89-872 WHITE - C�TV CLERK
PINK - FINANCE COUnCll �//�(�^� P
CANARV - DEPARTMENT G I TY O SA I NT PAIT L File NO. v , " ��
BLUE - MAVOR
,, "Cou ' Resol tion �
�
_ ,_,.
,
Presented By
Referred To Committee: Date
Out of Committee Date �
RESOLVED: That application (T #69573) for renewal of a State Class A
Gambling License by the Church of St. Bernard at
197 W. Geranium, be and the same is hereby approved/
�
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo� __ � In av
�
Rettman B
Scheibel � A ga n s t Y
'f�we�
Wilson
MAY i 8 Form Appr ed by Cit Attor y
Adopted by Council: Date ' - � �/��
Certified a••ed by Council Secretary BY �
By
tap o by Mavor: Dat MAY 2 4 �9 Approved by Mayor for Submission to Council
_ By
p��R114NE9 J l �J 3198
_ . . ��z,�-
�P,►�,�E�ro���,��►�� DATE INI ATE GREEN SHEET No. 1 7 6 0
Fi nance/Li cense INITIAU DATE INITIAUDATE
CONTACT PERSON 6 PMONE �DEPARTMENT DIRECTOR �CITY COUNCIL
Chri sti ne Rozek 298-5056 � �aTM�TTO�N�r 0 CT''c��c
MUST 8E ON COUNqL AOENDA BY(DATE) �BUD(��ET DIRECTOR �FIN.6 MOT.SERVICES DIR.
�J-18-89 �MAYOR(OR ABSISTANT)
TOTAL�OF 81QNATURE PACiES (CLIP L CATIONS FOR 81GNATURE�
ACTION REOUESTED:
Approval of an application fo. renewa1 of a State C1ass B Gambling License.
Notificatio Date: 5 a g
REO�AMENDA7IONS:Approve W a Relecr(R) (�U L MITTEE/RESEARCH REPORT OPTIONAL
ANALV PHONE NO.
_PLANNINO COMMI8810N _GVIL 8ERVICE COMMISSION
_pB OOMMITrEE _
COMM .
_BTAFF _
_DISTAICT COUFtT _
SUPP�iT8 WHICH COUNCIL OBJECTIVE4
INITIATINO PROBLEM,ISSUE,OPPORTUNITY(Who,WhM,WMn,Where,Wh�:
Joseph Zschokke on beha1f f . he Church of St._ Berrtard requests
City Council approva1 of .h s pp1ication for renewa1 of a State C1ass A
Gambling License a� 197 W. Ge anium. Proceeds from the bingo/pu11tab sales
will be used for educ�tion a vancement of St. Bernards Schoo1 . A11 fees
and applications have been su mitted.
ADVANTA(iES IF APPROVED:
If Council approval is giV n, the Church of St. Bernard will continue to
operate a bingo game at 1 W. Geranium.
DI8AOVANTAOEB IF APPROVED:
DISADVANTAOES IF NOT APPROVED:
�ouncil Research Center
f�1AY � � i�89
TOTAL AMOUNT OF TRANSACTION = C08T/REVENUE BUOGETED(CIRCLE ON� YES NO
FUNDINO 80URCE ACTIVITY NUMBER
FlNANCIAL INFORAAATION:(EXPLAIN)
. . (����,
UIVISION OF LICENSE ANn P�;RMIT ADT NI TRATION llATE � �� 0� / � � 0 �
INT�,RDF.PARTMENTAL REVIEW C:HECKLIS A.ppn Processed/Recei ed y
Lic Enf Aud
Applicant � h,�,(,jr L� Q -t ��- ✓h�Y��ome Address
Rusiness Idame • Home Phone
Business Address � r � "" ' e C.� /Gfh'� Type of License(s) �.Q�) ' �-y-C/
Business Phone �, C`1Q v►-,b(c✓1 �-! C�nS�
Public Hearing Date �� b � License I.D. 4F l..P C/ 5 � �
at 9:00 a.m. in the Council Chambe s,
3rd floor City Ha11 and Courthause State Tax I.D. �� N l�
llate Notice Sent; Dealer �� �1.� '�`
to Applicant
rederal I'3.rearms 46 �l�"
Public Hearing
DATE I SP CTIUN
REVIEW VERFIED (C MPUTER) CUMMENTS
A proved N t A roved
Bldg I & D
� �
Health Divn.
�1�-
�
Fire Dept. I �
' �-'l� I
� <,, �, pq
Police Dept. .�'`� I � 3/O /
�
�l S `� 4 K
License Divn. �
� ����i �/�—
City Attorney �
� 8'£�j , 8 ��
Date Received:
Site Plan fJ �' �'
To Council P.esearch � �
Lease or Letter ^ ' � Da e
from Landlord ��
�
, , ,. . - , , " , � C��-�7�
�, Charitable Gambling Co'ntr 1 Board ? � �����
i Rm N-475 Griggs-Midway �Idg. , �
: 1821 University Ave. . ��
' St. Paul..MN 5510433��1 � � - Check No.
� (612)642-0555 ,�, .;<, � ;�� . Date: �. �.; '{'
;: GAMBLING C SE RENEWAL APPUCATION ��
, � <�.
� LICENSE NUMBER: A-lili$-/11 - /EFF. AT : 1��11 j91 �`':, ' /AMOUNT OF FEE: � �111.11 � �. `•
. .;�` �f'3,
t.Applicant-Legai Name of Organization r .� _,"-' ` � ,; 2.Street Address - , .' < -,: � `�"�: t ;; � �� z,
CHORtN Of ST BERNARB SF tA/l . `' �. ' , 1!1 NNt tft�niu� . . ��:'' '
3.City,State,Zip �4.Couny 5.Busir�ess Phone ��
St Paul, NN 5511I Ra�sey 612 Itt-i133
6. Name of Chief Executive Officer �•BU81^���e
Stephen Martin bi1 16A-S133
8. Name of Treasurer or Person Who Accounts for Revenues 9.Business Plwne
aepert Strobel 612 �186-6133
10. Name of Gambling Manager 11. Bond Number 12. Business Phone
Joseph Zschokke BIAN�ET �
13.Name of Establishment Where Gambling Will Take Place 14.Counry 15. No.of Aclhre Members
Church ot St Bernard St Paul Ra�sty 8/i1
16. Lessor Name 17.MoMl�y Rent:
se
18. If Bingo will be conducted with this license,please specity ays and times of Bingo.
Da s Times Da Times Days Tm�es
,i: , -•.r;, . ��;� 7 :r; _ �'1
19. Has license ever been: ❑ Revoked Date: 0 Suspended Date: `❑ Denied Date:
20. Have intemal controls been submitted previously? �1 Yes � No(If"No,"attach copy)
21. Has curre�t lease been filed with the board?N,�rr ❑ Yes ' � No(If"No,"attach copy) , �
22. Has current sketch been filed with the board? ` �Yes ❑ No(If"No,"attach copy�_ ' � -- -�� :,,...._...__..
� QAM N SITE AUTHORIZATIOM �� .
By my signature below, local law enforcement officers or age of he Board are hereby authorized to enter upon the site,at any time,gambling is
being conducted,to observe the gambling and to enforce the w f r a�y unauthorized game or practice.
� BAN RE RDS AUTHORI2ATION •
, By my signature below,the Board is hereby suthorized to ins t e bank records of the General Gambling Bank Account whenever necessary to
fulfill requirements of current gam.bling�ules and Iaw. ,
� OATH - , ;
I hereby declare that: � ''' �' ! � �
1. I have read this application and all information submitted t the oard;
2. All information 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. .1 assume full responsibility for the fair and lawful c�eraUon' f al activities to be conducted;
6. I will familiarize_myself with the Iaws of the State of Minne ta r specting gambling and rules of the board and agree,if licensed;�abids by,those.:-�'
laws and rules,including amendments thereto. � ` ��
':�23.Official Legal Name of Organization °�' � ���Signatur (Chi f Ex�cutive Officer) Date Title '
.w � � , :�l/8� ��� �
� Cµut�C I� o F �T. (�'n�r�,-�i2 Yr��1�2,
ACKNOWLEDGEME O NOTICE BY OCAL tiOVERNING BODII �=�
; 1 hereby acknowledge receipt of a copy of this application. By ack wledging receipt,I admit having been served with notice thsd Mis application wi0 .�
�' be reviewed by the Charitabie Gambling Control Board and if p ved by the Board,wiQ become effectivef36'days from the d�e of recei�fE(noted
' below�qAless a resolution of the local goveming body is ich specifically disallows sueh activity a�'a copy of that resohition is received by ,�
the Charkabie Gambling GoMrol Boerd within�days of the noted date. , :. ' ;;�; .;. � .',- '� :°;�
24.Ciryl unry Name(Local Oo eming Body) � Township.If site is�ocated within a township,please oompiete items 24 �
+�, (.� � Cl�l.t�..� , and 25: ��. �' _
Signature of e Receivin9 ApPlication: 25.Signature of Person Receiving/I�plicatiort _ " � _.' �
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Tdle D e Received is date ns�0 d .:Tit� �� � ; �� �`
:. � � l�, � � < � � ; r:.
� �^ � ,r<A 0 '� $ ,. �'lG�.,'rt:�',�s ,,�: , ;.��.� !"�+?�����: . .���4�,
- .,.:
Name.of Person�Delivering�A�p i L, Govemi Township Name
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�J .;� i j i� r .�, ' �
�C(3-00022-01 (5/8� , White Copy-Board Canary-Applicant Pink-Loc�Goveming Body
`
_ . _ . , _ . �. , . - .« .
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City ol Saint Paul
OepartmMt o fi anc� snd Mans�nNnt Senices C����
L and P�nMt Ohrision
203 City Hsll
St. aul.Mlnr�eaota 55102•29&5056
•• APP 1C TION FOR LICENSE
CASN CMECK CIASS NO. New qenew
� � ' a ;` :��'� .
' Date � 19�`
z �� r a
Cpd�Np. Titis of UCenst From J �,� i 1951To � '� �' 19!`
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100 �... Busin�ss NaiM .
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��y��� ' Phone No.
100
100 MsU t0 AOM�)i Phone No.
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t00 INanp�MOw��Nan� `�'�� �? -
!�D � � l�Q�G�l l,l ✓�'1
�QQ U1iMqK/GMmN•Npn»Addresa PhoneNo.
�ON ApOliCali011 iN ( /
tM wn of ��1 100` �� • �( `_� I � � !/� �J /��
��v' U U ManapM/Own�r•Glp.Stste 3 Zip Code
ta0 T tal 100
.
. � ' � ' � •
UCMif(f1ip�Ct01 Br: Sipnature o1 Applicanl
BOfld'
Cpnpin�r Name pp�{�y Mp, Expiretion Date
lnaursn�a•
CpnpiMr PIuM Pp11ay Np, Expiretion Date
Minn�sots Stat�IdentHiestion No Socfal Sacu�ity No.
VehiCl�Information•
Ny� at�Numbtr
OthK'
THIS 18 R EIPT FOR APPLICATION '
: TNIS IS NOT A LICEN8E TO OPERATE.Yout spplkat fa t ��nas will Nther be�raMed ot ro�ected wbieet to the provisions of the zonln `
� OrdlMne��nd ean0l�tlo�of tM inspections b1►tA� Ith. tn.ZonMQ andla�Uc�nss�tespktas. _ . . ��
,x.....f-, yy �'
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...-.., . . .� , . .,,... . � .-. _. : , . ._. _ �. . .. .t�, .,.. . �..r .�y`.?�,.. . .... tr.8.r-- .M+. a._ .... . . .. .•. . . . .T ....r „ . . ..
. . . ... . . . -� . . . `�'
. � F��
a15.00 CHARG F R ALL RETURNED CHECKS
! � '� � r/ !�
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� ' . • Ci y of Saint Paul ��v / ��'�
Finance and Manage en Services/License � Permit Division
INFORMATION RE UIRED WITH APPLICATI N OR PERMIT TO CONDUCT CHARITABLE GAI�LING GAME IN
SAINT PAUL (To be used with the fo lo ing: New A 6 C application. renew A � C
Licenses, and new and renew B in Pr va e Clubs.)
1. Full and complete name of orga iz tion which is applying for licease
��hur�of
. j�
2. Address where games will be he �'W. Geranium Ave. W.
_� _—._�
- N�ber Street City Zip
3. Name of manager signing this a 1 ation who will conduct, operate and manage
Gambling Games Joseph Zsc oic e Date of Birth 12-8-30
(a) Length of time manager has ee member of applicant organization 19�+2
4. Address of Manager 87 E. Ro e ve. ^-:,. Paul Mn. 55117
Number Street City Zip
5. Day, dates, and hours this appl ca ion is for Sunda,ys - 2:00 P.M. to 6:00 P.M.
6. Is the applicant or organizatio o ganized under the laws of the State of MN? _yes
7. Date of incorporation 189
8. Date when registered with the S at of Minnesota �+-11-1890�
9. How Iong has organization been n xistence? 98 ,years
10. How long has organization been n xistence in St. Paul? 98 ,years
11. W'hat is the purpose of the org iz tion? Religious and Educational
12. Officers of applicant organizat on
Name Archbisho John Roach Name Rupert Strobel
Address 226 Summit Ave. Address 2665 N. Western Ave.
Title Pres. DOB Title Treasurer DOB 12-20-30
Name Rev. Brennan Maiers OS Name Ed Mielech
Address 197 Geranium Ave. W. Address 900 Nevada Ave. W.
Title Vice Pres. DOB 4-2 -3 Title Sec. DOB 6-1�+-�+8
13. Give names of officers, or any he persons who paid for services to the
organization.
Name Name
Address Address
Title Title
(Attach sep ra e sheet for additional names.)
. ,' • � ° ��� ��
. 14. Attached hereto is a Iist of n es and addresses of all members of the organization.
15. In whose custody will organizat on s records be kept?
Name Church of St. Bernard Address 197 Geranium Ave. W.
16. List all persons with the autho it to sign checks for dispersal of gambling proceeds:
Name Jose h Zschokke N�e Monica Michaelsen
Address 8 E. Rose Address 7868 Dunmore Road
Member of Member of
DOB 12-8-30 Organization es DOB '�-�0-57 Organization? yes
Name Kath,y Wills Name
Address 10 Jo ce Court Address
Member of Member of
DOB � � � Organization. es DOB Organization?
17. a) Does your organization pay o i tend to pay accountiag fees out of gambling funds?
yes no
b) If you do pay accounting fee , o whom will such fees be paid?
Name Address
DOB Membe of Organization?
c) How are the accounting fees c rged out? (flat fee, hourlq, etc.)
18. Have you read and do you thoro gh understand the provisions of all laws, ordinances,
and regulations goveming the pe tion of Charitable Gembling games? .yes
19. Attached hereto on the form fu i ed bq the city of Saint Paul is a Financial Report
which it .emizes all receipts, p ses, and disbursements of the applicant organiza-
tion, as well as aIl organizat on who have received funds for the preceding calendar
year which has been signed, pr pa ed, and verified by Rupert Strobel
2665 No. Western Ave. R se ille Mn. 11
Address
who is the Treasurer of the applicant organization.
N e
20. Operator of premises vhere gam s ilI be held:
Name Church of Saint Bern rd
Business Address 197 Geran um Ave. W.
Hame Address N/A
;
� . � .- . � . ���;���.
.
21. Amount of rent paid by applicant or anization for rent of the hall:
Ito-�e - Building is
22. The proceeds of the games will b d sbursed after deducting prize layout costs and
operating expenses for the follo in purposes aad uses:
Saint Bernards Schools for ational advancenent
23. Has the premises where the games ar to be held been certified for occupancy by the
City of Saint Paul? yeS
24. Has your organization filed fede al form 990-T? „� If answer is yes, please attach
a copy with this application. I a swer is no, explain why:
Tax exempt (�+1-07578�+�+)
Any changes desired by the applicant ss ciation may be made 'only with the consent of the
City Council.
Church of Saint Berr_ard
Organization Name
Date �C�,Q.C.� 0�,9 ��,�/ Bq: � � --�
�
� nager in' harge of game
� • e �ti c"��2.1,�� C�..�� ti
Organization Pr ident r CEO
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. ,' ' Ci[ of Saint Paul Page 1 �
Departmsnt o Fi ancs and Managam�nt Services �/' ����
Division of cs ss aod Yermit Adminiseration
A ITNIFORIi ?AS CAI�LING lINANCIAL REPOR?
Date �-�A-RQ
i. tr,.. oi Orgaaizacion Ch c of t
2. Addsas• vher� Chsritabl� Cubl g eoadnctad 157 W• Geranium
3., Repozt fos psriod eoveria` 19� ehrou�h nPr_ '�1 19�,.,
4. Total numbsr of daqe playsd
� S. cros� recespcs For abov. p�ri ; 119.1��.50
6. Cross pris• payouta for abov� ar (iselud� eaa6 s6ort) i 61 ,�2�.2 5
� 7. Net receipts - Iiae 5 ainus 1 e � 57,710.25
8. Expansss incurred in conduet g a operating gas:
A. Gro�s vag�s paid. Ateaeh vor er 1Lt vit6
nam�a, addrssses, gro�a v es msber of hoots # -�'
worked. and amount paid p r h us.
• B. Rent for weeks ; _O
C. Lieense fee ; 7?�•00
D. Inaurance s -�'
E. Bond ; -0-
P. Dishoaored checks not re •r d ; 10.0�
C. Aceountiag Expsnae � -�-
H. Employ�rs F.I.C.A. ; -0-
I. Pulltab Ta�c Paid to D�pa o�e oL *evanu� ; 159;.80
, J. Iiinn. U.C. Taz ; ..-----------
1C. Fedssal Exciss hs 8 St : -----------.-------
; 19�7 - 2291 00
L. Stat� Ga�blia� Tax ,
!i. Kiae�llaaaou� Fapsnsas. Ida tit� th� a�ount
. and to v6oa paid.
1. Mn. tipboard t 2�+�+7.�+�+ ( pull-tabs and supplies)
Z. and Lean Year :
3. _
`, i
� 9. ioe� g:r.a... mrrw s 11,�+86.53
10. ti�t �nco�� - lin� � �inu• : �+6,223.72
11. Ch�ekbook balanee be;innins i riod ; 2,109•7�
. tz. toui of isa. io aaa ii ; �+8,333•46
' 13. Tatal contribueiow (fro� a tu d vortsh�st) ; 5,1 _06�.09
14. C6eckbook balaacs end ot ra rt g p�riod - � (2729.6�)
' � lina 12 less lin� 13 .
. •`.�.:
•� �r �� . rnu�
� • � . UNIFORM CIiARIT BL Ga1MBLING FINANCIAL REPORT
� � LAwFUI PURPOSE CO TRIBUTIONS - WORKSHEET C���7'r�--
Li ne ,'#13 • Total LaMfui Purpose Co tri butions. S S% O(�� , 0�
: List below all checics writ en from qambling funds which are ��;
charitable lawful purpose on ributions. The total dollar �� -�
� amounts of these checks mu t tch the amount claimed in - �
line �13. Use additional he ts as necessary. �
�^
CHECK # DATE � PAYEE CHECK AMOUN PURPOSE
I. 1108 3-16-88 St. Bernards Sc o �+,000.00 Educational AdvaaCement
2. 1132 5-5-82 St. Bernards ��c'_oo 2,000.00 Educational Adva�'t;cement
3. ��36 6-28-88 St. Bernards Scioo 2,000.00 Educa�ional A�vancenen�
4. 1137 6-28-88 City of St. Pau 52.29 C�ty Wide Youth Athletics
5, 11�+0 7-�9-38 SL. Bernards Scioo s 2500.00 Educa�ional Adv�ncement
6, 11�+5 �-�$-�� C�ty of St. Pau 108.23 City Wide You�h Athletics
7. 11�+6 8-22-88 S�. Bernards Sc oo s 2500.00� Educational Advancement
g, 11�+8 10-4-88 City of St. Pau 38�+.85 City Wide Youth Athletics
g. 1150 10-5-88 City of St. Pau 3�+.19 City Wide Youth Athletics
10. 115�+ 10-7-88 St. Bernards Sc oo s 31 ,786.03 Educational !�dvancement
11. �157 10-31-88 S�. Bernards Sc oo s 2,000.00 Educational Advancement
12• 1160 11-30-88 City 'of St. Pau �+5.05 City Wide Youth Athletics
13. 1162 12-02-88 City of St. Pau � 4�+.85 City of ZJide Youth A�hletics
1�+. ��63 12-5-$8 St. Bernards Sc oo s" 2500.00 Educational Adva..�cement
15. 1166 12-23-88 St. Ber���s UNT �� ,000.00 Fduc2 tionul ndv�tir.cement
1�. 1157 12-23-8°u Cit�� of u�. Pau 107.60 Ci';y� Wide Youth :��.i:•.leL�cs
NOTE: These expenditures will be p vi ed to Council Me�nbers at your Council hearing.
� Be sure that your financial p t is complete �and accurate.
ot 1 Check Anount ;a 51,063.09 - �
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/ i'� _' �1 w � � � + .�i ! G'�
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