90-1915 OR I �� ���,�,` �`_. Council File ,� <�"/�/Jr
1 � V
Green Sheet � 11569
RESOLUTION ' �i
, OF SAINT PAUL, MINNESOTA f�� '
� � ( ,
Presented ` /
Referred To ' Committee: Date
RESOLVED: Tha application (ID ��16416) for a State Class B Gambling License
by ive, Inc. at Ryan's, 201 E. 4th Street, be and the same is
her by approved/-�err�.wi.
Navs Absent Requested by Department of:
smon
oswi z License & Permit Division
on �.
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Adopted by Counci : ate 0 CT 3 0 1994 Form Approved by City Attorney
Adoptio Certifi by Council Secretary gy; • ��-,7-GfV
By� � Approved by Mayor for Submission to
Approved by Ma or ate v 1990 Council
BY: ��i c`� �-��� BY�
P11BlISI�EO ��0 U 10 i 9 90.
� �� ��o� ��
DEPARTMENT/OFFICE/COUNCIL OATE INITIATED �� _115 6 9
GREEN SHE T o `.:�� �
Finance/ C2I1 2 INITIAUDA E INITIAL/DATE
CONTACT PERSON�PHONE �DEPARTMENT DIRECTOR �CITY COUNCIL
Christi � ROZ k-298�5�.56 NUMIBEHFOR �CITYATfORNEY �CITYCLERK
MUST BE ON COUNCIL AOENDA BY D TE) C•ty Clerk ROUTING �BUDGET DIRECTOR �FIN.&MGT.SERVICES DIR.
ORDER MAYOR(OR ASSISTANT) Council Research
Hearin 10-30- B / 10-23-90 ❑ �
TOTAL#OF SIGNATURE ES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approva f application for a State Class B Gamblin ' License
Hearing: 1 -30-90 Notification: 10-1 -90
RECOMMENDATIONS:Approve(A)o R )ect(R) PERSONAL SERVICE CONTRACTS MUST ANS ER TNE FOLLOWING QUESTIONS:
_ PLANNINCi COMMISSION CIVI SERVICE COMMIS310N �• Has this person/firm ever worked under a contr�ct for this department?
_CIB COMMITfEE YES NO
2. Has this person/firm ever been a city employe
_STAFF YES NO ,
_DISTRICT COURT 3. Does this person/firm
possess a skill not norm Ily possessed by any current city employee?
SUPPORTS WHICH COUNCIL OBJE E? YES NO
Explain all yes answsrs on separate sheet an attach to green sheet
INITIATIN(i PROBLEM,ISSUE,OP UNITY(Who,What,When,Where,Why):
Michael M ch itsch on behalf of Give, Inc. requests Co ncil approval o�
their a p ic tion for a State Class B Gambling License at Ryan's,
201 E. t S reet. Proceeds from the pulltab sales wi 1 be used to
provide s rvi ces for youth and adults with mental reta dation.
Investi a iv fee of $373.25 has been submitted.
ADVANTAGES IF APPROVED:
If Coun i a proval is given, Give, Inc. will operate pulltab booth
at Ryan s, 2 1 E. 4th Street.
DISADVANTAGES IF APPROVEO:
DISADVANTAGES IF NOT APPROVE : �
R�CEIVED
�T231gg0 ������ ���� �c�
CiTY CLERK ��;� �����0
_�
^'"�`- y�.*
TOTAL AMOUNT OF TRANSA T ON S COST/REVENUE BUDGETE (CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAI ) � `,,
W
' @,��a�- �q�s
DIVISION OF LICE� E PERMIT ADMINISTRATION DATE �-��-�Q/ ( �a �'�-�O
INTERDEPARTMENTAiL REV EW CHECKLIST Appr� Processed/Received by
Lic Enf Aud
Applicant ! � Y1 C� Home Address C�/U E herc�� �a✓��✓ �`�
Business Name 5 Home Phone � y�� � 4'�0�
Business Addres� Q � �, � � Type of License(s) c-��ZSS � - ��?Q m��i✓�c,
Business Phone �-�C.Fiv�S� l
Public Hearing D te ���3Q'" / � License I.D. � ' �(O �/(O
at 9:00 a.m. in he ouncil Chambers,
3rd floor City � 11 nd Courthouse State Tax I.D. 4� � Z 53 a��
Date Notice Sent Dealer � � �/a'
to Applicant / ,
Federal Firearms � 1J�/.�.
Public Hearing ,
DATE INSPECTION
REVIEW VERFIED (COMPUTER) , COrIl�IENTS
A roved Not A roved
Bldg I & D �
U(/k
Health Divn. �
rv (q, (
Fire Dept. �
�f� �
Police Dept. ��y� �(°1 � '�
� � n I �...��o a�
License Divn. f i
io-s-5 D I o�c.
City Attorney► f
��'a��f d ��
Date ceived:
Site Plan �/ �U ��,'� _�
To Council Resea!�ch �
Lease or Lette�r Date
from Landlord �
�
- _ �-�o, l���
� . Ci�p of Saint Paul �
Department of �ixtaace aad Management Services
.. Division of License aad Pezait R�gistrati�on
I,IFORMATION RE RED �TITH-APPLICATION FOR P£RKIT TO CONDOCT PQLLTAB/TIPBOARD S.LLES I�i
SAINT PAUL (C1* s B Gambliag Licease in Liquor Establishmeats - New Applicacion)
1. Full and c pla e name of orgaaization which ia applying for license
G.I.V.E. , Inc.
2. Does your � gaa zation'meet the dafiaicion of a "lazge" orgacnization as outlinsd ia
the Novembt . I 88 revision of Section 409.21 of the Lsgislative Code? No
Attach to � is pplicacion pertiaent fiaaacial and/or orgaai�zatioaal iaformation to
support• you aa ar to this queation. NOTE: Only 5 large orgaaizationa vill be allow-
ed to opaa 11 ab operations uader the• zevised citq ordiaaawce. If more thaa 5 organi-
zations app , ualified applicants will be selected randaaly b� the City Council.
3. Address vhs g s will be held 201 E. 4th Street St. Paul 55101
. Number _ Strcet , City Zip
4. Name of mana er signing this application who will condact, o,�erate and maaage
Gambling Ga s Michael Michlitsch Date of Birth 12-18-56
(a) Leagth o t e manager has been member of apQlicaat organization `
5. Address of na er 3870 Effress Road White Bear Lake 55110
Number Street City Zip
6. Day, dates, d oars this application is for Sun.-Sat: 11^30 a.m. - Midnight
7. Is the app],i aat or organization organized undez the lavs of the State of MN? Yes
8. Date of iaco por tion 27 May, 1966
9. Date when re ist red with the State of iK�nnesota May, 19�66
10. HoW long tia�s org izatioa been in existegce? 24 vears
11. Kow long haa org aiaation bsea in existeaee i� St. Paul? 24 years
12. 4That is tha urp ae of th� organization? to provide services to adults with
mental ret rd tion
13. Officers of ppl cant orgaaization: .
N�e Da id Aune Na�e Jane Wells
pddre8s 48 9�� hurchill, Shoreview �ztfs 42p9 Oakmede Lane
Title Chai;r an Dpg 4-25-56 Title Vice-Chair DOB 7-27-51
Name Ma y rtin Nase
Address 24 1 ancis St. , St. Paul Address
Title Dpg 4-25-54 Title mB
, , . , ���o !9/5
• 14, �ive names o of icers, or aay other�persons who paid for s�tvices to the
orgaaizacioa.
Name Name
Address Addresa
Title Title
(Attach separate sheet for additional names.)
15. Attached E�ex to s a list of aames and addresaes of all mambars of the orgaaizacion.
16. Ia �ose cu� ody will organizstion's records be kept?
N�e Mi el J. Sarafolean Addreas 1410 Energv Pk. Dr� . #12. St. Paul
17. List all pe� ons with the suthority to sign checks for dispersal of gambling proceeds:
Name Mic el J. Sarafolean Name Michael Michlitsch
Address 97 L'nwood Avenue Address 3870 �ffress Road
Membez of Member of
DOB 9-13�5 Organizatioa? Yes DOB 12-18-56 Organization? Yes
Name Dave A ne ��e
Address 48 9 hurchill Address
Member of Member of
Dpg 4-25-5 Orgaaization? Yes DOB Organization?
18. Have qou rea an do you thoroughlq understand the provision� of all laws. ordiaances,
and regulat� as overaiag the operation of Charitable Gambliag games? Yes
19. Will your or ani ation's pulltab operation be operated/managsd solelq by nembers of
your organiz tio ? qes X no
2p. Has your org niz tioa sigaed, or does it intead to sign, a cqnsulting agreement or a
managerial a re ent with any person or co�pany to assist your orgaaization with che
� pulltab sale an /or recordiag kteping? yes � X
If answer is yea give th� name aad address of the person snd/or co�paay contracted.
N� Addresa � -
N�e Addresa ^ _
If aaawer ia yss how will auch a conaaltsat be paid? (perce�tage. flat fee, gambling
funds. genes l...f ds, etc.) Atuch a copy of said contract to this application.
2I. Operator ofi re s�a where gamea vill be held:
xame Si,c e �
Businesa Ad;d ess 201 E. 4th Street, St. Paul, NIN 55101
Home Addresis �82� �nd C� �Ui"Ye ° UJ� �(l S //
� p
' ��D -!9l5
. �2, a) Does yoas' rg zatioa pay or intaad to pay accountiag fees out oi gambling funds'.
� yes X no
b) If you do ay ccountiag feea, to whom will auch fses be paid?
N�� Stan Bab 1 Address 4618 Parkrid�,e Dr. , Ea�an, MN
DOB lYember of Orgaaization? No
c) How are t e counting faes charged out? (flat fes. hourly, stc.)
monthly ee
d) What do ticipate will be your average monthl� d�duction for accounting fees?
$100 •
23. Amount of re t p id by appliciat orgaaization for rent of the hall:
$100/wk.
24. The proceeds f he games will be disbarsed after deductiag prize layout costs and
operating exp as s for the following purposes and uses:
all lawf 1 r oses �
25. Haa the pre ses whera the gaaes ara to be held besn ceztifiad for occupancy bq the
City of Sai� Pa 1? Yes __
26. Has your ora niz tion filed federal form 990—T? No If ansver is yas, pleaae attach
a copq with hia application. If aas�+�r is no, euplain vhy:
not requ red
Any changes desir d b the applicant asaociatioa may be made only vith tha conseat of the
Citq Coancil.
G.I.V.E., Inc. •
.. Or inization Name
Date � U By:
�lanag�� ch e of ga:ae
/j.�C.If-Q.C��
Otganiz ion Presi eac o= CEO