89-958 il
WHITE - CITV CLERK CO C11 /„/���
PINK - FINANCE
BLUERY - MAVORTMENT GITY OF S I T PAUL FIl NO. 0 7
• • �----__�
Council olution i ,�'���.
�
Presented By
Referred To Committee: Dalt
Out of Committee By D� e
I
RESOLVED: That application (ID #7 71 ) for a Gambling Ma ager's License
by D. Joe Haller DBA Cli b heatre at Joe & S�, n' s, 949 W. 7th Street,
be and the same is here y pproved/denied. I
COUNCIL MEMBERS Requested by Departm� t of:
Yeas Nays �.
Diroond )
�ng / In Favor
Goswitz
Rettman v
s�ne;ne� _ Against BY
Sonnen I
Wilson
MAY �� � �v� � Form Appr ved by Cit� At rney
Adopted by Council: Date .
B 5-�� '�
Certified Pas e n il S ta i�, Y
i � ;����1�:' ,�
Bl. , � � �;,�!
v Yfavor Dat MAY 3 G t9 9 Approved by Mayor fo� Submission to Council
Appro e
gy BY �
PilBlISHfD J U N 1 0 19$ ��
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IiiVISION OF LICENSE AND P�RMIT ADMINIST TI N UATE (p l� � / `� �� 0 I
INTERDF.PARTMEI�TAi. REVIEW CHECKLIST A.pp r cessed/Rece ved by
I Lic Enf Aud
Applicant �, J D�- ��l- �t�� Home Address � � � � �� �r`��'�'
Rusiness Iv'ame l_�t vY1�j �p�-I'YQ� Home Phone vZ a�— �(� �O(�
Business Address (,(� ,�6e, ``� �-4-�,�5 Type of Lic.ense(s) C�(,�{�y� �v� M
9 � � r� '��st
Business Phone
Public Hearing Date � � g License I.D. 4{ I (� 7� �
at 9:00 a.m. in the Counci Chaibers,
3rd floor City Hall and Courthouse State Tax I.D. �� � 'g'
llate Notice Sent; ��I���� /�L.Ii1 Q/ Dealer 4� ►J �
to Applicant lt�- �4 )
Peaeral rirearms �� II� N �
Public He�.iring
II
DATE II�SPECT UN
REVtEW VEKFIED (COMP TE ) IiCUMMENTS
A roved Not oved
Bldg I & D � �
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Health Divn. �
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Fire Dept. � � I
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Police Dept. �-t''"�`� (y Ill
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License Divn.
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City �,ttorney r.
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Date Received: �
Site Plan �U I �- �I �
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To Council P.PSearcl� �
Lease or Letter D te
f rom Landlord � ��-
II
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. . . � � ����s�
Cit� of S ia Paul j I
� Department of Finance nd iKanagement Service�
Divis ion o f License a d e r m i t R e g i s t r a t i o ni
INFaRMATION RE UIRED WITH APPLICATION FOR PE IT TO CONDUCT PULLTAB TIPBOARD S�iLES IN
SAIiVT PAUL (Class B Gambling License in Liqu r stablishments - Ne Application)
. .
1. FuII and complete name of organization w ic is applying for ll ense CLIM$, Inc .
(Creative Learning Ideas for Mind a d ody)
2. Does your organization meet the definiti n f a "large" organi tion as outlined in
the November, 1988 revision of Section 4 9. I of the Legislati Code? No
Attach to this application pertinent fin nc al and/or organiza 'onal information to
support your answer to this question. N TE Only 5 large org izations will be allow-
ed to open pulltab operations under the ev sed city ordinancet If more than 5 organi-
zations apply, qualified applicants will be selected randomly �� the City Council.
3. Address where games will be held 949 7 h St . MN St . P ul , MN
Num er Street itq Zip
4. Name of manager signing this application wh will conduct, ope��te and manage
Gambling Games D. Joe Haller Date o�l Birth 8/3/37
(a) Length of time manager has been memb r f applicant organi��tion
7 years
5. Address of Manager 500 N Robert St . 220, St . Paul M�1 55101
Number tr et City Zip
� 6. Day, dates, and hours this application i f r
7. Is the applicant or organization organiz d nder the laws of tI� State of ,�T? Y es
8. Date of incorporation Ja u ry 14 , 1976
9. Date when registered with the State of M nn sota January ll , 1976
10. How long has organization been in existe ce. 13 ea rs
- lI. How iong has organization been in existe ce in St. Paul?
12. WEiat is the purpose of the organization? T aches drama cla� es and performs
plays on issues vital to disabled n a e-bodied yo .
13. Officers of applicant orgaaization: �
Name Antoinette Johns Name Pe Wet '
Address 3300 Century Ave , WSL, MN 5 110 Address 500 N bert St . , St . Paul MN
Title Treasurer D�B 7/22/44 Title Preside,n ` DOB �/ 27i 59
Name Milan Mockovac �recently . Name
resigned , new sec y not yet I
� Address appointed Address
Title secretary DOB Title � DOB
•s,
II
. . . � �� ��
.
�
14. uive names of officers, or any other per on wh�paid for serv�ces to the
organization.
Name t'eg Wetli Name
Address �u0 N Robert St . , St. Yau Address I
Title Executive Uirector Title
(Attach separate sh et for additional nam� .)
15. Attached hereto is a list of names and a dr sses of all member� of the organizatioa.
16. In whose custody will organization's rec rd be kept? II
Name �abriele Theel , finance mgr . Address S00 N Rc� ert St . , St . Paul , MN
17. List all persons with the authority to s gn checks for dispers� of gambling proceeds:
Name D. Joe Haller N�e Peg Wet� "
Address
500 N Robert , #22U Address S00 N I� bert , #220 �
Member of i Member of
DOB 8/3/3 7 Organization? Y e S DOB 10/1 U/4 9 i Organization? Y e s
Name Gabriele Theel Name �
Address 500 N Robert , #220 Address
Member of Member of
DOB �•Z��59 Organization? YeS DOB Organization?
18. Have you read and do you thoroughly unde st d the provisions d all laws, ordinances, �,
and regulations governing the operation aritable Gamblingl ames? Yes
19. Will your organization's pulltab operati b operated/managed olely by members of
your organization? qes no X Approx SOZ of pulltab
sellers wi �3 a.ctors .
20. Has your organization signed, or does it nt nd to sign, a con lting agreement or a
managerial agreement with any person or mp ny to assist youri rganizat XXX ith the
pulltab sal.es and/or recording keeping? es no
. --
I�
If answer is qes, give the name and addr s f the person and/a company contracted.
Name Address
Name Address I
If answer is yes, how will such a consult t be paid? (percent I e, flat fee, gambling
funds, general funds, etc.) Attach a cop o said contract to i his application.
21. Operator of premises where games will be el :
Name Joe and Stan ' s $ar/ Louis S ' ri n ° �
Business Address 949 W 7th St. , St. Pa 1 , MN
Home Address 448 � Wheelock Pkwy.
I I
, . . ��'-�
" �
22. a) Does your organization pay or intend to pay accountfng fee� out of gambling funds?
yes no XXX .
..
b) If you do pay accounting fees, to wh m ill such fees be p� d?
Name Ad ress
DOB Member of Orga iz tion?
c) How are the accounting fees charged ou ? (flat fee, hourl� , etc.)
d) What do you anticipate will be your av rage monthly deduc� on for accounting fees?
23. Amount of rent paid by apglicant organi at on for reat of the , all:
— $100.00/Per we k
24. The proceeds of the games will be disbu se after deducting p� ze layout costs and
operating expenses for the following pu po es and uses: �
51� will be used to fund the plays a d drama classes ; LIMB presents
to disabled and ablebodied childre n schools , park�, ear:ly education
pro rams etc . throu hout St . Paul . kemainin monie will be used to
fund plays and classes throughout i nesota.
� 25. Has the premises wt�ere the games are toibe held been certifie for occupancy .by the
Yes .
City of Saint Paul?
26. Has your organization filed federal fo 9 0-T? YeS• If ans� r is yes, please attach
a copy with this application. If answe i no, explain why.
Any changes desired by the applicant associa io may be made onlq w��th the consent of the
City Council.
g zation Name
. � � �
Dat Y�
� a e n e e
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.
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' Or n a n re ident or CEO
� �G ���'
' ' Cit c aul
Department of Fina e no roansgement Servic s �G�-�,�
License d e�mit Division � ��'
ty Hatl
St. Paul, Mi e a 55102-298-5056
APPLICAT FOR LICENSE
CASH CHECK CIASS NO. N Renew
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Oate � � 19s%�":
Cods No. Tftls of LiCenae From /'^ � t9'�_To ��' 19 -
,
02�'�.7� �`�� �-li�! f�� /.�i1f e� � 07 •J'
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ApplkantlCompa� ame
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C� �q \ t b�l ! h0 .`�'Y�
1 Bua�n�ss Name
1 .l l �il+ � ''Y:i i I
Buainess Addrsss Phon�Na
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1 0 Mail 0 S � ' Phone NO.
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ManapsNOwner•N e
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1 Atansyer/GwnM•H t Addresa Phont Na
10�8 APDIfCatlon Fee 2 „ : _ �
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fieceived the Sum of 1 ��� . :; � � ; � — '- i `-�
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jv'+ •�;` c ManspsrrOwner•Ct ,S1ate 3 Zfp Code
100 Total 1 •
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1 � ,� '�� '/ %i:�';/
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licenae Inapector --��-/ By: � �' atur!01 plie�nt
Bond•
Company Name Poliey No. Expintfon Oa�e
Insurance:
Company Name Policy No. Expvatlon Oate
Minnesota State Identificatlon No. Social Security No.
Vehlcle Information:
S�rial NumOer �l�Numb�r
Other
� THIS IS A RECEII T OR APPUCATION
� THi3 IS NOT A LICENSE TO OPERATE Your applfeation fer Iteen wil eithec be qanted or rejectsd bi�t to ths provfsfons of the zoninq
o►dlnanes�nd eomplstlo�ot the Insp�ctlons by tM Health, Fire. o�i 9 and/a Lka+s�1nsp�ton.
$15.00 CHARGE FOR L ETURNED CHECKS
, �1�-�-� � � ���