90-1177 O R I ���H� Council File # 6 - /�
Green Sheet � 10478
; RESOLUTION � ��
OF SAINT PAUL, MINNESOTA ��-
Presente By
Referred o Committee: Date
RESOLVED: That application (ID ��67516) for the transfer of a Gambling
Manager's License currently held by Mark Mules DBA� West Side
Youth Hockey at John & Paul's, 731 Randolph Avenue, be and the
same is hereby approved for transfer to Emil Folsom at the same
address.
� Navs Absent Requested by Department of:
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o � License & Permit Division
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Adopted by Council: Date J��. � � ���j�; Form oved by City Attorney
Adoption Certified by Council Secretary gy:
By� ' Approved by Mayor for Submission to
Approved by yor: Date ���- �. �1 �g�� Council
gy; �E�%"��Y� BY'
Al1BLISHED J U L 2 1 1990_
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DEPARTMENT�FFICE/COUNCIL DATE INITIATED
Finance/License GREEN SHEET N° _10478
CONTACT PER30N&PHONE INITIAUDATE INITIAUDATE
�DEPARTMENT DIRECTOR CITY COUNCIL
Christine Rozek-298-5056 ����N �CITYATTORNEY CITYCLEHK
MUST BE ON COUNCIL AOENDA BY(DATE) NUMBER FOR gUDGET DIRECTOR FIN.8 MOT.SERVICES DIR.
City Clerk ROUTINO 0 ❑
ORDER MAYOR(OR A3SISTAN'n (',AttTr'I 1
Hearing/ By/ ❑ � �
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval of an application for transfer of a Gambling Manager's License.
Notification Date: 6-25-90 Hearing Date: 7-12-90
RECOMMENDATION3:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MU8T ANSWER TNE FOLLOWING QUESTIONS:
_ PLANNINQ COMMISSION _ CIVIL SERVICE COMMI8SION 1. Has this personRirm ever worked under a coMraCt for this department?
_CIB COMMITTEE _ YES NO
_STAFF _ 2• Has this person/firm ever been a city employee?
YES NO
_ DIS7RICT COURT _ 3. Does this person/firm possess a skill not normally possessed by any curreM city employee?
SUPPORTS WHiCH COUNCIL OBJECTIVE? YES NO
Explaln all yss enswers on separets shest end attach to groen shest
INITIATINO PROBLEM,IS3UE,OPPORTUNITY(Who,Whet,When,Where,Why):
Emil Folsom DBA West Side Youth Hockey at John & Paul's, 731 Randolph Ave.,
requests Council approval of his application for the transfer of a Gambling
Manager's License currently held by Mark Mules. Transfer fee of $33.50
has been submitted.
ADVANTACiES IF APPROVED:
If Council approval is given, Emil Folsom will manage the pulltab/tipboard
sales for West Side Youth Hockey at John & Paul's, 731 Randolph Avenue.
RECEIVED
DISADVANTAOES IF APPROVED:
�u�03i�90
CITY CIERn
DISADVANTAOES IF NOT APPROVED:
. (;ounci� k���ar�h ��#�
.�L�aJ w� 1��U
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) „/�
Ci
. � ,
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 rypes 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 RESOLUTtON (all others,and Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2. Ciry Attomey
3. Department Directar 3. Mayor Assistant
4. Budget Director 4. City Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. City Attorney
3. Finance and Management Services Director
4. City Cierk
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 accomplish 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?
fndicate which Council objective(s)your projecUrequest supports by listing
the key word(s) (HOUSING, R�G�tHATIQN,NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET,SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information will be used to determine the city'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 Ciry of Saint Paul
and its citizens will benefit from this projecVaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this project/request 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?
. , � � �yo—ir��`
DiVISION OF LICENSE AND PERMIT ADMINISTRATION DATE 5 /�� / � � C�
INTERPF.PARTMFNTAL REVIEW CHECKLIST A.ppn Proc ssed/Received by
Lic Enf Aud
/_� . l (7"7
Applicant �.yyic � �O�SOi''►'j__ Home Address (,��o` j,(��»S1�w
Rusiness Iv'ame �QS-�S�cL¢ UO�� �C�P� Home Phone o�� �1" 3 �U(�
Business Address .John � �q-(-c-� � Type of License(s) C1p�.y, ��� n�
Business Phone �73 ( �lin �Iph � �TV(1rS ��'
Public Hearing Date � � License I.D. 1F �7��I �
at 9:00 a.m, in the Coun il C ambers,
3rd floor City Hall and Courthouse State Tax I.D. �i � S 3Q 3 S�
llate Notice Sent; ( Dealer 4l ���
to Applicant �F �� �1,(�j �j�
rederal F�.rearms 4� �
Public HE�aring
DATE INSPECTIUN
REVIEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D 1
N��-
Health Divn. �
' ��� '
�
Fire Dept. �
' ►�1,� i
�
! S2 n`E�- (014 �iCj
Police Dept. ' I
(v��s�y c� CC�.,
�
License Divn. '
� �I�l l�; � �
City Attorney �
(c �� �b �I�.
Date Received:
Site Plan � � �
To Council P.esearch � �(�
Lease or Letter �� n Da e
from Landlord f�r
CURRENT INFORMATION NEW INFOKMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Boud:
Workers Compensation:
New Officers:
Stockholders:
- ... t �� � � �c 9����7
CITY OF SAI�T PAIIL
DEPAR�iT OF FINAZICE sIID MANAG�MENT SERPICES
DIPISIOA OF LICEriSE AND PERMI?S
. APPLICATION FOS A CEAi�GE IDt GA�LI�G MANA�GER
The applicant muat return this applicatioa form, rcQuested supporting
dvcumsnts and the required fees ia parson to 800m 203 City Hall. Make
aa appointment with Christine Rozek, 298-505b, to briag ia youz
application and to review City gambliag rules.
. Date: tg MQ`� -1U
1) Full and complete na.me of organization:
�J�J� � .tl v.� �o �Q
2) Name of licensed location:
v d�11 � �(�v�\ ,S
CURRENT MANAGER INFORMATION
3) Name ��� c'J• �.�L�S
' - First Middle Last
�) addr�ss l�S L �.sa�` �T �,�\ M„ 5SIo1
Number Stzeet City Zip
5) City of Saint Paul License # � S�(. (v Pj
NEW MANAGER INFORMATION
6) Name �n�; ► ,a'�<S �'<o LS o w�
First Middle Last
7) Date of Birth � ' ,2'�� S'S
8J Address (o/ � . W i�.s�o�,•� I�� S�. p4., � S'S"I�7
Number Street City Zip
9) Phone # d�`-1 -36cp Phone # 2 S'3 `5 t 3�
Home Worlc
IO) Member of organization siace: � D S�
Koath Yesr
. II) Fidelity Bond: (',�;�. c,( �,'rc.. � C•��sv-��.i
Insuraace Compaay Bond Hamber
. .� ' . �,���-����
CHANGE IN GAMBLING MANAGER
PAGE 2 � y �• �\�„�
State of Minnesota) � �
) ss ��v__--/•/ ��.�..,.�
County of Ramsey ) ''""' '�' .
1 ` V1�� � . �.�,�c.S and
being duly sworn say that they are the petitioner(s} in the above
application; that they have read the foregoing petition and know the
contents thereof; that the same is true of their awn knowledge.
Subscribed and sworn before me this
, t , ay of 19�p
�MMit+V�M�r.,�Mn,,.:nnMn�n��n^nnl�MM■
' ����1�� ��-?ii'�„�iC.. ", �
����nora���u�1��c--r.,;;:�:_::��,� '
�-' R�MSEY COl;�1TY
Notary Public, Ramsey Count��i<n�,nesota x MyCommissionExpiresAug.15, 1994
My Commission Expires
x
12) Attach a copy of the bond to this application.
13) Attach to this application proof of inembership in the organization •
for at least the most recent two (2) years.
14) Gambling Manager applications must be approved by City Council
before managerial duties can begin. Allow 30-60 days for
processiag and investigation. This application is not a license
to operate. You will be notified by letter of your hearing date
before the Citq Council. We suggest that you attend the public
hearing.
. 15) Attach a letter from the President or CEO of your orgaaization
. requestiag the gambling manager transfer and explaiaiag the
necessity for such a transfer.
16) I990 Gambliag Manager transfer fees are: _�(o•dD
7/89