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89-996 WHITE - CITV CLERK PINK - FINANCE C LLflCll U[/�/► CANARV - DEPARTMENT GITY OF A NT PAUL � F e NO• V " ��� BLUE - MAYOR ;, � Cour��il solution (����,. ! � �'. �____. Presented By i� Referced To �� Committee: ate Out of Committee By ate RESOLVED: That application (ID 91 29) for a State C1 s B Gambling License by the Church of St. Bernard at the ouse of Morgan, ' 741 Edmund, be and th s me is hereby appro d/�d. I I I COUNCIL MEMBERS Requested by De artment of: Yeas Nays Dimond �� [n Fa or Goswitz Rettman '� scne�net _ A gai s t BY Sonnen Wilson JUN — � ��$ Form Appr ed Cit Attorney Adopted by Council: Date • • � , ' 1 L�� Certified •s b ouncil ret By B}• A►pproved by avor: Da _ JU� — 5 Approved by M or for Submission to Council By BY PUBltSt� J un� i 0 98 ' ' ��'��� DEPARTMENT/OFFICFJCOUNGL DATE INITIATED � ��] O Fi nance ti cense REEN SHEET No. r CONTACT PERSON d PHONE INRIAU DATE INITIAUDATE DEP ENT DIRECTOR �CITY COUNGI Chri sti ne Rozek 298-5056 �� ��TM T*�N�' m c'TM c�RK MU3T BE ON COUNqL AOENDA BY(DAT� ROU7ING BU ET DIRECTOR �FIN.d�MOT.SERVICES DIR. 6-1-89 MAY R(OR AS818T ��-�� R TOTAL#�OF 810NATURE PAGES (CLIP ALL LOC 10 FOR 81GNATUR� ACTION RE�UEBTED: Approval of an application for a S at Class B Gambling cense. Notification Date: 5-11-89 Hearing Date: 6 -89 RECOMMENDATIONS:Approve pq a Reject(Fq COUNqL COMM ESEARCH REPORT OPTIONAL , _PLMININO OOMMISSION _GVIL SERVICE COMMI3810N ��� PHONE NO. _pB COMMITTEE _ COMMENTS: _STAFF _ _DISTRICT COURT _ i SUPPORT3 WMICH COUNqI OBJECTIVE? INITWTIN(i PROBLEM,ISSUE.OPPORTUNITY(1Nho,Wh�t,When.Where.Why): Rupert Strobel on behalf of the C ur of St. Bernard re uests City Council approval of his application for a St e Class B Gamblin License at the House of Morgan, 741 Edmund. Pro ee s from the pulltab ales will be used for educational advancement. All fe s and applications ave been submitted. ADVANTAOES IF APPROVED: If Council approval is given, the Ch rch of St. Bernard;will operate a pulltab booth at House of Morg . � DISADVANTA(iES IF APPROVED: i DI8ADVANTAOES IF NOT APPROVED: i TOTAL AMOUNT OF TRANSACTION C08T/REVENUE BUDGETED( RCLE ONE) YE8 NO � FUNDING SOURCE ACTIVITY NUM�R C 0`=���� E��s��r c h C e n te r FlNANGAL INFORMATION:(EXPWN) � :' �, �` ��t�� ��%' .1�.�J . . f NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTION/1L MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO.298-4225). ROUTING ORDER: Below are preferred routings for the five most frequent types of dxuments: CONTRACTS (aseumes sutlwrized COUNCIL RESOLUTION (Amend, BdgtsJ budget exists) Accept.Orants) 1. Outside Agency 1. Depa�tment Director 2. Initiatinp Department 2. Budget Director 3. Ciry Attomey 3. Gty Attorney 4. Mayor 4. MayoNAssistant 5. Finance&Mgmt Svcs. Director 5. Ciry Council 6. Finance Accounting 6. Chief Acxountant, Ffn&Mgmt Svcs. ADMINISTRATIVf ORDER (Budget COUNCIL RESOLUTION (all others) Revision) end ORDINANCE 1. Activiry Manager 1. Initiating Department Director 2. Depertment Accountant 2. City Attomey 3. Department Director 3. MayoNAssistant 4. Budget Director 4. Gty Council 5. City Gerk 6. Chief Accountant, Fin&Mgmt Svcs. ADMINISTRATIVE ORDERS (all others) 1. Initiating Department 2. City Attorney 3. MayoNAssistant 4. Gty Clerk TOTAL NUMBER OF SIGNATURE PAGES Indicate the�of pages on which signatures are required and paperclip each of these a�. ACTION REQUESTED Describe what the project/request aeeks to accomplish in either chronologi- cal order or order of importence,whichever is most appropriate for the issue. Do not write complete sentences. Begin each item in your list with a verb. RECOMMENDATIONS Complete if the issue in question has been presented before any body, public or private. SUPPORTS WHICH COUNCIL OBJECTIVE? Indicate which Council objective(s)your projecUrequest suppoRs by listing the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.) COUNCIL COMMITTEE/RESEARCH REPORT-OPTIONAL AS REQUESTED BY COUNCIL INITIATING PROBLEM, ISSUE,OPPORTUNITY Explain the situation or conditions that created a need for your project or request. ADVANTAGES IF APPROVED Indicate whether this Is simply an annual budget procedure required by law/ charter or whether there are speciflc wa in which the City of Saint Paul and its citizens will benefit from this pro�eCt/actfon. DISADVANTAGES IF APPROVED What negative effects or major changes to existing or past processes might this projecUrequest produce if it is passed(e.g.,traffic delays, noise, tax increases or assessments)?To Whom?When? For how long? D�SADVANTAGES IF NOT APPROVED What will be the negative conaequences if the promised action is not approved? Inability to deliver service?Continued high traffic, noise, accldent rate? Loss of revenue7 FINANCIAL IMPACT Although you must tailor the information you provide here to the issue you are addressing, in general you must answer two questions: How much is it going to cost7 Who is going to pay? . . ���-��� DIVISION OF LICENSE ANI) P�RMIT ADMINIST T ON llATE I � � � 1 p � INTERDF.PAR1fifE1�TAL REVIEW CHECKLIST A.p P oc ssed/Receiv by Lic nf Aud �111 Ck � �C�C(1 �Spn Applicant �(,l �(�') 0-� �fi ���'1QVd Home Address 4� � Cl�rkh�c•tm Rusiness Name �� O� Y' Q Home Phone Business Address 7 y� �dh1u�'► Type of License(s 1:.��(SS Fj �Qm����''y Business Phone L( � Public Hearing Date � I � y License I.D. 4E 3�J� / �Q at 9:OQ a.m. in the Counci Chambers, 3rd floor City Hall and Courthouse State Tax I.D. �l IU r� llate I�TOtice Sent; � 'I � ��IO�' Dealer 4� �(�' to Applicant Pederal I'irearms N�J4' Public He�.�ring DATE ITSPE TI N REVIEW VERFIED (CO U F.R) CUMMENTS A roved No A roved � °. Bldg I & D � ti (� Health Divn. ' , ,,,��+ � � Fire Dept. � ; � I� I Police Dept. � S�� y�«��g� y( �i � o,+�. � License Divn. ' � �Il �� � Q/L City �ttorney � �-��-���, o � Date Received: Site Plan � To Council P.es rch � �L Lease or Letter D te f rom Landlord lV�74 . . • , . . . . ,,.� .. _.� , ... ... . , . - . . -- - _ . .. _ . . . . �.. . ^ � , Charitable Gembling Control Boa d FOR BOARD USE ONLY Room N-475 Griggs-Midway Bui in � 1821 University Avenue St.Paul,Minnesota 55104-338 ID ;, ` (6121�'r4�A6�55�d'��- �?�-v T . '� ECK# - . TF , . GAMBLING LICENSE APPLIC 10 , � INSTRUCTION8: ` r�� A. Type or print in ink. �*. B. Take completed application to local goveming body, in gnature and date on all cop s,end leave 1 copy.Applicant keeps 1 copy and se�ds original to the above address with a k. . C. incomplete applications may be retumed. D. Enclose license fee with application. Type of Application: ❑Clasa A— Fee 9100.00(Bingo,Raffles,Paddlewheels, ip rds,Pull-tabs) �Claas B— Fee$ 50.00(Raffies,Paddlewheels,Tipboar s, II-tabs) Mak�ch tsp.yabwto: OCIassC— Fee S 50.00IBingoonlyl �h"u.a'°""e°"o�°"t'°ieord OClass D— Fee S 25.00(Raffles only) Check ons: �1 A. Orgenization has never been licensed. �1 B. New site—Give base license numbe�. f� �1 C. Renewal of existing license—Give com let license number. - 0 - 0 O 1 D. Change in class of an existing license— e c mplete license number. - 0 - 0 ❑Yes�No 2. Has organization ever�eceived a Lawful G mbl g Exemption Permit from t Board7 If yes,give complete permit number E3� ONo 3. Have�nternal Controls been submitted p�e iou ly on a form provided by th oard?If no,please atta�copy. 4. Applicant(Official,legal name of organizationl 5. Business Address of ganization �;i111::CZl ;i i�:.. ii8°T'iAZ'C$ U r 6. City,State,Zip 7. County 8. Bysiness Phone Number ��{:. P?�11. `'Yt. 11 �i.�'^ oir 1 � ?' 1 �u_(. � 9. . Type of organization: ❑Fraternal OVeterans �Rel io ❑Other nonprofit" •If o�ganization is an"other nonprofit"organization,answer esti ns 10 through 12.If not,go to estion 13."Other nonprofit"organizations must document its tax-exempt status. E�lYes�No 10. Is organization incor o�ated as a nonprof or nization?If yes,give num r assigned tQ Articles or page and book number. `jCG� ?_ � ti A py of certfficate. -- -. Yss ONo 11. Are articles filed with the Secretary of St teT ' �lYssQNo 12. Is organization exempt from Minneaota o Fed ral income taxT If yes,pleas attach Isttsrfrom IRS�ot DepartmeM of ' Revenue declering exemption. ;>.'��i DYes QNo 13. Has license ever been denied,suspended r r oked?If yes,check all that ly: ❑Denied �Suspended ❑Revok Give date: - 14. Number of active members 15. Number of yea in e istence te: Attach evidsnce of .. . 6,OQO � 49 ar throe yesrs existencs. 16. Name of Chief Executive Officer(Cannot be 17. Name of treasurer or on who accounts for other revenues Gambling Manager) of the organizetion( nnot be Gambling Manager) $reT..It82: :iFiieTii, 0.3.:�. }xzt2�v �dili3 Title Title Paator Comp�rollor Business Phone Number Business Phone Nu er � � b�2 � �88-6733 � 6�2 � �88- 733 , ' 18. Name of establishment where gambling will be 19. Street address(not .Box Number) co�ducted �oi:Be of Mor�n ?�1 Edmuad A e., 3t. Paul, ma. 55103 20. City,State,Zip -:,� 21. County(where gam ng premises is Ixated) . :;t. Paul, 24n. :F.aasey CG-0001-0318/881 White Copy-Board Canary-Applicant Pink-Local Goveming Body ag 1 of 2 , ... .. _. . , _ , . . .,. . . �,w.,,,M. . . . .. . . . . . . .- _, . . �... .. .... _ .. I . . . : . � � � ' .. . ., . ����� Gambling License Applicauon Type of Application: ❑Class A �Class B O Clas C ❑Class D -�Yes❑No 22. Is gambiing premises located within city limits "C7Yes�No 23. Are all gambling activities conducted at the p mi es lisied in#�18 of this appli ion7 If not,complete a separate application for each premises(except raffles) �,a epa�ate license is required f each premises. � ❑Yes�E]No 24. Does orgenization own the gambling premise 7 If o,attach copy of tlN I�sse ith tarms of at least one yea�,and� _:`�° attach a sketch of the premises indicating w at ortion is being leased. A le and.sketch are riet required for � Class D epplications. _ " ' •� 25. Amount of Rent Per 26. Do you plan on conducting bin o h this IicenseT If yes,give da and times of bingo occasions. � Month or Bin o Occasion Day Time ay Tune Day �:;:Time $ - ��Yes�No 27. Has the$10,000 fidelity bond required by Minn sot Statutes 349.20 been obtain ? 28. Insurance Company Name(not agency name) 29. Number `:c3�..::0�.:.1: .z�i";tt?� i�.61�_tS� ;:,OC'_!?T.;;T (`� i 30. Lessor Name 31. Add ss 32. City,State Zip .OU3F Ol' ti(Cirfr,�Il j=� �' '�.lIll� !?�T4. :�!:, ?1L'i� .fn, 5rj1�� 33. Gambling Manager Name 34. Ad� ss 35. City,State{Zip :�zpAl'-.-, �:;��Ot;61 �C � E�ts�P.;"_1 .'-1.'iA. �`. �3L'1, ��11. 36. Gambling Manag�r.Business Phone 37. Date gamblin ma eger became -; Y�"-�7�3 memberofo ani ation: Month� . Ytaa� q�;�, 1 1 - ❑Yes�No 38. Has the license termination form been complet d? ttach copy. ' ❑Yes�No 39. Has the compensation schedule been approve by e organizationl Attach copy. � 40. List the day and time of the regular meeting of the organizati n.D y -=�'r-F '•" � "•�j'` Time ��'-'`• = ' 41. Bank Name 42. Bank Ad res 43. Bank Account Number . . . , .. - ^'"� �� ... "�. ''.T1'l�'_R(i ?Il^'� 1``+��;;-l.�.ri t:r;, ' l. GAMBLING IT AUTHORIZATION By my signature below,local law enforcement officers or en s of the Board are hereby a horized to enter upon the site at any time gambling is being conducted to observe the gamblin an to enforce the law for any nauthorized game or practice. BANK REC RD AUTHORIZATION By my signature below, the Board is hereby authorized t in pect the bank records of t e gambling bank account whenever necessary to fulfill requirements of current gambling rule an law. I hereby declare that: TH 1. I have read this application and all information submi ed o the Board; 2. All information submitted is true,accurate and com ete ' 3. All other required information has been fully disclos ; • 4. I am the chief executive officer of the organization; ` _ 5. I assume full responsibility for the fair and lawful op rati n of all activities to be cted; �;�� � 6. 1 will familiarize myself with the laws of the State Mi nesota respecting gembtii and rules of the Board and agree,if licensed,to abide by those laws and rules,including am ndments the�eto;. 7. Membershi list of the or anization will be available it in seven da s after it is ested b the board. 44. Official,Legal Name of Organization 45,.,. ' e(r�� gned by Chief Execotive Officer) � � C'�,:.rch oi St. Berna:� X r �b� . ' `:1.'..�' Title of Signer Date P�s�er �t-�-R4 ACKNOWLEDGEMENT 0 N TICE BY LOCAL GOVERN BODY I hereby acknowledge receipt of a copy of this applicatio .B acknowledging receipt,I it having been served with notice that this application will be�eviewed by the Charitable Gam lin Control Board and if a ed by the board,will become effective 60 days from.the date of receipt (noted below) unles a r solution of the local gove ing body is passed which specifically disallows such activity and a copy of that resolution is r cei ed by the Charitable Gam ng Control Boa�d within 60 days of the below noted date. 46. Name of City or County(Local Governing Body) If site is located wittun township,item 47 must be completed,in -- ���, 1 addition to the coun ig�ature. If township is not organized, ;.A X:�„ .,�,� �'� 't�i ' _f county must sign. Signature o}per on receiving application 47. Name of Town ' ,�-� - r �1,� X �^!�.'�';.•.:'t.� J � � � • Title � Date re ived t60 day peri Signature of person iving application • ` q begins fro is d �'�.�,Q;;1��.� � ��.�,...-�'�� � X _.. �w 48. Name of person delivering application td vem' - Title � CG-0001-03 18/881 White Copy-Board Canary-Appli Pink-Local Goveming Body age 2 of 2 ; . . -. ; . c�cy 'of sa�ac pa,� , �� 9l�/� � ° Departaeat of F c and lriieaagement Se ces Division of Lic ae and Pesait 8egistr ion . ' i INFORMATION RE IIIBED NITH AYPLICATION FO P T TO CONDIICT TAB/TIPBOARD SALES IF SAINT PAUI. (Class B Gambling License ia Li uor Establ.ishments 8ew Appli�ation) ' 1.� F4i11 and complete name of organizat n which is applying r licensa 3 , Church of St. Bernard � 2. Does your orgaaization meet the de ion of a "large': o gaaization as outlined in the November, I988 revision of Sec 409.21 of the Lsgi latine Code? Attach to this application pertine t ancia2 and/or org ational iaformation to support your answer to this queeti . NOTE: Only S lar organizations vill be allow- ed to open pulltab operations und� t reviaed city ord ce. If more thaa 5 organi- zations apply, qualified applicant 1 be selected raa y by the City Covacil. 3. Address where games will be held �� �re St. aul Mn. 10 umber Street City Zip 4. Name of manager sigaing this appli at on who �rill conduc , operate and maaage , Gamtfling Games Rupert Strobel te of Birth 12-20-�0 (a) Length of time manager has bee m er of applicant ganization 19�2 5. Address of Manager st n ve. St. Paul Mn. Number Street City � Zip 6. Day, dates, and hours this applic i is for Monda - Sunda P - 10P 7. Is the applicant or orgaaization rg ized under the la of the State of IrIIJ? .yes � ' 8. Date of incorporation 1� 8 9. Date when registered with the Sta e f Minaesota 18 � 10. How Iong has organization been in ez stence? ea 11. Haw long has organization been in ex stence in St. Paul 99 years 12. What is the purpose of the organi at on? Reli ious & Educational 13. Officers of applicant orgaaizati : Aame Archbisho John Roach Aame ert Strobel Address 226 Summit Ave. Address 665 Western Ave. Title Pres. DOB Title T stee DOB 12-20-30 Name Brennan Maiers O.B.S. Fame Mielech � . Address 197 Geranium Ave. W. Address 900 Nevada Ave. W. , � Title Vice Pres. DOB �+-27 36 Tit1e T - stee DOB 6-1�+-�+8 �. �_ . ; _ _ �--� � , � � �� � 14. Give names of officers, or any other sr ons vho paid for s ces to the orgaaization. , Aame " Aase � Address - Addresa ' - ' Title " � Title ' Attach separat s et for additional es.) 15. Attached hereto is a list of names d dresses of all ers of the orgaaizatioa. 16. In whose custodq will organization's re ords be Iupt? Name Address 1 eranium ve. W. 17. List all persons with the authoritq o iga checks for dis rsal of gambling proceeds: . Name Monica Michaelsen Affie Sath Wills Addr�ss 868 Dunmore Ro�.d Addrese ou ' Member of Member of �B 3-30-57 Organization? s DOB - 1- Organization? ves Name Brennan Maiers O.B.S. Aame Ru er Strobel Address 1 Geranium Ave. W. Address 2 Western ve o. Member of Member of DOB �+-27-'�6 Orgaaization? DOB - - Organization? ves 18. Save you read and do you thoroughly un erstand the provi.s ns of all laws, ordinsnces, and regulations governing the opera io of Charitable ing games? �_u, 19. Will your organization's pulltab op ra ion be operated/ ged solelq by members of your organization? yes x no 20. Sas your organization sigaed, or d s t intend to siga, consulting agreement or a maaagerial agresment with aaq pers campany to assist aur organization with the pulltab sales and/or recording kee in ? yes no g If aaswer is yes, gine the name aa a dress of the perso and/or company contracted. R� � Addnss Aame Address If answer ie yes, flow will such a on ultant be paid? (p centage, flat fee, gambling fuads. general funda, stc.) Attac a copy of sai� eoatr t to this applicatioa. 21. Operator of premises where gamea 1 be held: a�e Allan Anderson � , Busiaesa Addreas 741 Edmun.d Av ., St. Paul Mn. Hame Address 723 Sherburn ' Av . , St. Paul, Mn. i i ' l �_____— _� � _._ _.. _. - _ j , . . � ��-��� � � 22. a) Doea your orgaaizatioa pay or ia e to pay accounting ees oat of gambliag fuads? � yes no x b) If you do pay accouating fees, t om irill such feas paid? � Rame Address • DOB � 1Kesber of g zation? , . c) Hov are the accounting fees c e out? (flat fee, urly, etc.) d) What do you aaticipate will be average �onthly d uction for accountiag fees? � 23. Amount of rent paid by applicant or an ation for rent of he hall: � $�+00.00 a mo. . j 24. The �proceeds of the games will be sb rsed after deducti prize laqout costs and ' operating expenses for the foll rposes aad uses: Educational Advancement 25. Has the premises where the games ar t be held been cert ied fbr occupancq by the City of Saint Paul? yeS ' 26. Has your organization filed fedaral fo 990–T? n� If � er is yes, please attach a copy with this applicatioa. If sa r is no, ezplain : Aay changes desired by the applicant asa i tion may b�e made o y with the consent of the City Council. - � ganizatioa Name Date �+-5-89 By: er in charge o gaae , . � aa atian Presiden or CEO 33! �J,� - � • City f S int Peul Depa�tme�t of Finan a d Manageme�t Service Llcensa a P rmit Division � �'%`'�l y� Ci Hall St. Paul, Mi� t 55102•29&5058 APPLICATI N FOR LICENSE . CASH CHECK CIASS NO. Ne enew � � Dat� f 19� Cod�No. Titls ot Licees� Fro T t�To�i� 19��J �� C+� s �^f ��� P 3 �� �t l, d��-(.. 't�. � / y1ff✓ � �aa�ea�+ucanoa am. t ,y , �/ / ( r � � � ' Vp !Vt4�a " 1 Buain�a��mt U SZ � �o✓ G � u� � � ,r n , �..; , ;� Business Addnss Pha�Na � C�' '( � i'�� ., ��/71 LL 1 Mail to Address Phor+s No. � f �. r �-'�1 VU U�. � Manay. n.r• / ;�/� 'r, ����� �;'1 �� �_�� 00 AlsnaqMGwner• Addnss Phon�No. 4pp8 Applitation Fee 2. fi�celved the um of aLL ``� � � � ManapedOwn�r• ty.Stah d Zlp Cad� 100 Tota 00 �}' ,� ,, 1 F� :� %. 0� , �,,�1 ._, �.i% /� !�, �- ' --� Ucenae Inspecto� � By: �� 2 ' SiqMtun of Applieanl ��� ��N� pp�i�y�, Expintfon Oat� Insurance• Cqnpuiy Nam� Policy No. Expihtla�O�t� Minnesota State Identificatlon No Soclal Security No Vehicle Information• S�HaI Numb�r Other THIS IS A RE IP FOR APPLICATION TH1S IS NOT A LICENSE TO OPERATE Your application tor lic nae III eitAer be�ranted or re�ec subjact to the proviafona of the zo�in� ordinane�and complNion o!th�inspktions b�►the Health,Fi e,Z nin�and/or Lieens�Insp�ct s. I � �15.00 CHARGE FO A L RETURNED CHECKS � , i I �'�9�9 ;� 7, � � .� . . � � . � �q_���o . . ; �� i � � i � TO BE C L TED.SY I - ' � ORGANIIATION PRESIDEN A 0 GAMBLING MANAGERI I understand and will uphold Saint au Ordinance 409, Se ions 409.21 � and 409.22 relat�ng to pulltabs and ti boards in bars. Further, I understand that my jarba m st meet city stand rds; that 10� of the net profit from pulltab sal m st be returned to e City-Wide Youth Fund on a monthly basis; tha mo thly financial sta dnents must be filed with the City; and that 51� t proceeds rtwst re in in St. Paul or be used to support St. Paul resi e s. . t . . , gnat re - nager n � � �� �� � � Sign re - Organization Presi en � � Church of St. Bernard - rganiza ion ame House of Mor an mb ing ocation . 4-�+-8 Date Please retain the a ta hed ordinance for ur records. � � , . j ' I � �