89-120 WNITE - CITV CLERK
PINK - FINANCE COURCII (//� //�/�
GANARV - DEPARTMENT GITY OF SAINT PAUL J� p( V
BLUE - MAVOR File NO. (j � / "
Council Resolution ��
Presented By
Referred To Committee: Date ���1/��
Out of Committee B Date
RESOLVED: That application (ID #65734) for renewal af a State Class C
Gambling License (Bingo On1y) by St. Casimirs Ushers Club at
934 E. Geranium, be and the same is hereby approved/d�-,.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
c.o�g [n Favor
Goswitz
Rettman
sche;n�� _ Against BY
Sonnen i
i�M�
JAN 2 4 1989 Form App ved by Cit Act eY
Adopted by Council: D te /'����
Certified Passe y nci S c ar By
By ,
Appr by Mavor. Dat _ ��AN 2 �J �Ig�� Approved by Mayor Eor Submission to Council
By
P�llSHEB � ::�� �� 1989
---'...'.�'--- .
� � � � ���aa
' DIVISION OF LICEN E AND P�:RMIT ADMINISTRATION llATE �� � v U/ ��(� � �
INTERDF.PARTMFNTA;.. REVIEW CHECKLIST A�pn Proce sed/Received by
Lic Enf Aud
S I� .� m�f 5 �,t�r��k�'
Applicant P�• ��S1r11��'S usllpVS C�U�j' Home Acldress �� ���)�jh Q, �l'�
Rusiness Name � •CQSI✓Yllr S Home Phone � �s �3� 9�
.
Business Address 3y C.. •(� �Y�Y�� u�'' Type of License(s) C��S C ' �"�C�vnh�r+c�
Business Phone �/Y►U�S�� ` �"V
Public Hearing lla e � �Z� ��q License I.D. 4F �j5 � � �
at 9:00 a.m, in t e Council Chambers,
3rd floor City Ha 1 and Courthouse State Tax I.D. �t tij�Q-
llate Notice Sent; I � ��� Dealer �f CU/°9'
to Applicant �,
rederal Pirearms �� N �
Public He�.�ring
DATE INSPECTIUN
REVtEW VERFIED (COMPUTER) COMMENTS
A proved Not A roved
�
Bldg I & D �
N�� ,
Health Divn. '
���- �
�
�
Fire Dept. � ' 11n �
! N li,
i �
I �
Police Dept. i I
10 �� � �
License Divn. �
� i D[�`1 ' CZ ��
City Attorney II���� � Q
� �
Date Received:
Site Plan � �' ! ( � � G�
To Council P.PSearch /
Lease or Letter I � Date
from Landlord � Z �
^`.--,. ;. ,F , ° - � � •,.s c , ...
, , - , , , r .:y.
L
�
CURRENT INFORMATION NEW INFORMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Boud:
Workers Compensation:
New Officers:
Stockholders:
. ����� �
;—_ Charitable Gam ling Control Board
_ Rm N-475 Grigg -Midway Bidg. For Board Use Only
�� 1821 University ve. Paid Amr.
- - St. Paul, MN 55 043383 Check No.
:••�••�'�� (612) 642-0555 � Date:
GAMBLING LlCENSE RENEWAL pPPLICATION
LICENSE NUMBER: �,.-�d� �_aA� /EFF. DATE: ; �ta /AMOUNT OF FEE: • p
1.Applicant—Legal Name of Org nization 2. Street AQdress
CNURCa �)F :T 4ASI1?�S ��S�c4,S ;LUS �T r^AUt 951 Te�ra.n P c2
3. City, State,Zip 4. County ; 5. Business Phone
St ?aui. �N ;5ieb Ra�se 5 "' ? -'•��rz
6.Name of Chief Executive Office � �� 7. Business Phone
3?rrY 'tiCk2Y , ( � ) �az.?` 9:<:::
8. Name of Treasurer or Person ho Accounts for Revenues '. 9. Business Phone"
•�'Oe?- �'itll�.h ' S•� ) T'T��%r''a�
10. Name of Gambling Manager 11. Bond Number ' 12. Business Phone"
J��se� ;.i,�ter 'itPNrtT
13. Name of Establishment Where ambling Will Take Place 14. County 15. No.of Active Members
�t C.3,�air�� �,it2C?':J :� �.u1 Ra�nseY � ,
16. Lessor Name 17. Monthly Rent`��
- .�
18. If Bingo will be conducted with his license, please specify days and times of Bingo.
Days Time Days Times Days Times
�
19. Has license ever been: Revoked Date: ❑ Suspended Date: ❑ Denied Date:
20. Have internal controls been su mitted previously? ❑ Yes 0 No(If"No,"attach copy)
21. Has current lease been filed wit the board? ❑ Yes ❑ No(If"No,"attach copy)
22. Has current sketch been filed th the board? D Yes ❑ No(If"No,"attach copy)
GAMBLING SITE AUTHORIZATION
By my signature below, local law e forcement officers or agents of the Board are hereby authorized to enter upon the site,at any time, gambling is
being conducted,to observe the ga bling and to enforce the law for any unauthorized game or practice.
BANK RECORDS AUTHORIZATION
By my signature below, the Board i hereby authorized to inspect the bank records of the General Gambling Bank Account whenever necessary to
; fulfill requirements of current gambi ng rules and law.
OATH
I hereby declare that:
1. I have read this application and II information submitted to the Board;
2. All information submitted is true,accurate and complete;
3. All other required information ha been fully disclosed;
4. 1 am the chief executive officer the organization;
5. I assume full responsibility for th fair and lawful operation of ail activities to be conducted;
� 6. I will familiarize myself with the I ws of the 5tate of Minnesota respecting gambling and rules of the board and agree, if licensed,to abide by those
laws and rules, including amend ents thereto.
23.Official Legal Name of Organiz ion Signature(Chief Executive Officer) Date Title
� ._ ... �_ . .. .__ `: i'� .
-- _ _ ,.� � ..�.. .��.�i l./ - .,y ..:.
__ y.•
ACKNOWIEDGEd1ENT OF NOTICE BY LOCAL GOVERNING BODY ',
I hereby acknowledge receipt of a c py of this application. By acknowledging receipt, I admit having been served with notice that this application will
, be reviewed by the Charitable Gam ling Control Board and if approved by the Board,will become effective 60 days from the date of receipt(noted
below), unless a resolution of the lo al goveming body is passed:which specifically disallows such activity and a copy of that resolution is received by
the Charitable Gambling Control Bo rd within 60 days of the below noted date.
24..Gity/County Name(Local Gover ing Body) Township: If site is located within a township, please complete items 24
� ` -- } -}�� - and 25:
.. . ..�,�tA ' J .��"\ �'�.:�-,�-'L �
Signature�of person Receiving Appli ation: 25. Signature of Person Receiving Application
. '` ..� , �`!_ i��
Title - Date ReceiVe (this date begins 60 day period) Title:
'�,,. .. � _ ' --`' ,�: - :�
Name of Person Delivering Applicati n to Local Governing Body: Township Name
CG-000�2-02(8/88) White Copy—Board Canary—Applicant Pink—Local Governing Body
City ot Saint Paul ����
• • ' Department of Finance and Management Services v
. License and Permit Division ��1�l�
' 203 City Hall
St. Paul, Minnesota 55102•29&5056
APPLICATION FOR LICENSE
CASH CHECK CLASS NO. New Renew
a �'C TT/ a a Date �� /.::�'' �g y' \
Code No. Title of li ense !� f v) 7 v i�: r � .) ;� •
From � 1�To 1�19 -
-� , � '
a3 � 1,� ��� C- ��r-�, ,,, �_ ;, . � ,�
�� ,00 i �_����;, ,-�� � - C-� , l� -,�� �.1�-
,;.c.-� '— � . �•-,,x;i; ' �i(� APPlicanUCompany Name '
' 1� �:Y �,%l :i, r,.i�
100 Business Name
�^ 1 f ' .
100 � � l' � � j-' J�Ca i� �! %i
Business Address Phone No.
100 — �
_ � - j'�/r V` '�`�-' , }
100 Mail to Address Phone No.
100 �.jG �}', .''� �r��. �•T� -� ��J_ "�'yC.
ManagerlOwner-Name
100 :'"'
C. ' � `I C' .. '�:! j. (`y�'I.'.�!� .V�,
100 I�fanager/Gwner•Home Address Phont No.
4098 Applicatfon Fee -. —
2. 50 __
y..^, "
Received the Sum of 100 .� I � �CL�-� �--�� �� v(
� � ��
j ,J�� ManagedOwner•City,State 8 Zip Code
t00 7otal t00
.�) j !��
r � � —� �
� �.�✓✓l�"Cic:-� ' ' Lv�l�Ly..v� `..�—
LiCenSe InSpeCtOr ,� �^ By: ` �� % � Signature of Applicant
v
Bond:
� ompa�y Name Policy No. Expiration Oate
Insurance:
ompany Name Palicy No. Expiratfo�Oate
Minnesota State Identification N . Sociai Security No.
Vehicle Information:
Serial Number Plate Number
Othef:
THIS IS A RECEIPT FOR APPIICATION
THIS IS NOT A LICENSE TO 0 ERATE.Your application for license wiil either be granted or rejected subject to the provisions of the zoning
ordinance and completion of t e inspections by the Health, Fire, Zoning and/or license Inspectors.
$15.00 CHARGE FOR ALL RETURNEO CliECKS
� � C���e -...�.
i� �.�... .
�- �
��c���� �'a_� � ���-�
-
� . . i Ci�•r or Sainc 2aui /�Q
. ' • � Deparc�enc oc ?iaance and u.anagemeat Ser�ices ��
. • Divisian oi Lice�se and Pe�it �egisc_ac:on
IyFORP"AT?ON REOUIR� �•I:'�i �PoLiCdTiON ?nR ?�`iZ? TO CONDUCT C:�.a.RL�'�BL� G�1.w3L:VG G� TV
� SaINT ?AUL
I. Fu11 aad complec name oi organizacian •�hich is applying for licease
St. Cas'�i. Usr�rs Club
Z. Address wctere g es *.r�ll be he?d 934 E GeraniLm 4ve,,,� S;.. Paul, Mn. 55106
- Yumaer Street Cicq Zip
3. Name o r �aaager i�iag this aaplicazioa vno •rLi? conduc:, aoerace aad aaaage
Gamcliag Games Jau�s �di� er Dace at 3irt� 2/2.g/1g'Ig
(a) Lengc:t oi c; e manager has beea ae�ber ci apol'canc argani=ac=oc ;� years
4. Address of uanag r 851 Te;aa:�na Place St. F�ul, Mn. 55119
_ Yumce: �c=ae� C�^, Z'?
5. Day, daces, aad ' ours chis applicacicn is _or T'_:ursdays 7:30 p,m. - 10:30 �o.m.
6. Is c::e aopl�canc or organizac�on orgaai�e� under c:�e lavs o? �:�e �taca o= �?i? _es
7. Date a= �acor�er cina ��
8. Dace whea regisz red vfch the Staca oL w�tesoca ;��pro�;i�a�elv 37 Years A�o
9. Hew loag has org uaz�on beea ::. exiscaacs? 54 Years
-� .. .
10. How I,oag i�as org nizaciaa beea ia �Y�scsaca f.� �t. 2au�? 54 Years
L1. What is the purp se oi tha orgaa=zation? To help and assis± the ch-.�r�h :•r;th
financial s n ort
L2. Of`icers af aepi canc organ��acf orc
Nante Eu ene Pa Y�e �_b�,�.��anonrski
Address 1 246 G e ha.+rt S'� 'y 1 19 4adrzg-� 1 1 51 F._ .TF±nkc� 4� _ Pa��l � t.tn_ � �i5106
T'►tle President D48 10/30/1943 L==== V; cP Frt�sident 709 7/�a/1qs�
, �• Name pat Yame Edward GliskY
�� �%��
Address 1 Eg os woo o g :�dd�ass 1662 E `�"i*d St Paul. Mn. . 55106
Title Rsc. Secre ar DOB 2/19/50 =�-==z Bin�o 2reasurer ��� �/ar/to�5
13. Give names oc ot icers, or aay oc�a- �ersar.s �ao :a_= :or sers=ca= =� _:e or�a^:==L=�n.
�ame Yame
Address aaQ=°=3
Ticr2 --_a
� (.:c�ac^ sepa:a�a s;a� - ' =�=---_..=- .•_=_•
ii
� � ���� a
, 1G. ACtac:�ed he:ac is a Iisc of names aad addresses oi alI members oi che organizac=on.
IS. Ia vnase cssco y vill organization's records be kepc?
: Nd�G � = Address 1 FF� F:_ T'•�i rd� St_ Fai�l ' Tdn_ �551 06
I6. Persons Whc vi I be canducciag, assiscing in conducc2ng, or oper�c'_ng che games:
v�e �= Date oc Birt:� 2/28/1919
�,ddress __g51 T �vanna Place. St. Paul, t4n.. 55119
Name oc Soouse � '�a e '� �linter Date oF 9irth 1/1/1920
Daces 1hen suc^ oerson �si� condu�c, assisc, ar aperace Th rsdav Ni�:�ts
vame Dace oi Birt:�
:�ddress
Naae o= Soouse Dace of Birt::
Datas :aea suc: oersoA •.ri?? coac•�cc, ass:s:, or ope:ace
L7. Have ;�ou raad a c �o �ec: c�a:augal� aac�.staad che orov:.siacs oc a�Z 1avs, ordiaances,
aad reguiat:ar.s �cTre�_�g. cae eperac_�rc ct C�ar_tab_e Ga�b�i�g �i�s32S� yes
.. -
18. Attac::ed here_� ��a c:�e :o� �ur_is:�ec 5�� c:e C_t7 0: Sc. ?a�? �s a F±naacial Repor�
vhicz :.�s�izas ?'_ ::c_==cs, �-^e�sas, a,d �f;s�urse�eacs o= c:^.e anpl'_canc argaaizat_on
' as :re?: as a=_ -_ar.::,a�:�as :-aa aaTr� =_==_red '��cs �ar cae gracac'�.g calendar �ear
:�hic^ :�as �ee� '_3-:ed, �:_�a-ed. and va__'_�c �t� J-.mes �Yinter
Yame
51 Te�aanna Place, St. Paul, Mn. , 55119
�cc_ass '
vho is c4e B n o �Iana er o: :.:�e apoL:canc Oraani2ac;on.
' Y�e �' 0�=__=
I9. Operaco: os �r_ '�es �aer_ ;zames ::�: �e ae:c:
Name St, Cas mir School H�:11
B�siness ndd.sss 934 E. GeraniumAve. St. Paul, 2•in. 551�6
, Home :�ddress
Z�. e�C10l3IiC OL �H^C 7 l� JV 37D���3IIC :7�Z3i:�3C�,^.2Z ��r :°^C O: C�;L+ iZd�?� 5�@C���T dL10l1lIC
paid ?e- �-nou: e=�:�Z None
' � � � ���/�a
21. ilie proceeds oc �e �araes vill be disbursed a=cer deduc�:ng prize ?avou� coscs and
• - operac�g expens s ror che colloving purpcses aad uses:
St ' " '
�2_ Has the pre�ises wc►ere �:�e g�nes arz �o be heZd beea cercified Eor occupanc� by che
Cicy oc Sainc ?a I? Yes �
23. has �our or3ar.,z c:on �i?ed =edera? :or� 940—T'' �� L� answer is ves� al.ease accacz
a cooy v;c`s �=�� apol'_cac:on. Ic ansuar is na , e:c�lain Jc►y:
Income Tax e em tion b t�e Archdiocese of St. Paul
Any changes des::e: � .;e a��?'_ce.,c :ssoc:ac_orc aa� he rada on?;r v:ch c.`.e conser.c o� che
Ci�y Cc+unc=L.
.St. Casimir Us'r!ers Cl..b
Orga�_zac:an
Dace 1 2/28/1 988 Bv: G��ro � ��j .
�iaaaga: :� caarge oL gaBe
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C��9�ia D
. � • Citq of Saint Paul Page 1
. Department of Finance and lianagemeat Services
Division of License and Peimit Administration
• UNIFORH CHARITABLE GAI�LING P'INANCIAL REYORT
Date 12/28/98
i. Name of Organizatioa St. Casi ni r IIshers G1Lb
� 2. Addresa where Charitable Gambling is conducted 934 E. Geranium, St. P2.L1� Pfn_ � 55106
3. Rnport or period covering 1/1 19 88 through 1 2/31 19_�
4. Total n ber of daqs played 4 7
5. Grosa r ceipta for above pariod ; 93,925.25 + 171 ,72 Int.
6. Groaa p ize payouts for above period (include cash short) S 57,06 8.00
. 7. Net rec ipts - line 5 minua line 6 ; 37�028.97
8. Expenae incurred in conducting and operating game:
A. Gro s wages paid. Attach woricer list with
nam s, addresses, grosa wages, number of houra ; No ne
wor ed, and amouat paid per hour.
B. Ren for 47 weeks ; NOrie
C. Lic nse fee � 252. 50
D. Ins rance • S None
E. Bon ; Rone
F. Dis onored checks not recovered ; 174.00
G. Acco nting Expensa ; None
. A. Emp yers F.I.C.A. S �O�@
. I. Yull ab Tax Paid to Depaztment of Revenue ; Nane
J. Minn. U.C. Tax ; None
R. Fede al Excise Tax 5 Stamp ; PIOIIB
. L. Stat Gambling Tax S 3.428.59
H. Misc llaneoua Expenses. Identify tha amarnt
and o whom paid.
1. ingo Expense S 1 '400.9s
� 2, olice ; 1 .175.00
3. Bank Ad�ustment ; 9.00
4. �
9. Total Ex�enaes $ 2'S8y�TO$TAL � 6�440.07
10. Net Iac e - line 7 miuua liaa 9 ; 30,588.90
11. Checkboo balance beginning of period ; 3,006.20
• 12. Total of line 10 and 11 ` ; 33,595.1 0
13. Total co triButiona (from attached vorksheet) S 28.800.00
16. Checkboo balance ead of reportiag period - 4,7 9 5.10
' line 12 ess line 13 �
•:.::.':�.:.
.. � I
CITY OF ST. PAUL rH�t �
UNIFORM CHARITA�LE GA��BLING FINANCIAI REPORT
� � ' LAWFUL. PURPOSE CONTRIBUTIONS - WORKSHEET �1"�a�
line #13 - T tal Lawful Purpose Cantributions. $ 8 2s,soo.00
�. List be ow all checics written from gambling funds which are
charita le lawful purpose contributions. The total dollar
� amounts of these checics must match the amount claimed in
line #1 . Use additional sheets as necessary.
CHECK # DATE ' PAYEE CHECK AMOUN PURPOSE
I. 3857 12/28/87 St. Casimir Church $ 15.00 Cnurch�s Needs
2. 3860 1/7'88 �� 1 �485.00 ��
3. _ 3865 1/25/88 'r 2�0��0.00 ��
4. 3876 2/29/88 '� 3,000.00 ��
5 . 3881 3/28/88 " 3,000.00 ��
(. 3887 4/25/88 '� 3,000.00 ��
7. 3894 5/23/88 " 2�50J.00 �r
$. 3902 6:%�27/88 f1 3�000.00 ��
9. 3909 7/25/88 . '� 1 ,SOJ.00 . ��
10. 391g 8/29/88 " 3�000.00 �� .
1].. 3922 9/26/88 '� 3�000.00 ��
12. 3928 10/24/88 . ' t1 3�000.00 rr
13. . .
TOTAL CHECK AMOUNT $ 2s,a�o.00
NOTE: These expen itures will be provided to Council Members at your Council hearing.
� Be sure tha your financial report is complete and accurate.
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ST. CA.SI2�IR'S USH�RS CLIIB
r�IPIGO ACCOIINT AUDIT
12/6/87 - 12/6/88
CHEC' PdG ACCOIIYT BALA1dCE �
BROGHT FORWAr�D. ....... .. .. .... .. .. . . . . .. . ... `� 3,006.20
BINGO II�COME.. . ... . .. . .. . . . . . .. ... . .. . . . .. . .. . 93,925.25
INTERST RLC:.IVED........ ......... . .. . . .... . . . . 171 .72
TOTAL INCOME $ 97,103.17
DISB aEi•iENTS:
PAID P�INNr.,RS. . .. ... ... . ... . .. . . . . . . . . . . . ... a 57,068.00
ST. C SI2•SIR'S CHURCH... ... . . . . ... . . . . . . . . .. . . . 28�800.00
SALc�S TA:�. ... . . . . .. . . ... . . .. .. .. .. . . . .. . . . ... . 3,428.59
LIC�I�T E. .. . . . . . . . . . . . . ... . . .. ... . . .. . . . . . . .. . . 252. 50
t3Ii1G0 F,:{P jHSE. ..... . .... ... . . .. .. . . . . . . . . .... . 1 ,400.98
POLZC ... . . . . . . . . .. . . . . ... .. .... .. . .. .. ... .... 1 �175.J0
BADCKS........ ... ... .... . .... . . .... .... .. . 174.00
B9I�K JUSTMHIdT.. ........ . . ... .... .. . . . ..... .. 9.00
TOTAL DISBURSEt4ENTS � 92,308.07
CHc�CKI G ACCOII�T BAI.ANCE.. . ...... .. . ...... ... . � 4,795.10
OPERANG CAS$ ON HAi1D... ... ... . .. . .. . ... .. ... � 3.000.00
TOTAL Ci�.iH ASSETS $ 7,795.10
G�i�`�� 7
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011qllATOR �, o�n Mrrurea a►�cor�tno - ��i��4
Y , ; +�i��IV 5f#��' �a.D a 3 4 97
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Chr�s ine z k , "sa�,�'' = �.��� 3«r�
�Cr • wo. i NUM�ER FOR
� � � �*� 2 Council Research .
f' . �' —'�rn'�?rawrer
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Applica�i for renewal df a State Class C Gambling Licease.
N i�Fi � 1-5-8 i D te• 1- - :
tlqli:fMpo+re(A1 a Rej�ct ). •. ; C011NCIL RBSEAnCN RP�ON'te '
�.PLANNl10 CGMiM8B1011 � � i6AY10E COI�Ntl8810N � .r DATE IN. � DATE 011f � ANALrST � . . . � � � PHODE 110:� � �� �.
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. . ID01�lq COIA1�118BIDP1�. . . 180 .BCNOOL BOAAD . - - . . � .
. . STAFF . . . . R CAAM�SION . � COMPLETE�AB IS -ACOt Y1F0.ADDED* _ ADDi��. __�AODED• .
dBTIrCf OOINlCIL�. � . . . . . � .
. '�.•O(PLANATION: . . � �. ..
�� � � BtIrPORB YNtlC11 OO�MIf71L OB�L'GTR�E2 � _ . - - . . . . � . '. . � . � . ' � _ . � '- .� . � . . -...
�/11A7MO f110�tN1.NMIF tlPP6R1111f1Y :Wh�t.Whan.NIINn�ri►bY): r _ •
I�h^. �lames 'nter, on behalf of St. Casimirs Ushers Club, requests Caunci1
approval. o hi� applicatipn for renewal of a State C]ass C (bingo onty) -
Gambling� Li ense at St: ��simirs Ha1J , 934 E. Geranium. Bi:ngo sessians
are t�eid T rsday betweer�l the hours nf 7:30 PM and 1Q:30 PM. Pro�eeds
from the bi go sessions at^e donated to the church.
xisT+wc�.�►�tca+�.�ar+a�.e. �: - . : , _ : . ,_
Ail fees and applications have been submitted. No l0� payments are
. requ�red af fiass C.li,censges. : ,
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t NANn�anQ To,�Mlwmy: ° .
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If Council pproval is given, St. Casimirs Ushers Club will continue
. to sponsor weekly bingo�sessaon at the church. � - � �
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,►t�u►,�s: I � cwr+s.
�I : ��w.:,��1 E�ese�r h Cent�r. _
'� JAN 11 ���
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