89-393 WHITE - CITV CLERK
PINK - FINANCE GITY OF AINT PAITL Council
CANARV - DEPARTMENT File NO. ��'��
BLUE - MAVOR
Counci esolution �37
Presented By
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID 27 40) for renewal of a Class A Gambling
License by Sacred Hea t hurch at 835 E. 5th Street, be and
the same is hereby ap ro ed/�e�
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� In Favo
coswitz ,
Rettman B
Scheibel A gai n s t Y
Sonnen
Wilson
� — 7 tg89 Form Ap oved by C'ty torney
Adopted by Council: Date -
Certified Pas ncil Se ar By 2 ZZ S
By
Approved iVlavo • � _ �R 1 Approved by Mayor for Submission to Council i
A� J l
By By
PO��iSt�D �AR 1819 9
C�=���'3
DIVISION OF LICENSE AND PERMIT ADMINI T TION DATE � I`� U / / °� �5 U /
INTERDF,PARTMENTAL REVIEW CHECKLIST Appn ro essed/Rece ved by
Lic Enf Aud
Applicant �n r I���_ I��U 5�r Home Address
Rusiness Name �cicred GCrL ��(,(. Home Phone
Business Address 3J� � �`�� Type of License(s) �Q�(,V - �1Q55
Business Phone ���"� �-��) /'t C��►,�,�j Ir nC�
Public Hearing Date ll � License I.D. 4{ �����
at 9:00 a.m. in the Council Chambers,
3rd floor City Hall and Courthouse State Tax I.D. 4t N��
llate Notice Sent; p Dealer 41 N'�
to Applicant �- �� 4�
rederal I'irearms �� Jl�
Public Hearing
DATE 7NSP T ON
REVIEW VERFIED (C TER) CUMMENTS
A roved N t roved
�
Bldg I & D �
�j�- �
;
Health Divn. ' I
� N I�- '
�
Fire Dept. � �I n �
i �_t �
� �2n�' �
Yolice Dept. a'1SI�y�
License Divn. ,
�- �� y � p �L.
City Attorney � � �
� �
Date Received:
Site Plan N � n ^� k �j
To Council Research p� o< <� /
Lease or Letter /�_ Da e
from Landlord � �T
City of Sai�t Paul � � ��O
. Department ot Fi sn s and Mansgeme�t Servlces �iy,�
' Licen e s d Permit Division �a 7��
, City Hall
' , St. Paul,Min eaota 55102•298�5056
; APPLIC TI N FOR LICENSE
CA3M CHECK CLASS NO. Ne Renew
' 0 0 � 'r � 2 � 8'
Dats � 19�
' Cod�No. Titl�of Lk�nae F °2 19�To °� 19.�
�
. � O
� ,y+ 7.
: � �oo �re,� n,ef _lv.��
� � AvPUeanuComp.ny NanN
100 -
� .�_ $ 3 S � 5���-t� �-E
100 &aln�ss Nanw
100 S. (-�Q�� �� /l s`J/��i -
Ij Buslnps Addr�ss PIIOiN NO.
' � 100
�
100 Mall to Addtiss PhOn�N0.
I
,00 M G v e y� �' 1� � �-�,�
ManpNlOwn�r•Nam�
,00 O �u � lo��i �,-� � ��
t oo �►+a�ao..�.�.►•►+o�+.nae�... Pnon.�w.
' •.�OOA �PPlieatfon FN 2. �
� tM m of . t00 ' �� c PC!�l I I`�l �� 5����p
'OV � Manap�lOwn�►•Cib•SIaN i Zlp Cod�
` • . 100 ' . T tal 100 ` � • : � --'
� .
. . � //LAG4�l�x-l� .�/
7-�1�'�!'
ue�+s.��saee:o. � C� ey; . ���. s�o�a� � o�,�ow+eam
� comp,np Nam. Pafcy No. �o��oaq
tnsuranc •
� Cpmpany NanN Poliey No. ExD�tbn ON�
' Minn�sots State Ide�+tificatbn No Social Sacurity No
,
VehiCl�Informatio�•
S�ti�l NWnbN t�
� aner ' �
THIS IS A R CEI T FOR APPLICATION
TNIS 18 NOT A LICENSE TO OPERATE.Yow.appHcation for I csn will either be pranted o�rsjseted aubject to tAe provislons of ths zoni�
ordlnanu and ComplNion ot th�insp�ctfons by th�Health, ire. onin9 andlor Lic�ns�Insp�cton.
i
�15.00 CHARGE. F L RETURNED CHECKS
` c;.i
�� � L-'��`�-�� '(�
-~� � ��,�- ,�o
���.:} � - .� ,
` " �
1L�e. a"t,o (.�.,'�-�' 't-`''`' ' �'�`�l e� r I r,-�t ��7 .,—
li
� ��Cy�� c. C•�►�t
S� , ;J��..( S;�c�
� - „ �� % �--+ � (.!.
� ,� C.� _�:t�; x ��' --�� � �� /�
� ;�
+ City f aint Paul ���9�
� � Finance and Management S rvi ces/License & Permit Division
INFORMATION REQUIRED WITH APPLICATION FOR PE IT TO CONDUCT CHARITABLE GAMBLI�TG Gr1ME IN
SAINT PAUL (To be used with the followin ': New A & C application, renew A & C
Licenses, and new and renew B in Private lu s.)
1. Full and complete name of organizati n hich is applying for license
Sacred Heart Church
2. Address where games will be held 8 5 E. 5th St. Paul 55106
N ber Street City Zip
3. Name of manager signing this applica io who will conduct, operate and manage
i
Gambling Games Joe Forliti � Date of Birth 8-6-39
(a) Length of time manager has been em er of applicant organization 21 years
4. Address of Manager 1010 Jeaks St. Paul 55106
Number Street City Zip
5. Day, dates, and hours this applicati n s for Every Tuesday, 7-10 n.m. excent during
Holy Week and Christmas and New Ye rs
6. Is the applicant or organization org ni ed under the laws of the State of MN? yes
7. Date of incorporation 1881 �
8. Date when registered with the State f innesota 1881
9. How Iong has organfzation been in e st nce? 108 years
�
10. How long has organization been in ex�ist nce in St. Paul? 108 years
11. What is the purpose of the organizat�ion. Provide worshin, social, educational exnerience
and spiritual guidance.
12. Officers of applicant organization:
Name Fr. Donald Blaeser, O.F.M. Name Jon Auge
Address 840 E. 6th St. Address 8302 68th St. S. , Cotta{�e Grove
Title Pastor DOB 7-31-4 Title Secretary DOB 5-3-57
Name Joanne Rettner - Name Steve Heinin�er
Address 173 N. McKnight, St. Paul Address 666 Cherry St. , St. Paul
Title Treasurer DOB 3-i9-46 Title PPC President DOB 3-3-48
13. Give names of officers, or any othe p rsons who paid for services to the
organization. �_ :+
Name Name
Address Address
Title Title
(Attach separa 'e heet for additional names.)
(��-��
. 14. • Attached hereto is a Iist of names a d ddresses of all members of the organization.
15. In whose custody will organization's re ords be kept?
7637 216th Avenue N. E.
Name Marlene Ke ser Address t^lyoming, Mn. 55092
16. List all persons with the authority o ign checks for dispersal of gambling proceeds:
Name Fr. Donald Blaeser, O.F.M. Name Marlene Keyser
Address $40 E. 6th Street Address 7637 216th Ave. N.E. , Wyoming, Mn.
Member of Member of
DOB 7-31-41 Organization? s- DOB 12-23-52 Organization? �eS
Name ' Name
Address Address
Member of Member of
DOB Organization? DOB Organization?
17. a) Does your organization pay or in end to pay accounting fees out of gambling funds?
yes no X
b) If you do pay accounting fees, t w m wi11 such fees be paid?
Name Addzess
DOB Member of rg ization?
c) How are the accounting fees cha ge out? (flat fee, hourly, etc.)
18. Have you read and do you thoroughly un erstand the provisions of all laws, ordinances,
and regulations governing the opera io of Charitable Gambling games? yes
19. Attached hereto on the form furnish d y the citq of Saint Paul is a Financial Report
which it .emizes all receipts, expen es and disbursements of the applicant organiza-
tion, as well as all organizations o have received funds for the preceding calendar
year which has been signed, prepare , nd verified by Marlene Keyser,
7637 216th Avenue N. E. , Wyomin , n. 55092
Address
who is the Business Manager of the applicant organization.
Nam
20. Operator of premises where games wi 1 e held:
Name Games are held at Sacred Heart St John Consolidated School
Business Address 835 E. Fifth S re t , St. Paul, Mn. 55106
Home Address
���-��
"L`1. , Amount of rent paid by applicant or ni ation for rent of the hall:
22. The proceeds of the games will be di bu sed after deducting prize layout costs and
operating expenses for the following pu oses and uses:
Proceeds will go into the onera in fund of Sacred Heart Church for use in
providing worshiu, education an s cial activities.
23. Has the premises where the games are to be held been certified for occupancy by the
City of Saint Paul? yes
24. Has your organization filed federal 0 990-T? n� If answer is yes, please attach
a copy with this sppl�cation. If an we is no, explain why:
We are exempt as none of our wo ke s receives any comPensation for times
worked at bingo sessions.
Any changes desired by the applicant asso ia ion may be made only with the consent of the
City Council.
SACRED HEART CHURCH
Organization Name
Date �-30-8� gy; �
Mana i in charge of game
�
Organization President or CEO
� � _ _ . � z ;a _ _ � .. — ^.
O 9 9 ,t � I.` ` N � :t b 9 I ?
� - T IO �T � U1 S :I � .a � �
A f� 1 ^ 9 r� A 'T v � 3
� S1'� �t f 1A•J�M/bW1� .7 7 '� �
n 3 '< � ���, � G �- — � 3 _ " �
7 3
3 � � ;�.i7;�_�iO^�:`'> :� T r0 ►+ C O � �
� 3 d C K- , s�; �! �0 '� + A ►„ m �' 3
. � A 9 d =�. ,������ 1 Jf � `<
'.7 3 r+ r r. � � 3 3 �+ :0 rD p j �
� 3. � r0 r+ t rt 3 �
::�
_ ' 3 A ;.�_ o:� � � � �. 4 E-+ a 7
S t� y �r.� � ( � 3 I rr "t F'� :9 'J1
,-�► � �O�r; l� � '� = �— = 3 F�,, �e �
mD:oT I� � "'� 7P f9 3 �
� .t0 . � �M � � 'l O m
9 'AQ� o' �'n� w � ,9 s I � `�6 .� .� v
;�� � " r. ti I ,�
�• K - � � : �—Zi�c�i� T �' �o ° .. �
,•- � � ,� ± -��m I �p � 3 I r.
A l'� 3 �C -. c �� � � (� n I S
� � r► 9
A '� �C I � -� �
n ►` 9 � ��. � j VV�nNVW Y I ! ; � � :1 �1 ^
� � � (
„ '"' ,� �°' =; I 3 , 3 b
„� � �a L a � � A
7! ��D r7 I I �+ :0 <
D �O d � � � T ^ A �
N .,�.� , d 7 9 J 7f r+
;, ! ., I oo s � � � �
A 1 7
,� ' � �0 O A r
� , � � � 1 7 ^
a .. � I
I 7
I �
Ci q o Saiat Paul Page 1
, . Department of F an e and lianagement Services
D1vislon of Lic se and Persit Adminiatration ���
` UNIFORM CHARIT E LIIiG FINANCIAL REPORT
Date 1-31-89
1. t�ms of Orgaaizatioa Sacre H art Church
2. Address wh�re Charitable Ga�blin� lis ondueted 835 E. Sth Street, St. P8u1
3. R�port for period eoverin� �-- 19 88 through 12-31 19 89
_
4. Total nusber of days pLqed �9
5. Cro�s r�eeipts tor abova period ; 56,186.85
6. Gross prise payouta for abws pa od (includa eaa6 short) = 43,320.80
. 7. Nec rac�ipts - liae S minus line 6 = 12,866.05
8. Expenses incurred ia conducting perating gaa:
A. Gross vagea paid. Attach vo ker list rith
names, addressss. gross vage . n er of honre =
worked. and amount paid per our
• B. Rent for veeks ;
C. License fee ;
D. Inauranee :
E. Bond ;
T. Diahonored checks not recov d =
G. Aceountiag Facpense ;
_ H. Employers F.I.C.A. �
. I. Pulltab Taa Paid to Depazt�� t o R�venw ;
J. Ninn. U.C. tax ;
1C. Federal Exciae Ta�c 6 Stasp ;
L. Seate G�mbliag Ta�c = 1,286.00
. li. Hiscsllaneous Fa�psnsas. Id ti tha a�aant
. and to vho� paid.
1. Lean Year 61.48
2.
3.
6.
9. Total Expenses ToTAL ; 1,347.48
L0. N�t Inco�� - lin� 7 �inu� lin� ; 11�518.5�
.
11. Checkbook balanee begiauing of rri d ; 4 2 1.5 7
12. Total of line 10 and 11 ; 11,940. 14
' 13. Total contributions (fros attac d rkshset) ; 11,900.00
14. Checkbook balancs en�of report g eriod - 4�. 14
� line 12 less line 13 . �
i
I
�i � r �i . rhu�
UNIFORM CHARITAB E MBLING FINANCIAL REPOR7
LAWFUL PURPOSE C N IBUTIONS - WORKSHEET ��I��3
Line ,'#13 - Total Lawfui Purpose C t ibutions. $1�,900.00
-. List below all checfcs writte f m qambling funds which are
charitable lawful purpose co r butions. The total dollar
amounts of these checks must ma ch the amount claimed in
line #13. Use additional sh t as necessary.
CNECK # DATE � PAYEE CHECK AMOUN PURPOSE
1. 577 3/2/88 Sacred Heart Ch rc 1,500.00 Reli�ious and Educational
2. 578 4/6/88 Sacred Heart Ch rc 2,000.00 " " "
3. 582 5/31/88 Sacred Heart Ch rc 1,500.00 " " "
4. 585 6/19/88 Sacred Heart Ch rc 1,500.00 " " "
5. 586 8/24/88 Sacred Heart Ch rc 1,500.00 " " "
6, 589 9/30/88 Sacred Heart Ch rc 1,000.00 " " "
7. 592 11/7/88 Sacred Heart Ch rc 1,400.00 " " "
g, 594 � 12/15/88 Sacred Heart C rc 1,500.00 " " "
9. �
10.
11.
12. . �
13. �
TOTAL CHEC UNT a 11,900.00
NOTE: These expenditures will be pro id ta Council hiembers at your Council hearing.
� Be sure that your financial re pr is complete and accurate.
.. ♦ •r A s w •7�•
- � ♦ . .� � • .►.. � r • S O '� w �7�
rn ? '� � � w Oo a � Z � 1 G y
w � i � � � I�o .. • � a • ��
`a +. '� �, • ,�, { a � '"a
• N F�-+ � �` , i = �► i i � � Oi
. ~ � � � � � "� � � w � f � 3 f
rt m � . � � � s � s Z � aa
� 7C .�. � w . s � O � � � a �s
9 �p C"i � w � • �A W � '� y , �
C � O W � • � s � fD rr w > •�i�
(D UI � :A1 I� ; . � .�. � Uf • � .0 A
• s � � � t7 � � � 7
� � h�j � �Pt � I i a n s .�rv�r s
� � z w • 7 7 � + � • O i � i S 1
w s
� � � � w i + d = � � rs � • ff�
� :j i ! � n O ^ : �•
> > � i + A 2
• S � l � i 3 I+ � (� w _1
�
1-�. r � � � C� �� � � �
� '�1 � �� � � N � w � �
70 `I ^ i ' � ''.` � �
� i s� t0 1�ii s
� N • , I
o � ' I � •
`° =+ '' ' {
N (
.
���
. � . �„��, ��� .� .�i` � �I�t ��`` �. Q�24��
' 'J: C�rcnedi .
��� �«����
�` Chri`st��e Roz k � — �.��� 3«rv«� ,
� "° � �� �Councii Research .
: r� 56 °�1°�n` 1_ ,cnv n„oar�:v . . ;
Applicaticm for renewal of a Sta' e lass A 6ambliflg License.
Notification �ate: 2-21-89 :Hear;ing: Date: 3-7-89
•Uoore,�.i#�e�c��) '� � .
Punw�b oa�sepa+ .` qvw seaWCe oo�wN a►re w o��arr - ,' uw.rar aa►�wo.
aaa�o ooMweaN �ao exs aGao�eonao :
st� c►artrEn cou�+ �s _�oo�.rsn.�oom* _����r _���^c iiooEO*
o�cr oot�c� ,� .
' st�oars w►ncM oaa+ca ae,�ctrve�
NfN1M9►110iEO�,�IR OP�ORiu1�NTY(WAO.UM�ad.wMn�NrtwrR wh�:' .
Marlene Keyser, on behalf of .Sa ed Heart Chu.rch,. requests Council approval
of her application for rertewal � a S.tate G�ass A (a]l forms) Gambling License ., _
_ . � at 83� E. 5�fi. Street. Bingo �se io s are he:ld Tuesdays between the hours af
7:00 RM and 11:00 PM. Froceeds r, the qambling session are donated..to .
Sacred Heart Church. � �
,�us�+o��ao��.��:�►: ; _ , _ -
_ All fees and applications have e �submitted. Sacred Heart daes not se11
�i,1 tabs at tfii s tiale so no �10% o rib�,iti ans are �cQ11 ected.
�(wtit:wh.�..�t:m w►+o�+): -. . , , . _.
If Council appr.oval is given, S r d Heart Church wi11 continue to spvnsor �
- a weekly bingo session. . � �
.
.. KTlNfA11YEB: OOlit .
: �Q�;:• E� �����f"C�i :���t��';' _-
E�$ � 2 `,;:��
. �.�►�,►�: -
. .
��: .