89-658 N�MITE - CITV CIERK CQUQCII V � / ��
PINK - FINANCE
CANARY - DEPARTMENT G I TY F SA I NT PAU L � v
OLUE - MAVOR File NO. 0
ou i R solution -��
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Presented By `� ^�
Refer To Committee: Date
Out of Committee By Date
RESOLVED: That application ( D 17748) for a Gambling Managers License
applied for by Mar L nihan DBA St. Bernard's Grade School at
Rudy's Tin Cup, 12 0 ice Street, be and the same is hereby
a p p roved/�e�ai-ec�
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
I.ong [n Fa or
coswitz
Rettman {'i B
Scheibel A ga i n t Y
Sonnen
Wilson
APR 1 31 Form Approved by City At orney
Adopted by Council: Date . Z�/�
Certified Pas Councii Se etar / By �
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By, �
blppro d Mavor: Date f'W�R � `�� � U9 Approved by Mayor for Submission to Council
By BY
pUg��� A P R 2 �' 198
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. . OIMONA7�G11.� . � _-.. .. .. � . � , DATE T�. 9ATE t�MR,ET�.... . .� .
J. Carchedi �`i _ � ����:� tro:`Q Q�����
cONr�cr o�a�ar�o�crow awYOa row�w,n
CMristine R��ek — �g�,��� �«�;«�
�. � �. — ��«, ! �1 Cour�c�l Research
,F na�n : .. • 98-5056 °p ' 1 ��� - _. ' ,—� - .
Appl i ca�i t��� for a Gambl i ng .Ma s Li cense.
Notif�catioi� Date: 3-29-89 Hearing D�te: 4-13-89
. : _ _ : •u+ev►o�.uq or�. > R�a�r:
�oo�asion ava.�cow�ussw�, o�� r�n�our �.rsr r+a�No. _
zo�+MO� reo sts act+ooi.8b�wo -
sr,� , aw+�n ca�saH ns is �ooL wFO:rooEn �ro ro coar�r �r
D D
. � .. . � - _ � .__FOR ADD'L IIAb. _._I�E08�dC�.* .
. - D16TRICT:OOUPIpI�._ . .. . . . - ; � . . . � . .
TION:
.. � �'8UPi0R'18 WiMCM�00lNICL O&IEC'1IVE4 . . . , . . . . . � � . . � . . . .
. . . .. .. . . . . . � . � . , �I . . . . . . . . . .
: . .� _ . .-. .�. .. :: .. . �. .� . ��.� .
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: IIIIiU1TN18 AIO�L.�k OlPON'TINItTY(iMa,Wh�t.WNen�Whero.Whp). .
Flark Leni�harl D6A St. Bernard's Gr de School at Rudy' T%n Cup, 1220 RicE Street;
_ requests Council approval` nf h s pplicati6n`for a mbling Manaqers Licer�se.
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�a�►tau�wew�.�a�r�..: : . , . , ; �
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All fees and app�ications have be n subm�tted.
; .
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�'�.wn.�:.an�c wnor„r.. . . . . -. , : � ..
If Cou�aci 1 �rpproval i s gi ven, r Leni i�an wi l i. manag the pul l tab �oa.�i� :
for St. B�rnard's .Grade ScMool
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� UiVISION OF LICENSE ANI) PERMIT ADMIN ST TION llATE � `�� 0 / °� �7 Cpy
INTERDF.PARTMENTAL KEVIEW CHECKLIST A.ppn Proc ssed/Received
Le h� h u P� Lic Enf Aud
� ` 1
Applicant Q(`l� L�YQ hQ�'1 Home Address ��.3 � . (���Q �h�� ��
#�3o y
Rusiness IvTame �.. �,�►� r- � Home Phone
5� �'W 1
Business Address �oZQ Type of License(s) � (,�'rp b�in�, �C� �
Business Phone ��� "75gS
Public Hearing Date �'" f 3 � r License I.D. �1 � 77 4�
at 9:00 a.m, in the Council Chauibers
3rd floor City Hall and Courthouse State Tax I.D. �� �/�-
llate Nutice Sent; � �n � � Dealer �f N�/-�
to Applicant ��� I (`1 �'
rederal Firearms �� IU�/�
Public Nearing --T�
DATE IrS EC' IUN
REVI�,W VERFIED ( 0 UTER) CUMMENTS
A roved ot roved
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Bldg I & D �
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Health Divn. '
, u�� ,
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Fire Dept. I �
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: 5.ent a-la 1g
Yolice Dept. f
3 0�
License Divn.
;
� a � �! o �.
City Attorney �
3�z��s�i , b,r�
Date Received:
Site Plan _ fv /t � �
To Council P.PSearch
Lease or Letter f , ate
from Landlord N
�� � i�7�-�
-�' CI of Saint Paul
' � Depa�tment of na ce and Manageme�t Services
Lice e nd Pennit Division
• � Gty Hall
St. Pa ,Mi neaofa 55102•298�5056
APPLI T ON FOR LICENSE
CASH CHECK CIASS NO. N w Renew
o a o � ��
Date � � 19'' �
Code No. Tttle of Licenae �/ �] ��1 ^
Fro a�� 19�JTo �"'�Z� ! '"19 ��
I � � � �
� �oo ,i��ct r �C �-ei r� �'1 Q n
AppliCanUCo pany NarM
100 1 �' )
�'�!-,c� S�, - � t� ; ���,,-1 c l`�fc���..
100 eusln�ss Nam�
S('h c� (
_ ,
,ao 1 a.�o Q � cx. �-�,���'
� Busin�ss Addhss Phon�N0.
100 � �
sr . <<�. I ���� ; , ���7
100 Mail to Addreas Phon�No.
�oo ,� i r �C C...Q r1 i c�G �Z
ManapalOwner•Nsm�
100
I S 3 �. �., �H f� �an�.lw k u
t00 Atanapa/GwMr•Hom�Add ss Plwn�No.
IOPd Applleatlon FN 2 Sp � �jb�}
in.s�m o� n,00 L�-�'�(e �Cc v►4�G , i� v� 5�117_ _ _
- � �V� bl a n.p.ao�wnn«•Gtp,sua a ao coe.
100 T lal 100
�q.� �'i'tii;r�.r°.��ItiZG!!it12��J
license Inspeetor �� By: � Sqnaturo o��poWeam
Borid• . .
CompaMr Nune Poliey Na Expintion Dat�
I�surance•
comaanr N,m. ao��cy Na Eapintlon�al.
I Mfnneaota State Identffication No Social Security No
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` Vehicle Information•
: SNlal NumbN at� umbN
Other
THIS IS A RE EI T FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE Your appifcation for I �en will eithe�bs pranted or rejectsd subject to the provisio�s of the zontn�
oMinance and eompl�tlon o(th�insp�ctions by the Health, ire, a�inp andlor Licens�Insp�ctors.
$15.00 CHARGE F L RETURNED CHECKS
�i����� � � � ��
Ci y f Saint Paul
� Department of F na ce and Management Services
. , Division of Li en e and Permit Registration
INFORMATZON REQUIRED WITH APPLICATION OR PERMIT TO CONDUCT PULLTAB/TIPBOARD SAI.ES Iv
SAINT PAUL (Class B Gambling License n iquor Establishments - New Application)
1. Full and complete name of organiz ti n which is applying for license
�
2. Does your organization meet the d fi ition of a "large" organization as outlined in
the November, 1988 revision of Se ti n 409.21 of the Legislative Code?
Attach to this application pertin nt financial and/or organizational information' to
support your answer to this quest on NOTE: Only 5 large organizations will be allow-
ed to open pulltab operations und r he revised city ordinance. If more than 5 organi-
zations apply, qualified applican s ill be selected randomly by the City Council.
, � '���'
3. Address where games will be held � , �� �
umber Street City Zip
4. Name of manager signing this appl'ca on who will conduct, operate and manage
Gambling Games , , Date of Birth �-�`� -'IG.J
(a) Length of time manager has be mber of applicant organization � ��C L,,1�
� � � ,� .�.� r� � ��
5. Address of Manager �,��,' � j `� �^,.:Y�Y � ��'�'�5���
Number Street City Zip
� �
6. Day, dates, and hours this applica io is for ��" ���� 'w .3, ��
7. Is the applicant or organization o ga ized under the laws of the State of MN? _���
8. Date of incorporation
9. Date when registered with the Stat o Minnesota '�-��-��q�
10. How long has organization been in xi tence? �c7
11. How long has arganization been in xi tence in St. Paul? , � �
12. What is the purpose of the organiz ti n? !�/ � �/ ������v
13. Officers of applicant organization
Name � Name ,/� ,
Address , Address ��� /�,
, -
Title ���� ��J r OB : ,.� � Title � DOB :';� -y�- �7�
Name � �� Name ����'l.�.(,t� ' ���(.dLCJ(.•�./�(��
Address l�f LZ'(/(�y Address �.��` ( ��:l,1.��-t:' �t�.i,' � .
' � ;� �y''� � � �l
Title � W�OB /� "��� - Title � DOB �Q- ��G'�
. a�
� 14. Give names of officers, or any ot er persons who�paid for services to the
• •organization. �
Name Name
Address Address
Title Title
(Attach sepa te sheet for additional names.)
15. Attached hereto is a list of names an addresses of all members of the organization.
16. In whose custody will organization's ecords be kept?
� O " �
Name ��11/Illls �dNQ(,lq/� Address l�lo �
17. List all persons with the authorit t sign checks for dispersal of gambling proceeds:
� 5���1�.CULL �
Name Name
Address '3 . � � Address //�� �, [��v
ember of Member of
DOB �- �y- �y.� Organization? DOB �-�-- L%-� Organization? �
' / �
Name ^ � �7 n � Name ,�`��-lU/I,�f�/�,' ��f�'/E.��5 �J'��' ,(�
Address '7g(i1 � � Address jq7 �a�/�-/U i l,(./X�(�lJ� �
Member of Member of
DOB 3- 3(�-5� Organization? DOB �{��-?�(p Organization? ��.�',Q
�^
18. Have you read and do you thoroughl u derstand the provisions of all laws, ordin nces,
and regulations governing the oper ti of Charitable Gambling games?
U
19. Will your organization's pulltab o e tion 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 organizati�ith the
pulltab sales and/or recording kee in ? yes no
If answer is yes, give the name an ad ress of the person and/or company contracted.
Name Address
Name Address
If answer is yes, how will such a c ns ltant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Attach a opy of said contract to this application.
21. Operator of premises where games wi 1 e held:
Name (.,(/�{'s � � � � � � lU��
Business Address � d � C� c> ��� � rr(,�-/�- /I /!V. .5.��� !
, (J � ��-� ,�� SS//'7
Home Address
. 22. a) Does your organization pay or nt d to pay accounting fees out of gambling funds'.
• � yes no
b) If you do pay accounting fees, to whom will such fees be paid?
Name Address
DOB Member o 0 ganization?
c) How are the accounting fees c ar ed out? (flat fee, hourly, etc.)
d) What do you anticipate will b yo r average monthly deduction for accounting fees?
23. Amount of rent paid byr�pplicant o ga ization for rent of the hall:
,
'��Q���', . L�
24. The proceeds of the ames wil be is rsed after deducting -prize layout costs and
operating expenses for the followi g urposes and uses:
� �4�-C11'l//'
25. Has the premises where the games a e o be held been certified for occupancy by the
City of Saint Paul?
26. Has your organization filed edera f rm 990-T? �(� If answer is yes, please attach
a copy with this application. If s er is no, explain why:
� / ! �( �
Any changes desired by the applicant ass ci tion may be made only with the consent of the
City Council.
�l, `,����L�SC_�1�.,�'""
Organization Name
�/ ,
Date ���,� - By� �� C
Manag in arge of ga�ne
��ti+�-� �"
Organization President or CEO
. � .
TO E OMPLETED BY
ORGANIZATION PRE ID NT AND GAMBLING MANAGER
I understand and will uphold S in Paul Ordinance 409, Sections 409.21
and 409.22 relating to pulltab a d tipboards in bars.
Further, I understand that my ar ar must meet city standards; that l00
of the net profit from pulltab sa es must be returned to the City-Wide
Youth Fund on a monthly basis; th t monthly financial statements must be
filed with the City; and that 1% of net proceeds must remain in St. Paul
or be used to support St. Paul re idents.
v
ignature - M ager
ignature - Organization Presi nt
rgan�zation ame
�'' S
Gambling Locat on
Date
Please retain the at ached ordinance for your records.