"� A roved b Ma or for Submission to
PP Y Y
Approved by Mayor: Date U� Council
By: �.✓ By�
�16liSHED �1 U L 211990
..�,► s . �,�0—�,7.� gi� ��,�
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED
Finance/License GREEN SHEET N° _10492
CONTACT PERSON&PHONE INITIAL/DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Rozek/298-5056 A�16N �CITYATfORNEY �CITYCLERK
NUMBER FOR gUDGET DIRECTOH FIN.&MGT.SERVICES DIR.
MUST 8E ON COUNCIL QENDA BY(DATE) City Cle k ROUTING � �
Hearin � ` � B / t, S' C�� ORDER �MAYOR(OR ASSISTAN� � ,��
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION RE�UESTED:
Approval of an application for renewal of a State Class B Gambling License.
Hearin Date: "1 IJ-- U Notification Date:
RECOMMENDATIONS:Approve(A)a Reject(R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUESTIONS:
_PLANNINO COMMISSION _CIVIL SERVICE COMMISSION 1• Hes thfs person/firm ever worked under e contract for this department?
_CIB COMMITfEE _ YES NO
2. Has this personHirm ever been a city employee?
_STAFF - YES NO
_DI37RICT COUR7 — 3. Does this person/firm possess a skfll not normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explaln all yes answero on separats shNt and attach to grean sheet
INITIATING PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
Shari Cich on behalf of St. Bernard's Child Care Center requests Council
approval of their application for renewal of a State Class B Gambling License
at Ron's Bar, 879 Rice Street. Investigative fee of $375.25 has been
submitted.
ADVANTACiE3 IF APPROVED:
If Council approval is given, St. Bernard's Child Care Center will continue
to operate a pulltab booth at Ron�s Bar, 879 Rice Street.
DISADVANTA�ES IF APPROVED: ���,
Y�O���
o`� �3�
�i���
DI3ADVANTAGES IF NOT APPROVED:
Council Research Center
J U;� 2 31990
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDIN�3 SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) �W
' ►.t �..
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225).
ROUTING ORDER:
Below are correct routings for the five most frequent types of documents:
CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept.Grants)
1. Outside Agency 1. Department Director
2. Department Director 2. City Attorney
3. City Attorney 3. Budget Director
4. Mayor(for contracts over$15,000) 4. Mayor/Assistant
5. Human Rights(for contracts over$50,000) 5. City Council
6. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services
7. Finance Accounting
ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others, and Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2. Ciry Attorney
3. Department Director 3. Mayor Assistant
4. Budget Director 4. City Councit
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. Ciry Attorney
3. Finance and Management Services Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperclip or flag
each of these pages.
ACTION REQUESTED
Describe what the projecUrequest seeks to accomptish in either chronologi-
cal order or order of importance,whichever is most appropriate for the
issue. Do not write complete sentences.Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the issue in question has been presented before any body,public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key word(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information will be used to determine the ciry's liability for workers compensation claims,taxes and proper civil service hiring rules.
INITIATING PROBLEM, ISSUE,OPPORTUNITY '
Explain the situation or conditions that created a need for your project
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the City of Saint Paul
and its citizens will benefit from this projecUaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecUrequest produce if it is passed(e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When? For how long?
DISADVANTAGES IF NOT APPROVED
What will be the negative consequences if the promised action is not
approved?Inability to deliver service?Continued high traffic, noise,
accident rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost?Who is going to pay?
� . f _ , �yo_���.�
DiVISION OF LICENSE AND P�RMIT ADMINISTRATION DATE �( � � �U / CO �� �
T , �
INTERDF.PARTMEI�TAL REVIEW CHECKLIST Appn Processed/Recei ed y
Lic Enf Aud
Applicant o�"� �L��YI t� c � � ���� Home Address 1 9 7 �. L�prG1 r� t�.(m.
Rusiness Name A-� �ans �-fZ.. Home Phone �� �" �7 �
Business Address g7�j �,� �,� Type of License(s) ��I�SS %3 ----
Business Phone (o-i , I�na �-r�vPS�- r�--�
Public Hearing Date �� `'/� License I.D. 4F ����D�
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. Il � ��1��v �o
llate A'otice Sent; Dealer 41 �11�/�-
to Applicant
rederal Firearms �� /1,+��'
Public He�.iring
DATE INSPECTIUN
REVt�,W VERFIED (COMPUTER) COMMENTS
A roved Not A roved
�
Bldg I & D �
�'q'
Health Divn.
, �'� ,
�
Fire Dept. � �
; �1� I
Police Dept. ! �/�/�D I��"�
fo��� f 9D � �...
License Divn. � �n4�� QO��D�Q'��--� � ����`
� ��Z V
City F�ttorney �
� a�� Iyc� o�
Date Received:
Site Plan �)�}-
To Council P.esearch b ��g(�
Lease or Letter Date
from Landlord �I�����
� � i . •
CURRENT INFORMATION NEW INFOKMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Workers Compensation:
New Officers:
Stockholders:
� . . . @�-y�-���s,
� • City of Saiat Paul
Departmeat of Finance aad Management Services
Divisioa of Licease aad Permf.t Registration
INFORMATION REQUIRID' WITH APPLICATION FOR PERMIT TO SELL PUI.LTABS b TIPBOARDS IN SAI.'�1T P4UL
(Class B Gambliag Licease ia Liquor Establishments - Reaew)
1. Fu11 and complete aame of organization which is applying for license
St. Bernard' s Child Care Center
2. Address where games wi1.1 be held ��9 R;ce St. St. Pau1 ,MN 55117
Number Street Citq Zip
3. Name of maaager sigaing this application who will conduct, operate and manage
Gambling Games Debbie Zschokke Date of Birth 11-17-61
(a) Length of time manager has been member of applicant organization 28 ye a r s
4. Address of Manager g 7 E. Rose Ave. St. Paul , MN 5 51 17
Number Street City Zip
S. Is the applicant or organization organized under the laws of the State of MN? yPG
6. Date of incorporation 18 9 0
7. How long has organization been in existence? 100 years
8. How long has organization been in existence in St. Paul? 10 0 year s
9. What is the purpose of the organization? Catholic Educational Advancement
10. Officers of applicant organization:
Name Steven J. Martin N�e Rupert Strobel
Address 197 W. Geranium Ave. Address197 W. Geranium Ave.
Title C-E-O D�B 10-4-52 Title Treas . �B 12-20-30
Name Fr. Brennan Maiers O.S.B. N�e Edward Mielech
Address 197 W. Geranium Ave. Address 197 W. Geranium Ave.
Title Vice Pres . Dpg 4-27-36 Title Secretary DOB 6-14-48
11. Give names of officers, or any other persons who paid for services to the
orgaaization.
Name Name
Address Address
Title Title
(Attach separate sheet for additional names.) .
' � - • - ��IO'//7 5�
12. ��Attac�.ed hereto is a list of names and addresses of aIl members of the organization.
13. Ia w[aose custody Gri.11 organization's pulltab records be kept?
Name St. Bernards Church (Basement) Address 197 W. Geranium Ave.
I4. List all persons with the authority to siga checks for dispersal of gambling proceeds:
Name Shari Cich � N�e Debbie Zschokke
Address 116 W. Lawson Ave. Address 87 E. Rose Ave.
Member of Member of
DOB 8-1-63 Organization? e�s DOB 11 -17-61 Organization? yes
Name Kath� Wi 1 T G N�e .TanPt Hansc�n
Address 3107 Joyce Ct. Address 255 W. Maryland AVe
Member of Member of
DpB 9-21-56 Organization? YeS DOB 1 1-5-49 Organization? yes
15. Have you read and do you thoroughly understand the provisions of all laws, ordinances,
and regulations governing the operation of Charitable Gambling games? yes
16. Attached hereto on the form furnished by the city of Saint Paul is a Financial Report
which itiemizes aIl 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 sigaed, prepared, and verified by Gha r; Cirh
197 W. Geranium Ave. St. Paul, MN 55117
Address
who is the of the applicant organization.
e
17. Will your organization's pulltab operation be operated/managed solely bq members of
your organization? yes XXX no
18. Has qour organization signed, or does it intend to sign, a consulting agreement or a
maaagerial agreement with any person or company to assist your organizatioa with the
pulltab sales and/or recordiag keeping? qes no XXX
If answer is yes, give the name and address of the person and/or company contracted.
� Name Address
Name Address
If aaswer is yes, how will such a ccnsultant be paid? (percentage, flat fee, gambling
fands, geaeral funds, etc.) Attach a copy of said contract to this application.
19. Operator of premises where games will be held:
N�� Rnnal A Stnfi�hPi m
Business Address 879 Rice St.
Home address 2 5 8 4 Granada Ave. N.
. . v . _ G'� 90-���.�
20. a) Does your ozgaaization pay or intend to paq accounting fees out of gambliag fuads?
' yes no ��
b) If you do pay accouatiag fees, to whom will such fees be paid?
Name Address
DOB � Member of Organization?
c) How are the accouatiag fees charged out? (flat fee, hourly, etc.)
d) What do you aaticipate will be your average monthlq deduction for accounting fees?
2I. Amount of rent paid by applicant organization for rent of the pulltab sales area:
$400.00 per month
� 22. The proceeds of the games will be disbursed after deducting prize layout costs and
operating expenses for the following purposes and uses:
Educational Advancement
23. Has your organization filed federal form 990-T? No If answer is yes, please attach
a copy with this application. If answer is no, explaia why:
Tax Exempt #41-0757844
Anq changes desized bq the applicanC association maq be made onlq with the consent of the
Citq Council.
St. Bernards Child Care Center
• Organization Name
Date 5/30/90 By: JC�
Mana r i charge of game
Organiz tion President or CEO
, _ , .
� Cicy of Saiat Paul Page 1 o f 2
• • Departmane oi Piaaeee and Muu=enenc Secvices � � i
Divialon of Lieent• aad P�t'it Adsiniatration y0--��'�
UtfI!'ORM CHARI'fADLE CAt�LINC FINANC2AL RFlORT
Dats �4_,
!. Nms ot Or�aaisacioa Si- _ B rnards hi 1 r7 _arP PntPr
2. Addr�s• vhecs Ctusicabl� Ga�blias is coeduee�d 879 Rice $t.
3. Repost fer p�riod co.ssin� AIlQ 1 19 89 throu�h D2C 3 1 19 89
i. Toaal nuabat ol dsys �layed 1 3 1
S. Cro�� r�c�ipta f or abov� p�tiod s 2 5 9 ,4 3 6 .7 5
6. Ctoss pris� payoucs for abws psriod (iaelud� eaa6 shore) : 2�6,479.75
7. N�c rsteipts - 11ae S ainus 11n� 6 3 _ 5 2 ,9 5 7.��
8. Exp�nse� iaeurr�d in eoaduetia` and op�racing =aa�:
A. Ccoss va�ea paid. Attaeh vork�r li�t vith
nam�s, addrass�a, `ro�a vaies. nuabsr ot houts f 5 .673 .�0
vorked. and amount paid p�r hour.
1 ,600 .00
B. Renc for 4 m n�� _
C. Lieenas fee. : 4HO .25
D. Insurance ;
E. Bond ;
T. Dishoaoted eheeka aoc rseoversd ; 5� •��
G. Aceounciai Expenss =
H. Cmployers t.I.C.A. _
I. pulltab iau Paid to Daparuene oi R�v�nu� t 6 ,5�2 .8�
J. ltian. U.C. Sax ;
IC. F�dssai E�ceisa Tai b Sea�p :
L. Stac• Goblia; '[a�c =
H. Miit�ilaneou� Facpana�s. Id�ntit� tha �wnt
and to �Aos paid.
1' Western Bank = 6 2 -'�4
Z, Lucky 7 = 6 ,941 . 10
�, Gopher Cash Regis�er 449 .00
�• Racy Printing ; 5 '— 6+---
9. roe�1 Eso.�.a , mtnr. ; 21 ,8 3 4. 16
to. M.e toeo.. • lsn. 7 .ino. lsss 9 s 3 1 , 1 2 2 .8 4
11. Cfisekbook balanc• bssimtiai of pes2od = �
u. roc:i oc isa. ia sna ii s 31 , 122.84
22,822.80
" 13. Tocal concributions (troa �ttaehad vorbh��e) ;
14. Ch�ckbook b�lancs end oE reporcing p�riod -
line 12 leas lla� 1� i 2 0 2 .2 4
v.� � uf �� . rnV`
. . �� � � - UNIFdRM CI�ARItABLc G�MBLING r I�`IaIVC iAl RE?ORt �'9p—//7�
� • tr�WFUI PURPOSE CONTRIBUTIONS - WORKSHEcT
Line #13 - Total Lawful Purpose Contributions. S
List beTow all checks written from gamblinq funds which are
charitable lawful purpose contributions. 7he total dollar
amourtts of these chetks must match the amount claimed in
line �I3. Use additfonal sheets as necessary.
� CHECK # OATE PAYEE CHECK AMOU PURPaSE
-
1. 1001 9/5/89 St. Bernards 2 ,000.00 Educational Advancement
2. 1003 9/18/8 2,000.00
3. 1004 9/25/8 2 ,500.00
4. 1008 10/4 1 ,000 .00
5. 1009 10/9 1 ,200.00
6. 1010 10/17 600 .00
7. 1011 10/23 4 ,500 .00
8. 1012 10/31 2 ,000 .00
9. 1015 11/14 2 ,200.00
10. 1016 11/22 1 ,500.00
11. 101 7 1 1/27 22 .80
12• 1018 11/27 � 1 ,000.00
13. 1021 12/13 1 ,000.00
1 023 12/20 TpTAI CHECK Al�UNT S 1 ,300.00
$22 ,822 .80
NOTE: These expend�tures will be provided to Council Mdnbers at your Council hearing.
Be sure that your financial report is complete and accurate.
_ . • • •
_ _� : : � a ; : ' = � � : � '=
/},� ; � • a �p ; � � w �—
\ �l/1 • � � � w � . 1 � � { O � a
�
��I1N1, � 7 O � i • S � w ' • • ' s s
�'� ,� = '
w .� . .. s n s � s � � � �
;w{�?h="i j . • ; • � ^ ; � � �� 1 M �s
'�f � r A M � i i 3 r� �. 7�
! � � y ' • • • • • � ; A � y a
ti� � i� i�1^ � � � ♦ � f � � � I �►� � 1 1
� .� y y{\ \\ � • a s
:�':Tl���y +��+� !• � � • ' A �� S. s �r�► j � !
� ,� w • ♦ .���► + � •
• A ,� � •
T r'��r�� � • � .�i • � 7 �i '� � � � �y.
��- � � >T � • •1 '� � a
,.:`� a � � . a e a . 3 • s 3 �
F:,�-��.•�,� , s s '� � . � � � g i
"'c� + s •♦ • N
y C' 1.y fY��. �. • 7 w w � s
� � ;
.�"` _�� • I n i S
�� -q: , -�- r� A "� .� a � 1 7
� ��!"3:+ _" = ! s� t � I �
r� ' ' ',� 7 � �.�
:> t •� •
•�? "' •`-� � � � � V�„ i.
i � I �
� �� � I :+C •
•V1M^J�/'d'v">r �+ �
�` i `
i `
:�►
i (
�
— �
�