89-586 WHITE - C�7V CLERK COl1I1C1I (/%�/��'
PINK - FINANCE G I TY OF A I NT PAU L /� J
CANARV - DEPARTMENT I�
BLUE - MAVOR File NO. �� • ��� -
Counci esolution ����
�.�__
Presented By '
Referred To Committee: Date ���/�9
Out of Committee By Date
RESOLVED: That application (ID 63 95) for renewal of a State Class A
Gambling License by M dw y Training Services at I324 E. Rose St. ,
be and the same is he eb approved/�
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
t.o� [n Favo
Goswitz
Rettman ,�'f B
scheine� A gai n s t Y
Sonnen
Wilson
��R � 3 � Form Appr ved by City Att rney
Adopted by Council: Date . . r
Certified Pass y Council S t BY 3 �� o�
By�
t#ppro by 1�lavor: Date _ Approved by Mayor for Submission to Council
By BY
ppg��{� A P R 2 21 89
01119�1A , ., � • a►Te wm► a►�
����
J. Carchedi
`�° �R��� S�lfEET Ho:�0 0�4 6 9
coKUCr � o�vaarw�t`oir�aron µ,vnn ro�+�sriwn
; Christine Ro��k ` Nu� — �s���.«+ �«n«�
� _ "°� Ro — �� � Council R.esearch
FinancE & t. . 298-5056 a+o�: � �A,;�,r —
Applicatian for renewal of a Sta lass A Gamb:ling License.
Natif�cation Date: 3-9-89 Hearing Date: 4-4-89�
�T�tMaw:(�)a�c�f) tw�x. H n�rom:
w��o cow�ssaN avx_sEmn�c�nasioN o��n� o�rE arr uuLLrsr arror��o.
Di7fMq OOMMA18810N � 13D 8�BCFIOOI BOARD . . � . . � .
- � � STAFF . . � . CMAR7ER��8SION � IS � � AODL INFO.ADDEQ* � � � RET'D TO COKfA�T � . C0�'RTUEM �. . .
. . . . . . . . . _ _FOR ADDt tliFO. . . _F�lAqC AACFFII�• ..
W8TRICT OOUNCIL � *�. . � . , . . . .
. � lI�POpT8 WMICM OOUNCIL ONJE�,TNE4 � . . � . . . . � . . . - . . . . ..
N11MfNi�IIO�LBI.I�MIE:Ol�Q�71NMT11(iNMo.INhat.VN1M1.YM1i1l;WRry): ' .
Haro1 d Kerner', on behal f :of Mi d y rai ni ng Servi ces , requests Counci 1
approva� of his applica�tion for en w�1 of a State Class R GambTi.ng
License at 13i4 E. Rose Street. Bi go sessions are he�d Sundays;.between
the hours of 7s00 PM and 11:00 . Proceeds are used to provfide vocational
and functional skill training t m tally retarded adult men and women. �
: �,an�e�lrar tcoove.n.�..��oe..��: . ,. , , _ , . _.
All fees and applications have e submitted. Al1 10� contributions to the
City Youth Fund are current.
CONlEOIii/Mf�NMnt lNrr�;and ro Whein): , _ , ` ' . , . .
�f Council approval is given, M w Training Services, Inc. will continae
to sponsor a bingo session at 1 4 E. Rose.
�.raw►,nr�: . cc»�s
��;;�;� ����.'�t'C�"1
wsroar+r+�obrrs: � � �
r�,�IAR 16 i�s�
�.�:
��onr oF�eo�aoa�'rw�rll�crwt� nts: ` ""'�,_- ,
S�/uc�►�o�(� vosmai c+.-.o��, �wai�s�rt r� ,.. nnnoH��s�,�m.��,��
FINANCIAL IMPACT w�s.v�n tsw►oa.�: seca+c v�►n riorES: �
ov�w►TU�cs euoGer:
n�t�s a�a�o ..........:......................................:.............
EXPEN$ES:
Salaries/Ffinge Benefits........................................................
EQWPm�........:........................................................_.:.......
�PP��...............................................................................
Contrects for Service .
Other
PROFIT(LOSS) ................................................................................ _ :
FtkIWNG 80URCE FOR ANY L08S(Name and Amount)
CAPITAL IMPROVEIY�NT 8UD6ET:
DESIGN C06TS................................................................................ ,
ACGlNSITIar CaST3 ..
CONSTRUCTION COSTS , .
TOTAL
....................................................................................................
90URCE OF FINiDING(Name and Maunt)
M�ACT ON BUDOET: �
_ AMOIpiT.CUAReNTLY BUD�iETED, . ,...:..�. _
��r w excES,a oF cun�r swc�r
SOURCE�AM()UNT OVER BUDOET
PRO�RTY TAXES GENERl4TED iLOST1 .........
IMPLE�AENTATION RESPONSIBIUTYd
. . DEPT/06PICE � DIVISqN . � F11ND TITLE . . .
.. . .. . . - - - . . _ . .
BUD6ET ACTNITY NUMBEfl 8 TITLE .. ACTIVITY MANAC3ER .
PIO1N PERFORMANCE WILL BE MEASUREDZ:
PROORAM OBJECTIYES: PROGRIW INDICATORS 1ST YR. 2MD YR.
fVALUA710N RESPO�l1818N.(TY:
� PERSON� . . DEPT. . . . . � PHONE NO. RE -TO COIJNCH. �� DATE �. . �
FIRST(WARTERLV
_- REF�ORT HY
. . . . ������
y�
DiVISION OF LICENSE AND PERMIT AI)MINIS RA ION DATE � 1 D � l � "L �9
' INTERDF.PARThfEfiTAL itEVIEW CHECKLIST Appn Pr e ssed/Received y
Lic Enf Aud
Applicant -p�� ��i'YI-Q� _ Home Address �� '���(��� l ,,�
Business hame �C#l.1�.. Yk�✓l t ✓ti% /b' ��Iome Phone � �"! �'�7��
Pusiness Address 13� y� � /4C?5C� Type of License(s) ��y���GL(' ����'
"f �
13usiness Phone �,�(,�5�; � ���b�"t �j�(',n �.c�.e�S'�-
� - --
Public Hearing Date �-�'��'�"p� License I.D. �{ ��f �5
at 9:00 a.m, in the Council Chauibers,
3rd floor City Hall and Courthouse State Tax I.D. �� �'�
llate Notice Sent; �� �� Dealer �� )� 1�'
to Applicant �����
rederal I'irearms �� N �
Public He�.iring
DATE INSP CT UN
REVtEW VERFIED (C MP TER) COMMENTS
A roved N t roved
�
Bldg I & D �
��� ,
Health Divn. '
N l�� �
�
Fire Dept. � �
; � �� �
' � � ��
Police Dept. �{?!�� J �
� - oK
�
License Divn. �
� � � �
� �
�
City Attorney �
3 �D � � � /�
Date Received:
Site Plan ) �j
To Council P.esearch � 1 �2 1
Lease ar Letter _ � Dat
from Landlord
. p:�. . , . , . = K� � ��.,���
Charitable Gambling Control Board For eoard Use Ony �, ;
Rm N-475 Griggs-Midway Bldg.
i 1821 Univers�y Ave. Paid Amh f• , ' , �� _.
� St. Paul, MN 551043383 � Check No.
# : : (612)642-0555 x ,< ti � ;�'"' ,�'' � Dste: r
- � _. . , �, t , , ,.
; � GAMBLING UC S RENEW �4PPUC,�1�f,N�,�,�. y . < ".;
� <. .>..:.. ....��. ... ..... .. ... . . :.. . .a .. , ,,t'!-"w�µ'..�. !�.� `: 'e.iL'`,�
LICENSE NUMBERa�`� '>"•'. •.�= ��^^�f•,f'EFF:Di4 �'� ,:;;�" , "° `+ , *��`-ri~`f?74MOf7i�tT'OFFEE:
1.Applicant—Legal Name of Organization y� 2.Street,Address �:;
�. . �f .. .. .
. 3.Ciry,State,Zip 4.County 5.Business Phone
-1
6.Name of Chief Executive Officer � _ , � 7. Business Phone
- 36
8. Name of Treasurer or Person Who Accounts for Revenues 9.Business Phone
612 . ~' 6ti
10. Name of Gambling Manager 11.Bond Number 12.Business Phone "'
z
N ro Kerner F111312521 �' _
13. Name of Establishment Where Gambling Will Take Place 14.County 15. No.of Active Members
tase ' 18
16. Lessor Name 17. Monthly Rent: '
° Man i's Inc "' � .r;�r�, . . �,. I68
18. If Bingo will be conducted with this license,please speciy day and times of 81ngo: ` '
D� Times � Da s � Times . D� Times
�
• � - �
19. Has license ever been: ❑ Revoked Date: � Suspended Date: � Denied Date: "
20.Have iMernal cont`ols been submitted previouslYt [�Yes ❑No(If"No,'attach copy) ' °
� t. , ; . , .
21. Has current lease�n filed with the board? '' .,;';°�Yeir Cl i�i,(If'No;attach copy)„ *
�
' 22:"Has current�been ftled wRh the board? �t;� `, R. Yes�� } .No "No rM�ttach r , ` � : • ` � �
;
� - � ,.'� ...�QPaf�:;:..,a....: �
_ ....,�� -�.�..._ <:,. _,i.,...�;�.....�
h � . .�g� a���i C� � r ��•:. a , iimo� �'� + Y! �'kY¢?.5:;�_S✓ � ;.; , .. +� .,.. M .., . . �
-�`='�'�# �,tK"��.. ; �'F�,r• `y� ` � ����"����i a. '`"3M � �' �
�",BY m�►signature 6etow,bcal.l�w e rcement otBcers or.agenta. the are I�eb�r , to enteF uporr'the�te,at�anY tln►e,gA�nb�ng is s��.�`�
being;conducted,to obseNs`the g�mbling and ta erdorce the�w unautlwrized gems as practice..��.` M, " ,;�� �s�`,;�� 'E x� r ���';�
z
�;.^�= i,�� _ y, . .. y� �{� ` • BAN�C:R A�iT110i�ZATi01i': �„v;� ;';�,n�'` �'�' �a`��G l'��"n ���;
`� r�d i 1� ;,: :�'t: t 4�,.�'�.�`�� j�l'S�g�' � i' , � . �'$1� 'YF.�.:'
:��, �, .. � , �. ' . . ;,
��„ By my'signature bebw,the Board'is hereby authortzed to inspecE k�of the(3erb►af�am Bank AcxouM whenever�tac�
. y
� fulfiii requirements of curreM gambling rules and law ; � s �5 � ' `��.�y�� �� °�
� ,�, •._- j,..;., . t;.:ra, °:4"1r�`,�{w A � qt 9'�� e� ..A� 'Y7 �¢ � r+y� � .
5
��f� i .�. . �T/�o Ula\. � '..,,�{;qqN �r � yyl,y�++�..,�� l �� ;i \� . ..� 5� . � •
,s, : ���v'.v`�7 . . . . � �°: ; � ., �:- :.�xar`i�:{ 1�a tY, t�L '�;; �� �..;�ytQ�►1F�',:: �,.^P� a �' a" ' �:� }i
���' f. I h8v@ feSd thi8 eppliCeltiOn and 811 infOm18di01i sltblflHted t0 th8 808 ; �;.. •�r � . , � , ,�'� ��: '' �;,
- 2. All informatfon submitted is true,accurate and complete;
3. All other required information has been fully disclosed; ;
4. I am the chief executive officer of the organization; " � : . , � .:;.�- '-
�5. I assume full responsibiliry for the fair and Iawful operation of a act' ities to be conducted;
6. I will familiarize myself with the laws of the State of Minnesota ing gamb�ng and rulag of the board and agree,if licensed,to abide by those
laws and rules,including amendments thereta . ,;
23.Official Legal Name of Organization Signature(Ch f E cutive O(ficer) Date Title
, w
�`lidway Trai ni ng Services, Inc. .�;,,�„ �,,�, ;�,��9 � : �-� ��;�
: ACKNOWLEDGEMENT ICE BY LOCAL GOVERNING BODY �::
'I hereby acknowledge receipt of a copy of this application. By ack � ging rer.eipt,I admit having been se with notice that this appNceNon will
be reviewed by the Charitabie Gambling Control Board and if app ved y the Board,will beoome effeCt�w��irom the date of receipt(noted
below),unless a resolution oft�ie locai goveming body is pessed ich pecificaly disallows such activity c�py of that resolutlon is received by
the Charitable Gambling Control Board withi days of the bel not date.
24.City/Counry Name(Loc�Governing Body) Townstap: If site is located within a townahip,please complete items 24
;' CL(,Cy� � , and 25:
Signature of� n Receiving Application: � 25.Sigr�ture of Person Receiving Application
\,l ��(:�.�...yl.l'��-�-� i ��� ' � , .� - ..,:..,.. . •- .. ,. . _ . , � , '
, Title ,,j ) Date Received(this d te begins�JQ�Bay pe Title: .
'�.;,#':J'r��. ?/.._.y�--�\ .f� �J/ ,� Q (00
��.a N of Persor�j 'verin plication to L �1'Governing Body: ;Towr�stiip Name -
���'✓/ S '� � �` ; `c
�.- �..� . -'/
CG-00022-01 (5/8� � , hite Copy—Board Canary—Applicant � Pink—Lxal Governi�g Body
. . .. .. -.�-:-�:�--- �-_-�- — . --____— . T
, . . . ty Sainl Paul ���`�
�aKf11Mt Of �11 �fld M N $lf11�i � G Q w
"' Lken s P�nnri�IDl�h�io� �7'✓�
ci�y Nan
• ' s�PsW. ta 5St02•2965056
� APPIICA FOR LICEHSE
CASN CMECK CLASS NO. R�new
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' TMiS 18 A R CE FOR APPI.ICATION
' , TNIS 18 NOT A UCENSE TO OPEAATE.Your applkation for 1 � wlll Nthu b�panted or ro�eCbO wONCt to fM prOrisbes oi fM tonln0
prdMane.�and eon�plNlon ol tM Insp�etbns b�r th�H�alth. in. Mp�nd/or Uuns�MW�etors.
; .
� s15.00 CHARGfi F L RETURNED CHECKS
: �� �
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• • ' • City of Saint Paul �,�^�„��
Finance and Management er ices/License & Permit Division � �
�_
• INFORMATION REQUIRED WITH APPLICATION FO P RMIT TO CONDUCT CHARITABLE GAMBLIVG GP,.�fE I:V
SAINT PAUL (To be used with the followi g: New A & C application, renew A & C
Licenses, and new and renew B in Private C1 bs.)
1. Full and complete name of organizat on which is applying for license
Midwa Trainin rvi e In
2. Address where games will be held 13 4 E. Rose Street St. Pdul MN 55106
N ber Street City Zip
3. Name of manager signing this applic ti n who will conduct, operate and manage
Gambling Games H r 1 ern Date of Birth 12/15/25
(a) Length of time manager has been me ber of applicant organization 13 Years
4. Address of Manager 542 Por 1
Number,. �, Stree,t City Zip
5. Day, dates, and hours this applicat on is for C„nrla� F�iani�c - �-�1PM
6. Is the applicant or organization or an zed under the laws of the State of MN? YPS
7. Date of incorporation
8. Date when registered with the State of Minnesota Same
20 years as M�rriam Park DAC
9. How Iong has organization been in e is ence? �y�ars at Midwa�Training SPrvi�Ps
10. How long has organization been in e is ence in St. Paul? Same
il. wt�at �s the purpose of the organiza io ? Provide Vocational and Functional Skill
training to P1enta1l Retarded Adul W men and Men.
12. Officers of applicant organization:
Name Name Pearl H1DD
Address 750 Hd ue, St. Pdul MN Address 113 30th Ave. N.W. . St. Paul
Title President noB 10-13-49 ' Title Secretary DoB 6-25-25
Name Patrick F1 nn rtame Ron Peterson
Address 678 o Address 71 R I i�nr1 St � Nnrth budsan, Wi sr.
Title Vice Pres. DOB Title TrP�ciirPr DOB �-1R-a7
13. Give names of officers, or any othe p rsons who paid for services to the
organization.
Name Name
Address N/A Address N/A
Title Title
(Attach separ e heet for additional names.)
. . . . . ����
14. Attached hereto is a Iist of names nd addresses of all members of the organization.
15. In whose custody will organization' r cords be kept?
Name Midwa Tra'n'n Address 1549 University Ave. � St. Paul
16. List all persons with the authority to sign checks for dispersal of gambling proceeds:
Name Name
Address 542 Portland Ave. St. Paul Address
Member of Member of
DOB ��_�r_�r Organization? DOB Organization?
Name Micke MiChlitSCh Name
Address 3870 Effres Rd. White Bear a e Address
Member of Member of
DOB 1�-1R-�ti Organization? Y S DOB Organization?
17. a) Does your organization pay� or in en to. pay accounting fees out of gambling funds?
yes no
b) If you do pay accounting fees, t om wi11 such fees be paid?
Name N Address
DOB Member of rg nization?
c) How are the accounting fees cha ge out? (flat fee, hourly, etc.)
N/A
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? y .�
19. Attached hereto on the form furnish d y the city 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 ho have received funds for the preceding calendar
year which has been signed, prepare , nd verified by William Smith
d
Address
who is the of the applicant organization.
Na
20. Operator of premises where games w 1 e held: �
Name
Business Address 1324 E. Rose Str et
Home Address
. . ��-.���
� 21. Amount of rent paid by applicant org ni ation for rent of the hall:
� 758.00 er month
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:
For those lawful ur oses as defin i rules laws and ordiances and to entrance
those functional and vocational ski ls essential for mentall retarded ersons to
23. Has the premises where the games ar to be held been certified for occupancy by the
City of Saint Paul?
24. Has your organization filed federal fo 990-T? NO If answer is yes, please attach
a copy with this application. If a we is no, explain why:
•-
Form 990 is submitted in lei`uaof 9 0+
Any changes desired by the applicant ass ci tion may be made 'only with the consent of the
City Council.
Midwa �'Trainin Servic s
Organ t ame
Da -�C�! oC /. �-�/c7 � By: ` �
Manager fn charge of game
Organization President or CEO
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• ' � Ci q o Saint Paul Page 1 �V!����
Department of F nan e and Management Servicea
Division of Lic nse and Permit Administration
UNIFORH CHARIT LE Al�LING FINANCIAL REPORT
uace 2/28/89
1. Name of Organization
2. Addrass ahere Charitabls Caablin is onducted ���Q E. Rose� St. Paul
3. Report for period coveriag �- 19� through 12-31 19�_
4. Total number of daye played 4 7
5. Cross receipts for above pariod t 186.232.45
6. Groea prize payouts for abovs pe od (iacluda cas6 ahort) ; 1�7y 7�1 q�
� 7. Net receipts - liae 5 minue lin� � 4Q�000_55
8. Expenses ineurred in conducting erating gaa:
A. Gross wages paid. Attach vo ker list vith
namea. addreases. groea vage . n er of hours ; 1(lr��n_Ra
worked, and amount yaid psr oe:r
• B. Rent for weeka, � = f�,5nn_nn
C. License fee = 600_00
D. Inaurance ; �-
E. Bond = ���•�0
F. Diahonored checks �t recove ed ; 29�•00
G. Accounting Expense f -�-
H. Employ�rs F.I.C.A. : ��5.$4
. I. Yulltab Tax Paid to Departu t o R�vamie i � ,037.85 _
� a. xsnA. u.c. r� ; 90.04
R. Fed�ral Exeias Ta: 3 Stasp = -�-
L. Str�s Gabliag Ta: i 3,822.��
H. liiscsllaaeoua Expenses. Ide tif tAa aaount
. and to vho� paid.
1• Advertising = 13� ��—
z. Gambl i ng Equi pment s _ 1_814_�_
(Leases, cards, ship , tc. )
3�(��ngoSSuppQi�es1 s 26.50
�Mothers day �• Seeger Flowers s 65_nn
Bingo 9upp,� ��•�ns�sale Club 24.6,�� ; 27,612.75
10. Nst Iacoa� - line 7 �ims lina ; 2� .�8�.g�
11. Checkbook balanee be6ianing of r! = 3,311 .$4
12. Total of line 10 aad 11
; n��Z Y� �— �77�G.'UY � " �(! l `�`+'��C�
' 13: Total contributions (froa attac d rksh�at) : ��.3�
i�?, QS�, lo g �.
14. Checkbook balance end of report g riod - �•7 �.���� �,�
' line 12 leas liaa 13 . � ��—
*See Attachments
�� � r r �i , rHU� _ _ '
, UNIFORM CHARITAB E MBLING FINANCIAL REPORT
' . LAWFUL PURPOSE C NT IBUTIONS - WORKSHEEC ��;��0
� Line #13 - Total lawful Purpose C nt ibutions. 3 15.877.37
-. List below all checks writte f m gamblinq funds which are
charitable lawful purpose co t butions. The total dollar
amounts of these checks must ma ch the amount claimed in
line #13. Use additional sh et as necessary.
CHECK # OATE � PAYEE CNECK AMOUN PURPaSE
I• 2310 1/26/88 Midway Training $ 2000.00 See Schedule C (Attached)
2, �y 4/27/88 Midway Training $ 2000.00 " " "
3. _ 2468 6/6/88 Midway Training $ 4000.00 " " "
4. 2497 6/26/88 Midway Training $ 2500.00 " " "
5, 2550 8/19/88 Smith Word,.P„roces in ,$ 2700.00 " " '�
6 Telephone 10/9/88 Midway Trairiing $ 3000.00 " " ��
firansfer
7. 2639 11/7/88 Midway Training $ 1500.00 " " ��
8. 2666 11/30/88 City of St. paul $ 47.29 Contribution City Youth Fund
g, 2592 9/30/88 City of St. Paul $ 45.84 Contri�bution City Youth Fund
10. 2525 7/24/88 City of St. Paul $ 37.01 Contribution City YOuth Fund
lI. 2694 12/30/88 City of St. Paul $ 47.46 " " "
12, 2672 11/7/88 City•of St. Paul � 8.30 " " "
13. 2567 8/31/88 City of St. Paul $ 66.78
TOTAL CHEC A UNT $ ` I��1�a� �0 � e"�'
NOTE: These expenditures will be prov'de to Council Members at your Council hearing.
- Be sure that your financ:ial rep rt is comp3ete and accurate.
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