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89-936 WHITE - C�TV CLERK COUI1C11 / PINK - FINANCE G I TY O A I NT PA U L CANARV - DEPARTMEN7 ��/� BLUE - MAVOR File NO. �� - � Co,unc 'l Resolution -3 � Presented By Referred To Committee: Date Out of Committee By Date � � � RESOLVED: That applicatio (T #29781) for renewail of a State Class B Gambling Licens b the Twin Star VFW Aost #8854 at 820 Concordia A e. , be and the same is hereby approved/ denied. � � � COUNCIL MEMBERS Requested by Department of: Yeas Nays Dimond �� In Fa or Goswitz � Rettman Scheibel _ A 1 n t BY Sonnen � Wilson MAY 2 5 1 89 Form Appro e�d by City torn Adopted by Council: Date ` - Certified a- ed by Council Secretar BY � gy, Q�.c' r�//. Approved Mav • D��,, � Y � 1�i1� Approved by Mayor for Submission to Council By ��_ �� ; • BY pi'�L�S� '�� - -� 9 . ` : ' �Q7—`�° DEPARTMENT/OFFlCE/COUNqI DATE INITi TED � � �O GREEN SH ET NO. �� CONTACT PERSON 6 PHONE' IN DATE INII7AUDA7E DEPARTMENT DIRECTOR �CITY COUNCIL C . . _ � CITY ATTORNEY GTY CLERK MUBT BE ON OOUN(:IL A(iENDA BY(DAT� �BUDOET DIFiECTOR g FIN.d MOT.SERVIf�8 dR. 5-25-89 �MAYOR(ORASBIST 0 ��i�nril R TOTAL#�OF SIGNATURE PAGES (CLIP A L L ATIONS FOR 81ONATUR� 'i ACT10N REOUESTED: i Approval of an application or renewal of a State �lass B Gambling License. Notification Date: S q Hearing Date ' 5-25-89 RECOMMENDATION8:Approvs(N a►�le�(� CO MITTEE/RESEARCH REPORT AL ANALY PHONE NO. _PLANNINfi COMM18810N _GVII SERVI(�COMMI8810N _q8 OOAAMITTEE _ _�� _ OOMME S: _DI8TRICT COURT _ SUPPORT8 WHICH COUNGL OBJECTIVE? I INITIATINO PROBLEM,ISSUE,OPPORTUNITY(1Nho.Whet.Whsn.Whero,Why): 1 Aaron Dooley on behalf of he Twin Star VFW Post 8854 requests City Council approval of his applicatio f r renewal of a Sta Class B Gambling License at 820 Concordia. Proceed f om the pulltab sal are used for youth athletics, needy community pe sons and/or organi �tions including churches and social agencies. All ee and applications ve been submitted. i ADVANTACiEB IF APPROVED: If Council approval is giv n, the Twin Star VFW lost #8854 wi11 operate a pulltab booth at their P iv te Club at 820 Con ordia. I I DIBADVANTAOES If APPROVED: 1 � DISADVANTAOES IF NOT APPROVED: � � C�!,��cil Research Center � fti1AY 0 � i�89 i TOTAL AMOUNT OF TRANSACTION = COST/REVENUE D(qRCLE ONE) YES NO FUNDINO SOURCE ACTIVITY NUMBER FINANCIAL INFORMATION:(EXPWI� � . . ...F� .. < (� � �,r�� UiVISION OF LICENSE ANI) PERMIT ADMIN ST TION llAT��' J� / / INTERDF.PARTMFI�'TAL REVIEW (:HECKLIST ��Appn o essed/Received by Lic Enf Aud Applicant �� n .S-F u � �/F�_ U S J�Home Address j j� jj �. /�G� n CL sy Rusiness Name Home Phone Business Address �o�U ►�1 �{� ,L}�.,�pe of License(s) �'C'V(p(,�)c�,�— Business Phone l.. �G SS fj � Gm �j'!�� (,! (�iy�5� Public Hearing Date S� a 5 License I.D. � �` 9��l at 9:00 a.m. in the Council Chamber , 3rd floor City Hall and Courthouse State Tax I.D. �t N1�' llate I�utice Sent; Dealer �� A" to Applicant rederal I'i_rearms �t N�.�' Public Hearing DATE I SP C'TIUN REVIEW VERFIED (C MPUTER) ; CUMMENTS Approved N t A roved Bld I & D g �V�-4- Health Divn. �v ja- , � Fire Dept. ! �' 1ulA- I , Police Dept. I �� I ' gE� License Divn. � �'S/ I 0 �� City Attorney � � $ C� �. , Date Receive : Site Plan � To Council Research � Lease or Letter Da e from Landlord tiJ � � � � � ��-9�� Charitable Gambling Control Board j Rm N-475 Griggs-Midway Bldg. For Board Use Only �� 1821 Universiry Ave. Paid Amt: = � St. Paul, MN 55104-3383 Check No. :••• : (612) 642-0555 Date: GAMBLING LI EN RENEWAL APPLICATION LICENSE NUMBER: �-q99;�-i�2 /EFF. D TE: �llal(88 /,AMOUNTOF FEE: ;5a.d8 1.Applicant-Legal Name of Organization 2. Street Address ; VE'a PO;T �954 ?.ai�i �.� �'P�iCnrr;d Av�n;Ja 3.Ciry,State,Zip 4.County 5.Business Phone '' °�u:. 1i ';' �aras�; ., '�t_d"i;a 6. Name of Chief Executive Officer 7. Business Phone ,• , '�'. `o . -- . 8. Name of Treasurer or Person Who Accounts for Revenues 9. Business Phone ;;�p �� .. :'�. 10. Name of Gambling Manager 11. Bond Number 12. Business Phone !zroa ,, t!_ . ;� •,�.- ,� 13. Name of Establishment Where Gambling Will Take Place 14. Counry ;, 15. No.of Active Members ��r�� ;:2�:� ;i;: ,..j,'l{`.;'d :-�1 16. Lessor Name 17.Monthly Rent: 18. If Bingo will be conducted with this license, please specify ays nd times of Bingo. Days Times a Times Days Times 19. Has�icense ever been: ❑ Revoked Date: ❑ Suspended Date: Ga Denied Date: '?i�? � '� 20. Have internal controls been submitted previously? ❑ Yes ❑ No(If"Nb,"attach copy) 21. Has current lease been filed with the board? ❑ Yes ❑ No(If"No,"attach copy) � 22. Has current sketch been filed with the board? ❑ Yes ❑ No(It"No,"attach copy) GAM LIN SITE AUTHORIZATION By my signature below, local law enforcement officers or ag s 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 aw f r any unauthorized game or practice. BAN RE ORDS AUTHORIZATION By my signature below, the Board is hereby authorized to ins t t e bank records of the General Gambling Bank Account whenever necessary to fulfill requirements of current gambling rules and law. OATH I hereby declare that: 1. I have read this application and all information submitted t the Board; 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. I assume full responsibility for the fair and lawful operatio of a I activities to be conducted; 6. I will familiarize myself with the laws of the State of Minn ta especting gambling and rules of the board and agree,'rf licensed,to abide by those laws and rules, including amendments thereto. 23.Official Legal Name of Organization Signatu (C ef Executive Officer) Date Title T'NI�V STf1R VF'�.�� ?05T �8�54 03// ;89 Commander ACKNOWLEDGEM T F NOTICE BY LOCAL GOVERNING BODY I hereby acknowledge receipt of a copy of this application. ac owledging receipt, I admit ha�ing been serv th notice that this application wilt be reviewed by the Charitable Gambling Control Board and ap oved by the Board,wilt become effectiv from the date of receipt(noted below), unless a resolution of the local governing y is p hich specifically disallows such activity a �a copy of that resolution is received by the Charitable Gambling Control Board within � s of th bel noted date. 24.Ciry/County Name(Local Governing Body) Township: If site is located within a township,please complete items 24 i t- '.;. �:„ :.� and 25: Signature of Rerson Receiving Application: , 25.Signature of Persqn Receiving Application _ �t. '' - � �' � �.� � Title Date Receiyed(this date begins ay riod) Title: , �:.�:- � �G Name of Person Delivering Applicaqon to Local Governing y Township Name CG-00022-01 (5/87) Whfte Copy-Board Canary-Applicant Pink-Lacal Governing Body . ��'1�'/ � Cit of Saint Paul /) �� Department of Fi an e and Management Services ��'-' Licen e a d Permit Division 3 City Hali St. Paul Min esota 55102•298-5056 APPLIC TI N FOR LICENSE CASH CHECK CLASS NO. N w Renew a � � Oate � � 19 �� Code No. Title of License �/ (� From � � 1��To 19L /� 1 i o�3"I✓ �" m b Ji� y ' �o0 1 I rl �t r U � 4.J �U S t � r� �L' AppliCantlCpmpany Name �/✓�� 100 O 0 ��t% C OnC'�►-c��. •� V-e� 100 Busfness Name ,oo S i� ��i U- (, M �� .�s l v�l Business Atldress Phone No. 100 100 Mail to Address Phone No. ioo ��i v'c7r ��O ��-1 _ ManageNOwner•Name 100 � � � � �. � qv �in � 100 Atanagerl6wner•Home Address Phone No. 4098 Application Fee 2. 50 ReCefved the Sum of 100_ �, �!((,�. 1� � � ��ld �p ��p�� ManagedOwner-City,State 8 Zip Code 100 To I 100 License Inspector � By: `�� Signature ol Applicant Bond: Company Name Policy No. , Expiration Oate Insurance: Company Name Policy No. Expiration Oate Minnesota State Identification No. Social Security No. Vehicle Information: Serial Number Plate Number Othef: THIS IS R CEIPT FOR APPLICATIiON THIS IS NOT A LICENSE TO OPERATE.Your applicatio for 1 cense will eithe�be granted mt rejected subject to the provisions of the zoning ordinance and completion of the inspections by the He Ith, ire,Zoning and/or LiCense Inspectors. $15.00 CHAR I F R ALL RETURNED CHECKS � � � �,z�v.��'�; � � �'`� � � � � � Cit o Saint Paul �G�'-�� Finance and Management Se vices/License & Permit Division INFORMATION REQUIRED WITH APPLICATION F R ERMIT TO CONDUCT CHARITABLE GAMBLING Gr1ME I:V SAINT PAUL (To be used with the follow ng New A & C application, renew A & C � Licenses, and new and renew B in Privat C ubs.) 1. Full and complete name of organiza io which is applying for license TWIN STAR VFW POST #8854 2. Address where games will be held ' 8 0 Concordia Avenue ' St. Paul 55104 umber Street „ City Zip 3. Name of manager signing this appl at'on who will conduct, operate and manage Gambling Games Aaron J . Dooley �IDate of Birth 10/O1/12 (a) Length of time manager has be n ember of applicantlorganization 1962 / 27 years 4. Address of Manager 1116 E. Mary an Avenue St. Paul 55106 Number Street City Zip 5. Day, dates, and hours this applic ti n is for Daily - 10 a.m. to 1 a.m. 6. Is the applicant or organization rg nized under the laws of the State of MN? Yes 7. Date of incorporation 1962 � 8. Date when registered with the Sta e f Minnesota 1962 9. How Iong has organization been inlex stence? 27 years 10. How long has organization been i ex'stence in St. Paul? 27 years 11. What is the purpose of the organ at'on? Veterans organization 12. Officers of applicant organizati n: Name Otto T. Burroughs Name Walter Archer Address 1013 W. Central Avenue Address 985 Fuller Avenue Title Commander DpB O1/03 18 Title Sr. Vice Com. DOB CB/17/30 Name George Allen Name James G. Kirk, Jr. Address 4705 - 4th Avenue S. Address ,�1005 St. Anthony Avenue Title Jr. Vice Com. Dpg 00/ /0 Title Q�lartermaster DOB 06/19/20 13. Give names of officers, or any he persons who paid �Bor services to the organization. Name� Alexander Jordan Name li Harry Thomas, Sr. 175 h ri s - #129 � 1641 Vir inia Street Address C a e Address 9 Title Chaplain Title ' Surgeon (Attach se ar te sheet for additional names.) ' � �� 14. Attached hereto is a Iist of name a addresses of all members of the organization. 15. In whose custody will organizatio 's ecords be kept? Name James G. Kirk, Jr. Address 1005 St. Anthony Avenue 16. List all persons with the-authorily o sign checks for dispersal of gambling proceeds: Name Arneilia Allen Name Arthur W. Hill , Jr. Address 1595 E. Sandhurst Drive Address 1081 Hague Avenue 3�;Z�'3�j Member of Member of DOB 00/00/00 Organization? Ye DOB 00/00/00 Organiaation? Yes Name Name Address Address Member of Member of DOB Organization? DOB Organization? 17. a) Does your organization pay or nt nd to pay accounting fees out of gambling funds? yes x no b) If you do pay accounting fees,lto whom will such fee� be paid? Name �ds.trom Account i n Address 104 N. Da l' . s#reet DOB 00/00/00. Member f ganization?No c) How are the accounting fees ha ged out? (flat fee, hourly, etc.) flat fee . � 18. Have you read and do you thoroug ly understand the provisions of all laws, ordinances, and regulations governing the op ra ion of Charitable Gambling games? yes 19. Attached hereto on the form furn sh d by the citq of Saint Paul is a Financial Report which it .emizes all receipts, ex en es, and disbursements of the applicant organiza- tion, as well as all organizatio s ho have received funds for the preceding calendar year which has been signed, prep re , and verified by ' Aaron J. Dooley i 1116 E. Maryland Avenue - St. P ul MN 55106 Address I who is the General Manager ,�lof the applicant organization. a , 20. Operator of premises where game w 1 be held: � i Name Aaron J. Dooley i Business Address 820 Concordi A enue - St. Paul , MN 55104 Home Address 1116 E. Mary an Avenue - St . Paul , 'MN 55106 . • ` CaC��i�� 21. Amount of rent paid by applicant o ga ization for rent of the hall: N/A . 22. The proceeds of the games will be is ursed after deducting prize layout costs and operating expenses for the follow g urposes and uses: Youth athletics, needy community pe sons and or organizations including churches and social agencies. 23. Has the premises where the games re to be held been certified for occupancq by the City of Saint Paul? Yes 24. Has your organization filed feder 1 orm 990-T? Yes If answer is yes, please attach a copy with this application. If an er is no, explain why: Any changes desired by the applicant a so iation may be made only with the consent of the City Council. TWIN STAR VFW POST #8854 Organization Name Date March 23, 1989 � By: Manag in charge o game - / Org�lnization President or ^ � ., n T r0 9 � t� T � ' � � 3t 9 7 ( j � n � � A If �t �f ]1 � r'` v � � a ti �e - �, : •� � � � -� n 3 'e � '" '� � � = � 3 � � � � = .. � � d C � T �0 ' p r A r+ "'� n .' a S — �e � �' � � � � � = � 3 � � � � 3 rr R = 3 .. r+ y 3 r7 I � � � � , ,.., p a %� . .► � + 3 � er •t '� Jf ti 71 31 � d :O � � "'� 3 �G r�+ r► 7 71 I 3 ^ � � � r► 7< <0 3 � = , A � = '�. � �9 m ,9 9 � ,,0 = I � ,e .i .i .� 9 A '<I � n O �,,,, .� i -�I ' C '� � 9 � � � ^1 � i � . I � �I i ;9 ,0 � A r f9 '1 � � _ ,� � � :.i i =� � n I S f� c� � , � A I � j I � I 3 9 � n n " 9 r► 7 '0 I � A , ' � +i � 9 � � � I 3 � eT � T T 7 9 � 7 E � I � t I � 7f 7 I �+ a 1 < �A i d C � � � �'' n A � > r � � 1 � � � _ �� . 0 S .l I I � 1 7 ,� �e O A � ] � � � � � � .. 7 Un1rUKM ��7HK11 CL �riMtlL1NG �!�VFN�;riI Kt'��i • Lr1WFUL PURPQSc C0 TRIBUTIONS - '�ORKS�F_T � ' . . Page 1 of 5 Line #?3 - Total Lawful Purpose Co tributions. �39,974 �� List below all checks writ en from gambling funds which are charitable lawful purpose on ributions. The total dollar amounts af these checks m t atch the amount claimed in line �i3. Use additional he ts as necessary. CHECti # OATE ' PAYEE CHECK AMOUN PURPOSE j, 307 02/02/88 BROOKS FUNERAL OM $ 3pp Cox funeral expenses Z. 308 02/02/88 TWIN CITY CORRE TI NAL $ 60 training of officers OFFICERS ASSOCA 10 3� 312 02/,29/89 STEVE's WAREHOU E $ 498 Supplies - grocery bags � for needy families 4. 313 A2/05/29 NORTHWESTER FRU T $ 33 " " " 5 , 315 02/09/88 St. james A.M.E. C urch $ 75 Founder's Day , 6. 316 02/09/88 Mrs. Frances Tr e $ 300 Medical expenses 7. 317 02/09/88 STEVE's WAREHO SE $ 238 Supplies — grocery bags for needy families 8. 320 02/20/88 St . James A.M. . hurch $2,800 Public address system 9. 321 02/20/88 Pilgrim Baptis C urch $1,000 Restroom renovation 1_Q, 322 02/20/88 Our Lady of Gu da upe $1,000 Building fund I1. 324 02/20/88 St . Phillips E is opal $1,500 Air Conditioner 12, 325 02/20/88 AURORA—ST ANTH NY CLUB $1,000 Youth training I3. tT•ININ �TAR POST #885� _ 820 ConCOrdia Avenue B�I(!�T f�1Ul�MIIY�,. 5�104 TOTAL C EC. A1�UNT 3 8,8C'4 NOTE: These expenditures will be ro ided to Council Members at yaur Council hearing. Be sure that your financial re ort is complete and accurate. ' ♦ a A ! = •7 r � .� � ♦ w °� .a • � o �+ � � � � w ^ r � i w a � = � � C .� � � A � � � O � � � �r � � G � � � i O i � s 3 7 '� � = s � • ♦ � a � • + � o 0 � r. � w � "' s = � n v- � _ � s � � 2 = r � � � " ° � • � u ii � n � ,:� • � � � a '� .. n W � � � s 7 � � � s i� s �� ; . s ! ' •y � 3 i1 =1 " : � .. s � � � � a . �1 !) � , a : O � j � 3 r( A/ � •1 a n � e ��..r A = r f A • � 9 � � 3 ..�.�. .1 ^ � s. a 1� ` � �1 • w f �, ~ .� • � r A � d �J , �1 V � j1 1 � 7, � � 4 ,� �� . ,� j� � �� 1 � � i i � � � I � � T � i - ' I + � I O w� -1 = I . � 1 ^ y ( � I � _ " ' I w � �1 i/ i •1 T� 7� I � } � � T 1 ' I I y i I JI i 1 � I -! � UNIFORM CHARITA LE MBIING FINANCIAL REPORT Page 2 of 5 . � � LAWFUI PURPOSE ON IBUTIONS - WORKSHEET . . . . G� `�3� Line #13 • Total Lawful Purpose on ributions. S 39,974 List below all checks writt n rom gambling funds which are charitable lawful purpose c nt ibutions. 7he total dollar amounts of these checks mus m tch the amount claimed in line �13. Use additional s ee s as necessary. CHECK # DATE ' PAYEE CHEC K AMOUN PURPOSE 1. 327 02/20/88 MODEL CITIES Cli ic $1,000 Health care 2. 328 02/20/88 DOROTHY DAY Cent r $ 500 Poor and homeless 3. 326 02/.27/88 VFW Cancer Resea ch $1,000 equipment/cancer research 4. 329 03/O1/88 Municipal Athlet cs $ 200 women's softball 5, 330 03/O1/88 Odetta Emanual $ 200 Miss MN Teen USA 6, 331 03/O1/88 Mrs. Evelyn Olri se $ 150 medical expenses ], 332 03/O1/88 Mrs. Frances Tr � $ 150 medical expenses $, 333 03/03/88 Alexander Jorda $ 25 illness 9� 334 03/03/88 Jessie McWright $ 25 condolence 10. 336 03/08/88 St. Paul Chambe, o C. $ 225 Membership 11. 337 03/10/88 American Cancer So iety $ 75 cancer research 12. 340 03/17/88 Deveaia Bean $ 25 condolence 13. 343 03/29/88 Western State B nk $3,433 money orders for scholarships - �$p .�iT`Ai� P05T �8854 TOTAL CN K MOUNT $ ��008 �0 CO�CO�dia Avenu� �AIIVT PAIJI„ MIid�V. �=,�r)� NOTE: These expenditures will be p vi ed to Council Members at your Council hearing. Be sure that your financial ep rt is complete and accurate. , _ _ ♦ _ 3 � � = = = ' •� � ♦ � � � � � i e > � �� ? r � i C > w O Z r 2 a w �'' .� 3 I � .� � 0� • ! � � � .Zi �7 � • ' � Q � ~� • ' • O � � r = � i O r = _ � i • � � 0> � • N � � r O r 0 .r♦ w '� � - � '+, • � 2 s a � � s t '� "� � a n 1 � w W � y � r � 7 f� � r � � N + = . ' ; � ' � ! 7 = ^ ' : H } � : Q ., � I A ; ' �d v a � = > >n s i � • a .s. o ° j s �� r .� � � � • a � � w .r.r v a � a , � ` �+�. " ,� . 7 i ! � � i � y w s . � �i � o � •�. v � w � .� • � � � � � + � O ^ ° .�. � � � a � � . � � _ • � w � � r � . � w � � . • � I 1� I � � �.= r ? v1 Jj � 1 � » C " . - ._ 0 ( M ;� . � �` � i � ' � } N � I ` , ; � UNIFORM CNARITA LE GAMBLING FINANCIAL REPORT . : � LAI�FUL PURPOSE ON RIBUTIONS - WORKSHEET Page 3 of 5 . . . . . ��,�-�.t--q� Line #13 - Total Lawful Purpose on ributions. S 39,974 List below all checks writ n rom gambling funds which are charitable lawful purpose nt ibutions. The tot�l dollar amounts of these checks mu m tch the amount claimed in line �13. Use additional hee s as necessary. CHECK # OATE ' PAYEE CHECK AMOUN PURPOSE j. 345 03/30/88 Mrs. Evelyn Olri se $ 200 medical expenses 2, 346 04/02/88 Holcome Circle A so . $ 200 Maxfield School flower garden 3. 347 04/02/88 Mrs. Frances Tru $ 200 medical expenses 4, 348 04/16/88 Seegers Greenho e $ 27 Flowers/Bean funeral 5. 354 04/27/88 Raymond Presley i, $ 25 illness (, 355 OS/04/88 J. THOMAS Athle ic $ 50 Women's softball supplies ]� 358 05/10/88 Mrs. Evalyn Olr'ks $ 150 medical expenses � $. 359 OS/10/89 Mrs. Frances Tr e $ 100 medical expenses 9. 360 05/10/88 American CancerlSo iety $ 50 O Donald Smith's bail 10. 362 OS/17/88 Willie Davis Y 25 „ illness • jj. 342 03/29/88 City of St. Pau $ a,244 Youth athletics 12. 364 06/18/88 City•of St. Pau $ 1,018 Youth athletics 13. 367 06/22/88 City of St. Pau $ 909 ' Youth athletics _ 7WIN �TAR POST �8854 820 Concordia Avenue TOTAL CH K P�pUNT $11,198 SAINT, PAUL', MINN. 55104 NOTE: These expendltures will be p vi ed to Council Members at your Council hearing. Be sure that your financial ep t is complete and accurate. _ N .�. _ ♦ _ ^ y = ��+ ' � � • � I A • _ � � = d • '.1 ^ ~ w 4 � � � ] G' a � } � V � .� � l7 � . I + � � 4 ` '_ � w ^ � �°. ♦ a � . v � "'� s � 3 . o � � o � i � w ,r o v � � � �• � �' s � = z a v � s = � � � a w � �,,, s �w n + � � 'r � � s � tw a � a � o � � � I � � � i � a ..� w i � a • s 7 7 I � > s � � > > A s ! a � � Q + a ° j s � O r w � � � • a n ��.i A .n•rv 7� � 7 � '. i 3 � n � ,, • ' w ' � 4 ; • � `� A y d 9 ' •� r � 72� � . i � � � O A s � � �� • ' s i � � • ( ^ � s s � I � i I � . ,a� ,= r � � Z� � � ; �� , - - � ; �r � � �, � � J ' I I � i UNIFORM CNARITA LE GAMBLING FINANCIAL REPORT � LAWFUL PURPQSE ON RIBUTIONS - WORKSHEET Page 4 of 5 . . . . ��`��2" Line �13 - Total Lawful Purpose on ributions. g 39,974 List below all checks writt n rom gambling funds ,which are charitable lawful purpose c nt ibutions. The total dollar amounts of these checks mus m tch the amount cla��ned in line �13. Use additional s ee s as necessary. „ CHECK # DATE ' PAYEE CHECK AMOUN PURPOSE 1. 370 07/02/88 Mrs. Evelyn Olri se $ 150 medical expenses 2. 371 07/02/88 Mrs. Frances Tru $ 100 medical expenses 3� 372 07/08/88 Mr. Patrons Salol $ 100 Softball team entry fee 4. 373 07/23/88 The ELECTAS $ 50 Scholarship 5. 374 07/25/89 4th District VF $ 70 Hospital fund 6, 383 09/24/89 City of St. Pau $ 443 Youth athletics 7, 393 10/04/88 Jimmy Lee Boost r ub $ 1,500 Youth athletics $, 3gF, 10/04/88 Mariucci Inner it $ 1,500 Inner City Youth Athletics 9. 387 10/04/88 St. Peter Clave S hool $ 1,000 Athletic equipment 10. 388 10/05/88 Metro Golf � $ 1,000 Youth athletics I1. 392 10/31/88 City of St. Pau $ 590 Youth athletics 12, 396 11/10/88 St. Agnes Athle ic Dept. $ 250 athletic equipment 13. 399 11/26/88 Twin Star VFW P st $ 363 Thanksgiving baskets/needy � - t`t'.WIN �7AR POST �8854 TOTAL CH K MOUNT $ �,i 16 820 Concordia Avenue , SAIN.Ti PJ�IfL', M1NN. 55104 NOTE: These expenditures will be p vi ed to Council Members at your Council hearing. Be sure that your financial ep t is complete and accurate. � � = " ' = =_ '� � � .a �1 y !� �° :. i e > • �� T � � � C > w a — � � C+� r' � _ .� � .� � �1 A • }� � I A A H A � + + K Q � ~ y a • i a i � _ � r : � � � o> � i N w � v' o � o � �• o � � ^ �� s a Z s a � � � Z = �� • "' w � ' .r � `� � � � a � � fw A � ,� A y� �+ ! � � 7 q O �! > s � : '� � i � a : w � .� a s � : ,� s • � � s � � � a + � � � • �� a A � • � A e �.r..rv 7� � � � w � `.. ,� .n.r n 7 i ! • � i � ' � s w • � � � r 3 � O ' .�1 's � 7�� r � 7 � i s � a w � " � �_ • � s a � y � � � � = ` � I 1 ( 2 1 ! �� w ;.� �; � ` _ _ a � ... , . � �, a., � , � �� l . I �, , � • ` i ,I 1 . U��irUttl'1 1.11JiK11 D G uriPllS�llYl7 r1lYiif`II.:riL Ktt'UKI ' ' ��WFUL PURPOS C TRIBUTIONS - WORKSi{E�T Page 5 of 5 � � L;ne #I3 - Total Lawful Purpos I C tributions. 3�9,9�4 List below all checks wri te from gambling funds which are charitable lawful purpose co ributians. The totai dollar amounts of these checks m st atch the amount claimed in line �i3. Use additional sh ts as necessary. li CHEC�C � DATE ' PAYEE CHECIC AMOUN PURPOSE 1. 400 11/26/88 Twin Star VFW P t $ 1,525 Senior Citizens banquet of 1988 Z, 401 11/26/88 City of St. Pau ' $ 380 � Youth athletics 3, 403 12/�1/88 Knowlan's Super r t $ 554 I Xmas basketcs/needy families 4, 405 12/28/88 City of St. Pau $ 359 j� Youth athletics 5, 412 O1/28/89 City of St. Pau � $ 200 i Youth athletics 6, 415 02/04/89 Como Area Hocke A sn. $ 500 Youth athletics ], 416 02/18/89 Salvation Army � $ 25 general donation � $, 418 02/18/89 Cerebral Palsy $ 25 general donation 9. 419 02/18/89 Jimmy Lee Boost r lub $ 1,000 youth athletics �Q. 420 02/18/89 Model Cities C1 'ni $ 500 Senior citizens I1. 422 02/18 �89 Limited 30 Clubi $ 120 Mother of the Year award IZ_ 424 02/28/88 City Af St. Pau $ 660 youth athletics I3. � TW�N �TAR POST �8854 ' 820 Concordia Avenue TOTAL CH CK AhpUNT S 5,e4s SAINT P.AUL, M1NN, 55104 NOTE: These expendZtures will be p v ded to Council Members at yaur Council hearing. 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