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89-219 WHITE - C�TV CLERK I COIlI1C11 PINK - FINANCE GITY OF SAINT PAUL �'�j�'".719 CANARV - DEPARTMEN T BLUE - MAVOR '. FIIC NO• � ou cil Resolution � � Presented By Referred o ' Committee: Date Out of Committee By Date I RESOLVED: Th t application (ID #14876) for renewal of a Class A Ga b1ing License by the Friends of St. Peter Claver at 14 4 No. Dale Street, be and the same is hereby approved. i '� � COUNCIL MEMBERS Requested by Department of: Yeas Nays '� �1 Dimond r-� In Favor Goswitz Rettman a � , Against BY Sonnen Wilson �ES � � �g�� Form Appr ved by City Attorney Adopted by Council: Dat� • Certified Va s ouncil , ret By —/�� By , ,€Br� � i: ��J�9 Approved by Mayor Eor Submission to Council Appro d y Mavor. Date _� By BY P B�1SI�D r�-:�=>' 1 � 1989 a1�ANU►roR� � w►�amu►teo nA�E car�.eno V 4 �,� Jose h E. Ca chedi ��� ���� �tb. �3�5 2 cO�rACT P�o�+ o�,�r.�r a�ctnR µ+voA�on�sr�wn � , CMristirte Ro ek �Foe � ���,��� ��«.� "-�' � . � RouTx,o — �� �Counci l Research Finance & t.. . 298-505�., o�a: � �,►„�, _ — , . Applica�ion or renewa1 of a State C1ass A Gambling License. Notification Date: 1-2�-89 Hearing-[�te. 2� 89 ` IIECb�lID��710Ni:(Ap�rovs(A)a Re�sr�(R)) COUNdL IIEEEARCH REPOAT: . : ��►a�tq oo►�saH Gwl �cE c�nisswN o�rE�r D��axr �vsr r+�+OME No. m�+�rvo c�ow �sa aa scHOa eo�Ao : aT,�. caYw�ssan co�ai.�ns is �oni�+w.�oo�o• T�rvn���r ���oo� — � � oie�rwc�r caxrc� *Exn�noH: surPOr�w�cM oa�as,�crnr�� . NRtl1�0�O�L�1,IfBt1E.O�ORTtMKiY ,vW�et.v1�t�en.whaa wMf: , Jt�ne Huspek, n behalf of The Friends of St. Peter Claver, �equ�sts Coanci_1 app.raya]. of h r .application for renewal of a Stat� C1ass A Gambt'ing L�cer� . � at 1��� No. ie Street. Gambling sessior�s are heid on Thursday e�en��ngs � bet� ;the h urs of 7.:3Q _PM and 1�:30 PM. Proceeds fr.an the gaa�linq s�ssiat�s are used for he support.of St. Peter Cl aver churcFt & sck�oo� . . . _:._ ; �ns�c,n�oN�.�awr�ar.. r. , ., , , . , , , .. _ ;: . All fees and pplications have been submitted. Al1 10�. payments are curre�t. , : . . .,,� �lwna.r�.o..aa To wdom�: . : _ . .. , ;::: if Council .ap roval is given, Friends of St. Peter Cl.aver wi�l continue to sponsor a gam ling session at Ideal Ha11 . _ . ,u.,�,n'� . • r�es co�s Co r�i; Rescarch Center � , JAN 2 51�8�J �,►�: ��: _ ; ; _ .� ._ ,_ _ �wst+ortr oF�a�t��au.s: t STA1(�IOLDERS(LIBt) PO&f10N(+.-�Oj � r wLL.TE971FY1(V/M RATtONALE(Surtunarize Main Arguments) FINANCIAL IMPACT �r�n�sr.n o�3 s�a+o r�►n raorEs oa�w►nHU euoc�er: _ ,. �v�+uES�reo ...........:.... ::.:.:..:...::::.........:.....:..... , „ ;. , nc�s: _ 'seie�ies/Frtrqe sei,elqs , ,. ,,' : - . � �.............................................................................. ��� .. ....... ................. . ................ CoMraCts for SBrviCe............................................................. . _ ' Olher ' �PROFlT(Lf�S) .. , :..... FUNWNO SqIIRCE FOR ANY LOSS.(Neme'8nA M�ouMI. :.. _ CAPITAL IM�Rf1YEMEMT BUDI#ET: - DESIGl1 COSTS.............................................................................. _. _ ; . . � _ _ ACGIA&iION COS'f8.......:............... .,.................:................... _ . .. _ , , : ,. . CONSTAIJCTION COSTS ......... ....................................... TOTAL... .......................................... ..................................... � ' _ ' SOt1RCE OF FWIDINQ(i�ne apd Armunt)` _ , - : , : MAPACT ON BUDdET: r_ , . . : �' AMIOtlNT CURRENTLY BUD(iETED...............: .....,;. ..,.,;. • AIAOUNT(N EXCESS OF G`U(IREN'f BUD(�ET ....... ....... SOURGE OF/tMOUNT OYER BUDGET ....................................... . PROPERTY TAXES GENERATED ILOST� .:...:;: ° ., :` _ _ IMIPL�MATION RESPONSIBILITY: DEPT/OFFlCE ° . .. -,.�. . `. , - '.. . ,... DWi31QN=. ,.� � . . ..�FUNQ FfiLE � ._, .��� �..._. : . _.. ���BUDOET ACTNtTY NUMBER&TI7LE � ... - - :�.. .. . ., _. . . ... . . `�,-' � AGI7VITY MANAGER..... �:. � . . NOW PERFORMANCE WILL BE MEASIlNED?: PROtiAAM OBJECTIVES: PAOtiRAM INDiCATORS . :13T YR. 2ND YR. EVAWATION RESPOi�8181U'fY`: . pER9pN DEPT. PHONE`NO., ; TOiGOUNClL OF DATE RRST QUARTERLY _ ,.. . . . . .. . . .. . . _. ,.._.. _... .. __. .. ....-_.., BY . . ��a�9 DiVISION OF LICENS AND P�RMIT ADMINISTRATION DATE �a- ,3� o� 1 J J � - INTERDF.PARTI�fENTAL EVIEW (;HECKLIST A.ppn Pro es ed/Rece ve by Lic Enf Aud Applicant �y ��QYI S -1" ��`�f'Y'�ICI'(�PrHome Address �v � N� /V'G /` ��y l� -� �2� Rusiness IvTame Home Phone � �� ` �, y 7� � Business Address � 9� N� f� Type of Lic.ense(s) l.. l Q 5 5 A- �')�-t h1 �j ��d�� 13usiness Phone �lC'PnSC'i ��'vJ2 k�� � Public Hearing Dat �, g License I.D. 46 � � g 7 /O at 9:00 a.m. in th Counci Chauibers, � �� 3rd floor City Hal and Courthause State Tax I.D. 4� llate Notice Sent; O � Dealer �� � / � to Applicant Z� �, q� � rederal Pirearms 4� �U '4 Pub.lic Hearing ' DATE INSPECTION REVIEW VERFIED (COMPUTER) CUMMENTS A roved Not A roved � Bldg I & D � IJ[flr , Health Divn. '� I���� � Fire Dept. �� � � u�� � � ! s���.�- ( Police Dept. //�`�-91 License Divn. � ' �yl�� � � � City Attorney � ' 1z �`� ' � /� Date Received: Site Plan � ��' To Council P.esearch � Z�¢ � Lease or Letter f at from Landlord � Z �� �� � i o- r CURRENT INFORMATION NEW INFORMATION Current Corporation Name: New Corporation Name: f•', Current DBA: New DBA: Currer.t Officers: Insurance: Bond: Workers Compensation: New Officers: Stockholders: . . City of Saint Paul �/`�'��J�o��� Fin nce and Management Services%License & Permit Division INFORMATION REQUIRED ITH APPLICATION FOR PERMIT TO CONDUCT CHARITABLE GAMBLI;JG GAME I:V SAINT PAUL (To be used with the following: New A & C application, renew A & C Licenses, and new an renew B in Private Clubs.) 1. Full and complete name of organization which is applying for license , �• .t�.�� 2. Address where ga es will be held >c.l Gj ,.,� �. �,� ���„1J. ��;/ � � Number Street City Zip 3. Name of manager �Signing this application who will conduct, operate and manage Gambling Games � Date of Birth �� -� -�.� (a) Length of ti e manager has been member of applicant organization '7 4. Address of Manag r i k� /(J, (7� �,il�, ZiZ ,� ,!�it�L� ��! / c Number Str et City Zip 5. Day, dates, and ours this application is for.,+�u.`,, �i'� '��3v - �I•�v �/ �-Q/. 6. Is the applicant or organization organized under the laws of the State of MN? �a� , 7. Date of incorpor tion � q�p 8. Date when regist red with the State of Minnesota �'�'�-u--�� � '�.�- 9. How Iong has org nization been in existence? � '? .�_� 10. How long has org�nization been in existence in St. Paul? ��'7 —v�?�/. � 11. What is the purp�se of the organization? .�> -���-- � 12. Officers of appl cant organization: Name �� �-a�-�-�a�..cJ Name C . Address � p 9 ,� � �--C�. Address i S�� ,� —�' Title G � DOB � - il •- 3� Title �-� . - DOB S _ � -�U Name Name �GZz.L�.C- ����� Address /& � /(�, ��� 4� . Address 'Z �- a G � , � —T �' Title DOB ,� _ � ._ �,.1 Title �a�� �.n�j''� DOB �- i G-i!'7 J 13. Give names of of icers, or any other persons who paid for services to the organization. Name Name d Address Ad ress Title Title (Attach separate sheet for additional names.) . . ����9 14. Attached hereto s a Iist of names and addresses of all members of the organization. -15. In whose custody will organization's records be kept? Name r , I � Address /g� ,(>. �'?����'� �— 16. List all persons with the authority to sign checks for dispersal of gambling proceeds: Name �� Name J . � 0 Address ; � / . �c c.c� Address i$�j Member of Member of DOB Organization? �-�!{�'-a1 DOB Organization? _���¢/ �T- �� Name Name Address Address Member of Member of DOB Organization? DOB Organization? 17. a) Does your org nization pay or intend to pay accounting fees out of gambling funds? yes _t � no b) If you do pay accounting fees, to whom will such fees be paid? ' Name '� �Gix4�G�.�G- � Address .�(v i ry i�� � �• ( � ` DOB �p . iG - � �Member of Organization? i�' c) How are the ccounting fees charged out? (flat fee, hourly, etc.) r� 18. Have you read an do you thoroughly understand the provisions of alI laws, ordinances, and regulations overning the operation of Charitable Gambling games? �-�� 19. Attached hereto n the form furnished by the city of Saint Paul is a Financial Report which it .emizes 11 receipts, expenses, and disbursements of the applicant organiza- tion, as well as all organizations who have received funds for the preceding calendar year which has b en signed, prepared, and verified by ��� 4[� ` /'� � N. c � �.- . �a�a ��'�� �� 5� � � �--- Address who is the '� G��a�. of the applicant organization. Name 20. Operator of prem ses where games will be held: � Name �� Business Address �'�cL 9z �lJ- � �.6- . Home Address 7 �� � . �7�-c-c-� � � I . - ��'-�/9 21. Amount of rent palid by applicant organization for rent of the hall: . � � � �'S • 22. The proceeds of he games will be disbursed after deducting prize layout costs and operating expens s for the following purposes and uses: �� �--�--�--�-�t_� � � ��J � 23. Has the premises �where the games are to be held been certified for occupancy by the City of Saint PauI,I? 24. Has your organizajtion filed federal form 990-T? `� If answer is yes, please attach a copy with this �application. If answer is no, explain why: i C�ir ' � o �L'c� ' �-,�.,J Any changes desired by the applicant association may be made only with the consent of the City Council. iJ it.c_.�uL�i� .� Org ization Name Date I� By: _� , Manager in char e of game t C�� �.��,.�� � c �� �' Organization President or CEO o � _ r � z "' = = ^ ., - ^ � a 9 e � � = s n 9 ? � � ,� T � s � a � � � ; A ff '� "f 31 d ^► r-` v :�7 � .1 '0 : 1 ; ,� 7 7 �. n 3 '< � � _ ro 3 � �e 7 3 �► c + '+ � = � ..� .S. � T r9 n. C � � d C (� .e �e r► �- A ►,+ "'� n 9 a T = �� a 3 S ►� .~r � � �1 � � 7 T 9 = 3 + r+ s 3 A � rr I � y � ... o a %� . .�► � � I R ^t � � S A � I a a 3 I : � `� � ,.�► 7 y ' ��fn C — �• r. S � �+ n' t9 3 � _ � A a �D .. : , ,� m ,9 9 �Of� � , I , `�C 9 D '<� Q �0 L' v .s .� o „�� _ --� 7}Z°Z o a _ � I I � �• •, — � : � � I �, � � a ,,. � n � ' � � ' � Z � � '' � + ..� i � _ n T a �e I + � � � � '� � � c� �. 9 a . � P s � � �� r. � �s � � �a _ I � '"' � 1 �; � I 3 3 3 = T S .w � I '9 E r' 7! � (A A 7I + 9 < a a I � � � e+ A 7 I � � � � � � a � 9 .7 b + z I ;, I = �, � 3 a � � � r' ' � � � � ;; 1 � + .. a i i � � ' • City of Saiat Paul ��j��p�i9 Department of Finanu and Hanagement Services �� 'I Division of Lieenaa and P�rait Admiaistration � . ux�rosx c�air�►at� c�L�� r�cW. �roRr � a/3o 1 � C� Dats 1. Nans �f Organisation ��t CJIt��LS Q� �"� ���e�/� n!?� w' ( C�ta.�� 2. Addre a whar� Charitable Gasblin� ia conducted �r J�L1�J C'��( ' �i t+�-�X � � N � 3. R�por £or p�riod eov�ring 1 19� through �dU �U 19�� 4. Sotal nueber ot dapt pla��d O � 5. Gro�s receipes for abave p�riod ; ✓���' �/ i ' 6. Cross prizs pqoaes for abwe pesiod (iaclud� caah sdort) ; �`� /i � ���v � 7. Net r ceipts - lin� S aiaus liae 6 � _�TI /�� �� 8. Expen es incurred ia conductin; aad opsssting gau: A. C os• vagea paid. Attuh wrker list vith ���O �� n a, addr�ss and groea wages. S B. R nt for � vseka i , C. L eenae fee 5(J� Cj`� �`L�d .aTV��E' � a��- � � . � D. Ic�aurance � E. B nd � �� �� ' F. D shonored checks not reeovered f �l�- �v ' C. Adcounting Ezpease ; _— . H. E loyers F.I.C.A. � � I. lltab ?a�c Paid to Depart�ent of R�vemta S � a�`•v� � J. . . . .� �r,�.l I Ta,Qo �t ✓o��' : %�"�7 �- �3 . R. F sral Eseia� Tu � Stamp f O� Y' /� b� . �.1 L. S u� Gambliag ?u i �✓ 3 /� T � M. M sc�llaneous Expsnsss. Identify the aaouat ' a to vho� paid. � ��,u:�� t�e�.Pl Y�ee�.l ��I , ��00•00 , �r.��S��$:2a.ci..o�.�'k'.;,�, z. l�ro wr o�'i� s l 7 f� �f 0 3 'B�.-�! � s g, a-S _ a.To�dtQ ��SC. s :- (v ��0, �S 9. Total Expenaes '�'r� ; ��/ ���`��� �' • 10. N�e I coss - lia� 7 sinus lina 9 ; �v 1 �0�i �� 11. Ch�ekl�ook balanee begianing of p�riod � a a ��.av is. ro«i of isn. io �a ii . = o? 7�SS3-/S 13. Total coatributions fra� lia� 17 � 0������� 14. Chac ook balanea e�l of rspotting p�riod - ��8 ��O� � liaa 2 lsss lia� 13 � 15. Speci y use aads of a�ount on Iins 13: . S ��- � C�` c�ln Sc.Mo . - r �va.�,�' . . � ��... : �, UNIFORM CNARITABLE GAMBLING FINANCIAL REPORT ��y�ai9 LAWFUL PURPUSE CONTRIBUTIONS - WORKSHEET Line #13 - To al Lawful Pur se Contributions. 3 .��� �� S G� Ao _� �, List bel w all checks written from gambling funds which are charitab e lawful purpose contributions. The total dollar amounts f these checks must match the amount claimed in line #13. Use additional sheets as necessary. CNECK # DATE � PAYEE CHECK AhlOUN PURPOSE 1. 'u��5� �e-� 1 S�': P�-�zt'C�.UQ,�.�-l���el (R�`7.:�t% Sc.:,�(�c�} �,c S��i�c� ��lc��1,�;u1�,� 2. (�cf'S-� /I1��`�h 3c' t f �` i E ' � 1 y-19.�G , , � � � � , � � I 3. _�lJ' �y.�S it � � � � , � v'�GS3-G�L t � � � , � t � r � /�/ r � � < < � � ► i � 4. 7:�5 �urtr_}`� r i � 1 1 1 � � /TS�'U 7 5. �- �1 ' `� �+"�, �';� �•j-: pLu� /..g3. �z.�- , , < < �„ +� ����i�, o.�f,� ? � z--�, � `�� l��,�f �lla.�.:�fC{u�.t��. � �-3`�- ��-' S�'��°�-4 �� �:.�:�i A �.,�:.-��j�t`�. 6. '�3c `� f 7. r] '3 `� �- �� ���' u-� 5��� ��c� � ��,::C�t�or-?� �:'t �;�"i� �'��w�Z� (�r�:�, , '� ' � / i a. >>3� (�.�; �� ��.��: ' y c�:�r c��.r�.� 3�y���� s�{����- �� �����1 a y�w-�'�«; 9. � 4(,:: ��- ?� L'i � vr S�-.��,,,� I i 3 c'�(� S�o�� o �' C�� �.-��,�;,��1� }�G.� 10. �y�� ��- 3 G S�-. P�-�-C I�.�c4►.��, ��5�'�. �.,� 5��:�- U� ��;1� y�����y il. '�5� �C,�"�� L�-� e� S�-. 1�4:.,.�' 1 `�c:�. 3� S�.y���:-� �r C.� ��w-h� '�,z�j . �-� c�� �7 � � � � 5� �:�{- �'�5�,�.i� y�w�,���� 12. 75 .��-. 1���C_.k!�x'-��.4�,.�,�� 3�(� f �3. ��� n��-�: � c�;� o� s�,��...,s� ���. �9 �s�:p,��<f �r c�.�� yoti:+� ��:�.� ��(�, n;�,; �`7 S�. i�w�e.,- c(�a.�,�-u-��.L. ,�3'3 r 3 i `���%iK��f ��5�:,..1 a y�,.-�t, t��z�, J ' TOTAL CNECK AMOUNT E�,��•�7 NOTE: These expen itures will be provided to Council Members at your Council hearing. Be sure tha your financial report is complete and accurate. a ~ _ � •� 3 .�i -w -� . ..i-'""� .. • ♦ � � � � i e > w � � r � � � + _ .�i � .�i � y A • �• .� r�F� � � � �1 l� ` . I A + ♦ 4 ` ♦ � � � �• w... + ' �� 3 � � � • _ = r • � ' = O � 1 1 � .1 `r O � � � • � /�� _ .j w � � �' A � ? � r � . W � S � Z � O .� .. s M � �j. � � � • a � � � .� • � r ' �; � � ' n w • � •'�1 � a � v ! Is ' : � .Qi + = s �, � .�i > ' � z . I w T s I � O �� C.. • '� ) �� � A : � S A 'J A O q v�r�r � Z C)� ) � y w • ` � �.r w •� A ? i ! ' � i . � f �1 � � ' � � , = 3 � ' ° , �. � �� �/� Z _' > ; = ; ° ' � _ = : � � � ;J ; 3 ' . �� . � � � � � � w' a • — ► �. s � r � I r I� ���� � � � � = � i .'.j 1 ' -' t 1 ( ; ; 4 �} i p i 7� a � i � �� i I � � � � I I