90-1491 On I � I np� � � Council File # 0 –/�
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Green Sheet # 10528
RESOLUTION
SAINT PAUL, MINNESOTA `°
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Presented B
Referred To Committee: Date
RESOLVED: hat application (ID 4�57586) for renewal of a State Class B
ambling License by Phoenix Learning Services, Inc. at Joseph's Bar,
37 State Street, be and the same is hereby approved/��iac�.
n edS ��3L� � Requested by Department of:
sw z �—
o License & Permit Division
c a e
et ms
u e
s son �— BY�
Adopted by Counci : Date AUG 2 3 1990 Form Approved by City Attorney
Adoption Certifie by Council Secretary gy: � '.�/—Qv
BY� ��'�%��� Approved by Mayor for Submission to
Approved by Mayor Date AUG 2 7 1ggQ Council
, �
By: ��'l�C� t�"��/ BY�
Pl1At.ISNED S E P - 11990
. ��o-����" �.
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N• �1 O� H
Finance/Li ense GREEN SHEET �
INITIAL/DATE INITIAL/OATE
CONTACT PERSON&PHONE DEPARTMENT DIREC70R CITY COUNCIL
Christine ozek-298-5056 ASSIQN �CITYATTORNEY g CITYCLERK
MUST BE ON COUNCIL AGENDA BY(DAT ty e ROUTINaFOp �BUDGET DIRECTOR �FIN.8 MGT.SERVICES DIR.
Hearing/ �� By� g eO ORDEFi �MAYOR(OR ASSISTANn 0 Council
7
TOTAL#OF SIGNATURE PA(i S (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval f an application for renewal of a State Class B Gambling License.
Hearing: a3 Qp Notification:
RECOMMENDATIONS:Approve(A)or Rej (R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWINd QUESTIONS:
_ PLANNINCi COMMISSION _CIVIL SERVICE COMMISSION 1. Has this personflirm ever worked under a contract for this department?
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employee?
_3TAFF — YES NO
_D137RICT COUR7 _ 3. Does this person/firm possess a skill not normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIV YES NO
Explain atl yes answers on separate shest and attach to gro.n sheet
INITIATINCi PROBLEM,ISSUE,OPPO NITY(Who,Whet,When,Where,Why):
Rathleen lachfelner on behalf of Phoenix Learning Services Inc. requests Council
approval f their application for renewal of a State Class B Gambling License
at Joseph�s Bar, 537 State Street. Proceeds from the pulltab sales are used
to create opportunities and offer special financial assistance to developmentally
disabled ersons. Investigative fee of $375.75 has been submitted.
ADVANTA�ES IF APPROVED:
If Counc 1 approval is given, Phoenix Learning Services, Inc. will
continue to operate a pulltab booth at Joseph's Bar, 537 State Street.
DISADVANTAOE3 IF APPROVED:
D13ADVANTAOES IF NOT APPROVED:
RECEIVED
�G141�A0 �a����� ������� �����r
CITY CL�RK �;i;�� `����''��
TOTAL AMOUNT OF TRANSAC ION $ COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN �J�
U
' � .
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. Ciry 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. Qepartment Director 3. Mayor Assistant
4. Budget Director 4. Ciry Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. Ciry Attomey
3. Finance and Management Services Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperciip or flag
eaCh of these pages.
ACTION REGIUESTED
Describe what the project/request 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?
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 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 annuai 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 projecUaction.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecVrequest produce if it is passed(e.g.,traffic delays, noise,
tax increases or assessments)?To Whom?When?Forhow 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?
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DiVISION OF I.ICENSE AND P�:RMIT ADMINISTRATION DATE ((1/p2D (� l � � !C�
INTF,RDF.PARTMFI�TAL R VIEW C:HECKLIST A.ppnTPro essed/Received by
Lic Enf Aud
Applicant �����nQ►�" Home Address �110 Iv. SN.� ��i ri(a �s���
�—
Rusiness Name �h n� x L�a•►n �� SP�W�RSHome Phone
t`f �.J D.Se ��'LS G r /1 �
Business Address Type of License(s) l�lQ,�S.� � C`r�mbl�/?y
Business Phone � 3� ��j �� �i(:Q�nS-Pi �/��t1�-l.�
Public Hearing Dat ���� License I.D. �{ � 75��P
at 9:00 a.m, in th Council' Chambers,
3rd floor City Hal and Courthouse State Tax I.D. �t /V �`
llate Nutice Sent; Dealer 4� ���"
to Applicant
Federal I'i_rearms 4� ���
Public He��ring
DATE INSPECTION
REVt�W VERFIED (COMPUTER} COMMENTS
A roved Not A roved
�
Bldg I & D �
N �
Health Divn. '
�
N
i
Fire Dept. �
j � �
� �2."n�� ( � �l [ o
Police Dept. I
� �v o/L
License Divn. �
� � ��� Q �
City Attorney �
7 �� ��! �l�
Date eceived:
Site Plan � �-� �7� / G
To Council P.esearch �' l4^ L�
Lease or Letter �( Date
f rom Landlord � �U ��
CURRENT INFORMATION NEW INFOItMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond•
Workers Compensation:
New Officers:
\
\`
Stockholders:
City of Saint Paul �Y�'/T /�
, � � Department of Finance and Management Service's
Division of License and Permit Registration
INFORMATION RE UIRED WITH APPLICATION FOR PERMIT TO SELL PULLTABS � TIPBOARDS IN SAI:VT PAUL
(Class B Gambling Li ense in Liquor Establishments - Renew)
1. Full and compl te name of organization which is applying for Iicense
Ph nix Learning Services, Inc.
2. Address where ames will be held 537 State St. St. Paul 55107
Number Street City Zip
3. Name of manage signing this application who will conduct, operate and manage
Gambling Games Kathleen Blachfelner Date of Birth 8/5/44
(a) Length of ime manager has been member of applicant orgaaization 11/80
4. Address of Ma ger 1771 Janet Ct., Arden Hills, i�t 55112
Number Street City Zip
S. Is the applic nt or organization organized under the laws of the State of MN? Yes
6. Date of incor oration 4/22/71
7. How long has rganization been in existence? 19 yeat's
8. How long has rganization been ia existence in St. Paul? 19 years
9. W[�at is the p rpose of the organization? To create onr�ortunities and offer special
financial ass stance to developmentally disabled persons
10. Officers of a plicant organization:
) Name Sandr B'ornstad � Name Elizabeth Henderson
Address 172 Ha e Ave., St. Paul Address 4135 40th Ave. S., Mpls
Title pres eas DoB 1/17/55 Title Board Member D�B 7/21/61
, � Name Carol Peitzman �+� Name Kay Freeit�an
Address 1255 N. Dale� St. Paul Address 340 E. Morton, St. Paul
Title Board Member DOB 10/11/59 Title Sec'Y DOB 9/29/62
11. Give names o officers, or any other persons who paid for services to the �
organization.
Name S)Name� Kathleen Blachfe].ner
Address /� o N� �= Address 1771 Janet Ct� Arden Hills
Title Title Bd Member/Gambling Mgr, DOB 8/5/44
(Attach separate sheet for additional names.)
. . � � � � yo- �y�i
12. Attached hereto is a list of names. and addresses of all members of the organization.
13. In whose custod will organization's pulltab records be kept?
Name Kathleen Blachfeiner Address 1771 Janet Ct. , Arden Hills, c�T
14. List all person with the authority to sign checks for dispersal of gambling proceeds:
Name Kathleen Blachfelner Name Kay Freeman
Address 1771 anet Ct, Arden Hills Address 240 Morton St., St. Paul
Member of Member of
DOB 8 5 44 Organization? y DOB 9/29/62 Organization? y
Name Name
Address Address
Member of Member of
DOB Organization? DOB Organization?
15. Have you read nd do you thoroughly understand the provisions of all laws, ordinances,
and regulation governing the operation of Charitable Gambling games? y
16. Attached heret on the form furnished by the city of Saint Paul is a Financial Report
which itiemize 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 ha been signed, prepared, and verified by
Address
who is the of the applicant organization.
Name
17. Will your org nization's pulltab operation be operated/managed solely by members of
your organiza ion? yes X no
18. Has your org ization signed, or does it intend to sign, a consulting agreement or a
managerial ag eement with any person or company to assist your organization with the
pulltab sales and/or recording keeping? yes X no
If answer is qes, give the name aad address of the person and/or company contracted.
Name Phil vit Address 193 E. Robie St.
Name Address
If answer is yes, how will such a consultant be paid? (percentage, flat fee, gambling
funds, gener 1 funds, etc.) Attach a copy of said contract to this application.
19. Operator of remises where games will be held:
Name Donal Jose
Business Ad ress 537 State Street, St. Paul, !�i 55107
Some Addres 615 Front Street, Hudson, WI 54016
� � � � ��o,��y�
20. a) Does your or anization pay or intend to paq accounting fees out of gambling funds?
yes g no •
b) If you do p accounting fees, to whom will such fees be paid?
Name Peter L eau Address 276 N. Snelling Ave
DOB 1/19/54 Member of Organizatfon? Y
c) How are th accounting fees charged out? (flat fee, hourlq, etc.)
F1 tt Fee
d) What do yo anticipate will be your average monthly deduction for accounting fees?
21. Amount of rent paid by applicant organization for rent of the pulltab sales area:
$100/week
22. The proceeds f the games will be disbursed after deducting prize layout costs and
operating exp nses for the following purposes and uses:
To create op rtunities and financially assist developmentally disabled persons in
such areas as education, travel, emergency clothing grants, medical needs that become
a financial b den, unusual prograngnatic needs, to name a few
23. Has your org ization filed federal form 990-T? I�a If answer is yes, please attach
a copy with t is application. If answer is no, explain why:
Is not e et
Any changes desir d by the applicant association may be made only with the consent of the
City Council.
Phcenix Learning Services
' • Organization Name
�
Date By: Kathleen J. Blachfelner � -/��s-���
Manager in charge of game �
rg zation President or CEO
� . � i yi .�� . 'nV�
- . ' ' � UNIFdRM CHARITABIc Cu'�MBLING �IvANCiAI RE?ORT lJ,�y�_�y9/
L�IWFUL PURPOSc CONTRIBUTIONS • WORKSHE:T (�!"
Line #13 - Total Lawful Purpose Contributians. • S 12,514.70
List elow all checks wrfttert from gambiinq funds which are
chari able lawful purpose contributions. The total dollar
amoun s of these checks must match the amount claimed in
line I3. Use additional sheets as necessary.
� CHEC< # DATE PAYEf CHECK AMOUN PURPOSE
-
1.
1071 1/17/ Neighborhood Connection $1,672.47 Member-City Youth Fund
2.
1115 3/27/ 0 Brenda Dorweiler $1,565.32 Travel for DD group
3.
� 1116 3/27/ Arts Etc $6,552.00 Special Ed classes
4.
1135 4/30/ City Youth Fur�cl $2�724.91 City Youth Fund
5 .
6.
7.
8.
9.
10.
lI.
12. �
13. �
TOTAL CHECK AMOUNT S 12,514.70
NOTE: These xpenditures ++ill be provided to Council Members at your Council hearing.
Be su that your financiai report is complete and accurate.
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� Citq of Saint Paul Page l
Deparcment of Finanee and Managsmenc Servicee n �D�/��/
Divialon of Licsaaa aad Perait Adnini�czation • `G
UNIFOR?t Cf�l►RITAELE GAI�OLINC F2NANCUL REYORT
Dat�
i. N,m. af Organization Phoenix Learninq Services, Inc.
2. Add as� vhece Charitsbl• Casbliag is eondueced 537 State St.i St Paul. MD1 _
3. R�p st tor period cov�ria� 1���- 19� thsou=h 5/31 19�
4. Tot 1 number of days playsd 243
S. Cro � receipt� Eor abovs period = 512�417.50
6. Gro a prise payovts for abws period (inelud� csah short) s 397,236.�
7. Net rec�ipts - liae 5 minus lin� 6 � 115 i 180.�
8. Sxp nse• lacurred in conduecing and opsrating ;m�:
A. Cross vagee paid. Attaeh vosker li�c vich 22,'766.�
nam�s, addressaa. gro�s vagea, n�ber of dwrs f
vorksd, usd amounc paid p�r hour.
B. Rent for vesks = 3�2�.�0
C. Licenne fee. : 605.00
D. Ineurance t 49�.00
E. Bond = 100���
F. Dishoaor�d chaeka not recovered �
G Aecountin= Expeasa ;
H Employ�rs F.l.C.A. 4 1 .QA9_dA
I Pulltab tu Paid to Daparta�ne ot R�v�nu� ; 1�-�1�5.2�
J. lSina. U.C. Tu i 187.15
F�datal Exclsa Ta�t 6 Stasp ; �1C� in June
. Stat� Gublia� iu i 2�.35
Hisesllaa�oua Expsnss�. Id�ntiiy tha asount
� and to vdaa paid.
1. Lean Yr-Pull Tabs = 12,581.37
Z. Cash Reserve = 1,100.00
3. Jar Bar Rental � 381.60
• �. Other-See Schedule. ; 1,919.86
9. iocaL Fspea�es . , mTAL s 56.187.46
L0. NaC Iaea�r - lina 7 aim• lia� 9 i 58,993.14
11. Ch�ef�book balanee be=iaain� of p�riod ; '�—
t2. roc�i oe isn. io �a ii s 58.993.14
' 13. Total eoacribucions (froa aecach�d vorbh�et) S 12.514_70
13. Plus 5/3��90 A�c�s Qa��l� 5,015.30
14. Cheekbook ba nee ea o ra o sriod -
lia� 12 lsss liae 13 i S1 .4A�_7d