89-250 WHITE - GTV CLERK I �� `�
PINK - FINANCE COUIICII �
BI.UERV - MAPORTMENT GITY OF SAINT PAUL File NO. "
Cou cil Resolution �f5
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLUED: Thatlapplication (ID #13222) for renewal of a State Class A
Gamb ing License by the Catholic Parents Club at 408 Main Street,
be a d the same is hereby approved.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays I
Dimond
�ng In Favor
Goswitz
Rettman 'J B
sche;n�� _ Against Y
Sonnen
Wilson
Adopted by Council: Date
FEB 1 -', 19�9 Form Approved by City Atto y
Certified Yasse o ncil Secre ry By /_ ZS '�
gy,
t-. .
Appro y Ylavor: Date Approved by Mayor for Submission to Council
By . BY
����`;" � : ; : _ i�t3�'
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DIVISION OF LICENSE NI) PERMIT ADMINISTRATION DATE �o �5�1 / !, t� ��
• INT�,RDF.PARTMF.I�TTAL KE IEW (:HECKLZST A.ppn Processed/Receive by
Lic Enf Aud
Applicaut 1 �(J Q✓{�r-� C�I.t,YJ Home Address �� g �' �. ,�..C��� A"�R�
Rusiness Name �' � � l,l in ��' Home Phone � � �— � 9y3
Business Address �g !-1('�i,n�� Type of License(s) C�C('-r�S I�} �
Business Phone �jQm ���nc� �-1 CQ 1�5�- � i�lQ.u��
Public Hearing Date a � q License I.D. 4F � J��-�-'
at 9:00 a.m. in the Council Chambers, N'�
3rd floor City Hall and Courthouse State Tax I.D. ��
llate Notice Sent; ' � ��rw� Dealer 4� �'fl'
to Applicant « I
rederal Firearms �� �(A
Public Hearing
DATE INSPECTIUN
REVtEW VERFIED (COMPUTER) CUMMENTS
A proved Not A roved
�
Bldg I & D �
N� �} �
Health Divn. '
, N�� �
Fire Dept. �
; ►�Ifl I
' S.e�t � �u a
Police Dept. I �I � G ��
�I,D�g c� � p �,
License Divn.
�
� Ia3���; 4 l�-..
City Attorney �
��a��t�i , o �
Date Received:
Site Plan N�� �
To Council P.esearch l �O
Lease or Letter Date
from Landlord �
I
� /��a..a_
, , City of Saint Paul
, Department o# Finance and Management Services ��9 a�
License and Permit Division
203 City Hall
I St. Paul, Minnesota 55102-298•5056
APPLICATION FOR LICENSE
CASH GHECK CLASS NO. New Renew
� � �� a r.� _
Date � 19�
Code No. Title of Lic nse From ,�C � 19 ,�o �� � 19_LS_
.3{�a '� U� F� f �9� n , ,A ��
�' �- //�� � .�� �_�.�_��:��� ._-�-�
�iyJ��i��yL �� �f�� ApplicanUCompany Name
100 �O i�"/ /Q��v(.� �.��.
100 Business Name ���O�
100 '�✓' C.- ��� �%�� ' J�.s,�a r� /
Business Address Phone Na
100 �
- �D G�r�-- ,�-� . ��a--�
100 Mail to Address ne No:
100 ��[.v� ..-/�.1/1C.�G���
ManaqerlOw�r•Nam�� ��
�
100
f�.�� � ��� �9�3
100 AtanagerlGwner-Home Address Phone No.
4098 Applicatfon Fee L
2. 50 � � JS�I/
�Feive�i the Sum of 100 �.�Q C
%Ga����f - � �. ManagerlOwner-City.Siate 8 Zip Code
100 Total 100
��"� ,,� / i'f , ', � . .. .
!',.: - i
/ J ,,ti ! /
Ucense tnspector ' By: ��'✓
; Signature of Applieant
i/ �
Bond•
Com any Name Policy No. Expiration Date
insurance:
Com any Name Policy No. Expfration Date
Minnesota State Identi�ication No. Social Security No.
Vehicle Information:
erial Number _Plate Number
Other.
THIS IS A RECEIPT FOA APPLICATION
THIS IS NOT A LICENSE TO OPERA E.Your application for Ifcense wiil either be granted or reiected subject to the p�ovisions of the zoni�g
ordinance and completion of the in pectiona by the Health, Fire,Zoning and/or License Inspecfors.
� $15.00 CHARGE FOR ALL RETURNED CHECKS �
� �
l� �s
.���i���o-�I �• / .
. . ����
o,•uo�b,. Charitable Gamblin Control Board For eoard Use Only
Rm N-475 Griggs- idway Bldg.
��� 1821 University Av . Paid Amt:
- St. Paul, MN 55104 3383 _ Check No.
�•:......:� (612)642-0555 Date:
GAMBLING LICENSE RENEWAL APPLICATION
LICENSE NUMBER: A-A8�1�• �1 /EFF. DATE: 11r31 j38 !AMOUNT OF FEE: j�@0.�a
1. Applicant-Legal Name of Organiz�ation 2.Street Address
CATHOI.0 ?R9EYTS CtOe I 4t8 #lain Street
` 3.City, State,Zip 4.County 5. Business Phone
St Pw�ul, �14 �513? Ras�sey il� 221-1191
6. Name of Chief Executive Officer 7. Business Phone
, Tho�as Meyer ( '
8. Name of Treasurer or Person Who Accounts for Revenues 9. Business Phone
Nancy »��� ( 612 ) ^�5-;?r,3 °
10. Name of Gambling Manager 11. Bond Number 12. Business Phone
Jean rwur��r :?@i:��i:82E:85!
' 13. Name of Establishment Where Ga bling Will Take Place 14.County 15. No.of Active Members
N0;:i 'Jtai '�,1�) . 1: �391 Qa�S?4 '�
- 16. Lessor Name 17. Monthly Rent'.
�;;s��CiLti��t "he �qit`� ° �a+• ;!J;� . ';'
18. If Bingo will be conducted with thi license, please specify days and times of Bingo.
' Days Times , Da�s Times Days Times
19. Has license ever been: ❑ evoked Date: ❑ Suspended Date: ❑ Denied Date:
20. Have internal controls been submit�ed previously? ❑ Yes ❑ No(If"No,"attach copy)
21. Has current lease been filed with t e board? ❑ Yes ❑ No(If"No,"attach copy)
22. Has current sketch been filed with he board? ❑ Yes ❑ No(If"No"attach copy)
GAMBLING SITE AUTHORI2ATION
By my signature below, local law enfor ement officers or agents of the Board are hereby authorized to enter upon the site, at any time,gambling is
being conducted,to observe the gamb ing and to enforce the law for any unauthorized game or practice.
BANK RECOROS AUTHORIZATION
By my signature below,the Board is h reby authorized to inspect the bank records of the General Gambling Bank Account whenever necessary to
fulfill requirements of current gambling rules and law.
OATH
I hereby declare that:
1. I have read this application and all i formation submitted to the Board;
- 2. All information submitted is true,ac urate and complete;
3. All other required information has b en fully disclosed;
4. I am the chief executive officer of t e organization;
5. I assume full responsibility for the f ir and lawful operation of all activities to be conducted;
6. I will familiarize myself with the law of the State of Minnesota respecting gambling and rules of the board and agree, if licensed,to abide by those
laws and rules, including amendme ts thereto.
�, 23.Official Legal Name of Organizatio Signature(Chief Executive Officer) Date Title
�I- f�V\i�l.�.A.
� . , _: ,.
- .
ACKNOWLEDGEMENT OF NOTICE BY LOCAL GOVERNING BODY `
I hereby acknowledge receipt of a cop of this application. By acknowledging receipt, I admit having been served with notice that this application will
, be reviewed by the Charitable Gamblin ControJ Board and if approved by the Board,will become effective 60 days from the date of receipt(noted
below), unless a resolution of the local overning body is passed which specifically disallows such activity and a copy of that resolution is received by
the Charitable Gambling Control Board within 60 days of the below noted date.
24.City/County Name(Local Governin Body) Township: If site is located within a township, please complete items 24
-. . �.;.� .-- and 25:
Signature of Person Receiving Applicat on: 25.Signature of Person Receiving Application
Title Date Received(his date beg' s 60�gXpe�iod) Title:
. �'�.:u� �s �
Name of Person Delivering Application o Local Governing Bady: Township Name
� ��
CG-00022-02(8/88) White Copy-Board Canary-Applicant Pink-Local Governing Body
I _.
� I City of Saint Paul n ��/
, . . Deparcment of Finance a�d Management Services ��r� o�.�
��"
�
. I Division of License and Yermit Registration
INFORMATION RE UIRED W TH APPLI(;ATION FOR PERMIT TO CONDUCT CHARITABLE GAMBLING CA.�tE I*t
SAINT PAUL
1. Full and complete name of organization which is applying for license
CATHOLIC P S CLUB
2. Address where game will be held 408 MAIN ST. ST. PAIIL, MN. 55102
Number Streec City Zip
3. Name of manager si nin� this application who will conduct, operate and manage
Gambling Games Ma y Jo Holupchinski Date of Birth 4-13-60
(a) Length of time manager has been member oi appl±cant organization 9 Years
4. Address of Manager 1884 E. Iowa Av. St. Paul, Mn. 55106
Number Street Cicy Zip-
S. Day, dates, and �ho rs this application is �or All Saturday's from 1 :00 to 5:00
6. Is the applicant or organization organized under the laws oi the State of l�t? Yes
7: Date of incorporati n N/A
8. Date when registere�i with the Sta[e of Kinnesota
9. How long has organi�ation been in exiscence? 36 Years
10. How long has organia�ation heen in existence in St. Paul? 3 6 Years
11. Whac is the purpose I�of the organization? � provide funding for underprivileged
I
youth, to attet�d an Educational Summer Camp and to help other poor
youth of our city.
12. Officers of applicanit organization
I
Name Thomas Me er � *�ame Mary Jo Holupchinski
Address 2044 Oakda�le Avenue Address 1884 E. Iowa Avenue
Title president DOB 10-29-59 Tit1e Manager DOB 4-13-60
Name Nancv J. We�st Name Mary Maleitzke
Address 776 E. Jes amine Address 795 W. Idaho Avenue
Title Treasurer DOB 10-26-59 Ticle Secretary �pg 12-2-47
13. Give names of officers� or any ot:�er persons �aho paid ror services to tae organ�=acfon.
Name NONE Vame NONE
Address Address
Ticle T��ie
�1�cach separa te sna�e� `^.r addi�_or.�: ::a_a s. '.
l��G_a5�
14.•• Attached hereto i a list of names and addresses of all members of che organization.
15. In whose cus[ody ill organization's records be kept? '
Name N�Cy �g Address 776 E. JESSAMINE ;
16. Persone who vill b�e conducting� assisting in conductin �' '
g, or operacing the games:
Name MARy JO HO�,OPCHINSRI Date of Birth 4-13-60
Address 1884 E. IOWA AVENUE ---ST. PAUL, 1rII�i. 55106 �����
Name of Spouse DA IIEL HOLOPCHINSRI Date of Birth �-1-59
Dates when such pe son will conduct, assist, or operate Saturday's 1 :00 to 5:00
�
Name THOIKAS ME Date of Birth 10-29-59
Address 2044 Oak ale Av. -- W. St. Paul, Mn. � . � -
Name of Spouse pp Date of Birth
Dates when such per on will con�ucc, ass:st, or operate Saturdays 1 :OOto 5:00��
17. Have you read a::�± d ;�ou chor�ughly unde:stand che provisions of all laws, ordinances,
and regulatior.s gov r�ing che operac:on oi Cha:itable Gambling games? Yes
18. Attached hereco on '�e for�n fur:�ished bv the City o� St. Paul is a Financial Report
which itemizes al'_ ece=pcs� expenses, ar.d d±sbursemencs of che applicant organization
as we?1 as ali orga izatfons who have rece:ved `unds cor che oreced=zg calendar year
which has beea s: �ed, � ~
3- Frepared, and ve:±��ed by Mary JO HolupChinski
Name
1884 E. Iowa Av.
�ddress
who is the Game M a er of che aoplicant Organization.
Vame JE Of�ice
19. Operator of premises where Aames a�l� �e he?d:
Name RNIGHTS O COLOMBOS �397
Business Address 08 MAIN ST. ST. PAIIL, IYII�i. 55102
Home Address
20. Amount of rent paid b anpi:csnc Organi:,acion c:,r reac o: che hall; specify amounc
paid per 4-hour se�si n � 105. 00
� . . � � -��
.
�
' 21. The proceeds of tlhe �ames will be disbursed after deducting prize layout costs and
operating expense�s for the following purposes and uses:
I
Catholic Youth Camps to help underprivileged youth attend an educational
Camp � help wi h maintenance of camp. Also help other organizations
that help the �nderprivileged youth of our City.
I
22. Has the premises �rhere the games are to be held been certified for occupancy by the
City oE Saint Pau ? YES
23. Has your organiza ion riled iederal forai 990-T? YES If answer is yes, please atcach
a copy vich this pplicacion. Ii answer is no� explain why:
Any changes desired by he applicanc associat�on may be made only with the consent of the
City Council.
• CATHOI,IC PARENTS CLOB
Organizacion
Date ��lp -�/ gy:
er in arge of game
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I '•:=; ot Saint Paul
�!par��e�t =. =!rance and Hanagement Ser•�1c_s s,-�
. DL•rision o: :.icense •and Permit Adminiscratioa � ((���-/
UNIFORM CHARITABLE GAMBLINC FINANCIAL REPORT
' � Date�AN. 5� �989
1. Name of �rganizatlon CATHOLIC PARENTS CLUB
2. Addresa here Charitable Cambl!ng is conducted 4�$ 1�IAIN STREET
J. Report E r period covering JANUARY 1 �gs8 throughDECF.L�I$ER 31 19 $$
4. Tocal nu ber of days played 5 1
5. Croes receipt9 for above peTiod ; 21 0, 454. 1 5
6. Cross pci e payoucs Eo� above periad S _ �4�, 74� . 5�
7. Nec recei�ts - line 5 minus line 6 f 69, 7�2 65
8. Expenses �curred tn conducting and operating game:
A. Crosa vages paid. Attach vorker 11at vith
�ames address and grosa vages. ; 12� 677. 40
e. Rent �or 51 veeks ; 5, 460. 75
i.. Llcen�e fee $ 600. o0
0. Insura�ce ; 322. 00
E. Bond I ; 2�4. ��
F. Dishon�red checka noc reeovered ; 385. ��
� C. Employ rs F.I.C.A. ; 1 � $$0. 25
H. Sales ax S 7� 124. 04
I. x1nn. .C. rax S 105. 54
J. Federal U.C. Tax � 94� 92
K. Hiscell neous Expensea. Idaacify the amount
and co hom paid.
i• ; See Attached
�;3
2• ; Sheet
3. _
4• s 4, 512. 26
9. Tocal Expensea TOTAL ; 33, 336. 1 6
L0. Net Income -I llne � minus line 9 i 36, 376. 49
11. Cheekbook ba�,ance beginni�g of period = �j� 048. �7
iz. -oca1 of lsn� 10 and ti s 41 , 424. 66
13. 'oca? cancril�utions Eroa llne 17 S 30, 496. 73
14. Checkbook be ance end of reporting period -
llne 12 lesa llne 13 f 10� 927. 93
15. Specify uae ade o: amount on line 1J: i
TO PROVI E FLJNDING FOR UNDERPRIVILEDGED YOUTH TO ATTEND AN
EDUCATIO AL SUMMER CAMp AND TO HELP OTHER CHILDREN IN WHATEVER
CAPACITYIWE CAN.
(:OMPI.I:1'E TIIE REVF.RSE Sft:E
.... j-:;u-se�e�.:s ::om a�o�nt l� l:�e l2:
• va�� C THOLIC YOUTH CAMPS ' v- � °���
t+a m e C I T Y W I D E Y O U T I i P R O G R A M
. :�:.id:ees' 150 n. SMITH AV. �ddresaCOURT HOUSE (LICENSE BUREAU)
-• Date Re 'd 6-1 1 /1 0-31 /& 12-6-88 Date Rec'd MONTHLY
?Urpo6 elp underprivi:leged yout
51gna�u.e ��rPosa
oE Recip Signa�ure
ienc of Recipienc
�mounc$26, 000. 00 �mounc $ 496. 73
yame ST. JOSEPHS HOSPICE UNIT Name
Address 9 W. EXCHANGE ST.
Address
na« R.��a 7-13-88
Dat� Rec'd
PurposeH lp the poor get help
Signature Purpo�e
of Rectpi nc , 51gn�ture
of Reciplent
Amounc $ � � �0�. �Q
Amoun[
NameMUS LAR DYSTROPHY (MDA)
Name
�ddrese 1 0 Seventh Av. --N.Y�.
Addres�
Date Nec'd 9-9-88
Date Rec'd
Purpose R search & Equipment fOY' purpose
Signacur•
of Recipie t Y011ttl SLgneture
� —�--- of Reciplen�
AmounC �� � ���. ��
Amount
Name ST. GNES CENTER
�ame
Addrese . 6 � Mackubin Street '
Address •
Date Rec'd �2—� ()—$$
Date Rec'd
Purpose Fo d & Clothing for poor ����.ies
Signacure
af Reciple� Signature -
of Reeiplent
' �ounc �2, 000. 00
Amc��nt
l%. Tocal o�sbur em�ncs $ 30� 496. 73
THIS ltEPORT HUST E FILLED• IN COF�LETELY TO QUALIFY AppLICATION FOR CHARITABLE CANBLINC
LICENSE.
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Application fo renewal of a State G1ass A Gambling License (al� forms).
,
Notification D te: 1-25-89 Hearing Date: C1� �
�►,aMd:t,�w.w«�1.c�(R�) cot�at�H�oer:
; -
PLAffllq0 OOM/�SION . � � CNR .. CObiM18810N � 7E N � DATE OpT � � ANKYST . . . �PlIONE�NO. � . . .
. DOMM9 OOMN�BIpM. . 18D 626 BOARD - . . . � . . � � .
. . . � STAfF , . - .CHARTER. OMMI3810N � � .. COMPLETE AS IS .. MDt�NRO.ADDED* � �TO CONM�'I-� . -�lIT�. . .��
� " AODL NVRQ. . K ADDED-*.
DIBTIMClAOUWCIL . . � .. . � ' . _ . . . .
��•E%PIAtMTpN: . - � . . � . � . . .
� BdPPO1R8�WIMCH OOUNCIL QBJECi1VE7- �� . . � . ". � . _ ,. . . . . . . . . . � , ...
. . . . . - . .. . �
. � .. . . . . . . � . . . � .. . . � � � � �- � � .. . . . �
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,. . . . ..�. . . � .' .. . .. � . .. . ' . _. . .:-
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N11��IQ/�N.�,�.0/PONTiMlY W�t�VNMfI.VNfefO.WN�I�: . , : ,
Mary Jo Holupc inski , on behalf of the Catholic Parertits Clu , requests Counci1
. approval of he: ; .application tp renew a Stat�. C1ass A Gamb1i g License at .
- A�08 Mlai.n Stree :. BingQ sessions are held Satursla,y �fterqov s bet�eeta the l��aurs , _�
� of. 1,:AO :PM and 5:00 PM. Proeeeds are used to�{�rovide fundi g ��ar .unde�'pr'ivileged:
youth to atten summer camp and to he�p otMer underprivileg d youtfi Qf our ctty.
. . ,
�,se.�r�[�,oN rc.arm�,.er.�dw+a�i...�: . . . . . _ _ . ..
,
Al1 fees and a plicatior�s have been submitted. A�1 10�.. payi�nents are current. �
COII�011lNClitMIMR MM�ind ro IM,om): _ _ . , .: . ..: .
If Council app oval is given, the Cathalic Parents CTub wi1 contihue to -
, spQnsor a gamb ing session at 408 Main Street.
w.�u►,nrees• w�o�
: �
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Msronr�s:
JAN � 01��9
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