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89-876 WHITE - CITV CLERK PINK - FINANCE COIlIICll /��: /}/J CANARY - DEPARTMENT G I TY O A I NT PAU L }� X / BLUE - MAVOR File NO• " � V • Cou c l esolution � �o � Presented By � Referred To Committee: Date Out of Committee By Date RESOLVED: That application (T # 9939) for a Gambling Manager's License by Michael J. Saraf le n DBA GIVE Inc. at Narducci 's Lounge, 1045 Hudson Rd. , be an the same is hereby approved/�. COUNCIL MEMBERS Yeas Nays Requested by Department of: Dimond �� _�. [n Favo Goswitz Sche'ibel a _ Against BY Sonnen Wilson Q �Y 1 g �U� Form Approved by Cit Atto ey Adopted by Council: Date . � Certified • sed by Council Sec tary By �G � By t�ppro b Mavor: Date �� 2 � Approved by Mayor for Submission to Council B _ BY ...m.6--_ � PU9LISf� N - 3 1989 P��"�'�� � _ �r�o cJ��,�_ � o.� �„�� �`r�R �� SHEET No. 0 0�4 2 5 J. Carchedi �T � �rr,�zr+�r ar�croa w►raa,on�r�wn _ Christi� Rozek: — �a��� ��«.�� "� . Nd. — �Counci 1 Research �� Finance � mt.. : -5Q56 � «TMA„� . —:. Approval of an appiication for mb1ing MaAager l�cense. No�ification Date: 4-25-89 Hearring Date: 5-18-89 :(APIMOVS fA)a Fiej�t(Rl 1 CdINiqL� NEPORT: " . . . . PLANf10 OOA/�SSpN _ CIVII SERVICE,COMMIBSION . DATE IN � -6AiE OUT �" �ANN.Y8T . ..� . .. Pf101E ND. - � � . DOWIIIO OOI+�A13810H . . i��9d1001.BOARD � .. . . . � . $TAfF - . .. � q1AHiEii OOMMipBSION - AS IS- � . .AGDL INFO.ARDED* - �• RET'D 70 CQNTACT _ � OONSTITUENf � - � � � � � � � - __fdi ADDi WFO:* _FEEDBACK MiDEO• . . qS7AICT C�UNCIL . *� . .: � . . � . � 8UP►ORTB Wlilpl COUWCIL CBJECTNE4 � . . � - � � - . . . . . . � .. � � � . . � .. N71A7N10 MOlI.N�1�St1E.ORP�OR71NfrY(VN�o.Wt�at.When.NlNsrs.�Nhy)7 Michael J. Sarafolean DBA GIVE In . at Narducci 's Lounge, 1045 Hudson Road r+equests. Council approva1' of ,h� plication for a G�mblirtg blanager's License. ,�s�wc�n�.too�re.�.ax:�,a.�): . : ,- All fees and applications have e submitted. �N�YdI�tMYtrt.�wh�n.ana To w�x+mY , . _ . If Council approval is given, 'c e1 J. Sarafolean wi11 ma�age the - _ pulltab-tipboard sales for GIV a Narducca 's Lounge. ` �,�umr�a� co�s �omrrnaECEO�rs: . �a�u.asuEa: _ f;IAY � 3 i�89 . ..,� � � ��7 � UtVISION OF LICENSE A�VD P�RMIT ADMINI T TION llATE � °� � �// 3 3� U � INTERPF.PARTI�fENTAL REVIEW CHECKLIST Appn rocessed/Received by � 1�a�' + sQ�_��� Q Lic Enf Aud J Applicant �- b 0. �'� i V� �j_.rl G_.. Home Address ��� � � .�� �a rk ��'� ;j���/ Rusiness Name a`� �a. �c�i,4�CC(S b ny"CHome Phone Business Address ���/� �dSOrU �� Type of License(s) �1Gm b�!n�, G n ktq LA�i I Business Phone �p u� ' �y�� L i �-��►'1 S-� Public Hearing Date 5 � � �� License I.D. 4{ � -1 �3� at 9:00 a.m. in the Council Chauibers, 3rd floor City Hall and Courthouse State Tax I.D. �1 N I� Uate Notice Sent; �� � '� Dealer 4� �l I I/-t' to Applicant ) T � Tederal Tj_rearms �� ���/� Pub.lic He�.�ring DATE TrSP 'CT UN REVIEW VEKFIED (C MP TER) CUMMENTS A proved N t roved � Bldg I & D � (�'�/�' , Health Divn. ' � � � � i Fire Dept. � ( I � � f Police Dept. ! S� I � /�' 4 �3 f��] �I�� License Divn. � ` �'��I� i 0l� City Attorney � �� Zlo��� ' � �� Date Received: Site Plan N!A" � ��j To Council P.esearch '� l Lease or Letter n ate from Landlord ��/`� /��3q � ' City of Saint Psul D�psMn�nt o! Fi s • snd Ms���r�S�s ' ' lic� a P�nnit �h City Halt S�Paul.Min esota SS10Z•298�506b APPLiC TI N FOR 1.ICENSE CAStI CMECK CLASS NO. N Renew � Q � D�N � 1� Cod�Na mN o�uc�ns� F 3 �. „� 3 � �( "�!Z �1 ra , hG I . 5(i � ' h�i e ( � • � ��-� 1 P� �l ,00 �� ► v C. -C v,�', �oa�es�Con�o�►�a�u. too �\ I � J ' _ I C��(.�. �l,l�`�OrY� �(.f) n�"1' Gc Ct� to0 eus�n�ss a«n� t too �� � �G ✓ LlU CC,! S (_o� r.c,.� eu�s.�ear�ss �o�• 100 ` � _/ '1 � � � '7 � 7�TLt�.�_:C) ll.. �� 100 Msp to Addr�ss �M� � � r �. 1 ` �p—� , ,- - i . �Cr �i�, -t; �r�� ? �! t �J M�n�pp/OwrNt•Nir1N �� Gt ✓J� �-+ � J �i r �% �,� p� =; � � � 100 A/�nsqMlCnmw•MO�M Addwis Ma�t Ma 10D� AOplieatbn FN . 5p � � �U� , fM un�of � , O� IMwp�qwn�t•CNy 8bN i n0�,l �' - � � 100 fal 100 �p . Z- LleMS�Inspktor �� � � 9y' ` � � . �in of�ooM�arM v � • � ' , >i�'. � . .. .. .. ' . '!"_.. .. .� .. . � jb=. . . . . . . . . . .. . .: . � �� - ^..��" . .. . :�`` Cpinpanr Nanr Polk�r No. Insuta�e • p� co�pr�f N� Faler No. . Minneaots Stst�Id�ntifieation No� Social Security No - V�hkl�Intonnstion• $NIN NumbM a� TH1�Is A R C PT FOR APP�ICATION ' THIS IS NOT A LtCEN8E TO OPERATE Yow applicstion for ic w�u ein+ar b.4�an�ed«rs�ect.a.ubNe�ro�n.o�oraions ot n+.:on+no pbin�nW ae�d eanplltlOn of tM insp�etbns b�►th�Nplth.Fin Zonin�and/Or Ue�ns�tesp�CtOrs. s15.00 CNARGE L RETURNED CHECKS 3�O�l �/ �� � City of Saint Paul � � Department of Fin nc and Management Services Division of Lice se and Permit Registration � INFORMATION RE IIIRED WITH APPLICATION FO P IT TO CONDUCT PIII.LTAB/TIPBOARD SALES IN SAINT PAUL (Class B Gambling Licease ia Li uor Establishments - New Application) 1. � Full and caatplete name of organizat on which is applying for license G.I.V.E. , Inc. dba Custom Contrac s Services, Inc. 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? /�C� Attach to this application pertinen f nancial and/or organizational information to support your answer to this questio . NOTE: Only S large organizations will be allow- ed to open pulltab operations under th revised city ordinance. If more than 5 organi- zations apply, qualified applicants wi 1 be selected randomly by the City Council. 3. Address where games will be held 10 S Hudson Road St. Paul 55119 N ber Street City Zip 4. Name of manager signing this applic ti n who will conduct, operate and manage Gambling Games Michael J. Sarafol an Date of Birth 9/13/56 (a) Length of time manager has been me ber of applicant organization 7 years 5. Address of Manager 973 Linwood ve ue St. Paul 55105 Number Street City Zip 6. Daq, dates, and hours this applicat on is for Mon-Sat, 12 noon to 12:30 a.m. ; Sunday, � 12 noon-11:30 p.r. 7. Is the applicant or organization or an zed under the laws of the State of MN? yPG 8. Date of incorporation Ma 22, 1 66 9. Date when registered with the State of Minnesota May, 1966 10. How Iong has organization been in e is ence? 22 years 11. How long has organization been in e is ence in St. Paul? 22 years 12. What is the purpose of the organiza io ? to provide services to adults with mental retardation 13. Officers of applicant organization: Name Geor e Ruth Name Dave Aune Address 23221 Woodland Rd. , Lakevil e Address 4869 Churchill, Shoreview Title President DOB 9/14/48 Title Treasurer DOB 4/25/56 Name Jane Wells Name Michael Michlitsch Address 4209 Oakmead Ln. , White Be L ke �dre$$ 3870 Effress, White Bear Lake Title Vice President DOB 7/27/51 Title Secretary DOB 12/18/56 14. Give names of officers, or aaq oth p rsons who paid for services to the � organization. � � - Name none Name Address Address Title Title (Attach separ e heet for additional names.) 15. Attached hereto is a list of names d addresses of all members of the organization. 16. In wtiose custody will organization' r cords be kept? Name Michael J. Sarafolean Address 1410 Ener�y Park Drive 17. List all persons with the authoritq to sign checks for dispersal of gambling proceeds: Name Michael J. Sardfolean N�e George Ruth Address 973 Linwood Avenue, St. P 1 Address 23221 Woodland Road, Lakeville Member of Member of Dpg 9/13/56 Organization? y s DOB 9/14/48 Organization? yes Name Dave Aune N�e Michael Michlitsch Address 4869 Chruchill, Shoreview Address 3870 Effress, White Bear Lake Member of Member of DpB 4/25/56 Organizatioa? Y S DOB 12/18/56 Organization? yes 18. Have you read and do qou thoroughly un erstand the provisions of all laws, ordinances, and regulations governing the opera io of Charitable Gambling games? y� 19. Will your organization's pulltab op ra ion be operated/managed solely by members of qour organization? yes no � 20. Has your organization signed, or do s t intend to sign, a consulting agreement or a managerial agreement with� anq perso o company to assist your organization with the pulltab sales and/or recording keep ng qes no � If answer is yes, give the name and ad ress of the person and/or company contracted. Name Address Name � Address If answer is yes, how will such a c s taat be paid? (percentage, flat fee, gambling funds, general funds, etc.) Attach a pq of said contract to this application. 21. Operator of premises where games wi b held: • N� Perr (�arducci Business Address 1045 Hudson Road; 51 9 Home Address 834 N. Hazel; 5511 22. a) Does qour organization pay or i en to pay accounting fees out of gambling funds? • yes �X no b) If you do pay accounting fees, t w om will such fees be paid? Name Stan Babel Address 4618 Parkridge Drive, Eagan DOB Member of rg nization? no c) How are the accounting fees cha ge out? (flat fee, hourly, etc.) Flat fee d) What do you anticipate will be ou average monthly deduction for accounting fees? $100.00 23. Amount of rent paid bq applicant or an zation for rent of the hall: $100.00/week 24. The proceeds of the games will be d sb rsed after deducting prize layout costs and operating expenses for the followin p rposes and uses: all lawful pur oses 25. Has the premises where the games ar t be held been certified for occupancy by the City of Saint Paul? Yes 26. Has your organization filed federal 0 990—T? x If answer is yes, please attach a copy with this application. If a we is no, explain whq: not required Any changes desired by the applicant asso ia ion may be made only with the consent of the City Council. C/��, �1�. � Organization Name ,Date ,,�� �1Z.tLt-t-l�J� / Bq: //.�i.c%.�tc�'� 2� � Mar(ager i charge of game �-- Or izat on President or CEO