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90-2104 o � � G � �A � � Council File ,� -- ', Green sheet # 11588 �'�, RESOLUTiON r;�°�'���-- ' CITY OF SAI T PAUL, MINNESOTA ,. � I 'g ; � ; Presented By Referred To � Committee: Date RESOLVED: Th t application (ID ��53362) for a State Class A Gambling License � by White Bear Boxing, Inc. at . , 733 Pierce Butler Route, , be and the same is hereby approved/d�e�-�. as Navs Absent Requested by Department of: a i'' � License & Permit Division o � , cca ee � e msn � _ u e z son "�— BY� Adopted by Coun¢il: IDate NQV 2 � 1990 Form Approved_by City Attorney Adoption er�ified b�► Council Secretary gy: �� .Z . By� Approved by Mayor for Submission to Approved by Maymr: Date `�' Council �_� NOW 2 7 1990 - Sy: � By� PUB�lSNED ��-G 31990. ! i , , �yo-aio� DIVISION OF LIiCENSEI AND PERMIT ADMINISTRATION DATE �� � �l / l U l�- �7 C� INTERDEPARTMEI�TAL R�VIEW CHECKLIST Appn Pro essed/Recei ed by Lic Enf Aud -� L�r ✓y C�oo�w�an Applicant � h�4-�. �Ct�' ��K�n 5 ��'1U Home Address an � x f'�,,s� 3r��t Sj//� Business Name , �`C � Home Phone � 3 /- (� �a(� Business Addreiss �I33 �( �✓C2. D`f"��F-�ype of License(s) 1���.� �' ��C(m ���� Business Phong � L.i (� 5� Public Hearing� Date �� �I��License I.D. � �33 CP� at 9:00 a.m. 3�n the Counci Chambers, J ����� 3rd floor City� Hal and Courthouse State Tax I.D. 4� C Date Notice Selnt; II Dealer � ��� to Applicant � !4 � Federal Firearms # �1i4 Public Hearin� ' DATE INSPECTION REVIEW VERFIED (COMPUTER) COrIl�IENTS ' A roved Not A roved Bldg I & D 1 I . N �� Health Divn.I I� I �, N �� , � ; Fire Dept. ! I ', �.' �,4- I Police Dept� ' �n� I �0/���9 C7 � ! �1 / � �O O/� License Div�. � I � /� 7 0 I ���i City Attorney � ; (O��U ��j d l� '�, Date Received: ' i Site Plan � '�, �� � Cj(� // ;�� To Council Research ` (~l�r �a Lease or Lett�r ' ( Date from Landlord I '� � (� 15�Q� � � I . ,. . • , City of Saint Paul /��..ya p�/D� Finan�e and Management Services/License � Permit Division �i�� : INFORMATION REQUIRED WzTH APPLICATION FOR PERMIT TO CONDUCT CHARITABLE GAI�LING GAME IN SAINT PAUL (To be used with the following: New A b C application, renew A & C Licenses, and new and renew B in Private Clubs.) 1. Full and com�lete name of organization which is applqing for license _ =x� A � 2. Address where games will be held � - �� � � �, �5 l o �l Number Street City Zip 3. Name of manager signing this application who will conduct, operate and manage Gambliag Games �����/ r�►p0�/y}p�!/ Date of Birth �"`�Z'j �,3 � ! (a) Length of time manager has been member of applicant organization � � �/ r'� � 4. Address of Manager a�� � � ��� $� � 1'�� �� �+ ,`�,'�� �}�U�. ��i �'�$►`)/ �' -- -� Number Street City Zip �5. Day, dates, and hours this application is for 6. Is the applicant or organization organized under the laws of the State of MN? �� , ' 7. Date of incorporaQion ►,� � � �j , � � .�J� �� 8. Date when reffiistexed with the State of Minnesota U Q � Q , � �� �_ 9. How Iong has orga�tization been in existence? � �,� � T ��N 4� v a �'h 1'��'c�' 10. How long has organization been in existence in St. Paul?t„t,t a?� ' � t� � 0 J�I �-- � W 1 l9(I :r �/ 11. What is the purpose of the organization? /��►n•�/ �V'r' 1� ` "�,"";:� �Q �V �l�� �" � , '�•. af�?,� �`"'�i i�'1 0 A� � ��(''� ?t i,��d � � 12. Officers of applicant organization: Name � i �� � l� tt �E� � � �'`,/ Name �jq�N. �.T'd d Q/?� �i rJ Address '.�',5"?fl ���'Pi�1a�KJ1��?► (�t�, . Address �.� '� $'' �' ,' /�;� � �. Title ��� �, DOB �`��� ��� Title ��C, ��� : DOB Name �A fid ;� �d , � � � � `lL Name L p R#r T �tl rs � i� w lV Address ������ ,��t� � � ' �d Address ,� {�'7 t!� �, .�Rd �l� Title V�_�„�� ���_ DOB �'��& "`� 's Title � �t+��iOB �"/ � ",,�'f 13. Give names of offi;cers, or any other persons who paid for services to the organization. ' Name � r� i,,,, ¢� �' �� S � N Name ��q y� ��r� ;� ,� Address � � �.� i�<»�' �.i.� ;3r 1 �'° �,- Address y �� � � �M p � := .e � �a,:'" Title �``-i�1►'1R+ �w�,�Zrt� �i='Jc! Title �� �, E pC"a,�, 'Aa"t/ Z N � (Att�tch separate sheet for additional names.) � : � �yo-aio� ' 14. Attached hereto is a list of names and addresses of all members of the organization. ' 15. In whose custody will organization's records be kept? Name ���,��.��; �. f,t l !�'��l — pR�'S Address Jr.���► �F�►='r2 S 01�! ��. 16. List all persons �aith the authority to sign checks for dispersal of gambling proceeds: . - Name ���,�1 t� � � �! 3�.�, ,��/ Name � �? Address ��T�� �?=�'1':A� $�.N ��3 Address ,�,,,�]7 � �, �'� Je c� '�► �i Member of � Member of DOB 7"'J 3 ��J� Organization? � � S DOB �� S 0 `;,�� Organization? ��� Name ��'�I e��s� ' � ► �.1, � L L h l� Name t�i��.�'��.=> `I�/�1 .�" r� /v �'a�'�'�Q 1 ► �+��� �!4 �"s�.� �+l4 ���� .:.,�.� ,.�a��... Address s Address '"� �" ,� �� �.,,�",;:".' Member of Member of DOB �� �� ��.�` Organization? _���Y DOB �"���� { Organization? c���,�' 17. a) Does your organization pay or intend to pay accounting fees out of gambling funds? yes � " no b) If you do pay accounting fees, to whom will such fees be paid? Name ! k� , � a ,���1/�'�.� � � �� Address ��'.�., L�t�� '� �' Si T \ +�.at°� ��j��� DOB !� •- t � �' �� Member of Organization? �� �- c) How are the a�ccounting fees charged out? (flat fee, hourly, etc.) � �f � � � `�? D c� 18. Have you rea,d and do you thoroughly understand the provisions of a11 laws, ordinances, and regulati�ons gpverning the operation of Charitable Gambling games? �/� � 19. Attached hereto o1n the form fumished by the city of Saint Paul is a Financial Report which it .emizes a11 receipts, expenses, and disbursements of the applicant organiza— tion, as well as aIl organizations who have received funds for the preceding calendar year which has been signed, prepared, and verified by �i�� q,�� L . (,� �,� .�,�� �� QA ��.►-`? �' .�'1`, 5`�: #='��t� . �N. A dress • who is the ,��CL'BUA/T/?l✓T of the applicant organization. Name �( 20. Operator of premises where games will be held: Name __�►/� t"�".�1�_ Tfl� PU,!°D,�/•' �6.4�s23' '� S' ------ Business Address � P/�,p� �v ft F� �f E Home Address ,�('zs� c��.�L�„S ��/.�' 7 . . , , , �yp,a,o� � 21. Amount of rent paid by applicant organization for rent of the hall: '� � �i/5� � �1 SESSio� �22. The proceeds of the games will be disbursed after deducting prize layout costs and operating expense�s for the following purposes and uses: . S�� � ,c ��N Ro 2� i v 5� �A�L � �-v� , �� ��,�R ��XF . . �(-23. Has the premises �where the games are to be held been certified for occupancy by the City of Saint Paul? y�5 � 24. Has your or�anizajtion filed federal form 990-T? .�,��� If answer is yes, please attach a copy with this �application. If answer is no, e�tplain why: ,I Any changes desired by� the applicant association may be ma.de only with the consent of the City Council. t�1hi ��� � �.*�1 R �� �!/= ��?'�l�'1�.� �� Organization Name ASS�r Date 1 � — Si1 �Q Bq: . .� C Man e�in c rge of game � �� C� i4 �. c� � /��d� !�'�/ Organization Presid t or CEO o � r► s � z �' = = � .. - � � o � � 9 -< � � = � � .'� - � , � R � y A f� � ^t + y d !+ r� v :� � r+ � A � n 3 e; n 7 � - .y t � re 3 � 7 � 3 � � � � T �e � �' C � � � n.. �'..a � .< �0 rr r A �' � � = A .9 d S '� �C b b 3 = � � � � � � � � 3 3 r* 9 (a � � " �' � � t9 �+ t 3 ° r. = A � , = � i ,� O � %� � I ^ r = � n �"t :0 !ff � 71 7i � � :a � �T � 3 °C � r► + 3 �/'VWWyW\11 = r+ 9l' f0 � • � '+ � � 1 7f = � � �O m 9 �a ,1 � r � _ �� N '+C �. ..svv "J '�1 „� e C ', � � I � r �� � t� f0 . '7 � � � 3 O � � ;9 'd � ` 7f f! � � � � n D Q 'e � � � rs P: -�� ° �. I -� ��^ rf I S A j � ;' � �� '� ; — '_- � = � ° � A 9 . I �+�3 C� � !� I� � :i i0 � � �� 'O y CO T• 9 � � ^ � � o'^�r � ^� 9 ; .� � -�_ � 3 � � � S S ^ I � i x o 1 O � � n o A A { � ! �.��� r. � < `},� a ? � �; z-N - � ; � � ` I fn -i Z � � � W�Z� d 7 9 J 4 r Z 1 I � o .��. � C � 't '� � t� ,. � � D �e O Jo -- � � ~ � � . ` •W1MMJ1N�y � a .. � I 7 , . . �"--�o-a�o�i�'�� DEPARTMENT/OFFICE/COUNCIL DATE INITIATED NO � 115 8 8 Finance Lice Se GREEN SHEET CONTACT PERSON S PHONE INITIAUDATE INITIAUDATE �DEPARTMENT DIRECTOR �CITY COUNCIL Christi e Rozek-298-5056 ASSIGN �CITYATfORNEY �CITY CLERK MUST BE ON COUNCIL AGENDA BY DATE) NUAABER FOR gUDGET DIRECTOft FIN.&MGT.SERVICES DIR. C�ty C12r ROUTING � � ORDER MAYOR(OR ASSISTANT) Hearin / �� a� B / L � ❑ � G�unc�� TOTAL#OF SIGNATURE AGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION REQUESTED: Approva of a application for a State Class A Gambling License. Notific tion: Hearin : �l 0l.'1 RECOMMENDATIONS:Approve(A)or ReJect(R) pERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING GUESTIONS: _ PLANNINQ COMMISSION CIVI SERVICE COMMISSION �• Has this person/firm ever worked under e contract fOr this dep8rtment? _CIB COMMITTEE YES NO _STAFF 2. Has this personlfirm ever been a city employee? YES NO _ DISTRICT COUR7 3. Does this person/firm possess a skill not normally possessed by any current city employee? SUPPORT3 WHICH COUNCIL OBJE IVE7 YES NO Explaln all yes answers on separate sheet and attach to green sheet INITIATINQ PROBLEM,ISSUE,OP RTUNITY Who,Whet,When,Where,Why): Larry E. Good an on behalf of White Bear Boxing, Inc. requests Council approval of t eir application for a State Class A Gambling License at ._ �. , 7 3 Pierce Butler Route. Investigative fee of $497.50 has been sub itte . Proceeds from the gambling sessions will be used to support youth bo ing ctivities. ADVANTAGES IF APPROVED: If Counc 1 ap roval is given, White Bear Boxing, Inc. will be able to sell pul tabs tipboards at Macaluso's, 733 Pierce Butler Route. DISADVANTAGES IF APPROVED: DISADVANTAOES IF NOT APPROVED: RECEIVED N�V201990 n _ ��ulil�i� ��^7r.,r�- s.,� - '� Cen��J G1TY CLERK N011 1 � �gcU TOTAL AMOUNT OF TRAN8ACT ON $ COST/REVENUE BUDGETED(CIRCLE ONE) YES" NO FUNDINO SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPLAIN) i� a