89-887 W11ITE - GTY ClERK
PINK - FINANCE GITY F SAINT PAUL Council ///��^///►►►//////��y,,�j
GANARV - DEPARTMENT J�� /
BLUE -MAVOR File NO. �'G�
Coun i Resolution .��"�� ��
�_ __..
Presented By
Referred To Committee: Date ��?���
Out of Committee By Date
RESOLVED: That application (I #36862) for a Gambling Manager's License
by Donna Sperr D A arding Area Hockey Association at
Minnehaha Tavern 7 5 White Bear Avenue, be and the same is
hereby approved/ en ed.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�� _� [n av r
Goswitz
Rettman B
Scheibel � A g i n s Y
Sonnen
Wilson yA
1"IHY � 8 Form Approved by Cit Attocney
Adopted by Council: Date � . �j
Certified Y� sed by Council Secretary By d�
By
A►pprove Mavor: Date � � Approved by Mayor for Submission to Council
By By
p��i.1S� .1 ��� :� 1 8
` _, o�,� o�,e co�ws�u ��r��
�►� .. , ` ���1�-�3�� �.p 0-�5 3 8
1 J. Carchedi
rfR!°" o�v�r anECrca �r►ron ron�sr�
,Christine Ro�ek � � ����� �«n«.�
. °'*� � -` �� 2 Council ites,earch
f' � � 1. '�,►rn� . .
ApPr.�val of a Gambling Mana r' Lic�nse.
Notification Date: 4-17-89. ii�aring Date: 5-18-89
110N�:(�WPivw U)d�(R)) R�Q�T: ,. ..� ,
� PIANMNR COAMMB810N CIVk SERVICE COMMIS81�1 DATF � DATE OUT . . . ANAtYST �: . � �. , - iM10NE N0.� � : .�.
. � ZOMNO COMM18810N . . �-1�Y26 9CFfO0L BQ4AD . . . . _ .. . � .. - . . � .
. . '�...STAFF . ._ . .. . .� . . � CHA6ttFR C.OM�N ' . . � I!8��� ' ADDL 0'IFO.ADOED� _fOR�AOD1:�.'.�'� � .�e�811CIC AGipEQ �. � �.
. . . . — . - . � . * . .
� 0187'RICT.mlAipl . . . � * �. . . - . . . � . - ..� . . .
� 81NROATY WMK�!OOGiC�L OBJFCTNE9 -' � . . .� . . � � � . . . . . . .
� . �- � . . � �. '. � . . . � � . . � � . ` , .. . ..
NfiA11110�AOeLE11;�E„OMORllNf1Y i11Np,YYh1a,Vhw4 i�r.M�hy): - �
Donna. Sperr OBA N2��^d�ng Are key Asst�ciati� requests Ci�y Counci1
approval of her appl i cati on o. a Gambl i;ti� f�nagers 1 i cen"se°at� the
_ .: Mi nr�e�iaha Ta�ern, .1351 Whi te =.A�ter�ue: . :,_ :. ,
- ::�'.iusnnenaoM tc�a,e.�,.�o�,�:�re�: - .. .
All fees and applicatiarts h e �en sub�itted.. If Councii� app�^orcal is
` gi ven, Danna Sperr wi'�l :man e al l�ab �ale� fi�ar Hard'itag'Area t�OCkey at
. . the'Minnehaha Tavern. -
co�cuaic�c�n+u.wa.n..�a�e wno�r: , -
If tha s 1 i cense i s not appr ,ed Hardi�g Rr�� �lo�key wi J 1 d'i sc��`irfct� ` �
pul i tab sal es at the. Mi nneha a avern unti� a 'gambl i r�g mar�ager a s 19censed
fo.r t�at location. .
�t�erw+rmr�s:. . _ �s .
�src�v�r+�s:
��s: • _ _,, c�852ai'Gi"i �.�.,.,�.
- _ �IPR � 0 i�BJ
, . O �, ���
DiVISION OF LICENSE AND PERMIT ADM NI TRATION llATE �y / `T 6�
INTERDF.PARTMFfiTAL REVIEW C:HECKLIST Appn P oce sed/Received y
Lic Enf Aud
Applicaut �jy�y► �(, 5�� Home Address � �Q15 ��,Q� ��Ort ��
Rusiness Name `�'}' �,P Home Phone �� �� ` �J�7
�
Business Address ��}�Type vf License(s) vr� bl�n YIQq-e✓S
. �
Business Phone l�1 CQ�►'�S�2.J
Public Hearing Date 5 � 3�g�OL
� License I.D. �F
at 9:00 a.m, in the Counci Chauibe s,
3rd floor City Hall and Courthouse State Tax I.D. �i N I�
Uate Nutice Sent; � ��O Dealer �� � �A'
to Applicant ` � J �
rederal I'irearms �6 I`-�'f}
Public Nearing ��
DATE IT PE "TIUN
REVIEW VERFIED CO UTER) CUMMENTS
A proved No A roved
�
Bldg I & D �
N /.�
Health Divn.
��� �
�
Fire Dept. � �
� � :T I
Police Dept. I '�n'� �) �
�
�
License Divn. '
�t I ���1' C�«
City �,ttorney I �
� ;� Ih �1 ' � ��
Date Received:
Site Plan
To Council Research Z v
Lease or Letter D te
from Landlord �V
r • J(� ����
' � City�of Saint Paul
Depa�tment f inance and Management Services
ce se and Permit Division
203 City Hall
St Pa , Minnesota 55102•29&5056
AP LI ATION FOR LICENSE
CASH CHECK CLASS NO. Naw Renew
a � � a Date l� 1
�
Code No. Title ot llcense From �� 19�0 ��1�'" 19%�
02 :�2lv o�r►�.�L��x� ///��¢ `.SL'
,00 ,�dx�-�� ���2�
AppllesnUCompsny
�oo � ,�i� p��t�z� �-�-,�.,u't^.�.
b'
100 Buafness Na
� ? � �
,o0 7�� G�.,��-�:.�c-� �i�E ,
—� Business Address Pho No.
C�
,� � ���. �'
100 Mail toA� Pho�e No.
100 'D�.fL� C�'�(_�
ManapNlOwnsr•NanN �f�f!—
100
/�2'��.�,1�-:? Q.,��J��/���
100 Atanaqer/Gwn • Addna Phone No.
4098 Appifcation Fee 2, 50 i � %�
QCeived ihe Sum of 100 � �T�l �� •
,QQ ManaqsnOwrror-Gq.State d Zlp Code
100 T tal 100
) �
LlCense InapQCtOr By: Siqnature of Appiiwnt
Bond•
Company Name Poliey No. Expiratio�Oate
Insurance•
Company Name Policy No. Expirstion Oat�
Minnesota State Identificattcn No /✓ Social Security No
Vehicle Information:
S��I�I Number at�NunMtr
Other
THIS IS A RE EIPT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your applleation r ti nse will either bs granted or rejected subject to the provisions of the zoni�g
ordlnancs and complellon of the inspsctions by the Heal h, F re,Zoniny and/or License Inspectors.
$15.00 CHARGE FO ALL RETURNED CHECKS
,� , �' _� ; �_i�-�-� � � �' �
� . - �� , ; �.-��g, �� 7
' � C ty of Saint Paul
Department of in nce and Management Services � � '�C,� f'"�='_��
Division of L ce se and Permit Registration ,�, � �, ,;_� ;. �; �-��
.� _- ' �
ZNFORMATION RE UIRED wiTH aPPLICATION FO PERMiT TO SELL PULLTABS � TIPBOARDS i�i Sai�T PAUL
(Class B Gambling License in Liquor E ta lishments - Renew)
1. Full and complete name of organi at on which is applying for Iicense
��- �1 .� / � — , � �°. � . � -
2. Address where games will be held '� ' � �� � � � � ' �� ��/,; � 1 � �' �' ,(, ',j �-��-
Number Street City Zip
3. Name of manager signing this app ic tion who will conduct, operate and manage
Gambling Games j �• � ;.,,jV ; ���=�1 '� Date of Birth �/_���;�
,�1
(a) Length of time manager has b en member of applicant organization J
4. Address of *ianager �,�, �, � -� ' ! , / ;;./ ;� i> �_� � r .N. � �r'✓ = ✓� ' � .
Number Street City Zip
5. Day, dates, and hours this appli at on is for
6. Is the applicant or organization or anized under the laws of the State of �II�1'. i/,1.: ��
7. Date of incorporation � � � `
8. Date when registered with the St te of Minnesota /,� ���� _ �. `J
9. How long has organization been i e istence? ,� ,� ,�,� �/��`�
10. How long has organization been i e stence in St. Paul? ��UyC'J�}.Z`�'
� �
11. What is the purpose of Che organ za ion? V� ,� /f l-�' ,-_,[�f=�•.�
12. Officers of applicant organizati .
�,�
Name _ 1 � ; Name � � � 1� Jl/f�/�/�
Address -�� G� u'' � ' l` � Address - � �i 'j�_s VV//11 I !� ��; 1�
Title f=`� ' _ DOB � �� — i/ Title � �4_ � DOB ��/:.1 ��S �,
,1ame A l Name �.J��n��v/�. C� �. S �± iV
�
Address � �' Address �{:3•� `3,c'i�G..�-� `� %
�-�+ �
Title y /� DOB ^ - Title //���1 ` DOB /.� -,� J.�� 11�
13. Give names of officers, or any ot er persons who a1^e paid for 5erviCeS t0 the
organization.
Name Name
Address Address
/
Title Title
(Attach sepa at sheet for additional names.)
14. Attac�ed hereto is a list of name a d addresses of all members of the organization.
15. In whose custody will organizatio 's records be kept?
---. �"'�i „1 � % , _ � � •- , , '.._ ,�-�,.
Name � • •�, ,- �, � Address � �.. � -�� � r�i'—�. iir-/�-;-� r��
16. List all persons with the authori y o sign checks for dispersal of gambling proceeds:
�
Name h'� , � ^ � �' ' ) Name
\ � ., �
Address ,�: ; <i., � ' r i'.= :: � -�/,; ,'� � Address
„ Member of Member of
DOB .� -�J--� 1 Organization? � DOB �, , ;;�- �. 4, Organization?
`�.
Name j �. ,; . - ` �/�� �iZ Name -
:�ddress � (. ��_� ����r- �� ,�i, �,�� �, Address
.�
Member of Member of
DOB �.�- ;� �_ � -�, Organization? DOB Organization?
17. Have you read and do you thorough y nderstand the provisions of all laws, ordinances,
and regulations governing the ope at on 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 we11 as all organization w o have received funds for the preceding calendar
year which has been signed, prepa ed and verified by �� �, �� }�-�,� j�J
/ , j . � _. �' r � _ . ;) --
l./
/ � � .5
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 per on or company to assist your organization with the
pulltab sales and/or recording ke pi g? yes no
Ir answer is yes, give the name a d ddress of the person and/or company contracted.
Nar�e - Address
tiame Address
If answer is yes, how will such a co sultant be paid? (percentage, f2at fee, gambling
funds, general funds, etc.) Atta h copy of said contract to this application.
21. Operator of premises where games il be held:
:�ame 'iy� fl� ��r� j , i �.1 i/ ���� "�t � � �,./- . `/y! �
Business Address , ..��.�� � ' ' ' f? �� �C I� � �� '"
� �
Aome Address � �.' " `"\ ; iv' '� t il ' � � ' � � � `'
�2. ai Does your organization pay or 'nt d to pay accounting fees out of gambling funds?
yes no
b� If you do pay accounting fees, to hom will such fees be paid?
h'ame Address
DOB Member of Or anization?
c) How are the accounting fees c rg d out? (flat fee, hourly, etc.)
d) What do you anticipate will be yo r average monthly deduction for accounting fees?
23. 2,moun[ of rent paid by applicant o ga ization for rent of the hall:
-1 * � . . .
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:
� ;
. . .. �'
25. Has the premises where the games a e o be held been certified for occupancy by the
City of Saint Paul? j/ :,' ��
%
26. Has your organization filed federa f 990-T? y_�' �,, If answer is yes, please attach
a copy with this application. If ns r is no, �explain why:
Any changes desired by the applicant as ci tion may be made only with the consent of the
City Council.
I���i •� .1 J ,n/�. � (,I._.� ��h�')C 1'���
� Organization Name �
-- / �
ilate �—/I_ �,�% B .� �
" Mana er in charge of g
,�
,�
�
Organization Preside r CEO