90-1797 O R I G I �� L i�'` ,Council File # �� 7 7
# +�'�
--�' Green Sheet � 11537
RESOLUTION
; CITY OF SAINT PAUL, MINNESOTA
�
Presented By ,� - -°� -
Referred To Committee: Date
RESOLVED: Tha application (ID ��30910) for renewal of a State Class B
Ga ling License by Minnesota Waterfowl Association at
Bea er Lounge, 756 Jackson Street, be and the same is hereby
app oved/�.
e s Navs Absent Requested by Department of:
smon
��''� ��- License & Permit Division
on �;,
a c ee �-
e n
une
i son gY�
0
0CT � 1 1990 Fo�► Approved by City Attorney
Adopted by Council: ate _ •
Adoption ertified by Council Secretary ` � � �/Gp/�(
By:
ay' Approved by Mayor for 5ubmission to
Approved by ayor: ate
��� � � i��� Council
� BY.
Sy: /�-�v/
PUBUSNED 0 C T 2 p 1990
• • � � , � � �c�p��74�.
DEPARTMENT/OFFICE/COUNCIL DATE INITIATED
Finance/Lice Se GREEN SHE T N° _1153?
CONTACT PERSON 8 PHONE INITIAUDA E INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Ro ek�298-5056 ���aN �CITYATTOFiNEY �CITYCLERK
NUNIBER FOR
MUST BE ON COUNCIL A�NDj BY(DATE) C ty Cler ROUTIN(i �BUDOET DIRECTOR �FIN.&MOT.SERVICES DIR.
Hearing/ �9� $ � 1Q-2-9� ORDEH �MAYOR(OR ASSISTANn � .O�n i 1
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED: I
Approval of n application for renewal of a State Clas B Gambling License.
Hearing: 0-9-90 Notification: 9- 4-90
RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANS ER THE FOLLOWING QUESTIONS:
_PI.ANNIN(i COMMISSION _CIVIL ERVICE COMMISSION �• Has this personlfirm ever worked under a contra for this department?
_CIB COMMITTEE _ YES NO
2. Has this person/firm ever been a city employee
_STAFF — YES NO
_ DISTRICT COURT _ 3. Does this person/firm possess a skill not normal
possessed by any currer►t city employee?
SUPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explaln all yes answers on sep�rats ahest and ttach to grosn sheat
INITIATINQ PROBLEM,ISSUE,OPPORTUNITY( ho,What,When,Where,Why):
Bruce J. Baue on behalf of Minnesota Waterfowl Associ tion requests
City Council pproval of their application for renewal f a State Class B
Gambling Lice se at Beaver Lounge, 756 Jackson Street. Proceeds from
the pulltab s les are used to preserve, create and prot ct wetlands
in Minnesota hrough education and habitat work. Inves igative fee of
$373.25 has b en submitted.
ADVANTAGES IF APPROVED:
If Council ap roval is given, Minnesota Waterfowl Assoc ation will continue
to operate a ulltab booth Beaver Lounge, 756 Jackson S reet.
DISADVANTAOES IF APPROVED:
II
DI3ADVANTAGE3 IF NOT APPROVED:
R�CEIVED 'v�urc�i ;;L� a,-c�� Cer�ter
�CT�4��0 �E P ` i '11yy�
C:'.'Y CLERK
TOTAL AMOUNT OF TRANSACTION 3 COST/REVENUE BUDGETED(CI CLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) I �
w
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 authorized budget exists) COUNCiL RESOLUTION (Amend Budgets/Accept. Grants)
1. Outside Agency 1. Department Directar
2. Department Director 2. City Attorney
3. City Attomey 3. Budget Director
4. Mayor(for contracts over$15,000) 4. MayodAssistant
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. City 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. Ciry Clerk
TOTAL NUMBER OF SIGNATURE PAGES '
Indi�ate the#of pages on which signatures are required and paperclip or flag
eadh of these pages.
ACTION RE�UESTED
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 tist 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 ciry"s liabiliry 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 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?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?
: � ���-t7q7
DIVISION OF LICENSE AND PERMIT ADMINISTRATION DATE � �CJ' �C1 / O o�1 �j�
INTERDEPARTMENTAL VIEW CHECKLIST Ap n Processed/Receive by
Lic Enf Aud
Applicant 1 �1 S�� �f`N'+� •��n Home Address �j 70� �i?Y}'j")thd,�/e �� �jpl s
Business Name � pl.t n Home Phone 9oZ a � � �3a
Business Address � 5(p S � Type of License(s) CIQ� � —
Business Phone C u vr1 r lC.E' YlQ j,JLc,
Public Hearing Date � � C/ (� License I.D. � ��� /��
at 9:00 a.m. in the Council hambers,
3rd floor City Hall and Courthouse State Tax I.D. �t (�(���(}-
Date Notice Sent; Dealer � �ll��
to Applicant g' a
Federal Firearms # Nl/9'
Public Hearing —T
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CO�NTS
A roved Not A roved
Bldg I & D I
U�,�-
Health Divn. �
u�4 I
�
Fire Dept. ��� �
�
Police Dept. c`�m� fl�a3'90
� q�y�5u o�
License Divn. �/ (
�?a �� Q��
�
City Attorney �
�� q�,� a�..�
ate Received:
Site Plan �'(�'
To Council Research � � � � � L
Lease or Letter � �I � Date
from Landlord
, . , . �qa--�-���
' ' City of Saint Paul
• Department of Finance and Management Services
Division of License and Permit RegisEration
INFORMATION RE UI WITH APPLICATION FOR PERMIT TO SELL PtTLLT�IBS � TIPBOARDS IN SAI,TT PAUL
(Class B Gambling icense in Liquor Establishments - Renew)
1. Full and compl te name of organization which is applying for license
N � ' �
2. Address where ames will be held -�j `f
Number Street ity Zip
3. Name of manage signing this application who will conduct, operate and manage
Gambling Games �_ �N�,P �L �c:«a p=r Date of Birth /`�
(a) Length of ime manager has been member of applicant oTganization t-S
4. Address of Man ger � r S � �
Number Street City Zip
5. Is the applica t or organization organized under the laws of the State of MN? ��P S
6. Date of incorp ration
7. How long has o ganization be� in existeace? � �
8. How long has o ganization been in existence in St. Paul? � (',$
9. What is the pu ose of the organization?
c� +'C.
10. Officers of ap licant organization:
Name � Name �
Address � Address �y 7 z S 9,Z n 5T
Title �"j'-�5 DOB Title � ��cr,� DOB �
Name Name r-
Address S�� � e Address l yd� �y3 r` `�-) �j/�(�
-
r
Title fc.� DOB Title VI tC.. DOB
11. Give names of o ficers, or any other persons who paid for services to the
orgaaization.
Name Name
Address Address
Title Title
(Attach separate sheet for additional names.)
. . . ��o-�rR�
12. Attached heret is a list of names and addresses of all members of the orgaaization.
13. In whose custo will orga ization's pulltab records be kept?
Nam Address ST'Q� /�OrH�C�Lr�alQ �
14. List all person with the authority to sign checks for dispersal of gambling proceeds:
Name � � Name ��� t'-G t-
Address �,�- � Address f��,��j y� ���- _x S7" C�:
Mem er of Member of
DOB Organization? � DOB 3 Organization? ���
Name u ,t-- Name
Address S� s h n i,�5� Address
Member of Member of
DOB 4S Organization? �_ DOB Organization?
15. Have you read a d do you thoroughly understand the provisibns of all laws, ordinances,
and regulations governing the operation of Charitable Gambling games? Y�-5
16. Attached hereto on the form furnished by the city of Saint Paul is a Financial Report
which itiemizes all receipts, expenses, and disbursements of the applicant orgaaiza-
tion, as well a all organizations who have received funds f r the precedin calendar
year which has een si n d, prepared, d v rified by
G �
Address
who is the of �the applicant organization.
Name
17. Will your organ zation's pulltab operation be operated/mana�d solely by mesbers of
your organizati n? yes no \/
.
18. Has your organi ation signed, or does it intend to sign, a consulting agree�ent or a
managerial agre ment with any person or company to assist your orgaaization with the
pulltab sales a d/or recording keeping? yes no �
If answer is ye , give the name and address of the person �nd/or company contracted.
Name Address
Name Address
If answer is ye , how will such a consultant be paid? (percentage, flat fee, gambling
funds, general nds, etc.) Attach a copy of said contract to this applicatfon.
19. Operator of pre ses where games will be held:
G!
�� Name
0
Business Address
Home Address
, .
. . . �9a-����
2U. a) Does your or anization pay or intend to pay accouating fees out of gambling funds?
yes no
b) If you do pa accounting fees, to whom will such fees be paid?
Name Address 3��Q �P_�T �(� r� ST�
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 rent aid by applicant organization for reat of the pulltab sales area:
/
22. The proceeds of the games will be disbursed after deducting prize layout costs and
operating expen es for the following purposes and uses:
P� � 1
�, rk.
23. Has your organi ation filed federal form 990—T? � If answer is yes, please attach
a copy with thi application. If answer is no, explain why:
Anq changes desired y the applicant association may be made only with the consent of the
City Council.
r�w I
• Organization Name
Date Q By: l � �`1.�.1V�.� ��l.�-�-��
Manag i cha ge of game
µ �/v
g izatio President or CEO
. , � ', Cicy of Sainc Paul Page i
Deparcaeac oi Tiaanee aad Mana;amenc Serviee�
• � Divisioa of Licena� and Permit Admiaiatration • /�,.��0��7��
UN1lORM CHARITAELE CAMDLINC MNANCIAL RL?OR?
v✓
Dats
1. Nas� i Or�anization 'r' ' d L
2. Addr • vh�re Charitabl� Cubli f is coeduecsd
3. R�por fos p�siod eov�rin� � 19� Chlou�h 19�
4, Tocal numbec oE day� plared �,r�d
S. Cco�• r�eeipts for abov� p�riod = I� I `"���. S�
6. Gross pris� payouts tor abw• psriod (ineluda ea�h ihort) � �� ,tl�V. �S
7. N�t eaipt� - Iin� 5 dnu� liae 6 i - ��.�v�+ ��
8. Exps se• ineurred in eonduetia� snd op�ratin� jas:
A. rou va�u paid. Attaeh varksr lisc vith /���� �r,�
m�s. address�s. �ro�a vaies. nusb�r of hours i _r� . 7`)
rked, and smouat paid pas hot�.
H. •nt for 3�57veeka � � ��7�� ��
C. lcens• E�e ; ��. C�V
D. nsurane• �
E. ond = a / (Jn
T. ish000ced ehsaiu not cseor�r�d ; _���.�,_
G. ceountin� Facp�n�a ; `—�
N. ploy�rs t.I.C.A. ; ���7• /�
I. ulltab iu Paid to D�parc�ent oi ll���nus � ��t�7�. �7
J. San. U.C. iax :
R. ed�rsl Uceis• T� i Seaq� f � / /� � �O
L. tat� C�blia` iu = v��7�� `� /
M. isasllan�ou� F.xpaa��a. Id�ntif� tha a�oune
ad to vboa paid.
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9. ?oe Es9sasa. ?OtAL s y�/��� �
10. N�t aeoN - lina J aim• liaa 9 ' _,,/+- V���. ��
I1. Cfi�e ook balane• ba�imins of p�siod � �
l2. Tota ot lin� 10 and 11 : � o���• ^�
' � 13. Tota eoocsibutioei (tro� attuhad vorbh�st) i �3J /. �7
16. Chec book balanes snd of rapottin` pasiod - � f � � S� �,( �
line 12 l�ss lia� 13 ; I v
, ' �. " ����7q�
:
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� . UNIF4RM CNARITABI� �MBI:NG �i�ANC:�L RE?ORT
. • • L?�WFUL Al1RPa5c CONTRIBUTIQNS - WORKSHE�i �� _ yD--/7��
Line #I3 - otal Lawful Purpose Cantributions. S ��
List b 1ow ali checics written from qambling funds which are
charit ble. lawful purpose contributions. The totai dollar
amourtt of these checfcs must match the amourtt clainr�ed in
line �f 3. Use additional sheets as necessary.
� C,-IECK � OA7E � � PAYEE CHECK AMOU PURPOSE
I. l5!`j ���7 C��-� �u�� F�,ri�1 �00, Z7 �� %
/
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TOTAI CHECK AI�UNT S .3 �.` .f�f
NOTE: These exp nd�tures wi11 be provided to Ccuncil hl�bers'' at your Council hearinq.
Be sure t at your financial report is complete and accurate.
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