90-1841 � � I�G 1 �r"1 L �J J�Council File #` �d/���
� Green Sheet # 11557
RESOLUTION
I F SAINT PAUL, MINNESOTA
Presented B
Referred Committee: Date
RESOLVED: Th t application (ID ��38152) for renewal of a State Class B
Ga bling License by St. Paul Fire Fighter's Local 21 at Joses' ,
82 Jefferson Avenue, be and the same is hereby approved/e�en�ed.
s Navs Absent Requested by D�partment of:
on
sw t.
on �. License & Permit Division
cc ee
e man
�'!'Fiune
i son � "�- BY�
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Adopted by Council: ate O�T �- � »�� Form A proved my City Attorney
Adopti Certified b Council Secretary g ,� �0��^/�
y: .
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' By� Approved by Mayor for Submission to
Approved � Mayor;: ate oe� �, '� �g9� Council
r� /^ /
By:
,^•'�.L?y���t--�,�� $11:
��������D 0 C T 2 '� 1990
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED 0
Finan e/L cense GREEN SHE T
N. _1155?
CONTACT PERSON B PHONE INITIAL/DA INITIAUDATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Christine oze -298-5056 p$s�pN �CITYATfORNEY �CITYCLERK
NUMBER FOR
MUST BE ON COUNCIL AOENDA BY(D E) C ty Clerk ROUTING �BUDGET DIRECTOR �FIN.&MGT.SERVICES DIR.
Hearin � ��"�'��I $ � 1�-9�90 ORDER �MAYOR(OR ASSISTANT) ��� R
TOTAL#OF SIGNATURE PA ES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval o a application for renewal of a State Class Gambling License.
Hearin : 10 16-90 Notification: 1 -3-90
RECOMMENDATIONS:Approve(A)or R ea(R) PERSONAL SERVICE CONTRACTS MUST ANS ER THE FOLLOWING QUESTIONS:
_ PLANNING COMMISSION CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contr cbfor this department?
_CIB COMMITTEE YES NO
2. Has this personlfirm ever been a city employee
_STAFP YES NO �
_DISTRICT COURT 3. Does this erson/firm
p possess a skill not norm ly possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJECTI E7 YES NO
Explain all yes answera on separate sheet and ttach to green sheet
INITIATING PROBLEM,ISSUE,OPPCSR UNITY ho,What,When,Where,Why):
Richard D. Le'tner on behalf of St. Paul Fire Fighter's Local 21 requests
Council ap ro al of their application for renewal of a tate Class B Gambling
License at Jo es', 825 Jefferson Avenue. Proceeds from the pulltab sales are
distribute t various charitable organizations. Inves igative fee of
$373.25 ha b en submitted.
ADVANTAGES IF APPROVED:
If Council ap roval is given, St. Paul Fire Fighter�s L cal 21 will continue
to operate a ulltab booth at Joses� , 825 Jefferson Ave ue.
�
DISADVANTAGES IF APPROVED:
DISADVANTAGES IF NOT APPROVED:
R�CEIVED
(��,05��Q ounc�; ,;��carc�j C����Lr,
(�+��i �i`��U
C".TY C�.�RK - - .
TOTAL AMOUNT OF TRANSACTI N $ COSTlREVENUE BUDGETE (CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ��
� . �la��{/
DIVISION OF LICENSE PERMIT ADMINISTRATION DATE I o��� �U/ � /D gC�
INTERDEPARTMENTA$. IEW CHECKLIST Appn Processed/Receive by
Lic Enf Aud
` l � -�-'' �� c�,a,- d Le�-� ,��--
Applicant c�Ti, Q � 1-'�►r� i�� ���� �"�Home Address L ���
,, �ii
Business Name Home Phone � `7 S a -��d�
Business Address � �P Type of License(s): �'�SS S - �4�-r►��'�►�
Business Phone �nv{5� � �Q�
Public Hearing Date �� (p License I.D. $ � ��5�--
at 9:00 a.m. in the ouncil Chambers,
3rd floor City Hall nd Courthouse State Tax I.D. 4� � ti��4
Date Notice Sent; Dealer � ��/q"
to Applicant �"-'�" �
Federal Firearms � Nf�
Public Hearing
DATE INSPECTION
REVIEW VERFIED (COMPUTER) COMNNIENTS
A roved Not A roved
Bldg I & D �
� 4
Health Divn. I '
ti�A- �
Fire Dept. �
l� +i� �
Police Dept. � yti �! ��/�1L�
�1 ��' u � i�
License Divn. (
� a g � �,�
City Attorney
�4-2 � � ��-
ate Received:
Site Plan l� �
To Council Researl�h f�' 3 �'y�
Lease or Letter /� Date
from Landlord � v� � l�
,, .. . � �� �y��
City of Saint Paul -
Department of Finance and Managemeat Services
Division of License and Permit Registration
INFORktATION RE UIRED WITH APPLICATION FOR PERMIT TO SELL P[TLLTABS b TIPBOARDS IN SAINT PAUL
(Class B Gambling Li ense in Liquor Establishments - Renew)
1. Full and comple e name of organization which is applying for license St. Paul Fire
2. Address where g mes will be held 825 Jefferson Ane Sth. Paul 55'102
Number Street City Zip
3. Name of mana�ger signing this application who will conduct, opesate and manage
Gambling Games ichard d Leitner DaCe of Birth c�_S_S�
> >
(a) Length of t e manager has been member of applicant organization 4 yrs.
4. Address of Mana er 897 w. Hw.Y 'I'10 Mendota Ht�_ SS��g
Number Street City Zip
5. Is the applican or organization organized under the laws of the State of MN? Ye�
6. Date of incorpo ation OCtober '10 '1940
7. How long has or anization been in existence? �9�8
8. How long ha� or anization been in existence in St. Paul? c►ver '75 years
«
9. wt�at �s the pur ose of the organization?TO assist and �ooperate with Public
and charitab e oranizations in promotin recee tion for and
�7oy to the u der�privile ed an.d less fortunate pf our community.
10. 6fficers of app icanf organiz�tion:
Name G�Y Odi ng -President xame pat Smith -rnr _ag�„�w
�
Address �6 .0. BOX 304 Lakeland Address'�6282 �th �i-_ T,alra],��y�
TitiePresiden �B ��_2y._52 T�tie Treasure �B
..
Name DG2121iS R ssler xame - -.
Address '10 Olinda �g Address
Title Treas. �B '11-4-40 nos
11. Give names of o ficers, or any other perso o paid for services to the
organizatio�. bove officers
xame Rich d eitner xame Gre� N�unson
Address 89 W Hwy 110 Address 370 Hall
Title Gambl}in Manager Title Assistant—Manager
(Attach separate sheet for additional4names.)
. + �yo���r
12: Att�ched hereto 's a list of names and addresses of all members of the organization.
13. In whose custod will organization's pulltab records be kept? .
xame Richard eitner nddress gq� �. H�,,,p_ ���
14. List all per�son with the authority to sign checks for �di�p�ersa�"'of'g�mbiing proceeds:
Name Ga�' Old'ng N�e Richard I,e itner
AddressP'�• BO 304 Zakeland Address $97 W. HW9. '110
Member of Member of
DOB 1'I-24— 2 Organi2ation? YeS DOB 9�5-5� Organization? e�
Name GTe Name
Address 370 all Address
Member of Member of
DOB 12-22-46 Organization? seS DOB Organization?
15. Have you read a d do you thoroughly understand the provisions of all laws, ordinances,
and regulations governing the operation of Charitable Gambling games? 3re s
16. Attached hereto on the form furnished by the city of Saint Paul is a Financial Report
which itiemizes all receipts, expenses, and disbursements af the applicant organiza-
tion, as well a all organizations who have received funds for the preceding calendar
year which Itas een signed, prepared, and verified by Richard T,Pi tnar
$97 . Hwy. 110 Mondata Hts.
Address
who is the G3m 1 lri Mana e of the applicant organization.
Name
17. Will your o�tgan zation's pulltab operation be operated/mane►ged solely by me�bers of
your organixati n? yes no *X
18. Has your or�ani ation sigaed, or does it intend to sign, a consulting agreement or a
managerial agre ment with any person or company to assist your organization with the
pulltab sales a d/or recording keeping? yes no X
If answer is ye , give the name and address of the person �nd/or company contracted.
Name Address
Name Address
If answer is qe , how will such a consultant be paid? (per�entage, flat fee, gambling
funds, general unds, etc.) Attach a copy of said contract to this application.
19. Operator of' pre ses where games will be held:
Name Joe S haffer
Business Ad�dre s $57 Sibley Memorial Hwy
I
Home Address
�,
�y�-����
20. a) Does your or anization pay or intend to pay accounting fees out of gambling funds?
yes no �'
b) If you da pa accounting fees, to whom will such fees be paid?
xame Johnson West Accounting Address Pione.er.._B1.d.....St... Paul - �
DOB Member of Organization? ri0
c) How are the accounting fees charged out? (flat fee, hourly, etc.)
flat ee �
d) What do you anticipate will be your average monthly deduction for accounting fees?
45.00 (pay roll/tax)
21. Amount of rent aid by'applicant organization for rent of the pulltab sales area:
$4C?0. 0 monthly
22. The proceeds of the games will be disbursed after deducting prize layout costs and
operating expen es for the following purposes and uses:
Chari y �
23. Has your organi ation filed federal form 990—T? �g.�_ If �nswer is yes, please attach
a copy with thi application. If answer is no, �xplain why:
Any changes desired y the applicant association may be made only with the consent of the
City Council.
St. Paul" Firefighters Local 2'i
_ • . O�Cganization Name
. � � f
Date �^ 2 7- / By;
Manager in charge of game
Organization esident or CEO
I
- �9����r
' City of Sainc Paul Paqe t
Deparcaanc of Fiaanee and Mana;emenc Setvie�e
Division of Lieens� and Psrait Adminiatration '
UtiiFORIi C1iAA2?AELE CAlSDLING FINANCLIL REPORT
8-�5-90
Date
i. N,e. o ot`��:=�s�t. Paul Firefighters Local 21
2. Addres vher• Charicabl• Cublint ia eoaduete�25 Jeffer�on`�Ave ��� ' �
3. R�pore for p�riod eov�rin�ovember 1�9 ehrou�h �Lll.y 19Z
6. Total uabsr of days play�d 26$
5. Crou �eeipcs tot abov� p�riod = �6 r �8�
6. Gross rise parvuts fot sbov� p�riod (inelud� ea�d short) : 4 5� ,�+-9$
7. Net recdpcs - liae S oiaua lin� 6 ; ,: 1�6�4�
S. Expsn e� iotussed in eonduetia= and op�ratinf �ss:
N. C oss va �s paid. Attseh vork�r liae vith r� ��p �� �
n m�s. addrers�s. �so�s vaias, nu�ber oi hoars f 4�"� ✓` �� ��✓
v rked, and a�ouac paid par hour.
9. R nt for �_ ���ks ; 3.2��
¢. L ceass Eee. f 341
C►. I suranee work/comp s 560
t. e nd i 100
T. D honored eheaks not reeo��rad ; 1 200
c. � ��„pcsA= e�.o.. payroll s 300
H. Pio,.z. r.z.c.�. s 3032
I. P llcab Tax Paid to D�parwnt ot R��enu� � '13846
J. nn. u.C. iu i 2`�9-�
[. dacaS Exeisa Tax i Sta�p :
L. eac. ca.blsn� tas s 660.96
!t. iscellan�ou� Exp�a�u. 2d�ntit� tM aonnt
nd to rho� paid.
=179.00 check//7 Corner Printing
s 35•00 office supply St. Book & Sta.
, ��� s 30.00 calcaulator — Best Buy Co.
- _ ; ��7`�330 S�-..�� �Gc[I��b5 S�
9. ?ot Esp�ns�a • ' , � SOTAL i • s���
10. N�t aeaN - lina 1 ains� lin� 9 S ��� 1������ ry�v
11. Ch�a ook balane� bsfiaaia� oi p�riod � �,,?�,,� O U
iz. roc. oc isn. io �a ii s 46,645.36 5�j,(� �(7
�
' 13. Tot eoneributioeu (fro� aetuh�d vorts6��t) � �� �-,� � �'�'
14. Chee book balaaes end oi rsportin; period - � 2 7 , �l}f . Lu ��'�d� '
lin 11 lsss liaa 13 �
�., t ur �� . rhVL
, � UNIFORM CNARITABL� GAMBLING ;i�`IANC;AL RE��JR' �9�.-��1��
� L�IWFUL PURPflSc CONTRIBUTIONS - 'dQRKSc(E:T'
�ine #13 - Ta al Lawful Purpose Contributions. S j��; �>. ���
List beT all checks written from qambling funds which are
charita le lawfut purpose contributians. The total_ dollar ,_„__
amounts cf these checks must match the amount claimed in � � �
line �1 . Use additional sheets as necessary.
CHECK # OATE PAYEE CHECK AMOUN PllRPOSc
I, ���3 'I-17— 90 Linwood Booster 'I'119.30 '10% club
Club
Z, �0�9 2-9-90 Iiageman Asso. 3977•5� Y�uth tee—shirts
fire—prevention)
3. '1025 2-23•-90 Big Brother—Big Sis 25.00 cb:arit9
ster
4. '1030 3—'10-90 M.D:A. Bowling Toun 400.00 �undraiser
5 . '1032 3-3�*-9� Gillette Carnival 9000.00 Gillette Hosp. Carnival
' Committee
6. �034 -30+-90 Hageman Asso. 5�+�+.92 Youth T—shirts �fire—
7• '1036 —6-90 Ramsey Hosp. Found. prevention)
200.00 charity
8• '1048 —'10«-90 Thomas Moore Health 5000.00 charity (education)
and Safety Found.
9• 105'1 —3�-9� Christian Brother 200.00 fundraiser
Youth Home
10. �p5y. —8-90 IFSTA Okla. St. 564.96 educational manuals
11. Nirob9 India
�057 —34-9� M.D.A. Golf Toun. 1000.00 fundraiser
12. 1061 —'13.-90 American Youth Hoste s 22.00 fundraiser
13. 000'7 'I'I-23— Salvation Army _ 1000.00 charity
TOTAL CHECK A1�UNT S '�Z :�?��'-
NOTE: These exp nditures will be provided to Council Mkmbers aL your Counc�l hearing.
Be sure t at your financial report is complete and accurate.
. . -
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