89-550 WHITE - CITV CLERK
PINK - FINANCE G I TY O A I NT PA U L Council
CANARY - DEPARTMENT � 'C)
BIUE - MAVOR File NO. � `�
Counc esolution r��,
Presented By �u
.���� i� �„��
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #13 70 for a State Class B Gambling License
by the Epilepsy Foundati n f Minnesota at The Cromwell Bar and
Restaurant, 2511 Univers ty Avenue, be and the same is hereby
approved/d��
COUNCIL MEMBERS Requested by Department of:
Yeas Nays ,
Dimond
�� [n Fav r
Goswitz
Rettma° B
Scheibel � A gai n s y
Sonnen
Wilson
�PR � 3 � Form Approved by City Atto ney
Adopted by Councii: Date
2-�S��
Certified Passe � nci Sec r By
gy,
A►ppro by Mavor: e � � � � Approved by Mayor for Submission to Council
By BY
P����S�iED };�'E�' ' :_ 98
'�c�+ � w►Te ane oo�w�r� ; �" " ��
'
�. �a►rct�ed� .�`R��� �#� Ho: 0 02 5 0 5 :
.. � . �'T . . . OEPMi►EN�OIpECTCR. � � IMYOR��(OR AS&6TJINR)� .
• . r` i R ek = �a��� 3 «►�«�
� � — ��*�*� 2 Council Research
. 1 arv�rra+nev ,
Application for a State Class G bli�g License.
Notification Date: 3-10-85 Hearing Date: 3-3D-89
•c�aa�•t�1«�el�f�)) coa+cK. n�roar:
_ �PIJ1MIMq Qp�AI8SI0N. QNIL BERVICE COA�MY8810N DA7E IN . DATE OUT �. � .Ati11LVST. . . .PfiOPE NO. . .
. � .aDWIllfi OOA�B&ON � .19D 67d 8C1100L BOARD . . . . - . . . . . .
� � �8T#FF .. . � � . .CHARTER COMMISB�ON � . . AS 18 -ADD'L�II�FO.ADQED* . _�R ADDt���IFO� _���AOCW• ..
� DBT/Y(.7 CO{�iCL . . * � � � . .
. . BIN�!ON18 VN�6l1 COUWCN.aBJBCfIVE7 � � . � . . ... .� � � � , � � .. - .. .
M1M7N9!��lL�,M�.d/POfITYl�TY(fMW.VMIM,11M�Mi,VYl10n.WhY): • „
The fpilepsy Foundation of Min es a requests City Council approval of its
appl�.ca.tion for, a C1ass 6 Gamblin License �Pu'lltabs/Tipboards) at The
. . � Croi+�well Bar abd .Restaurant, 2 11 niversity .�venue. Proceeds .from the,gatr�l.�ng
locat:i:on wil:l be -used. to assis t se with pr�lems r-esulting from a seiaure
disorder and far public educati n elated to epilepsy.
�RI671RCA'ROVf.�A�arMe�s;`Rea�1s):. -
All fees and applications have e submitted. The Epilepsy �oundatian qualifies
. as a "1a�rge" arganization and � andomly s�lected by the Ci�y Go�ncil to
- c�t�ti nue wi th the appl i cati on � c ss: 7he. Epi 1 epsy Founda�fon f s ar�re �hat
51% of its St. Paul gambling p ce ds must be used to benefit tfie citiaens of
St, PauT.
, - ,�n�r".w�n,.�w:'ta�amr. , . ;,.. _ _ .:
�
If Council a�prova� is given,� e pi1�psyr foundat�on Wi71 be able t� s+�11
pull�abs a�c1�/or tipboards at th C omwell . � : _
:xawu►�: ` ca�s. .
�""�'�I Re��arch Center
vu�:�.
t�1AR 16 i:���
�„►�: .
�.�.:
. . ��-.�.�
� DtV�SION OF LICENSE AND PERMIT ADMINI T TION DATE � 3l� �-I l !l O
INTERDF.PARTMF.NTAL KEVIEW t:HECKLIST Appn roc ssed/Received by
Lic Enf Aud
Applicaut � � �� ��n�,-�-(Q � �Mf�me A�ldress �03 QU�n Ue11�0 ,�p1s
r-
Business Ivame C rD m���( �j � �p -� �lin`�ome Phone �j 37' �c-� `'t�
�y ►
Business Address a5�� �/(n �v�rs�-!� Type of License(s) lrl(�55 a C�ccmbl���
Business Phone l.,l (�� S�
Public Hearing Date 3U �� License I.D. 4F '3�7�
at 9:00 a.m. in the Council Cham ers, a
3rd floor City Hall and Courthouse State Tax I.D. 4� tiJn
llate Nutice Sent; �f�6 ��� �' Dealer �� N1�
to Applicant
I'ederal Firearms 4� fl�'�
Public Hearing -�
DATE INSP 'CT UN
REVtEW VERFIED (C MP TER) CUMMENTS
Approved N t roved
�
Bldg I & D �
�I�
Health Divn. '
; � ,�. �
__ ;
Fire Dept. I N�� �
i
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Police Dept. I �e nt a��<< g
°� �y�i
I ��
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License Divn. �
� t s ���: �l�
City Attorney �
� � �J�j � a�-
Date Received:
Site Plan �
To Council P.esearch � ��0
Lease or Letter n 1Sate
f rom Landlord N /`i"
. /3s70
. . i;it of Saint Paul
Department of Fi an e and Management Services �G����
Licen e a d Permit Divisio� a �
. . Ciry Hail
• ' St. Paul'Min eaota 55102-298-5056
APPLiC TI N FOR LICENSE
CASH C ECK CLASS NO. N Renew
o � o � .
o��e /�d ,9�-F
Code No. Title of License F� p�� � �g�To_���CL19 C
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� � l .�CL ' -� � - � -� -� �
� �/' �oo d!����L
� �L�✓��N. - .Q� v � ICanU pan am� i
. 1� (i'�S7-!(iGfi� ��b�/L� ���4�/��
100 euslrnss Name
` � /�f� �
; �
� �� " / �// ��.�=r� '
� Busin�ss Addnss _� Phoiu Na
� ,�. 1� '�Q � �/_«-� J�/ Z�. �.
100 Mail to Addresr=/!�.�—' �l;LG.� P�+o^�No.
, -�/ �J
• '� /✓ i�') ! ��Jr.�i / �tLT��'.f+_�� ����,.7�'•
• ManapeNOwner•Nam�
t00 .1^ ° �(
. - /j`'�o,3 �,y�,(�.r'-�(/� ���`'�•
100 AlanaperfGrvMr•Hom�Addnu Phont Na
� 4098 Applicatfon Fee 2 gp ,,,�� ,J,,
Rseefved the Sum of 100 • ,�✓T'�J�
; � � eNOwns►•City.Sht�d ZiP Cod�
i
100 Ot81 100 1 .
° _.�>-1 /! �� ,
,� '
/ r,_ � �, �_. ; o�-�- f",�..
: LiCense InspeCtOr '�v By: `�-"Siqnatureof Applieant
' ✓ l.J /
I
Bond•
� Company Name Poliey Na Expiration DaU
Insurance:
.
Compa�y Name Poliey No.. Expfadon Date
Minnesota State Identification No Social Security No
Vehicle Informatio�:
Ssnal Numbsr late Numbsr
Other.
� THIS IS A R C PT FOR APPLICATION
THiS IS NOT A LICENSE TO OPERATE.Your applfcation for ice e will either be granted or rejected subject to the provisions ot the zoning
ordlnance and completlon oi the inapeotions by the HealtA Fire Zo�iny and/o►Licsnse Inspectora.
$15.00 CHARGE OR LL RETURNED CHECKS
����� ����� �� � �
• j • .- •
,
.�. � City f aint Paul ��/�
' � Department of Fina ce and Management Services
. . � Division of Licen e nd Permit Registration
INFORMATION RE UIRED WITH APPLICATION FOR PE IT TO CONDUCT PULLTAB/TIPBOAitD SALES IN
SAINT PAl1L (Class B Gambling License in iq or Establishments - New Application)
1. Full and complete name of organizati n hich is applying for license
�p�L�,PS �ountf�ATt o af �tntN.�,gQV�
2. Does your organization meet the defi it on of a "large" organization as outlined in
the November, 1988 revision of Secti n 09.21 of the Legislative. Code? �a
Attach to this application pertinent'' fi ancial and/or organizational information to
support your answer to this questio . OTE: Only 5 large organizations will be allow-
ed to open pulltab operations under he revised city ordinance. If more than 5 organi-
zations apply, qualified applicants il be selected randomlp bq the City Council.
3. Address where games will be held �. � C�h.���rsi 1��t (a� S�t 17a�� 5�«''�
' N ber Str et City Zip
4. Name of manager signing this a�plic io who �ill conduct, operate and manage
Gambling Games ��L.I O S Z l._ Date of Birth °�� � �'4 l
(a) Length of time manager has been e er of applicant organization 'J� `'(�.1'�1`°.S
5. Address of Manager �{03 c� I`��(.. J�J�'�5
Number Street Citp Zip
6. Daq, dates, and hours this applicat on is for 5 c,�.N,l},Ar'1 — Sh?�RO� $%�A�''l- ( ����"'
7. Is the applicant or organization or an zed under the laws of the State of MN? y�S
8. Date of incorporation C6t
9. Date when registered with the State of innesota M�CFf � + I`�5,
10. How long has organization been in e is ence? 3 �c�s
11. How long has organization been in e 'is ence in St. Paul? �J� H�°'*'S �
12. What is the purpose of the organiza io ? �O �51 ST' Tt'CO$�. Wr1'bF �R��I.�Mg
1�LSut.T1NCt �,RO�"� A- SF,12u� 1�l �R � /�'�O �O�tCJHi ��d'�.
13. Officers of applicant organization:
Name �ILL(Pr (��G�. Name �u�''� �d�4S0�
Address '-{3�4 J ctl�t�lt,� L,rt. �Ly �J�t�[. Address �.((� w. J�"�cit��' 3�� �Lg.�"
Title t�K►2.S ll�tA(l' DOB % Title T�,t�.L � DOB L
Name �N LZ ��C.KSO� Name (t.� f�'PW �arLJ�,1��.1�
Address 1�'�( 1�� ST. l7 t,tc. �l Address (�j0'� �1� �Z-I-CsRROZ� �.
Title SL.C.1���i�� DOB „3/ � Title V IGfC. ��R.L51nL�li�OB ��Z �
\� J • • • • . G/` ���I W
• crrC. �
- 14. Gia�e names of officers, or any othe p rsons who paid for services to the
organization.
Name ���f/`4 PO� Name
Address G7 1 RRT(5F � �0-' Address
Title �.X�Cc�t91 VL 17 C�t C Title
(Attach separa e heet for additional names.)
15. Attached hereto is a list of naunes nd addresses of all members of the organization.
16. In whose custody will organization' r cords be kept?
Name /�'1�RLt/�( �oS SLtfL.__ Address Z�ti �ZZ 1 Kp�+'�5�� � .��
17. List all persons with the authority to sign checks for dispersal of gambling proceeds:
Name , 1 J1iQLt l�( t Qg SL Name �G�A�( �0��0'�
, . `.. � Sr '���2, �c.5
Address u.�,�. /�vc, P(.. , �h��5 Address G 1(r �. 5�
Member of Member of �
DOB �. Organization? LS DOB L 1 G � Organization? �t 5.
Name CJ �c L . 4�AC+LN Name .�LW'l�F 2/C Cs�Z 1 N S �
Address � 3u^►`'tJ"��► �-r1. P '� u�,'�Address
/ Member of Member of
DOB ��i?�3 3� Organization? �9 DOB Organization? `�C�
18. Have qou read and do qou thoroughl ' un erstand the provisions of all laws, ordinances,
and regulations goveming the oper io of Charitable Gambling games? `'(�.$
19. Will your organization's pulltab o ra ion be operated/managed solely by members of
your organization? yes no � _
20. Has your organization signed, or d s t intend to sign, a consulting agreement or a
managerial agreement with any pers company to assist your organization with the
pulltab sales and/or recording kee in ? yes no
If answer is yes, give the name an a ress of the person and/or company contracted.
Name Address
Name Address
If answer is yes, how will such a on ltant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attac a copy of said contract to this application.
21. Operator of premises where games 11 be held:
xame � u5 S t.1..L P. l�-�
Business Address 2 'J`—�'� � l� I �� w�5� � �Sf( +
� Home Address ���`J 1�1�t�1 (.. e. �..`��- � �T �t0'�'�-- `�rJ (I`�
. . , C� ��
?2, a) Does your organization pay or in nd to pay accounting fees out of gambling funds?
yes no �
b) If you do pay accounting fees, t wh m will such fees be paid?
Name ' Address
DOB Member of O ga ization?
c) How are the accounting fees cha ed out? (flat fee, hourly, etc.)
d) What do you anticipate will be y ur average monthly deduction for accounting fees?
23. Amount of rent paid by applicant org ni ation for rent of the hall:
� �' 1 O� �t�C
24. The proceeds of the games will be di bu sed after deducting prize layout costs and
operating expenses for the following pu poses and uses:
+ �Ro �. �.�5�,� ��1�. �.P���.P4 t��(�1�0��
25. Has the premises where the games are to be held been certified for occupancy by the
City of Saint Paul? � �.5
�
26. Has your organization filed �federal 0 990—T? �� If answer is yes, please attach
a copy with this application. If an we is no, explain why:
Any changes desired by the applicant asso ia ion may be made only with the consent of the
City Council. .
�P �L�J'S`� fQw�rp�►a N o f-rt n4.
Or zation Name
Date �' .Z� ' � By:
Manager in charge of game
� ��� , �°
Organization Preside or CEO
� � � ���-�-�
,�utuin CITY O AINT PAUL
���� �� ►�
- OFP`ICE OF T E CITY COUNCIL RECEIVED
KIKI SONNEN ,
�NAR� 01989
Councilmembar G+��'Y C���i�
MOLLY O'ROURKE ,
Legislative Aide
MEMORANUUM
OATE: March 17. 1969
TU: Joe Carchedi . License Insoe or
City Councilmembers .
Russell P. Prince. Cromwell ar (2511 University Avenue)
Marlin Possehl . Garnbling Man ge (403 Queen Ave. N. , Mpls. 55405)
William Wagener, Epilepsy Fo nd tion (4300 Juneau Ln. , Piymouth, MN 55446)
FR�M: Kikt Sonnen, City Counciimem er �,�.
RE: City Council Hearing of Marc 3 th Regarding Gambltng Applications
This is to give you prior notice th t t the March 30th Cit.v Council meeting
I intend to ask the Council to deny th gambling applications for the
Epilepsy Foundation at the Cromwell ' Ba . The reason 1 'm requesting this has
nothing to do with any probiems wit t e application. but is rather because
of a technical problem. As You kno , he City only has 45 da.vs to act on
these applic�tions before the State'� Ch ritable Gambling Bureau issues the
State license. The St. Anthony Par C mmunity Council at its March 8th
meeting voted to ask that no action be taken on the appiications until a
town meeting of the residents can b' h Id to determine the community's
reaction to these license proposals
It is my understanding. that once t e ommunity has taken a position
favorabie to the license applicatio s. the parties can re-apply for the
licenses and both the City Councii nd the State can take final action on
the licenses.
If you have any concerns, please le m know.
Thanks!
KS/mb
cc: Bobbie Megard, St. Anthony Par C mmunity Counci )
Ed 5tarr. City Attorney
A1 Olson, City Clerk
Roger Franke, State Charitable Ga bling Board
�
CITY HALL SEVENTH FLOOR AINT PAUL,MINNESOTA 55102 612/298-5378
se
4 I� r . • . , . � ^ �
�1• ,��
.Kf�• � t V
� �
State of Minnesota ) -
) ss
County of Ramsey
being uly sworn, say _that e is
(are) the petitioner _in the bo e appli-
cation; that � has read th forego- '
ing petition and know the conte ts thereof; •
that the same is true of_,�hjg wn knowledge.
Subscribed and sworn to before e his
' ..
'� day of 19 � :
Nota Public ���� ount , M nn sota
My commission eic�3��� y ' ,
.
+�:, SUSAN J. WRAY ,
NpTARY PUlIIG-IitlNNESpTA
L,,. ANOKA COUNit
MY���p���M�pt. 5,199b
� ������ �
. .
TO BE MP ETED BY
ORGANIZATION PRESID T ND GAMBLING MANAGER
I understand and will uphold Sain P 1 Ordinance 409, Sections 409.21
and 409.22 relating to pulltabs a d ipboards in bars.
Further, I understand that my jar ar ust meet city standards; that lOq
of the net profit from pulltab sales ust be returned to the City-Wide
Youth Fund on a monthly basis; th t onthly financial statements must be
filed with the City; and that 51% of net proceeds must remain in St. Paul �
or be used to support St. Paul re id nts.
Sign ture - Manager - j
— ��
Signature - Organiz n Presiden
�P1 L�g �ou,�c/J,gs-lor(� �¢ rt^1.
rganizat�on ame
2��� c,l��ers y �A,�c..
Gamb ing Location
�_ z .
Date
Please retain the a ta hed ordinance for your records.