89-756 N�MITE - C�TV CLERK COU11C11 y
PINK - FINANCE G I TY O A I NT PA U L
CANARY - DEPARTMENT � ��/n
BLUE - MAVOR � F�IC NO. �{� -
•
Co .nc� eso ut�on ��
� �__
Presented By
Referred To Committee: Date
Out of Committee By Date � --
RESOLVED: That application (T # 1120) for a Gambling Manager's License
by Robert B. Miller DB Catholic Charities at Christensen's Bar,
1567 University Ave ue be and the same is hereby approved/
�d.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� In F vor
Goswitz
Rettman � B
Scheibel Agai St Y
Sonnen
Wilson
1"WY — 2 T Form Approved by City Attorney
Adopted by Council: Date • -
Certified P s by Co ncil cr BY � �
By. ����
Approve by � avor: Dat Y ' Approved by Mayor for Submission to Council
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�,,,� - ���,T ����o ����r� ��r��r �. o 0 2 5 0 2
� , J. Carchedi>
�C�T - .� � DEPAR7MEPR DIRECT�OR � � �AAItYOR��(OR ItHB�TM(n � ..
Christine Rozek � — �8��� ��,«�
. � "�°� . �«,T,�o — �a� �`Counci 1 Re.search
Ft�ance & �.._ 298-5Q�� ono�: � «��� — - .
ApPI i+cation fo.r a Gamb1 i nq Mana r' li cen�e. -
Notificati�n Date: 3-1Cr89 Hearing Date: 5-2�89
11[Cb1�AENDA7fONS:(APprbw U)a R�l�1!_) CdNICIL N REPORT: , -
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NIM7�IQ'iw0ll.iMr�B{IE,OPPORTUNITY(NIIW.Whet.VM�efi.VN�sf9.Why): _ ,
Robert B. Miller DBA Catfiolic ha it�es requests City Coun ii approval of .
his application` for a Gambling N4� ager's License �.i� _�s .Bar,
1567 Un�versity Avenue. _ _
�u.rt�c+�twi+�.ua•�.�►�,>: � .
. All fees and applications have be n submitted.
; �o�eieoue�css twe.r.wn.�..�a fa wr�r.• _. : : .. .
If Ci ty Cour�ci 1 approval i s g ve , Robert Mi�'ler wi 11 manage the '
pulltab sales for Cat.holic Ch ri ies .at Christensen's .Bar. ,
. KT�IfM11V6f:, � . : t�7M8_ '
MtTplYl�dlis:
Cot��^�E1 Re�eurGh .�enter
��: �
�i�AR 31`�� .
. . ��-rs�
DIVISION OF LICENSE AND PERMIT ADMIN ST TION DATE J �1 0 / � �D (��
INTERPF.PARTMF.NTAL REVIEW CHECKLIST A.ppn Pro essed/Recei ed y
RO�r"E'i �vt�ILP�ic Enf Aud
Applicant �j�Q �-� �� M�j�� I� Home Address 3$1� �!�/.Q 1u GC��
�� a� �j ,-� �7--
Rusiness Name t c Home Phone � �/ „ �� - �d53
Business Address ( � Type of License(s)
Business Phone �5�01 �h LU-(V5� � � (,� j-�(,� Q�
Public Hearing Date s Z p License I.D. 4{ lv`���
at 9:00 a.m, in the Council C auibers g
3rd floor City Hall and Courthouse State Tax I.D, l� C�5 oZao�-Cf�
llate Notice Sent; � � � �`�� Dealer 4� � I�
to Applicant
rederal I'i_rearms 46 �
Pub.lic Hearing
DATE Tr'SP 'CT UN
REVZEW VEKFIED (C)MP TER) COMMENTS
A roved N t roved
�
Bldg I & D �
���
Health Divn.
, � �� �
�
Fire Dept. � �
' � ��- �
�
� ,
Police Dept. I
3 ��( � � ��
License Divn.
�
3,�� � � ��
City Attorney �
3 � D,�
Date Received:
Site Plan � �'
To Council P.esearch � �Jl �
Lease or Letter ` , Date
f rom Landlord ��•�
CURRENT INFORMATION NEW INFOItMATION
Ciirrent Corporation Name: New Corporation Name:
Current DBA: New DBA:
Current Officers: Insurance:
Boud:
Workers Compensation:
New Officers:
Stockholders:
City o S int Paui �C��` /��
;� � ► Department of Finan e nd Management Services
, � Division of Licens a d Permit Registration
; •,
� INFORMATI,ON RE UIRED WITH APPLICATION FOR E IT TO CONDUCT PULLTAB/TIPBOARD SALES IN
SAINT PAUL (Class B Gambling License in iq r Establishments - New Application)
1. Full and complete name of organizati n ich is applying for license
C, r�as �r ,S�a.•sx� ^ . .
�� �� ��-� s � `-K � �,•� � �� � �n �v�G ��
�
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?
Attach to this application pertinent fi ancial and/or organizational inf rmation to
support your answer to this question 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 randomly by the City Council.
3. Address where games will be held O
N ber Stre City Zip
4. Name of manager signing this applic ti n who will conduct, operate and manage
Gambling Games r Date of Birth j v`��j
(a) Length of time manager has been me ber of applicant organization
5. Address of Manager -�.�-,�--�1- � WQ � �Cc !�
Number t eet i City Zip
6. Day, dates, and hours this applica o is for
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 - � � �� f 1��
10. How Iong has organization been in xi tence? _�u.,^' ����('�
11. How long has organization been in xi tence in St. Paul? � r �, � ,� .
��+er �'�c�e vv u.w.� o L'a-'F�l�e (.l�( F �'�cc�
12. What is the purpose of the organi ti n? ���Gt( S•,en�9 ;� �
13. Officers of applicant organizatio :
Name � , r- � � � Name �� ���� r-�,��
Address oZa �(�( �-� � .�( Address 4c�'�- �. �� c�`� ��'lp�S I�hl
Title�-pC� ��;;j�- DOB � Title _ �. DOB � 2
� \ I-
Name� � � � � , �P. ^�r' Name �. �i�'�C� �, l.�c`��
r_
�
5�t, i�a,�,,..� LL�,n�x�v��-eJ
Address �� � ° �� ,y11�; Address ��� •`c�l,,,�T..; S+- S-r c?�..�1,
Title ��^�f {���,t������-DOB ' Title�p��, .-t� �--. DOB � �- �,�
/
, � , �, ��9--7��
. �
. 141� u;ye names of officers, or any other pe sons who paid for services to the
organization.
Name �� Name � b�VJ C�S �'G�v✓
Address L� � S`�- Address
.
Title � � Z' x � � � - Title ;� [���t''�7° � , ' ��SS��c � c.�-c'<�.�c;_
(Attach separa e heet for additional -:ames •
1�15. Attached h reto is a 1"st of names nd addresses of all members. of the organization.
�2e GC�C��o cr ex�c<wa�fts%--
16. In whose custody will organization' r cords be kept? /
� _ �L �`(Y�I�I,S!1 a� :- � ��� �Gt'�5f �� ST
Name ` - Address ��,�,.�.r�,� -� (Y1 554Gr�
17. List all persons with the authority to sign checks for dispersal of gambling proceeds:
Name � Name �L,����-P��1�.
Address �S� < �- r Address ��v�� ��fi �-(�,�5� . rnPIS ��i
Member of Member of
DOB ��.. O �!- �Organization? DOB ' Organization? ` Q 5
�
Name � . Name �� . `L� .
Address �{(o� �� �'�• Address �o� : � ��
Member of Member of
DOB Organization? DOB Organization? �.p S
�
18. Have you read and do you thoroughl u derstand the provisions of all laws, ordinances,
and regulations governing the oper ti n of Charitable Gambling games? •
19. Will your organization's pulltab e tion be operated/managed solely by members of
your organization? yes no
20. Has your organization signed, or oe it intend to sign, a consulting agreement or a
managerial agreement with any per on or company to assist your organization with the
pulltab sales and/or recording ke pi g? yes no �
If answer is yes, give the name a d ddress of the person and/or company contracted.
Name Address
Name Address
If answer is yes, how will such co sultant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Att h copy of said contract to this application.
21. Operator of premises where games wi 1 be held:
Name
Business Address � � �
Home Address • �5���
� � G��-7.s�'
, 22, a) Does your organization pay or in n to pay accounting fees out of gambling funds?
� yes no � �IrC�C�uvL�iw i s tilct�UC�IF� YJ�'} _
�`�% 't-���iv�.C.0 � Q:.:.d QCc:._vc.,.rv�4-�vi� �
b) If you do pay accounting fees, t w m will�ch fees be paid? �p� , ��`�
�
Name Address �� C�� �
�C ;' ��lt�_ �tt
DOB Member of rg nization? ��tv�L�U�,<w�
c) How are the accounting fees cha ge out? (flat fee, hourly, etc.) �`'''�`'
d) What do you anticipate will be ou average monthly deduction for accounting fees?
�. Amount of rent paid by applicant o ga ization for rent of the hall:
�
G G. r�
24. The proceeds of the games will be is ursed after deducting prize layout costs and
operating expenses for the followi g urposes and uses:
� - ' Q `
r � ' { Q�i e�o
� s � -t- � � s �
r ��(U+=,c�
25. Has the premises where the games e o be held been certified for occupancy by the •
City of Saint Paul?
O
''j, 26. Has your organization filed feder 1 orm ��,5 If answer is yes, please attach
° a copy with this application. If an er s no, lain why:
Any changes desired bg the applicant a so iation may be made only with the consent of the
City Council.
�'�ol�e. C�ncr��,�. a�� -(�c�e.l�. � ��_�aul tm
Organization Name
�
Date �����'',�" � /C�� By• �
( Manager in charge f game
,
�
� ��.�'rgan zation President or CEO
- • . .-•,, �w... � - . .
C ty o Saint Paul � `C ��
• - , �partnent of Fin ce a�d Management Senrices
� Licenae n Pennit Division L��-�'-7.��0
203 ity Hall
St. Paul, nne ta 55102-29&5056
APPLICA 10 FOR LICENSE
C_A�SH CHECK CLASS NO. ew Ren�ew
� � C
Date °� �� 19� �
� ; r- _
Code No. Title of License From � � � 19� �To - � 1 3�19��
o� � � ✓r � �i n i� �'' � ,a � 1� d'� ����C.�ZIJ
i � • � � �
100 U E(� fl Y�_ ��P� ��Q.,j.
�1 �1"���, Appliea UCom N �„ i /�J`�
1� ��cy� � �
' � � c
u � •��1 i { `:���SF�I� ���i
100 Business Name
� r /�
1�0 J� �� �/�W 1� i) PYj!t L� '�1'(.t LJ
8usiness Addnss PhOM No.
� � � (r1L/
, S I ' ��ICt �� ��l') S ' " (
100 Mall to Addroas Pho�e No.
100 �0 I�.P �'� �� r_1 I���p,
ManayeNOwnsr-Nam� �� ,{�— �,� �_
,o0 3�.�. 7C1 .2 �Yrc � •
100 AtanaperlGwnN•Hom�Addnss Phon�
1008 Applitatfon Fh 2. �
Reaeived the Sum of 100 �Q� Ct � f L�1 r^� S�J �a�
�
f Z , ,(� Ma�aqer/ r•City,Stat�3 Ztp Cod�
100 T tal 100
-�� :� �.;r.�
Liqnse Inspector �� By: tZ Siynalw�of Applieant
Bond•
Company Nams Poliey No. Expkation Oab
Insurance•
Compsny Name PoUey No. Expkation Daa
Minnesota State Identification No Social Security No
Vehicle Information:
S�rial Number ab umb�r
Other
THIS IS A EC IPT FOR APPLICATION
THIS IS NOT A LICENSE TO OPEAATE.Your application fo Itce se will either be granted or�eiected subject to the provisions of tha zoning
onllnanc.and completion oi the inspsctiona by ths Healt , Fir ,Zoninq andlor Licenss Inap�ctors. _
$15.00 CNARGE OR ALL RETURNED CHECKS
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�LTB�L� � . R!L�T� i�O lZ��:
. 1.11�Ll`l �� p� LT I�A�Z�L`! RECEIVED
. iNAR 1s1989
CITY CL�R�
,
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� _ � � �i0.
�
Dear Property Owner: L 16395 w
Application f r Class A gambling location license. This
license allow t e bar owner to lease space to a charitable
PU��S�. organization Ca holic Charities) for the sale of pulltabs
• and/or tipboa ds.
�F p.�=��� Victor A Masa z F Jeanne Masanz dba Christiansen's Bar
. �
�d�'-�L���( 1567 W. Unive it Avenue
r— —• a 2,, 1989 9:�J0 a..�. �
, � � �� �!�C Cit7 Couac Y ers, 3r� i?ocr Cic7 raL? - Cau-_ :.cusa
3y Lic�sa d ?�-�c Di�rs;,aa, De�as--�e:c az =���acs aa� `
�Q�!�.i.. S�*r► �aag�eaz a �crs, 3ca� Z03 Cic� ca.L - C�urr :ausa,
Sai.t ?�L, w; oca
298-��750 �
• 2'h=s data �ag be c�aag�3 cJith u t�e conszat �d/er �.a�:?e�ge oi c�e
L=csns� �c Pe��= DivT:��. L� is suga?stad ��a= vov, c:?= t`�e C?=:r
C=e=ti' s OL:_c_ ac ?O8-�=3L �� � �.�*sa c�n=_—ac���.