90-1525 o �,I � � � n ( Council File � � —
HL
Green Sheet � 10536
RESOLUTION
CITY OF S T PAUL, MINNESOTA
�'' '
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Presented By
Referred To � � Committee: Date
RESOLVED: That application (ID ��89855) for a State Class B Gambling
License by Friends of Animal Adoption, Inc. at Horseshoe Bar,
574 Rice Street, be and the same is hereby approved/�e�,.
ea Navs Absent Requested by Department of:
smon
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License & Permit Division
acc ee
e man
une By:
so
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AUG 2 8 ��� Form Approved by City Attorney
Adopted by Council Date
. �
Adopti Cer 'fied by Council Secretary gy; � �(( �—��j -�fQ
BY� Approved by Mayor for Submission to
Approved by Mayor: Date .yG 2 9 19� Council
By: �'�� By'
P��,����p StP - 81990
. . ,i�a �
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED C� O
Finance/L'cense GREEN SHEET N. ,10536
CONTACT PERSON 8 PHONE INITIAL/DATE INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Rozek-298-5056 ASSION �CITYATfORNEY �CITYCLERK
MUST BE ON COUNCIL AGENDA BY(DA E) NUMBER FOR gUDCiET DIRECTOR FIN.&MGT.SERVICES DIR.
City Clerk ROUTING � �
ORDER MAYOR(OR ASSI8TANT)
Hearin / 8-28-90 By/ 8-21-90 ❑ � ('.rnmril
TOTAL#OF SIGNATURE PA ES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUE9TED:
Approval f an application for a State C1ass B Gambling License.
Hearin : 8-28-90 Notification: 8-7-90
RECOMMENDATIONS:Approve(A)a Re) (R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING�UESTIONS:
_ PLANNINO COMMI3SION CIVIL SERVICE COMMISSION �• Has this person/firm ever wo�ked under a contraCt fOr this department7
_CIB COMMIITEE YES NO
2. Has this person/firm ever been a city employee?
_STAFF _
YES NO
_DI37RICT COUR7 — 3. Does this person/firm possess a sktil not normally possessed by any current city employee?,
SUPPORTS WHICH COUNCIL OBJECTIV YES NO
Explaln ell yes answers on separats shest and attach to grosn sheet
INITIATING PROBLEM,ISSUE,OPPOR NITY(Who,Whet,When,Where,Why):
Lon Foote on behalf of Friends of Animal Adoption Inc. requests Council
approval f their application for a State Class B Gambling License at
Horseshoe Bar, 574 Rice Street. Investigative fee of $373.25 has been
submitted. Proceeds from the pulltab sales will be used for operation of
the organ zation (to shelter & find homes for homeless pets) .
ADVANTAGES IF APPROVED:
If Counci approval is given, Friends of Animal Adoption Inc. will operate
a pulltab ooth at Horseshoe Bar, 574 Rice Street.
DI3ADVANTAOE3 IF APPROVED:
DISADVANTAGES IF NOT APPROVED:
��
�Gl� Councii R�s�rch Center
ClTY ClERK ��� �o i99�}
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ��A/
vv
NOTE: COMPLETE DIRECTIONS ARE INCLWDED 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 Attomey 3. Budget Director
4. Mayor(for contracts over$15,000) 4. Mayor/Assistant
5. Human Rights(for contracts over$50,000) 5. Ciry 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 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 Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperclip o�flag
each of these pages.
ACTION RE(]UESTED
Describe what the projecVrequest 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 project/request 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 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 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?
. , yo-�f�3
BiVISION OF I.ICENSE AND P�:RMIT EIDMINISTRATION DATE � 3 �(3 / .� �Q
INTERPF.PARTMFNTAL REVIEW CHECKLIST A.ppn Pr cessed/Rece'ved by
�On �p-�Lic Enf Aud
Applicant �Y1�P �5 D� �-h+m� _ Home Address o� 7F55 �q��nWpt3d.��� y;�q�--
�o P-}1 u��� _L v,C� �bu✓'� J
Rusiness Name Home Phone '�,3� 8'�(�
Pusiness Address 7 ' .��" Type of License(s) ��_� � CjQ���inG
Business Phone C.�Cp���
Public Hearing Da e $ � � License I.D. 4{ �g��
at 9:00 a.m. in t e Council Chambers, � �
3rd floor City Ha 1 and Courthouse State Tax I.D. 4� �j v�� 7�5`-�
llate Nutice Sent; Dealer �l �l�
to Applicant � —��
Pederal Fj.rearms 4� �}
Public Hearing --�
DATE IA'SPECTIUN
REVtEW VERFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
�f�- ,
Health Divn. �
���- �
Fire Dept. I� �
, u�� i
�
! �,t i � 1�31�0
Police Dept.
I �'a� f�o o �
License Divn. �
City Attorney �
� 1 cs�9a �
Date Received:
Site Plan 7 � 9(� �. /� q
To Council P.esearch � �v a L �
Lease or Letter Date
from Landlord 1 �3 "�f�
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
-- Workers Compensation:
New Officers:
Stockholders:
i'..;�.��;. .: • : �'� .. City of Saint Paul �
`��,'�'` '�� � . � Department of Finance and Management Services /�r-/a,��-a�
� . D i v i s i o n o f L i c e n s e a n d P e r m i t R e g i a t r a t i o n . �/�`���
INFORHATION RE UI 41ITK APPLICATION FOR PERMIT TO CONDUCT PULLTAH/TIPBOARD SALES IN
SAINT PAUL (Claaa Gaa�bling License in Liquor Establishmente - New Application)
1. Full and co�pl te name oE organization afiich is aQplying for licensa
�R1�ND 0 NIMA DO T10�15 �•
2. Does your organ zation meet the definition of a "large" organization as outlined in
the Noveaber. 1 88 reviaion of Section 409.21 of the Legislative CodeZ �Q
Attach to this pplication pertinent financial and/or organizationel information to
eupport your an wer to this question. NO'fE: Only S large organizatione will be allow-
ed to open pull ab operatione under the revised city ordi�ance. If more than 5 ocgani-
zationa apply, ualified aQplicante Will be selected rando�ly by the City Council.
3. Addreae whece g mea will be held S�]�- R���. S��ET �JT. �Al1L 55103
Number Street City ZiP
4. Name of manager eigning thie application aho will conduct. operate anJ manage
Gambling Gamea �..�tJ r00�. Date of Birth �0—Z���
(a) Length of t me manager has been member of applicant organization ,� ��RS
5. Addreea of Nana er 2�85 ROBI�tWOO� V�tAy r�D�� 551?.�5
Number Street City ZiP
. ' 6. Day� dates. and houra thie application ie for 1 �►y5�1��K ��`W � '""' �`��M
7. Ie the applican or organizatio� organized under the laws oE the State of MN7 y�
8. Data of incorpo ation �C.TOB�fL � �g'�
9. Date when regiatered With the State of Minnesota ��— 1 1
10. Noa long hae or nization been in existence� ��j `��RS
11. How long has org nization been in existence in St. Paul? �Q �RS ,
12. What is the purp ee of the organization? TO ��1..'r�.���.+ FItJD ���5
�O � M 5 — DO�S �►TS•
13. Officera of app cant organization: .
Name P�RLE � Name SEE ATTi�CKED LIST �OR
Addrees 21� �NW��� �Y+� W Addresa OT�'IER �$�7 ��_��
�O,AR� Of �IREG
rtti� PRESI noe 11-13-35 Title nae
Name L. Name
Addrese � 3 E �. t�.(1w�... Addresa �
Title DOB Title �B
,
•� 14. Give qames oE fficera, or any other pecsons wl�o paid for services to tl�e �9�'�J`a-J
organization. •
N�e Na�e �
Addcesa Address
Title Title
(Attach separate sheet foc additional nawes.)
15. Attached heceto ia a liat of naaes and aJdresses of all meobers of the organizatioo.
16. In wl�osa cuetod vill organizetion's records be kept�
Name L�E ��� Address Z?�J R�W� Wf"l�
� �? R
11. Liet all person witl� the authocity to sign checks for diapereal o€ gambling proceeds:
. Name �1� � E Name ��'C �R�SC��—
2785 BINWOOD W Y �4I B�yAR� A�E•
Addreae ��00� Addreas ST. '�j�UL
� Member oE 2' Hember of,
DOB ��"Z1"Z� OcganizationZ y�S DOB 3—����1p Organization? ��
Name ��� Name
Z- 85 8tNW0�0� �t
Address R I AJdress
Member of � Membe f
DOB �,-t3-35 Organization7 ES DOB Organizat t
18. Have you cead aa do you thoroughly understand the provisions of all laas� ordina�ces�
and regulatione overning the operation of Charitable Cambling games? y��'J'
19. Will your organi ation's pulltab operation be operaCed/managed solely by �embers of
your organizatio ? yea no
20. lias your organiz tion signed, or doea it intend to sign. a consulting agreement or a
managerial agree ent with any person or company to aseist your organization with the
pulltab sales an /or recording keepi�gT yes no
IF aneWer ia yee give the name and addresa oE the person and/or c�pany contracted.
N� Address
N�e - Address
If anewer, is yes f►ow will such a consultant be paid? (percentage. flat fee. gaabling
funds, general f nds� etc.) Attach a copy of said contract to this application.
21. Operator of prem ses where gamea will be held:
NBO� N�r+a R. TRoS� JR. Ri Iw .
Business Address 5�4 R��E S�F.,�"�'� �'JT pAVL
� Home Address Q � ( ROS 1��
� r anization pay or intend to pay accounting fees out of gambling fuc►ds? J
- 22. a) Does vour o �,r.�0���-��S
�es �o
b) If you do Pa accountiag fees, to wiiom r+ill such fees be paidZ
Name �-C•� �N��7 • �. Add ress .�v�+ WE5 �
�B Cj ZQ—�j Member of Organizatian? N�
c) Now are the acconnt�ng fees cfiargad out� (flat fee. hourly. etc.)
NOURL
d) What do yo anticipate Will be your average monthly deduction for accounting Eees?
� �
23. Amount oF rent paid by applicant organization for rent of the hall:
� 4oa orJTN
24. The proceeds o the gamea will be diabursed after deducting prize layout costs and
operating expe eee for the Eollowing purpoeea and uses: .
p FbR RoG M �TS OF Tt�E G Nt TION Fo N GH
1'� 1�S o� AINED �5 E�PT T u5•
25. Nae the Qremi ea Where the games are to be held been certified foc occupancy by tl�e
City of Saint Pau1T ��"J
If answer is yes. please attach
26. Has your orga ization filed federal form 990-T? NO in why:
a copy with t is application. If a�swer is no, * P �O
, �� r1oT c 2� Nu�-�
�tt�t�•T '8�t)5�� �N •
Mq changes desir d by the apPlicant association may be made only with the consent of the
Citq Council.
, ��TN�rr I"�N11'�T i� i 1i�.a "��7�
0[gaaization neme
. `�..,- �--
� '
Date � Z9 By� �Manager in chacge of ga�e
�
^ Organization President or
♦ ' •�'
' ' • ' � . \��/�//���
�/
TO 8E COMPLETED BY .
.ORGANIIATION PRESIOENT AND GAH6LING MANAGER
,
I understand nd will uphold Saint Paul Ordinance 409, Sections 404.21
_ and 409.22 re ating to pulltabs and tipboards fn bars.
Further� I un erstand that my jarbar must meet city standards; that 10:
of the net pr fit from pulltab sales must be returned to the City-Wide
Youth Fund on a monthly basis; that monthly financial statements must be
filed with th City; and that 51p of net proceeds must remain in St. Paul
or be used to support St. Paul residents. �
tZQ2-� �.
g ature - nager
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g atu e - ganiza n Pres en
FRCErJ�s 4F AN IMAI. OPT 0�1� I N C•
rgan za on ame
NOa,s�5N0 ST �A��
am ng oca on
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Please retain the attached ordinance for your records.