89-552 WHITE - CITV CLERK
PINK - FINANCE G I TY O A I NT PA U L Council �`
GANARV - DEPARTMENT ��'7.��
BLUE - MAVOR File NO. �� `-�
Counc 'l Resolution ~� ?
_ ��
Presented By ' ��'t--�-e-� '���� [
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (ID #5 97 ) for a Gambling Manager's License by
Marlin Posseh] at The C om ell Bar & Restaurant at 2511 University Avenue,
be and the same i s here y pproved�er�l.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�ng In Fav r
Goswitz
Rettman .� B
s�he;bel _ A gai n s Y
Sonnen
Wilson
DD 1 Form Appr ed by City Attorney
Adopted by Councii: Date rR f � � � . Z/ � �
/S
Certified Pass Council Se ta By
gy,
Appr by Mavor: _ �R � `� Approved by Mayor for Submission to Council
By By
PUBI�D �P� 2 " 1 g
7on , o�.e r..0 a►a oonKS+M ti� ° � `„-- �
�. �a rchedi - :, �C's'���V '��IEET t�. 0 0 3 4 3 5
�* � ��� �►,�+���,�, :
Chri sti ne Rozek ,�" � " _ �..��►�� ��«.�
� � �*� ' 2 Counc�i Res�arch
Finance & mt, . : .. ..! 56, °�', 1 «r�,-� — .
Application for a Gambling Manager' L cense.
Notification Date: 3-i0-89 Hearing Date: 3-30-89
��t:u�.uu a�s c�U.� n�ro�rr: �
-PLAMINO Od�8810N �GNL�ERVICE OOM�II$81qJ . DATE N � DATE OUr � NW_Y8T � . . � � PIq11E N0. - . . . .
. . � DONM10 GOYtA�&ON . ISD�E26 SCIIOOL BOARD . � . . .. � .. . �. .
BTAFF � - GNATEA CGMAM8810N � . � . ��AL7DE INFO./�*: �� RET'D TO OOItFN�T . . �. OOp6T.RUEAR .
.. - . . . . � - - _FOR AOD1.MIFO. _F�09ApC MO��t . �
018TIpCT OOtINCIL •EXPLANII . - � . .. . . - . . � � �
.-� BUPPORIS�XIINd1 OQUNCN.OlJ6C11VE9 . � . . . � � - . . .- .
M�M1NlG N10��Yi�f��/�011TINIRY(WF1D.Whdt.WIMn.VNlsfl.WhY): .
Marlin Ross.ehl -DBA The, Eiplepsy �'ou da ion of Minnesota requests �ity Council
a�proval of :his application for a b ing Man�rger's .License at �'he Cro�rtnvell
��ar.& Resta�rant, 2511 -Uni versi ty,A e�
�cnnoe.�cn.r�e.�n�r�,�eva�,a..�.T. . : .
All fees and applications .have been su itted.
. , .
co�oue�s t�w.wn.�..�a�o.w�m>: . ,._
If City Council approval is given, r 'n Passeh1 will become the gambTing
manager for the Epilepsy .Foundation �t he Gr�mwel1 Bar. � -:
�.,�r►,�s� : c�s .
�:� °r�.��
wsran►r�ris:
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" �tNSTARY OF EPOli801MM6 . "
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S'r�(� Poano�+c+,-,oi � �w��� �nn+� , w►now►�c�.m..Mr�,a�n«+�s) _
i
FINANCIAt 1MPACT - wnsr , csmn o�� sECa+n,re�n Nores
o�Re►n�auoc�er: _
R�rw�s_aEn�u►�o..:...........:... ' . _: ` . .
EXPENSES: . ,
_ Salaries/Frir�9 BenefkS ;, , ; . "
EqulPmeM..............................................................................
' , �PP�les . , �
, . _., . .: . •.,
CoMracts for Service................................ ..........:.......... • •
Olher �._ ,
PROFIT(LOSS) .... .... ..... �� .
-FUNDING•SQURCE-'FE)E1 ANY LOSS(Name and 7iAMOimtJ, . . . . � , . ' ,. . ,
CAPITALIMPROVEMENT BUDGET: ,
DESIGN COSTS..........................:........................ ......... ......... _ .
. . , .
.. .,. -.
., ncau�oN cosTS......................................._....._........... :........ , , _
coNS�wucnoN cosrs .................. _ , - _ . _. : ; ,
TOTAL .................................................................................................... . , x , :
SOURCe OP FuiroAlG(Nmne and Amouruf:' . . � . . ' _ �
MAPACT ON BUDGET:
, . • ,, � . _ ..�
AMOUNT GURRBNTLY BUD(iETED................... . . . • _
:., ,. . _ .. . .
, .. . . . _ ,
AMOIJNT IN EXCESS,OF�UNI�l/T. _ '.
�ET................ ....�.... _ : _ . � _ .
, ., � _ , ,_ . . ...
, .. :......
SOURCE OF AMOUNT OVER BUDQET ..................................... , � '
,� .,.
PROPERTY TAXES CsENERA'L"ED(�.Q$T► �......: : , .; , ; .' , , , . .
IIAPLEMENTM70N RESP0�9�ITY:
DEPT/OFFlCE �. , ., , . ...... ... „ .`. '�., '.'.. . � ,-., _ DlYISION.-' ...-... - . : �.: , ,...� Fk1ND TRLE .. , : � .
BUDCiEF ACTNRY NUMBER A TITLE ` ': ' ` . c . . ' � .AC73V[i'A'ARIINAGER ' "
MOW PERFaRMANCE WILL�MEAStlREDT:
PR06RAM OBJECTIYEB: . PROCiRAM N�NNfICA . 1ST YR. 2ND YR.
,- .. , , , � '_. .
" EiIALUATIQN ii�ESRONSIBM.fTY: "` , _ . .,
pEp$QN DEPL ' PHONE NO. `' ;FO OF DATE
FM�BT GWARTERLY
. _ _ r_ ...... ,., :. ._ _ ,.. . ._ ... . . .. _. e
.. • C���
DIVISION OF LICENSE AND PERMIT ADMINI T TION DATE � � ��/ � // " �
INTERDF.PARTMENTAL KEVIEW GHECKLIST Appn roc sed/Received y
Lic Enf Aud
Applicant �Q Y I�'/) 1 O s��j � Home Address �03 q(,/.Q,�n ,��.e N0��5
Rusines5 Name � �(,� G,-� o Home Phone 33 �' �a�
n
Business Address a5�� �i�LU-e U Type of License(s) �([m �j+�✓1/„�QY1G����
Business Phone
Public Hearing Date 3 .3Q 0 License I.D. 46 �j � l7 �
at 9:00 a.m. in the Counci Chambers,
3rd floor City Hall and Courthouse State Tax I.D. �I N��"
llate Nutice Sent; �I�U�Q'� (�ID� Dealer 4� � 'A'
to Applicant 0 � q�
I'ederal rirearms 4� N'/l
Public Nearing
DATE INSP 'CT UN
REVIEW VEKFIED (C MP TER) CUMMENTS
Ap roved N t roved
�
Bldg I & D �
�I�
Health Divn. '
N,f�- �
�
Fire Dept. i �
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i � � f
! �Se nt �-� o� 5
Yolice Dept. I
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License Divn. �
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3 �S K� ' oK
City Attorney �
� t�b� ' � oK
Date Received:
Site Plan �4 �
To Council P.esearch �
Lease or Letter Date
from Landlord �
� y �99�5
• ' ty o Saint Paul
Department of Fin nc and Management Services
• License an Permit Division
. - 203 City Hail
St. Paul, �ne ota 55102•298-5056
APPLICA 10 FOR LICENSE
CASH CHECK CLASS NO. ew Renew
� oo o _ a �
, oate �3 ,�
Code No. Tttle oi License Fron� �� ! 19�To f — � � 19 9C
/; ,
n r7� �� � i� ,�� ,y � /�� ��9
� J ,00 �?�.,•'.�E�, ��Z�..K.�Y_ J .
� App1icanUCompany Name • -�'�� -
, 1� � ,�/'. ����''-!GsL-��L�.LI°� G��.!.-
100 eess Nartro ai `"
100 / L � /.rip':'.�(� , :\ /J.
7'
Businsss Address 3�rf?�� P�jo N�'`.
� ,pp ) ��, ICh"'���.�
� �� t- � � �
. .. L1(�i � .-��I.�'.^..-��/ �• %� ,.�.�'cl.
100 Mail to Address Phons No.
• ' � � -
�� `����..r� �, �./�_>;�.��c..J
Man�psqOweer•N�(me
. 00 ��' � , •
�v,� �f:�.��� ���z�r� � ������
100 AtanaperlGwner•Home Addnas Phon�No.
4098 Appticatfon Fee 2 � �
R Ived t Sum of 00 .�/ �J"fLC1�
l � -Gty.Stat�d Zip Code
�� 100 Tot 00 -
t ��/',/.. ' .._ � ' f/
�� : � �:� , �
LiCense InapeCtOr By: f� � / Siynsture of Applieant
�' ,j
� Bond•
Company Name Policy No. Ezpiration Oab
Insurance:
Company Name Policy Na Expiratfon Oal�
Minnesota State Identificat(on No a�'���' Social Securiry No.
Vehicle Information: �
Serfal Number ate Numbsr
Other
� � THIS IS A REC IP FOR APPLICATION
THIS tS NOT A LICENSE TO OPERATE.Your application for lice se ill either be granted or rejected subject to the provisions of the zonin9
ordinanca and completion of the inapections by the Health, Fir ,Zo ing andlor License Inspectors.
$15.00 CHARGE FOR AL RETURNED CHECKS
� ,�—�/ � � �/ �
� j •'• • City of Saint Paul ����
. ' � Department of Fi nc and Management Services
. � Division of Lic se and Permit Registration
INFORMATION RE UIRED WITH APPLICATION F RMIT TO CONDUCT PULLTAB/TIPBOAiLD SALES IN
SAINT PAUL (Class B Gambling License i L uor Establishments - New Application)
1. Full and complete name of organiza io which is applying for license
�P11_�,PS �ouN�A t �S af M�ntn��,gQa�
2. Does your organization meet the de in tion of a "large" organization as outlined in
the November, 1988 revision of Sec io 409.21 of the Legislative Code? (�a
Attach to this application pertine t inancial and/or organizational information to
support your answer to this questi n. NOTE: Only 5 large organizations will be allow-
ed to open pulltab operations unde t e revised city ordinance. If more than 5 organi-
zations apply, qualified applicant w 11 be selected randomly bq the City Council.
3. Address where games will be held 5� C�K.��<rsi ��t � S? 17ou� S�"tl'�
umber Str et City Zip
4. Name of manager signing this appli at on who will conduct, operate and manage
Gambling Games ��LI O 5 Date of Birth �� � ('4q
(a) Length of time manager has be m mber of applicant organization J� `��1'1leS
5. Address of Manager �-}0.3 Qu . ��C. . s��
Number Street City Zip
6. Day, dates, and hours this applic ti ia for 5 c,�.N,l}&'1 — S�?�RQ� $��l�l''l- I���`
7. Is the applicant or organization rg ized under the laws of the State of l�l? �'(�5
8. Date of incorporation C6t
9. Date when registered with the Sta e f Minnesota ��e ff' �� �`�51
I0. How long has organization been in ex stence? 3�,
11. How long has organization been in ex stence in St. Paul? �J� N�°�"S �
12. What is the purpose of the organi at on? �O �S� Sr "r�fid5�. wcra� t�RO�(.t1`1g
i�,LSuLTcNCt � pr 5�,12uR.r- tS Rp� R�O � �ccJ� ��-t..
13. Officers of applicant organizatio :
Name �l�-1_tRP'� flGF. Name �uD''f �d�'1450�,
Address �3�4 Jw�t1'►u C.K. t� �l a'frJ�. Address �►((e w. 'rJ��"c7t.�" 3�� r`'VLg.�
Title t�KLS�A�A(� DOB % � Title T�U�� D�B L
Name �!`t LZ., ��CKSO� Name (� /��(N( CrLI�,nt.t�
Address 1��� ��� 5T. I`7 L � Address �O� �� D Z-�-61�ROZ� ��.
Title S2..G��f�@�,`'� DOB ,3/ � Title l��G�. ��K.LSInL��OB ��� �
.' , • , " . , //' ��
L
o�.
- 14. Give names of officers, or any other er ons who paid for services to the
� organization.
Name ��Lf/�{ t'OgS Name
Address G'� 1 R/�T(SF � �� Address
Title �,X,�Cc�.97 VL t7 t�t C Title
(Attach separate sh et for additional names.)
15. Attached hereto is a list of names an a dresses of all members.of the organization.
16. In whose custody will organization's ec rds be kept?
Name M�[N �OS S� Address ZF("���Z�.1 Kp�KSP�.R � _S?��['
17. List all persons with the authority t s gn checks for dispersal of gambling proceeds:
Name � I/�i�Lt/�( �os SL Name �Gtn�( �O�bd�+���
Address u� f�vc. h(..' � �5 Address L 1(� �• 5�� ST �'��2� n�CS
Member of Member of
DOB �. Organization? L DOB L 1 G � Organization? �t 5.
Name C� LL. Z . 47AG LN Name �J ZW'l�F 2/C C�Z(N 5 '
Address � �u^►`?JR�1 �-rl. p�-`T � rn,�Address
/ Member of Member of
DOB ��e?�3 3� Organization? �� DOB Organization? `�C�
18. Have you read and do qou thoroughly u de stand the provisions of all laws, ordinances,
and regulations governing the operati n f Charitable Gambling games? `'(�S
19. Will qour organization's pulltab oper ti n be operated/managed solely by members of
your organization? yes no � ,
20. Has your organization signed, or does' it intend to sign, a consulting agreement or a
managerial agreement with any person r ompany to assist your organization with the
pulltab sales and/or recording keepin ? yes no
If answer is yes, give the name and a dr ss of the person and/or company contracted.
Name Address
Name Address
If answer is yes, how will such a co ul ant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attach a co y of said contract to this application.
21. Operator of premises where games wil be held:
Name � ul5 g Z',1..(.� P. � l �
Business Address 2 'J`—�"� ���� ��. ��5� � �S�i�
' Home Address ���`J ��1� � �..�� � �T t�/�'��-- �JrJ �/`j
, • ' C��J`�
22. a) `Does your organization pay or inte d o pay accounting fees out of gambling funds?
' yes no �
b) If you do pay accounting fees, to ho will such fees be paid?
Name ' ddress
DOB Member of Or an zation?
c) How are the accounting fees charg d ut? (flat fee, hourly, etc.)
d) What do you anticipate will be yo r verage monthly deduction for accounting fees?
23. Amount of rent paid by applicant orga iz tion for rent of the hall:
� � 10�0 w(�
24. The proceeds of the games will be dis ur ed after deducting prize layout costs and
operating expenses for the following r ses and uses:
+ �RoC� �. �.�5�.S � �.P�L�.Fg f�v' �cK(�1'rio*� ,.
25. Has the premises where the games are b held been certified for occupancy by the
City of Saint Paul? � �.5
26. Has your organization filed �federal f _ 90—T? �� If answer is yes, please attach
a copy with this application. If an r s no, explain why:
Any changes desired by the applicant associ ti n may be made only with the consent of the
City Council. _
�.(' i t�'S�'( fowvv�,oN o�-�"t n4.
Or zation Name
Date �" .Z� " � By:
Manager in charge of game
�J�� � �°
Organization Preside or CEO
w��-�h,�(��` • • '• � • l/ ," _��
::9''._..::� , '
►
State of Minnesota ) •
) ss
County of Ramsey �
being uly sworn, say _tha e_is
(are) the petitioner _in t e bove appli-
cation; that � has r ad the forego- '
ing petition and know the co te ts thereof; .
that the same is true af., h 'g wn knowledge.
Subscribed and sworn to befo e e thia ,
� day of 19 � ;
Notary Public �� ounty, M nnesota
My commission ei��ii�d$ —
,
w~� SUSAN ].WRAY
•� NOTARY PU6lIC—IWNNESOTA �
nMO�cA COUNir
►y�y commiuioa��pwr►Sop�. 5.1998
.• -
. . C����
S�ZNT PAU'I: I'�Y COUN�IL
PUB�ZC K� I�� �t� �ICE
LZ�EN�� PI�ZCA'�ZaN RECEIVED
FEB 141989
CITY CLERK
��' NO.
Dear Property Owner: L28158
. x
Application for ass B Gambling Location license. This
license allows e pplicant to lease space to a charitable
P URP 0 S E organization (E ' le sy Foundation of Minnesota) for the
sale of pulltab an /or tipboards.
t�P I+T C2-�� The Cromwell In ( ssell P Prince - President)
LO��TIOiV Cromwell Bar F, st urant at 2511 University Avenue
�+ March 0, 1989 9:40 a.�.
T'-' � RT��% City Council . ' ers, 3rd iloor City Hall - Cou�t House
3y License an P r.ait Division, De�artmenc oi r''_naace and
���ZC�. SE�IT �agement Se i es, Room 203 Cit? Hall - Court 3ouse,
Saint Paul, � sota
298-5056
.
� This date may be changed witho t he consent and/or knowledge of the
License and Permit Division. t s suggested that you call t�e City
Clerk' s Office at 298-423I if u �.aish conf�r�aation.