89-175 WHITE - CITV CLERK
PINK - FINANCE GITY OF SAINT PAUL Council /{/'�� /J
CANARV - OEPARTMENT Flle NO• " • '/�
BLUE - MAVOR
C�o ncil Resolution ���:��� ��t
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Presented By - ---
Referred To Committee: Date
Out of Committee By � Date
RESOLVED: That application (ID #,61678) for a Gambling Manager's License
by S ephen J. Rocheford DBA The Minnesota AIDS Project at
Rumo rs , 490 N. Robert Street, be and the same is hereby approved/
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� In Favor
cosw;tz
Rettman
��;�� � _ Against BY
Sonnen
Wilson
JAN 3 � �9$� Form Approved by C' At ney
Adopted by Council: Date • �
Certified Yas e `�ncil S-e r BY � _ l� ��
By, �"�`-✓y
A►ppro e y Mavor: Date l i��9 Approved by Mayor for Submission to Council
By
P���'+�-3� £ � �= � � iS��
O�iArOR. n���re� o�te carru�eo V►—���
Mr. J. Carch di Gi'���`� ����� �to. ����4�
CoNT�CT� , oe+rwn�r�r oiaECroa Mnva+taA�Sriirrr►
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. , 'Christine Ro k �s°�+� : �a��� 3 ��
�cr . r��o. aour,r�' — ��r o��ra,
, 2 Council Research
Fi nance_& M . 2 -5056 a+�: 1 �A,�� ..
�Application r a Gambling Manaqer's License.
Notification ate: 1-T9-89 Hearing Date: 1-31-89
��s:t�av�e W«�sa la► c�aESEnnCN nEVprr:
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sr,� ooew�oN co�.��s�s noot n�o:aooEO* �ro To c�arr�r ca+srmxa+�
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suPPORTS v��c�.a8xcnvEt
IIN1N7'ilici PIiOlLlM.N/t�E,OPPON'i111�11'v .wh�i.when.where.WM)c .
Stephen J. Ro eford DBA The Minnesota AIDS Project, requests. Counci1
:appraval of hi application fOr a Gambling Ma�tager's i.icense at Rumours,
_ `490 N. Robert treet. _ _
� .N,st.,cr►,��cA.ueu,.w:�.� , . _ . . : .
All fees and a plications have been submitted.
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oo�tw++,�r vw,.R.sw sc v�oRa: _
. If Council app oval is given, Stephen J. Rocheford w��l- manage the pulTtab :
booth for the innesota AIDS Project at Rumours.
�Teaw►tnres: �os ce,�s
�;ua; c�1 Research Gen�er ,
. JAN 2 � i�89
�..,�►�: _
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.UIVISION OF LICENS ANI) P�:RMIT ADMINISTRATION DATE � � � / � � O /
INTF,RDF.PARTMEI�TAL EVIEW CHECKLIST Appn rocessed/Rece ved by
Lic Enf Aud
Applicant Y� J• �(�,Q ,p,�� Home Address �3J� l (.(�,Q S�'/?"j!✓I SU�✓"
Rusiness Name ►' Ilh g � ID5�17(P[� Home Phone �7 �o�C/5�a�
V
Business Address � �b N. �� Type of License(s) G Q/yy�6�vy�G
Business Phone C(,►� �, e/2i
Public Hearing Dat � � License I.D. �� � �� �b
at 9:00 a.m, in th Counci Ch uibers,
3rd floor City Hal and Courthouse State Tax I.D. �t � I�
llate Notice Sent; r,� Dealer �f IUI�'
to Applicant � '"t � �
I'ederal P3.rearms �6 J� �
Public Hearing -�
DATE INSPECTION
REVIEW VERFIED (COMPUTER) CUMMENTS
A proved � A roved
�
Bldg I & D � �
� �
Health Divn. �
1J(A- '
Fire Dept. I �
' �'� l
�
p � ,�em-� � 0�.
Yolice De t. o �
���1� �� �� ��
�
License Divn. '
� ��� � ; � �
City Attorney �
� �� �� , a �L
Date Received:
Site Plan � �
To Council Research � � � �
Lease or Letter N n Date
f rom Landlord ('7
CURRENT INFORMATION NEW INFOItMATION
Current Corporation Name: New Corporation Name:
Current DBA: New DBA:
Currer.t Officers: Insurance:
Bond:
Y�„
Workers Compensation:
New Officers:
Stockholders:
, +°'� /cY
� City of Saint Paul
� Department of Finance and Management Services G��/� `�
License artd Permit Division r
203 City Ha11
� . St. Paul, Minnesota 55102-298-5056
' APPLICATION FOR LICENSE
CASH CNECK CIASS NO. � New Renew !
o � - � � o , � .
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� Date 1 19� '
i-- �r- ;
Code No. Title of Lic nse
From 19��o �� � 19 �
�%�' � b�r n� �� �112' !�?S. 5� �
- � � ,00 S-� J jt �r� .S� �JC;� -�. �-�i�
ApplicanUCorApany Name
100 ! �
c�.��� 'T I�� ,'�; ,���;��-�c.. ,���r.r� ���'
t00 9ustnesa Name ,! : �'„i i•'�C��y%�.:�..
�I�31 �11 v i::.. �t"`� ' C.-;. i -` � -
► N���;
�oo G� o ,�G U 1;�i�Ur _;
Busi�ess Address Phons Na
100 [� � ( �(..
1 �f 1� �--� ' %`!� �`•P r l� � l..
100 Mall to Addrese� Phone Na
S—i' . �C�� l + ,�In �s /O/ `
,00 C—t� n h o;� .;� (c o c l, ;-��� dJ
ManaperlOw�er•Name i�'7(�...
100 ( � •
(��S � l.i(.J i�-�' i i i ;i;j-�?� �/�- o�-
100 AtanagedGwner•Home Address Phoee Na
4098 Applicatfon Fee �• ,
Recefved the Sum of 2 t50(�g` � 1 � �C�� �� /l�f �l ,�J�� �
/ ��•�v ManagerlOw�er•City,State 3 Zip Code
1Q0 Total 100
�i� J
/
� � � �~ �
L. l7.� �- :;" ..�—�=
License (nspec2or � By: J' 1%S nature of Ap¢ikant
Bond• �
Com y Name Policy No. Expiration Oate
Insurance:
Com any Name Policy No. Expiratfon Date
Minnesota State Identification No. � Social Security No.
Vehicle Information:
erlal NumtSer Pfats Numbx
Other.
THIS IS A RECEIPT FOR APPIICATiON
THIS IS NOT A LICENSE TO OPEAA E.Your application fo�license wilt either be granted or rejected subject to the provisions of the zoning
ordinance and completion of the in pections by tha Health, Fire,Zoning and/or license Inspectors.
$15.00 CHARG� FOR ALL RETURNED CHECKS
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� f� !� �"' � __
�, ' � I City of Saint Paul �/�Gp,��
Department of Finance and Management Services ���� �
Division of License and Permit Registration �
INFORMATION REQUI D WITH APPLICATION FOR PERMIT TO CONDUCT PULLTAB/TIPBOARD SALES IN
SAINT PAUL (Class B Gambling License in Liquor Establishments - New Application)
1. Full and .comp ete name of organization which is applying for license
The Minnesota Ac uired I[[xnune Defici n
2. Does your org nizatio.n meet the definition of a "large" organization as outlined in
the November, 1988 revision of Section 409.21 of the Legislative Code? No
Attach to thi application pertinent financial and/or organizational information to
support your nswer to this question. NOTE: Only S large organizations will be allow
ed to open pu ltab operations under the revised city ordinance. If more than 5 organi
zations apply qualified applicants will be selected randomly by the City Council.
3. Address where games will be held 490 North Robert Street St. Paul 55101
Number Street City Zip
4. Name of manag r signing this application who will conduct, operate and manage
Gambling Game ��hPn ,7_ !?n�hofnrr�__ Date of Birth h/�/53
(a) Length of time manager has been member of applicant organization 4 years "; �
5. Address of Ma ager ��Sd Westminster St. Paul 55101
Number Street City Zip
6. Day, dates, a d hours this application is for Annual Starting 3/1/89
7. Is the applic nt or organization organi2ed under the laws of the Srate of i�IN? Yes
8. Date of incorporation April 27, 1983
9. Date when regi tered with the State of Minnesota April 27� 1983
10. How long has o ganization been in existence? 5 1/2 years
11. How long has o ganization been in existence in St. Paul? 5 1�2 years servin9 clients
12. What is the pu pose of the organization?�yp,p is dedicated to arresting transmission of
the AIDS virus, eliminating discrimination against people affected with the AIDS
virus, and mak'n available hi h ualit , com rehensive and coordinated services
to persons aff. ted by AIDS illnesses. �
13. Officers of ap licant organization:
Name EriC L. E strom Name
Addres$59 W. C . Rod G-2 ' w Address
..Title ExeCU iv D' D�B �5/58 Tit1e DOB
� Name Name
Address Address
Title DOB Title DOB
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�
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.� � � ��1���
. 14. Give names of officers, or any other persons who paid for services to the
• organization.
Name See att hed membershi Name
Address Address
Title Title
(Attach separate sheet for additiona]. names.)
�
15. Attached here�o is a list of names and, addresses of ali members of the organization.
16. In whose cust�dy will organization`s records be kept?
Name Janice S ller � Address 2025 Nicollet AvenueS. , Mpls, l`RV
. 55404
17. List all pers ns with the authority to sign checks for dispersal of gambling proceeds:
Name Janice e11er Name Sig Peck
Address 6 Address 501 Parkview Terrace
Member of Member of
DOB Organization? �roQ DOB 9/21/52 Organiaation?yes
Name Eric L. gstrom Name Kris Wavne
Address859 W. Cty. Rod G-2, Shroeview Address 5009 Excelsior Blvd. #126
Member of Member of'
DOB 9/5/58 Organization? Yes D�B 8/12/51 Organization?yes
18. Have you read and do you thoroughly understand the provisions of a11 laws, ordinances,
and regulatio s go��erning the operation_ of Charitable Gambling gau�es? y�s
19. Will your org nization's pulltab operation be operated/managed solely by members of
your organiza ion? yes Yes no
20. Has your orga i2ation signed, or does it intend to sign, a consulting agreement or a
managerial ag eement with any person or company to assist your organization with the
pulltab sales and/or recording keeping? yes no N�
If answer is es, give the name and address of the person and/or company contracted.
Name N A Address
Name Address
If answer is es, how will such a consultant be paid? (percentage, flat fee, gambling
funds, genera funds, etc.) Attach a copy of said contract to this application.
21. � Operator of p emises where games will be held:
Name Rumours Inc. , Moll Kauffman, owner
Business Address 490 N Robert S teet
Home Address4 00 — 31st Avenu M' e
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22. .a) Does. your �rganization pay or intend to pay accounting fees ouC of gambling funds?
• ' � yes n�
b) If you do ay accounting fees, to whom will such fees be paid?
� Name � e Address 2025 Nicollet Avenue South, Mpls.
DOB Member of Organization?
_ c) How are t e accounting fees charged out? (flat fee, houxly, etc.)
H
' d) What do y u anticipate will be your average monthly deduction for� accounting fees?
400 month � �
� 23. Amount of ren paid by applicant organization for rent of the hall:
� - 400/month f r a rox'
� 24. The proceeds f the games will be disbursed after deducting prize layout costs and
operating expe ses for the following purposes and uses:
To su rt th r rams and se i
41� (St. Paul)+10� outh St. P = �
49$ rest of Mi esota = 100�
25. Has the premis s where the games are to be held been certified for occuga:.cy by the
City of �aint aul? Yes
26. Has your organ'zation filed federal form 990-T? VPR If answer is yes, please attach
a copy with th's application. If answer is no, explain why:
any changes desired by the applicant association may be made only with the consent of the
City Council.
�� The Minnesota A.I.D.S_ Pro�ct
Organization Nam
Date Dec. 12, 1988 By�
ana er in charge of ga�e
. � ��
Organization President or CEO
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� . ���,�.�
. . , �
,
State of �Iinnesota )
) ss
Countyj of Ramsey )
�iQ/ D �1T� . /Cd G/td�0�
being uly sworn, say _that��he�,rs�'
(are) the petitioner,s in the above appli- ,
cation; that _�he�ha66��read the forego-
ing pe ition and know the contents thereof;
that t e same is true of �fiUlown knowledge.
Subscr"bed and sworn to before me this
f�u��N ay o f �n1 uA.�Js� __ 19 �g ~
tary Public, ��.�ounty, Minnesota
My co ission e pir
IR �
I r'`� 1ANfCE t.SEtLER
��e�NOTARY PUBLiC fAINNESOTA
� � HENNEPIN CgUNTY
.. My Commission ExpirRs lune^3, 1990
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- � � � � � :����s
TO BE COMPLETED BY
ORGANIZATION PRESIDENT AND GAMBIING MANAGER
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I understa d and will upho�d Saint Paul Ordinance 409, Sections 40�.?.1 y
and 409.22 relating to pulltabs and tipboards in bars.
Further, I understand that my jarbar must meet city standards; that ?0�
of the net profit from pulltab sal�s must be returned to the City-Wlde
Youth Fund on a monthly basis; that monthly financial statements must be
filed with the Ci�y; and tliat 51% ,o.f net proceeds must remain in St. Paul
or be used to support St. Paul resi�dents.
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Signature M ager �
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Signature -I Organizatio President
� Minnesota .I.D.S. Pr '
rganization ame
490 N. R
Gambling Lo ation
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Date
, Please retain the attached ordinance for your records.
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�D..pEN.�.I�M
#17. Auth oity to sign checks.
Elle Benevides D. 0. B. 7/24/58
4136 Queen Avenue South, ,#100
Minn apolis , MN 55410
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Mi�nesota AIDS Project Employees (Rumours)
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1. David N Maytum D. 0. B. Feb. 20, 1964
2221 B1 isdell Avenue South Sunday - Thursday
#28
Minneapllis , MN 55404
2. Rand Re terath D. 0. B. Mar. 19 , 1960
8235 Ta arack Trail Friday - Saturday
Eden Pr ire, MN 55344
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