89-888 WHITE - CITY CLERK COU[1C11 nl/7 ���
PINK - FINANCE
CANARY - DEPARTMENT G I TY F SA I NT PA U L File .NO. �/y-
BLUE - MAVOR
Coun i Resolution �g ;
Presented By ._ f u. ; °✓r��-^-�, s �
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application ID #56823) for a State Class B Gambling
License by The Mi ne ota Aids Project (MAP) at The Town House ,
1415 University A en e, be and the same is hereby approved/
denied.
COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond
�+►� IR 3V0
Goswitz �
Rettman B
sche;n�� _ __ Aga nst Y
Sonnen
�Ison y�
Ii�Y 2 �1 � Form Appro ed by City orn
Adopted by Councii: Date ' -
Certified Pas- d by Couttcil ecreta By
, �N� �I
By ' a�j' y
t�pproved ��Navor• Da�e--�..�_— i-lA� 6 _ Approved by Mayor for Submission to Council
gy �� "' `•�,,..__ ��., �Y��---- � BY
P���►���I .',�" : � 198
(,,• �1--�`�
DEPAF�TMENT/OFFlCFJOOUNGL DATE IN ATE � 7 3 7
Fi narice/I.i cense 4-2 -8 GREEN SHEET NO.
INITWJ DATE INITIAUDATE
CONTACT PERSON d PHONE DEPARTMENT DIRECTOR �CITY COUNCIL
Chri sti ne Rozek/298-5056 NuM F g�y pn'pqNEY �CITY CLERK
MUBT BE ON OOUNdL AOENDA BY(DAT� ROUTI �BUDGET DIRECTOR �flN.d MOT.SERVICES DIR.
5-18-89 ❑"""voA coA"sa�sT^"T� �27-�u.ac�.l R
TOTAL�OF SIGNATURE PAGES (CLIP L CATIONS FOR SIONATUR�
ACTION REGUEBTED:
Approva1 of an app1ication f r State Class 6 Gambling License.
Notification Date : 4-25-89 Hearin Date: 5-18-89
RECOMMENDATIONB:Appro�rs(A)or Rsje�t(R) COUN L C MITTEURESEARCH REPORT OPTIONAL
_PLANNINO COMMISSION _dVIL 3ERVICE COMMISSION ANALYB PHONE NO.
_GB COMMIITEE _
COMME TS:
_3TAFF _
_DI3TRICT COURT _
SUPPORTS WHICH COUNqL OBJECTIVE?
INI'MTINO PROBLEM.ISSUE.OPPORTUNITY(Who,Whet.When,Where,Why):
Stephen J. Rocheford, on beh 1f f the Minnesota Aids Project, requests Council
approva1 of his appTicatior� r C1ass B Gambling License at the Town House,
1415 University Avenue. Pro e from pu1ltab sales will be used by MAP for
projects related to arrestin t transmission of the AIDS virus , eleminating
discrimination against peopl a ected with the AIDS virus , and making available
high quality, comprehensive nd oordinated services to persons affected by the
AIDS illness. All fees and pp1ications have been submitted.
ADVANTAOES IF APPF�VED:
If Council approval is given S will sponsor a pulltab booth at the
Town House.
DISADVANTAGES IF APPROVED:
DISADVANTAOES IF NOT APPROVED:
Note: Th;is is the second ga li g location for MAP. They operate a pu1ltab
booth at Rumours, 429 N. Rob t t. There have been n�o px�bie����,t��isC�nter
location.
r.j ��r • �}
Itl�l� U lJ iviS:J
TOTAL AMOUNT OF TRANSACTION s COST/REVENUE BUDOETED(CIRCLE ONE) YE8 NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INWRMATION:(DCPWN)
-� :
, . ���1`��°
T�iVISION OF LICENSE AND P�RMIT ADMIN ST TION DATE � g � / 3 3� O S
INT�,RDF.PARTMEfiTAL REVIEW CHECKLIST A.ppn roc sed/Recei ed b
Lic Enf Aud
Applicant ����y0 ,@G Home Address O�D oZ`J �i LdICQ� �ut�a
Rusiness Iv'ame �� s Home Phone
Business Address J � ,`� Type of License(s) ���(yss �� C,'74�Olin�
Business Phone �l��1�5�• �Q�i --1� C�vn bl�n�, �lC�Sr`—'
Public Hearing Date �7 �$ g 1 License I.D. 4{ �4ga3
at 9:00 a.m. in the Counci C amber ,
3rd floor City Ha11 and Courthouse State Tax I.D. �� Nf�}
llate I�TOtice Sent; 7� Dealer 4� N I�
to Applicant L � �
rederal P'3.rearms �� Il.)
Public He�.�ring
DATE I1� PE TIUN
REVIEW VERFIED CO UTER) CUMMENTS
A proved No A roved
�
Bldg I & D �
NI� �
Health Divn. '
�
tiI�
i
Fire Dept. i �
" N�� I
i
;se� 31
Police Dept.
�3��1 � �K.
i
License Divn. �
'� �� � � Q �..
City Attorney �
� 7.���� Q � �_
Date Received:
Site Plan �J �� (�j (-,(a
To Council P.PSearch � 0 '� l
Lease or Letter � n D te
from Landlord �k
_ � .�
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- . . ti.,_ : .. . . .. . ,
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' • Charitable Gambling Control oa d FOR BOARD USE ONLY
Room N-475 Griggs-Midwa Bui ing �N�
1821 University Avenue
St. Paul,Minnesota 55104- 38 PAID
. - (6121642-0555 AMT
'� CHECK#
DATE
GAMBLING LICENSE APPL C ION
e, .' ,
INSTRUCTIONS: . ,
A. Type or print in ink. �
B. Take completed application to local governing bod ob in signature and date on all copies,and leave 1 copy.Applicant keeps 1
copy and sends original to the above address with ch k.
C. Incomplete appiications may be returned.
D. Enclose license fee with application.
Type of Application:
❑Class A — Fee S 100.00(Bingo,Raffles,Paddlewhe Is, ipboards,Pull-tabs)
CtClass B— Fee 5 50.00(Raffles,Paddlewheels,Tip oar s,Pull-tabs) Ma�c"c�c•�sY.�.t°'
❑Class C — Fee S 50.00 IBingo only) MM"'s°t'�n�e'a'��°'"`°�so�d
OClass D — Fee S 25.00(Raffles only)
Check one: ❑1 A. O�ganization has never been licens .
�J 1 B. New site —Give base license numb r. 2 tl 1 a
O 1 C. Renewal of existing license—Give om lete license number. 0 - � - 0
❑1 D. Change in class of an existing license— ve complete lic�nse number. � - �� - 0
❑Yes�No 2. Has organization ever received a Law I G mbling Exemption Permit from the Board? If yes,give complete
permit number
❑Yes�No 3. Have Internal Controls been submitte pre iously on a form provided by the Board?If no,please attach copy.
4. Applicant(Official,legal name of organization) 5. Business Address oF Organization
:��innesata A�I.D.S�Project 2�25 Nicnllc:t rivenue South
6. City,State,Zip 7. County 8. Business Phone Number
innea olis� MN 55904 Hennepin f:2 1870-7773
9. Type of organization: ❑Fraternal OVeterans Rel gious �Other nonprofit•
'If organization is an"oMer nonprofit"organization,ans er q estia�s 10 through 12.If not,go to question 13."Other nonprofrt"organizetions
must document its tax-exempt status.
IaYes❑No 10. Is organization incor orated as a no rof organization7 If yes,give number assigned to Articles or page and
book number: 'y � � Att ch copy of certificsts.
CFYes❑No 11. Are articles filed with the Secretary f St te?
C�Yes�No 12. Is organization exempt from Minnes a o Federal income tax?If yes,please attsch letter from IRS or Department of
Revenue declaring exemption.
❑Yes mNo 13. Has license ever been denied,suspe ded or revoked7 If yes,check all that a ly:
❑Denied ❑Suspended ❑Re ok Give date: -
2�1' wemoers�qOa[�bers 15. Number of ear in existence Note: Attach evidsnce of
500t volunteers 5���d n lf threeyearsexiatence.
16. Name of Chief Executive Officer(Canrtot be 17. Name of treasurer or person who accounts for other revenues
Gambling Manager) of the organization(Cannot be Gambling Manager)
Eric L. Engstrom Janic2 S�ller
Title Title
EYecutive Diroctor Bookkeeper
Business Phone Number Buainess Phone Number
�612 ► 870-7773 512 1 870-7773
18. Name of establishment where gambling will be 19. Street address(not P.O.Box Numbe�)
conducted 1415 Univetsity Avenue
� T e T wn A u e
20. City,State,2ip 21. County(where gambling premises is located)
St. Paul� MN 55101 �a�seY
CG-0001-0318J88) White Copy-Board Canary-Applicant Pink-Lxal Goveming BodY
age 1 of 2 ,
-�-- -�,---- :--
.. .. . � �0%�GG�
�ambling License Appl'ication
Type of Application: ❑Class A � Class B ❑ lass C ❑Class D
C�YesONo 22: Is gambling premises located within ty li its7
C�Yes�No 23. Are all gambling activities conducted at t e premises listed in#18 of this application?If not,canplete a separate
application for each premises(except raffl s)as a separate license is required for each p�emises.
❑YesF�No 24. Does organization own the gambling re 'sesT If no,attach copy of ths leasa with terms of at least one year,and
attach a skstch of the premises indi tin what portion is being leased. A leass a�d sketch are not required for
Class D applications. -
25. Amount of Rent Per 26. Do you plan on condu ing bingo with this license7 If yes,give days and times of bingo xcasions.
Month or Bin o Occasion Day Ti e Day Time Day Time
g 400.00 no n no no no no
C}Yes❑No 27. Has the S 10,000 fidelity bond required Mi nesota Statutes 349.20 been obtained7
28. Insurance Compan Name Inot agency name) 29. Bond Number
•.�nit`� :ira �dnd Casualty ��u�pan 51-7�ii�5
30. Lessor Name 31. A ress 32. City,State,Zip
" � :�;own riousa 1 l Univarsity :�ve. 't. Paul, ,•��V »i�4
33. Gambling Mana er Name 3 A ress 35. City State,Zip
Ste�hen J. �ocnarord 1 5 We3t:ninster Street St. �aul, MN55101
36. Gambling Manager Business Phone 37. Date g mbli g manager became
( 012 1 �3 7 C-7%�.i memb of rganization: Month "[ Year 8�
❑Yes�No 38. Has the license termination form been co ple ed7 Attach copy.
;CaYes❑No 39. Has the compensation schedule been ap rov by the organization?Attach copy.
40. List the day and time of the regular meeting of the orga izati n.Day 2�t h We G o L mOn t h Timeb=v �t'�
41. Ba�k Name 42. Be Ad ress 43. Bank AccouM Number
�ir3t `daticna: 3ank r^irs nk Place
� �=oc� a io �linn a olis, MN 55480 07.3400531
GAMBL G ITE AUTHORIZATION
By my signature below,local law enforcement officers or a ents of the Board are hereby authorized to enter upon the site at any
time gambling is being conducted to observe the gam ling and to enforce the law for any unauthorized game or practice.
BANK R CO DS AUTHORIZATION
By my signature below, the Board is hereby authoriz d t inspect the bank records of the gambling bank account whenever
necessary to fulfill requirements of current gambling les nd law.
�
I hereby declare that: OATH
1. I have read this application and all information su itt d to the Board;
2. All information submitted is true,accurate and co pl e;
3. All other required information has been fully discl sed
4. I am the chief executive officer of the organizatio ;
5. I assume full responsibility for the fair and lawful er ion of all activities to be conducted;
6. I will familiarize myself with the laws of the Stat of innesota respecting gambling and rules of the Board and agree, if
licensed,to abide by those laws and rules, includi g a endments thereto;
7. Membershi list of the or anization will be availab e w hin seven da s afte�it is re uested b the board.
44. Official,Legal Name of Organization 45.,.S' f'�t�ure,(mtist be signed by Chief Executive Officer)
.�innesota AIDS P�o 'ect X ��� ,�i� <� -, `�''�ti-----
Title of Signer Date •
Executive Oirecotr February 22� 1989
ACKNOWLEDGEMENT F N TICE BY LOCAL GOVERNING BODY
I hereby acknowledge receipt of a copy of this applicati n.B acknowledging receipt,I admit having been served with notice that
this application will be reviewed by the Charitable Ga blin Control Board and if app�oved by the boa�d,will become effective
60 days from the date of receipt (noted below) unles a solution of the local governing body is passed which specifically
disallows such activity and a copy of that resolution is ce ed by the Charitable Gambling Control Board within 60 daya of the
below noted date.
46. Name of City or County(Local Goveming Body) If site is located within a township,item 47 must be completed,in
addition to the county signatu�e. If township is not organized,
City of St. Paul countymustsign.
Signature of person receiving application 47. Name of Township
X ( : � - � ; ;��� r-./
;�__;_,_.;�,,,,{ � i,
LitCeASe In8 eCtOr Date received(60day peri Signature of person receiving application .
P begins fr�m this date) �
,S % ;� ' .. i X
48. Name of person delivering application to Local Govemi Bod Title
Sta�izen J. Roche�ord
CG-0001-03 18/88) White Copy-Board Canary-Applicant Pink-Local Governing Body
P ge2of2
it of S2int Paul ��f _ _�1��
��%/,�
.. .. Department of Fi ance and �ianagement Services �p �
. Division of ic nse and Permit Registration
INFORMATION REQUIRED in'ITH APPLICATIO F R PERMIT TO C0�'DUCT PL'LLTAfi/TIPBOARD Sr'.LES ?'�
SAINT PAUL (Class B Gambling Licens i Liquor Establishments - New Application)
1. Full and complete name of organ za ion which is applying for license
The Minnesota Acquired Immun D ficiency Syndrome Project
2. Does your organization meet the de inition of a "large" organization as outlined in
the November, 1988 revision of ec ion 409.21 of the Legislative Code? No
Attach to this application pert ne t financial and/or organizational information to
support your answer to this que ti n. NOTE: Only 5 large organizations will be a11ow-
ed to open pulltab operations u de the revised city ordinance. If more than 5 organi-
zations apply, qualified applic nt will be selected randomly by the City Council.
3. Address where games will be hel 1 15 Universit Avenue St. Paul 55104
Number Street City Zip
4. Name of manager signing this ap li ation who will conduct, operate and manage
Gambling Games Ste hen J . R ch Date of Birth 6� 7 � 53
(a) Length of time manager has ee member of applicant organization 4 year�
S. Address of Manager 1354 Westminster St. Paul 55101
Number Street City Zip
6. Da��, dates, and hours this appl ca ion is for annual, starting May l, 1989
7. Is the appiicant or organizatio o ganized under the laws of the State of i�tN? yes
8. Date of incorporation April 2 , 1983
9. Date when registered with the S at of Minnesota April 27, 1983
10. How Iong has organization been n xistence? 5 and a half yea rs
11. How long has organization been n xistence in St. Paul? 5 and a half ye ars
12. What is the purpose of the orga iz tion? MAP is dedicated to arretstinq trans-
mission of the AIDS virus, elimi ating discrimination against people affected
with the AIDS virus, and making v ilable hi h ualit � com rehensive and
coordina e services to persons f cted by AIDS illnesses
13. Officers of applicant organizat on
Name Eric L. Name
Address 859 W. Ct . Rd G-2, Sh review, M4vidress
Title Executive Dir. DOB 9 5 58 Title DOB
Name Name
Address Address
Title DOB Title DOB
.. •, (�./(� 04 0
14. G;ve names of officers, or ar.}� o he persons who paid for services to the
organization.
Namesee attached membershi li t Name
Address Address
Title Title
(Attach sep ra e sheet for additional names.)
15. Attached hereto is a list of nam s nd addresses of all members of the organization.
I6. In whose custody will organizati n' records be kept?
Name Janice Seller Address 2025 Nicollet Ave.Mols , Mnt
55404
17. List all persons with the author ty to sign checks for dispersal of gambling proceeds:
Name Janice Seller Name Sig Peck
Address 2615 G Address 501 Parkview Terrace
Member of Member of
DOB 11 I 1 I46 Organization? DOB Q � �i � �� Organization?�es
Name Eric L . E Name Kris Wayne
Address 859 W, _ • eW Add:ess 5009 Excelsior Blvd. 1V0. 126
Member of Member of
DOB 9 � 5 � 58 Organization? es DOB 8 I 12 �51 Organization�,Ps
18. Have you read and do you thoroug ly understand the provisions of all laws, ordinances,
and reguiations governing the op ra ion of Charit2ble Gambling games? ves
19. Will your organization's pulltab op ration be operated/managed solely by members of
your organization? yes s no
20. Has your organization signed, or do s it intend to sign, a consulting agreement or a
managerial agreement with any pe so or company to assist your organization with the
pulltab sales and/or recording k ep'ng? yes no no
If answer is yes, give the name nd address of the person and/or company contracted.
Name n a Address
Name Address
If answer 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 application.
n a
21. Operator of premises where games wi 1 be held:
Name The Town House Mart man "
Business Address 1415 Univers '
Home Address 11/)AR�' � b F�ve I $�� �`� � S5l
�-/olly M��ne-�, Z -,�d,�r, St; ���¢�, stP,u.�,/1/JN ssip�z
._ .. �-7" ��L��
. ?2. a) ' Does vour organization pay or in end to pay accounting fees out of ga�bling funds'.
Ye � .YPR no
b) If you do pay accounting fees, t whom will such fees be paid?
Name MAP General Fund Address 2025 Nicollet Avenue S. Mpls .
DOB Member f rganization?
c) How are the accounting fees ha ged out? (flat fee, hourly, etc.)
hourly
d) What do you anticipate will e our average monthly deduction for accounting fees?
$400.00 month (estimate a e a e)
23. Amount of rent paid by applicant or anization for rent of the hall:
$400.00 month for approxi ation 40 s . ft
24. The proceeds of the games will b d sbursed after deducting prize layout costs and
operating expenses for the follo in purposes and uses:
To support the programs and se vices of the MN AIDS Pro 'ect
41$ (St . Paul ) plus 10� (Y ut St . Paul ) e uals 51�
49� rest of Minnesota equa s 00�
25. Has the premises where the games ar :o be held been certified for occupan�y by the
City of Saint Paul? yes
26. Has your organization filed fede al form 990—T? y eS If answer is yes, please attach
a copy with this application. I a swer is no, explain why:
Any changes desired by the applicant ss ciation may be made only with the consent of the
City Council.
�-��� n.�;���„ �.l..o.s P��,�C�t
Organization Nam
' � ;� ' �Gu
Date Februar 22, 1989 By: Ste �n J. �or �
M r in cha� of ga:ne
r
Eric L. Enq trom
Organization Pzesi ent or CEO
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TMis IS A EC PT FOII AP�iCATiON �
TM18 I�NOT A UCENSE TO OPERATE You►appllcslion f I � will eitha be�snfed a ts�eet�d wbj�ct fo fM O�odsio�s or M»ia�in0
pidiMnC�and�ornplNioe 01 tM inspktioM Or tM Mqlt .Ri Zoninp sndlpr Lk�nN Insp�tto�i.
: s15.00 CHARGE OR A1.L RETl�tNED CHECKS
3'� �-.�' � �. / �
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1 BE COMPLETED BY
ORGANIZATION P ESi ENT AND GAMBLING MANAGcR
I understand and will uphold Sai t Paul Ordinance 409, Sections 409.21
and 409.22 relating to pullta s nd tipboards in bars.
Further, I understand that m ja bar must meet city standards; that 10;�
of the net profit from pullta s les must be returned to the City-Wide
Youth Fund on a monthly basis; t at monthly financial statements must be
filed with the City; and tha 51 � of net proceeds must remain in St. Paul
or be used to support St. Paul sidents .
,� � ; �� ^
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_ .� ;.�._
//� CY.�'"L_�..' li' C� " C�- ' t i% �
Sig a u� = �Manage"r ' ,
Signatur - Orga ization Preside t
Minnesota AIDS Pro 'ect
rgan�zation � ame
1415 Universit Avenue t. Paul MN 55104
Gambling Location
February 22, 1989
Date
Please retain e ttached ordinance for your records.