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89-751 WHITE - C�TV CLERK CO�IIICIl n PINK - FINANCE GITY OF AINT PALTL CJ'" �� CANARV - OEPARTMENT � / BLUE - MAVOR File NO. f - � Coun i esolution �x►� ; �_, Presented By , Referred To Committee: Date Out of Committee By Date RESOLVED: That application (I # 9I07) for a State C1ass B Gambling License by the Fort Sn lling Lions Club at A1ary's, �Q� W. 7th Street, e nd the same is hereby approved/�d: 249 COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond .--�� [n Fav r c,oswitz Rettman �ne1be� _ Agains BY Sonnen Wilson Y. �WY � � Form Appr ved by City A orney Adopted by Council: Date Certified Pass d Council S ar By ' ,��� sy� � A►pproved INavor: ate 1-W � � Approved by Mayor Eor Submission to Council By �-�-- �-�= ^--'` BY �����,t�9 :�;,:�,'�` 1 �� 19 9 Mi�eru • � .. . oa�e.ou► oR�c�cetw _ �/' � ��` J. Carchedi ���� �i������ t►w.��2�J�� . CONiACT PEA5OF) � � .. . . . . �_. DEPARTMEM D�RECTOii � .. �N11YOR�1���Tl. . .- CI11"1 '��t7@ ROZ��C :� _ �a ww�eerm+t seni�owECron 3 cm c�vrr : �,� - 2 �uncil �esearch _ F' & , ` , � �, 1 � CRY ATTORNEY � .:- ��. � , ;: . ApprovaT of :an applicatian for a 1ass 6 Gambling Li�erts�. Not�ficaticrn Date: 4-17-89 Hearing t�ate: 5-2-89 �10Mt:(/ivwov+t+�1«�(F+)) COUt�c� nEpoatr: ' r�u�x;oo�oN cnw,s�co�ss�a+ on�m w�an uuarsr vrar�po. mPtlNO COIMMBSION . 19D 6E6 SCHOOL.80ARD . . . . . . .. ..SU1FF. . . � � . .CFNRIER COMMISStON . . _ . IS�� . -ADDL NiPD.AODED* : _..�!�l�.'� _�CI(!� ��� � � _ 016iftlC�OOUNCIL . � � � . . . � , . . �� BWPORTB NIIYCII COUqCL 08JECTNE? � . . � . . . . � � . . �. � - �. � . � � � . � . � . .. . . :� � ... �� _ � .: . NN11A7M�P11�1M�Yr 1���011'RNf�Y(VNW.rMM�f.VYFI!(1.MThlIM.YYh�Y►I The Fort Snelling Lions Club, an A. Lindquist-Mgr. , requests City Council approval of_it� appl icati�n .for. � l ass B Gar�1 i ng Li cense a�-�➢i�s, � ��49 W. 7th�Street. Pro�eeds f , u.1ltab sales wi:11 be used for.. Yaricws � - _ char�it�ble warks. 51�. �ri11 be on ted to the West 7tft Ct�mmunity. �urtwc�ro�r�e.�.n�s,.�+rw�a�...�e�t:. ;, , _ ., _ If Council approval is given, t e ort Snelling Li�ns Club w�li operate .a -pullt�ab booth at. Aiary's, _ , __ � . _. . , _ ._ �tM�:wnen...00 l�r�9wmy: •_ - #LilRWA11UlE: t�l18 MR?ORYfi�DENiS: Note; This is one of the large rg nizat�i�s chosea by an �mpartial ctrawing at the Mary 9, 1989 Coun i1 �eting. ` .. uo+�.�: " (Urr j� a l d� �� �F���J�/ y TiiVISION OF LICENSE AND PERMIT ADMIN ST TION llATE � � O / J L7 0 Cf INTERDF.PARTMFNTAL REVIEW GHECKLIST A.ppn Proc ssed/Receiv d � /ro /�� Lic Enf Aud Applicant �QY'� Sn�, �(,� Li on � u�Home Address J,� L, r��t 15 �" Rusiness I3ame � � 5 ��l � 3 r �t�-�� C� �5 l} G Home Phone /� Q v�� S /� Business Address (,� `i�l Type of Lic.ense(s) l: �Q� � Business Phone �� qy� �j Ir n� �-� C,�/hS'� � Q Public Hearing Date � � 0 License I.D. 4{ � Cl � �� at 9:OQ a.m. in the Council Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �� �lJrr4 r llate Nutice Sent; , �I�� Dealer 4� � J�' to Applicant rederal I'irearms 46 ��� Public He�.iring DATE TNSP CT UN REVtEW VEKFIED (C MP TER) C�MMENTS Approved N t roved � Bldg I & D 1 �I� , Health Divn. ►�-� I ,� ' , Fire Dept. � � � N�� � I ( Police Dept. 3 I I �t �j 0 /� � . License Divn. ' � �� �1 ' d,�. City Attorney � l� I� �i ± � /G- Date Received: Site Plan [ �� rJ ��k � To Council P.esearch � � Lease or Letter Date from Landlord � 7 � _U ' � '.� , y • � r , / Cha�itable Gambling Control Bo rd FOR BOARD USE ONILY Room N-475 Griggs-Midway B ildi ��N� 1821 University Avenue St. Paui,Minnesota 5510433 PAID (6121642-0555 AMT '' CHECK# DATE GAMBLING LICENSE APPLIC TI N INSTRUCTIONS: A. Type or print in ink. B. Teke completed application to local governing body,o ain ignatu�e and date on all copies,and leave 1 copy.Applicant keeps 1 copy and aends original to the above address with a ch k. C. Incomplete applications may be returned. D. Enclose license fee with application. Type of Application: ❑Class A— Fee S 100.00(Bingo,Raffles,Paddlewheels, ip ards,Pull-tabs) �ass B— Fee S 50.00(Raffles,Paddlewheels,Tipboa s, II-tabs) M��•a�m� OClass C — Fee S 50.00(Bingo only) Mx,""°uc�wte'a'a'"�n"��°"°'°ieora ❑Class D— Fee S 25.00(Raffles only) Chack one: �1 A. Organization has never been licensed. �18. New site —Give base license number. 0 ❑1 C. Renewal of existing license—Give com let license number. � - 0 - 0 ❑1 D. Change in class of an existing license— e c mplete license number. � - 0 - 0 ❑Yes No 2. Has organization ever received a Lawful G mbl g Exemption Permit from the Board? If yes,give complete permit number ❑Yas�'No 3. Have Internal Controls been submitted pre iou y on a form provided by the Boardl If no,please attach copy. 4. Applicant(Official,legal name of orgjnization) 5. Business Address of Qrganiz�8tion .� � �� � ^ � , , .�_- �.. ,v, , . S `- u .S� /' 3 „�.�r.�o� 6. City,S te,Zip 7. C u ty 8. Business Phone Number �1 , i'' , �'S`tl 1 (��Z. ► ?z 7-!S l.e 9. Ty e of organization: 1�Fraternal ❑Veterans ❑Reli iou OOther nonpro�t• •If organizadon is an"other nonprofit"organization,answer q sti s 10 through 12.If not,go to question 13."Other�onprofiY'o►ganizations must document its tax-exempt status. ❑Yes o 10. Is organization incor orated as a nonprof' org nizationT If yes,give number assigned to Articles or page and book number: �� A y of csrtlflcats. DYes o 11. Are articles filed with the Secretary of Sta e1 OYes[$No 12. Is organization exempt from Minnesota or ede al income tax�If yes,please attach letter from IRS or Department of Revenue declaring exemption. ❑Yes f�No 13. Has license ever been denied,suspended r re okedl If yes,check all that a ly: ❑Denied OSuspe�ded ❑Revok ive date: 14. Number of active members 15. Number of years n ex stence Note: Attach evidence of . � ,� thrse years sxistence. f 16. Name of Chief Executive Officer(Cannot be 17. Name of treasurer or person who accounts for other revenues �aafnbling Manager) of t e organization(Ca t be Gambling Managerl d,v �c./ � 0 K u 5� rt rnie 'S . S '£- Business Phone Number Business Phone Number 1 ��/Z � _" -7 Sc' 1 1 3 �— 7? 18. Name of establishment where gambling will be 19. Stre�t adc�ess(not P.O.Box Number) conducted �t y`� � � 's GtJ► �" S � 20. City,State,Zip 1. Coy�where gambling premises is Iocated) C � � � �� CG-0001-0318/88) White Copy-Board Ca�ary-Applicant P'ink-Local Governing Body e of 2 r. � _ � , . /-/�'��`��/ ' - #.:.• . -_ s V' Gambling License Application Type of Application: ❑Class A �Class B CI C ❑Clsss D (�.Yes�No 22. Is gambling premises located within cit limi s? �(es❑No 23. A�e all gambling activities conducted a the remises listed in#18 of this apprication?if not,complete a separate application for each premisea(except ra les as a separate license is required fa each premises. ❑Yes�lllo 24. Does organization own the gambling pr mis sl If no,mach copy of the lass�with terms of at least one year,and attach a skstch of the premises indica ng hat portion is being leased. A lesse and sketch are not required for Class D applications. 25. Amount of Rent Per 26. Do you plan on co�ducti g bi go with this licenset If yes,give days and times of bingo occasions. Month o�Bin o Occasion Day ime Day Time Day Time $ es ONo 27. Has the S 10,000 fidelity bond required by inn ota Statutes 349.20 been obtained7 28. Ins nce Company Name not agency namel 29. Bond Number �� 7'-� � ^ d 30. Lessor Name 31. ddr ss 32. City,State,Zip 33. Gambling M,�ager Name 34. ddr ss �� � 35. City, tate,Zip �C. •�, � :1� / '.L-�' �-- ' � '� � � 36. Gambling Manager Business Phone 37. Date gam ling anager became ( �y�Z� -� Z�_��.L� member o org nization: Month l�ar � �Yes❑No 38. Has the license termination form been com ete Attach copy. OYes❑No 39. Has the compensation schedule been appro ed the organization?Attach copy. 40. List the day and time of the regular meeting of the organiz ion.Day Z"� �t �/�' u��, Time '?:�� _r_� p,,n . 49� Bank Name 42. Bank ddr s 43. Bank Account Number � !� � �« `=�r,� � �<_� �-- �;�� � , c.ot� , l� � , GAMBLIN SI AUTHORIZATION By my signature below,local law enforcement officers or ge ts of the Board are hereby auttwrized to enter upon the site at any time gambling is being conducted to observe the gambli an to enforce the law for any unauthorized game or practice. BANK REC RD AUTHORIZATION By my signature below, the Board is hereby authorized o in pect the bank records of the gambling bank account whenever necessary to fulfill requirements of current gambling rule an law. I hereby declare that: ATH 1. I have read this application and all information submi ed o the Board; 2. All information submitted is true,accurate and comp ete; 3. All other required information has been fully disclose ; 4. I am the chief executive officer of the organization; 5. I assume full responsibility for the fair and lawful ope atio of all activities to be conducted; 6. I will famitiarize myself with the laws of the State o Mi esota respecting gambling and rules of the Board and agree, if licensed,to abide by those laws and rules,including me dments thereto; 7. Membershi list of the or anization will be available ithi seven da s after it is re uested b the board. 44. Off',,�.i,a�l Le 1 Name of Organi tion ! 45. Sigr�ature(must be signed b�y�Chief Executive Officer) /� � r.. � X ����.,...�.. .�� ,� +,,._.,.�....� Title of S' er Date �� E . ACKNOWLEDGEMENT OF OT CE BY LOCAL GOVERNIN�3 BODY I hereby acknowledge receipt of a copy of this application. y a knowledging receipt,I admit having been served with notice that this application will be reviewed by the Charitable Gambli g C ntrol Board and if approved by the board,will become effective 60 days from the date of receipt (noted below) unless a res lution of the local governing body is passed which specifically disallows such activity and a copy of that resolution is rec iv by the Cheritable Gambling Control Board within 60 dsys of the below noted date. 46. Name of City or County ILocal Governing Body) If site is located within a township,item 47 must be completed,in ,;� �_`, -� , addition to the county signature. If township is not organized, t..�1,+..� ; � �..,:C '�'',u,�:�._J county must sign. Signature of p son receiving application 47. Name of Township �� X '� �. cL..-� t L.: ;�-C� � ����',�/ Title Date received(60 day period Signeture of person receiving application � • ,•, begins from this d�te1 '��A !�h'` :'li �'1'� - � 1:'� <�`_� X 48. Name of person deNvering application to Local Goveming Title CG-0001-03 (8/88) White Copy-Board Canary-Applicant P'ink-Local Goveming Body ge of 2 --�--- ,.. . - . 8�T/07 ity f Saint Paul Depa�tment of Fi nc and Management Services ��'�`�5� Licens a Permit Division 20 City Hal1 St. Paul, inn sota 55102•298•5056 APPLIC TI N FOR LICENSE CASH CHECK CLASS NO. Ne Renew 0 0 -�-!�- 0 Date � Z � 19� � Code No. Title of License From � z� 19��To � �� 19 �� �2��r3 �-F� � Cl�ss ►3 - � � �� ) � �� ���� J H � l(� nG C./Un .S �L �C�'%"1 t�i� n LI(' � AppllcanUCompanyName 100 • —� (�-t- .� ir ��, j '� � I u � ,�•� 2-f-Y 100 Business Name d h� � ��r� c 1� -.�Z���� �J j`�")1 y� Businssa Address PAOn�Na 100 �� . � ,� ! , l'�,� 5.=;/� Z 100 Mail to Address � PAOne No. r �. �oo �� � � ry �rr� Cl ! tif `_ ManaqerlOwnsr•Nam� L 100 S S- y� �i`�r�' ��:.r SL 100 hlanagsNGwner•Home Address Phont Na 4p98 Application Fee 2 50 1 Recelved tha Sum of 100 f�'( ��`, , �� �� �� y/ 7 3 �, o�� (danayer/Owner• ,Stab 3 Ztp Code 100 Tot I 100 1 � � r � License InspeCtor � � By: �� �C Stqnatura Apptieant Bond• Company Name Polfcy No. Expiration Oate Insurance• , Company Name Policy No. Expintion Datt Minnesota State Identification No. Social Secu�ity No Vehicle Information: i Seriai NumOer ab umba Other THIS IS A REC IP FOR APPLICATION THIS IS NOT A LICENSE TO OPERATE.Your application for tic nse ill either be granted or rejected subject to ths provisions of the zonin� � ordinancs and completfon of the inapectiona by the Health, Fi ,Z ning andlor License Inapectors. $15.00 CHARGE FOR AL RETURNED CHECKS � �_, fi,�� .,6�3-/O �9 � 7, / � . • { ' � City of Saint Paul ���`��� } Department of Fin nc and Management Services Division of Lice se and Permit Registration INFORMATION RE UIRED WITH APPLICATION FO P RMIT TO CONDL'CT PULLTAB/TIPBOARD SALES I;1 SAINT PAUL (Class B Gambling License in Li uor Establishments - New Application) 1. Full and complete name of organizat on which is applying for license : � �c3r'-T ��= i � ` 2. Does your organization meet the def ni ion of a "large" organization as outlined in the November, 1988 revision of Sect on 409.21 of the Legislative Code? �11/% Attach to this application pertinen f nancial 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 th revised city ordinance. If more than 5 organi- zations apply, qualified applicants i 1 be selected randomly by the City Council. 3. Address where games will be held r �;'; �� ��%, �I �'L N ber Street City Zip 4. Name of manager signing this applic io who will conduct, operate and manage Gambling Games ' � •� ^� Date of Birth � (a) Length of time manager has been em er of applicant organization /�k'S + 5. Address of Manager S5�/- c' �/�l�. ; ,�'+ • "��'L(/,I Number . Street City Zip 6. Day, dates, and hours this applicati n s for 7. Is the applicant or organization org ni ed under the laws of the State of MN? � 8. Date of incorporation � r� 9. Date when registered with the State f innesota N �g- 10. How Iong has organization been in ex st nce? % 7 �Z (�/�S. 11. How long has organization been in ex st nce in St. Paul? //7�L �//2S: 12. What is the purpose of the organizat on •� �/��. /�-� l�C�ut_ .=ic.��T � !� OC! Lv �'L�A E C � .'T � 13. Officers of applicant organization: Name � O� Name �f_� O lt i..[A S�C�.,o � Address 7 Z. " — •�. Address �Q(p�%7 Ll//C�� ��: �D�S� Title DOB 'Z- � �- r6 Title �pt,�q5 , D�B O 3� Name � Name Address �'`"S 7-�.�1= Address Title •=,��_ , DOB / Title DOB � ������.�r 14. Give names of officers, or any other pe sons who paid for services to the organization. Name Name Address Address Title Title (Attach separat s eet for additional names.) 15. Attached hereto is a list of names a d ddresses of all members of the organization. 16. In whose custody will organization's re ords be kept? ..-r— -��� � �'.�5., Name ' Address ��y/- �/ � r,-� �- . �.� 17. List all persons with the authority o ign checks for dispersal of gambling proceeds: Name �1- �/ S� Name Address j -1 ="��'�I- ; �� , � � Address Member of Member of DOB ' l � Organization? 1 � DOB Organization? Name �; ' , Name � Address - �$-�= .x ._ _ ., , Address Member of Member of DOB � Organization? " DOB Organization? 18. Have you read and do you thoroughly nd rstand the provisions of all laws, ordinances, and regulations governing the operat on of Charitable Gambling games? l� 19. Will your organization's pulltab ope at on be operated/managed solely by members of your organization? yes no � 20. Has your organization signed, or doe i intend to sign, a consulting agreement or a ma.nagerial agreement with any person or company to assist your organization with the pulltab sales and/or recording keepi g? yes no X If answer is yes, give the name and dd ess of the person and/or company contracted. Name Address Name Address If answer is yes, how will such a co su tant be paid? (percentage, flat fee, gambling funds, general funds, etc.) Attach c py of said contract to this application. 21. Operator of premises where games wil b held: Name L L-� �s� � /�'' / /r S �Lv� ��� -�-+N��, Business Address �� � �' ' Home Address 1(p 3� G��`-�cd�t=���`i+ /�K' J�l�� � �jC�`�.5� 22, a) Does your organization pay or int nd to pay accounting fees out of gambling funds? yes x no b) If you do pay accounting fees, to wh m will such fees be paid? Name � , '"'� Address ���%/-��=``Pj'�,...�; �, . ��5 � DOB Member of 0 ga ization? �_ c) How are the accounting fees char ed out? (flat fee, hourly, etc.) � `L d) What do you anticipate will be y ur average monthly deduction for accounting fees? � Z-Grn��=.�, . 23. Amounz of rent paid by applicant org ni ation for rent of the hall: '� C;�C'�c70 r l.:� 24. The proceeds of the games will be di bu sed after deducting prize layout costs and operating expenses for the llowing pu poses d uses: . Y �� n � � / � � �� 25. Has the premises where the games are to be held been certified for occupancy by the City of Saint Paul? � S 26. Has your organization filed �federal 0 990-T? � S 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. . 0 . Or niza Date �/ D By: � Mana r o me '� �dl��trl^ � L-._ Ll�ati ._. ° Organization President or CEO � �;��-7.�r TO 6 C MPLETED BY ORGANIZATION PRES DE T AND GAMBLING MANAGER I understand and will uphold Sa nt Paul Ordinance 409, Sections 409.21 and 409.22 relating to pulltabs an tipboards in bars. Further, I understand that my j rb r must meet city standards; that 10°0 of the net profit from pulltab 1 must be returned to the City-Wide Youth Fund on a monthly basis; ha monthly financial statements must be filed with the City; and that 5 % f net proceeds must remain in St. Paul or be used to support St. Paul si ents. i ' / � { ; y . '�.GL�, i � • nature - Manager� - � ��.�t/.�'t' �- � � `-LC Z' �" Signature - Organization Preside t � � , , .�..v•- .¢ i ganization ame � - � �C/��� � ��� amb ing ocation , c Date Please retain the tt ched ordinance for your records.