90-1747 �-�--�.,
� Q� �� �� � `�� ��ouncil File # �����
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Green Sheet � 10549
RESOLUTiON
CITY OF SAINT PAUL, MINNESO
Preaented Sy
Referred To Com�aittee: Date
,
RESOLVED: T at application (ID 4�93239) for renewal of a State Class B
G mbling License by St. Paul Aerie 4�33 Frat�rnal Order of
E gles at 287 Maria Avenue, be and the same is hereby approved/
i
I
as Navs Absent Requested by Department of:
�si''Z�- License {x Permit Division
on . �
acca ee
e ma
�! une
i son BY�
0
Adopted by Council: Date
OCT 2 �� Form Approved 'by City Attorney
Adoptio Certified b Council Secretary gy; //v `�D
By� Approved by Mayor for Submission to
��T Council
Approved by Mayor: Date 3 1990
, ._.. �
'I�.?�� � By:
By: C
u8L1�y�p 0 C T 1 31990_
�
. � ' ��o�-����1�-
DEPARTMENT/OFFICE/COUNCII DATE INITIATED N� _10 5 4 9 `�
Finance/Lic se GREEN SH T
CONTACT PERSON&PHONE INITIA E INITIAUDATE
DEPARTMENT DIRECTOR CITV COUNCIL
Christine R ek�298-5056 ASSIGN CITYATfORNEY g CITYCLERK
MUST BE ON COUNCIL AOENDA BY(DATE) NUMBEH FOR BUDGET DIRECTOR FIN.&MOT.SERVICES DIR.
ity Clerk ROUTING Q �
Hearing/ �� y� a � ORDEN �MAYOR(ORASSISTAPIT) � Council
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval of n application for renewal of a State Cla s B Gambling License.
Hearing: Q Notification:
RECOMMENDATIONS:Approve(A)or Reject(R pERSONAL SERVICE CONTRACTS MUST ANS ER TFIE FOLLOWING GUESTIONS:
_ PLANNING COMMISSION _ CIVI SERVICE COMMISSION �• Has this person/firm ever worked under a COnt ct fOr this depertment?
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employe
_STAFF — YES NO
_DiSTRiCT COURT - 3. Does this personlfirm possess a skill not norm Ily possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE7 YES NO
Explain all yas answers on separote shset an attach to green sheet
INITIATINO PROBLEM,13SUE,OPPORTUNITY Who,What,When,Where,Why):
Gene Swensen on behalf of the St. Paul Aerie 4�33 Frate nal Order of Eagles
requests Cou cil approval of their application for re wal of a State Class B
Gambling Lic nse at 287 Maria Avenue. Investigative f e of $373.25 has been
submitted. roceeds from the pulltab sales are used f r children�s activities,
charities & enefits for special events.
ADVANTACaES IF APPROVED:
If Council a proval is given, the St. Paul Aerie 4�33 F aternal Order of
Eagles will ontinue to operate a pulltab booth at 287 Maria Avenue.
DISADVANTAGES IF APPHOVED:
D13ADVANTAGES IF NOT APPROVED:
RECEIVED Co ncil f�esearcl� Cent�r
SEP2o1990 � s�� �� �y�o �
c�=Y c��RK _ .__ .
TOTAL AMOUNT OF TRANSACTION $ _ COST/REVENUE BUD(iETEp IRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:( XPLAIN) i',1
a v�r
t ' �'
NOTE: COMPCETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILAB�E 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 Council
5. City Cierk
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 thess 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?
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 citys 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 Iaw/
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? Inabiliry 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?
+
. . ����'�7�17
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE ' 7 3v /�/ u �P /�
INTERDEPARTMENTAL VIEW CHECKLIST Ap, n Processed/Rec ve by
Lic Enf Aud
A licant c� . r � I ��-/21�,3 �'(3 C 'I�ene�Gc12i1�n f���j--�
pp � Home Address , �(o f ,(J ��.�,
Business Name Home Phone � �g'�I-OS� y
Business Address �D � � Type of License(a) �,�(55 /��-
Business Phone vrilbl� L1 � '�-C!�(.OGc��.�
Public Hearing Dat �� �- License I.D. � j �3 a 3�
at 9:00 a.m. in th Council Chambers,
3rd floor City Hal and Courthouse State Tax I.D. 4� , N`�'
Date Notice Sent; Dealer � N1�'
�I
to Applicant �J n
Federal Firearmsl,� �N'
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) COrIl�IENTS
A roved Not A roved
Bldg I & D I I
���
Health Divn. � �
ti�� �
Fire Dept. N�� �
�
:�:t� g g �'c�
Police Dept. I �
g1 ��1� ° �
License Divn. f ���`� �� ����9'�
C � t ��
City Attorney � 'O � n/� i
�b �
Date Received:
Site Plan � �� I
To Council Research g (7
Lease or Letter /� D te
f rom Landlord � I�1' I
. , , ����7��
, � City of Saint Paul I�i
, , ' Department of Finance and Management SerRrice's
Division of License and Fermit Registration
INFORMATION RE UIRED WITH APPLICATION FOR PERMIT TO SELL PULLTABS & TIPBOARDS IN SAINT PAUL
(Class B Gambling L ense in Liquor Establishments - Renew)
1. Full and complete name of organization which is applying fbr license FRATE RNAL
ER OF EAG ES AERIE 33
2. Address where g mes will be held 287 MARIA AVENUE ST PAUL, MN SSI06
, Number Street , City Zip
3. Name of manager signing this application who will conduct, loperate and manage
Gambling Games GENE SWENSON Date of Birth 4-5_��j
(a) Length of t e manager has been member of applicant arganization
4. Address of Mana er 1 �1 A N_ (;r� � S �t Paul 55117
Number Street ity Zip
5. Is the applican or organization organized under the laws of the State of MN? Y es
6. Date of incorpo ation JUNE 19 , 1907
7. How long has or anization been in existence? 9 3 ye a r s �
8. How long has or anization been in existence in St. Paul? $� Y EARS
9. What is the pur ose of the organization? To promote fraternalism among all
mankind; heTping thers who have a need and to honor our country, our God,
and s t ou ever thin that we do or sa .
10. Officers of app icant organiaation: I
Name RICHARD BOYLES Name pNTT,T,Tp ,T(,TA['K) R TNNTN .
Address Address 1728 N AHEL STREET
Title �g,�SID DOB �_��_a� Title ��}ETARY �B 7-16-33
Name Name JOI�N MELIUS
Address Address 729 OAKDALE #204
Title DOB Title �ASURER D�B 7-7-40
11. Give names of o ficers, or any other persons who paid for s',ervices to the
organization.
Name Name
Address Address '�
Title Title '
(Attach separate sheet for additional names.)
I
� � . � � �yo-���7
12, Attached heret is a list of names and addresses of all members of the organization.
13. In whose custo will organization's pulltab records be kept?
Name GENE ENSON Address 2$7 MARIA AVENUE
14. List all perso s with the authority to sign checks for dispersal of gambling proceeds:
Name GENE E SWENSON N�e RICHARD B BOYLES
Address Address 18�8 MONATANA AVENUE E
Member of Member of
DOB - - Organization? YES DOB 2-2p-41 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 ES
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 GENE SWENSON
1618 NORTH GROTTO STREET
Address
who is the GA B LI G G R oE the applicant organization.
Name
17. Will your orga ization's pulltab operation be operated/managed solely by members of
your organizat on? yes XXXXX no
18. Iias your organ zation signed, or does it intend to sign, a consultiag agreement or a
managerial agr ement with any person or company to assist your organization with the
pulltab sales nd/or recording keeping? yes no XXXXX
If answer is y s, give the name and address of the person and/or company contracted.
Name Address
Name Address
If answer is y s, how wfll 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 mises where games will be held:
Name �F"RATE,R L' QRDER OF EAGLES AERIEE # 33
Business Addre s �87 MARTA AVF.NLtF.
Home Address -'
. . . � �;�yo�� ��7
20. a) Does your o ganization pay or intend to pay accounting fees out of gambling funds?
Yes XXX no
b) If you do p y accounting fees, to whom will such fees be paid?
Name Address d17 F N�RRASKA AYENUE
DOB — — Member of Organization? ye s
c) How are th accounting fees charged out? (flat fee, hourly, etc.)
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:
22. The proceeds o the games will be disbursed after deducting prize layout costs and
operating expe ses for the followiag purposes and uses:
CHILDREN ' S CTIVITIES, CHARITIES, BENEFITS FOR SPECIAL EVENTS.
23. Has your organ zation filed federal form 990—T? Y E S If �answer is yes, please attach
a copy with th s application. If answer is no, explain wh�:
Any changes desired y the applicant association may be made only with the consent of the
City Council. I
FRATERNAL. ORDER OF EAGLES #,'�3
. Organization Name
� ��
Date
Manager in charge of game
�'! �
� /� —��
Organizat on President r CEO
I
i
I
City of Saint Paul Page 1
" Department of Financs and ltanagemenc Servicss y
• • � Dlvision of Licensa and Per'it Admiaistratian ��D����/
IJNIFORH CHARITABLE CA2�LINC FINANCIAL REPOR7�
. ' � Dat• JLLZV l�. 1990
1. Name of Organizatioa F'RA'I'ENNAL ORDER OF EAGLES AER E # .
2. Addra� vhere Charitable Casbling is �o+�au�caa 287 Maria A enue �.�6
3. Rnport for period covering 6-1 19$9 through � 5-�1 �9�Q
� 4. Total mbar of daya played 60
5. Cro�e eeeipts for abova petiod � 7`�'2�•��
6. Grass rize payoucs for abovs period (ineluda cash short) s 73247.�0
� 7. Nec re eipts - line 5 minus line 6 � 20999•5�
, 8. Bxpans • incurred in conduccing and operating g��:
A. Gr ss vages paid. Attach vorker list with
na es, addzesses, grora vages, number of honre � 75.��
vo ked, and amount paid per hour.
' • B. Re C for veeks ; -�'
C. Li ense fee � 477•z5
D. In urance f''I -�-
� E. Bo d ;� 1'25.��
F. Di honored checka not recovared � 1'00•��
•�
G. Ac ounting Ezp�nee sl�l
H. Em loyers F.2.C.A. _' -�-
. I. Pu ltab Tax Paid to Department of Rsvenua ; 2�-7$•�5
. J. Mi n. U.C. Tas ;
1C. Fe eral Exeise 'fau S Stamp ; 720•97
L. St ta Gambling Tu ; �'9•9�
M. Hi eellansoua Expenses. Identit� th� mouct
an to vhom paid. �""a�Ll�6�����
lJ
1. Rice St. V.F.W. ; 100.00 Convention E�cpence $300.00
Z. Real Estate Tax s 7539•76 Cost of Goods $z368.85
�nte�a�nment 650.00
3• aiser ;
4, Cash Register = 302.52 ,
9: Tocal nies ToTAL il 12,779•25
10. N�t In oa� - Iine 7 aians line 9 � $�22�•25
11. Checkb ok balaace bsginuing of p�riod ill 306 •92
IZ. Total f lin� lo and 11 ;' $�5�7•i7
"' . 13. Total �ontributions (frou attaehed rro�luheet) i 4�082.�
_ __^ . `
14. Check ok balanca end o£ raporting period - � 2 634,72
lina 1 leas lins 13 � �
UNIFdRM CNARITABIc G�MBIING ;i!IANC iAL RE?OR'
, � ► L�YIFUL Pl7RPOSE CONTRIBUTIONS • WORKSiiEcT C�fQ•�7��
Li ne #13 - Tatal Lawful Purpose Contri buti ons. , S �,�O 8�I� �
List low a11 chetks written fram qambling funds which are
chari able lawful purpose contributions. The totai doilar
amoun s of these checks must match the amount clai�ned in
line , 13. Use additional sheets as necessary.
CNEC< # OATE PAYEE CHECK AMOUN PURPOSE
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TOTAL CHECK AMOUNT S
NOTE: These ex endttures v+ill be provided to Council hlembers at your Cauncil hearing.
Be sure hat your financial report is complete and a�curate.
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