90-1982 � i9 � �� � Council File # '' '�fd z
"O 1 ` t �.� � � W �`� �
Green Sheet # 11571
RESOLUTION �
CI OF SAI T PAUL, MINNESOTA ��
Preaented By C�"`�~-
Referred To Committee: Date
RESOLVED: That application (ID ��34707) for a State Class B Gambling License
by Epilepsy Foundation of Minnesota at T. J. Bell's, 1�01 Jackson Street,
be �nd the same is hereby approved/�e�ed.
_ �Yeas Navs Absent Requested by Department of:
��'' �— —� License & Permit Division
CS @9 T-
e ma �—
—' une �—
c T'— By:
�
Adopted by Council: Date NOV � 3 1990 Form Approved by City Attorney
Adoption Certified by Council Secretary g ' , � y�/Z���v
r. y'
By� � ��'� A roved b Ma o for Subm'ss'on to
pp y y r i i
Council
Approved by Mayor: �ate /i /;�' °��?
By:
����� � .��� �OV � 3 i�� By: �
pusles��n �r a v 1 '� �9sa_
. , , - �qo�y����
DEPARTMENT/OFFICFJCOUNCIL DATE INITIATED G R E E N S H E ET NO _115 71 �
Finance/ icen e INITIAUDATE INITIAUDATE
CONTACT PERSON&PHONE �DEPARTMENT DIRECTOR �CITY COUNCIL
Christin ROZ -298-5056 NUAAIBER FOR �CITYATTORNEY �CITYCLERK
MUST BE ON CAUNCIL AGENDA BY( ATE)C ty C er ROUTING �BUDGET DIRECTOR �FIN.&MGT.SERVICES DIR.
ORDER �MAYOR(OR ASSISTAN� � ('.n�inr i 1 R
Hearin / t /3 B / /I
TOTAL#OF SIGNATURE GES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Approval of a application for a State Class B Gambling License.
Hearing: 1t Notification:
RECOMMENOATIONS:Approve(A)or eJect ) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING QUE8TION8:
_ PLANNING COMMISSION CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contract forthis 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 normally possessed by any current city employee?
SUPPORTS WHICH COUNCIL OB,IE IVE? YES NO
Explaln all yes answers on separate shest and attach to groen sheet
INITIATING PROBLEM,ISSUE,OP RTUNITY Who,What,When,Where,Why):
Marlin P sseh on behalf of Epilepsy Foundation of Minnesota requests
City Cou cil pproval of their application for a State Class B Gambling
License t T. J. Bell's, 1301 Jackson Street. Proceeds from the pulltab
sales wi 1 be used to assist people adversely affected with seizure disorders.
Investig tive fee of $373.25 has been submitted.
ADVANTAGES IF APPROVED:
If Counc 1 ap roval is given, Epilepsy Foundation of Minnesota will operate
a pullta boo h at T. J. Bell's, 1201 Jackson Street.
DISADVANTAGES IF APPROVED:
DISADVANTAGES IF NOT APPROVE : •
RECEIVED
�VO���Q ��uncil r��:,�arc� GL�t�r.
CITY CLERK ��ol��u
�
�1r.�
TOTAL AMOUNT OF TRANSA ION $ COST/REVENUE BUDGETEp(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAI ) ��
, , . , . �`"�'C7�'l��'°�.
DIVISION OF LI�ENSE !AND PERMIT ADMINISTRATION DATE _l p / � �'j(�
INTERDEPARTMEN AL R�VIEW CHECKLIST Appn ro essed/Rece ved by
' Lic Enf Aud
Applicant � i IQ�� l�Olih�t�on �+t J�1�hnHome Address 77 7 �� c„r yy�Dn c�
Business Name a� �.� ��J s Home Phone � ��P ' g�75
Business Addre�s y��v� Jk c 1C�o� �-'� Type of License(s) ��iv►,���n �
Business Phone � �_ �[ �Q n 5� — �-�.� �+�lt 5 S �
Public Hearing 'Date �' �� 3v '�I� License I.D. � �j � 70 ?
at 9:00 a.m. in the Council Chambers,
3rd floor City 'Hall and Courthouse State Tax I.D. �� �iV1{�-
Date Notice Se�t; � Dealer � ���
to Applicant � �
Federal Firearms # /V A--
Public Hearing ;
� DATE INSPECTION
REVIEW ', VERFIED (COMPUTER) CO1�Il�IENTS
A roved Not A roved
Bldg I & D 'i !
' ti(�
Health Divn. � � I
�! N f� I
Fire Dept. I �
! ti��- I
Police Dept. �i �Q/�`� I �"J f dS JyD
I� a �jd ���
License Divn.
' �
%�f�y/�p � 0/�
City Attorney ,, � l�� D � ���
� � �y f
�
Date Received:
Site Plan � ��/�f[�
, To Council Research ��' 3U�`�1 C�
Lease or Letter ' Date
f rom Landlord � � � l�
I
. � �� Citp of Saint Paul C�' �a-1��a--'-
' . Department of Finance aad :Saaagement Service6
Division of License aad Permit Registration
I:tFORMATION RE U'IRED ITH•APPLICATION FOR PERMIT TO CONDUCT POLI.TAB/TIPBOARD SaI.ES Iv
SAINT PAUL (Cl�ss B ambliag Licease in Liquor Establishmeats - New Applicatfon)
I. Full and campletje name of organizatioa which is applying for licensa
����-�.(��`� �f1�-'f�( o � �ncN LSUTl9-
. , ;
2. Does your organi acion'meet the definition of a "large" ozgaaization as outlined in
the November. 19�8 revisioa of Section 409.21 of the Legislative Code?
Attach to this a�plication p�rtiaant finaacial aad/or organizational information to
support• your ans�wer to this question. NOTE: Onlp 5 large orgaaizations will be allow-
ed to opea pulltjab operations uader the revised citq ordiaaace. If more than 5 organi-
zations apply, qjualifisd applicaats will be selected randomly by the Citq Coancil.
3. Address where ga�es will be held ��d I ���� 5� �'r ��— 5�/17
' . Number - Street City Zip
4. Name of maaager �signing this application who will conduct, operate and maaage
Gambling Games � �`'�'►`�-l^�. �d�S�..�rfL Date of Birth `�� � �-`F°�
(a) Length of tipie maaager has been member of applicaat organization G
5. Address of Managier �0� Q��. f�.,-� �o �,��3. 55�'d�
Number . Street City Zip
6. Day, dates, aad Ihours this application is for �� - 5<� - ��� �"`�-�
7. Is the applicaat or organization organized uader the lava of the State of :QT? � c�
8. Date of incorporation ���'`��
9. Date w�en registiered with the State of Minaesota ��� L5�
10. Hov long Eias org,aaization been in existence? 3� Q-�-rS
11. �Iow loag has org�anization beea ia existeace ia St. Paul? �
12. What is the purp�oae of the orgaaization? �o a.��%s� ��
t S�z�'-� �,a�" � �� ��--��c. ��� � �
13. 0fficers og appljicaat orgaaization:
Nam� Lu �(N' �C.,�P l��( Nase J �o 1.�•�..�� �
�iddress 1�•d.�o't �7`{- �� ���. � t�ddresa Cal C.�- S��S�'. �'( �S. M^�.
Title �l`�5, DOB 1 � _ Title ) ��. DOB �� I 2 � �
Name �l-Pcl�L.� 1J 6�`'t-S?7�} Name �� ����
Addreas G n�" �.��-.'n•�. Addr�ss 722`� I'��•(o�� �•. P�'"3���!'1,��
Title S�-<-�� D� /� 4-1 Title � . . �B
�L �
� i . . � . / s�"� �V J/���.
v
• 14. �ive names of officers, or anq other� persoas w�o paid for services to the
' organizatioa.
Name �,'�3'��L-� V+OSS Z.f� Name
Address �{'�'� F Qu�,. �-�• Address
Title �� `JJ,^r-�' Title
(Attach separate she�t for additional names.)
IS. Attached hereto �s a list of aames and addresses of all members of the organization.
16. Ia whose custody'Iwill organization's records be kept?
Name �4�t-C� 0'05�`'c..�b�"L_ Address �17 '1�
17. List all persons�with the authoritq to sign checks for dispersal o gambliag proceeds:
Name � MP•t-.l POSSZ C�"L- Name t+�� �01�f15
Address y 6�j �.,� i�7..�- 1�..� Address �-«c � S�� �"• ����
Member of Member of
DOB �l� �� ' Organization? � DOB � L � Organization? �
• Name Y./`t/�l(fz.� ��,(N�5 Name (,,�r'�. �- (.J dfG 2J�F�
�
Address ��GL ��Stc-'�Id��'. C• �-�°`� Address �}'�a� .�c.c�P,R�t �-/�f �.
Mamber of Member of
DOB 3 ' L 'S� Orgaaization? � �.o DOB 7 � G Otganization? �cD
18. Save you read aad do qou thoroughl.y understand the provisions of all lavs, ordiaances,
and regulations goveraing the operation of Charitable Gambling games?
19. GTill your organirration's palltab operation be operated/�ged solelq by menbers of
your organizatiola? yea no
Z0. Has your organization sigaed, or does it iatead to sign, a consul.ting agreement or a
maaagerial agreemeat with aaq pezson or coapany to assist your orgaaizati with the
� pulltab salas aadlor recordiag keeping? qes _�,_ no
If anss�r is qes, give ths name aad address of the p�rson and/or compaaq contracted.
5�,,�,�:�, t�g�.`�, c�.�9Q, ��Q.�,� a��►��re9� 357d nt. � c�,,e,.� S P.
Yame
��e Address
_�.�.
If answer is qesi. how will such a consultaat be paid? (p�rceatage, flat fee. gambling
fuads, geaeizal...fnmds, etc.) Attach a copy of s•;d contract to this application.
�� �
2I. Operator o� premjises where games wil e held:
Name ' � a� ��� \
�—�
Busiaes� Addresa ���v� �°�-�-�°"� �•
�- G,,_
��� Aaares$ , � � Q I J �,�.. ��
. � � � � � . �yo-�y��-
, 22. a) Does your_qrganization pay or iatead to pay accounting fses out oi gambling funds?
� . yes �� no
b) If you d'o pay�accouatiag fees, to whom will such fees be paid?
' Name 5c e-- � �� Address
DOB Memb�r of Organizatioa? ��
c) How are the accounting feea charged oa (flat fse, urly,. etc.)
d) What dc you iauticipata Will be qour average monthl7► deduction for accouating fees?
`�� ����� � �-<< s��
23. Amount of rent piaid by applicant orgaaization for rent of the hall:
�
w�� / �
24�. The proceeds of �the games will be disbursed after deducting prize layout costs and
operating expeasjes for the followiag purposes and uses:
:�:
Z5. `Has the premise� whers the games are to be held been certified for occupancy by ths
City of Saint Pa�ul? �2�a
26. Has your organi�acion filed federal form 990—T? t� If ansver is yes, please attach
a copy with this{ application. If aaaw�r is no, laia why:
Aay chaages desired by ths applicaat association aay be mads only with the coaaeat of the
City Coaacil. '
' � ��
. S
" 0 zacion Name
Date � - �� �� BY� �
lYanager ia charge of game
c�,�� �� �-.c�.��,-�
� Organization Presid�nt or CEO
� �� � SAINT PAUL CITY COUN�IL ��°����
P'UBLIC HEARINC NOTICE
LICENSE APPLICATION RECEIVED
SIEP2719A0
CE��+`{ G!ERK
FILE NO.
To: Property Owners
Distict Council 6' L 16215
Application for a Class B Gambling License by
The Epilepsy Foundation. This license will allow the
P U R P O S E ' Epilepsy Foundation to sell pulltabs and/or
tipboards at the liquor establishment.
A P P LIC A N T Epilepsy Foundation of Minnesota
LOCATION T.J. sell's 1201 .Tackson St.
HEARINC November 13, 1990 9:00 a.m.
City Council Chambers, 3rd floor City Hall - Court House
' By License and Permit Division, Department of Finance and
N O TIC E S E N T Management Services, Room 203 City Hall - Court House,
Saint Paul , Minnesota
298-5056
This date may be changed without the consent and/or knowledge of the
license and Permit Division. It is suggested that you call the City
Clerk's Office at 298-4231 if you wish confirmation.
. r • ���-/���
� .
SUPPLEMENT TO ATTaCHED IICENSE ID # 16215
PUBIIC HEARING MOTICE
LICENSE APPIICATION
BAR INFORMATION: �
Carpo rate Nam�: rlar - Ja Inc.
Officers ' ' James R. Bell - President
� Rita M. Wiegand - Secretary
COfltdCt P2t"SOIn: James R. Bell
' 779-6070
I
ORGANIZATION INF RMATION:
Name of Organ'�ization: Epilepsy Foundation of Minnesota
lOCdt10�: 777 Raymond Ave
Contact Persan: Marlin Possehl - Manager
646-8675
GAMBIING� FUNOS 1"0 6£ USED FOR: To assist people adversly affected by a
seizure disorder and to educate the public about
epilepsy
LICENSE OIVISION CONTACT PERSON:
Christjne Rozefc
Oeputy licen�e Inspector
298-5056