90-1556 0 R�f G I N A L Council File � ' �
Green Sheet � 10530
RESOLUTION �
CITY OF SAINT PAUL, MINNESOTA �
� ,,,,
��;
Presented By
Referred To Committee: Date � �
RESOLVED: hat application (ID ��67324) for renewal of a State Class B
ambling License by Trade Lake Camp at B. V. Peppercorn's,
178 Arcade Street, be and the same is hereby approved/�e�rcied.►
Navs Absent Requested by Department of:
osw —"
on License & Permit Division
� cca e
—Re ma
i son ay'
Zr
Adopted by Council• Date AUG � Q �Q� Form Approved by City Attorney
Adoption Certified y Council Secretary gy; �-�7-7Q
BY� ' Approved by Mayor for Submission to
Approved Mayor: Date��� � 1 9� Council
�
,�� sy:
By:
PU61i��y'�7 �t P - 81990
, • . . �'�'�'is���IL
DEPARTMENT/OFFICFJCOUNCIL DATE INITIATED G R E E N S H E ET NOi _10 5 3 0
Finance/Lic nse
CONTACT PERSON&PHONE INITIAUDATE INITIAUDATE
DEPARTMENT DIRECTOR �CITY COUNCIL
Christine R Ze1C.�298-5056 ASSIGN �CITYATTORNEY �CITYCLERK
MUST BE ON COUNCIL AGENDA BY(DATE) Cit C1 k NUNBEN FOR ❑BUDGET DIRECTOR �FIN.&MGT.SERVICES DIR.
ROUTING
Hearin � 3 B /$ � G� ORDER �MAYOR(ORASSISTANT) � (!rn�nr�i 1
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval of an application for renewal of a State Class B Gambling License.
Hearing: Q Notification:
RECOMMENDATIONS:Approve(A)or Reject( ) pERSONAL SERVICE CONTRACTS MUST ANSWER TME FOLLOWING�UESTIONS:
_PLANNINQ COMMISSION _CI IL SERVICE COMMISSION 1• Has this person/firm ever wo�ked under a coMract for this depertment?
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employee?
_STAFF - YES NO
_DISTRICT COURT _ 3. Does this personlfirm possess a skill not normall
y possessed by any current city employee?
SUPPORTS WHICH COUNCIL OB,IECTIVE4 YES NO
Explain all yes answsrs on separats sheet and attach to yresn shaet
INITIATINO PROBLEM,ISSUE,OPPORTUNI (Who,What,When,Where,Why):
E. Thomas B uer on behalf of Trade Lake Camp requests Council approval
of their ap lication for renewal of a State Class B Gambling License at
B. V. Peppe corn's, 1178 Arcade Street. Investigative fee of $373.25 has
been submit ed. Proceeds from the pulltab sales are used to operate summer
athletics a d youth camps for mentally handicapped youth.
ADVANTAQES IF APPROVED:
If Council pproval is given, Trade Lake Camp will continue to operate a
pulltab boo at B. V. Peppercorn's, 1178 Arcade Street.
DI3ADVANTAOES IF APPROVED:
DI3ADVANTAOES IF NOT APPROVED:
���GIY�V
AUGO'���0 �o�nc�� 1��;����'�i� C�t1t�r.
CI'1'Y CLERK �`,�� U�15�U
.-- -
TOTAL AMOUNT OF TRANSACTION COST/REVENUE BUDGETED(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBEq
FINANCIAL INFORMATION:(EXPLAIN) ��
� ' - � ��l�'/c�
DiVISION OF LICEN E AND PERMIT E�.DMINISTRATION DATE � � � / � �� v
INTERDF.PARTMEI�TAL REVIEW CHECKLIST Appn ro essed/Received by
Lic Enf A
Applicant •--, � Qm� Home Address �o� �D �_ �� �� O �
" 'V
Rusines� Iv'ame , U� y�s Home Phone
Business Address f �'Y d¢�c�� Type of License(s) ��Q� ��
Business Phone G{�'YL b���"1 � 1��n5e. /��P r1.P �4-I
3C) /_ ^�
Public Hearing Dat � (� License I.D. 4� (�J �3 of '�
at 9:00 a.m. in th Council Chamb •rs,
3rd floor City Hal and Courthouse State Tax I.D. �l �V ��
llate Notice Sent; Dealer �� ��A"
to Applicant
rederal Pirearms �� � ��{`
Public Hearing
DATE IrSPECTIUN
REVtEW VEKFIED (COMPUTER) CUMMENTS
A roved Not A roved
�
Bldg I & D �
til� ,
Health Divn. '
u �A� '
�
Fire Dept. � � �� �
j I
I � � �.�.�
Police Dept. e�� �I ��' ��
�� la4lg-� � �...
License Divn. �
� i5 �� � ��
City Attorney �
�1 ly �� � ��
ate Received:
Site Plan � D g_� _C� v
To Council P.esearch �
Lease or Letter � G Date
from Landlord 5 l �
CURRENT INFORMATZON NEW INFORMATION
Ciirrent Corporation Name: New Corporation Name:
Current llBA: New DBA:
Currer.t Officers: Insurance:
Boud:
Workers Compensation:
New Officers:
Stockholders:
° " - � �ryv--�s�
City of Saint Paul
i' ' ' Department of Finance and Management Service's
" Division of License and Permit Registration
INFORMATION RE III WITH APPLICATION FOR PERMIT TO SELL PULLTABS & TIPBOARDS IN SAINT PAUL
(Class B Gambling icense in Liquor Establishmer,ts - Remew)
1. Full and comp ete name of organization which is applying for license
T E LAKE CAMP, INC.
2. Address where games will be held 1178 Arcade St. St. Paul , *�!N 55106
Number Street City Zip
3. Name of manag r signing this application who will conduct, operate and manage
Gambling Games E. Thomas Bauer Date of Birth 2-26-20
(a) Length of time manager has been member of applicant organization 1 5 ye ars
4. Address of Man ger 559 Cimarron Lake Elmo, "�N 55042
Number Street City Zip
5. Is the applica t or organization organized under the laws of the State of MN?
6. Date of incorp ration August 24 , 1983
7. How long has o ganization been in existence? 15 y e ars
8. How long has o ganization been in existence in St. Paul? 1 5 ye ars
9. What is the pu ose of the organization? To serve retarded and handicapped
youth with thletic and sur.vmer camp activities.
10. Officers of ap licant organization:
Name Pegg Hjelseth N�e Pat Knitt
Address 2347 ophill Circle St3 Paul,t�1e 5511da Rd.
Address
, �
Title P�SI ENT D�B 8-3-41 Title Exec. Secretargpg 5-10-50
Treasurer
, Name Robin auer Name
Address 77 imarron Lake Elmo , yIl�T Address
Title VICE-P SIDED�g 8-17-62 � Title DOB
11. Give names of o ficers, or any other persons who paid for services to the
organization.
Name Judy R ndblade Name
Route - �ox 650
Address Grants ur WI 54840 Address
Title Camp irector Title
(Attach separate sheet for additional names.)
. . - (�-qo,ss�
12. �Attached iiere o is a list of aames and addresses of all members of the organization.
13. In whose cust dy will organization's pulltab records be kept?
Name Pegg Hjelseth Address 2347 Tophill Circle
osevi e , . �
14. List all pers ns with the authority to sign checks for dispersal of gambling proceeds:
Name Rob'n �auer N�e E. Thomas Bauer
77 imarron imarron
Address Lak Flmo P�II�1 55042 Address Lake Elmo , M?V 55042
Member of Member of
DOB 8-1�-62 Organization? 9 yrs. D�B 2-26-20 Organization? 10 yrs .
Name Pat Knitt Name
183 E. Little Canada Rd.
Address St. Paul "�d 55117 Address
Member of Member of
DOB 5-10-50 Organization? 10 yrs . DOB Organization?
15. Have you read nd do you thoroughly understand the provisions of all laws, ordinances,
and regulatio governing the operation of Charitable Gambling games?
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 s all organizations who have received funds for the preceding calendar
year which has been signed, prepared, and verified by Pat�'iCia Rnitt
183 y. Li tle Canada Rd. �317 St. Paul , r�d 55117
Address
who is the Secretary/Treasurer of the applicant organization.
Name
17. Will your orga ization's pulltab operation be operated/managed solely by members of
your organizat on? yes X no
18. Has your organ zation signed, or does it intend to sign, a consulting agreement or a
managerial agr ement with aay person or company to assist your organization with the
pulltab sales nd/or recording keeping? yes no X
�
If answer is y s, give the name and address of the person and/or compaay contracted.
Name Address
Name Address -
If answer is y s, how will such a consultant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attach a copy of said contract to this application.
19. Operator of pr nises where games will be held:
Name T�a ty Bertcyk
Business Addre s 1178 Arcade St. St. Paul, � r�IN 551.06
Home Address
� � � " � �yv-iss�
20. a) Does your rgaaization pay or intend to pay accounting fees out of gambling funds?
yes X no -
b) If you do ay accounting fees, to whom will such fees be paid?
Name �er' soft Computer Co. Address 2672 Granite Ave. N. �
�B 5-13- 6 Member of Organization? ��
c) How are t accounting fees charged out? (flat fee, hourly, etc.)
By the audited and computer read-out of each game
d) What do yo anticipate will be your average monthly deduction for accounting fees?
approximately $400. 00 per month
21. Amount of rent paid by applicant organization for rent of the pulltab sales area:
$400. 00
22. The proceeds o the games will be disbursed after deducting prize layout costs and
operating expe ses for the following purposes and uses:
Opera ion of �+,thletic and Surnmer Camp Programs
for entally handicapped youth
23. Has your organ zation filed federal form 990-T? YE S If answer is yes, piease attach
a copy with th s applicatioae If answer is no, explain why:
Anq changes desired by the applicant association may be made only with the consent of the
City Council.
TRADE LAKE CAMP, IAIC.
� � ' Organization Name
�
Date � �� By: � /' c ;��'��'�
Manager in charge of game
E. Thomas Bauer
��
Or a i sident r CEO
" ' � � • City oE Sa1ne Paul Page t
�eparcmant oi Tinanee and Manst�m�ec Secviees /J
Dlvialoo of Licsats aod P�rait Adninistsatioe • /�r'��j���
�/�
UNIFORM C}iARITAaLt GAMDLINC FtNANCIAL RLPOR?
oacs 6-8-90
1. Nao oi os;srizacion TRADE LAKE CAMP , INC.
1178 Arcade St. '`
Z. AdQ �s• vh�ee Charicabl• Caablin� !a eondueted
7. R�p ce toe p�rlod cov�sini rsay 1 � 19 89 Chsou=h Apri 1 30 � �99�
4. Tot 1 numb�r ot days play�d 3 5 8
S. Cso � r�e�ipu tor abov� p�rlod = 764 ,582. 00
6. Gro s pris� payouts for sbovs p�riod (iaclud� es�h short) s 616 ,340. ��
148 ,242. 00
7. N�t s�c�ipts - lin� i vinu• lin� 6 , f -
8. Ezpa se� Lncurt�d in conduetins and op�tatins �as:
A. coss va�es paid. Actaeh vosk�r lisc vich 17 ,837. 9$
am��, sddtsas�s, �TO�� va��s, nusb�r ot hours i
atked, and amount paid p�c hour.
0. �n� tor 52 vseks = 4 �800 . 00
C. lce��e Cet s • ��
D. nsuranc• f • ��
E. ond f �� • ��
T. iihono�ad chscks noc r�cover�d 1 . 0�
C. ccounting Exp�n�� = 1 ,994 . 00
x. plor.rs r.z.c.e. ; 1 ,323 . 93
I. llcab tas Paid to D�pares�ae oi R�vsnu� 3 1 5�,1 1 � d ti
t. san, v.�. Tu : 147 . 62
x. d�ral E�eeis� r.: e se� = 1 ,798. 00
L. S ac� Casblla� Ta�t s 4 7 �9�� . �0
!t. N �eellinaou� Facp�n�ss. Id�neil� tA� oount
a d co vhos paid.
1 Pull tabs = 19 ,584 . 00
2 Gamb. Maintenanc� 229 . 00
3 Advertising � . 00
' � Bank chgs/misc.. s 372.00
9. iocal c�.n..s , ��y s 111 ,4 7 8. 9 9
io. N.c t a.. - isa. � .i�. iio. s s �,,,,7�� - n�
11. Ch�ek ok b�lanet b�iianin� oi p�eiod = 1 �707.02
l2. Total E llaa l0 aad 11 = 38 ,470. 03
13. Total oetsibutions (fsoa sceaehsd vortah��e) = 3 4 ,4 7 6.��
l4. Ch�ekb ok balano• snd oE rsporcin� pesiod - 3 ,9 9 4.0 3
liaa l less lia� 13 :