90-1769 ° r� `� � � Council File � �� o
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Green Sheet # 11543
RESOLUTION
CITY OF SAI T PAUL, MINNESOTA �
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Presented By `
� . Referred To Committee: Date
RESOLVED: That application (ID ��31518) for renewal of a State Class B
Gambling License by Minnesota Jazz Association at Willard's,
738 Thomas Avenue, be and the same is hereby approved/c�e�ed�:
eas Navs Absent Requested by Department of:
��'' License & Permit Division
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acca ee
e ma
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—f i son BY�
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Form Approved by City Attorney
Adopted by Council Date (1('T Q �—,�— .
Ado tio Certified b Council Secretar • G
P Y Y By: �/z�/7�J
By' J � Approved by Mayor for Submission to
Council
Approved by Mayor: Date n(;T 5 »Q�
,
By. �� � By:
PIIB�iSN.ED U C T 1 31990
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED ��
FinancefL cense GREEN S EET N° _11543
CONTACT PERSON 8 PHONE INITI UDATE INITIAUDATE
�DEPARTMENT DIRECTOR CITY COUNCIL
Christine Rozek/298-5056 a$$�aN �CITYATTORNEY g CITYCLERK
MUST BE ON COUNCIL AGENDA BY(DA ) NUMBER FOR gUDQET DIRECTOR FIN.&M�T.SERVICES DIR.
City Clerk Rouru+a ❑ ❑
ORDER MAYOR(OR ASSISTANT) Council R
Hearin / 10-4-90 By/ 9-27-90 ❑ m
TOTAL#OF SIGNATURE PA S (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REOUESTED:
Approval f an application for renewal of a State C ass B Gambling License.
Hearin : 10-4-90 Notification: 20-90
RECOMMENDATION3:Approve(A)or Re) (R) pERSONAL SERVICE CONTRACTS MUST NSWER THE FOLLOWIN(i QUESTIONS:
_PLANNINO COMMISSION _ CIVIL sERVICE COMMISSION 1• Has this person/ffrm ever worked under a ontract for this department?
_CIB COMMITfEE YES NO
2. Has this person/firm ever been a city emp yee?
_STAFF — YES NO
_DiSTRICT COURT _ 3. Does this person/firm possess a skill not rmally posseased by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE YES NO
Explaln ell yes answsrs on separats shes end attach to gresn shset
INITIATINQ PROBLEM,ISSUE,OPPORT ITY(Who,Whet,When,Where,Why):
Harlow H. Freeberg on behalf of Minnesota Jazz Asso iation requests City Council
approval f their application for renewal of a Stat Class B Gambling License
at Willar 's, 738 Thomas Avenue. Investigative fee of $373.25 has been submitted.
Proceeds rom the pulltab sales are used for art, p blic performance and
education 1 programs.
ADVANTAGES IF APPROVED:
If Counci approval is given, Minnesota Jazz Associ tion will continue to
operate a ulltab booth at Willard's, 738 Thomas Av ue.
DISADVANTAGES IF APPROVED:
" , , �•�
l.J�i �:1� i�+;���:.`;�i::i1 l,�il�l��'
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DISADVANTAOES IF NOTAPPROVED:
RECEIVED
��p2719�90
CtTY CLERK
TOTAL AMOUNT OF TRANSACTION COST/REVENUE BUD�iET D(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) �,•,
�/V
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 types of documents:
CONTRACTS(assumes suthorized 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 Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. Ciry Attorney
3. Finance and Management Services Director
4. Ciry Clerk
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 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 projecVrequest 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 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 project/action.
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?
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DIVISION OF LIC SE AND PERMIT ADMINISTRATION DATE �S '1 () / �0 " (�
INTERDEPARTMENT REVIEW CHECKLIST Appn Processed/Rece ved y
Lic Enf Aud
Applicant t1 YtQS�- � ZZ ftSS►� Home Address �1'�✓�0 W r����'� " /-1 �j.�'
ai3a � c�y ���-
Business Name �� ( c�.5 Home Phone �� �_ ��{ y-Q
�
Business Address `�3� � mC� Type of License(s) �K�S � - �1Qrn��� �p11Q4c
Business Phone �'1G mU�����h UeS� 7 ��
Public Hearing D te ( O �U License I.D. � �����S
at 9:00 a.m. in he Council Chambers,
3rd floor City H 11 and Courthouse State Tax I.D. �� ���
Date Notice Sent �y � Dealer � ,U�,4..
to Applicant 7 0� �I� h
Federal Firearins 4f�J /-�
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CONIl�IENTS
A roved Not A roved
Bldg I & D �
IlJ I►�1'
Health Divn. �
N Jr+ I
Fire Dept. �
��� i
Police Dept. ��1'w �( � `f l �1D
�''7 I�1 C � r�`
( �jIJCil�lil'1� � �,�p� ln-rU
License Divn. �
1���,��
City Attorney �
�a � � ��.
Date Received:
Site Plan � �
To Council Research �_� I��V
Lease or Letter Date
from Landlord � � .
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Citp of Saint Paul
, Department of Finance and Management Service�
Division of License aad Permit Registration
INFORMATION RE RED WITE APPLICATION FOR PERMIT TO SELL PtfLZTABS � TIPBOARDS IN SAINT PAUL
(Class B Gamblin License in Liquor Establishments - Renew)
1. Full and co lete name of organization which is applying for license �„v;,��o;¢
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d
2. Address wher games will be held � 3� �0�1� �O �5/!".' LL
Si, a��
Number Street City Zip
3. Name of mana er signing this application who will conduct, operate and manage
Gambling Gam s ,¢,��sc� /� /G,2t£�,,3��( � Date of Birth �- �3- S f
-r-
(a) Length o time manager has been member of applicant organization .�o�,�,.,,,�c 2 �� Y�
4. Address of M nager �� 3 Z � C�'y �il � �i� 3L, S�"11 �
Number Street City Zip
5. Is the appli ant or organization organized under the laws of the State of MN? � � S
6. Date of inco poration /���
7. How long has organization been in existence? � / 7 �
8. How long has organization been in existence in St. Pau1? �� 7 �
9. Wfiat is the urpose of the organization? /�,�% - �L43c�� �,c �ii..••s►-�a��-
� l.�C..� �
10. Officers of plicant organization:
Name zGk 2� i �Q� Name �'�c12G a �' /T �1�e,jc�2 J�
Address a.� 7 .1u 7 � � Address �./ 3� �G?y �� �
J
Title DOB "a - �(5 Title SNL�� DOB �1- 13 �5 ,�
Name ,4.t.�e.S Name � R t ��-c I� ✓�'�� I<<L�t c i
Address Address _�
Title � /�/i DOB Title ��:agK� �.c.- DOB - �-�� �
11. Give aames of officers, or any other persons who paid foz sernices to the
organization.
Name Name
Address Address
Title Title
(Attach separate sheet for additiona„l names.)
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12. Attached he eto is a list of names and addresses of all, members of t&e orgaaization.
13. In whose cu todq will organization's pulltab records be kept?
Name L � ��� z ~ Address y'�'1 � 1��r iwf�iK, /�dt
14. List all pe sons with the authority to sign checks for dispersal of gambling proceeds:
Name .L T� � .C__ Name A�LLbcJ //l�f/3��( J.�
-�
Address �. ,� a Address �/3 Z � CTY /C t� �
/ Member o � Member of
DOB - .l Organization? ���KJ DOB �3 - S / Organization? l� ��i
—��--
Name Name
Address Address
Member of Member of
DOB Organization? DOB Organization?
15. Have you rea and do you thoroughly understand the provisions of all laws, ordinances,
and regulati ns governing the operation of Charitable Gambling games? t/e's
16. Attached her to on the form furnished by the city of Saint Paul is a Financial Report
which itiemi es all receipts, expenses, and disbursements of the applicant organiza-
tion, as wel as all organizations who have received funds for the preceding caleadar
qear which h s been signed, prepared, and verified by �,�,•tl.o�•J ��,a��,dE-�,�. ,L
�
�l 32- � G� � � 4J /3C- _ ^ �D
Address
who is the ., of the applicant organization.
Name
17. Will your or anization's ulltab operation be operated/managed solely by members of
your organiz tion? yes �1q,�,'qc�QJ� no .�c',��
18. Has your org ization signed, or does it intend to sign, a consultiag agreement or a
managerial a reement with any person or company to assiBlt your arganization with the
pulltab sale and/or recording keeping? yes no �/
If answer is ye�, give tlt�:name and addreas of the person and/or company contracted.
Name � Address
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 ��,t/ T �c.A ��G p4•T/
Business Add ess 7��_��d,c��l � Si • /�� �7 7 /U�/
Home Address
. � �D-���9
" 20. a) Does you organization pay or iatend to paq accounting fees out of gambling funds?
yes � no
b) If you d pay accounting fees, to whom will such feas be paid?
Name Address
DOB Member of Organization?
c) How are the accounting fees charged out? (flat fee, hourly, etc.)
d) What do you anticipate will be your average monthly deduction for accounting fees?
21. Amount of r t paid by applicant organization for rent of the pulltab sales area:
�/ . J �� D� -� � ,�
22. The proceed of the games will be disbursed after deducting prize layout costs and
operating e enses for the following purposes and uses:
�O .�Qr4 �CSt LC/ L�f- �i'C ��-•-e sr�G v//>'r r'
t�G�t '�
23. Has your or anization filed federal form 990–T? _�� If answer is yes, Pl.ease attach
a copy with this application. If answer is no, e lain why:
Any changes desir d by the applicant association maq be made only with the consent of the
Citq Council. '
� /�Z Z �So c�
- . Organization Name
I / ,{� /J �
Date V/i By: ��`•w��— /� �/
�� !' Manager in charge of game
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.
g�nizati s ent or CEO
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., C1Cy of SainC Paal Pa;e l
Dsparesent oE Tiaane* and Manafemenc Setvie�a
� • Divialoa of Licaaa� and Perait Adsialactation �
UtiiFORM G1�AAITJ►DI.E CAMELINC TINAi1CIAL �RT
Date g �' _
u , � ��� �
L. as� oi Ot�aaisaeloa {-��N�eSo'('A �AZ= �`m' �
Z. dr�s• rhere Chsricsbl• Ca�blins 1s eondaetad W+��l.��+"
1. epost foe p�riod eovazini ,Qcc� � 19�i ehrouth �ue.r- 30 l9�
6, otal nusber ot daqs pl.ay�d 7��Z
S. ross reeeipcs tot abov• pesiod t ��, �37 � __
6. roas prisa paroucs for abovs p�riod (inelud� eaah sttore) t ��03,�17g'�o + ����S° y��'�Q�S�
7. •c r�eaipcs - Iia� S minus lia� e s _/o6,oy6� Sa
8. ena�s Sneurred ia evnduecla; and Op�TiC1A� �s�:
Groa• va`ea paid. Aecaeh wrk�r lisc vith
aaa�s. addrses�s. 6ro�a va;es. au�ber of 6wrs t ��,S3y'Z-�'
vocked. aad amount Qaid par hour.
H. Rent for 3°•3 '+eefca S �;031 '��
C. Lieens• fee s �
D. Inaurane• , (,Jo���r 5 �c� 3 �� L-00
E. Bond : 'S4•m
T. Diahonot�d cheeks noc raeo��red � —
C. Aeeoeentiai Exp�ase f �,5�J Z'x —
H. Emplor�ra l.I.C.A. ; ���7Z
I. Pvlltab Ta�c Paid to D�pasta�ne of ��aus ; !Z� �j y.D 2'
.r. rssna. u.c. ru s 30/•93
1C. r�d�cal Faccisa ias i Staap = �� � �
L. Stau Ga�blia� Tu 5��,�, € _ _�.C. G6g�4�
M. H3iesllan�oua Ezpsasss. Id�neif� tl�s soaat
sad to vhoa pa2d.
1. �vsf oF Goo�s �l�l ; !Z�8b S•t:o � -f o N5� w� �
� � �����F
. 2 �� a, s /, ��,°c' -f-�„�a, C. �-'�' , C.`'°:
3. � � `. S� ; SJ 7-0 G Var:u.�5
�. ��.y �� 3 $LL-6y vw"iouS
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9. taw. r.�..: . raru. : ss�cZ-y9
10. N�e IaeaN - lin� 7 aima• lia� 9 ; SJ� ��'D 1
11. Ch�ckboolc balaaes b�siasia� ot P�siod = ��
tZ. Totil ot lin� 1a aad 11 ; Sc���jf�(•J �
" � 1J. tocsl eon ucions (froa aeeuhad wrka6�st) ; Z�� 77 z�Z Z
14. �anee and oE r�posLia� pasiod - f ZZ, �t 1• 7c�
llas 11 leas Ilaa 13