89-885 WHITE - CITY CLERK
PINK - FINANCE COIlI1C11 ,//y[/J�
BI.UERV - MAPORTMENT �I TY O SA I NT PA U L File NO• ` ' ��
Coun i Resolution '�i
Presented By
Referred To Committee: Date �!-:�( v �
Out of Committee By Date
RESOLVED: That application (I #46633) for renewal of a Class B
Gambling License by East Twins Babe Ruth League Inc. at
Louie's Bar, 883 Pa ne Avenue, be and the same is hereby
approved/.c�l.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
Lo� �, In av r
Goswitz
Rettman B
�he1be� Ag ins Y
Sonnen
Wilsou
MaY � 8 � Form Approved by City Attorne
Adopted by Council: Date • - �//'
�'T
Certified Y• ed by Coun .ii///ecre ry BY ,
By '
Approv y Mavor: Date rl1Y 2 4 � Approved by Mayor for Submission to Council
By
P!l��ISli� J�i� =- � 1989
, , . C���--
DEPAR'TMENTlOFFICEICOUNGL DATE IN TED 17 5 6
Fi nance/�i cense GREEN SHEET No. ,Nm,�A�
CONTACT PER30N 3 PHONE �DEPARTMENT DIRECTOR �CITY COUNCIL
Christine Rozek 298-5 56 N�"� � �CITYATTORNEY Ocirvc�uc
MUST BE�1 WUNqL MiENDA BY(DATE) �BUD(iET DIRECTOR �FIN.8 MOT.SERVICE8 DIR.
5-18-89 �tiu►voa�oa nssisT�wn '1 R
TOTAL M OF SIQNATURE PAGE8 (CLIP A L L ATIONS FOR SIONATUR�
ACf10N REGUE3TED:
Approval of an application or renewal of a State Class B Gambling
License.
Notification Date: 5-5-89 H arin Da : 5-18-
REOOMMENDATIONB:Approw pq or Reject(F� COU MITTEEIRGSEARCH REPORT OPTIONAL
,�ru►�r PNONE NO.
_PLANNINQ COMMISSION _pVIL SERVICE COMMISSION
_pB OOMMITTEE _
COMME TS:
_STAFF —
_DISTRICT COURT _
SUPPORT3 WHICH COUNGL OBJECTIVE?
INITIATINO PROBLEM,138UE.OPPORTUNRY(Who,What,WMn.Where,Wh»:
James Faser on behalf of T e ast Twins Babe Ruth League Inc. requests
City Council approval of h s pplication for renewal of a State Class B
Gambling License at Louie' B r, 883 Payne Avenue. Proceeds from the
pulltab sa7es are used for th support of a youth baseball program. All
fees and applications have be n submitted.
ADVANTA(iE3 IF APPROVED:
If Council approval is giv n, The East Twins Babe Ruth League Inc.
will operate a pulltab bo h t Louie's Bar.
DISADVANTAQES IF APPROVED:
DIBADVANTAQES If NOT APPROVED:
TOTAL AMOUNT OF TRANSACTION = COBT/REVENUE BUDOETED(CIRCLE ONE) YES NO
Ccu�;c�i Research Center
FUNDINd SOURCE ACTIVITY NUMBER C rQ (�
FINANCIAL INFORMATION:(EXPLAIN) fv1AY 0 v I.��7
� . � � �'9 - �"�s
UiVISION OF LICENSE AND PERMIT ADMINI T TION llATE ` 3 V ' / ` L� O /
INTERDF.PARTMFNTAL REVIEW CHECKLIST Appn ro essed/Received by
Lic Enf Aud
�� Q JF�m e5 1-q 5e �L
Applicant ��{5� ���,�r�.5 L��,�Z �.l Home Address � ��� f_dU n r-1-�✓1
Rusiness Name L.� Home Phone
Business Address g3 �q, V Type of License(s) ��aSS 1� l�Q YYl �Ilrl�
Business Phone 7� I ' S 7��P L��,Q�p�Q, �( li�.(,J
Public Hearing Date � $ $ License I.D. �f ��Q(1 �J�
at 9:00 a.m. in the Council Chambers
3rd floor City Hall and Courthouse State Tax I.D. �t � � a y�3�
llate Notice Sent; � � ��6 Dealer 4� IU��
to Applicant
Pederal I'3_rearms 4� fl,'f}"
Public Hearing
DATE II� �'E TIUN
REVIEW VERFIED CO UTER) CUMMENTS
A proved No A roved
�
Bldg I & D +
i`-'�A'
Health Divn.
���, �
,
Fire Dept. �
� N(,� ,
�
� 5�Pnt' y
Police Dept. �/�/� � �
(
� G�,� st�p u l�h o,�5
License Divn. �
o�► r��� �er's
s ' ��. ���i5�
City Attorney �
5 � g , o ,�.
Date Received
site Plan � 3 �� � � �
To Council P.esearch
Lease or Letter , ( Date
from Landlord ���� � �
. ,, . - - - .-- ---- _. _.. . , ._ . . ;,- . , _ _ _ ,,. _ _ _ _ __ __ . ----- -- -- - - -
� . . .. � _
� -
' Charitable Gambling Control Board :
��;'� Rm N-475 Griggs-Midway Bldg. . For Boerd Use Oniy * -`��",
1821 University Ave. . � �� ."`
�`�` ' ` St. Paui, MN 55104-3383 � r� ' , � . , �� v ', ��� :,��'��y '?�',� � Check No ,
.
s,�'� i . , ;' � iyti ? �:r n .�� � � �� r �_ �
' �. ,+'� e r 1 e i '
: (612)_842-0555 � � .� � ,,,��,����+`,� � ,� �Date: F
: '-;
`� . ,;R �;� °>.'; ' Y:�� , ;
� � - :GiAMBLING LI N RENEWAL APPUCATION r ��
T,": ,.� y; -,�
'�` LICENSE NUMBER: -1l991-113 _ /EFF.D T . '�:.•� . `� FAMOUNTOF FEE: - ��;
�A .. .. , ' . , °�..'. . • .:�y y .
1.Applicant-Legal Name of Organization , :_ , �` y .' 2.Street Address r ' ;, ,.., _ -s:
' EASt T{IINS tABE ttTN lEA6tlE INt - 1169 [d9trt�a St +R
,�,
3.City,State,Zp 4.Counry 5�Business Phone
St Panl, MN 55111 Ba�cty 612 ]11-6113
6. Name of Chief Executive Officer 7.Business Phone
O�u91as St S�uver 61Z JI6-1665
8. Name of Treasurer or Person Who Accounts for Revenues 9.Business Phone
Nargaret St Sauver �12 1I6-2665
10. Name of Gambling Manager 11. Bond Number 12.Business Phone
Ja�es faser 36F1111111916tA 612 )1i-6i13
13. Name of Establishment Where Gambling Will Take Place 14.County 15.No.of Active Members
louies 8nr St 9au1 Ra�cey 15i
16. Lessor Name 17. Monthly Rent:
louie lintch Z4+�
18. If Bingo will be conducted with this license,please specify d ys d times of Bingo.
Days Times a s Times Days Times
)
19. Has license ever been:u� ❑ Revoked Date: ❑ Suspended Date: ❑ Denied Date:
20. Have internal controls been submitted previously? � ' ` �}Yes O,No(If"No,'attach copy)
21. Has current lease been filed with the board? 0 Yes k�1 No(If°No;attach c�pyj �,,,,_ � ' * � 3 ;
22. Has current sketch been filed with the board? ❑Yes U No(If"No,'attach cop�r) _,__`��_ �.�,�,;,�e
(3AM IN SITE AUTHORIZATION " M1 - °�°;,''��"M�`�
By my signature below, local Iaw enforcement o�cers or agent of t e Board are hereby authorizedlo�ei�ec upar the site,at any time,gambling is.
being conducted,to observe the gambling and to enbrce the I fo any unauthorized game or practk`e.
BANK RE RDS AUTHORIZATION .�✓
By my signature betow,the Board is hereby authorized to ins th bank records of the General Gambling Bank Account whenever necessary tc '�; ;.
fuHill requirementa of current gambling rules and law. -
OATH . , - ' , ' , •' ;:
I hereby declare that: , :: ,
1. I have read this application and all information submitted to he ard;` �
2. All information submitted is true,accurate and complete;
3. All other required information has been fully disclosed; ,
4. (am the chief executive officer of the organization;
5. 1 assume full responsibiliry for the fair and lawful operation all ctivities to be conducted; � •���. ,
6. I will familiarize myself with the Iaws of the State of Minn ta r pecting gambling and niles of the boa►d and agree,if licensed,to abide by those
laws and rules,including amendments thereta
23.Official Legal Name of Organization . Signature Chi Executive Officer) Date Tkk . � �s �.;,�a��'`
� Z�� �- �'.�f3� R�.1' �.� ��t�
ACKNOWIEDGE O NOTICE BY LOCAL GOVERNMI6 BODY ;;''.., `' �;�'"' �
I hereby acknowledge receipt of a copy of this applfcation.By kn wledging receipt,I admit havinp been se with notice that this applicatbn Wilt :�� �,
. be reviewed by the Charitable Gambling Control Board and if ed by the 8oard,wiN beoome trom the date of receipt(noted z ,. �
below), unless a resolution of the local govemi body is p ich specifically disallows auch acfivity cbpy of that re�lution is received��`�_,:
the Charitable Gambling Control Board withi days of the noted date. . � r"'��'�.` , ,,.., :�,•;
z°
24. County Name(Lxal erning Body) Township:If site�located within a towriaMdp,please comptete items 24 .,•;�'
�� � and 25: 5,. n tir
Signature o P n Receiving Appl�catio '� ;•: 25 Signature ot Peroon Receivfng AppNcatior► ,,, �.
�. : + ��i •l �IC.J � � ,:x�{ '��z��'.� � ti��s�i��, �`�"�`�`� `' � �
; .
.
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�� ' Title ate Received(this� 3 s�Oda peri ), Title: ,'� `�E � �. �'��'�� .�
S �� 6 � r � �r -`�
Name of Person Delivering Ap lication to Local Goveming Township Name • -
CG-00022-01 (5/S� White Copy-Board Canary-ApplicaM Pink-Local Goveming Body
���3�
� Cit of Sai�t Paul Q r
Depa�tment of F an e and Management Services ��- �a-�
Licen e d Pennit Division
City Halt
St.Pau Mi esota 55102-298-5056
� APPLI T N FOR LICENSE
CASH CHECK CLASS NO. N Renew
a a I ' � Date ` ✓� 19� L
Code No. Title of Licenae �,
From �1 t�!To �I J�� 5 19 ��
h - ; ' �
��5-! f � ;,:l� ;`,- - ,;�vi� `'��� r' �-I �-� -- _�----
, ' ,'> >� �CtSi l Lc�l��s .�ubP. �i���
�_� ,�e�Yl '��J �.v r�l:!VCl ( ApplicantlCompa�y Name
_ . ,. „ _ 1ap .
� ��, L���c,PS f:���
100 euainess Name
_+ /"'
100 �. �?� �..`• ''1'".� G�N� /`'1 l,.t? �7(.!-U
Business Address Phon�Na
100 '�
�� �
• -�
,'� � . �� i,�. i � i �
100 �i Mai�Address Phon�No.
100 y� �^ � � r"':� _ '��' 1 t 1?(,'
ManapeNOwnsr•Nams
100 r_ �
�L1lJC �✓ r� <<� d�'i? rr
100 Atana9enGwner•Nom�Address Phon�No.
4098 Applicatfon Fee
Recefved the Sum of 2 100` � i .�Q�-i� ����'1 �� � �
'`;� ,y.�� Ma�apeNOwner•City,Slate 3 2tp Code
t00 To al 100
J�✓ (� ��;� 'awC..(er� ��� ���?Q'"L:.i )
LiCense If1spQCtOr By: Si9nsture o1 Appliwnt
Bond•
Company Name Poliey No. Expinlion Date
I�su�ance•
Comoany Name Pdlcy No. Expiradon oaN
Minnesota State Identificatio�No Sxial Security No.
Vehicle Info�mation:
� S�rfal NumOer aN urt�b�r
Other
THIS IS R CE1PT FOR APPLICATION
�. THIS IS NOT A LiCENSE TO OPERATE.Your applicatio }or cense will eithar be�ranted or rejected subject to the provisions of the zonMy
� ordlnanee and completlon of th�inspections by tM H Ith. Fire�Zoninq andlor�icense Insp�ctors.
$15.00 CHAR � R ALL RETURNED CHECKS
��� � �� � �.
, �l Ci y f Saint Paul
Department of F na ce and Management Services
` Division of Li en e and Permit Registration
INFORMATION RE UZRED WITH APPLICATION OR PERMIT TO SELL PULLTABS � TZPBOARDS IN SAI�T PALZ
(Class B Gambling License in Liquor Es ab ishments - Renew)
1. Full and complete name of organiz ti n which is applying for license
~ ��� 'nS �-
2. Address where games will be held - -�-�• � j � C / � /G�
Number Street City Zip
3. Name of manager signing this app ic tion who will conduct, operate and manage
Gambling Games J t- <e� Date of Birth //-�`""��
(a) Length of time manager has b en member of applicant organization S _
4. Address of Manager �~�f '�n ���� �5��/
Number treet City Zip
5. Day, dates, and hours this appl' at'on is for �u.n - .�c�� �Ai�t �=' �.� �»-
6. Is the applicant or organizatio or anized under the laws of the State of I�i? L/�
7. Date of incorporation -�- ��o J
8. Date when registered with the S at of Minnesota ��-r, �- /S� �
9. How long [ias organization been n xistence? � / G/ �R�2.S
10. How long has organization been n xistence in St. Paul? .� y /=?CCy,S
11. What is the purpose of the orga iz tion? _ __� n a-��► ���,��� ��
�
12. Officers of applicant organizat on
Name c ' � Name //!CU/"GiCCl��7�'S��/1li �i��'
Address ��/;.�j ' ,�-n� Address �6,�� �ri,� �i��r- �
—�-- 3 -r-�9
Title �r-P � - DOB , r� Title /1`QS DOB ' - ,� - -<
Name � O Y°I� � I Name ,_,1 C.�' h�l e� lfd�S`t�ettP 1�
Address " ��� ' �•r .rz Address ���� �,� �G�IC.
Title S� C . DOB Title V,�C� `��S'. DOB . � 7 �
13. Give names of officers, or any ot er persons who are paid for S2rviCeS t0 the
organization.
�1ame Name
Address Address
Title Title
(Attach ep rate sheet for additional names.)
. �s ��
1-%. �lttached hereto is a list of names an addresses of all members of the organization.
15. In whose custody will organization's cords be kept?
Name Address
16. List ail persons with the authorit t sign checks for dispersal of gambling proceeds:
Name Q.I(Yl " S �ci..�.5�f Name �lJ Lf � S� �r� i/�
Address S � h Address � � �
Membe of G Member of
DOB Organization? DOB ,�7 �,1 Organization'. �/�S
�—
Name �� �J . ��1 �'� '�r �l Name �1�z v��a r e.� e f 5,�ver
, ✓
3ddress G'l"% � � •� �y,r�. Address /� �� 1!'�i� ��C C�
Member of � Member of
DOB 3 �,� `��, Organization? � DOB � G Organization? ���?S
�
17. Have you read and do you thorough u derstand the provisions of all laws, ordinances,
and regulations governing the ope at ' n of Charitable Gambling games?
18. Attached hereto on the form furni he by the city of Saint Paul is a Financial Report
which itiemizes all receipts, exp ns s, and disbursements of the applicant organiza-
tion, as weil as all organization w o have received funds for the preceding calendar
year which has been signed, prepa ed and verified by
Address
who is the of the applicant organization.
Nam
19. Will your organization's pulltab pe ation 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 pe on or company to assist your organization with the
pulltab sales and/or recording k pi g? yes no X
It answer is yes, give the name d ddress of the person and/or company contracted.
i�ame - Address
L�ame Address
If answe.r is yes, how will such c nsultant be paid? (percentage, flat fee, gambling
funds, general funds, etc.) Att ch a copy of said contract to this appZication.
21. Operator of premises where games wi 1 be held:
"vame i QS 0..✓
Business Address 'C�S
Home Address
?2, a) Does your organization pay or i te to pay accounting fees out of gambling funds?
yes no
b� If you do pay accounting fees, o om will such fees be paid?
I�'ame Address
D^3 Member of Or anization?
c) How are the accounting fees ch rg d out? (flat fee, hourly, etc.)
d) What do you anticipate will be yo r average monthly deduction for accounting fees?
23. �,mount of rent paid by applicant o ga ization for rent of the hall:
C�i, c c 7�✓" �
24. The proceeds of the games will be dis ursed after deducting prize layout costs and
operating expenses for the foilow g urposes and uses:
C�: ?
25. Has the premises where the games re to be held been certified for occupancy by the
City of Saint Paul? >
26. Has your organization filed feder 1 orm 990-T? � If answer is yes, please attach
a copy with this application. If an wer is no, plain why:
' '�� �' ` n � � >.r:
� ,L 1 1.� , ;,;� �,
Any changes desired by the applicant so iation may be nade only with the consent of the
City Council.
�- f� /
<�--, �,�%� ,���a-a�w,� ./i� �-�
Organization ivame
-�
Date BY� �
� Manager in charge of game
�
�c
Org iza on President or CEO
. . , ��^ ��
ity f Saint Paul Page 1
Department of in ee and Msnagemenc Servicea
Division of L cen and Permit Admini9tration
UIiIFORH CHARI L CAlIBLINC FINANClAL REPORT
Date
1. Name of Organizatioa �
2. Addreas vhere Charicabl� Ca�bli g i eonducted �3 �
3.� Report for period covering 19�'ehrough 19�
4, Total number of days played
5. Gro�• reeeipcs for above perio f �-T%�";- '
6. Cross prite payoucs for abov� sri (iaelud� eash ahort) S 1� r '
7. Net rsceipts - lins 5 miaus li e 6 = ��� �-��
8. Expenses ineurred in eonductin an operating gaa:
A. Groaa vages paid. Attaeh ork r liat vith � ; - r-�-
names, sddzeasas, gro�s va ea. nusber of houra t
vorked, and amoun[ paid pe ho r.
B. Elent for `; ��eeka ; �-' J-� ,
C. Lleense fee. ;
D. Insurance ; � �''�� . -
E. Bond i ���
P. Dishonored ehecks not rec ver d f -.
G. Aceounting Expense
S �f �Z.pv
H. Employers F.I.C.A. ; �^`D�"�? _
I. Pulltab Tax Paid to Depar tn oE Ravenw ; ���` �
J. ltinn. U.C. 'fax ; -�
R. Federal Exeies Tu i SC ; � `3 J�
_ ' <r� �
L. Seat• Ca'bliaa 'Iax Y `-
H. Miscellanaous Expan�es. Ide tify tha oount
and to vhat paid.
�. L�.- -
,•� s ���� �--
<_ ~ ' �� ' -�o Ul� -�-c� C-�-�- u�l-h �'�h d.
2. �:�:. � � . _ ; ...� i aJ � �
1 � r,r'
� � ���.� .� J�,, ; � ��
3.
4. ;
TO?AL f �� ✓� �� � �
9. 'fotal Expenses " � ' ° —
_ � ��., .--
10. Net Iaeo�� - line � tinu• 1 �
11. Cheekbook balance be;iaaini of eriod ; ��"� �tk
12. 'fotal of liae 10 and 11 ; ��'��` 3� ��C,
�^,^ ��
s �%�.-1i y _�c� �3����`,�' _' - "_
' 13. Total eontributiona (froi a tae ed vorkshest) � �• ~�:c:�
14. Cheekbook balanee end of re ort ng period - ; j..�.!�--�"
line 12 less liae 1] �J�
� � � ��
,k-;. o- `
_ . _
v � i i ,�� . r n{r�.
•� - UNIFORM CHARIiA l� �"�BIING :iNANCIAL RE�ORT
LA�IFUL PURPOSc ON IBUTIONS - WORKSHE�T
Line #13 - Total Lawful Purpose on ributions . S
List below all checks writt n rom gambling funds which are
charitabTe lawful purpose c nt ibutions. The totai dollar
amounts of these checfcs mus tch the amount claimed in
line #13. Use additio�al s ee s as necessary.
CHECK � DATE PAYEE CHECK AMOUN PURPOSE
/ f=�5� T��� S � �Q�•U� L-I n���o�� �
I. �io� � ' I=
i ���• ` �� . �;� J
2. IlG' � /��� !- i-}st 7ivr� � U O�,°° _ , .
� �,
3. �� C � � — SL% QGGo
�� �,��- ��,,� r� S � i
o� ' '
a. /�5 3 /��'oo, _
% �'/�.5� Tw i n S a a � ,
5 .
�� 5 3 � _R✓� T�,;��, S �, . -� �. - , ,
�6 S /�J/� � �'�C-�.-��r S
6. / ��s
7.
S.
9.
10.
11.
12.
13.
TO?Al CHE K UNT 3
NOTE: These expenditures will be p vi ed to Council Manbers at your Council hearing.
Be sure that your financial r po t is complete and accurate.
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